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Late yesterday, the Centers for Medicare and Medicaid Services (CMS) issued the fiscal year (FY) 2024 inpatient rehabilitation facility prospective payment system (IRF PPS) proposed rule.

The proposed rule includes a 3.7 percent payment increase, compared to the 3.9 percent payment update that CMS finalized for FY 2023. This payment update reflects the effects of the proposed IRF market basket update for FY 2024 of 3.0 percent, which is based on the proposed IRF market basket increase factor (3.2 percent), productivity adjustment (0.2 percent), and outlier payment increase (0.7 percent).
** Please note that these figures are subject to change in the final rule if updated forecasts become available, which typically occurs.

CMS is making a number of changes to the Quality Reporting Program (QRP), including the future addition of a discharge function score measure and patient-level COVID vaccination measure as well as a modification of the current healthcare personnel COVID-19 vaccination measure to reflect the latest vaccination recommendations.

In addition, CMS is proposing to allow hospitals to open a new IRF unit and begin being paid under the IRF PPS at any time during the cost reporting period (rather than the current restrictive enrollment rules). The proposed rule does not address any of the COVID-19 PHE waivers, including the three-hour rule and virtual team conferences, nor does it include any further discussion of the expanded transfer policy (to include certain discharges under the care of home health) that was the subject of a Request for Information (RFI) in last year’s rule.

A more detailed and extensive summary of the proposed rule will be forthcoming.

The proposed rule will be published in the Federal Register for April 7, 2023. Comments on the proposed rule will be considered until 5:00 pm on June 2, 2023. For additional information, CMS also released a fact sheet.

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IPRC Webinar Transition Readiness: Strategies to Prepare Pediatric Patients and Their Families for the Next Steps
Thursday, April 6, 2023
12:00 pm – 1:00 pm EDT; 11:00 am – 12:00 pm CDT;
10:00 am – 11:00 am MDT; 9:00 am – 10:00 am PDT
REGISTER

Speakers and Panelists:
Carrie Cuomo, DNP, CPNP
Julie H. Corder, RN, MSN, CNP
Tim Flynn, PT
Kara M. Pickering, MA, CCC-SLP

Speaker Bios:

Carrie Cuomo
Carrie Cuomo, DNP, CPNP, is the Director of Advanced Practice Registered Nurse services in the Pediatric Institute at Cleveland Clinic. She is a clinical provider in the Department of Pediatric Hospital Medicine at Cleveland Clinic. Dr. Cuomo holds a Bachelor’s Degree in Nursing from Case Western Reserve University, a Master’s Degree from The University of Akron, and a Doctor of Nursing Practice Degree from The University of Akron. She has experience in teaching, nursing leadership, and clinical practice. She was a fellow in the Duke Johnson and Johnson Nurse Leadership program 2014–2015 and 2020–2021. Dr. Cuomo is a member of the National Association of Pediatric Nurses Practitioners and Ohio Association of Advanced Practice Nurses. She is a Co-Investigator on the Project IMPACTT grant sponsored by HRSA. She serves on the Advanced Practice Registered Nurse Council and the Advanced Practice Registered Nurse Preceptor Council. Dr. Cuomo’s professional interests are in the area of pediatric to adult transition.

Julie H. Corder
Julie H. Corder is a Pediatric Nurse Practitioner in the Pediatric Complex Care Clinic at the Cleveland Clinic. This multidisciplinary program cares for pediatric patients with multiple chronic conditions with a dependence on technology. A primary interest and passion for Julie is developing processes to ensure high level care for this population throughout their lifespan as they transition from pediatric to adult care. Julie holds a Bachelor’s Degree in Nursing from The University of Akron, a Master’s Degree in Nursing from Case Western Reserve University, and was a fellow in the Duke Johnson and Johnson Nurse Leadership program from 2020–2021. Julie is a member of the National Association of Pediatric Nurses Practitioners. She is a Co-Investigator on the Project IMPACTT grant sponsored by HRSA. She serves on the Advanced Practice Credentialing and Privileging Committee for the Cleveland Clinic.

Objectives:
At the end of this session, the learner will:

  • Define the (6) core elements of transition and review how they can be incorporated into practice;
  • Identify tools available to assist providers and examine ways to incorporate them into clinical workflow;
  • Explore one organization’s process to enhance care and assist with the transition of care for young adults to adult providers; and
  • Discuss tools to utilize with clients and families to support transition of services.

Audience: This webinar is intended for all members of the rehabilitation team, including medical staff, nurses, physical therapists, occupational therapists, speech language pathologists, licensed psychologists, mental health professionals, and other interested professionals.

Level: Intermediate

Certificate of Attendance: Certificates of attendance are available for all attendees. No CEs are provided for this course.

Registration: Registration is complimentary for members of IPRC/RCPA. Registration fee for non-members is $179. Not a member yet? Consider joining today. Multiple registrations per organization are permitted.

REGISTER

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RCPA congratulates the following RCPA members for being listed among the 2023 Health Care Power 100. This list details individuals who are “framing, influencing and trying to change the conversation around one of Pennsylvania’s most crucial economic sectors, including public officials, hospital and health care executives, nonprofit leaders, union heads, academics and others.” City & State staff recognized the following individuals:

  • Diane S. Hupp of UPMC Children’s Hospital of Pittsburgh;
  • Jill Bowen of Philadelphia Department of Behavioral Health and Intellectual disAbility Services;
  • Tom McGough of UPMC;
  • Michelle Trupp of Reading Hospital at Tower Health;
  • Paul DeAngelo of Mission Autism Clinics; and
  • Jennifer Taubert of Johnson & Johnson.

See the full 2023 Health Care Power 100 here.

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RCPA invites members to participate in the Coalition for the Mental Health Safety Net meeting on Wednesday, May 3, 2023, from 1:00 pm – 2:00 pm. You can register for the meeting here.

The Coalition will also be meeting on the following dates:

  • Wednesday, June 7, 2023 / 1:00 pm – 2:00 pm
  • Wednesday, July 12, 2023 / 1:00 pm – 2:00 pm

The Coalition is open to all stakeholder groups, and we encourage members to participate in these efforts of joint advocacy in protecting and preserving our mental health service delivery system. If you would like to join the coalition or have any questions, please contact Jim Sharp.

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Photo by CHUTTERSNAP on Unsplash

The Office of Developmental Programs (ODP) is inviting leadership professionals from Administrative Entities (AEs), Support Coordination Organizations (SCOs), Providers of Supported Employment Services and Day Habilitation, and Providers of Community Participation Support (CPS) to attend a 1-day Employment Symposium. The Symposium will be held regionally across the Commonwealth on April 25, May 4, and May 12 from 10:00 am – 3:00 pm with a boxed lunch provided.

The goals of the Regional Employment Symposium are to:

  1. Provide a platform for networking, information/resource sharing, and best practices for employer engagement;
  2. Identify strategies for engaging employers on the benefits of hiring people with disabilities using a dual-customer approach; and
  3. Initiate an improvement process by creating goals and best practices to reach and increase employment rates for people with disabilities.

Agenda:

10:00 am – 10:30 am
Opening Remarks by Kristin Ahrens, ODP Deputy Secretary, and Ryan Hyde, Executive Director for the Office of Vocational Rehabilitation (OVR)

10:30 am – 11:30 am
Panel discussion featuring an individual from that region with lived employment experience, along with their support team that got them to competitive integrated employment.

11:30 am – 12:00 pm
Small group discussions to network, share experiences of engaging in community integrated employment, resources, and tools.

12:00 pm – 1:00 pm
Lunch

1:00 pm – 2:00 pm
Keynote address: Cultivating Relationships With Employers, by Stephen Martynuska. Stephen is a consultant from Sheetz, Inc.

2:00 pm – 2:45 pm
Small group discussion with the opportunity to report out to the larger group on takeaways from the day, as well as sharing resources and tools for engaging employers.

2:45 pm – 3:00 pm
Closing remarks/wrap-up by Kristin Ahrens and Ryan Hyde.

Please register for the location nearest you. Only register for one session. You must complete a Demographics Form before selecting the session you wish to attend, and please identify any dietary restrictions or allergies on your Demographics Form. You must also indicate if you need accommodation(s) as addressed by the Americans With Disabilities Act. Reasonable efforts will be made to meet the need.

Date Venue Registration Closes
April 25, 2023
10:00 am – 3:00 pm		 PaTTAN Central
6340 Flank Road
Harrisburg, PA 17112		 April 18, 2023
May 4, 2023
10:00 am – 3:00 pm		 PaTTAN West
3190 William Pitt Way
Pittsburgh, PA 15238		 April 28, 2023
May 12, 2023
10:00 am – 3:00 pm		 Bucks County Community College
275 Swamp Road
Newtown, PA 18940		 May 6, 2023

There is a limited number of seats at each location, and they will be filled on a first come, first served basis. In addition to your initial registration confirmation, you will receive an email with specific instructions about the location of the symposium one week prior to your scheduled event.

As a reminder, please be respectful of others. If you are not feeling well the day of the event, do not attend. Attendees are encouraged to wear a mask and maintain respectful distance from others so that everyone can participate and feel comfortable.

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