pdgm provider action plan - trella health · stage 1 stage 2 stage 3 stage 4 stage 5 stage 6 mo. 1...
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PDGM PROVIDER ACTION PLANPurpose: To effectively plan for PDGM, every provider must understand its agency-wide strengths, weaknesses, market opportunities and business threats based on an analysis of market data, clinical data, operating history, financial condition and components of the payment structure that will most affect operations. Based on analysis of agency characteristics, a work plan with measurable goals must be developed and adopted.
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GATHER DATA — WORK PLAN W/KPIs
LEADERSHIP TEAM PRIORITIES
IDENTIFY ACTIONS AND TIMELINES TO SUPPORT PLAN
TIM
ELIN
E O
F PD
GM
PRO
VID
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RITI
ES F
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LEAD
ERSH
IP A
ND
SAL
ES &
MAR
KETI
NG
TEA
MS
TRAINING AND TESTING — KPI REFINEMENT
MEASUREMENT PERIOD — REPORTING IN KPIs
ADDITIONAL PROCESS REFINEMENT — PDGM GO LIVE
ONGOING MONITORING OF RESULTS
Schedule meeting for quarterly reviews of PDGM planning, progress and issues.
SALES AND MARKTING TEAM PRIORITIES
Analyze market share by PDGM referral category and referral patterns in the service area.
LEADERSHIP TEAM PRIORITIES
Develop and review a PDGM work plan – measurements/KPIs and team assignments.
SALES AND MARKTING TEAM PRIORITIES
Analyze SNF discharges and LOS, determine SNFs with high readmits and target them.
LEADERSHIP TEAM PRIORITIES
Identify operating hurdles and contingency plans.
SALES AND MARKTING TEAM PRIORITIES
Analyze hospital discharge patterns and adherence rates for HH discharges – Identify targets.
LEADERSHIP TEAM PRIORITIES
Review PDGM compliance – how utilization and coding changes will be tracked and handled.
SALES AND MARKTING TEAM PRIORITIES
Identify procedures that may no longer be inpatient only procedures – Alert Intake.
LEADERSHIP TEAM PRIORITIES
Review staff positions and compensation arrangements – adjust for new workflows.
SALES AND MARKTING TEAM PRIORITIES
Identify competitor trends to determine if opportunities exist to shift market share.
LEADERSHIP TEAM PRIORITIES
Review PDGM preparations, readiness and ongoing challenges/issues – Complete quarterly.
SALES AND MARKTING TEAM PRIORITIES
Develop a marketing plan with measurable goals aimed at PDGM and performance metrics.
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