fazzi.com
Fazzi Associates

BENCHMARK SERVICES

Operational, Quality & Financial Best Practice

Best Practice Improvement Study

Patient Satisfaction

Staff Satisfaction

Referral Source Satisfaction

 

The HHCAHPS Final Rules officially begin the national patient satisfaction initiative for home health providers mid- 2010. By 2011, agencies will have results publically reported and participation impacting their Medicare reimbursement. Forward thinking agency leaders will see this as a real opportunity for their organization. We agree.

Because starting in the first quarter 2010 is critical to understanding where you have issues before the required deadline, we have established a Fast Track Team to help you get operational quickly. We will create your survey, work out transmission requirements with your IS software vendor and test your data collection process. We will also initiate trainings on how to target improvement efforts early in 2010. For more information, contact Gina at gmazza@fazzi.com

If you missed our Home Health Care CAHPS® webinar session on September 3, 2009, click here. This webinar explains what the CAHPS® program means to your agency, what its present status is, and our recommendations for your strategic plan.

Fazzi and special guest Mary St. Pierre provided the latest information on the Home Health CAHPS® survey during a national, free webinar in May 2009. To access a recording of this program click here.

Five Good Reasons Why CMS's New CAHPS® Patient Satisfaction Survey is Good for Agencies and Good for Patients
Read the article from CARING Magazine April 2009

 

 

GUIDE TO HOME HEALTH CAHPS

What is CAHPS?

Fazzi and Patient Satisfaction

National Patient Satisfaction Benchmark Service

Home Care Software Partners

Answers on CAHPS

The CAHPS Survey, English

The CAHPS Survey, Spanish

The CAHPS Survey, Chinese

The CAHPS Survey, Russian

The CAHPS Survey, Vietnamese

Supplemental Questions

Link to RTI

How We Can Help

Home Health
APPROVED CAHPS® VENDOR

HHCAHPS® Demonstrations.
There is no cost or obligation to join in. Simply register for the program on the date that works best for you. Once registered, you will receive a link to the program and dial in instructions. There are no handouts for this program.

July 29, 2010 10:00 to 11:00 ET
August 5, 2010 2:00 to 3:00 ET
August 10, 2010 10:00 to 11:00 ET
August 19, 2010 11:00 to 12:00 ET
August 24, 2010 3:00 to 4:00 ET

Home Health CAHPS®

The Home Health Care CAHPS Survey (HHCAHPS) is part of a family of CAHPS surveys that ask patients to report on and rate their experiences with health care. The HHCAHPS was designed to measure and assess the experiences of people receiving home health care with the following three goals in mind:

  • To produce comparable data on patient satisfaction;
  • To create incentives for agencies to improve their quality of care through public reporting of survey results; and
  • To hold health care providers accountable by informing the public about the providers’ quality of care.

Fazzi and Patient Satisfaction

Fazzi’s National Patient Satisfaction service is one of home care’s oldest, largest and most respected patient satisfaction benchmarking systems in the country. Fazzi specializes in home care and hospice services and is the only national benchmarking service that incorporates findings from its research and consulting divisions in helping to guide agencies in best practice strategies for improving patient satisfaction. Because our goal is not just reporting but improvement, we include best practice training webinars, industry updates and technical support as part of our standard patient satisfaction benchmark service.

Click here or on the image to see winners of the Best Practice Achievement Award of Distinction.

National Patient Satisfaction Benchmark Service

Much More Than Statistics

Service Components
Basic
Premium
Customized HHCAHPS Survey
Customized HHCAHPS Cover Letter
On-demand Dashboard Report
Comprehensive Benchmark Report
Quarterly
On-demand
All Surveys Report (One Report, All Surveys)
Quarterly
On-demand
Outcomes Monitor (Track, Trend, Improve)
Quarterly
On-demand
Online Access to Surveys
Best Practice Webinar Presentations
New Research/Reports on Patient Satisfaction
Insider Email Updates
Multi-location Reporting  
Personal CAHPS Consultant*  
Custom and/or Supplemental Questions  
*Personal CAHPS Consultant: Real time support. A specialist dedicated to your agency
and your scores. Call anytime. They will also call you if they discover any problems.
Their goal for you: Top 1/3 on all CAHPS nationwide.

Consultative Support
Fazzi's Patient Satisfaction System is delivered by home health professionals who will work with you as a partner. You and your staff will receive:

  • One-on-one, private conference calls
  • Best practice webinars
  • Quarterly dashboard reports
  • Technical assistance and a toll-free help line

Interactive Web Reporting
Web reporting can be accessed by the Subscriber Login link at fazzi.com. All reports are offered on-demand.

Exceptional Ease of Use
Clear, uncluttered reports tell you at a glance where you stand, using intuitive graphics to convey statistical analyses in a way that communicates to any audience. Even the most demanding quality improvement professionals will find the in-depth analysis they need to design quality improvement initiatives.

Patient Satisfaction Reporting and Analysis
You can compare your agency to national standards, to similar sized agencies, or even to the top performers using our on-demand, web-based reporting system. You can see how your agency stacks up to others by any characteristic, from payor and diagnosis to team, branch office or service. You'll have convenient access to comprehensive, in-depth reporting for benchmarking, board meetings, marketing or other uses.

For more information on The National Patient Satisfaction Benchmark Service® email: gmazza@fazzi.com.

Home Care Software Partners

Allscripts
AOD Software
Barnestorm
CareAnyware
CareFacts
Cerner
Delta Health Technologies
HealthTrust Software
Home Care Software Solutions, Inc.
Homecare Homebase
HomeSolutions.NET
Kinnser Software
Lewis, Inc.
McKesson
Multimed Solutions
Progresa Health Systems
Thornberry Ltd

 

For more information on our partnerships, click here. Contact Laurie Gloster to ask about our complete list of partners.

Answers to Questions on CAHPS

 

What is Home Health Care CAHPS®?

"CAHPS" is an acronym for Consumer Assessment of Healthcare Providers and Systems. CAHPS products include several instruments to assess patients' perspectives on the care delivered in health care facilities, such as hospitals (H-CAHPS or Hospital CAHPS), nursing homes, and dialysis centers. The Home Health Care CAHPS Survey (HHCAHPS) is part of this family of CAHPS surveys. The HHCAHPS survey was developed by the Agency for Healthcare Research and Quality (AHRQ) which is part of the Department of Health and Human Services.

Which agencies will be exempt from using the HHCAHPS surveys in 2010- 2011?

Medicare-certified home health agencies that serve fewer than 60 unduplicated, survey eligible patients from April 1, 2009, through March 31, 2010 will be exempt from participating in the Home Health Care CAHPS Survey.
Agencies seeking an exemption must report the number of unduplicated patients they served between April 1, 2009, and March 31, 2010 to CMS using an online form that will be available on the Home Health CAHPS Survey project web site at https://homehealthcahps.org on April 1, 2010. The count of patients must be submitted to CMS on or before June 16, 2010.

Which patients should receive the HHCAHPS survey?

The following types of home health care patients should be included in the HHCAHPS survey process:

  • Current or discharged patients who had at least one home health visit at any time during the sample month;
  • Patients who were at least 18 years of age at any time during the sample period, and are believed to be alive;
  • Patients who received at least two visits from HHA personnel during a 60-day look-back period;
  • Patients who have not been selected for the monthly sample during any month in the current quarter or during the 5 months immediately prior to the sample month;
  • Patients who are not currently receiving hospice care;
  • Patients who do not have routine ''maternity'' care as the primary reason for receiving home health care; and
  • Patients who have not requested ''no publicity status'';
  • Patients whose payer is Medicare or Medicaid.

Is there a standard Home Health Care CAHPS Survey that every agency will use?

Yes, the Home Health Care CAHPS Survey instrument contains 34 questions that cover topics such as access to care, communications, and interactions with the agency and with agency staff. The Home Health Care CAHPS Survey is currently available in English, Spanish, Chinese, Russian, and Vietnamese.

Do we have to use a vendor to administer the HHCAHPS survey?

Yes, agencies must use an approved Home Health Care CAHPS Survey vendor to administer surveys. A list of approved survey vendors, including Fazzi Associates, is available at https://homehealthcahps.org/. Medicare-certified home health agencies must choose an approved vendor to contract with for the HHCAHPS survey administration.

Will patient satisfaction results be publicly reported?

Yes, public reporting is expected early 2011. All publicly reported data will be available on the Home Health Compare web site at http://www.medicare.gov. Results from the Home Health Care CAHPS Survey will be published quarterly and will include each home health agency's (HHA's) most recent four quarters of data. Survey vendors submit data to CMS on behalf of their HHAs on a monthly or quarterly basis.

Which survey items will be publicly reported?

Home Health Care CAHPS Survey results will be reported for three composites and two global items:

Composite Measures

  1. Care of Patients (Q9, Q16, Q19, and Q24)
  2. Communications between Providers and Patients (Q2, Q15, Q17, Q18, Q22, and Q23)
  3. Specific Care Issues (Q3, Q4, Q5, Q10, Q12, Q13, and Q14)

Global Items

  1. Care from the Agency’s Home Health Providers (Q20)
  2. Recommend this agency to family or friends (Q25)

Can we add additional questions to the survey?

Agencies/vendors may add their own or the CAHPS supplemental questions to the Home Health Care CAHPS Survey. Supplemental questions do not need to be approved by or reported to CMS. Supplemental question responses will not be reported to CMS.

What are the data collection options allowable in the HHCAHPS initiative?

There are 3 data collection options available to HHA’s. Fazzi Associates offers all 3 options. They are:

Mail only: Survey and cover letter are mailed within 3 weeks of the month end. A second survey is mailed 3 weeks later to those that did not respond to the first survey.

Telephone only: The survey is administered as a telephone survey only. Telephone data collection begins no later than 3 weeks after the month end and is completed within 42 days/six weeks.

Mixed- mode: Mailed survey with telephone follow up. A survey and cover letter are mailed within 3 weeks of the month end. About 3 weeks after the survey is mailed, a telephone follow up contact is conducted for those that did not respond to the mailed survey.

When will Home Health Care CAHPS Survey be required of all Medicare-certified agencies?

According to the October 30, 2009 Federal Register Notice, the HHCAHPS final rules are effective January 1, 2010. The final rules require Medicare-certified agencies implement the HHCAHPS survey no later than third quarter (July, August, September) 2010. The data submitted to CMS from the third quarter 2010 will not be included in public reporting. Ongoing data collection and reporting will begin fourth quarter 2010. The final rule also includes HHCAHPS in the pay for reporting requirements for HHAs. Agencies that do not follow the implementation timeline set in the final rules will have a 2% reduction in the 2012 Medicare market basket update. Agencies may implement the HHCAHPS survey using an approved vendor anytime after October 1, 2009.

How We Can Help

Our goal is to help you improve. We monitor your results. We provide best practice trainings, technical support, consultation and insider reports to help you improve, and there is no additional cost for these services. Email Gina, gmazza@fazzi.com for more details.