Messages from CEO, Mark Prifogle

Mark Prifogle has worked at GrandView for the past 14 years. He also serves as the CEO and Group President of GrandView Health Services, which owns and operates GrandView Pharmacy, GrandView Medical and the Rhonda Eldridge Center for Healthy Aging, a 501(c)3 not-for-profit geriatric research institution.

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Challenges in the use of Antibiotics in the Elderly

FEBRUARY 2017 - Guest Writer, Glenn Eldridge, RPh, Chief Operating Officer and Director of Clinical Services, GrandView Pharmacy. There are many challenges when it comes to the use of Antibiotics in the elderly population. Some of the challenges include: difficulty diagnosing infection, predicting antibiotic resistance, dosing antibiotics, drug interactions, adverse effects and the simple over use of antibiotics.

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Additional Information on the 5 Star Changes

JULY 2016 - CMS reported last week that beginning on Wednesday, July 27, the new Five-Star data will be available to the public on its Nursing Home Compare (NHC). The ratings will reflect these changes.

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Metric #6 - Hypnotics and Sedatives

JUNE 2016 - The most interesting part of this new quality metric is its vagueness related to what is included in these categories. On the pharmacy provider side, the Benzodiazepine Sedative Hypnotic Quality Measure has been in effect in the Medicare D program, also endorsed by the Pharmacy Quality Alliance (PQA), since 2015, using 2013 data, under the broader “High Risk Medications in the Elderly” or “HRM”. This measure calculates the percent of patients 65 years and older who have received two or more prescription fills for any benzodiazepine medications in a cumulative 90-day period. The metric is tracked through Medicare D claims data.

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Are you prepared for CFR changes coming September 1st?

JUNE 2016 - CMS has published proposed revisions to the Code of Federal Regulations (CFR) that are scheduled to be effective September 1, 2016. This is a proposed ruling with a final rule due out later this summer, taking into consideration the over 5,000 comments submitted to the Federal Register after the publication of the proposed rule. Conversations with CMS officials lead GrandView executive staff to believe that a delay in this quick implementation is unlikely; the current Presidential Administration wants to see key elements of the Affordable Care Act to be integrated into the CFR for nursing homes, and views this push as a high priority before the end of the Administration.

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How can therapy help with the new quality measures (QM) added to Nursing Home Compare?

JUNE 2016 - Guest Blogger, Christine Kroll, MS, OTR, FAOTA - Keeping your Five Star rating high on the nursing Home Compare website has become a focus for all skilled nursing home providers. Initially, there was the incentive that the consumer would look there first when attempting to find a SNF for a loved one or themselves. Now the incentive has deepened due the increasing prevalence of CMS’ Centers for Medicare and Medicaid Innovation (CMMI) alternative payment (APM) models and other incentive payment programs. APM’s means that SNFs need to be an attractive partner in providing cost effective and quality care across the patient’s post-acute care (PAC) continuum. Part of being an attractive partner is having at least a 3-star rating on the Nursing Home Compare website.

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Percentage of Short-Stay Residents Who Made Improvements in Function (Part 2)

MAY 2016 - In my last blog we began discussing the MDS-measured metrics, specifically the "Percentage of short-stay residents who made improvements in function." Let’s continue discussing how your pharmacy can contribute to improvement in this key metric.

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Percentage of Short-Stay Residents Who Made Improvements in Function (Part 1)

MAY 2016 - Over the last few weeks, I’ve been expanding on the new claims-based quality measures CMS will soon begin to include in their Nursing Home Compare 5-star Ratings calculation. It’s now time to dive into to the MDS-measured metrics, the first being the Percentage of short-stay residents who made improvements in function.

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Reducing Hospital and Nursing Home Readmissions

MAY 2016 - In the last blog, we began discussing GrandView Pharmacy’s uniquely designed IMPACT (Integrated Management for Post-Acute Care Transitions) program that is aimed at reducing hospital and nursing home readmissions. After a medication regimen review, optimized protocols and other evidenced-based best practices, we provide the resident access to a cutting-edge technological advancement in clinical pharmacy- pharmacogenomic testing.

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2 New Claims-Based Quality Measures Affecting Your 5 Star Rating

APRIL 2016 - Thanks in large part to the Protecting Access to Medicare Act, CMS is placing a large focus on readmission measures, especially in nursing homes. Wait, I thought they were already doing that?

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Short Stay Discharges

APRIL 2016 - As promised, over the next few weeks, I will be taking a closer look at each of the 6 new metrics that will soon be affecting the QI/QM component of the 5 Star Rating on Nursing Home Compare. Many will agree that a successful return to the community could be considered the most important outcome associated with NF care. So let’s start there.

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6 New Quality Measures Hit Nursing Home Compare in April (yes, this April)

MARCH 2016 - As many of you are aware, the already bloated QI/QM component of the 5 Star Rating on Nursing Home Compare will receive 6 more friends effective 4/1/2016. Of the 6 new measures, only 5 will contribute to your star rating at implementation, as the Sedative/Hypnotic measure will not be included until concerns about “specificity and appropriate thresholds” are resolved.

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