Post-Acute Care Sections B, C, D, J, and K: Mastering Clinical Complexities

presented by Ellen R. Strunk, PT, MS, GCS, ACEEAA, CHC, RAC-CT

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Disclosure Statement:

Financial: Ellen R. Strunk receives compensation from MedBridge for this course.

Nonfinancial: Ellen R. Strunk has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Video Runtime: 54 Minutes, Learning Assessment Time: 30 Minutes

Sections B, C, D, J, and K of the Minimum Data Set (MDS) include standardized data elements collected in the assessment tools used in a skilled nursing facility (SNF) and other post-acute care settings, such as an inpatient rehabilitation facility (IRF), long-term care hospital (LTCH), and home health agency (HHA). These data elements are used to capture the clinical complexities of residents/patients, so it is important that all clinicians be aware of how to assess their patients accurately in these areas. The process of capturing health literacy, cognition, mood, pain, and swallowing information for these sections should be interdisciplinary.
This course will support clinicians by providing clinical training to ensure standardized (that is, consistent and accurate) assessments of health literacy, cognition, social isolation, mood, pain, swallowing, and other health conditions for clinicians working in all post-acute care settings, including SNFs. Inaccuracies with both assessment and documentation can negatively impact quality outcome scores and payment.

Learning Objectives

Implement both a health literacy interview and the Brief Interview for Mental Status (BIMS) screening to assess for the presence of cognitive impairment
Implement the Patient Health Questionnaire (PHQ) 2 to 9 to effectively capture a patient's symptoms of mood and understand the importance of interview skills when assessing for social isolation
Implement the pain assessment interview, determine how to code Section J accurately in different scenarios, and examine documentation to determine whether to code for falls and other health conditions
Identify the importance of assessing swallowing and nutritional status in different environmental conditions and examine documentation to determine whether the presence of a swallowing disorder is supported

Meet Your Instructor

Ellen R. Strunk, PT, MS, GCS, ACEEAA, CHC, RAC-CT

Ellen R. Strunk has worked in various roles and settings as a clinician, manager/director, and policy expert. Ellen is an expert at helping customers understand the Centers for Medicare & Medicaid Services (CMS) prospective payment systems in the skilled nursing facility and home health settings, as well as outpatient therapy billing for all provider types.…

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Chapters & Learning Objectives

1. Sections B and C: Health Literacy and Cognitive Patterns

This chapter will examine the health literacy interview in Section B of the MDS, Section C of the MDS, and other post-acute care assessment item sets. The information obtained from both of these interviews contributes to care planning, payment, and quality measures.

2. Section D: Mood and Social Isolation

This chapter will examine Section D of the MDS and other post-acute care assessment item sets. Section D assesses mood and contributes to care planning, payment, and quality measures.

3. Section J: Health Conditions

This chapter will examine Section J of the MDS and other post-acute care assessment item sets. Section J assesses health conditions such as pain, shortness of breath, falls, and prior surgery. This section contributes to care planning, payment, and quality measures.

4. Section K: Swallowing/Nutritional Status

This chapter will examine Section K of the MDS and other post-acute care assessment item sets. Section K assesses swallowing and nutritional issues often encountered in post-acute care. This section contributes to care planning, payment, and quality measures.

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