CMS Proposes Changes to HH Quality Reporting Program

Proposed Changes Could Result in Another Revision to OASIS in 2021! How will this impact you? HCA is looking for your input.

CMS is proposing several changes to the Home Health Quality Reporting Program (HHQRP) in the CY 2020 Home Health Proposed Rule.

The Rule proposes to eliminate one measure (OASIS Item M1242, Frequency of Pain Interfering with Patient’s Activity of Movement), add two new measures, and add several new Standardized Patient Assessment Data Elements (SPADEs) to the Outcome and Assessment Information Set (OASIS) in CY 2021. The revised OASIS for 2021 will be very different from the current OASIS data items collected by your clinical staff.

As required by the IMPACT Act, the proposed two new measures are:

    1. Transfer of Health Information to the Provider-Post-Acute Care (PAC)
    2. Transfer of Health Information to the Patient-Post-Acute Care (PAC)

These measures are designed to improve patient safety by ensuring that the patient’s medication list is accurate and complete at the time of transfer or discharge. These proposed measures also supposed to fulfill CMS’s strategic initiatives to promote effective communication and coordination of care, specifically in the Meaningful Use Initiative area of transfer of health information and operability.

In addition, CMS is proposing to adopt several standardized patient assessments (SPADEs) to the OASIS data set. CMS plans to implement three assessment screens for mental status, confusion/delirium, and mood. The special service, treatments, and intervention assessment require the agency to identify the services and treatment the patient is receiving and if they are taking any high-risk drugs. The assessment item for medical conditions and comorbidities checks for pain during specific activities and checks for hearing and vision impairments. Click click here to see the proposed Item Mockup for the “Transfer of Health” and the “SPADE”

According to the National Association of Home Care & Hospice (NAHC), the organization sees two possible approaches in addressing the proposed changes to the HH QRP.

    1. Recommend that CMS stagger the implementation of the assessment items over several HHQRP years. However, this would result in more iterations of the OASIS assessment tool, and any changes to the assessment tool carry its own burdens and costs; or
    2. Support the new assessment items with the condition that CMS issues a draft version of the revised OASIS data set no less than six months before the implementation date.

Please let the Alliance know how these changes will impact you.

Return to www.thinkhomecare.org.

Talking Home Care: Building (and Keeping) a Better Workforce with Technology

Pat Kelleher is joined by CareAcademy’s Helen Adeosun and HouseWorks’s Andrea Cohen to discuss tech solutions to the workforce issues challenging the home care industry.

Helen Adeosun, Andrea Cohen, and Pat Kelleher
Helen Adeosun, Andrea Cohen, and Pat Kelleher

For the 11th episode of the Talking Home Care podcast, we are joined by two home care leaders to talk about solutions to one of the industry’s biggest challenges: recruiting, educating, and retaining care givers in a competitive market.

Helen Adeosun and Andrea Cohen both started their careers in home care as caregivers. Later, Helen would launch CareAcademy, an online learning platform, while Andrea would found HouseWorks, one of the largest private pay home care agencies in Massachusetts. In addition to their personal insights on workforce issues, the two also discuss their companies’ recent collaboration.

(If you’re a return listener from iTunes, please re-subscribe to the podcast; we’ve moved the feed to a new location).

Listen on iTunes
Listen on Google Play Music

 

You may listen to the podcast by clicking either of the podcast images, clicking “play” above, or downloading it directly (Length: 39 minutes; Size: 31 MB). If you enjoy the podcast, please give us a five-star review so others can find it.

Specific topics include:

    • How agencies can attract and keep their best employees by offering a career path to all positions.
    • How a mobile education platform can serve a mobile workforce.
    • How online education streamlines on-boarding and makes time available for hands-on training.
    • How technology — whether for training or other purposes — can give agencies actionable data about their operations.

Host: Patricia Kelleher is the executive director of the Home Care Alliance of Massachusetts.

GuestsHelen Adeosun is the co-founder and CEO of CareAcademy. Based in Boston, CareAcademy is one of the most innovative online training platforms for the home care industry. Andrea Cohen is the CEO and founder of HouseWorks, one of the largest private care home care agencies in Massachusetts.

Return to www.thinkhomecare.org.

50th Anniversary Celebration Photos Now Available!

25 Emerging Stars Honored

HCA held a celebration for our 50th Anniversary on Wednesday, June 26th at the Venezia Waterfront Ballroom in Boston, MA. With close to 200 in attendance it certainly showed the great community the home health industry offers in the state of Massachusetts! The Home Care Alliance is honored to have so many supporting members, old and new.

Pictures from this great event are now available for viewing. A special thank you to Wellsky for sponsoring our photographer for the evening. We would also like to thank our other sponsors as through their support, we were able to hold such a memorable night. Drink sponsor, Axxess; Entertainment sponsor, Simione Healthcare Consultants; Favor sponsor, Hanover Insurance; Décor sponsors, Byram and Fred C. Church.

View pictures here

View the Memorabilia Program Book Here. Featured are throwback pictures, 50 original All-Star Honorees, and 25 Rising Stars!

Most of the HCA Staff (Left to Right): Jake Krilovich, Megan Fournier, Jon Ezrin, Tim Burgers, Pat Kelleher, Colleen Bayard, Michelle Burton, (Missing) Tom Meyer

Talking Home Care: NAHC’s Calvin McDaniel on the 2018 Midterm Elections

Calvin McDaniel of NAHC joins us to talk about the implications of the 2018 Midterm Election on the home care industry.

Kelleher and McDaniel

On this week’s edition of Talking Home Care, we are joined by Calvin McDaniel, Director of Government Affairs for the National Association for Home Care & Hospice (NAHC). Calvin oversees NAHC’s legislative priorities on Capitol Hill, and collaborates with the Alliance and other state associations on shared, industry-wide priorities.

Our discussion recaps the 2018 Midterm Elections and what to expect in the 116th Congress, which will be seated in January 2019. Enjoy!


You may listen to the podcast by clicking the play button below, downloading it directly, or subscribing through iTunes or Google Play. (Length: 29 minutes; Size: 23.2 MB). If you enjoy it, please give us a five-star review so others can find it.

Host: Patricia Kelleher is the Executive Director of the Home Care Alliance of Massachusetts.

GuestCalvin McDaniel, Director of Government Affairs for the National Association for Home Care & Hospice (NAHC).

2018 Midterm Elections Recap (Updated Monday, 11/19):

  • Democrats regained control of the US House of Representatives, gaining 37 seats so far and holding a majority of 233 seats to Republicans’ 198 seats.
  • Republicans held control of the US Senate picking up two seat as and expanding their Senate Majority to 52 seats to Democrats’ 47 seats. The Mississippi senate seat is heading toward a run-off election on November 27th.
  • On the state level: Democrats flipped nearly 400 state legislative seats nationwide, flipped seven Republican-held governor seats, and took full control of the legislature and Governors’ mansion in seven states.
  • Lastly, three states: Idaho, Nebraska and Utah voted to expand Medicaid. And a fourth state, Maine, elected a democratic governor, who will likely do the same.
  • Overall, nearly 116 million voters cast ballots, representing over 40% of eligible voters and represents the largest midterm voter turnout in 104 years.
  • It is expected that Representative Richard Neal (D-MA) will become the Chairman of House Ways & Means, and Representative Jim McGovern (D-MA) will become the new Chairman of the Rules Committee. This greatly increases the Massachusetts’ Congressional Delegation influence on Capitol Hill.

The most important takeaway from our conversation with Calvin is that HCA members should prepare for an incredibly active two years of advocacy. Take hold of your responsibility to engage your elected officials on behalf of your organization and join us in the fight on the many issues facing our industry. Be it an email to a legislator, inviting them to your offices for a tour or on a home visit, or taking time to join us in D.C. for one of the many fly-in events, it takes an army of voices to accomplish a common goal. To get involved, email Jake Krilovich.

Return to www.thinkhomecare.org.

Talking Home Care: Amanda Oberlies on “No on MA Ballot Question 1”

Amanda Oberlies of the Organization of Nurse Leaders joins us to discuss why her organization (and the Alliance) oppose Massachusetts Ballot Question #1.

The Alliance’s Pat Kelleher &
ONL’s Amanda Oberlies

Should health care facilities have their nurse-to-patient ratios defined by law? That’s the question put to Massachusetts voters this coming Tuesday. Amanda Oberlies of the Organization of Nurse Leaders joins us to discuss why her organization (and the Alliance) oppose Massachusetts Ballot Question #1. Their conversation covers:

  • Who’s behind the ballot question and why?
  • What is the intersection of staffing-ratios and quality?
  • How does California’s experience with a similar law correlate to the MA proposal?


You may listen to the podcast by clicking the play button below, downloading it directly, or subscribing through iTunes or Google Play. (Length: 30 minutes; Size: 24 MB). If you enjoy it, please give us a five-star review so others can find it.

Host: Patricia Kelleher is the Executive Director of the Home Care Alliance of Massachusetts.

Guest: Amanda Stefancyk Oberlies, PhD, MBA, RN, CENP, is the Chief Executive Officer of the Organization of Nurse Leaders (ONL).

Resources:


Talking Home Care LogoDon’t want to miss the next episode of Talking Home Care? Subscribe through iTunes, Google Play, or accessing its feed directly.

Return to www.thinkhomecare.org.

Talking Home Care: Pat Ahern on Palliative Care 101

Pat Ahern of Care Dimensions joins us to discuss several hospice-related issues affecting the home care industry.

Pat Ahern of Care Dimensions
Pat Ahern

Pat Ahern of Care Dimensions joins us for the eighth episode of the Talking Home Care Podcast. As the CEO of the largest and most experienced palliative care agency in the region, Pat’s an authority on palliative care, hospice, and related issues. In a conversation with Alliance Executive Director Pat Kelleher, Ahern discusses:

  • Palliative care’s role as a “midwife at the other end of life”;
  • Dementia care;
  • Payment reform;
  • Referral sources;
  • Nurse recruitment and training; and
  • Physician involvement.


You may listen to the podcast by clicking the play button below, downloading it directly, or subscribing through iTunes or Google Play. (Length: 26 minutes; Size: 12 MB). If you enjoy it, please give us a five-star review so others can find it as well.

Host: Patricia Kelleher is the Executive Director of the Home Care Alliance of Massachusetts.

GuestPatricia Ahern, joined Care Dimensions in 2017 as president and CEO. With more than 30 years of leadership in healthcare and an MBA, she has the clinical and strategic business skills, and a true passion for the mission, that enables her to provide Care Dimensions’s vision and leadership.

Resources: More information about Care Dimensions.


Talking Home Care LogoDon’t want to miss the next episode of Talking Home Care? Subscribe through iTunes, Google Play, or accessing its feed directly.

Return to www.thinkhomecare.org.

Statement on Boston Globe Article: A Stranger in the House

Boston, MA – The Home Care Alliance of Massachusetts issued the following statement in response to the two-part Boston Globe article titled “A Stranger in the House” printed September 16th and 17th:

The Home Care Alliance and its members have a zero-tolerance policy when it comes to patient abuse. Over many years we have worked with the Department of Public Health, Elder Affairs and Health and Human services to address issues of elder abuse and billing fraud. Our members take very seriously the responsibility of ensuring the safety and quality of care being delivered to their clients.

These Boston Globe articles confusingly lump three different classes of workers together: personal care attendants employed directly by consumers in the PCA program, aides hired through a home care agency, and workers hired directly by consumers in the underground marketplace.

While the article cites 20 cases of agency-hired workers committing abhorrent crimes in ‘recent years,’ it fails to contextualize the fact that home care agencies have employed over 75,000 workers and delivered care to more than 600,000 elders in the past five years.

We have long advocated for the Commonwealth to develop a licensure process and we support state legislation (H.344) which we believe would enact baseline consumer protection standards for private pay home care agencies. We also advocated for recently enacted legislation to license certified home health agencies.

In failing to adequately explain the structure of the home care system in Massachusetts, readers are left confused and scared. At a time when aging-in-place is a statewide priority, we should be working on solutions that expand access to these services and protects consumers in the setting that they prefer: home.

About the Home Care Alliance of Massachusetts:

With a mission to unite people and organizations to advance community health through care and services in the home, the Home Care Alliance of Massachusetts is a non-profit trade association and advocacy group providing representation, education, communication, advocacy and – ultimately – a voice for the state’s home health industry. Founded in 1969, the Alliance has grown to represent more than 160 home care and home health agencies across the state. For more information, visit www.thinkhomecare.org.