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  • Jennifer McLeod

How technology can help manage risk and increase efficiency under PDGM


Now that the Patient Driven Grouping Model (PDGM) is in effect, care facilities in the USA are relying on technology to improve operations more than ever before.


The shift to PDGM brings changes in billing cycles and places a higher emphasis on the quality of patient care rather than volume of treatment. New 30-day cycles means more paperwork and paying extra attention to detail on the functional assessment portion of the OASIS in order to ensure accurate payments.


Tightening up operational efficiency and improving collaboration and communication is crucial in order to thrive under PDGM. Technology can ease this transition and it’s an investment that pays for itself.



Technology as a management tool under PDGM


Health solution providers are updating scheduling and payment software to help manage new billing cycles under PDGM. Carefully managing treatment is essential to limit LUPA impact on a facility’s bottom line. Technology solutions like the platform for Non-Intrusive Monitoring developed by the PaaS provider, HomeEXCEPT, can further improve management in innovative and valuable ways.


Solution Providers who add Non-Intrusive Monitoring to their portfolio are better positioned to meet the complex needs of today’s health care teams.



How can technology like Non-Intrusive Monitoring help?


Facilities are advised to tighten up best practices in assessment, coding, and efficiency in order to minimize the negative impact of PDGM.


Timely collaboration among healthcare providers involved in a patient’s plan of care allows for the most complete picture of a patient’s needs. Direct observation of functional movement and self-care skills is imperative for authentic scoring, but Non-Intrusive Monitoring can help ensure that the moments observed and used for assessment are a true reflection of a patient’s general function.


Without invading the privacy of clients, non-intrusive monitoring solutions offer insight into functional abilities around the clock and can be an invaluable tool for quality assurance, compliance, and assessment accuracy.


By consistently comparing objective Pattern of Life (POL) measures captured by non-intrusive monitoring sensors to subjective observations by a patient’s care team, the risk of reduced payments due to inaccurate scoring is drastically reduced.

Along with managing staff efficiency and improving collaboration, care plan outcomes are critically important under PDGM. Shifting toward a payment model focused more on value rather than volume coupled with a growing senior population means that care teams are becoming more and more stressed.


POL data can predict and measure progress of key factors relating to a patient’s care plan. POL data provides an objective measure of progress over time so that interventions can be optimized in order to achieve desired outcomes.


Overall, POL data ensures that functional assessments and diagnosis coding are accurate, staff are utilized where and when they’re needed most, care plans are being followed as prescribed, and that expected outcomes are being achieved.



Want to learn more about the value of Non-Intrusive Monitoring? Let’s chat!

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