300+ Agencies in 43 States

Size: px
Start display at page:

Download "300+ Agencies in 43 States"

Transcription

1 Insights: OASIS C Skills Assessment Testing March 2012 Presenters: Rhonda Will, RN, BS, COS C, HCS D Assistant Director, OASIS Competency Institute Jean Ellis, RN Director, OASIS Competency Institute 300+ Agencies in 43 States Range of Scores % 78% 7 36% Sept Dec March % 21% High Low Average 1

2 Score by Discipline 9 89% 88% 86% 84% 86% 84% 87% 85% 84% 82% 81% 79% 79% 79% 78% 79% Sept Dec % 76% March % 74% 72% 7 68% Auditor RN Therapist Manager Other 1. Q43, (M2030)*: Management of Injectable Medications: Patient's current ability to prepare and take all prescribed injectable medications reliably and safely 28% of all testers responded correctly Auditors 55% correct Managers 47% correct RNs 24% correct Therapists 25% correct Other 44% correct *Appeared as a bonus question in December Q41, (M1910): Do these results indicate a high risk for falls? 31% of all testers responded correctly COMPARISON BETWEEN TESTING QUARTERS Q41, (M1910) March 2012 December 2011 Overall 31% correct 15% correct Auditor 54% correct 32% correct RN 27% correct 13% correct Therapist 29% correct 14% correct Manager 53% correct 28% correct Other 41% correct 17% correct 2

3 3. Q42, (M1910): Has this patient had a multi factor Fall Risk Assessment? of all testers responded correctly Auditors 57% correct Managers 54% correct RNs 27% correct Therapists 29% correct Other correct 4. Q47, (M2200): Therapy Need: In the home health plan of care for the Medicare payment episode for which this assessment will define a case mix group, what is the indicated need for therapy visits? 54% of all testers responded correctly COMPARISON BETWEEN TESTING QUARTERS Q47, (M2200) March 2012 December 2011 Overall 54% correct 44% correct Auditor 77% correct 72% correct RN 47% correct 38% correct Therapist 61% correct correct Manager 7 correct 67% correct Other 58% correct 56% correct 5. Q18, (M1720): When Anxious (Reported or Observed Within the Last 14 Days) 54% of all testers responded correctly Auditors 72% correct Managers 69% correct RNs 51% correct Therapists 54% correct Other 61% correct 7 3

4 Q18 scenario (S7) Mrs. Smithfield has been diagnosed with expressive and receptive aphasia resulting from her stroke 45 days ago. She becomes tearful many times during your assessment and her caregiver reports she cries often during the day and night. The new anti depressant was started this morning. You attempt to administer the PHQ 2 Depression Screening and assess for confusion and anxiety; however, Mrs. Smithfield s only verbalizations are nonsensical and repetitive. Her caregiver is new and has only known her for the past 24 hrs. Mrs. Smithfield s daughter states, I think she recognizes me, but I can t be sure. She has been like this since the stroke. Non responsive means that the patient is unable to respond or the patient responds in a way that you can t make a clinical judgment about the patient s level of orientation. OASIS C Guidance Manual December 2011 Chapter 3: J 2 Centers for Medicare & Medicaid Services. 6. Q48, (M2200): The best response for Therapy Need 55% of all testers responded correctly Auditors 7 correct Managers 72% correct RNs 52% correct Therapists 56% correct Other 57% correct 7 7. Q22, (M1750): Is this patient receiving Psychiatric Nursing Services at home provided by a qualified psychiatric nurse? 56% of all testers responded correctly Auditors 7 correct Managers 67% correct RNs 54% correct Therapists 54% correct Other 65% correct 7 4

5 8. Q30, (M1030): Therapies the patient receives at home 56% of all testers responded correctly Auditors 7 correct Managers 71% correct RNs 58% correct Therapists 48% correct Other 64% correct 7 9. Q11, (M1032): Which of the following signs or symptoms characterize this patient as at risk for hospitalization? 62% of all testers responded correctly Auditors 56% correct Managers 68% correct RNs 61% correct Therapists 64% correct Other 68% correct Q39, (M1870): Current ability to feed self meals and snacks safely 63% of all testers responded correctly Auditors 73% correct Managers 76% correct RNs 59% correct Therapists 7 correct Other 59% correct 7 5

6 Additional Comparisons Between Testing Quarters: March 2012 & December 2011 Comparison Between Testing Quarters Q35, (M1730)*: Depression Screening: How do you score this situation using the PHQ 2 depression screening tool? 72% of all testers responded correctly Auditors 83% correct Managers 86% correct RNs 81% correct Therapists 84% correct Other 83% correct 87% 86% 85% 84% 83% 82% 81% 79% 78% *Appeared as a bonus question in December Comparison Between Testing Quarters Q36, (M1730): Depression Screening: Has the patient been screened for depression using a standardized depression screening tool? 72% of all testers responded correctly COMPARISON BETWEEN TESTING QUARTERS Q36, (M1730) March 2012 December 2011 Overall 72% correct 48% correct Auditor 77% correct correct RN 69% correct 45% correct Therapist 75% correct correct Manager 84% correct correct Other 71% correct 42% correct 6

7 Re Scored Questions Re Scored Questions Q13. (M1036): Risk Factors, either present or past, likely to affect current health status and, or outcome 21% responded incorrectly Issue: Initially, credit was not given for the response A. smoking. Action: We re scored this item to provide partial credit for response A. smoking as well as response B. obesity. Re Scored Questions Q20. (M1740): Cognitive, behavioral, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed) (Q) 9% responded incorrectly Issue: Initially, question #20 (a multiple answer question) was scored as all or nothing. A. Memory deficit B. Impaired decision making C. Verbal disruption Action: We adjusted this to apply partial credit (cumulative) for each correct response. 7

8 What Do the Results Mean for Your Agency? Implications: Quality of care Payment Future decision making by CMS Opportunities for learning Is learning occurring? Are testers the same clinicians or different ones? Is there follow up? Your Reports Your Reports 8

9 Your Reports Next Testing Session Important Dates: Week of May 7 th : Fazzi Associates will send a reminder of upcoming test May 14 th : Fazzi Associates will send spreadsheets for managers to update and return by June 1st Testing begins: Monday, June 11, 2012 Testing ends: Friday, June 29, 2012 testing@fazzi.com

Today s educational presentation is provided by. The software that powers HOME HEALTH. THERAPY. PRIVATE DUTY. HOSPICE

Today s educational presentation is provided by. The software that powers HOME HEALTH. THERAPY. PRIVATE DUTY. HOSPICE Today s educational presentation is provided by The software that powers HOME HEALTH. THERAPY. PRIVATE DUTY. HOSPICE At Kinnser, we believe post-acute care businesses need the right software solution for

More information

OASIS-C Home Health Outcome Measures

OASIS-C Home Health Outcome Measures OASIS-C Home Measures 1 End Result Grooming groom self. (M1800) Grooming 2 End Result Grooming same in ability to groom self. (M1800) Grooming 3 End Result Upper Body Dressing dress upper body. (M1810)

More information

OASIS-B1 and OASIS-C Items Unchanged, Items Modified, Items Dropped, and New Items Added.

OASIS-B1 and OASIS-C Items Unchanged, Items Modified, Items Dropped, and New Items Added. Items Added. OASIS-B1 Items UNCHANGED on OASIS-C OASIS-C Item # M0014 M0016 M0020 M0030 M0032 M0040 M0050 M0060 M0063 M0064 M0065 M0066 M0069 M0080 M0090 M0100 M0110 M0220 M1005 M1030 M1200 M1230 M1324

More information

Medications: Defining the Role and Responsibility of Physical Therapy Practice

Medications: Defining the Role and Responsibility of Physical Therapy Practice This article is based on a presentation by Matt Janes, PT, DPT, MHS, OCS, CSCS, Division AVP, Therapy Practice and Quality, Kindred at Home, and Diana Kornetti, PT, MA, HCS-D, President, Home Health Section

More information

October 2011 Quarterly CMS OCCB Q&As

October 2011 Quarterly CMS OCCB Q&As October 2011 Quarterly CMS OCCB Q&As Category 2; Category 3; M0100 Question 1: A patient is seen monthly. On a monthly visit, which falls within the last five days of the certification period, the assessing

More information

Attachment A - Comparison of OASIS-C (Current Version) to OASIS-C1 (Proposed Data Collection)

Attachment A - Comparison of OASIS-C (Current Version) to OASIS-C1 (Proposed Data Collection) Attachment A - Comparison of OASIS-C (Current Version) to (Proposed Data Collection) OASIS-C M0010 CMS Certification Number S M0010 CMS Certification Number M0014 Branch State S M0014 Branch State S M0016

More information

Best Options for Responding to the Home Health PPS 2011 Cuts *revised handouts

Best Options for Responding to the Home Health PPS 2011 Cuts *revised handouts Best Options for Responding to the Home Health PPS 2011 Cuts *revised handouts Improve Your Revenues with OASIS and Coding Presented By: Rhonda Marie Will, RN, BS, HCS-D, COS-C Melanie R. Duerr, RN, MS,

More information

Medication Management: Therapy Scope Versus Comfort Level

Medication Management: Therapy Scope Versus Comfort Level Medication Management: Therapy Scope Versus Comfort Level Presented By: Cindy Krafft MS PT President Home Health Section APTA Director of Rehabilitation Consulting Services August 17, 2011 243 King Street,

More information

Basic Training: Home Health Edition. OASIS and Outcomes. April 2, 2013

Basic Training: Home Health Edition. OASIS and Outcomes. April 2, 2013 Basic Training: Home Health Edition OASIS and Outcomes April 2, 2013 Presented by: Rhonda Will, RN, BS, COS-C, BCHH-C, Assistant Director of the Competency Institute, Fazzi Associates, Inc. 243 King Street,

More information

Attachment C: Itemized List of OASIS Data Elements

Attachment C: Itemized List of OASIS Data Elements Attachment C: Itemized List of OASIS Data Item Description Number of Data SOC ROC FU TOC DTH DIS M0010 CMS Certification Number 1 1 M0014 Branch State 1 1 M0016 Branch ID Number 1 1 M0018 National Provider

More information

Connecting Therapy to Outcome and Process Measures: Moving from Concept to Reality

Connecting Therapy to Outcome and Process Measures: Moving from Concept to Reality Connecting Therapy to Outcome and Process Measures: Moving from Concept to Reality Presented By: Cindy Krafft MS PT Director of Rehabilitation Consulting Services President Home Health Section APTA August

More information

Sherri Proffer, RN, Program Manager. Dorothy Ukegbu, RN Coordinator, 02/20/2014 1

Sherri Proffer, RN, Program Manager. Dorothy Ukegbu, RN Coordinator, 02/20/2014 1 Sherri Proffer, RN, Program Manager Dorothy Ukegbu, RN Coordinator, 02/20/2014 1 Procedures for Determination of Medical Need for Nursing Home Services I. Medical Need Assessments A. Nursing Facility Procedures

More information

M2020 Accuracy in Patients in Assisted Living Facilities

M2020 Accuracy in Patients in Assisted Living Facilities This job aid provides guidance on answering M2020 (Management of Oral Medications) accurately for patients living in Assisted Living Facilities (ALF) or other situations where medications are routinely

More information

Pain: Facility Assessment Checklists

Pain: Facility Assessment Checklists Pain: Facility Assessment Checklists A facility system assessment is a starting point for a quality improvement project. The checklists included in this booklet will be most useful if you take a critical

More information

OBQI for Improvement in Pain Interfering with Activity

OBQI for Improvement in Pain Interfering with Activity CASE SUMMARY OBQI for Improvement in Pain Interfering with Activity Following is the story of one home health agency that used the outcome-based quality improvement (OBQI) process to enhance outcomes for

More information

OASIS Complete Webinar Series

OASIS Complete Webinar Series OASIS Complete Webinar Series Selecting Clinically Relevant and Fiscally Appropriate Diagnoses Presented By: Rhonda Marie Will, RN, BS, HCS-D, COS-C October 1, 2010 243 King Street, Suite 246 Northampton,

More information

INTRODUCTION Reduce falls Improve patient outcomes Establish a baseline of falls in home care

INTRODUCTION Reduce falls Improve patient outcomes Establish a baseline of falls in home care INTRODUCTION The Missouri Alliance for Home Care (MAHC) has developed a set of standardized tools for reporting and monitoring falls in patients under the care of home health. The program which began as

More information

Nurturing Care in the Comfort of Home

Nurturing Care in the Comfort of Home Nurturing Care in the Comfort of Home Our Mission: Anchor Home Health Care helps individuals maintain a familiar and independent lifestyle by providing the support of nursing and personal care services

More information

NORTH DAKOTA LEVEL OF CARE FORM INSTRUCTIONS TO BE USED WITH LOC FORM ND

NORTH DAKOTA LEVEL OF CARE FORM INSTRUCTIONS TO BE USED WITH LOC FORM ND For this section, select which type of LOC screen is to be reviewed Requested Screen Type NORTH DAKOTA LEVEL OF CARE FORM INSTRUCTIONS Nursing Facility Swingbed CMFN PACE MFP Provisional MFP Final Tech.

More information

STROKE REHAB PROGRAM

STROKE REHAB PROGRAM STROKE REHAB PROGRAM Allied Rehab Hospital is part of Allied Services Integrated Health System, the premier post-acute health-care system in Northeast Pennsylvania, and is the region s leading provider

More information

Presented by: Arlene Maxim, RN-Founder A.D. Maxim Consulting, LLC.

Presented by: Arlene Maxim, RN-Founder A.D. Maxim Consulting, LLC. Presented by: Arlene Maxim, RN-Founder A.D. Maxim Consulting, LLC. On January 24, 2013, the U. S. District Court for the District of Vermont approved a settlement agreement in the case of Jimmo v. Sebelius,

More information

In Arkansas 02/20/2014 1

In Arkansas 02/20/2014 1 In Arkansas 02/20/2014 1 Procedures for Determination of Medical Need for Nursing Home Services I. Medical Need Assessments A. Nursing Facility Procedures B. OLTC Procedures II. Pre-Admission Screening

More information

CMS OASIS Q&As: CATEGORY 2 - COMPREHENSIVE ASSESSMENT

CMS OASIS Q&As: CATEGORY 2 - COMPREHENSIVE ASSESSMENT CMS OASIS Q&As: CATEGORY 2 - COMPREHENSIVE ASSESSMENT Q1. When are we required to collect OASIS? [Q&A EDITED 06/14] A1. The Condition of Participation (CoP) published in January 1999 requires a comprehensive

More information

Chapter 2: Patient Care Settings

Chapter 2: Patient Care Settings Chapter 2: Patient Care Settings MULTIPLE CHOICE 1. While the home health nurse is doing the entry to service assessment on a home-bound patient, the wife of the patient asks whether Medicare will cover

More information

Behavioral Health Billing and Coding Guide for Montana FQHCs & Primary Care Providers. Virna Little, PsyD, LCSW-R, SAP, CCM Laura Leone, MSSW, LMSW

Behavioral Health Billing and Coding Guide for Montana FQHCs & Primary Care Providers. Virna Little, PsyD, LCSW-R, SAP, CCM Laura Leone, MSSW, LMSW Behavioral Health Billing and Coding Guide for Montana FQHCs & Primary Care Providers Virna Little, PsyD, LCSW-R, SAP, CCM Laura Leone, MSSW, LMSW Objectives Answer questions specific to FQHC and Primary

More information

Therapy STARS Project: Medical Necessity

Therapy STARS Project: Medical Necessity Therapy STARS Project: Medical Necessity Presented By: Cindy Krafft MS PT President Home Health Section APTA Director of Rehabilitation Consulting Services and Nancy Buseth PT, RN Senior Rehabilitation

More information

Snohomish County Case Management Nursing Services

Snohomish County Case Management Nursing Services Snohomish County Case Management Nursing Services Carolyn Hundley, RN /Supervisor Denice Ulowetz, RN Kirstie Clinko, RN Sue Lee, RN Joy Maine, RN Amy Robertson, RN Overview New Changes in Nursing Services

More information

Three World Concept of Behavioral Health and Primary Care Integration Part 3 The Clinician Perspective

Three World Concept of Behavioral Health and Primary Care Integration Part 3 The Clinician Perspective Three World Concept of Behavioral Health and Primary Care Integration Part 3 The Clinician Perspective Colorado Behavioral Health Association October 3, 2010 Three World Model C. J. Peek suggests that

More information

INTEGRATION AND COORDINATION OF BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE

INTEGRATION AND COORDINATION OF BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE THE CENTER FOR POLICY, ADVOCACY, AND EDUCATION OF THE MENTAL HEALTH ASSOCIATION OF NEW YORK CITY INTEGRATION AND COORDINATION OF BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE A Presentation at The Community

More information

Thursday May 16, Hospice Track

Thursday May 16, Hospice Track Thursday May 16, 2013- Hospice Track Endorsed by Alabama Hospice and Palliative Care Organization Registration 8-9AM 9-9:15- Welcome announcements 9:15-10:30AM- Dr. Paul Moon Title: Anticipatory Grief:

More information

OASIS ITEM ITEM INTENT TIME POINTS ITEM(S) COMPLETED RESPONSE SPECIFIC INSTRUCTIONS DATA SOURCES / RESOURCES

OASIS ITEM ITEM INTENT TIME POINTS ITEM(S) COMPLETED RESPONSE SPECIFIC INSTRUCTIONS DATA SOURCES / RESOURCES (M0080) Discipline of Person Completing Assessment: 1-RN 2-PT 3-SLP/ST 4-OT Specifies the discipline of the clinician completing the comprehensive assessment during an actual visit to the patient s home

More information

Q&A REVISED MEDICARE CoPs

Q&A REVISED MEDICARE CoPs general Q: Since the new CoPs are finalized, is it OK to go ahead and make the changes? A: An agency can start to make changes as long as the changes are in compliance with the current CoPs and ACHC Standards.

More information

7/27/2016. HHVBP Sessions. General HHVBP Questions. Home Health Value Based Purchasing. Session 5: Frequently Asked Questions

7/27/2016. HHVBP Sessions. General HHVBP Questions. Home Health Value Based Purchasing. Session 5: Frequently Asked Questions Home Health Value Based Purchasing Session 5: Frequently Asked Questions HHVBP Sessions Session 5: Frequently Asked Questions Previous session topics: Overview New Measures & KAHL Modules Total Performance

More information

CASPER Reports. Objectives: What is Casper? 4/27/2012. Certification And Survey Provider Enhanced Reports

CASPER Reports. Objectives: What is Casper? 4/27/2012. Certification And Survey Provider Enhanced Reports CASPER Reports By Cindy Skogen, RN Oasis Education Coordinator at MDH Contact #: 651-201-4314 E-mail: Health.OASIS@state.mn.us Source: Center for Medicare/Medicaid Services (CMS). Objectives: Following

More information

Linking the Coding Process, the OASIS & the POC to Make Them All Work Together

Linking the Coding Process, the OASIS & the POC to Make Them All Work Together Linking the Coding Process, the OASIS & the POC to Make Them All Work Together Presented by Jennifer Warfield, RN, BSN, HCS-D, COS-C Education Director PPS Plus Software Linking the Coding Process, the

More information

CMS Proposed Rule. The IMPACT Act. 3 Overhaul Discharge Planning Processes to Comply With New CoPs. Arlene Maxim VP of Program Development, QIRT

CMS Proposed Rule. The IMPACT Act. 3 Overhaul Discharge Planning Processes to Comply With New CoPs. Arlene Maxim VP of Program Development, QIRT Overhaul Discharge Planning Processes to Comply With New CoPs Arlene Maxim VP of Program Development, QIRT 1 CMS Proposed Rule Included discharge planning specifics However, when the CoPs were finalized,

More information

EW Customized Living Contract Planning Worksheet, Part I

EW Customized Living Contract Planning Worksheet, Part I Purpose of This Worksheet This planning worksheet is designed to: 1. Delineate component services that can be included in EW customized living and 24 hour customized living packages. 2. Serve as a tool

More information

Home Health Quality Improvement Campaign

Home Health Quality Improvement Campaign Home Health Quality Improvement Campaign Description of Monthly Report for Improvement in Oral Medications Monthly Report for Improvement in Management of Oral Medications All data displayed illustrate

More information

Running head: IMPROVING QUALITY OF LIFE 1

Running head: IMPROVING QUALITY OF LIFE 1 Running head: IMPROVING QUALITY OF LIFE 1 Music Therapy: Improving Quality of Life for Dementia Residents in Nursing Homes Keltie P. Keir, B.N., R.N University of New Brunswick IMPROVING QUALITY OF LIFE

More information

HOME HEALTH VALUE BASED PURCHASING FREQUENTLY ASKED QUESTIONS Updates in Red

HOME HEALTH VALUE BASED PURCHASING FREQUENTLY ASKED QUESTIONS Updates in Red 1. What is the contact information of the Home Health Value-Based Purchasing (HHVBP) Helpdesk? General HHVBP The HHVBP Helpdesk can be reached by email at HHVBPquestions@cms.hhs.gov). The Helpdesk number

More information

NORTHUMBERLAND EARLY INTERVENTION IN PSYCHOSIS TEAM

NORTHUMBERLAND EARLY INTERVENTION IN PSYCHOSIS TEAM NORTHUMBERLAND EARLY INTERVENTION IN PSYCHOSIS TEAM A Student Information Leaflet Profile of Learning Opportunities Updated December 2011 Introduction: The Northumberland Early Intervention Team (NEIT)

More information

OASIS-C Guidance Manual Errata

OASIS-C Guidance Manual Errata Errata Updated January 2011 Page F-18 M1340 CORRECTED the last sentence of the 9 th bullet under Response- Specific Instructions, to read as follows: These may be reported in M1350 if the home health agency

More information

READMISSION ROOT CAUSE ANALYSIS REPORT

READMISSION ROOT CAUSE ANALYSIS REPORT USE RESTRICTED TO ABC Hospital READMISSION ROOT CAUSE ANALYSIS REPORT State: Community Name: YZ Cohort: Hospital: A ABC Hospital Reviewer: Jane Doe Abstraction Period: 1/1/2014 6/30/2014 Charts Abstracted:

More information

Planning Worksheet Identifying EW Customized Living Components

Planning Worksheet Identifying EW Customized Living Components Planning Worksheet Identifying EW Customized Living Components This tool is designed to facilitate discussion between EW lead agencies (counties, managed care organizations and/or tribes) and current or

More information

HOME HEALTH AUTHORIZATION PROCESS FREQUENTLY ASKED QUESTIONS

HOME HEALTH AUTHORIZATION PROCESS FREQUENTLY ASKED QUESTIONS HOME HEALTH AUTHORIZATION PROCESS FREQUENTLY ASKED QUESTIONS HOME HEALTH AUTHORIZATION PROCESS PROVIDER QUESTIONS Recent updates are in blue italics: The most recent changes and additions to the frequently

More information

Hospital Admission: How to Plan and What to Expect During the Stay

Hospital Admission: How to Plan and What to Expect During the Stay Family Caregiver Guide Hospital Admission: How to Plan and What to Expect During the Stay Admission to the hospital can happen in various ways. You family member may be treated in the Emergency Room (ER)

More information

10/14/2014 COMMON MDS CODING ERRORS OVERVIEW OF SS/ACT SECTIONS SECTION B

10/14/2014 COMMON MDS CODING ERRORS OVERVIEW OF SS/ACT SECTIONS SECTION B COMMON MDS CODING ERRORS K AT H Y Y O S T E N, L C S W, P I P OVERVIEW OF SS/ACT SECTIONS Section B Vision, Speech, Hearing Section C Cognitive Patterns Section D Mood Section E Behaviors Section F Preferences

More information

New CoPs - Overview -

New CoPs - Overview - New CoPs - Overview - A Patient- Centered, Data-Driven, Outcome Oriented Philosophy P r e s e n te d b y : Sharon M. Litwin, RN, BSHS, MHA, HCS-D Senior Managing Partner 5 Star Consultants Objectives Participants

More information

Feasibility of Home Health Care Patients Self-Administration of the PROMIS Global Health Survey

Feasibility of Home Health Care Patients Self-Administration of the PROMIS Global Health Survey Feasibility of Home Health Care Patients Self-Administration of the PROMIS Global Health Survey September 27, 2017 JS Riggs, EA Madigan, Z Gonzaga, J Gillis, R Starr, M Roczen, E Nuccio Funding & Disclaimers

More information

Intensive Outpatient Program Patient Handbook

Intensive Outpatient Program Patient Handbook Intensive Outpatient Program Patient Handbook Toll Free 855.892.9007 HFsenior.org SENIOR BEHAVIORAL WELLNESS Intensive Outpatient Program Welcome We welcome you to Senior Behavioral Wellness. You have

More information

Indiana Association for Home & Hospice Care Shaping the Change May 6, Bonny Kohr, FR&R Healthcare Consulting, Inc.

Indiana Association for Home & Hospice Care Shaping the Change May 6, Bonny Kohr, FR&R Healthcare Consulting, Inc. Indiana Association for Home & Hospice Care Shaping the Change May 6, 2014 Bonny Kohr, FR&R Healthcare Consulting, Inc. Rebecca Zuber, Rebecca Friedman Zuber, Inc. Where you are going--destination Desired

More information

DEPARTMENT OF HEALTH & HUMAN SERVICES Survey and Certification Group 7500 Security Boulevard Baltimore, Maryland

DEPARTMENT OF HEALTH & HUMAN SERVICES Survey and Certification Group 7500 Security Boulevard Baltimore, Maryland DEPARTMENT OF HEALTH & HUMAN SERVICES Survey and Certification Group 7500 Security Boulevard Baltimore, Maryland 21244-1850 Survey and Certification Group April 20, 2010 Linda Krulish, PT, MHS, COS-C President

More information

arizona health net a better decision sm Putting you at the center of everything we do.

arizona health net a better decision sm Putting you at the center of everything we do. arizona health net a better decision sm Putting you at the center of everything we do. Nothing s more important than your health. When you re healthy, you want to stay healthy. When you re sick or have

More information

OTAGO OUTCOMES DATABASE: 8 WEEK FOLLOW-UP OUTCOME DATA -- ENTRY FORM

OTAGO OUTCOMES DATABASE: 8 WEEK FOLLOW-UP OUTCOME DATA -- ENTRY FORM OTAGO OUTCOMES DATABASE: 8 WEEK FOLLOW-UP OUTCOME DATA -- ENTRY FORM NOTE: Optional -- These fields will be assigned and automatically recorded within patient records in the Otago Outcomes Database. Use

More information

Completing the Specialty Practice Assessment Tool: Guide for Behavioral Health Organizations and Divisions

Completing the Specialty Practice Assessment Tool: Guide for Behavioral Health Organizations and Divisions Completing the Specialty Practice Assessment Tool: Guide for Behavioral Health Organizations and Divisions Instructions: Please find below guiding questions for behavioral health organizations or divisions

More information

DEFINITIONS (c)(1) Discharge Planning : Home Health Agency (HHA) : Inpatient Rehabilitation Facility (IRF) : Local Contact Agency :

DEFINITIONS (c)(1) Discharge Planning : Home Health Agency (HHA) : Inpatient Rehabilitation Facility (IRF) : Local Contact Agency : F660 483.21(c)(1) Discharge Planning Process The facility must develop and implement an effective discharge planning process that focuses on the resident s discharge goals, the preparation of residents

More information

Care Coordination in the New CoP s. Teresa Northcutt BSN RN COS-C HCS-D HCS-H WiAHC June 2017

Care Coordination in the New CoP s. Teresa Northcutt BSN RN COS-C HCS-D HCS-H WiAHC June 2017 Care Coordination in the New CoP s Teresa Northcutt BSN RN COS-C HCS-D HCS-H WiAHC June 2017 Selman-Holman & Associates, LLC Lisa Selman-Holman, JD, BSN, RN, HCS-D, COS-C Home Health Insight Consulting,

More information

Trends in Home Care: Everybody Wants to Be There. Barbara A McCann Chief Industry Officer

Trends in Home Care: Everybody Wants to Be There. Barbara A McCann Chief Industry Officer Trends in Home Care: Everybody Wants to Be There Barbara A McCann Chief Industry Officer Trend 1: The Medicare Home Health Benefit: Limiting Positive Innovation and Comfort It is an acute illness benefit

More information

2015 Quality Improvement Work Plan Summary

2015 Quality Improvement Work Plan Summary 2015 Quality Improvement Project Member Service and Satisfaction Commercial Products: Commercial Project Description: To improve member service and satisfaction and increase member understanding of how

More information

Preventing Falls in the Home

Preventing Falls in the Home ~ VOLUME I ISSUE V LESSON PLAN ~ OBJECTIVES Upon completion of this program, the home health aide will be able to:» Identify four variables that increase the likelihood of falls» List three common hazards

More information

Arkansas Independent Assessment. Provider Information Sessions October, 2017

Arkansas Independent Assessment. Provider Information Sessions October, 2017 Arkansas Independent Assessment Provider Information Sessions October, 2017 Purpose: Provide an Overview of: 1 Independent Assessment 2 3 4 Optum s Role, Tool and Process Assignment of Tiers Transformation

More information

Psychiatric Health Facility Medical Care Evaluation Study

Psychiatric Health Facility Medical Care Evaluation Study Psychiatric Health Facility Medical Care Evaluation Study PATIENT ENGAGEMENT IN TREATMENT GOAL SETTING JANUARY 2017 - JANUARY 2018 Purpose of MCE Studies The purpose of medical care evaluation (MCE) studies

More information

Is It Time for In-Home Care?

Is It Time for In-Home Care? STEP-BY-STEP GUIDE Is It Time for In-Home Care? Helping Your Loved Ones Maintain Their Independence and Quality of Life 2015 CK Franchising, Inc. Welcome to the Comfort Keepers Guide to In-Home Care Introduction

More information

COPs 2018 Now is the Time. HCAC 2017 Conference PreConference 2017 The Crag Business Group, Inc.

COPs 2018 Now is the Time. HCAC 2017 Conference PreConference 2017 The Crag Business Group, Inc. COPs 2018 Now is the Time HCAC 2017 Conference PreConference 2017 The Crag Business Group, Inc. FOCUS & THEMES Revisions of the Home Health Agency provider requirements..focus on a patient-centered, data-driven,

More information

MEDICARE COVERAGE SUMMARY: HOME HEALTH PSYCHIATRIC CARE MEDICARE COVERAGE SUMMARY

MEDICARE COVERAGE SUMMARY: HOME HEALTH PSYCHIATRIC CARE MEDICARE COVERAGE SUMMARY OPTUM MEDICARE COVERAGE SUMMARY: HOME HEALTH PSYCHIATRIC CARE MEDICARE COVERAGE SUMMARY: HOME HEALTH PSYCHIATRIC CARE MEDICARE COVERAGE SUMMARY Guideline Number: Effective Date: June, 2017 INTRODUCTION

More information

Part 1: Overview of AHCA/NCAL Clinical Considerations of Antipsychotic Management Toolkit

Part 1: Overview of AHCA/NCAL Clinical Considerations of Antipsychotic Management Toolkit Part 1: Overview of AHCA/NCAL Clinical Considerations of Antipsychotic Management Toolkit Dr. Cathy Lipton, MD Dr. Anna Fisher, PhD Holly Harmon, RN, MBA, LNHA Introduction Holly Harmon 1 Objectives Summarize

More information

WakeMed Rehab Hospital Stroke Rehabilitation Scope of Service

WakeMed Rehab Hospital Stroke Rehabilitation Scope of Service WakeMed Rehab Hospital Stroke Rehabilitation Scope of Service WakeMed Rehab Hospital provides an integrated, comprehensive delivery of rehabilitation services utilizing evidenced-based practice directed

More information

Chronic Care Management. Sharon A. Shover, CPC, CEMC 2650 Eastpoint Parkway, Suite 300 Louisville, Kentucky

Chronic Care Management. Sharon A. Shover, CPC, CEMC 2650 Eastpoint Parkway, Suite 300 Louisville, Kentucky Chronic Care Management Sharon A. Shover, CPC, CEMC 2650 Eastpoint Parkway, Suite 300 Louisville, Kentucky 40223 502.992.3511 sshover@blueandco.com Agenda Chronic Care Management (CCM) History Define Requirements

More information

Long Term Care in British Columbia Residential Facilities GOVERNMENT-SUBSIDIZED NURSING HOMES. How Nursing Homes are Organized and Administered

Long Term Care in British Columbia Residential Facilities GOVERNMENT-SUBSIDIZED NURSING HOMES. How Nursing Homes are Organized and Administered Long Term Care in British Columbia 2016 Residential Facilities GOVERNMENT-SUBSIDIZED NURSING HOMES How Nursing Homes are Organized and Administered Nursing homes/residential facilities provide 24-hour

More information

Hospice Discharges. Legacy Hospice

Hospice Discharges. Legacy Hospice Hospice Discharges Legacy Hospice Live Discharges Once a Medicare beneficiary elects the hospice benefit, hospice may not automatically or routinely d/c the beneficiary at it s discretion, even if the

More information

Chapter 1 Section 5.1. Requirements For Documentation Of Treatment In Medical Records

Chapter 1 Section 5.1. Requirements For Documentation Of Treatment In Medical Records Administration Chapter 1 Section 5.1 Requirements For Documentation Of Treatment In Medical Records Issue Date: June 1, 1999 Authority: 32 CFR 199.2; 32 CFR 199.6(b); 32 CFR 199.7(b), and (b)(1) 1.0 ISSUE

More information

A Tool for Maximizing Quality in Your Organization

A Tool for Maximizing Quality in Your Organization OASIS C: A Tool for Maximizing Quality in Your Organization Debbie Costello RN BSN MSM Director of Quality & Safety Caritas Home Care Session Outline Events leading to change in OASIS C Progress in home

More information

HOSPICE TARGETED PROBE & EDUCATE Melinda A. Gaboury, COS C Healthcare Provider Solutions, Inc.

HOSPICE TARGETED PROBE & EDUCATE Melinda A. Gaboury, COS C Healthcare Provider Solutions, Inc. HOSPICE TARGETED PROBE & EDUCATE Melinda A. Gaboury, COS C Healthcare Provider Solutions, Inc. www.targetedprobe&educate.com Targeted Probe and Educate October 1, 2017 Targets providers based on data Can

More information

State and federal regulations supersede any information provided in this toolkit.

State and federal regulations supersede any information provided in this toolkit. DPA Associates, Inc Toolkit author: Diane Atchinson, RN-BC, MSN, ANP, RAC-CT President, DPA Associates, Inc, Kansas City, MO E mail: diane@dpaassociates.com Clinical editor: Kathy Newman, MSW, LSCW, Consultant

More information

Selman Holman & Associates, LLC PATIENT RIGHTS: Four New CoP s. Objectives

Selman Holman & Associates, LLC PATIENT RIGHTS: Four New CoP s. Objectives PATIENT RIGHTS: MEETING THE PROPOSED CONDITIONS OF PARTICIPATION JUNE 2016 2 Selman Holman & Associates, LLC Home Health Insight Consulting, Education and Products CoDR Coding Done Right CodeProUniversity

More information

Getting Ready for the Maryland Primary Care Program

Getting Ready for the Maryland Primary Care Program Getting Ready for the Maryland Primary Care Program Presentation to Maryland Academy of Nutrition and Dietetics March 19, 2018 Maryland Department of Health All-Payer Model: Performance to Date Performance

More information

QAPI Quality Assurance Process Improvement

QAPI Quality Assurance Process Improvement QAPI Quality Assurance Process Improvement Presented by: Sharon M. Litwin, RN, BSHS, MHA, HCS D Senior Managing Partner 5 Star Consultants, LLC 2017 Final Rule in the Federal Register of January 13, 2017

More information

be a citizen or permanent resident of Canada, be a resident of Newfoundland & Labrador, have been assessed as needing nursing home level of care.

be a citizen or permanent resident of Canada, be a resident of Newfoundland & Labrador, have been assessed as needing nursing home level of care. Long Term Care in Newfoundland and Labrador 2016 Residential Facilities GOVERNMENT-SUBSIDIZED NURSING HOMES How Nursing Homes are organized and Administered Nursing homes in Newfoundland & Labrador are

More information

Medical Policy Definition of Skilled Care

Medical Policy Definition of Skilled Care Medical Policy Definition of Skilled Care Document Number: 015 Authorization required for skilled care and shortterm rehab Notification within 24 hours or next business day No notification or authorization

More information

Medicare & Your Mental Health Benefits

Medicare & Your Mental Health Benefits CENTERS for MEDICARE & MEDICAID SERVICES Medicare & Your Mental Health Benefits This official government booklet has information about mental health benefits for people with Original Medicare, including:

More information

Overview. Case Management Role 6/11/2018. What It Takes To Be The Best Case Manager

Overview. Case Management Role 6/11/2018. What It Takes To Be The Best Case Manager What It Takes To Be The Best Case Manager Overview Identify Case Manager Role and Responsibilities Identify Differences Between Good Case Manager and Great Case Manager Identify How to Appropriately Schedule

More information

All Medicare Advantage Organizations (MAOs), PACE Organizations, Cost Plans, and certain Demonstrations

All Medicare Advantage Organizations (MAOs), PACE Organizations, Cost Plans, and certain Demonstrations DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, Maryland 21244-1850 CENTER FOR MEDICARE MEDICARE PLAN PAYMENT GROUP TO: FROM: SUBJECT:

More information

MDS 3.0 and PASRR. 10/12/2010 Webinar for NAPP members. Dan Timmel CMS PASRR Technical Assistance Center. Slides prepared by Breck Douglas (9/10)

MDS 3.0 and PASRR. 10/12/2010 Webinar for NAPP members. Dan Timmel CMS PASRR Technical Assistance Center. Slides prepared by Breck Douglas (9/10) MDS 3.0 and PASRR 10/12/2010 Webinar for NAPP members Dan Timmel CMS PASRR Technical Assistance Center Slides prepared by Breck Douglas (9/10) Agenda What is MDS? How and why does it affect me? Review

More information

5/1/2017 THE BEST DEFENSE IS A GOOD OFFENSE OBJECTIVES. Preparing for a Home Health Medicare Recertification Survey

5/1/2017 THE BEST DEFENSE IS A GOOD OFFENSE OBJECTIVES. Preparing for a Home Health Medicare Recertification Survey THE BEST DEFENSE IS A GOOD OFFENSE Preparing for a Home Health Medicare Recertification Survey OBJECTIVES To gain an understanding how the Medicare Conditions of Participation (CoPs), the individual G-tags,

More information

Center for Clinical Standards and Quality/Survey & Certification Group

Center for Clinical Standards and Quality/Survey & Certification Group DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop C2-21-16 Baltimore, Maryland 21244-1850 Center for Clinical Standards and Quality/Survey

More information

Leveraging Your Facility s 5 Star Analysis to Improve Quality

Leveraging Your Facility s 5 Star Analysis to Improve Quality Leveraging Your Facility s 5 Star Analysis to Improve Quality DNS/DSW Conference November, 2016 Presented by: Kathy Pellatt, Senior Quality Improvement Analyst, LeadingAge NY Susan Chenail, Senior Quality

More information

Driving Incremental Change to Achieve Organizational Change. Practice Transformation Academy Webinar #3

Driving Incremental Change to Achieve Organizational Change. Practice Transformation Academy Webinar #3 Driving Incremental Change to Achieve Organizational Change Practice Transformation Academy Webinar #3 Presenters National Council for Behavioral Health Mental Heath Association of Greater Lowell Kate

More information

How to Survive Audits By Accurately Documenting Medical Necessity. Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus

How to Survive Audits By Accurately Documenting Medical Necessity. Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus How to Survive Audits By Accurately Documenting Medical Necessity Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus How to Survive Audits By Accurately Documenting Medical

More information

Medi-Cal Managed Care CBAS Program Transition

Medi-Cal Managed Care CBAS Program Transition Medi-Cal Managed Care CBAS Program Transition Presented to: The Sacramento Medi-Cal Managed Care Stakeholder s Advisory Committee By: the Sacramento GMC Plans Revised 01/25/13 1 Outline What is CBAS? Who

More information

Outcome Based Case Conference

Outcome Based Case Conference Outcome Based Case Conference Are You On the Train or On the Tracks? Michelle Funk, RN BS, COS C 15 years RN 13 years Home Health Clinician Case Manager Program Coordinator Supervisor QA Coordinator Special

More information

New Quality Measures Will Soon Impact Nursing Home Compare and the 5-Star Rating System: What providers need to know

New Quality Measures Will Soon Impact Nursing Home Compare and the 5-Star Rating System: What providers need to know New Quality Measures Will Soon Impact Nursing Home Compare and the 5-Star Rating System: What providers need to know Presented by: Kathy Pellatt, Senior Quality Improvement Analyst LeadingAge New York

More information

3/21/2018. Foundation Management Services, Inc All rights reserved. Unauthorized reproduction is strictly prohibited.

3/21/2018. Foundation Management Services, Inc All rights reserved. Unauthorized reproduction is strictly prohibited. Keys to Documentation Success in Home Health Coding DISCLAIMER This material is designed and provided to communicate information about compliance, ethics and coding in an educational format and manner.

More information

Roadmap. AAH Best Practices and Mobility Documentation. Policy History. History Continued. History Understanding Documentation

Roadmap. AAH Best Practices and Mobility Documentation. Policy History. History Continued. History Understanding Documentation Roadmap AAH Best Practices and Mobility Documentation May 2008 History Understanding Documentation MAE NCD Key Concepts Audits The WHY of MR CMS Requirements 1 2 Policy History Original National Policy

More information

HCMC Outpatient Mental Health Programs. External Referral Form

HCMC Outpatient Mental Health Programs. External Referral Form HCMC Outpatient Mental Health Programs External Referral Form Thank you for your interest in the Day Treatment, Partial Hospital Program, or Dialectical Behavior Therapy Intensive Outpatient Program. All

More information

Medicare Home Health Prospective Payment System (HHPPS) Calendar Year (CY) 2013 Final Rule

Medicare Home Health Prospective Payment System (HHPPS) Calendar Year (CY) 2013 Final Rule Last updated 11/13/12 Contact: Advocacy@apta.org Medicare Home Health Prospective Payment System (HHPPS) Calendar Year (CY) 2013 Final Rule Introduction COMPREHENSIVE SUMMARY On November 2, 2012, the Centers

More information

Introduction to Day Hospital

Introduction to Day Hospital Introduction to Day Hospital Information for clients and their families 3G Day Hospital: 905-521-2100, ext. 72831 1 Introduction to Day Hospital Introduction to Day Hospital The Day Hospital on 3G is part

More information

Medicare: This subset aligns with the requirements defined by CMS and is for the review of Medicare and Medicare Advantage beneficiaries

Medicare: This subset aligns with the requirements defined by CMS and is for the review of Medicare and Medicare Advantage beneficiaries InterQual Level of Care Criteria Subacute & SNF Criteria Review Process Introduction InterQual Level of Care Criteria support determining the appropriateness of admission, continued stay, and discharge

More information

MDS 3.0: What Leadership Needs to Know

MDS 3.0: What Leadership Needs to Know MDS 3.0: What Leadership Needs to Know especially prepared for CANPFA Ann Spenard RN, MSN History of the MDS and RAI Process The Resident Assessment Instrument (RAI) was part of a set of reforms enacted

More information

Pave Your Path: Improvement Science & Helpful Techniques

Pave Your Path: Improvement Science & Helpful Techniques Pave Your Path These presenters have nothing to disclose Pave Your Path: Improvement Science & Helpful Techniques Cory Sevin, RN, MSN, NP Director, IHI Jane Taylor, EdD Improvement Advisory May 21, 2013

More information

HOW HOME HEALTH COMPARE ITEMS ARE CALCULATED

HOW HOME HEALTH COMPARE ITEMS ARE CALCULATED HOW HOME HEALTH COMPARE ITEMS ARE CALCULATED PERIOD OF STUDY: Home Health Compare and Process Measures will be calculated based upon your Dashboard selections including Payer Sources, Teams, Case-Managers,

More information