A Presentation. Table of Contents Reimbursement by Medicare and Medicaid Restores patients to...

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SKILL NURSING HOME A Presentation

Transcript of A Presentation. Table of Contents Reimbursement by Medicare and Medicaid Restores patients to...

Page 1: A Presentation. Table of Contents Reimbursement by Medicare and Medicaid Restores patients to previous level of functioning Recovering patient population.

SKILL NURSING HOMEA Presentation

Page 2: A Presentation. Table of Contents Reimbursement by Medicare and Medicaid Restores patients to previous level of functioning Recovering patient population.

Table of Contents• Reimbursement by Medicare and

Medicaid

• Restores patients to previous level of functioning

• Recovering patient population includes

• Specialize in rehabilitation

• Relieve pressure in acute care setting

• Ensure acute care treatment benefits are fully realized

• Reduce re-hospitalization

Page 3: A Presentation. Table of Contents Reimbursement by Medicare and Medicaid Restores patients to previous level of functioning Recovering patient population.

Reimbursement by Medicare and Medicaid

It is based on the proper budget which includes the following:• Rates

• Case Mix adjustment

• Geographic adjustment

• Annual updates

• Transition

• Effective date.

Page 4: A Presentation. Table of Contents Reimbursement by Medicare and Medicaid Restores patients to previous level of functioning Recovering patient population.

Restores patients to previous level of functioning

A skill nursing home must have the ability to give the proper treatment and procure the patients so that they can restore to the previous level or health state and recover there self from the injuries or diseases.

The skill nursing home can give treatment to the all people who are in need of it.

Page 5: A Presentation. Table of Contents Reimbursement by Medicare and Medicaid Restores patients to previous level of functioning Recovering patient population.

Recovering patient population includes

Skill nursing home can give different type of services some of them are:a. Hip fracture: It is a break in the upper

quarter of the femur (thigh) bon.b. Stroke: It is the loss of brain function

due to a distribution in the blood supply to the brain.

c. Pneumonia: it is lung infection which make you cough, run a fever and difficult to breath.

d. Heart failure: it occurs when heart in usable to pump sufficiently to maintain the blood flow to meet the needs of the body.

Page 6: A Presentation. Table of Contents Reimbursement by Medicare and Medicaid Restores patients to previous level of functioning Recovering patient population.

Specialize in rehabilitationRehabilitation id the process of

helping an individual to achieve the highest level of function, independence and quality of life.

So skill nursing home must be specialized with a doctors and physicians who can give the specialized rehabilitation to the patients.

Page 7: A Presentation. Table of Contents Reimbursement by Medicare and Medicaid Restores patients to previous level of functioning Recovering patient population.

Relieve pressure in acute care setting

This can done by the six steps:1. Conduct a pressure ulcer

admission assessment for all patients

2. Reassess risk for all patients daily3. Inspect skin of at-risk patients

daily4. Manage moisture5. Optimize nutrition/hydration6. Minimize pressure

Page 8: A Presentation. Table of Contents Reimbursement by Medicare and Medicaid Restores patients to previous level of functioning Recovering patient population.

Ensure acute care treatment benefits are fully

realized The skill nursing home must give

the proper treatment and ensure all of the steps regarding the acute care treatment so that the patients are easily satisfied and get well soon.

With the help of specialized doctors the nursing home can give treatment in both Medicare and Medicaid programs.

Page 9: A Presentation. Table of Contents Reimbursement by Medicare and Medicaid Restores patients to previous level of functioning Recovering patient population.

Reduce re-hospitalizationIt means that to give the

treatment upto the extent that a patients does not need again to be hospitalized.

Proper treatment can make a reduction in re-hospitalization.

If a patients get full healthy state then he avoid to go to hospital.

Individual recover from injuriesPatient can take over the

diseases

Page 10: A Presentation. Table of Contents Reimbursement by Medicare and Medicaid Restores patients to previous level of functioning Recovering patient population.

References

• http://www.cms.gov/Medicare/Medicare-

Fee-for-Service-Payment/SNFPPS/

index.html

• http://www.hopkinsmedicine.org/healthlibrary/conditions/physical_medicine_and_rehabilitation/overview_of_physical_medicine_and_rehabilitation_pmr_85,P01168/

• http://www.ihi.org/resources/Pages/ImprovementStories/RelievethePressureandReduceHarm.aspx

• http://en.wikipedia.org/wiki/Heart_failure