Aging in Place What s in Store for Family Caregiving and Home-Based Care?
|
|
|
- Beryl Cobb
- 5 years ago
- Views:
Transcription
1 Aging in Place What s in Store for Family Caregiving and Home-Based Care? Thomas Edes, MD MS Executive Director, Geriatrics & Extended Care Clinical Operations US Department of Veterans Affairs March 21, 2016
2 Aging in Place Caregiver s and Home Based Primary Care Converging Public Health Challenges Home Based Primary Care VA experience, Emergence in Medicare: Family Caregivers Crucial roles, crucial needs HBPC support for Family Caregivers VA Caregiver Support Program For those without a strong family caregiver? 1
3 Converging Public Health Challenges Increasing population over age 85 Escalating prevalence of chronic disabling disease Relative decrease in family caregivers Unsustainable rise in healthcare costs More in need of nursing home level of care Many refuse to move into nursing home Ethical dilemmas 2
4 % Change in US Population from 2000 to 2030 Veterans 85 + US 85+ US 65+ US Total 3
5 Family Caregivers: Institute of Medicine Study Group From 2010 to Americans age 65+ projected to double - from 40 M to 81 M Proportion age 85+ projected to increase 82% from 5.8 M to 14.2 M Number of potential family caregivers will grow but at slower rate than 85+ so fewer family caregivers per member needing care Proportion of potential family caregivers employed full time to grow, caregiving tasks become more complex all increasing difficulty of family caregiving and worsening negative effects on caregivers US Census projections: 4
6 What is VA Home-Based Primary Care (HBPC)? Comprehensive, longitudinal primary care Delivered in the home By an Interdisciplinary team: Nurse, Physician, Social Worker, Rehabilitation Therapist, Dietitian, Pharmacist, Psychologist For patients with complex, chronic disabling disease When routine clinic-based care is not effective For those too sick to go to clinic Help them remain at home with optimal health, independence, safety and purpose
7 HBPC is NOT like Medicare (MC) Home Care Different target population Different processes Different outcomes HBPC provides longitudinal comprehensive, interdisciplinary care to veterans with complex chronic disease LONGITUDINAL not episodic COMPREHENSIVE not problem-specific INTERDISCIPLINARY not one discipline CHRONIC DISEASE not remedial conditions 6
8 Caregiver Support in VA Home Based Primary Care Recognition that family caregivers crucial to success Routinely address social determinants of health Home assessment often leads to community services Routine assessment for caregiver strain Zarit Caregiver Assessment Six year experience in VA 7
9 HBPC Caregiver Screening and Intervention Review 2015 Results 9396 charts reviewed that had caregiver identified 8830 HBPC caregivers screened for caregiver strain 1582 or 18% had positive screen for caregiver stress of which 90% (1426) received intervention. Domain Measure Mnemonic Program Goal FY 2015 Numerator FY 2015 Denominator FY2015 % Timely Care Timely Care HBPC pt caregivers w stress receiving intervention Annual assessment of caregiver strain - HBPC hc22 95% hc25 95% Timely Care Caregiver + burden offered short term individualized therapy hc28 95%
10 Impact of HBPC on Hospital Days and Total Costs - Two studies Non-VA: 722 in HBPC; 2161 propensity matched controls 2yr study: HBPC 17% lower total Medicare cost p= % lower hospital and skilled nursing facility costs Effects of Home-Based Primary Care on Medicare Costs in High-Risk Elders., J Am Geriatr Soc Oct 2014 VA: 6951 HBPC Veterans also enrolled in Medicare(MC) Hierarchical Condition Category (HCC) scores to project cost 36% reduction in combined VA+MC hospital days 12% reduction in combined VA+MC costs, including HBPC Better Access, Quality and Cost for Clinically Complex Veterans with HBPC. J Am Geriatr Soc Oct
11 Independence at Home Act Section 3024, Patient Protection and Affordable Care Act Model in Medicare like VA HBPC, with economic structure in CMS to support it Targets complex chronic disabling disease Interdisciplinary, longitudinal care in home Geriatric skills, EHR, quality, satisfaction First year results: 8400 of Medicare s most chronically ill and disabled beneficiaries, HBPC lowered total cost by $25 million Completed third year of Medicare demonstration 10
12 VA Caregiver Support Program unprecedented level of direct services and supports to family caregivers of Veterans In-Home Care Caregiver Support Skilled Nursing Caregiver Support Coordinators Home Health Aide Peer Support Mentoring Program Home Based Primary Care Building Better Caregivers TM Veteran Directed Home & Spouse Telephone Support Community Based Care REACH VA Respite Care Support Groups Services to Address Mobility Issues Equipment Home Modification Automobile Modification Education and Training Financial Support Aid and Attendance Caregiver Stipend (Post 9-11) Information and Referral Caregiver Web site: Caregiver Support Line:
13 Program of Comprehensive Assistance for Family Caregivers Program Overview Clinical Program, providing the following additional services directly to Family Caregivers of eligible Veterans injured in the line of duty on or after September 11, 2001: Stipend Enrollment in CHAMPVA Mental Health Beneficiary Travel Education and Training Additional respite Program participation must: Be in the clinical best interest of the Veteran Support the Veteran s progress in treatment 12
14 870/vp/ #
15 What is VA Medical Foster Home (MFH)? For Veterans who are unable to live independently, meet nursing home level of care need, prefer a family setting, and lack a strong family caregiver - an alternative to nursing home, in a personal home, at half the cost Merges adult foster home with VA Home Based Primary Care care and training in home Person takes dependent Veteran into their personal home, role of strong family caregiver - daily supervision and personal assistance Currently, MFH total taxpayer savings $1M every10d 14
16
17 Aging in Place Caregivers and Home Based Care Escalating need for family caregivers, and adequate support Home Based Primary Care: Increased access, improved quality and lower total cost of care. Emerging in Medicare VA Caregiver Support Program impact of strong support and training For those who do not have a strong family caregiver Medical Foster Home, with Home Based Primary Care, Caregiver support and Caregiver training. 16
VA Caregiver Support Program
VA Caregiver Support Program Department of Veterans Affairs Meg Kabat, LCSW-C, CCM National Director, VA Caregiver Support Program Care Management & Social Work 9% of U.S. adults are caregivers 16.9 million
Hidden. Heroes. America s Military Caregivers. Rajeev Ramchand Terri Tanielian
Hidden Heroes America s Military Caregivers Rajeev Ramchand Terri Tanielian Who is caring for disabled veterans? What resources are available to caregivers? Where are there gaps? 2 Methods and approach
GERIATRIC SERVICES CAPACITY ASSESSMENT DOMAIN 4 ALTERNATE LIVING ARRANGEMENTS
GERIATRIC SERVICES CAPACITY ASSESSMENT DOMAIN 4 ALTERNATE LIVING ARRANGEMENTS Table of Contents Introduction... 2 Purpose... 2 Serving Senior Medicare-Medicaid Enrollees... 2 How to Use This Tool... 2
ELDER MEDICAL CARE. Elder Medical. Counseling & Support. Hospice. Care. Care
ELDER MEDICAL CARE Counseling & Support Elder Medical Care Hospice Care Mission To provide counseling, support and care to anyone with a serious illness, so they may live life to the fullest. Vision We
Jeffrey B. Klein, FACHE President & CEO
Jeffrey B. Klein, FACHE President & CEO THE ROAD TO REVOLUTION How serious will the trajectory of demographic shifts and the effects of the health care delivery system change be on America s most vulnerable
Comprehensive Primary Care for Older Patients with
Comprehensive Primary Care for Older Patients with Multiple Chronic Conditions Chad Boult JAMA 2010, Care of the Aging Patient: From Evidence to Action Ms. N 77 year-old widow Retired factory worker Lives
Statistical Portrait of Caregivers in the US Part III: Caregivers Physical and Emotional Health; Use of Support Services and Technology
Statistical Portrait of Caregivers in the US Part III: Caregivers Physical and Emotional Health; Use of Support Services and Technology [Note: This fact sheet is the third in a three-part FCA Fact Sheet
National Hospice and Palliative Care OrganizatioN. Facts AND Figures. Hospice Care in America. NHPCO Facts & Figures edition
National Hospice and Palliative Care OrganizatioN Facts AND Figures Hospice Care in America 2017 Edition NHPCO Facts & Figures - 2017 edition Table of Contents 2 Introduction 2 About this report 2 What
Updates from CMS: Value-Based Purchasing, ACOs, and Other Initiatives The Seventh National Pay for Performance Summit March 20, 2012
Updates from CMS: Value-Based Purchasing, ACOs, and Other Initiatives The Seventh National Pay for Performance Summit March 20, 2012 Presenters David Sayen, CMS Regional Administrator Betsy L. Thompson,
CMS-0044-P; Proposed Rule: Medicare and Medicaid Programs; Electronic Health Record Incentive Program Stage 2
May 7, 2012 Submitted Electronically Ms. Marilyn Tavenner Acting Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Room 445-G, Hubert H. Humphrey Building
RE: Medicare Program; Request for Information Regarding the Physician Self-Referral Law
1055 N. Fairfax Street, Suite 204, Alexandria, VA 22314, TEL (703) 299-2410, (800) 517-1167 FAX (703) 299-2411 WEBSITE www.ppsapta.org August 24, 2018 Seema Verma, MPH Administrator Centers for Medicare
TRANSITIONS of CARE. Francis A. Komara, D.O. Michigan State University College of Osteopathic Medicine
TRANSITIONS of CARE Francis A. Komara, D.O. Michigan State University College of Osteopathic Medicine 5-15-15 Objectives At the conclusion of the presentation, the participant will be able to: 1. Improve
Is HIT a Real Tool for The Success of a Value-Based Program?
Is HIT a Real Tool for The Success of a Value-Based Program? Sally Montes, MPH, RHIA, CCHP President, SM & Associates, Inc. smontes@sm-asociados.com (787) 306-1149 President, PR HFMA Chapter INTRODUCTION
National Coalition on Care Coordination (N3C) Care Coordination and the Role of the Aging Network. Monday, September 12, 2011
National Coalition on Care Coordination (N3C) Care Coordination and the Role of the Aging Network Monday, September 12, 2011 Washington, DC Hyatt Regency on Capitol Hill Yellowstone/Everglades 4:00 PM
A Path to Self-actualization:
A Path to Self-actualization: Maximizing Quality of Life for People with Chronic Disease Lisa Bujno, APRN Associate Chief Nurse, Quality and Performance White River Junction VAMC May 12, 2015 May 12, 2015
CPC+ CHANGE PACKAGE January 2017
CPC+ CHANGE PACKAGE January 2017 Table of Contents CPC+ DRIVER DIAGRAM... 3 CPC+ CHANGE PACKAGE... 4 DRIVER 1: Five Comprehensive Primary Care Functions... 4 FUNCTION 1: Access and Continuity... 4 FUNCTION
Is your Home Health Agency ready for the Final Rule to the Conditions of Participation?
Is your Home Health Agency ready for the Final Rule to the Conditions of Participation? Medicare-certified home health agencies have almost doubled from 6,461 in 1990 to 12,268 in 2014 due to longer life
ROLE OF THE MULTI-DISCIPLINARY TEAM IN INTEGRATED CARE ABSTRACT
integrated eldercare course Unit No. 2 ROLE OF THE MULTI-DISCIPLINARY TEAM IN INTEGRATED CARE Faezah Shaikh Kadir ABSTRACT Integration of care has become a major theme of healthcare organizations throughout
Caregiving: Health Effects, Treatments, and Future Directions
Caregiving: Health Effects, Treatments, and Future Directions Richard Schulz, PhD Distinguished Service Professor of Psychiatry and Director, University Center for Social and Urban Research University
June 19, Submitted Electronically
June 19, 2018 Seema Verma Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1694-P PO Box 8011 Baltimore, MD 21244-1850 Submitted Electronically
FAMILY DISCUSSIONS ABOUT ELDER CARE
FAMILY DISCUSSIONS ABOUT ELDER CARE T H O M C O R R I G A N, B S, M S W, C M C C E R T I F I E D G E R I A T R I C C A R E M A N A G E R E M O R Y F A C U L T Y S T A F F A S S I S T A N C E P R O G R
Quality Standards and Practice Principles for Senior Care Pharmacists
Quality Standards and for Senior Care Pharmacists Preamble The purpose of this document is to complement the current practice and professional standards of the American Society of Consultant Pharmacists
Program of All-inclusive Care for the Elderly (PACE) Summary and Recommendations
Program of All-inclusive Care for the Elderly (PACE) PACE Policy Summit Summary and Recommendations PACE Policy Summit On December 6, 2010, the National PACE Association (NPA) convened a policy summit
CMS Proposed Payment Rule FY Cheryl Phillips, MD Evvie Munley
CMS Proposed Payment Rule FY 2017 Cheryl Phillips, MD Evvie Munley Key Points The link for the full rule: https://www.gpo.gov/fdsys/pkg/fr-2016-04- 25/pdf/2016-09399.pdf Comments due CoB 6/20/16 You do
Accountable Care Organizations. What the Nurse Executive Needs to Know. Rebecca F. Cady, Esq., RNC, BSN, JD, CPHRM
JONA S Healthcare Law, Ethics, and Regulation / Volume 13, Number 2 / Copyright B 2011 Wolters Kluwer Health Lippincott Williams & Wilkins Accountable Care Organizations What the Nurse Executive Needs
Karen Stasium, BS, MPT, COS C, HCS D
Karen Stasium, BS, MPT, COS C, HCS D Objectives Demonstrate how home health therapists are an integral part of minimizing re hospitalizations and safely transitioning the patient from hospital to home
CMHC Conditions of Participation
CMHC Conditions of Participation Mary Rossi-Coajou Center for Clinical Standards and Quality/Clinical Standards Group The Centers for Medicare and Medicare Services March 4,2014 Key Themes The CMHC NPRM
Agenda. Surviving the New Program Requirements and the Financial Penalties Under MIPS 9/9/2016. Steps to take to prepare for MIPS
Surviving the New Program Requirements and the Financial Penalties Under MIPS September 2016 Selena Hood Agenda Steps to take to prepare for MIPS Introduction and Evaluation of the Merit-Based Incentive
Long term care for older persons in Korea
Sub-regional Meeting on Enhancing Long-Term Care and Social Participation of Older Persons in East and North-East Asia Korea, November 2011 Long term care for older persons in Korea Mr. Hyunse Cho President
Health Care Reform Provisions Affecting Older Adults and Persons with Special Needs 3/30/10
Health Care Reform Provisions Affecting Older Adults and Persons with Special Needs 3/30/10 On March 23, 2010, President Obama signed a comprehensive health care reform bill (H.R. 3590) into law. On March
Trends in Family Caregiving and Why It Matters
Trends in Family Caregiving and Why It Matters Brenda C. Spillman The Urban Institute Purpose Provide an overview of trends in disability and informal caregiving Type of disability accommodation Type of
Coordinated Outreach Achieving Community Health (COACH) for Heart Failure Learning Objectives
Coordinated Outreach Achieving Community Health (COACH) for Heart Failure Session C917 October 9, 2015 Colleen Cameron, DNP, FNP-BC Rochelle Eggleton, MBA, BS, RN Susan Spink, BSN, RN-BC Linda Griffin,
The Salvation Army Peacehaven Nursing Home MDM LOW MUI LANG, EXECUTIVE DIRECTOR
The Salvation Army Peacehaven Nursing Home MDM LOW MUI LANG, EXECUTIVE DIRECTOR 2011 : Summary of Recommendation Strengthening Nursing Home (NH) sector as part of broader plans for ILTC sector Upgrading
SELKIRK MENTAL HEALTH CENTRE ACQUIRED BRAIN INJURY PROGRAM MODEL OCTOBER Striving for Excellence in Rehabilitation, Recovery, and Reintegration.
SELKIRK MENTAL HEALTH CENTRE ACQUIRED BRAIN INJURY PROGRAM MODEL OCTOBER 2008 Striving for Excellence in Rehabilitation, Recovery, and Reintegration. SELKIRK MENTAL HEALTH CENTRE ACQUIRED BRAIN INJURY
Risk Adjusted Diagnosis Coding:
Risk Adjusted Diagnosis Coding: Reporting ChronicDisease for Population Health Management Jeri Leong, R.N., CPC, CPC-H, CPMA, CPC-I Executive Director 1 Learning Objectives Explain the concept Medicare
DA: November 29, Centers for Medicare and Medicaid Services National PACE Association
DA: November 29, 2017 TO: FR: RE: Centers for Medicare and Medicaid Services National PACE Association NPA Comments to CMS on Development, Implementation, and Maintenance of Quality Measures for the Programs
February 10, 2017 SUBMITTED ELECTRONICALLY
1 February 10, 2017 SUBMITTED ELECTRONICALLY MMCOcapsmodel@cms.hhs.gov Tim Engelhardt Director, Federal Coordinated Health Care Office Centers for Medicare and Medicaid Services ATTN: PACE Innovation Act
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.
At EmblemHealth, we believe in helping people stay healthy, get well and live better.
At EmblemHealth, we believe in helping people stay healthy, get well and live better. Welcome to the 2017 course on Special Needs Plan Model of Care. This year s course is focused on how we can successfully
DOCUMENTATION REQUIREMENTS
DOCUMENTATION REQUIREMENTS Service All documentation requirements listed below are identified in Rule 65G- Adult Dental Services An invoice listing each procedure and negotiated cost. Copy of treatment
Expansion of Pharmacy Services within Patient Centered Medical Homes. Jeremy Thomas, PharmD Associate Professor Department Pharmacy Practice
Expansion of Pharmacy Services within Patient Centered Medical Homes Jeremy Thomas, PharmD Associate Professor Department Pharmacy Practice What is a Patient Centered Medical Home (PCMH)? "an approach
Comments for CMS Draft Conditions of Participation (CoPs) Interpretive Guidelines (IG)
Comments for CMS Draft Conditions of Participation (CoPs) Interpretive Guidelines (IG) Overarching concerns: State Operating Manual Without knowing how CMS will update the State Operations Manual (SOM),
LONG TERM CARE SETTINGS
LONG TERM CARE SETTINGS Long term care facilities assist aged, ill or disabled persons who can no longer live independently. In this section, we will briefly examine the history of long term care facilities
Special Needs Plan Model of Care Chinese Community Health Plan
Special Needs Plan Model of Care 2017 2017 Chinese Community Health Plan Elements of CCHP SNP Model of Care Special Needs Plan (SNP) Goals CCHP Dual Eligible SNP Enrollment & Eligibility Vulnerable Beneficiaries
Overview of Select Health Provisions FY 2015 Administration Budget Proposal
Overview of Select Health Provisions FY 2015 Administration Budget Proposal On March 4, 2014, President Obama released his Administration s FY 2015 budget proposal to Congress. The budget contains a number
MALNUTRITION QUALITY IMPROVEMENT INITIATIVE (MQii) FREQUENTLY ASKED QUESTIONS (FAQs)
MALNUTRITION QUALITY IMPROVEMENT INITIATIVE (MQii) FREQUENTLY ASKED QUESTIONS (FAQs) What is the MQii? The Malnutrition Quality Improvement Initiative (MQii) aims to advance evidence-based, high-quality
Objectives. Medication Therapy Management: The Important Role of the Pharmacy Technician. Medication Therapy Management (MTM)
Medication Therapy Management: The Important Role of the Pharmacy Technician Nancy Myers, PharmD, MBA, BCPS, CDE Katrina Harper, PharmD, MBA Objectives Define Medication Therapy Management () and its Core
Medical Appropriateness and Risk Adjustment
Medical Appropriateness and Risk Adjustment Medical Appropriateness David Rzeszutko, MD Medical Director November 10, 2017 Objectives Medical necessity Value equation Medical appropriateness Why? To improve
Molina Medicare Model of Care. Healthcare Services Molina Healthcare 2016
Molina Medicare Model of Care Healthcare Services Molina Healthcare 2016 MHTPS_MOCTRN_062016 1 Molina s Mission Our mission is to provide quality health services to financially vulnerable families and
Advancing Care Information Performance Category Fact Sheet
Fact Sheet The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced three quality programs (the Medicare Electronic Health Record (EHR) Incentive program, the Physician Quality Reporting
Improving Care and Managing Costs: Team-Based Care for the Chronically Ill
Improving Care and Managing Costs: Team-Based Care for the Chronically Ill Cathy Schoen Senior Vice President The Commonwealth Fund www.commonwealthfund.org cs@cmwf.org High Cost Beneficiaries: What Can
Re: 42 CFR Part 485; Medicare Program; Conditions of Participation (CoPs) for Community Mental Health Centers
August 12, 2011 Centers for Medicare & Medicaid Services Department of Health and Human Services P.O. Box 8013 Baltimore, MD 21244-8013 Re: 42 CFR Part 485; Medicare Program; Conditions of Participation
REPORT OF THE COUNCIL ON MEDICAL SERVICE. Hospital-Based Physicians and the Value-Based Payment Modifier (Resolution 813-I-12)
REPORT OF THE COUNCIL ON MEDICAL SERVICE CMS Report -I- Subject: Presented by: Referred to: Hospital-Based Physicians and the Value-Based Payment Modifier (Resolution -I-) Charles F. Willson, MD, Chair
Module 1 Program Description
Module 1 Program Description Palliative Care Program Description 1. What type(s) of communities does your palliative care program serve? Check all that apply. Urban Suburban Rural 2. Which counties does
Hospital Transitions: A Guide for Professionals.
Hospital Transitions: A Guide for Professionals 2017 www.medicarerights.org Medicare Rights Center The Medicare Rights Center is a national, nonprofit consumer service organization that works to ensure
Developing A Discharge Process: Merging Regulation and Patient/Family Satisfaction
Developing A Discharge Process: Merging Regulation and Patient/Family Satisfaction Lisa Meadows/MSW Clinical Compliance Educator Accreditation Commission for Health Care Objectives Gain an understanding
Caring for Patients with Advanced and Serious Illnesses: Changing Medical Practice and Patient Expectations. Aetna s Compassionate Care SM Program
Caring for Patients with Advanced and Serious Illnesses: Changing Medical Practice and Patient Expectations Aetna s Compassionate Care SM Program Our chief want in life is somebody who shall make us do
Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2013 [File Code CMS 1590 P]
![Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2013 [File Code CMS 1590 P]](/thumbs/79/80256172.jpg "Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2013 [File Code CMS 1590 P]")
Centers for Medicare & Medicaid Services Attention: CMS 1590 P Mail Stop C4 26 05 7500 Security Boulevard Baltimore, MD 21244 1850 [Submitted online at: http://www.regulations.gov] Re: Medicare Program;
PERFORMANCE MEASURE DATE / RESULTS / ANALYSIS FOLLOW-UP / ACTION PLAN
Resident-to-Resident Assaults AIM: To decrease incidents of Resident to Residents assaults by 5% in the Fiscal Year (FY) 2011-2012. MONITORING: Data is collected from all instances in which State of California
CAL MEDICONNECT: Understanding the Individualized Care Plan & Interdisciplinary Care Team. Physician Group Webinar Series
CAL MEDICONNECT: Understanding the Individualized Care Plan & Interdisciplinary Care Team Physician Group Webinar Series Today s Webinar This webinar is part of a series designed specifically for physicians.
Shaping Perceptions of Biopsychosocial Dementia Care with Interprofessional Collaboration DRS. BENJAMIN A. BENSADON & MARÍA ORDÓÑEZ
Shaping Perceptions of Biopsychosocial Dementia Care with Interprofessional Collaboration DRS. BENJAMIN A. BENSADON & MARÍA ORDÓÑEZ FAU College of Medicine Small cohorts ( 64 students each) Longitudinal
PRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management
PRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management Mission: To improve the health of the people of Connecticut through safe and effective medication
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
VALUE-BASED CARE REPORT
VALUE-BASED CARE REPORT PREVENTION & OUTCOMES. Patients treated by physicians in Humana Medicare Advantage (MA) value-based agreements had more preventive care screenings and better health outcomes compared
Making Cents of the Quality Payment Program Cost Category
Making Cents of the Quality Payment Program Cost Category May 22, 2018 Roxanne Fletcher, Lisa Sherman and Julie Williams Practice Transformation Specialists, Quality Insights Objectives of Webinar Reminder
Home Sweet Medical Foster Home: A Program Evaluation to Understand Why Veterans Choose this Substitute for Nursing Home Care
Home Sweet Medical Foster Home: A Program Evaluation to Understand Why Veterans Choose this Substitute for Nursing Home Care Qualitative Research Methods Forum, 02-06-2012 Leah Haverhals, MA, Denver VAMC
CRSP PACE SOCIAL WORKER SAMPLE JOB DESCRIPTIONS
SAMPLE JOB DESCRIPTIONS SOCIAL WORKER R 801 North Fairfax Street Suite 309 Alexandria, Virginia 22314 Phone: 703-535-1565 Fax: 703-535-1566 www.npaonline.org SAMPLE A 11/02 Job Code: I. IDENTIFICATION
11/7/2016. Objectives. Patient-Centered Medical Home
Team-Based Care November 10, 2016 Objectives Overview of Patient-Centered Medical Home (PCMH) Recognition Overview of PCMH Team-Based Care Discuss examples of practice teams in Montana health centers Source:
A Care Transitions Project
Hospital to Home: A Care Transitions Project Ann Roemen, MBA, CMPE Readmissions 1 in 5 elderly patients Resultsin23million 2.3 re-hospitalizations Annual cost to Medicare - $17 billion + Jencks SF,Williams
RE: CMS-1622-P; Medicare Program - Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2016
June 12, 2015 Andrew M. Slavitt Acting Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-1622-P Room 445-G Hubert H. Humphrey Building 200
HOSPICE CONTRACTING CHECKLIST FOR INPATIENT SERVICES, RESPITE CARE AND VENDOR AGREEMENTS
HOSPICE CONTRACTING CHECKLIST FOR INPATIENT SERVICES, RESPITE CARE AND VENDOR AGREEMENTS The following checklist can be used to verify that the regulatory requirements are addressed in hospice contracts
Care1st Provider Model of Care Training
Care1st Provider Model of Care Training Special Needs Plan (SNP) 2017-2018 SNP Model of Care (MOC) The Medicare Act of 2003 established a Medicare Advantage coordinated care plan that is designed to provide
ACCESS TO MENTAL HEALTH CARE IN RURAL AMERICA: A CRISIS IN THE MAKING FOR SENIORS AND PEOPLE WITH DISABILITIES
ACCESS TO MENTAL HEALTH CARE IN RURAL AMERICA: A CRISIS IN THE MAKING FOR SENIORS AND PEOPLE WITH DISABILITIES A Capitol Hill Briefing Sponsored by the: AMERICAN MENTAL HEALTH COUNSELORS ASSOCIATION (AMHCA)
6th November 2014 Tim Muir, OECD Help Wanted? Informal care in OECD countries
6th November 2014 Tim Muir, OECD Help Wanted? Informal care in OECD countries An overview of the role informal care in OECD countries, the impact on carers and the policy implications Understanding informal
In Solidarity, Paul Pecorale Second Vice President
Caregiving Guide Dear NYSUT Member: On behalf of the NYSUT officers and Board of Directors, we are proud to provide you with this publication, Caregiving Guide. In addition to providing information, referral
Appendix B: Restorative Care Training Presentation. Audience: All Staff Release date: December
Appendix B: Restorative Care Training Presentation Audience: All Staff Release date: December 17 2010 Objectives At the completion of this session, participants will be able to: Understand the principles
The Evolving Landscape of Healthcare Payment: Incentive Programs and ACO Model Optimization. Quality Forum August 19, 2015
The Evolving Landscape of Healthcare Payment: Incentive Programs and ACO Model Optimization Quality Forum August 19, 2015 Ross Manson rmanson@eidebailly.com 701.239.8634 Barb Pritchard bpritchard@eidebailly.com
Elder Services/Programs
Note: The following applies to Tufts Medicare Preferred HMO and Tufts Health Plan Senior Options members. Program Eligibility/Program Information Possible Services Standard State Home Respite Home Community
August 25, Dear Acting Administrator Slavitt:
August 25, 2016 Acting Administrator Andy Slavitt Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1648-P P.O. Box 8016 Baltimore, MD 21244-8016 Re: Medicare
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
Inpatient Rehabilitation Facilities. Navigating the Sea of Requirements
Inpatient Rehabilitation Facilities Navigating the Sea of Requirements Purpose of Presentation Review the purpose of the Inpatient Rehabilitation Facility (IRF) Benefit. Review the Required Elements of
Enhancing Patient Care through Effective and Efficient Nursing Documentation
Enhancing Patient Care through Effective and Efficient Nursing Documentation Session NI1, March 5, 2018 Jane Englebright, PhD, RN, CENP, FAAN HCA Senior Vice President & Chief Nurse Executive 1 Conflict
Alternative Payment Models for Behavioral Health Kim Cox VP, Provider Network
Alternative Payment Models for Behavioral Health Kim Cox VP, Provider Network Kim Cox Vice President, Provider Network, Optum Kim Cox is Vice President of Provider Network. She joined Optum in February
AH3600 Repatriation Policy
1.0 PURPOSE AH3600 Repatriation Policy This policy outlines the standard operating procedure and performance expectations for Patient Repatriation activities originating at Interior Health (IH) acute care
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services. Discharge Planning
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services ICN 908184 October 2014 This booklet was current at the time it was published or uploaded onto the web. Medicare policy
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
MOC Communication & ICT September 5, Training for PPGs
MOC Communication & ICT September 5, 2014 Training for PPGs Learning Objective After this training you will understand the roles of the Interdisciplinary Care Team (ICT) in the SNP & Cal MediConnect Model
Palliative Care Competencies for Occupational Therapists
Principles of Palliative Care Demonstrates an understanding of the philosophy of palliative care Demonstrates an understanding that a palliative approach to care starts early in the trajectory of a progressive
Nebraska Lifespan Respite Network
Nebraska Lifespan Respite Network Evaluation Collaboration Dr. Jolene Johnson (UNMC) & Sharon Johnson (DHHS) Introductions Jolene Johnson, Ed.D. Education and Child Development UNMC Sharon Johnson, DHHS
Model of Care Scoring Guidelines CY October 8, 2015
Model of Care Guidelines CY 2017 October 8, 2015 Table of Contents Model of Care Guidelines Table of Contents MOC 1: Description of SNP Population (General Population)... 1 MOC 2: Care Coordination...
4. Responsibilities: Consistent with this MOU, it is AGREED that the Parties shall:
MEMORANDUM OF UNDERSTANDING BETWEEN DEPARTMENT OF VETERANS AFFAIRS (VA) AND DEPARTMENT OF DEFENSE (DoD) FOR INTERAGENCY COMPLEX CARE COORDINATION REQUIREMENTS FOR SERVICE MEMBERS AND VETERANS 1. PURPOSE:
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
Breaking Down Silos of Care: Integration of Social Support Services with Health Care Delivery
Breaking Down Silos of Care: Integration of Social Support Services with Health Care Delivery Betty Shephard Lead VP, Care Management HealthCare Partners National Health Policy Forum October 19, 2012 HCP
Where Care Always Comes First Carefirst Seniors and Community Services Association
Where Care Always Where Care Always Comes First Comes First Carefirst Seniors and Community Services Association Carefirst INTEGRATE Model Helen Leung, CEO August 23, 2016 1 Carefirst INTEGRATE Model Carefirst
The Patient Protection and Affordable Care Act (Public Law )
Policy Brief No. 2 March 2010 A Summary of the Patient Protection and Affordable Care Act (P.L. 111-148) and Modifications by the On March 23, 2010, President Obama signed into law the Patient Protection
CAREGIVING COSTS. Declining Health in the Alzheimer s Caregiver as Dementia Increases in the Care Recipient
CAREGIVING COSTS Declining Health in the Alzheimer s Caregiver as Dementia Increases in the Care Recipient National Alliance for Caregiving and Richard Schulz, Ph.D. and Thomas Cook, Ph.D., M.P.H. University
Value-Based Purchasing & Payment Reform How Will It Affect You?
Value-Based Purchasing & Payment Reform How Will It Affect You? HFAP Webinar September 21, 2012 Nell Buhlman, MBA VP, Product Strategy Click to view recording. Agenda Payment Reform Landscape Current &
Medicare: 2017 Model of Care Training 12/14/201 7
Medicare: 2017 Model of Care Training 12/14/201 7 What is the Model of Care? The Model of Care (MOC) is Allwell s plan for delivering our integrated care management program for members with special needs.
Emerging Issues in Post Acute Care Trends
Emerging Issues in Post Acute Care Trends Lavonne Elston, PT Senior Director of Operations & Strategic Initiatives Skilled Nursing & Rehabilitation Kingston HealthCare Company April 28, 2016 Disclosures
NURSING FACILITY ASSESSMENTS
Department of Health and Human Services OFFICE OF INSPECTOR GENERAL NURSING FACILITY ASSESSMENTS AND CARE PLANS FOR RESIDENTS RECEIVING ATYPICAL ANTIPSYCHOTIC DRUGS Daniel R. Levinson Inspector General