Managing Utilization under PDGM with Star Ratings in Mind
A review of how agency outcomes affects star ratings under PDGM.
TAHC&H CONFERENCE RECORDING: This program was presented on 08/27/2019 at the Texas Association of Home Care & Hospice 50th
Annual Meeting in Grapevine. It is one of 17 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from
both home and office during the subscription period shown at the bottom of this page.
Presentation Date: August 27, 2019
TAHC&H Event: TAHC&H Annual Meeting | Grapevine
TX HCSSA Administrator/Alternate Continuing Education
1.5 Clock Hr(s)
Continuing Education for Nurses
1.5 Contact Hr(s)
This program awards CNE until 08.27.2021
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses
an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151
HCSSA Topic(s) Addressed:
§97.260[a]basic principles of management in a licensed health-related setting
§97.260[a]risk assessment and management
Program Description:In this program the presenters review how agency outcomes affects star ratings under PDGM.
A case study is presented focusing on care of the patient with a specific primary diagnosis and
differences between caring for the patient under PPS versus PDGM. Key areas of focus will be managing
inappropriate LUPAs under PDGM, cost effective approaches for improving functional status of patients
under PDGM, and recommended metrics to track under PDGM.
Program Learning Outcome: Participants will actively participate in the learning activity and indicate an intent to change
their practice by implementing effective clinical approaches to contribute to improved patient outcomes under the Patient Driven Groupings Model.
TAHC&H Faculty/Presenter: Christopher Attaya, Strategic Healthcare Programs & Sue Payne, RN, MBA, Corridor
About the Presenter: Christopher Attaya joined SHP in 2014 after spending 28 years in executive
and consulting positions within the Home Health and Hospice industry. In his role, he is responsible for product development and client relationships
to help organizations achieve increased operational and financial performance through the use of SHP’s industry leading analytics platform and benchmark
data. Prior to SHP, Chris was the CFO at the VNA of Boston and had worked at Partners Health Care at Home as CFO and CEO. He received a B.A. in Public
Health from Tufts University and an M.B.A. from the Graduate School of Management at Boston University concentrating in Health Care Finance.
About the Presenter: Sue Payne joined the Corridor team in December 2016 as part of the Transpirus
acquisition where she served as the Senior Vice President of Clinical Services. In her role, Sue is responsible for clinical quality and business review
to assure client satisfaction. She also serves as the Corporate Compliance Officer.
Sue has over 25 years in home care operations and strategic leadership. Prior to her role at Corridor, Sue was the Vice President of Home Health at
Advanced Home Care and at Life Care at Home, both of which are multi-state home care providers. Prior to that, she was the Administrative Director at
Bon Secours Home Care which is a multi-site hospital based home care agency. She has experience with hospital based, long term care and privately held home
care companies. Sue was the recipient of the 2011 Leadership Award from the Association for Home & Hospice Care of North Carolina. She has presented
nationally at Press Ganey, Visiting Nurses Association of America, American Congress of Healthcare Executives, and State Associations on topics such as
preventing avoidable readmissions, value based purchasing, staffing retention and early careerist mentoring. She currently serves as a VNAA board member
and is on the VNAA Governance Committee.
Sue has a B.S degree in Nursing from Radford University, a M.B.A from the University of Tennessee-Chattanooga and holds Certification in
Home Health/Hospice from the National Association of Home Care.
 Managing Utilization under PDGM with Star Ratings in Mind