PDGM Practical
Information on the patient driven grouping model is everywhere. But tangible information on how to manage under PDGM is scarce.
Understanding the new metrics of success and how your agency needs to adapt is huge. Below we have contrasted patterns of success under PPS (our current payment system) and PDGM our new model effective in January 1, 2020.
Kristi Bajer BSN, RN, COS-C, brings over 10 years of real world experience as a clinician, director, and administrator in home health. She is a firm believer in diagnosis driven evidence-based care in home health. Currently, she assists agencies with external chart audits and Medicare appeals, as well as providing training and coaching on OperaCare implementation and building QAPI programs using data to drive success and protect agencies from government audits.