Home Health. Improving Patient Outcomes & Reducing Readmissions. Home Health: Improving Outcomes & Reducing Readmissions
|
|
|
- Walter Carter
- 5 years ago
- Views:
Transcription
1 Home Health Improving Patient Outcomes & Reducing Readmissions Home Health: Improving Outcomes & Reducing Readmissions
2 Benefits of Home Health Care Scientific evidence proves people heal more quickly, are healthier, happier and live longer at home. Improves patient outcomes and reduces costly acute care re-admissions by: Proactively addressing health or safety concerns before they become a crisis. Improving compliance with medication regimens and attendance at medical appointments. Reducing fall events by providing assistance with mobility, incontinence, and exercise programs as well as ensuring ongoing home safety. Educating patients to promote self-management of their conditions. Home Nursing Agency
3 HNA Home Health National Recognition as a Home Care Elite Top Agency for 11 consecutive years, indicating we are a top 25% performer in the nation, which is especially impressive considering that we care for patients of all acuity levels. A 9.41/10 ranking that referral sources would recommend us to their patients. 99% of customers would recommend us to others. 4 Star rating by CMS. Home Nursing Agency
4 Home Health Clinicians are a Valuable Resource The home health team serves as the eyes and ears of the physician while in the patient s home. One-on-one time presents the opportunity to provide in-depth health coaching to improve patient compliance and promote self-management. The multidisciplinary approach helps patients get the right care, at the right place, at the right time every time. By combining expert clinicians, innovative systems, access to our continuum of care, and a commitment to exceptional service, we are able to consistently deliver top quality care in the home. Home Nursing Agency
5 A Multidisciplinary Approach to Meet Patient s Unique Needs Registered nurses provide highly skilled care, proactively address health or safety concerns before they result in an unnecessary hospitalization, educate patients to enable selfmanagement of their health, and serve as the "eyes and ears" of the physician in the home. Physical therapists provide advanced rehabilitative therapy in the home in order to improve and restore a patient s mobility, independence, and safety. Occupational therapists focus on ensuring the patient can independently perform activities of daily living, such as eating, dressing, and bathing, through energy conservation and use of adaptive equipment in order to remain safely at home. Speech therapists work with individuals who need speech, language, communication, and swallowing training after a stroke, surgery, or other condition. Home health aides help with personal care and activities of daily living when skilled services are also provided. Specialty services are also provided by advanced-practice nurses, wound-ostomy specialists, social workers, nutritionists, and psych nurses. Home Nursing Agency
6 Specialty Programs Orthopedic Balance & Fall Prevention Cardiopulmonary Congestive Heart Failure (CHF) Chronic Obstructive Pulmonary Disease (COPD) Myocardial Infarction (MI), Hypertension and other vascular diseases Our programs utilize a multidisciplinary approach, best practice protocols, and proprietary disease management guides to help educate patients, promote selfmanagement of their conditions, and optimize clinical outcomes. Diabetes Infusion/IV Wound Home Nursing Agency
7 Partnering with Hospitals and Skilled Nursing Facilities Care Transitions best practices are implement AFTER the home health referral and can be initiated prior to discharge. Goals are to help patients understand their plan of care and transition to home safely after facility discharge. The ED U-Turn is a collaborative health care program with hospital emergency departments to provide reliable follow-up care in the patient s home within 24 hours of discharge from the ED. Goals are to decrease the number of patients admitted to the hospital under observation status and decrease return ED visits for chronic conditions. Hospitals and skilled nursing facilities can reduce their risk of readmissions and avoid payment penalties by simply referring home health services. Home Nursing Agency
8 Home Health Referral Indicators Frequent or recent hospitalizations Difficulty with walking, balance, transfers Recent fall Difficulty performing self-care activities New medications or adjustments Wound or skin breakdown UTI (new or recurrent infections) Cardiopulmonary concerns: shortness of breath, coughing, swelling, abnormal blood pressure Unusual bleeding or bruising Change in mental status (depression, anxiety, behavioral changes) Post-operative care (joint replacements, cardiothoracic surgery) Patient is 65+ and has targeted diagnosis of: Congestive Heart Failure (CHF) Chronic Obstructive Pulmonary Disease (COPD) Myocardial Infarction (MI) Pneumonia Home Health Referral Early identification is critical to prevent avoidable readmissions Home Nursing Agency
9 Timely Response to Urgent Patient Needs Patient Calls With a Concern. Customer Contact Center Triage and Referral Nurse Nursing Visit Nursing staff are on-call 24/7 to respond to urgent needs Home Nursing Agency
10 Clinical Eligibility We have compiled a Home Health Clinical Eligibility Quick Reference Guide to help you determine whether your patients may be eligible to benefit from home health services: Homebound Status Requirements Does the patient require the use of an assistive device, assistance from another person, or require special transportation? If the patient leaves the home, does it take considerable and taxing effort? Are absences from the home infrequent and of short duration? Orders and Face to Face Encounter Requirements Does the patient s diagnosis require skilled medical care? Is the need for home health clinically appropriate? Documentation requirements and specific patient examples are included in the quick reference guide. Home Nursing Agency
11 Physician Billing for Care Plan Oversight We have compiled a Care Plan Oversight Quick Reference Guide to help you understand how you can be reimbursed for overseeing plans of care for Medicare patients: Care Plan Oversight: G0181 Initial Certification: G0180 Recertification: G0179 Not billing for care plan oversight will result in uncaptured revenue for the work you are already doing Home Nursing Agency
12 Our Referral Process is Streamlined Contact our Customer Contact Center or your local representative and we ll handle the rest. Our multidisciplinary team evaluates the needs of the patient and develops a plan of care that will produce optimal outcomes. Home Nursing Agency
13 For More Information or to Make a Referral Information: hna-businessdevelopment@upmc.edu Referrals: Customer Contact Center: Home Nursing Agency
Objectives. Home Health Benefits. Pretest 1. True or False. Pretest 2. Multiple choice. Pretest 4. Multiple choice. Pretest 3.
Home Health Benefits Objectives Coleen M. Schmidt, VP Clinical Services, COO June 2015 Wisconsin Association for Home Care (WiAHC) 1. List the type of home health providers/services within the home care
Community Health Excellence (CHE) Grant Program Application Guide
Community Health Excellence (CHE) Grant Program 2018 2019 Application Guide CHE Mission and Goals The PacificSource Community Health Excellence (CHE) initiative was created to align with and support the
Referrals, Prior Authorizations, Medical Management, and Appeals
Referrals, Prior Authorizations, Medical Management, and Appeals 1 An Independent Licensee of the Blue Cross Blue Shield Association 044506 (12-21-2017) 2017 Premera. Proprietary and Confidential. Referrals
3/14/2014. Preventing Rehospitalizations How to Change Your When in Doubt, Send em Out Way of Thinking. Objectives. Background Information
Preventing Rehospitalizations How to Change Your When in Doubt, Send em Out Way of Thinking Jennifer Moore, RN Content Developer Objectives Describe two reasons why returns to the hospital are not desirable
Community Health Services in Bristol Community Learning Disabilities Team
Community Health Services in Bristol 2014 Community Learning Disabilities Team This provides specialist community based services for adults with learning difficulties and help to promote equal access to
Professional Drivers Health Network. What?
Professional Drivers Health Network What? An Integrated Occupational Health Program The definition - the ability of a worker to function at an optimum level of well-being at a worksite as reflected in
Why Every SNF Should Be Offering Telemedicine For Its Residents or Transforming SNF Care Through Telemedicine
PACAH 2018 Spring Conference John Whitman, MBA, NHA The Wharton School Tapestry TeleHealth The TRECS Institute Why Every SNF Should Be Offering Telemedicine For Its Residents or Transforming SNF Care Through
Session Objectives 10/27/2014. How Can I get Beyond the Basics of Hospital Readmission and Become a Preferred Provider? Kim Barrows RN BSN
How Can I get Beyond the Basics of Hospital Readmission and Become a Preferred Provider? Kim Barrows RN BSN Session Objectives At the end of the session the learner will be able to: 1. Discuss the history
*Your Name *Nursing Facility. radiation therapy. SECTION 2: Acute Change in Condition and Factors that Contributed to the Transfer
Gaining information about resident transfers is an important goal of the OPTIMISTC project. CMS also requires us to report these data. This form is where data relating to long stay transfers are to be
Beyond the Hospital Walls: Impact of a SNFist Practice Model
Beyond the Hospital Walls: Impact of a SNFist Practice Model Aaron Snyder, MD Vice President, US Acute Care Solutions Kim Repac Chief Financial Officer, WMHS Aging Population 50 Million Distribution
Transitions Through the Care Continuum: Discussions on Barriers to Patient Care, Communications, and Advocacy
Transitions Through the Care Continuum: Discussions on Barriers to Patient Care, Communications, and Advocacy Scott Matthew Bolhack, MD, MBA, CMD, CWS, FACP, FAAP April 29, 2017 Disclosure Slide I have
DEMONSTRATED NEED FOR SKILLED CARE FOR MEDICARE PATIENTS: SKILLED NURSING SERVICES
DEMONSTRATED NEED FOR SKILLED CARE FOR MEDICARE PATIENTS: SCOPE: All Ascension At Home, LLC colleagues. For purposes of this policy, all references to colleague or colleagues include temporary, part-time
Creating Care Pathways Committees
Presentation Creating Care Title Pathways Committees December 12, 2012 December 12, 2012 Creating Care Pathways Committees LeadingAge Indiana Integrated Care & Payment Executive Series 1 2012 Health Dimensions
Introduction. Singapore. Singapore and its Quality and Patient Safety Position 11/9/2012. National Healthcare Group, SIN
Introduction Singapore and its Quality and Patient Safety Position Singapore 1 Singapore 2004: Top 5 Key Risk Factors High Body Mass (11.1%; 45,000) Physical Inactivity (3.8%; 15,000) Cigarette Smoking
Linking the LAS with Health & Social Care. 6 th December 2016
Linking the LAS with Health & Social Care 6 th December 2016 Outline: About me.. LAS Context Integrating LAS with H&SC London Ambulance Service NHS Trust 2 LAS context London Ambulance Service NHS Trust
SENTARA HEALTHCARE. Norfolk, VA
SENTARA HEALTHCARE Norfolk, VA 1 Sentara Healthcare Overview 11 Acute Care Hospitals in Virginia with a total of 2572 licensed beds 1E Extended dstay hospital 9 Ambulatory Care Campuses; 5 with freestanding
Long Term Care Hospital Clinical Coverage Policy No: 2A-2 Services (LTCH) Amended Date: October 1, Table of Contents
Long Term Care Hospital Clinical Coverage Policy No: 2A-2 Services (LTCH) Table of Contents 1.0 Description of the Procedure, Product, or Service... 1 1.1 Definitions... 1 2.0 Eligibility Requirements...
Reducing Preventable Hospital Readmissions in Post Acute Care Kim Barrows RN BSN
Reducing Preventable Hospital Readmissions in Post Acute Care Kim Barrows RN BSN Session Objectives At the end of the session the learner will be able to: 1. Discuss the history of hospital readmission
Innovation. Successful Outpatient Management of Kidney Stone Disease. Provider HealthEast Care System
Successful Outpatient Management of Kidney Stone Disease HealthEast Care System Many patients with kidney stones return to the ED multiple times due to recurrent symptoms. Patients then tend to receive
Skilled Nursing Facility (SNF) Shared Best Practices to Reduce Potentially Preventable Readmissions (PPRs)
Skilled Nursing Facility (SNF) Shared Best Practices to Reduce Potentially Preventable Readmissions (PPRs) Referral Review referrals to determine if care needs can be met in your facility by: Triaging
Competency Based Staffing. And the New RoPs
Competency Based Staffing And the New RoPs Objectives Discuss how the Facility Assessment correlates to qualified and competent staff expectations Explore the new requirements for staff competency Discuss
OASIS ITEM ITEM INTENT
(M2400) Intervention Synopsis: (Check only one box in each row.) At the time of or at any time since the previous OASIS assessment, were the following interventions BOTH included in the physician-ordered
VNAA BLUEPRINT FOR EXCELLENCE BEST PRACTICES TO REDUCE HOSPITAL ADMISSIONS FROM HOME CARE. Training Slides
VNAA BLUEPRINT FOR EXCELLENCE BEST PRACTICES TO REDUCE HOSPITAL ADMISSIONS FROM HOME CARE Training Slides 061015 Why Take Action to Prevent Readmissions? Better patient care and patient experience Home
HOSPITAL READMISSION REDUCTION STRATEGIC PLANNING
HOSPITAL READMISSION REDUCTION STRATEGIC PLANNING HOSPITAL READMISSIONS REDUCTION PROGRAM In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System (IPPS) hospitals
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
Breathing Easy: A Case Study on Asthma Prevention
Breathing Easy: A Case Study on Asthma Prevention Bob Morrow, MD, MBA Market President, Houston & Southeast Texas Blue Cross and Blue Shield of Texas @DrBobMorrow A Division of Health Care Service Corporation,
American Nurses Credentialing Center. Test Content Outline Effective Date: April 1, Ambulatory Care Nurse Board Certification Examination
American Nurses Credentialing Center Test Content Outline Board Certification Examination There are 175 questions on this examination. Of these, 150 are scored questions and 25 are nonscored pretest questions.
Presenter Disclosure Information
The following program is co-provided by the American Heart Association and Health Care Excel, the Medicare Quality Improvement Organization for Kentucky. 3/1/2013 2010, American Heart Association 1 1 2
Jumpstarting population health management
Jumpstarting population health management Issue Brief April 2016 kpmg.com Table of contents Taking small, tangible steps towards PHM for scalable achievements 2 The power of PHM: Five steps 3 Case study
UnitedHealthcare Medicare Readmission Review Program for Medicare Advantage Plans General Clinical Guidelines for Payment Review
UnitedHealthcare Medicare Readmission Review Program for Medicare Advantage Plans General Clinical Guidelines for Payment Review Introduction The UnitedHealthcare Medicare Readmission Review Program is
Evolution of Emergency Medical Services
CALIFORNIA Evolution of Emergency Medical Services White Paper 1966 Agenda for the FUTURE Institute of Medicine Report 2006 Community Paramedic Community Paramedicine Mobile Integrated Health 2013
Utilizing a Pharmacist and Outpatient Pharmacy in Transitions of Care to Reduce Readmission Rates. Disclosures. Learning Objectives
Utilizing a Pharmacist and Outpatient Pharmacy in Transitions of Care to Reduce Readmission Rates. Disclosures Rupal Mansukhani declares grant support from the Foundation for. Rupal Mansukhani, Pharm.D.
Community Paramedicine Program
Community Paramedicine Program The Future of Rural Health Care Presented by Jared Oscarson, NREMT-P Captain EMS Clinical Services Oscarsonj@hghospital.ws Louis Mendiola, B.S., EMT-II Community Wellness
Objectives 2/23/2011. Crossing Paths Intersection of Risk Adjustment and Coding
Crossing Paths Intersection of Risk Adjustment and Coding 1 Objectives Define an outcome Define risk adjustment Describe risk adjustment measurement Discuss interactive scenarios 2 What is an Outcome?
Dual-eligible SNPs should complete and submit Attachment A and, if serving beneficiaries with end-stage renal disease (ESRD), Attachment D.
Attachment A: Model of Care for Dual-eligible SNPs MA Contract Name: Geisinger Health Plan MA Contract Number: H3954-097 Type of Dual-eligible SNP: Full The model of care describes the MAO's approach to
Cleveland Clinic Implementing Value-Based Care
Cleveland Clinic Implementing Value-Based Care Overview Cleveland Clinic health system uses a systematic approach to performance improvement while simultaneously pursuing 3 goals: improving the patient
Winning at Care Coordination Using Data-Driven Partnerships
Idriz Limaj, LNHA, RN Chief Operating Officer Winning at Care Coordination Using Data-Driven Partnerships Session #166, February 22, 2017 1 Steven Littlehale, MS, GCNS-BC EVP & Chief Clinical Officer Speaker
CNA OnSite Series Overview: Understanding Restorative Care Part 1 - Introduction to Restorative Care
Series Overview: Understanding Restorative Care Part 1 - Introduction to Restorative Care Administering the Program Read the Guide View the Video Review the Suggested Questions Complete Post-Test Answer
Patient Experience Heart & Vascular Institute
Patient Experience Heart & Vascular Institute Keeping patients at the center of all that Cleveland Clinic does is critical. Patients First is the guiding principle at Cleveland Clinic. Patients First is
FIRE DEPARTMENT COMMUNITY ASSISTANCE, REFERRAL, & EDUCATION SERVICES
FIRE DEPARTMENT COMMUNITY ASSISTANCE, REFERRAL, & EDUCATION SERVICES What is FDCARES? Fire Department Community Assistance Referral, and Education Services Proactive connection phone calls and home visits.
PATIENT INFORMATION. Address: Sex: City: State: address: Cell Phone: Home Phone: Work Phone: address: Cell Phone:
PATIENT INFORMATION Name: _ DOB: _ Age: Address: _Sex: City: _ State: _ Zip: _ Email address: Cell Phone: _ Home Phone: Work Phone: _ Responsible Party (if different from above) Name: DOB: Address: E-mail:
CHRONIC CARE MANAGEMENT. A Guide to Medicare s New Move Toward Patient-Centric Care
CHRONIC CARE MANAGEMENT A Guide to Medicare s New Move Toward Patient-Centric Care The future of healthcare is here; Medicare has begun to shift away from fee-forservice care and move toward value based
Patient Navigator Program
Using Patient Navigators and Education to Improve Post-Acute Transitions Emerging innovators in post-acute care delivery models are finding ways to provide patient-centered, quality care to integrate today
Reducing Readmissions: Potential Measurements
Reducing Readmissions: Potential Measurements Avoid Readmissions Through Collaboration October 27, 2010 Denise Remus, PhD, RN Chief Quality Officer BayCare Health System Overview Why Focus on Readmissions?
Molina Healthcare Michigan Health Care Services Department Phone: (855) Fax: (800)
Utilization Management Program Molina Healthcare of Michigan s Utilization Management (UM) program utilizes a care management approach based upon empirically validated best practices, where experience
Programs and Procedures for Chronic and High Cost Conditions Related to the Early Retiree Reinsurance Program
s and Procedures for Chronic and High Cost Conditions Related to the Early Retiree Reinsurance HealthPartners Disease and Case Management programs are targeted to those who have been identified with a
Cutting Avoidable Readmissions Starts in the Emergency Department
WHITE PAPER Cutting Avoidable Readmissions Starts in the Emergency Department SMARTER EMERGENCY CARE: EVERYWHERE, EVERY TIME. Our experience and innovative approach offers smarter solutions for emergency
KEY QUESTIONS TO ASK when choosing an orthopaedic program
7 KEY QUESTIONS TO ASK when choosing an orthopaedic program ASK THE RIGHT QUESTIONS so you can make the best choice The vast amount of information available to you makes choosing an orthopaedic surgery
Provider Guide. Medi-Cal Health Homes Program
Medi-Cal Health Provider Guide This provider guide provides information on the California Medi-Cal Health (HHP) for Community-Based Care Management Entities (CB-CMEs), providers, community-based organizations,
Quality Improvement Plans (QIP): Progress Report for the 2016/17 QIP
Quality Improvement Plans (QIP): Progress Report for the QIP Medication Reconciliation ID Measure/Indicator from as stated on QIP 2017 1 Best possible medication history(bpmh) completion: The total number
QUALITY IMPROVEMENT. Molina Healthcare has defined the following goals for the QI Program:
QUALITY IMPROVEMENT Molina Healthcare maintains an active Quality Improvement (QI) Program. The QI program provides structure and key processes to carry out our ongoing commitment to improvement of care
Community Performance Report
: Wenatchee Current Year: Q1 217 through Q4 217 Qualis Health Communities for Safer Transitions of Care Performance Report : Wenatchee Includes Data Through: Q4 217 Report Created: May 3, 218 Purpose of
Provider Information Guide Complex Care and Condition Care Overview
Complex and Overview Introduction Complex and are essential components of Passport Health Plan s (Passport) Coordination services, which are used to support the practitioner-patient relationship and plan
The Community Care Navigator Program At Lawrence Memorial Hospital
The Community Care Navigator Program At Lawrence Memorial Hospital Presented By: Linda Gall, MSN, RN, ACM Director of Care Coordination October 21, 2011 Learning Objectives: 1. Describe the vision and
Healthy Aging Recommendations 2015 White House Conference on Aging
Healthy Aging Recommendations 2015 White House Conference on Aging Chronic diseases are the leading causes of death and disability in the U.S. and account for 75% of the nation s health care spending.
The TeleHealth Model THE TELEHEALTH SOLUTION
The Model 1 CareCycle Solutions The Solution Calendar Year 2011 Data Company Overview CareCycle Solutions (CCS) specializes in managing the needs of chronically ill patients through the use of Interventional
Test bank PowerPoint slides for each chapter Instructor guides for each chapter (with answers for discussion questions and case studies)
This is a sample of the instructor materials for Dimensions of Long-Term Care Management: An Introduction, second edition, edited by Mary Helen McSweeney-Feld, Carol Molinari, and Reid Oetjen. The complete
Home Health Eligibility Requirements
Presented By: Melinda A. Gaboury, COS-C Chief Executive Officer Healthcare Provider Solutions, Inc. healthcareprovidersolutions.com Home Health Eligibility Requirements Meets eligibility for home health
Institutional Handbook of Operating Procedures Policy
Section: Clinical Policies Institutional Handbook of Operating Procedures Policy 09.01.13 Responsible Vice President: EVP and CEO Health System Subject: Admission, Discharge, and Transfer Responsible Entity:
Innovating Predictive Analytics Strengthening Data and Transfer Information at Point of Care to Improve Care Coordination
Innovating Predictive Analytics Strengthening Data and Transfer Information at Point of Care to Improve Care Coordination November 15, 2017 RRHA Healthcare Innovations Conference Agenda Arnot Health Overview
Policy & Providers. for Managing Chronic Care Patients. Mary Alexander Strategic Alliances Director - Home Instead, Inc. Kelly Funk.
Policy & Providers Lessons From The Health Care Arena for Managing Chronic Care Patients Producer: Bob Bua President - CareScout Panel: Peter Sosnow VP Corporate Development - Humana / SeniorBridge Mary
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.
HH Compare. IMPACT Act. Measure HHVBP
Measure HH Compare Star Rating Improvement in Bathing X X X Improvement in Bed Transferring X X X Improvement in Ambulation/Locomotion X X X Improvement in Management of Oral Medications X X Improvement
Minnesota Statewide Quality Reporting and Measurement System: APPENDICES TO MINNESOTA ADMINISTRATIVE RULES, CHAPTER 4654
Minnesota Statewide Quality Reporting and Measurement System: APPENDICES TO MINNESOTA ADMINISTRATIVE RULES, CHAPTER 4654 DECEMBER 2017 APPENDICES TO MINNESOTA ADMINISTRATIVE RULES, CHAPTER 4654 Minnesota
SKILLED NURSING FACILITY HOSPITAL COLLABORATION: ANTIOCH & LONE TREE CONVALESCENT
04/24/13 1 SKILLED NURSING FACILITY HOSPITAL COLLABORATION: ANTIOCH & LONE TREE CONVALESCENT Phylene Sunga, NHA Wednesday, April 24, 2013 Change is NOW and NOT Tomorrow "If I am interested in change I
Sandra Robinson, RN, MSN, ACM, CEN
Developing and Measuring Care Coordination Outcome Goals and Objectives ACMA National Conference April 28, 2015 Cleveland Clinic Care Management Sandra Robinson, RN, MSN, ACM, CEN (robinss12@ccf.org) Joan
Patient Identifiers: Facial Recognition Patient Address DOB (month/day year) / / UHHC. Month Day Year / / Month Day Year
Transfer (M0010) CMS Certification Number: 367549 (M0014) Branch State: OH (M0016) Branch ID Number: N/A Patient Identifiers: Facial Recognition Patient Address DOB (month/day year) / / UHHC (M0020) Patient
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
William J. Ennis D.O.,MBA University of Illinois at Chicago Professor Clinical Surgery, Chief Section wound healing and tissue repair
William J. Ennis D.O.,MBA University of Illinois at Chicago Professor Clinical Surgery, Chief Section wound healing and tissue repair What are the revenue streams What are the expenses How does the hospital
CGS Administrators, LLC Clinical Hospice Documentation from CGS Missouri Hospice & Palliative Care Assoc. October 3, 2016
Missouri Hospice & Palliative Care Conference Reviewer s decision is reliant upon documentation Results in a full denial for the submission Documentation must be legible Medical necessity is always based
Speech and Language Therapy Service Inpatient services
Speech and Language Therapy Service Inpatient services Management of Dysphagia in individuals on inpatient wards (excluding adults with acquired brain injury) Author(s) Joanna Brackley Amy Foster V03 Issue
Start with the Problem
Start with the Problem Jen Godreau, BA, CPC, CPEDC Director of Development & Operations Supercoder.com jenniferg@supercoder.com December 2011 Phone: (866)-228-9252 E-Mail: customerservice@supercoder.com
Factors that Impact Readmission for Medicare and Medicaid HMO Inpatients
The College at Brockport: State University of New York Digital Commons @Brockport Senior Honors Theses Master's Theses and Honors Projects 5-2014 Factors that Impact Readmission for Medicare and Medicaid
The 5 W s of the CMS Core Quality Process and Outcome Measures
The 5 W s of the CMS Core Quality Process and Outcome Measures Understanding the process and the expectations Developed by Kathy Wonderly RN,BSPA, CPHQ Performance Improvement Coordinator Developed : September
AN OPPORTUNITY TO INTEGRATE NUTRITION SERVICES IN YOUR LOCAL HEALTHCARE SYSTEM
AN OPPORTUNITY TO INTEGRATE NUTRITION SERVICES IN YOUR LOCAL HEALTHCARE SYSTEM KIMBERLY K. DELP, RN BSN January 26, 2017 AN OPPORTUNITY TO INTEGRATE NUTRITION SERVICES IN YOUR LOCAL HEALTHCARE SYSTEM 1
Session 10: Integrating Data and Analytics into Provider Workflows Improves ACO Quality and Financial Performance
Session 10: Integrating Data and Analytics into Provider Workflows Improves ACO Quality and Financial Performance Joan Valentine, MSA, RN Executive Vice President Visiting Physicians Association David
Key points. Home Care agency structures. Introduction to Physical Therapy in the Home Care Setting. Home care industry
Introduction to Physical Therapy in the Home Care Setting Home Health Section of APTA Key points Home care industry Client populations Prospective Payment System (PPS) Physical therapy services Assessment
Rethinking annual assessments: Identifying and closing gaps in care
Rethinking annual assessments: Identifying and closing gaps in care Expert presenters Curtis A. Mock, MD, MBA, National Medical Director, Complex Population Management Annual in-home assessments provide
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
Health Management Policy
Health Management Policy Policy Number: 0101 Effective Date: 4/1/18 Policy Title: Circumvention of PPS/Readmission Review Applies To: Generations Advantage Purpose: The Martin s Point Health Care Medicare
Maternity Management. The best part? These are available to you at no additional cost. Intro
Telligen provides the following services for Connecticut Carpenters members to help you better manage your health and enjoy a good quality of life. The programs include both Maternity Management and Condition
General Eligibility Requirements
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 Overview General Eligibility Requirements Clinical Care Program Certification (CCPC)
RN Behavioral Health Care Manager in Primary Care Settings
RN Behavioral Health Care Manager in Primary Care Settings Integrated Care and the Expanding Role of Nurses Seattle Airport Marriott, SeaTac, WA Tuesday, January 9, 2018 The Healthier Washington Practice
ACHIEVING POPULATION HEALTH: THE POWER OF TEAM BASED CARE
ACHIEVING POPULATION HEALTH: THE POWER OF TEAM BASED CARE JAMES JERZAK M.D. KATHY KERSCHER, MBA BELLIN HEALTH GREEN BAY WI IHI NATIONAL FORUM 12 13 2017 2 GREEN BAY, WISCONSIN Agenda Why Team-Based Care
MEDICATION THERAPY MANAGEMENT. MemberChoice FORMULARY MANAGEMENT MEDICATION THERAPY MANAGEMENT (MTM) SPECIALTY DRUG MANAGEMENT
MemberChoice FORMULARY MANAGEMENT MEDICATION THERAPY MANAGEMENT (MTM) SPECIALTY DRUG MANAGEMENT MEDICATION THERAPY MANAGEMENT Medication Therapy Management 1 $ 290 Billion Wasted in avoidable costs due
Rapid Response Nursing Program: Supporting Chronic Disease Management through Transitions in Care
Rapid Response Nursing Program: Supporting Chronic Disease Management through Transitions in Care Geriatric Day Hospitals Institute Sunnybrook Health Science Centre November 25, 2013 Liana Sikharulidze,
National Institutes of Health, National Heart, Lung and Blood Institute (NHLBI)
October 27, 2016 To: Subject: National Institutes of Health, National Heart, Lung and Blood Institute (NHLBI) COPD National Action Plan As the national professional organization with a membership of over
Welcome to the Agency for Health Care Administration (AHCA) Training Presentation for Managed Medical Assistance Specialty Plans
Welcome to the Agency for Health Care Administration (AHCA) Training Presentation for Managed Medical Assistance Specialty Plans The presentation will begin momentarily. Please dial in to hear audio: 1-888-670-3525
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
2017 FOCUSED ON DOCUMENTATION NECESSITIES & PRE-CLAIM REVIEW
2017 FOCUSED ON DOCUMENTATION NECESSITIES & PRE-CLAIM REVIEW PRESENTED BY: MELINDA A. GABOURY, COS-C CHIEF EXECUTIVE OFFICER HEALTHCARE PROVIDER SOLUTIONS, INC. HEALTHCAREPROVIDERSOLUTIONS.COM ADDITIONAL
Medicare Part A SNF Payment System Reform: Introduction to Resident Classification System - I ZIMMET HEALTHCARE 2018
Medicare Part A SNF Payment System Reform: Introduction to Resident Classification System - I Introduction to the Resident Classification System - I Concepts Structure Implications RCS is NOT the Unified
Clinical Program Cost Leadership Improvement
Clinical Program Cost Leadership Improvement December 2017 Presbyterian recently developed a rapid-cycle process for integrating sustainable cost and quality improvements within clinical programs. Population
2016/17 Quality Improvement Plan "Improvement Targets and Initiatives"
2016/17 Quality Improvement Plan "Improvement Targets and Initiatives" Queensway-Carleton Hospital 3045 Baseline Road AIM Measure Quality dimension Objective Measure/Indicator Unit / Population Source
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
Understanding Patient Choice Insights Patient Choice Insights Network
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Understanding Patient Choice Insights Patient Choice Insights Network SM www.aetna.com Helping consumers gain
Partnering with the Care Management Department. Medical Staff and Allied Health Practitioner Orientation
Partnering with the Care Management Department Medical Staff and Allied Health Practitioner Orientation 10/2015 Department of Care Management Medical Directors of Care Coordination Inpatient Case Managers
NURSING ASSESSMENT AND MONITORING TOOL Member last name First name Middle name Medicaid number
Contact Us 888-287-2443 MEDICALLY FRAGILE NURSING ASSESSMENT AND MONITORING TOOL Member last name First name Middle name Medicaid number Street address Date of birth City County State OK Zip Nurse completing
SUCCESS IN A VALUE - BASED PAYMENT ARRANGMENT
SUCCESS IN A VALUE - BASED PAYMENT ARRANGMENT October 3 rd, 2017 David Evangelista MediSys Health Network 1 Who is MediSys? Jamaica Hospital is a 431-bed not-for profit teaching hospital. Jamaica is a
REFERRAL GUIDELINES: Werribee Health Independence Program (HIP)
All clients referred to the Werribee HIP are assigned to a priority category based on their clinical need and related psychosocial factors. The examples given are indicative only and the clinician reviewing
Community Health Needs Assessment Three Year Summary
Community Health Needs Assessment Three Year Summary 2013 2016 Community Health Needs Assessment Three Year Summary 2014 2016 Key needs were identified by community stakeholders which included the following: