New Delmarva Tools

I went to the training in District 14 for the new Delmarva oversight.  I am really pleased - they are dropping all the touchy feely stuff and using objective date.  The depth of the review will not be there - it will be very shallow.  The only thing they really emphasized that may change drastically is that the notes must be done before billing or that will be a major recoup done by AHCA.  I know many SCs that are months and months behind and of course a few providers so they may get hurt.

No more POMs!  Hooray.   They will use the projected outcomes more.  Of course the tools are still in the making but will be up on Delmarva's sight within 3 weeks according to Bob Foley.  While they acknowledged that the rebasing will have a major impact on outcomes they admitted this is not something they are involved in or can do anything about.  There will be no more desk reviews but 12 services will be reviewed including PCA, Respite which have always been desk reviews. 

They will be completing 1,428 reviews per year which comes to 2 consumers per SC/CDC Consultant.  That number seems almost impossible to me.  Since most of the names of the Delmarva staff were familiar they are going to have to be able to make that mental switch to this new type of review.  APD will be doing the Remediation. Reconsiderations will be conducted by the Quality Assurance Supervisor. The PCR, person centered review, will include all of the providers involved with the consumer and will generate the PDR Provider Discovery Review if one has not already been done in the current 12 month period. Scoring for the PDRs will be Met, Not Met, and Not Applicable derived from a numerical percentage.

I am excited about the changes and think it will make major improvements for our consumers.  Instead of concentrating on things that do not impact the quality of life for consumers they will be concentrating on objective data about health, safety, behavioral services provided, are services effectively implemented to meet the consumer's unique needs and are the services being provided as described in the handbook.