home health agencies
DESCRIPTION
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 2008401 2009410 2010434 4/30/11 447 384 are Medicare certified. - PowerPoint PPT PresentationTRANSCRIPT
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Home Health Agencies
Melia Belonus, DirectorBureau of Community Program Licensure & Certification
Cindy Boyne, DirectorDivision of Home Health
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Number of HomeHealth Agencies
2007 379
2008 401
2009 410
2010 434
4/30/11 447 384 are Medicare certified
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Top 5 Home Health Deficiencies Plan of Care (G0159)
Conformance with Physician Orders (G0165)
Acceptance of Patients, POC, Med Sup (G0158)
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Top 5 Home Health Deficiencies
Plan of Care (G0160)
Compliance with Fed, State, Local Laws (G0118)
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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
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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
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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
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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
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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
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484.10 Patient RightsStandard Survey
Partial Extended Survey
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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
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Number of Hospice Agencies
2006 147 2007 163 2008 171 2009 179 2010 185
25 In-patient facilities
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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)
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Hotline
0
20
40
60
80
100
120
2007 2008 2009 2010
Complaint
Misc
Wrong #
Info
Calls for Other State AgenciesCalls for HHAs
Billing & Medicare
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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%
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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%
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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 ERS User’s manual available
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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
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OASIS Pa OASIS Education Coordinator
Duane Sapar ([email protected]) or Michael Hodge ([email protected])
They can be contact at (717) 783-1379
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Contact Department of Home Health
http://www.health.state.pa.us
Division of Home Health132 Kline Plaza, Suite AHarrisburg, Pa 17104717-783-1379