presented by Ellen R. Strunk
If you currently practice (or plan to practice) in a Skilled Nursing Facility (SNF), then you must prepare for Section GG. The Improving Post-Acute Care Transformation Act (IMPACT) of 2014 requires the standardization of patient assessment data reported in each post-acute care setting (Inpatient Rehab Facilities, Long-Term Care Hospitals, Skilled Nursing Facilities, and Home Health Agencies). On October 1, 2016, Skilled Nursing Facilities began to collect mandatory data items related to functional status at admission and discharge from the facility. The intent of the data collection is to facilitate communication and care processes between settings as well as provide the basis for comparing patient types, outcomes of care, and costs associated with that care between settings and longitudinally. Beginning October 1, 2018, SNFs will begin to collect additional Section GG items for both self-care and mobility. The Centers for Medicare and Medicaid Services (CMS) has also updated the language in several of the items and added a new response option to provide more clarity to users and facilitate consistency in data collection.
Ellen R. Strunk, PT, MS, GCS, CEEAA, CHC, has worked in various roles and settings as both a clinician and manager/director: hospital, transitional care, Director of Rehab for a hospital home health agency, Clinical Consultant, Director of a HH staffing division, and Director of Governmental Affairs for a company providing rehab services in long-term care, home health, and outpatient settings. Presently, Ellen is the owner of Rehab Resources & Consulting, Inc., a company providing continuing education and consulting services for post-acute care settings. For the past seven years, she has specialized in helping clients understand and navigate the CMS regulations for post-acute care settings, as well as how to prepare for the transition to a value-based system. Ellen is passionate about delivering medically necessary therapy services in these settings and lectures nationally on the topics of pharmacology for rehabilitation professionals, exercise and wellness for older adults, the importance of functional outcomes, and coding/billing/documentation for therapy services. Ellen is a member of the American Physical Therapy Association, where she has served on a Payment Policy Strategy Committee advising the APTA Board of Directors on payment policy in all settings. She is a member of the APTA Section on Geriatrics, the APTA Home Health Section, and the APTA Health Policy & Administration Sections. She serves on a state level as the President of the Alabama Physical Therapy Association and as its Practice & Reimbursement Chair. She is a member of the American Health Care Association, where over the last three years she has been a part of a therapy workgroup to develop a national quality measure for rehabilitation.
Chapter One will provide an overview of the functional measure implemented across the post acute care spectrum, and the measures selected for the Skilled Nursing Facility. The Centers for Medicare and Medicaid Services’ (CMS) rationale for selecting the measures are discussed, as well as how the measures will be used to evaluate providers.
Chapter Two will provide an overview of the self-care items used in the Skilled Nursing Facility. The rating scale definitions and guidelines for assessment will be discussed.
Chapter Three will explain the self-care items used in the Skilled Nursing Facility. Each item’s definition will be discussed in detail, and examples of assessment application will be given.
Chapter Four will provide an overview of the mobility items used in the Skilled Nursing Facility. The rating scale definitions and guidelines for assessment will be discussed.
Chapter Five will explain the mobility items used in the Skilled Nursing Facility to assess bed mobility and transfers. Each item’s definition will be discussed in detail, and examples of assessment application will be given.
Chapter Six will explain the mobility items used in the Skilled Nursing Facility to assess walking, wheeling, and picking up an object. Each item’s definition will be discussed in detail, and examples of assessment application will be given.
Chapter Seven will explain the concept of setting discharge goals for Section GG in the Skilled Nursing Facility. Coding tips for determining the most appropriate level of ability will be given.
Chapter Eight will describe the functional change measure used in the Skilled Nursing Facility. Additional items used for risk adjustment will be reviewed as well as the importance of accurate data collection.