Introducing Home Health 101, our new online orientation for home health clinicians and managers, with a focus on compliance regulation.
Have you hired staff new to home health care? Need a refresher on the basics of home health compliance? Due for a review on the latest regulation changes?
As the Alliance’s director of clinical and regulatory affairs, I’m often asked these questions from members looking to ensure that their clinical staff and managers have the tools they need to successfully navigate the regulatory challenges they’ll face in home health. In the past, I’ve done in-person presentations on this material but now—to ensure that even more people have access to it—I’m pleased to announce that Home Health 101 is available digitally for the first time.
In Home Health 101, I highlight the Conditions of Participation standards (COPs), Medicare regulations related to the survey process, and how the survey process works. 5 CEU credits are available (for a small processing fee) to those who complete the course and pass an evaluation.
Objectives include how to:
- Review the Home Health’s Conditions of Participation (COPs);
- Identify three of the five criteria for Medicare certification for home health benefit;
- Understand Requirements for Physician Orders and Face-to-Face (F2F);
- Identify Medicare’s definitions of “confined to home”; and
- Review patient notices.
The program is broken into five sections:
- Part 1: Orientation to Home Health
- Part 2: Conditions of Participation (CoPs)
- Part 3: Patient Notices
- Part 4: Conditions of Participation, Contin.
- Part 5: Skilled Professional Services and HHA Services
The Home Care Alliance of MA put together a COP Task Force consisting of an expert team of home health professionals. This task force developed guidelines to assist Home Health Agencies with the understanding on the new standards in order to stay in compliance.
Though the CoP Guide is available to Alliance members at no cost (log-in required), non-members may purchase an electronic version on our website. Upon purchase, you will receive an email with a link to download the PDF.
Return to www.thinkhomecare.org.
Join us for our first annual Quality & Compliance Conference being held on Thursday, March 29th in Worcester, MA. This conference has been created due to the overwhelming new regulations that agencies need to understand to remain compliant.
After surveying members, HCA determined some of the most important topics that will be discussed during this full day conference.
Members are able to register for the LOW price of $50/person.
5 Nursing CEUs will be awarded!
The agenda is as follows:
- ADRs, Pre-Payment Reviews, Post-Payment Audits and Suspensions – Navigating Medicare’s Administrative Appeal Process.
Robert W. Liles, J.D., M.B.A., M.S., Managing Member, Liles Parker Attorneys & Counselors at Law
Pre-payment reviews are now being conducted by both UPICs and ZPICs. While the government has placed some restrictions on their use, contractors continue to exercise great latitude in their scope and the length that they are imposed. Similarly, contractors remain in control of post-pay-ments conducted and suspension actions recommended to CMS. In this presentation, Robert W. Liles, J.D., will discuss these enforcement actions and outline the adverse impact each action can have on your agency and discuss your rights under the Administrative Appeal Process.
- The COPs are Here, is Your Agency Complying?
Susan M. Filshie, RN, Director of Clinical Consulting, QIRT
The Conditions of Participation have been here since January, here is what we are seeing that is wrong! Quality in Real Time consults their clients regulary on the new home health standards. Filshie will take a deep dive into what what they have seen regarding the COPs and will give you the steps needed to ensure you are complying with the new regulations. A major focus will be spent on Patient Rights, which has been pinpointed as one of the more “heavy hitters” for the industry.
- Developing a QAPI Project and the Fundamentals to Make it Successful
Cheryl Pacella DNP, HHCNS-BC, CPHQ, COS-C, HCS-D, CAP Consulting
We all celebrated the fact that quarterly record reviews and an annual agency evaluation are no longer required under the new Conditions of Participation. HOWEVER, agencies do need to comply with a robust Quality Assessment and Performance Improvement (QAPI) program. We need to utilize data from record reviews and various reports to prioritize Performance Improve-ment Projects (PIPs). Agencies need to identify at least one QAPI project by July 2018. So where do you start? The goal of this program is to help you identify target areas and provide you with the tools to implement a successful Plan of Action.
- Panel Discussion: Real Examples of Successful Performance Improvement Projects
Suzanne Clark, PT, DPT, GCS Direction of PI & Education, NVNA and Hospice
Melinda Monteverde, RN, MSN, WCCN, Executive Director of Nursing Operations, Steward Home Care
Kate Mercier, Vice President of Operational Excellence, Brockton VNA
Three Home Health Agenices in Massachusetts have been put together to show real example of successful Performace Improvement Projects. Panelists will explain how they implemented their projects, what worked, and what didn’t. Q&A time will be available!