The Centers for Medicare and Medicaid Services (CMS) recently announced that it is instituting readmission penalties for hospitals with high readmission rates for patients with chronic heart failure, acute myocardial infarction, and pneumonia. It is ACP's view that skilled nursing facilities providing comprehensive treatment strategies for these conditions, including CHF, are likely to be viewed more favorably and receive more referrals from hospitals focused on minimizing recidivism.
Following this announcement, ACP has introduced a new Chronic Heart Failure (CHF) Rehab Program – a two-hour, evidence-based clinical program for Physical and Occupational Therapists developed to help enhance treatment outcomes for CHF patients.
An estimated 6 million Americans have chronic heart failure (CHF). Increasing prevalence, hospitalizations, and deaths have made CHF a major chronic disease condition in the United States costing $39 billion annually. It often is the end stage of cardiac disease. Half of the patients diagnosed with CHF die within 5 years.
A review of 1.4 million MDS records demonstrated that 22% of skilled nursing facility residents have a diagnosis of CHF. It is the most common cause of hospitalization among elderly Americans. The magnitude of the problem of CHF is large now, but it is expected to get much worse because:
In response to this relative epidemic, the Centers for Medicare and Medicaid Services (CMS) has targeted CHF and has devised a variety of methods to help decrease costs, including the upcoming hospital readmission penalties.
There is extensive evidence in the therapy literature demonstrating that specific therapy treatments can have a clinically meaningful impact on improving function and quality-of-life for those with CHF. Skilled nursing facilities that incorporate these clinical strategies are very likely to be viewed more favorably by hospital discharge planners since they are less likely to contribute to re-hospitalizations. By strengthening their clinical care reputation and skill sets surrounding CHF, ACP's partnering facilities can capitalize on the opportunity to attract more admissions for this diagnosis or even create a dedicated specialty program.
ACP’s New CHF Accelerated Clinical Practice is a two-hour, evidence-based clinical program for Physical and Occupational Therapists developed to help enhance treatment outcomes for CHF patients. The objectives of the course include:
As with all ACP clinical programs, the CHF course is founded in evidence-based practice with a comprehensive approach including disease pathology, anatomy, physiology, patient evaluation, the mechanisms of action associated with therapeutic modalities, reimbursement and documentation.
For additional information on the new CHF course or other ACP services, please click on the links below, contact your ACP representative, or contact us directly.