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Change in Command Raises Clinician Profile

机译：命令变更提高临床医生档案

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Resource Utilization Groups are out, and the Patient-Driven Payment Model (PDPM) is in. While providers have been preparing for months, the transition could prove less than smooth. Key to navigating the challenges are strong clinical leaders who can help steer the team into compliance and ensure accurate, adequate reimbursement while providing quality care. Tracking Data Critical "There is no question that PDPM is a clinical program, and it is important to put a focus on that aspect of it. You need a level of clinical expertise to identify nuances and complexities of diagnoses," says Michael Wasserman, MD, CMD, president of the California Association of Long-Term Care Medicine. A high level of clinical expertise is critical for both appropriate diagnoses and quality outcomes, he says. "If you don't have this, you risk seeing more readmissions, fewer referrals, or even lawsuits." Rajeev Kumar, MD, FACP, CMD, chief medical officer of Symbria in Illinois, adds, "In my ideal PDPM world, while this must be a group effort, a clinical leader would take ownership of the program. There must be someone capable of handling this and juggling all of the responsibilities involved, while tracking all the necessary information." The more comprehensive and timely the initial assessment is, he says, the more likely the facility will be successful in PDPM.
机译：资源利用组出来，患者驱动的付款模型（PDPM）是进入的。虽然提供者已经准备了几个月，但过渡可能证明不到光滑。导航挑战的关键是强大的临床领导者，可以帮助将团队转化为合规性，并确保准确，充分的报销，同时提供优质的护理。跟踪数据至关重要“毫无疑问，PDPM是一个临床计划，重要的是要关注它的那个方面。您需要一定程度的临床专业知识来识别诊断的细微差别和复杂性，”Michael Wasserman说：“Michael Wasserman，MD说，CMD，加州长期护理医学协会主席。他说，高水平的临床专业知识对于适当的诊断和质量结果至关重要。 “如果你没有这个，你风险看到更多的阅素，推荐甚至诉讼。” Rajeev Kumar，MD，FACP，CMD，伊利诺伊州伊利诺伊州芝芝芝麻的首席医学官员增加，“在我理想的PDPM世界中，虽然这一定是群体的努力，临床领导人将拥有该计划。必须有能力处理这一切涉及的所有职责，同时跟踪所有必要的信息。“他说，更全面和及时的初步评估是，该设施更有可能在PDPM中取得成功。

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