1 / 20

Home Health Agencies

Home Health Agencies. Melia Belonus, Director Bureau of Community Program Licensure & Certification Cindy Boyne, Director Division of Home Health. Number of Home Health Agencies. 2007 379 2008 401 2009 410 2010 434 4/30/11 447 384 are Medicare certified.

waldo
Download Presentation

Home Health Agencies

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Home Health Agencies Melia Belonus, Director Bureau of Community Program Licensure & Certification Cindy Boyne, Director Division of Home Health

  2. Number of HomeHealth Agencies • 2007 379 • 2008 401 • 2009 410 • 2010 434 • 4/30/11 447 • 384 are Medicare certified

  3. Top 5 Home Health Deficiencies • Plan of Care (G0159) • Conformance with Physician Orders (G0165) • Acceptance of Patients, POC, Med Sup (G0158)

  4. Top 5 Home Health Deficiencies • Plan of Care (G0160) • Compliance with Fed, State, Local Laws (G0118)

  5. New HHA Survey Protocols • Focus – Data driven survey • Changes scope of standard survey • Evaluates 9 of 15 Conditions • Patient –focused, outcome –oriented • Limited paper review • Review of outcome data prior to survey • HHA Survey Investigation Worksheets

  6. New HHA Survey Protocols • Efficient: • Increased use of HHA interview, data • Paper review limited to PE or Extended • Guidelines for citation of deficiencies • Effective: • Targeted patient care standards • Enhanced consistency in deficiency citations

  7. Survey Protocols • Standard survey – Level 1 standards • Most relate to patient care processes • Partial Extended survey – Level 2 standards • Guidelines for further investigation • Condition level guidance • Related conditions for further investigation • Extended survey – condition cited, all examined

  8. Standard Survey Protocols • Level 1 standards • Focus on delivery of quality patient care • Address 9 of 15 Conditions • Increased use of interviews • Minimal need to review non-clinical paper • Compliance with all Level 1 – survey ends

  9. Standard Survey Expands • Expected outcomes not met for 1 or more Level 1 standards • Surveyor recognizes other issues • Survey becomes Partial Extended survey • Level 2 standards are evaluated • Surveyor discretion -Review additional standards under same condition or related conditions

  10. 484.10 Patient Rights Standard Survey Partial Extended Survey

  11. Condition Level Deficiencies • Guidelines for citing conditions • Guidelines, not requirements • May be cited for serious findings unrelated to Level 1 or 2 standards • Immediate jeopardy - always condition • Extended survey – all conditions reviewed

  12. Number of Hospice Agencies • 2006 147 • 2007 163 • 2008 171 • 2009 179 • 2010185 • 25 In-patient facilities

  13. Top 5 Hospice Deficiencies New COP’s • Plan of Care (L543) • Update of Comprehensive Assessment (L533) • Time Frame for Assessment Completion (L523) • Content of Comprehensive Assessment (L524) • Content of Plan of Care (L547)

  14. Hotline

  15. Home Health Complaints – 4/1/10 – 3/31/11 • Total # HHA – 447 • # HHA w complaints – 46 • % HHA w Complaints – 10% • Total # Complaints - 54 • Substantiated - 19 • Unsubstantiated - 35 • %Substantiated - 35%

  16. Hospice Complaints 4/1/10 – 3/31/11 • Total # Hospices – 185 • # Hospices w Complaints – 23 • %of Hospices w complaints – 12% • Total # Complaints - 24 • Substantiated – 6 • Unsubstantiated – 18 • % Substantiated – 25%

  17. Helpful Tips • Event Reporting System (ERS) • Chapter 51 reporting requirements • Unique login online submission of events • Message Board • www.health.state.pa.us/facility • Log in NOT required • Announcements, updates, alerts • ERSUser’s manual available

  18. OASIS • Top Online Resources • OASIS Implementation Manual - www.cms.hhs.gov/OASIS/05_UserManual.asp • CMS Q&As - https://www.qtso.com/hhadownload.html • OASIS Certificate & Competency Board - www.oasiscertificate.org

  19. OASIS • Pa OASIS Education Coordinator • Duane Sapar (dsapar@state.pa.us) or • Michael Hodge (mhodge@state.pa.us) They can be contact at (717) 783-1379

  20. Contact • Department of Home Health • http://www.health.state.pa.us • Division of Home Health 132 Kline Plaza, Suite A Harrisburg, Pa 17104 717-783-1379

More Related