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PDGM: An Operational Guide to Success Workshop

Thursday, September 12, 2019 at 8:30am to Thursday, September 12, 2019 at 4:00pm Workshop
Patient Driven Groupings Model (PDGM) is the CMS Home Health reform slated for January 1st, 2020, with the goal of better aligning reimbursement with patient needs while addressing payment incentives in our current system. The changes for Home Health Providers are significant, and require not only technical updates, but wholesale modifications to traditional care production, delivery and management protocols. William Dombi, President of the National Association of Home Care & Hospice (NAHC), states “This (PDGM) will revolutionize how home care operates”. PDGM changes include splitting the 60-day certification period into two 30-day segments, removing therapy visit totals from the reimbursement formula, and altering the RAP, LUPA, and ADL scoring as it relates to rehab. PDGM value changes are also paired with additional HH reforms slated for installation over the next few years, including VBP expansion, Pre-Claim Review, and Post-Acute PPS.


At this progressive seminar, Home Health Providers seeking success in the value reform era will learn care production and management models which, if installed, will produce improved clinical and financial results under PDGM when compared to current outcomes under the HH PPS model. By replicating care processes employed outside of Home Health, Providers can continue on their path of keeping Medicare patients safe in their homes. This seminar will identify the new care processes required for PDGM while demonstrating how to install them in your agency


On-Site Seminar will Address:

  • PDGM philosophies—what do the changes meant?.
  • OASIS Accuracy—Developing Clinical Profiles Required for PDGM
  • Managing ADLs for PDGM  Accuracy
  • Rehab Control under PDGM.
  • Case Conferences—Are they relevant under PDGM?
  • Assuring Skilled care control for audit-proof PDGM claims
  • Back office rewiring for PDGM success.



Michigan HomeCare & Hospice Conference Room

2140 University Park Drive, Suite 220

Okemos, MI  48864


Fax:  517/349-8090



Arnie Cisneros, P.T., President of Home Health Strategic Management, is a leading and national speaker in the areas of healthcare reform and clinical programming. His legacy of clinical delivery, adaptation of care protocols, and progressive care modeling have established his voice regarding Affordable Care Act Reforms, and he currently serves as Post-Acute Consultant for multiple Pioneer ACO systems. He was awarded a CMS Innovation Center Bundled Payment for Care Improvement (BPCI) Pilot Program in 2012 for Lower Extremity Joint Replacements, and has managed Episodic Bundling of these patient programs. The HHSM Utilization Review program, SURCH, delivers improved care programs for Home Health Providers through a PPS – compliant, acuity based care model, producing the care episodes required for future success


Kimberly McCormick, RN/BSN, a highly accomplished nurse consultant in the Home Health industry, is Executive Clinical Director for Home Health Strategic Management. Her 24 years’ experience in Home Health, 8 spent as Administrator of a Home Health Agency, has given her the experience and the knowledge to provide unrivaled insight into the homecare arena. Kimberly served as an Associate Consultant with Home Health Strategic Management for 2 years, during which she has established herself as an expert in the area of Utilization Management of Home Health services. During her time as Administrator, she achieved deficiency-free surveys by The Joint Commission, deficiency-free Department of Health & CMS surveys, and a 0.42% error rate on an ADR audit. Kimberly authors the HHSM nursing newsletter and is presenting nationally on homecare topics and care models proposed by CMS and MedPac for the future of the Home Health industry.

Registration/Cancellation Information: 

To Register, complete the attached registration form and return it with payment to :  Michigan Home Care & Hospice Association (MHHA), 2140 University Park Drive, Suite 220, Okemos, MI   48864.  Payment must accompany registration.  To receive a refund, MHHA must be notified in writing of cancellation 10 business s days prior to the workshop date.  A $40.00 administrative charge will be assessed to all cancellations.  No refunds will be issued after September 2, 2019.  Please advise MHHA in writing of any substitutes. in advance of the workshop. 


Workshop Fees:

Before August 23, 2019

MHHA Member                                  $350.00

Additional  MHHA Member                  $335.00

Non-Member                                      $700.00


After August 23, 2019             

MHHA Member                                  $375.00

Additional  MHHA Member                 $350.00

Non-Member                                    $750.00



Nursing CEs:

Michigan HomeCare and Hospice Association is approved as a provider of continuing nursing education by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. (OBN-001-91)


Criteria for Successful  Completion:

In order to receive contact hours you must sign in at the beginning of class and sign out at the conclusion of the program  You must stay for the entire workshop and complete an evaluation form in order to receive your certificate.  Late arrivals beyond 30 minutes after the published start time for this education training event will not be eligible to receive the contact certificate.  No exceptions!


Conflict of Interest:

The planners and faculty have declared

no conflict of interest.











Information and Resources

Arnie Cisneros, PT & Kimberly McCormick, RN, BSN
MHHA Conference Room, 2140 University Park Drive, Suite 220, Okemos, MI 48864
Fee Options for Time frames
Notification Email Link
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Additional Resources

Additional Resources:
Download : PDGM Registration Form

Event Registration

Michigan HomeCare & Hospice Association
2140 University Park Drive, Suite 220
Okemos, MI 48864
Phone: (517) 349-8089 Fax: (517) 349-8090

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