Private Duty Accreditation National Association for Home Care and Hospice Monday Feb. 1 2016 PAT DREA, COO VISITING ANGELS- CORPORATE OFFICES BRITTNEI SALERNO, PRESIDENT LA JOLLA NURSES HOME CARE LUCY ANDREWS, CEO AT YOUR SERVICE HOME CARE History of Accreditation for Post Hospital Services Accreditation entities grew out of hospital accreditation (JCAHO, CHAPS, ACHC) Joint Commission launched it s hospital accreditation in 1988. Nursing Standards for Home Care Aides were launched in the early 90s Medicare Home Care Accreditation was launched in the early to mid 90s Home Care Accreditation programs grew from Medicare Home Health model. NAHC launched CHCE for Home Care Executives 1999 1
NAHC Home Care Accreditation NAHC instituted the Certified Home Care & Hospice Executive (CHCE) program under the Home Care University (1999) NAHC recognized that home care accreditation programs grew out of Medicare Home Care Standards and saw the advantage of private duty accreditation. Cost of Private Duty Accreditation was challenging for PD agencies to afford In 2012 PDHCA initiated the development of Private Duty Accreditation program The standards are private duty relevant, the process is user friendly, accreditation can be achieved remotely using available technology, and at a reasonable fee. Accreditation is granted for 2 years. One year renewals will be provided upon request for a small fee. We are happy to announce that after 4 years of development the accreditation will be made available to Private Duty Home Care agencies during 2016. Benefits of Accreditation Become a Provider of Choice Differentiate yourself from other Private Duty companies Becoming an accredited agency illustrates your commitment to becoming a provider of choice, and ensures that your clients are receiving the best care possible. Gain greater consumer recognition and trust Accreditation helps strengthen consumer confidence in your organization as a provider of quality services. Demonstrate the value of your organization Consumers and health care providers are in search of reputable providers of home care that offer the best quality care and demonstrate compliance with national standards. 2
Benefits of NAHC Accreditation NAHC accreditation recognizes performance according to high standards that are specifically applicable to private duty agencies In non licensed states, accredited agencies will be able to receive approval as a provider of services. Payers will accept NAHC Accreditation agencies can become approved as care providers under payers such as LTC Insurance, ACOs, Workers Comp, and Government Payers. Accreditation allows agencies to attract prospective employees who appreciate the prestige and quality that comes with this designation. Accreditation places you in a much stronger position to compete in your marketplace. Accreditation and Deemed Status Deemed Status is the accreditation process that demonstrates that the agency meets or exceeds licensing or payer standards. Some states are requiring accreditation in lieu of surveys (FL and NJ) More states will look to accreditation to reduce survey costs as they face internal budget constraints. Achieving accreditation puts you ahead of the curve as these cost saving trends progress in states across the country. 3
Preview to NAHC Accreditation Part ll Organization Eligibility Hours of HCA in past year? Number full time on staff? Part time? How long in operation? Number of cases serviced in past year? 4
Standard I Governance Business legal structure By laws Governing body Licenses PAC Professional Advisory Committee Q/PIC Quality/Performance Improvement Management Standard II Related policies and procedures Adequate records Annual budget Data & disaster recovery plan Required insurances Annual agency fraud evaluation Fiscal Management 5
Standard III Criminal background check Orientation Personnel policies Inservices Skills competency evaluation Personnel records Job descriptions Human Resources Standard IV Policy for assignment and supervision Periodic supervisor visits in the home Supervisor available at all times Annual performance review Supervision 6
Standard V Policies for intake, discharge and referral Assessment Care plan Intake Care coordination Client safety education Oversight Standard VI Client Record Confidential Client database Policy for secure storage Retention and disposal 7
Standard VII Client satisfaction Client record audit Personnel record audit Staff Job descriptions Client complaints Incident reports Annual Evaluation Standard VIII Truth in advertising Community Education and Outreach Services compliant with legal and regulatory Annual report 8
Standard IX Client rights and Responsibilities Statement of rights and responsibilities Procedure for grievance HIPAA compliance Advance directives Standard X Client safety Caregiver safety Violence in the workplace Risk management OSHA Safety 9
Standard XI Business Ethics Reporting procedures Ethics and compliance policy Part Three: The Accreditation Process Now you understand the why and the what of the NAHC Private Duty Accreditation Process now is the how of successful application and accreditation Preparing and understanding the time commitment for the application is crucial for successful submission of the application and the remote accreditation evaluation. Start with an agency accreditation champion 10
The Role of the Accreditation Champion Designated as the key contact and primary person responsible for the accreditation (may be the owner, director or quality improvement director) Roles and Responsibility Primary implementation of successful accreditation for the agency Has the time and authority to set agency agenda for accreditation Has a positive working relationship with the staff of the agency Is highly motivated to accredit the agency Start with an Accreditation Plan Start with date you want the agency to be accredited by NOTE: reasonable time frame is a 90 day process Inform staff of process and why the agency is embarking on the accreditation process WIFM what is in the process for the individuals Identify champion and their role Identify dates and milestones Throw a kick off event at a staff meeting or event: motivate educate implement 11
Data Collection The best way to start preparing for completion of the application is be being organized and collection the data prior to filling out the application It is the best investment that you can do Review each Standard and determine what is needed a policy process or additional document (such as a personal record) Compile all that is needed for the standard and scan into a file on a designated computer Complete the application Once all data is compiled start the application upload There is a start stop function so it is easy to work save and come back to the application at a different time Check that you have submitted the correct evidence of meeting the standard and you are ready to move on to the next standard Complete the application in the agency determined time frame 12
Application Review Once the accrediting team has the completed application an initial review is done and any outstanding items are requested Your reviewer will set a time to review the application process and set up designated remote interview with selected staff Make sure your agency has the capacity to do remote communication Prepare for interviews and reviewer questions The review is then scheduled After the Review After the review is completed you will be notified of any additional or supporting documents that you must submit The review process is competed and accreditation will be competed You will be notified of completion of the process and if your agency has achieved accreditation Finally you will be awarded your accreditation which you can proudly identify to staff, your community and affiliated organizations 13
Accreditation is Compete! Start Today Leave your business card in the room if you are interested in starting the accreditation process and want NAHC accreditation team to contact you The NACH Accreditation Website is: www. NAHC.org 14
Thank you! 15