Standardizing the Modified Barium Swallow Across a Healthcare System
Presented by Jo Puntil and Angela Menlove
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Jo Puntil is a full-time employee at Intermountain Health and affiliate instructor for MedBridge. She also receives compensation from MedBridge for this course.
Angela Menlove is a full-time employee at Intermountain Health and affiliate instructor for MedBridge. She also receives compensation from MedBridge for this course.
Nonfinancial:
Jo Puntil has no competing nonfinancial interests or relationships with regard to the content presented in this course.
Angela Menlove has no competing nonfinancial interests or relationships with regard to the content presented in this course.
The Centers for Medicare & Medicaid Services (CMS) released their 2020 rules regarding reimbursement of rehabilitation: including executing and documenting the modified barium swallow (MBS). The purpose of this presentation is to demonstrate how an entire healthcare system implemented these standards. All radiology services were updated utilizing standardized products, equipment, and recording systems. All speech pathologists were educated in and personally observed when executing and integrating these standards in the radiology suite, performing documentation, and communicating results of the study. Practice patterns were implemented by mirroring the recommendations from the ASHA dysphagia portal. This presentation will translate ASHA’s recommended MBS standards of dysphagia practice to maximize delivery of patient- and value-driven dysphagia services across a healthcare system.
Meet your instructors
Jo Puntil
Jo Puntil is an ASHA Fellow, past chair of the CFCC, and a board-certified specialist in swallowing and swallowing disorders. She has extensive experience in developing interdisciplinary rehab programs/teams throughout southern California and Utah, specifically in the areas of critical and acute care. Jo has lectured…
Angela Menlove
Angela Menlove is a board-certified speech-language pathologist and the director of acute care rehabilitation for Intermountain Health (Canyon and Desert regions), based in Salt Lake City, Utah. She cares passionately for both patients and the team of leaders and occupational therapists, physical therapists, and…
Chapters & learning objectives
1. Why Standardize?
Speech pathologists are not utilizing standardized practices in the execution of MBS studies across the country. Ensuring best practices for our patients maximizes patient safety and minimizes harm; standardization is necessary.
2. CMS Guidelines: Why Do We Need to Follow These?
This chapter will discuss why Medicare standards exist and what is needed to comply with the new regulations.
3. Standardization Initiative: How and Where to Start
This chapter will identify key areas in which a healthcare system can determine regularity and variability. The key to streamlining procedures is ensuring everyone is on the same page and support is provided to achieve improvement.
4. Elements of Standard Protocol, and Implementation of Competencies and Mentorship
Implementation of standardization throughout a healthcare system requires all of us to reframe our thinking and clinical decision-making. Utilizing national standards, board-certified swallowing specialists mentored clinicians to provide best practices and reproducibility throughout a system.
5. Questions and Answers
The final chapter of this course covers lessons learned, largest obstacles, and future work to be discussed.
More courses in this series
Standardizing the Modified Barium Swallow Across a Healthcare System
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Providing Feedback to Support Continuous Improvement and Best Practices
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Pulmonary-Compromised Patients: Oxygen Delivery and Dysphagia Issues
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Cardiac Disease, Surgical Intervention, and Dysphagia Correlations
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Screening and Bedside Swallow Evaluation Across the Continuum of Care
Jo Puntil and Debra Suiter
Exercise-Based Treatments for Dysphagia
Debra Suiter