PPS Coordinator

Vanderbilt Wilson County Hospital

Role Summary:

The IRF PAI Coordinator assumes the task to complete each IRF-PAI form completely, accurately, and timely. Maintain a high level of professional expertise and serve as a resource to the Rehabilitation unit and to Vanderbilt Wilson County Hospital.


KEY RESPONSIBILITIES:

• Complete and transmit the IRF-PAI to CMS consistent with regulatory guidelines. Collaborate with Intake Coordinator and admitting rehabilitation physician to determine anticipated case mix group (CMG) to be assigned to each patient admitted.
• Collect patient demographic, clinical and quality measure data and enters on the IRF-PAI.
• Communicate with coders within 4 days of admission to determine etiologic diagnosis and comorbid conditions present on admission to be included on the IRF-PAI.
• Communicate estimated length of stay to case manager for discharge planning and discussion at team conference.
• Participate in team conferences and review documentation concurrently throughout patients' stay to ensure accuracy and compliance.
• Educates and trains staff, including physician, nurses and therapists, on documenting to ensure plan of care and supporting documentation reflects the need for intensity and medical necessity of services provided,
• Tracks and reports regularly on 60% rule compliance.
• Educates and trains staff, including physician, nurses and therapists, on documenting to ensure plan of care and supporting documentation reflects the need for intensity and medical necessity of services provided,
• Demonstrate and promote positive relations with all staff and co-workers in a friendly manner.
• Provide instruction/training on Quality Measures Scoring for rehabilitation staff and other hospital employees when necessary.
• Coordinate Quality Measures competency testing for designated rehabilitation staff.
• Communicate with the Program Director when unable to resolve any data or timeliness issues related to the IRF-PAI.
• Print the IRF-PAI in a timely manner and send - to Heath Information Management for inclusion in the medical record
• Ensure the IRF-PAI is entered into the appropriate medical record.
• Assist as required by the Program Director with inputting other patient data into the appropriate computer programs.
• Participate in quality improvement activities by identifying performance improvement opportunities in collaboration with rehabilitation leadership.
• Tracks and reports regularly on outcome data generated through IRF-PAI submissions.
• Attend hospital committee meetings as assigned by the Program Director.
• Maintain current knowledge of PPS regulations related to participation requirements for inpatient rehabilitation facilities.
• Act as a resource to the Inpatient Rehabilitation Program and the hospital.
• Attend Inpatient Rehabilitation Program meetings and provide education as requested
• Demonstrate and promote positive relations with all staff and co-workers.
• Assist in the assessment of patients referred for Inpatient Rehabilitation by gathering pertinent information, communicating with the Medical Director, initiating the admission process when appropriate and communication with all interested parties.
• All other duties as assigned.

Position Shift:

• Days

Discover Vanderbilt University Medical Center:

Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. It is a place where your diversity -- of culture, thinking, learning and leading -- is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Vanderbilt Wilson County Hospital:

For more than 40 years, Vanderbilt Wilson County Hospital (formerly Tennova Healthcare - Lebanon) has been a place of healing and connection for patients and families in Wilson County and the surrounding area. The two-campus facility is the sole provider of inpatient and outpatient medical services in Wilson County. Known for comprehensive services, recognized care, and a commitment to the community, VWCH became a part of the Vanderbilt University Medical Center family (VUMC) in August of 2019.

Recognition Awards for Quality

• Joint Commission certified in total Hip and Knee Replacement
• The Joint Commission Certified Primary Stroke Center
• American College of Cardiology Accredited Chest Pain Center
• Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) as a Comprehensive Center
• American College of Radiology Accreditations - Mammography and Ultrasound
• Accredited by American Academy of Sleep Medicine

Click here for more information: www.VanderbiltWilsonCountyHospital.com

VUMC Recent Accomplishments

Because we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments:

• US News & World Report: #1 Adult Hospital in Tennessee and metropolitan Nashville, named to the Best Hospitals Honor Roll of the top 20 adult hospitals, 10 nationally ranked adult specialty programs, with 3 specialties rated in the top 10 nationally, Monroe Carell Jr. Children's Hospital at Vanderbilt named as one of the Best Children's Hospital in the nation, with 10 out of 10 pediatric specialties nationally ranked.
• Healthcare's Most Wired: Among the nation's 100 "most-wired" hospitals and health systems for its efforts in innovative medical technology.
• Becker's Hospital Review: named as one of the "100 Great Hospitals in America", in the roster of 100 Hospitals and Health Systems with Great Oncology Programs and to its list of the 100 Hospitals with Great Heart Programs.
• The Leapfrog Group: One of only 10 children's hospitals in the to be named at Leapfrog Top Hospital.
• American Association for the Advancement of Science: The School of Medicine has 112 elected fellows
• Magnet Recognition Program: Received our third consecutive Magnet designations.
• National Academy of Medicine: 22 members, elected by their peers in recognition of outstanding achievement
• Human Rights Campaign Healthcare Equality Index: 6 ^th year in a row that Vanderbilt University Medical Center was a Leader in LGBTQ Healthcare Equality.