Look at Process & Procedure Changes
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- Roderick Lawson
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1 INDIANA PAS/PASRR REDESIGN: A First Look at Process & Procedure Changes Indiana Division of Aging Ascend, A MAXIMUS Company 2016 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 1
2 HOUSE KEEPING Thank you for attending! Administrator: Beth Fetzer Presenters: Connie Tanner, Ascend PASRR Manager; Becky Koors, Division of Aging Transitions Director The webinar will last 1 hour All handouts/slides available in Handouts tab All lines are muted to ensure audio clarity Enter all questions into the Questions tab Q&A time is scheduled for the last 20 minutes 2016 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 2
3 The Big Picture: Transition Overview PRESENTATION OUTLINE The Why: The Power of PASRR Your Role: Process Changes & Frequently Asked Questions? Questions & Answers 2016 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 3
4 THE BIG PICTURE: Transition Overview 2016 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 4
5 THE BIG PICTURE TRANSITION OVERVIEW Shift to Ascend s web-based PAS submission system The NF Level of Care assessment chosen by the DA is interrai-hc tool PASRR Level I screening tool chosen by the DA is Ascend s Level I screening tool Both will be entered in Ascend s system Some will be reviewed by Ascend clinicians 2016 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 5
6 WHO IS IMPACTED BY THESE CHANGES? THE BIG PICTURE HOSPITALS AREA AGENCIES ON AGING NURSING FACILITIES LEVEL II ASSESSORS 2016 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 6
7 TRANSITION TIMELINE: January April 2016: Intro Webinars Webinar series providing overview of changes and a quick look at system TIMELINE VERY IMPORTANT! May June 2016: Training Step-by-step instruction for all system users, providing what you need to know to complete your PASRR/LOC work July 2016: Go-Live The new PASRR and NF PAS system will go live on July 1 st, ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 7
8 THE WHY: The Power of PASRR 2016 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 8
9 THE POWER OF PASRR Structure & Purpose of PASRR Preadmission Screening & Resident Review (PASRR) Administered by the Centers for Medicare & Medicaid Services (CMS) Created in 1987 Anyone in Medicaid-funded Nursing Facilities (NF) screened for: Serious Mental Illness, Intellectual Disability, Developmental Disability/Related Condition Known/suspected condition = evaluation To ensure NF is most appropriate placement To ensure receipt of needed services 2016 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 9
10 Optimize an individual s placement success, treatment success, and QUALITY OF LIFE 2016 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 10
11 How do we reach that goal? Identify the Person Placement Meets Needs Provide Needed Services (Source: Dan Timmel, CMS, , 2013) 2016 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 11
12 THE POWER OF PASRR Nursing Facility Residents with Serious Mental Illness More likely to attempt suicide High levels of suicidal thoughts Indirect suicide; self-destructive behaviors Refusing to eat Refusing medication (Thibault, O Brien, & Turner, 2000) 2016 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 12
13 THE POWER OF PASRR Community & Nursing Facility 40% of NF residents with Serious Mental Illness (SMI) would rather be in community settings Community is the most appropriate placement for 50% of NF residents with SMI (Bartels et al, 2003) 2016 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 13
14 YOUR ROLE: Process Changes & Frequently Asked Questions 2016 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 14
15 PROCESS CHANGES Case Example: Current Process (will be changing) 2016 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 15
16 PROCESS CHANGES Case Example: New Process Beginning 7/1/ ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 16
17 *Ascend clinicians may request additional documentation to be uploaded to AssessmentPro depending on individual s history ** May take longer if submitting facility is not responsive to requests from Ascend clinicians for document uploads or additional information 2016 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 17
18 *Ascend clinicians may request additional documentation to be uploaded to AssessmentPro depending on individual s history ** May take longer if submitting facility is not responsive to requests from Ascend clinicians for document uploads or additional information 2016 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 18
19 FAQ What happens outside of normal work hours (holidays/evenings/ weekends)? What about emergency situations? How long will the PASRR Level I/LOC forms take to complete? How long will it take to get a decision? 2016 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 19
20 QUESTIONS? Questions and corresponding answers gathered through webinars will be compiled into a FAQs resource and shared online. These slides will be available at: On the homepage, use the Tools & Resources By State dropdown and select Indiana PASRR 2016 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 20
21 ASCEND CONTACT suggestions for Ascend webinars/training: Ascend IN PASRR User Tools site: rstate/indianapasrrusertools.aspx To sign up for Ascend PAS/PASRR Redesign updates and training announcements: ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 21
22 DIVISION OF AGING CONTACTS Becky Koors, Transitions Director Office: Division of Aging PASRR project website: To sign up for Division of Aging Update newsletter: ubscriber/new?topic_id=infssa_ ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 22
Transition Overview & PASRR Level I System Demo Nancy Shanley, VP of Consulting and Policy Analysis Ascend Management Innovations LLC
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