Home Health Groupings Model (HHGM) Webinar Recording

The Bipartisan Budget Act signed into law last week included Home Health Payment Reform based on the Home Health Groupings Model (HHGM) that had previously been proposed by CMS.

The law calls for the new payment model to go into effect in 2020 and a Technical Expert Panel to consult with CMS for the rulemaking. With many details yet to be determined, it is expected that the key concepts of the previous HHGM proposal will be the foundation of this reform.

Continue reading “Home Health Groupings Model (HHGM) Webinar Recording”

HHAS and Work Schedules

Nearly half of all jobs in the U.S. require workers to adjust to new schedules or locations. Forty-five percent of home health aides (HHAs) work in home health care and 75% of all HHAs have to adapt to changing work schedules. For registered nurses (RNs), 65% have to adapt to changing work schedules.

In almost a quarter (23%) of jobs, work location changes more than four times per year, and for HHAs, that’s 69%, compared to RNs at 14%.    

Selected Occupations and Percent of Jobs That Require Employees to Change Work Schedules or Change Work Locations More Than Four Times per Year, 2017

Source: Bureau of Labor Statistics, U.S. Department of Labor, The Economics Daily, Jobs with changing work schedules or work locations in 2017 on the Internet at https://www.bls.gov/opub/ted/2018/jobs-with-changing-work-schedules-or-work-locations-in-2017.htm (visited February 02, 2018).

If you are interested in competitor data by agency or county level, click here to visit our web page on Business Intelligence or email info@fazzi.com.

Social Security Numbers Are Being Removed from all Medicare Cards by April 2019

Medicare Cards Will No Longer Have Social Security Numbers – Here’s What You Need to Know

Social Security Numbers are being removed from all Medicare cards by April 2019. A new Medicare Beneficiary Identifier (MBI) will replace the SSN-based Health Insurance Claim Number (HICN) on the new Medicare cards used for Medicare transactions like billing, eligibility status, and claim status. Beginning in April 2018, CMS will start mailing the new Medicare cards with the MBI to all Medicare beneficiaries in phases by geographic location.

There will be a transition period beginning in April 2018 and running through December 31, 2019. Beginning in October 2018, through the transition period, when providers submit a claim using a patient’s valid and active Health Insurance Claim Number (HICN), CMS will return both the HICN and the MBI on every remittance advice. During the transition period, Agencies can use either the HICN or the MBI to exchange data.

Starting January 1, 2020, all providers will submit claims using MBIs, no matter what date the services were provided.

Begin to plan now for this change to assure everyone is educated and, all of your processes are tested and effective well before December 2019. The details to this initiative can be found here.

View the COQS Informational Webinar – Get All Your Questions Answered!

The 8 week online course begins February 26 – Register early to save!

The COQS webinar recording is now available. As a reminder, the early bird pricing of $449 for the COQS preparation course and exam package ends on February 12. Agencies that register 10 or more people for this package are eligible for a further discount of $375 per seat.

COQS Informational Webinar

Developed by industry leading OASIS experts, the COQS complete program includes:

  • A comprehensive, effective, engaging, convenient and affordable 8-week online preparation course and practice exam.
  • A 100-question proctored certification exam (or 80-question recertification exam) which can be taken online from the convenience of home or office. Certification demonstrates to employers and colleagues that an individual possesses the ability to accurately interpret assessment data and complete the CMS OASIS Item set in a compliant fashion.

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

Pricing – Register Early to Save!
Certified OASIS Quality Specialist Bundle: includes online preparation course, online test and OASIS Field Guide – $449 per seat through February 12th (Regular Price $549) Agencies that register 10 or more people for this package are eligible for a further discount of $375 per seat.

Learn More/View the Comprehensive FAQs

Register Now

What Key Performance Indicators (KPIs) are Important for Home Health Agencies?

What Key Performance Indicators (KPIs) should Home Health leaders be setting for their agencies? Let’s hear from Cindy Campbell…

Key Performance Indicators

Establishing the right metrics is critical, but only part of a success story! A deeper, clear understanding of underlying processes and behaviors which “move the metrics” is the sweet spot needed by today’s agencies to achieve success clinically and financially. We call these Key Performance Behaviors or “KPBs”; hardwiring your organization for success.

Discuss how to hard wire the right KPBs for your agency with Cindy.

Learn More

Home Health Compare Quality Charts Updated

The Home Health Compare results were updated on January 24, 2018.

For the Quality of Patient Care measures, 12 measures improved, with improvement in bed transfer seeing the most of improvement of 1.5%, followed by improvement in management of oral medications (increase of 1.4%). Depression assessment conducted slightly decreased. (Collection period April 1, 2016 to March 31, 2017.)

The acute care hospitalizations measure improved again this quarter, from 16.4% to 16.2%. The urgent, unplanned care in the emergency room measure worsened with an increase of 0.1%. (Collection period April 1, 2016 to March 31, 2017.)

Updates were also made for HHCAHPS measures and the national averages continue to remain the same. The data collection period for these measures and the Star Ratings is July 2016 to June 2017.

Home Health Compare Star Rating

The national average for the Quality of Patient Care Star Rating remained at 3.5 stars, although the percent of agencies with 3.5 stars declined from 20% to 19%. The percent of agencies with 4 stars increased to 17% from 16%, and agencies with 4.5 stars decreased to 10% from 11%.

CMS will remove the influenza immunization received for current flu season measure from the Quality of Patient Care Star Rating effective with the April 2018 refresh. The rationale is due to differences across states’ regulations regarding transporting and administering vaccinations; no exclusion made for patients who were offered the vaccination and refused; and no exclusion made for patients who cannot receive the vaccination due to contradictions. The measure will continue to be reported on Home Health Compare to encourage vaccination, and the measure will be monitored by CMS to ensure the rates do not decrease.1

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. You can also compare measures by state, by year, by release date and, the top 10 or top 20 percent.

1 Centers for Medicare & Medicaid. Home Health Quality Initiative. Updates.

Register Today for the Certified OASIS Quality Specialist (COQS) Online Preparation Course and Exam

8 week online course begins February 26 – Register early to save!

Developed by industry leading OASIS experts, the COQS complete program includes:

  • A comprehensive, effective, engaging, convenient and affordable 8-week online preparation course and practice exam.
  • A 100-question proctored certification exam (or 80-question recertification exam) which can be taken online from the convenience of home or office. Certification demonstrates to employers and colleagues that an individual possesses the ability to accurately interpret assessment data and complete the CMS OASIS Item set in a compliant fashion.

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

Learn More/View the Comprehensive FAQs

Pricing – Register Early to Save!
Certified OASIS Quality Specialist Bundle: includes online preparation course, online test and OASIS Field Guide – $449 per seat through February 12th (Regular Price $549) If enrolling 10 or more clinicians, contact us for bulk pricing.

Learn More & Register

Informational Webinar Recording: Complete Supervisory and Management Program

Fully Explore the BENEFITS of Supervisionplus® and ManagementPlus in this webinar recording

In case you missed it, here is the recording of our informational webinar on the very popular SupervisionPlus® online training that begins January 22 and the new ManagementPlus online training that begins March 26.

These training programs are for everyone; from new supervisors to experienced leaders. Additionally, ManagementPlus is also excellent for anyone wanting to improve their skills in professional communication, providing feedback, conflict management and more.

View the Webinar Recording

This complete program gives managers the skills they need to successfully supervise and manage their staff for increased staff engagement. Those who complete both programs will be invited to attend our Home Health and Hospice Executive Quarterly Forum, which includes free quarterly webinars on key supervisory and management trends.

SupervisionPlus®

This 8-week program begins January 22, 2018.

SupervisionPlus® is the single most comprehensive and complete supervisory training program available today. Created by Dr. Robert Fazzi, the program has been attended by over 20,000 supervisors and managers in home care, hospice and other home and community based organizations as well as those in other industries.

The SupervisionPlus® training is a practical, how-to-do-it training. Attendees will learn about the Functional Management Model, a state-of-the-art supervisory model featured in this training. Each attendee will leave the training having learned the fundamentals of supervision plus highly practical knowledge and skills needed to:

  • Assess the competency and functional level of each of their employees.
  • Increase motivation and commitment of employees.
  • Target improvement strategies for any employee who needs it.
  • Deal with their most challenging employees.
  • Effectively delegate responsibilities and more importantly hold their staff accountable.
  • Increase employee retention and engagement.

SupervisionPlus® is a training that will help build the skill, competence and confidence of those attending the program. They will leave this session excited and ready to use what they learned to improve their support and management of their employees and team.

ManagementPlus

This 8-week program begins March 26, 2018.

When new managers are appointed, employers often evaluate their technical skills or industry-related experience when determining their qualifications for the job. However, managers need other valuable skills to effectively lead teams, and fundamental interpersonal skills are on top of that list.

In our new ManagementPlus training series, we expand on our SupervisionPlus® course and review the important interpersonal skills needed to be a successful manager. Topics addressed include:

  • Problem solving and decision making
  • Running a successful meeting
  • Resolving conflict
  • Successful communication and listening
  • Giving effective feedback
  • Delegating successfully

This is a highly interactive and engaging program that includes practice scenarios and real-life best practice tips from successful managers in the home health and hospice industry. If you have recently been promoted to a supervisory or management position, or want to learn how to become a more effective manager, this course will help you master the basics of business by learning the language of management.

Pricing

  • Complete Program: SupervisionPlus and ManagementPlus Package: $399 if you enroll by January 16 or $499 thereafter
  • Supervision Plus only: $199 if you enroll by January 16 or $299 thereafter
  • Management Plus only: $199 if you enroll by March 2 or $299 thereafter regular

Learn More/Enroll in the Complete Program

Learn More/Enroll in SupervisionPlus®

Learn More/Enroll in ManagementPlus

January Compliance Newsletter

Hospice CAHPS Preview Report Available

Hospice provider preview reports that include Hospice CAHPS results are now available to all participating hospices. Your results are available in your Certification and Survey Provider Enhanced Reports (CASPER) folder. For more information view the Hospice CAHPS® Provider Preview Reports Access Instructions. The first posting of Hospice CAHPS on Hospice Compare is expected within the next few weeks.

Where do you stand? It is important for every hospice to pay close attention to their Hospice CAHPS scores and to use them in setting strategic goals. Knowing where you stand relative to national scores will aid you in this process.  Here are the latest national averages:

National Averages for CAHPS® Hospice Survey Measures

Measure National Average
Hospice Team Communication 80%
Getting Timely Care 78%
Treating Family Member with Respect 90%
Getting Emotional and Religious Support 89%
Getting Help for Symptoms 75%
Getting Hsopice Care Training 72%
Rating of Hospice 80%
Willingness to Recommend 85%

Source: National CAHPS Hospice Survey data. Data.Medicare.gov

CAHPS®: Why it’s Good for Hospice! White Paper

Amid challenging new regulations and escalating reimbursement constraints, why is the Hospice CAHPS® survey good for hospice? Four important reasons hospice leaders should consider CAHPS when setting strategic goals are outlined in this white paper. Click here to view.

Hospice Standardized Assessment: HEART

CMS has contracted with RTI International to test a standardized, comprehensive assessment for Hospice providers. The feasibility and content of the Hospice Evaluation & Assessment Reporting Tool (HEART) tool will be tested in a two-phase pilot starting in January 2018. HEART is expected to include current items from the Hospice Item Set (HIS) and additional clinical items. HEART will also reflect the Medicare Hospice Conditions of Participation (COP) requirements and  data that is routinely collected as part of high-quality clinical care. More information about Hospice HQRP is available here.

OASIS-C2 Updates

The New Year has brought a change to the OASIS-C2. The comprehensive assessment is the responsibility of one clinician. However, effective January 1, 2018, the assessing clinician will be allowed to elicit feedback from other agency staff involved in the care to complete any or all OASIS items integrated within the comprehensive assessment.

The OASIS visit clinician may now consider assessment information from other skilled clinicians such as, LPN, PTA, COTA, Home Health Aide, other health care providers, Pharmacist, Physician, etc. working within their license requirements and scope of their practice and state licensure.

Be sure your agency has a plan for how clinicians will document the OASIS collaboration and what information was obtained through collaboration. Fazzi’s Compliance experts recommend that policies specify one particular area within your documentation system where this information can be noted. As always- consistent, careful documentation will be key in supporting your OASIS assessment documentation. Let us know if we can assist you.

Have questions or comments? Contact us, info@fazzi.com or 800-379-0361.

Introducing the First Complete Supervisory and Management Program for Home Health and Hospice

We’re thrilled to announce the next offering of our extremely popular SupervisionPlus® 8-week online course to begin January 22 and the first ever offering of our new ManagementPlus 8-week online course to begin March 26.

Why have we developed this complete Supervisory and Management Training Program for Home Health and Hospice? Because front-line managers can have the single largest impact on your organization. A good (or bad) manager affects employee performance and satisfaction, productivity, efficiency, turnover, and the overall health of any organization.

This complete program gives managers the skills they need to successfully supervise and manage their staff for increased staff engagement. Those who complete both programs will be invited to attend our Home Health and Hospice Executive Quarterly Forum, which includes free quarterly webinars on key supervisory and management trends.

SupervisionPlus®

This 8-week program begins January 22, 2018.

SupervisionPlus® is the single most comprehensive and complete supervisory training program available today. Created by Dr. Robert Fazzi, the program has been attended by over 20,000 supervisors and managers in home care, hospice and other home and community based organizations as well as those in other industries.

The SupervisionPlus® training is a practical, how-to-do-it training. Attendees will learn about the Functional Management Model, a state-of-the-art supervisory model featured in this training. Each attendee will leave the training having learned the fundamentals of supervision plus highly practical knowledge and skills needed to:

  • Assess the competency and functional level of each of their employees.
  • Increase motivation and commitment of employees.
  • Target improvement strategies for any employee who needs it.
  • Deal with their most challenging employees.
  • Effectively delegate responsibilities and more importantly hold their staff accountable.
  • Increase employee retention and engagement.

SupervisionPlus® is a training that will help build the skill, competence and confidence of those attending the program. They will leave this session excited and ready to use what they learned to improve their support and management of their employees and team.

ManagementPlus

This 8-week program begins March 26, 2018.

When new managers are appointed, employers often evaluate their technical skills or industry-related experience when determining their qualifications for the job. However, managers need other valuable skills to effectively lead teams, and fundamental interpersonal skills are on top of that list.

In our new ManagementPlus training series, we expand on our SupervisionPlus® course and review the important interpersonal skills needed to be a successful manager. Topics addressed include:

  • Problem solving and decision making
  • Running a successful meeting
  • Resolving conflict
  • Successful communication and listening
  • Giving effective feedback
  • Delegating successfully

This is a highly interactive and engaging program that includes practice scenarios and real-life best practice tips from successful managers in the home health and hospice industry. If you have recently been promoted to a supervisory or management position, or want to learn how to become a more effective manager, this course will help you master the basics of business by learning the language of management.

Pricing

  • Complete Program: SupervisionPlus and ManagementPlus Package: $399 if you enroll by January 16 or $499 thereafter
  • Supervision Plus only: $199 if you enroll by January 16 or $299 thereafter
  • Management Plus only: $199 if you enroll by March 2 or $299 thereafter regular

View the Informational Webinar Recording

Learn More/Enroll in the Complete Program

Learn More/Enroll in SupervisionPlus®

Learn More/Enroll in ManagementPlus