Complimentary Webinar: The Proposed Home Health Groupings Model (HHGM) – Information & Implications

CMS has begun the transformation of home health care to a value-based, outcome driven service and now, has just proposed significant changes to the payment model as soon as 2019. The proposed alternative payment model, Home Health Groupings Model (HHGM), would replace the 60-day payment episode with 30-day payment periods driven by specific patient characteristics and anticipated resource use. Fazzi Associates continues to study the model and the proposed rule to better understand how this model could impact your agency.

Please join Gina Mazza and Lynn Harlow on September 27th, 1:00-2:00 PM EDT for a complimentary executive update to learn about:

  • How the proposed HHGM payment is calculated
  • The results of our analysis showing the impact to overall payments
  • What you can do now to prepare for this potential alternative payment model

Register for the Home Health Groupings Model Webinar

Visit Fazzi at the NAHC Annual Meeting

Visit Fazzi Associates at Booth 717 and join our experts Gina Mazza, Tim Ashe and Cindy Campbell for their educational sessions.

If you would like to schedule an on-site meeting to learn more about how Fazzi services can help your agency improve quality, profitability, efficiency and patient satisfaction, please contact Peter Emmott.

801. Pre-Conference: The New HHCoPs: Everything You Need to Know
Saturday, October 14, 2017: 8:00 AM – 5:00 PM

Speakers: Gina Mazza, Director of Regulatory & Compliance Services at Fazzi Associates, Mary Carr, Vice President, Regulatory Affairs at NAHC, Mary McGoldrick, Infection Preventionist and Home Care and Hospice Consultant at Home Health Systems, Inc., Sharon Litwin, Senior Managing Partner at 5 Star Consultants, LLC

The Centers for Medicare and Medicaid Services (CMS) has issued a final rule the implements significant changes to Home Health Conditions of Participation (HHCoPs). The rule expands the standards for patient rights, care planning, and care coordination, and includes two new CoPs — one for a quality assessment and performance improvement (QAPI) program and another for an infection control program. Many of the revisions will present significant process, operational and cultural changes for agencies.

Home health agencies (HHAs) must meet the Medicare HH CoPs in order to participate in the Medicare program. Agencies that fail to meet any of the HH CoPs are at risk, at a minimum, for the imposition of a number of sanctions and potentially at risk for program termination.

Mary Carr, NAHC’s Vice President for Regulatory Affairs, and a panel of experts will be leading an all-day, in-depth analysis of the new CoPs for Home Health.  Learn how to be compliant with these updated health and safety standards.  

106. From Research to Innovation: The Path to the Quadruple Aim
Sunday, October 15, 2017: 3:30 PM – 5:00 PM
Presenter: Tim Ashe, COO at Fazzi Associates

This presentation will delve deeply into the results of the 2016-2017 National State of the Industry Study which is based on interviews with 751 agency leaders across the country. The intention of the study was to provide information and insight about home health and hospice operational practices and trends to help all agencies improve quality, profitability, efficiency and patient satisfaction.

The audience will learn about more than 30 topics of interest to agency leaders, from the use of telehealth and outsourced services to productivity, clinical team structure, employee engagement and much more. Additionally, they will learn which practices have the greatest impact on quality and profitability.

211. Leveraging the Skills of Your Workforce: Home Health and Hospice
Monday, October 16, 2017: 2:30 PM – 3:30 PM
Presenters: Cindy Campbell, Director of Operational Consulting at Fazzi Associates and Karen Gomes, CEO at Home Health Foundation

Cultivate skills in your staff to create a more versatile workforce when we review a case study and describe positive outcomes for both staff and organization. Attendees will learn methods to identify transferable clinical skills between home care and hospice specialties and opportunities to maximize the staffing for the organization through cross-training and development.

View the COQS Informational Webinar

COQSWhy is the COQS so important and valuable?

    • Clinicians and other OASIS experts can obtain OASIS certification completely online with our online certification course and examination.
    • COQS certificants receive free annual competency testing, frequent webinars and “Ask Anita” sessions.
    • The COQS course and exam are unique in our industry to include concepts from The OASIS Walk® in certification, teaching and testing clinicians on the use of OASIS as an effective care planning tool in the home.
    • Clinicians with other OASIS certifications may take the COQS recertification exam at a discounted price.

Register for the 8-week preparation course & exam

 View our 30-minute webinar recording to learn more.

Home Health and Hospice CAHPS Best Practices Webinar Recording:

Home Health and Hospice CAHPS are key measures of an agency’s success, yet national results have remained unchanged for many years.  Wondering how to stand apart from your competitors on Home Health Compare and the soon to be released Hospice Compare to really improve your results?

Gina Mazza, Fazzi’s CAHPS Division leader and a panel of agency leaders discusses real examples and strategies that have worked for them giving practical and concrete actions that will help you become a best practice agency.

Another important ingredient for improving your scores is improving your return rate. Fazzi’s CAHPS return rate with our Mixed Mode (mail with phone interview) CAHPS service is 40% which is higher than the national average. If you’d like information about Fazzi’s Mixed Mode Home Health and Hospice CAHPS services, please contact us.


Pat Bousaada, Director of Clinical Operations, VNA Health at Home, Kathleen D. Flannery, RN, Administrator/Corporate Director, Kennedy Home Health Care, Eileen Freitag MBA, Partner, Fazzi Associates, AnnMarie Garrison, President, VNA Health at Home, Gina Mazza BSN, RN, CPHQ, Partner, Fazzi Associates, Martha Tecca, President, M&M Strategies

Please fill out the information to view the webinar.

Opt-in to Fazzi Benchmark Email list. (You may unsubscribe at any time.)

Register Now for Fazzi’s Home Health Aide Series of Trainings

Meet your annual 12 hour in-service training requirements for aides! This series includes the new skin condition and effective communications trainings required by the new CoPs that are effective January 2018.


We’re pleased to introduce Fazzi’s new home health aide series of trainings to help agencies meet the aide in-service training requirements outlined in the Conditions of Participation (CoP). This includes the newly added aide training requirements set for 2018 – Recognizing and Reporting Changes in Skin Conditions and Effective Communication.

With 12 monthly one hour training sessions, agencies who purchase the entire series will receive access to each months live webinar session, a video recording of the session for future use, and a post-training test to measure training competency.

Session Dates and Topics  All trainings are 1-2PM ET

September 12 – Effective Communication for Home Health Aides
October 10 – Recognizing and Reporting Changes in Skin Condition
November 14 – Basic Infection Prevention and Control Procedures
December 12 – Recognizing and Instituting Emergency Procedures
January 9 – What is QAPI?
February 13 – The Five Stages of Grief
March 13 – How to Prevent Falls in the Home
April 10 – Helping to Reduce Hospital Readmissions
May 8 – Helping with Mobility
June 12 – Understanding Cultural Diversity
July 10 – Home Care Safety Tips
August 14 – Medical Emergencies and Emergency Preparedness








Participants will receive 1.0 contact hour for each training completed, a total of 12.0 contact hours for completing the entire series. The fee for the entire series is only $799 per site* for those who register before August 18th. Registration after August 18th is $999 per site. Trainings purchased individually are $199 per site.

Register Now

*Per site purchase includes one link to the live webinar, as well as access to upload 50 users to access the recording and post-test. Certificates of completion and contact hours will be awarded to all participants after successful completion of the training post-tests.

Fazzi Associates, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.


August Compliance Newsletter

OASIS C-2 Questions and Answers

Have you ever come across an unusual patient situation that didn’t seem to ‘fit’ the OASIS? Human beings are so complex and our lives are so varied that it’s no wonder we sometimes find ourselves scratching our heads when trying to select an OASIS response. CMS no longer provides one centralized system to answer and publish quarterly OASIS Questions and Answers, but we have had 20 pages of Q&A’s released from the November 16th/17th Home Health Quality Reporting Training conducted by CMS. Another training was held May 3rd/4th and additional Q&As should be released sometime in August if the timeline is similar to the November event. You can find the November Q&As (released February 2017) on the CMS web page by scrolling to the downloads section at the bottom of the page. Continue reading “August Compliance Newsletter”

Introducing our Industry’s Newest and Most Valuable OASIS Certification

Introducing our Industry’s Newest and Most Valuable OASIS Certification, the Certified OASIS Quality Specialist (COQS)

Why is the COQS so Valuable?

  • Clinicians and other OASIS experts can obtain OASIS certification completely online with our online certification course and examination.
  • COQS certificants receive free annual competency testing, frequent webinars and “Ask the Expert” sessions to stay up to date with OASIS excellence best practice.
  • The COQS course and exam are unique in our industry to include concepts from The OASIS Walk® in certification, teaching and testing clinicians on the use of OASIS as an effective care planning tool in the home.
  • Clinicians with other OASIS certifications may take the COQS recertification exam at a discounted price.
  • The inaugural offering of the COQS course and exam package is offered at the special price of $399 for those who sign up before August 25th.

Led by OASIS expert, instructor, enthusiast, devotee, coach and mentor, Anita Werner, the quality of the course instruction and materials is outstanding.

The first offering of the 8-week COQS online preparation course begins September 18 and registration is now open. As a bonus, those enrolling in this inaugural offering will receive a complimentary Field Guide to OASIS C-2 Data Collection.

Learn More and Register

A Minute in the Morning


Average Case Mix Weight by State*

Based on Fazzi’s analysis of home health claims data for non-LUPA episodes, the national average case mix weight (CMW) for 2016 was 1.0384. See table at right for results by state.

Nationally, the overall CMW decreased (-0.7%) from 2014 to 2016.

Twenty-three states had a decrease in CMW from 2014 to 2016. Twenty-nine states had an increase in CMW, and two states had no change in the same period. Minnesota had the largest percentage increase of 5.0%, followed by North Dakota (4.5%) and Washington (3.9%). Mississippi and Missouri had no change in 2016 from their 2014 CMW. Guam saw the largest decrease (-4.9%) in percent change of CMW, followed by Florida (-4.3%), Utah (-3.4%), and New Mexico (-3.3%).

The five states with the lowest CMW in 2014 (CA, LA, TX, OK, GU) were also the lowest in 2016. Of the five states with the highest CMW in 2014 (FL, ID, UT, TN, WV) only three, WV, ID, and FL, were the highest in 2016 (FL, ID, WV, CO, WA).

Idaho had the highest CMW in 2016 compared to Guam at the lowest – a difference of 0.285 ($845 per episode or $870 per episode with rural add on).

If you are interested in case mix by agency or county level, click here to visit our web page on Business Intelligence or email
* Fazzi analysis of Medicare home health claims

Visit Fazzi at the NAHC Financial Management Conference

Visit Fazzi at booth #307 and join our experts Tim Ashe, Cindy Campbell and Gina Mazza for their educational sessions:

Session 103. Drive Organizational Excellence with Lean Management  
Presenters: Tim Ashe and Cindy Campbell
Monday, July 17, 11:00AM – 12:40PM
Riverside Room 14

Session 502. Medicare Home Health Value-Based Purchasing Demonstration Update
Presenters: Chris Attaya, Gina Mazza and Tony Gupton
Tuesday, July 18, 10:00AM – 11:40AM
Cityside Room 21

Home Health Compare Quality Charts Updated – July 2017

The Home Health Compare results were updated on July 12, 2017.

All Quality of Patient Care measures, which include measures under Value-based Purchasingshowed improvement again this quarter! Measures included in the Star Ratings continue to show the most improvement. The depression assessment conducted measure remains unchanged since the first quarter of this year. The data collection period for these measures is from January 1, 2016 to December 31, 2016.

The acute care hospitalizations measure worsened slightly again this quarter, from 16.5% to 16.7%. The urgent, unplanned care in the emergency room measure remained the same. (Collection period October 1, 2015 to September 30, 2016.)

All national averages for HHCAHPS measures continue to remain the same. The data collection period for these measures is calendar year 2016.

The national average for the Patient Care Star Ratings remained at 3.5 stars. The percent of agencies with 3 stars dropped from 20% to 19%, and the percent of agencies with 4.5 stars increased from 10% to 11%. 362 agencies received a 5 star rating. To see where the 5 star agencies are located, visit our Home Health Compare page and use the drop down for Star Ratings at the agency level.

Our Home Health Compare page also provides drop downs to compare measures by state, by year, and by release date. You can also select comparisons for the top 10 percent or top 20 percent.