INDIANA PAS/PASRR REDESIGN Transition Overview & PASRR Level I System Demo Nancy Shanley, VP of Consulting and Policy Analysis Ascend Management Innovations LLC 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 1
REDESIGN OVERVIEW Introduction by the Division of Aging Senate Enrolled Act 465: Current state statute sun-setting 6-30-2016 Statewide collaboration with stakeholders on redesign Changes being made to Indiana s NF PAS and PASRR process and methods Current PAS process paper-based, goal is all electronic and efficient Contracted with Ascend for PASRR Level I system and interrai LOC submission system Sign up to receive PASRR updates through both Ascend and Division of Aging 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 2
Introduction by the Division of Aging WHAT IS CHANGING? 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 Build of a new Case Management data system that also uses the interrai HC Build of a new MMIS system 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 3
WHO TRAINS ON WHAT Division of Aging: How to administer the interrai according to publisher s protocols How to use the Case Management interrai data system Other system infrastructure topics Ascend: Overview about how to prepare for the July 1 roll-out of Ascend s Level I and Level of Care submission system PASRR Level I basics and Ascend s Level I screening tool Specific how-to instructions on entering Level I screens and LOC assessments into Ascend s system. 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 4
WHO IS IMPACTED BY THESE CHANGES? REDESIGN OVERVIEW HOSPITALS AAAs NURSING FACILITIES LEVEL II ASSESSORS 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 5
REDESIGN OVERVIEW HOSPITALS Will complete Ascend s Level I screens online, Ascend determines the outcome of the Level I screen Will complete the interrai LOC short form online for all Medicaid beneficiaries and all Level II referrals, Ascend determines the outcome of the LOC Who needs to attend trainings on how to use Ascend s system? Critical: Discharge planning staff Optional: Hospital administrators Keep in mind that persons creating electronic record or planning key data collection, will want to be sure required PAS information is part of your process 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 6
REDESIGN OVERVIEW AREA AGENCIES ON AGING (AAAs) Will complete interrai-hc full-length Level of Care (LOC) assessments in Ascend s online system for all persons living in the community Enter Level I screens for all persons living in the community Who needs to attend trainings on how to use Ascend s system? Critical: AAA staff who perform NF assessments 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 7
REDESIGN OVERVIEW NURSING FACILITIES Will complete Ascend s Level I screens online only for persons with emergency, respite and out-of-state admissions Will use Ascend s Level I system to trigger PASRR status changes or resident reviews as needed Will complete full online interrai LOC screens when persons convert to Medicaid or a Level II is needed for a resident Who needs to attend trainings on how to use Ascend s system? Critical: Intake clinical staff (nursing/social services), staff who are responsible to report PASRR significant changes and resident reviews Optional: Nursing facility administrators 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 8
REDESIGN OVERVIEW LEVEL II AGENCIES Will receive referrals for Level II evaluations electronically from Ascend s system Level II agency staff will use Ascend s Level I system to trigger resident reviews as needed Who needs to attend trainings on how to use Ascend s system? Anyone who needs access to receive Level II evaluation referrals Anyone who needs to know how to initiate Level II evaluations of residents (PASRR targeted resident reviews) 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 9
PASRR Pro-I and LOC Pro - 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 10
Ensuring that the right people in your organization receive system information & training is CRITICAL Get the word out to sign up online for Ascend and DA updates to get emails that give webinar & training information and registration access 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 11
ASCEND s 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 PAS work July 2016: Go-Live The new PASRR and NF PAS system will go live on July 1 st, 2016 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 12
WHAT YOU CAN DO NOW TO PREPARE Make sure the staff in your organization who need to be trained are signed up for Ascend s PASRR Newsletter and DA Updates watch for training registration announcements! Sign up for Ascend updates: http://tinyurl.com/inpasrrascend Sign up for DA updates: https://public.govdelivery.com/accounts/i NFSSA/subscriber/new?topic_id=INFSSA_ 23 Forward our emails to co-workers to help them sign up 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 13
WHAT YOU CAN DO LATER TO PREPARE 1. Register to attend mandatory PASRR Pro-I and LOC Pro how-to trainings (there will be many throughout May and June) 2. Attend Division of Aging trainings on how to administer the interrai-hc and short form 3. Provide comments on webinars to inpasrr@ascendami.com 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 14
WHAT YOU CAN DO NOW TO PREPARE Review Level I screen items and determine how your facility can best collect this information. Learn the version of the interrai assessment your facility will use 1. Ascend will email webinar attendees a copy of Ascend s Level I items. 2. The Division of Aging will train on the short and long forms of the interrai 3. The Division of Aging will distribute sample interrai forms 15 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED.
WHAT YOU CAN DO LATER TO PREPARE 1. Your facility s staff logons will be managed by Facility Access Administrators (1 to 3) at your facility. 2. Your Facility Access Administrator will apply for access through AssessmentPro by downloading a form to complete and upload. 3. Facility Access Administrators should be selected by facility management and be 1) tech savvy, 2) have ability to act as system resource for your facility, and 3) know the staff that should be authorized to use the system. 4. Instructions and timelines will be distributed via emailed Ascend Updates. 5. Users will request access through AssessmentPro. Facility Access Administrators will grant access (or not) and assign each user s role (clinical or not) 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 16
WHAT YOU CAN DO LATER TO PREPARE Hospitals and Nursing Facilities: Review the new LOC short form interrai screen and determine how your facility can best collect this information. Ensure your staff members register for a Division of Aging training on how and when to administer the LOC short form. Nursing Facilities and AAAs: Ensure your staff sign up for a Division of Aging training on how and when to administer the interrai LOC assessment. 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 17
SMALL CHANGES All persons who are triggered for a PASRR Level II evaluation must have the interrai LOC completed before admission to the NF. All persons who are Medicaid recipients must have the interrai LOC completed before admission to the NF. All will be reviewed by Ascend clinicians, so hospitals will want to start the screening process early Once you have uploaded all required information, Ascend will issue a decision within a few business hours 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 18
PASRR LEVEL I & STATUS CHANGE REFERRALS PASRR OVERVIEW Goal of PASRR Screen: Like screens for diabetes or heart disease, the Level I screening detects the potential presence of MI or IDD so that a more in-depth Level II assessment can take place. 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 19
ASCEND SYSTEM DEMONSTRATION 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 20
ASCEND CONTACT Email suggestions for Ascend webinars/training: INpasrr@ascendami.com Ascend IN PASRR User Tools site: www.ascendami.com/ami/providers/you rstate/indianapasrrusertools.aspx To sign up for Ascend PAS/PASRR Redesign email updates and training announcements: http://tinyurl.com/inpasrrascend 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 21
DIVISION OF AGING CONTACTS Becky Koors, Transitions Director Office: 317-232-4355 Email: rebecca.koors@fssa.in.gov Division of Aging PASRR project website: http://www.in.gov/fssa/da/5011.htm To sign up for Division of Aging Update newsletter: https://public.govdelivery.com/accounts/infssa/s ubscriber/new?topic_id=infssa_23 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 22
QUESTIONS? Questions and corresponding answers gathered through webinars will be compiled into a FAQs resource and shared online. These slides will be available at: www.ascendami.com On the homepage, use the Tools & Resources By State dropdown and select Indiana PASRR 2015 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 23