PDPM Checklist - Stage 5 Operationalize

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Monitor and audit MDS and claims process with the new PDPM rules (10/1 and after) Notes Completed Ensure transitions resources are in place Track progress to make sure all Med A residents have the required payment assessment completed Continue MDS Audits with new rules and data sets in place Review triple check process to make sure it is still catching the right edits Ensure physicians are following practices to support optimal primary diagnosis selection for resource use Track CMS Notices during and after transition (lessons learned, outages to submission software planned, or otherwise) Monitor care delivery (ongoing) Notes Completed Monitor care delivery to confirm standard protocols are being followed and to identify gaps Conduct care plan audits for emphasis on medical condition and capture presence of non-therapy ancillaries for care Provide ongoing training where necessary to ensure operationalization of workflows

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