It’s not too late to register for Directions 2019!

2019 Directions

MatrixCare Directions will provide you with comprehensive learning experiences, networking with peers, the newest technologies, and one-on-one time with industry experts to help you maximize your use of MatrixCare software and do your job more efficiently.

There will be a special focus on PDPM this year at Directions! MatrixCare is prepared for PDPM, and we are committed to easing your transition to this new reimbursement model by providing helpful information, tools, and tips. Programming at this year’s Directions User Conference includes a number of intensive-focus sessions on PDPM, as well as dozens of others that are designed to help your organization succeed under value-based care.

Don’t miss the premier educational event of the year! Register today and download a copy of the Session Planning Guide to plot your schedule and make the most of your time.

Need more information? View the Conference Summary for complete details.

MatrixCare Celebrates National Nutrition Month 2019

Written by Amy Wootton, RDN, Director of Nutrition Management

Amy Wootton

MatrixCare recognizes the Academy of Nutrition and Dietetics’ National Nutrition Month this March. Finding resources to provide appropriate nutrition information and evaluate the needs of your community members is key in helping them succeed in living a healthful life. Look to these five areas to ensure you are putting your residents in the best position to succeed:

  • Be a Food Safety Ambassador– Have a no-tolerance rule for poor food handling. Provide monthly education on food safety topics and follow proper food temperature control guidance.
  • Menu Planning Management– Providing proper meals that meet the Dietary Guidelines is not just for regulatory purposes. Nutrition is important. Allow adequate time and expertise for meal planning, and have your menus reviewed by a Registered
  • Provide Proper Portion Sizes– A scoop goes a long way! Make sure your portions not only meet the minimum nutritional guidelines, but are monitored for risk of over-serving and eating into your bottom line.
  • Evaluate Nutrition Needs–Food Preference & Nutrition Assessments capture the true picture of your resident. Dietary professionals are key resources in providing an accurate nutritional care plan.
  • Adhere to Diet Orders– To liberalize or not to liberalize is an ongoing conundrum. If a special diet is prescribed to meet medical needs and manage disease conditions, adherence can be critical. Creating an agreed-upon diet order formulary—that is adhered to from order to delivery—is the best standard of practice so that all team members and resident know what will be provided.

We are happy to help you meet these five critical areas through our MealTracker dietary software. MatrixCare offers nutrition software for your facilities that can encourage your efforts to help residents live their best life! Check out MealTracker and RetailTracker to see how we can serve you.

Product News

What Can You Do Today to Prepare for PDPM?Plan, Prepare, Perform

The countdown to the October 1, 2019 implementation date for the Patient-Driven Payment Model (PDPM) is well underway, and MatrixCare is dedicated to helping you make a successful transition to value-based care.

While many enhancements will be made to the system prior to the implementation date, there are many features currently available in the SigmaCare by MatrixCare application that can help you prepare for PDPM.

The core areas of PDPM focus include:

  • Clinical Documentation
    With the focus moving away from Rehab and onto the resident’s clinical condition, comprehensive supporting documentation is going to more important than ever. With an increased emphasis on clinical documentation, consistency across the record is critical.
  • Standard evidenced-based clinical assessment library with the ability to customize
  • Ability to schedule and trigger clinical assessments based on ADT and MDS
  • Ability to trigger Care Plans based on ADT and ICD-10 codes to ensure
  • Clear notification of upcoming Care Plan Goals
  • Progress Note templates with the ability to tag and pre-populate data from the resident’s medical record
  • POC Application support for Restorative activities with pre-population to the MDS
  • MDS responses for many sections, including GG, that prepopulate the MDS are available in Clinical Assessment questions that can be scheduled and assigned to the appropriate discipline, user group or user to ensure accurate completion
  • MDS and ICD-10 Coding
    The primary reason for the resident’s skilled stay and their conditions as a whole are a major factor in determining reimbursement under PDPM, making it crucial to capture the appropriate codes on the medical record
  • Only billable codes can be added to a resident’s profile
  • Clear indicators for Primary and Admission ICD-10 code(s)
  • Custom ICD-10 library can be created and managed by account to ensure the appropriate code is selected
  • Intake Management and Transitions of Care
    Length of stay is key under PDPM, tools to improve data capture during key decision points will benefit facilities in their handling of transitions of care.
  • Support for INTERACT including interactive Stop & Watch and SBAR functionality
  • Discharge Scripts generated based on existing orders
  • Resident Programs
    • Program tracking facilitates management of resident on VBP or other programs
    • Program dashboard provides visibility to those who have been discharged but are still the facility’s responsibility
  • Rehospitalization tracking, reporting, and dashboards
  • Robust integration with Referral Connect
  • Reporting and Analytics
    Knowledge is power; understanding the residents and length of stay of your facility today will be a fundamental asset going forward.
  • Customers can create and save custom reports on all MDS 3.0, Resident Demographic, and ICD-10 data points

As we continue the process of implementing PDPM-related functionality into MatrixCare, we will be providing updates and planning resources on our website.

Helpful Tips & Frequently Asked Questions

Did You Know

Utilizing the various scheduling features available in Clinical Assessment Set Up, allows your facility to have clinical assessments automatically generate for residents based on certain criteria or events. Clinical Assessments can be set up to automatically schedule based on Admissions, Readmissions, Discharges, Rehabilitation Order creation, MDS reference date, insurance end dates, as well as the start or completion of other Clinical Assessments. These schedules can be set up to trigger off of those specific events and continue to generate based the specified recurrence pattern.

In order to learn more about these schedules and how they can be built, please refer to our Clinical Assessment Triggers and Schedules job aid.

Services News

Upcoming Live Webinars

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PDPM Success with SigmaCare by MatrixCare
Join Product Manager, Jessica Stagg, for information about technology enhancements in the works to help SigmaCare by MatrixCare users succeed under PDPM.

Register now for this webinar on Thursday, April 18, 2019, at 2:00 PM ET and watch your email for more details on this informative session!

Reports for Directors of Nursing & Clinical Leaders
Looking for reports to help improve compliance and documentation? Look no further! Join Shonte, Senior Implementation Consultant, as she walks you through specific reports.

Register now for this webinar on April 30, 2019, at 2:00 PM ET.

On-Demand Webinars

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Get Ready for the Patient-Driven Payment Model (PDPM)
During this session we discussed:

  • The major differences between RUGS-IV and PDPM
  • The emphasis on coding associated with the new payment model
  • The key components of PDPM
  • Strategies for success

Developing a Successful Facility Action Plan for PDPM & ICD-10
During this session we discussed:

  • An overview of the requirements of PDPM
  • The impact of ICD-10-CM codes on reimbursement
  • The importance of clinical documentation supporting ICD-10-CM codes
  • Strategies for developing a successful facility action plan for PDPM & ICD-10-CM

Critical Coding Clues – The Key to maximizing Revenue Under PDPM
During this session, hosted in partnership with McKnights, we discussed:

  • The impact of ICD-10-CM codes on reimbursement
  • The importance of clinical documentation supporting ICD-10-CM codes
  • The importance of section I8000 of the MDS
Regulatory News

Nursing Home Compare and the Five-Star Rating System Updates

The Centers for Medicare & Medicaid Services (CMS) has issued improvements to Nursing Home Compare and the Five-Star Rating System which will go into effect April 2019.

Changes include:

  • Ending the Freeze on Health Inspection Star Ratings
  • Quality Measure (QM) Domain Improvements
    • Short-stay and long-stay ratings
    • New QM rating thresholds
    • Process for continual improvement of QM threshold
    • QM weighting and scoring
    • Other QM updates
  • Staffing Domain Improvements
    • New staffing rating threshold
    • Reduction of number of days without an RN for a one-star staffing assignment

Review the CMS Memorandum, Press Release, and Five-Star Quality Rating System Technical Users Guide for more information.

Specialized Infection Prevention and Control Training Now Available

The Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) collaborated on the development of a free online training course in infection prevention and control for nursing home staff in the long-term care setting.

The training provides approximately 19 hours of continuing education credits as well as a certificate of completion.

The “Nursing Home Infection Preventionist Training Course” is located on the CDC’s TRAIN website.

Review the CMS Memorandum for complete details.

Revisions to Appendix Q of the State Operations Manual

The Centers for Medicare & Medicaid Services (CMS) has published revisions to Appendix Q of the State Operations Manual which provides guidance for identifying immediate jeopardy.

Review the CMS Memorandum and State Operations Manual – Appendix Q for complete details.

Changes to Quality Improvement and Evaluation System

There are two important updates issued by the Centers for Medicare & Medicaid Services (CMS) that affect the Quality Improvement and Evaluation System (QIES) users.

  • An upgrade is required to the Juniper VPN Network Client software (Network Connect Client) currently used by the QIES community to log-in to CMSNet for required submission and reporting.
    • The upgrade will be initiated automatically and will take effect the next time users launch the Juniper VPN Client and log-in following the scheduled upgrade dates.
    • Users must have Administrator rights on their workstation or have an IT staff member with Administrator rights assist the first time a user attempts to log-in following the upgrade dates.
    • Upgrade for Nursing Homes (MDS, EPOC, and PBJ) is scheduled June 30, 2019.
  • The Quality Improvement and Evaluation System (QIES) will undergo a series of system enhancements resulting in what will be now called the Internet Quality Improvement and Evaluation Systems (iQIES).
    • To comply with federal security mandates, CMS is initiating new security requirements for access control to CMS Quality Systems through Remote Identify Proofing (RIDP) via the HCQIS (Healthcare Quality Information System) Access, Roles and Profile Management system. Users will create accounts in HCQIS Access Roles and Profile Management (HARP) to gain access to the iQIES system.

Review the QIES Community Juniper VPN Network Client Upgrade and Remote Identify Proofing Requirements for iQIES memos for complete details.

Industry Events

AHCA/NCAL Quality Summit Highlights

Written by Amy Ostrem, Senior Product Manager

Amy OstremThe 2019 AHCA/NCAL Quality Summit offered loads of networking opportunities and excellent educational sessions. PDPM was in the air, and we were proud that MatrixCare was a primary sponsor of the conference.

Here are some key highlights from the educational sessions I attended:

  • MatrixCare client, Signature Healthcare, spoke on ‘Organizational Change: One Neighborhood at a Time.’ Chris Cox and Angie McAllister made a great team as they discussed some key differentiators of their organization that awakened many in the room:
    • Guiding a 5-10-minute morning huddle where the team is empowered to share changes in condition, upcoming appointments, and recognition of both employees and residents: for example, a birthday or anniversary. (They encourage Certified Nursing Assistants (CNAs) to run these huddles.)
    • Signature Healthcare requires that all leaders become CNAs.
    • In the resident neighborhoods, they encourage group activities such as game night or a chili cook-off to provide a home atmosphere.
    • They pride themselves on their nurses’ presence in the resident neighborhoods and have even removed nurses’ stations. Instead, they have a computer on a desk in a corner or on a cart that is kept in a closet area when not in use. Their goal with this was to remove the barrier between nurses and residents and keep them at eye level as much as possible to avoid them looking down on residents from behind a tall desk. The result, aside from getting nurses into resident neighborhoods more, is a nice and neat setting.
    • There are many goals and initiatives that are defined and measurable across the organization and the residents and employees work together on the prioritization of which to accomplish first. Some examples include:
      • Eliminating overhead paging
      • Being alarm-free
      • Reducing supplements
      • Animal companionship
      • Creating an art gallery open to the public

Excellent job, Signature Healthcare! You are inspiring positive change across America! We are proud to be your technology partner.

  • Another session that I chose to attend was “Competent Geriatric RNs: The New Driver of Financial Performance.”
    • In this session, statistical evidence was given around the American Nurses Credentialing Center (ANCC) and the link to VBP and PDPM. With board certification in Gerontological Nursing (RN-BC), they have found:
      • Improved Quality Ratings
      • Improved 5-Star Ratings
      • Lower Hospital Readmission Rates
      • Lower Anti-Psychotic Drug Use Rates
      • Survey Success
      • Reduction in Deficiencies
    • Gero Nurse Prep is an online training course designed to prepare RNs who care for elders to attain board certification in Gerontological Nursing (RN-BC) by the ANCC. The total cost for this important certification is $1,085.
  • The final sessions that took place were 3 LED Talks.
    • These will be posted on the Provider website – LED Talks 2019, and we strongly encourage you to watch the story of Paradise Facility in California as they evacuated their entire facility while facing imminent danger as a result of the fires quickly approaching, this past fall. Live through the emotions of the day, by hearing the Administrators’ story. (She brought her two small children to work with her that day and had to send them away to safety while she stayed behind to ensure the safety of the residents.)
    • A few key lessons learned from the administrator, that she was tremendously grateful for: surround yourself with a team of staff you trust, build strong and positive relationships with those in and near your community, and always trust your instincts.

Upcoming Tradeshows 

We look forward to seeing you at the upcoming events. Be sure to stop by our booth and learn more about all the MatrixCare solutions available to you.