Dr. Bob Fazzi, Managing Partner and Founder, Fazzi Associates

In an industry where it is critical that staff in all departments be knowledgeable about new developments and new demands, training is always a high priority. Some demands are new, i.e. new regulations or new clinical procedures and some demands have always been around, i.e. how to best supervise, motivate and ensure quality staff performance.

It is easy to understand why new trainings are always being developed for new changes and requirements. It is less obvious why age old requirements such as the qualifications to be a great supervisor have suddenly become much more in demand. But, the answer is simple. More and more agency leaders have come to realize that highly skilled and motivated supervisors impact more than the quality and performance of their staff. Strong well trained supervisors impact the bottom line of an organization… the financial bottom line.

Poor Supervision, Turnover and Cost

Here are some basic facts:

  • A study by Brad Gilbreath in the Journal of Work and Stress reported in Psychology Today, stated that the number one reason “for lower than expected work productivity is not workers, but bosses.” Steve Oppermann in an article in FedSmith went on to say “that poor boss performance may affect the long term health of company employees, and that will become a financial issue.”
  • A study by Gallup reported that “employees don’t leave companies, they leave managers and supervisors. The impact that a supervisor has in today’s workplace can be either very valuable or very costly to the organization and the people who work there.”
  • Combine these studies with a study by the Society for Human Resource Management that found employers will need to spend the equivalent of 50% to 75% of an employee’s salary in order to find and train their replacement.

Do the math. If you have an employee earning $80,000 salary and benefits, it will cost your organization an additional $40,000 (50%) to $60,000 (75%). That is just to replace one employee. Other studies would say this number is conservative. Read full article, Why Has the Demand for Supervisory Training Grown So Much?

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OASIS Testing ProjectIt’s that time of year! Home health agencies across the country are invited to participate in Fazzi’s National OASIS Testing Project. The National Testing Project is a major effort initiated by Fazzi to measure OASIS competence across the nation. Last year we had over 200 agencies participate, and the results were eye opening. This year’s test begins March 13th.

As a participating agency, you will receive:

  • Detailed results for your agency as a whole and for each clinician.
  • Results segmented by M-items that impact quality, reimbursement, Star Ratings, Value-Based Purchasing measures and by major OASIS segment.
  • Benchmark data comparing your agency to national results and to your own state results.
  • Free participation in a national webinar to review the results and provide insights and best practice training tips.
  • Free 30-minute consultation call to review your scores and provide recommendations for improvement.

The cost to participate is only $30 per tester.

Plus Two Exciting Additions – New This Year!
We all know how important OASIS is. Because the accuracy of OASIS assessments directly impacts patient outcomes, Star ratings, reimbursement, and Value-Based Purchasing measures, achieving OASIS Excellence is critical to the very viability and success of your agency. Read full article, Announcing our Second Annual National OASIS Testing Project – This Year with Two Exciting Additions!

Codntions of Participation Readiness Webinar SeriesReady to read, digest and determine how your agency will comply with the final 374-page rule updating the Home Health Conditions of Participation for Medicare and Medicaid (CoP) for the first time in 20 years? By July 13th?

Fazzi will help you get there! Register today for Fazzi’s Conditions of Participation Readiness Webinar Series that will take you beyond the basics of the rule and help you prepare you for the three most expanded components of the new CoPs:

  • QAPI
  • Care Planning and Coordination
  • Patients Rights

CoP Readiness Webinar – Your QAPI Program; Right for Your Agency!
Wednesday, March 8th; 1:00 – 2:00 p.m. Eastern Time
The 2017 Conditions of Participation (CoP) now include multiple requirements for an agency-wide QAPI Program. Your QAPI program must be individualized to your agency, data driven and designed to improve patient outcomes. Join us for a focused review on what you need to know now and how to be ready before July 2017! This presentation is designed to share with staff and leadership to help ensure you have met the requirement to educate all skilled professionals on QAPI.

Contact Hour: 1.0, Presented by Gina Mazza, Partner, Director of Regulatory and Compliance Services Read full article, Fazzi’s Home Health Conditions of Participation “Beyond the Basics” Readiness Webinar Series

OASIS-C2 Q&A Released

Did you know CMS has released a compilation of all the OASIS Q&A that apply to OASIS-C2? The last time this type of merging of guidance occurred was in April 2015, and six additional quarterly Q&A guidance documents were released after that time. Now you can look at the October 2016 collection of Q&A’s whenever you need guidance and will no longer need to search through seven different documents. Click here to download the compilation file. When you use the drop-down box you’ll be able to save the PDF files for the four categories: Category 1-Applicability, Category 2-Comprehensive Assessments, Category 3-Follow-up Assessments, and Category 4-OASIS Data Set-Forms and Items. Monitor this page for the quarterly Q&A releases in January, April, July, and October every year.

New Home Health Conditions of Participation for Medicare and Medicaid (CoP) Finalized!

The HHCoPs have been revised and are effective on July 13, 2017. Ready to review and determine how your agency will comply with the final rule updating the Home Health Conditions of Participation for Medicare and Medicaid (CoP)? Gina Mazza provided this executive overview of the key components to the new CoPs earlier this month. Click here to view the webinar recording. Read full article, Compliance Newsletter – February 2017

Bob Fazzi
Bob Fazzi, Managing Partner

This has been an exciting time for Fazzi. We have grown, added a number of incredibly strong, seasoned and passionate staff and have added new programs and services, particularly those related to Value-Based Purchasing. With growth comes the need to strengthen our overall leadership structure. Within this context, I am pleased to announce that Tim Ashe, RN, MS, MBA has been promoted to Chief Operating Officer and is now responsible for the firm’s day to day leadership.

Tim Ashe, RN, MS, MBA

Tim joined Fazzi in 2006 and became a Partner in 2007. Since that time, he has led our Operational Consulting Division to provide organizational, operational, turn around, and change management services to home care and hospice agencies across the country. Under his leadership, Fazzi has helped hundreds of agencies improve outcomes and profitability through best practices in organizational structure, clinical and operational processes, and new models for staffing, supervision and care management. More recently, Tim also assumed responsibility for our Outsourced Billing, Finance and Information Technology divisions. A long-time leader in the field of home care and hospice, Tim’s expertise and career has included a unique blend of clinical, operational, fiscal and academic roles. He is a frequent presenter at national and state conferences and is often asked to contribute to industry forums. Tim is also the Co-Director of the 2016-2017 National Home Care and Hospice State of the Industry Study.

Read full article, Fazzi Announces Leadership Transition

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The Home Health Compare results were updated on January 26, 2017.

Nearly all national averages for the Quality of Patient Care measures showed improvement except multifactor fall risk assessment conducted which remained unchanged. Measures with the greatest improvement were diabetic foot care and patient education implemented and improvement in ambulation. The data collection period for these measures is from July 1, 2015 to June 30, 2016.

All quality measures included under Value-based Purchasing showed improvement except for the acute care hospitalizations which worsened slightly (collection period April1, 2015 to March 31, 2016). This measure remained at 16.0% from January to July 2016 and worsened in October 2016 to 16.2%, and then again to 16.3% this data collection period.

All national averages for HHCAHPS measures remained the same as last quarter. The data collection period for these measures is from July 2015 to June 2016.

Six measures were dropped from Home Health Compare public reporting this quarter per the final 2017 HH PPS rule; pain assessment conducted, pain interventions implemented, pressure ulcer risk conducted, pressure ulcer prevention included in the plan of care; pressure ulcer prevention implemented, and heart failure symptoms addressed.

The Patient Care Star Ratings showed an increase of agencies in the 2.5 star rating category, and an decrease in the number of agencies with 4.5 stars. The national average Star Rating remained the same at 3.0 stars.

Visit our Home Health Compare page with drop downs to compare by state, by year, and by release date. You can also select comparisons for the top 10 percent or top 20 percent. We also provide a drop down to agency level for Star Ratings.

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The Trump administration has yet to define their strategies on home care and hospice, let alone on the entire American healthcare system as a whole. What is clear is that they want significant changes. What is not clear is what this means. Stay tuned!

Within this framework, we do have thoughts. In the big arena, we believe that the core vision and components of Obama Care will stay. We do not believe that the Trump administration will drop 20 million Americans from insurance. They will not eliminate care for those with pre-existing conditions. And, they will not eliminate the right of children to stay on their parents’ plans until age 26. Neither the incoming President nor the new Congress are advocating these changes.

But, change is coming. We are moving into a time of uncertainty, major uncertainty. And, within the framework of uncertainty, there are a number of realities that meet our criteria of high probability and high impact. Here are five predictions with recommendations. Read full article, Predictions in an Unpredictable Year – 2017

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As this year comes to a close we would like to acknowledge the home health and hospice agencies that have received Fazzi’s 2016 Patient Satisfaction Award of Distinction. The HHCAHPS and Hospice CAHPS Top 25 award is presented annually to organizations that subscribe to Fazzi’s Patient Satisfaction Service and have demonstrated superior performance in overall patient and family satisfaction results.

These national best practice agencies are proven leaders and have placed in the top 25% of Fazzi’s patient and family satisfaction national database based on a comparative analysis of overall satisfaction. We are incredibly proud of these agencies’ significant accomplishments and pleased to be their partner in one of the most important quality initiatives.

To view the 2016 HHCAHPS recipients, click here. To view the 2016 Hospice CAHPS Top 25 recipients, click here. For more information about our HHCAHPS and Hospice CAHPS services contact us today, info@fazzi.com or 1-800-379-0361.

stopwatchHere is an important data point for you to consider as you assess the quality and productivity of your coding function…

In an abbreviated Coding/OASIS review of 23 M Items, the coder needs to answer 171 data points accurately. And to meet acceptable productivity standards, they must do so wi
thin 34-38 minutes.

How important are 171 data points in 23 M Items? Critically important — They impact your current reimbursement, published outcomes, future reimbursement, and future take backs.

This is just one of the reasons why so many agencies are choosing to outsource. According to the latest National Home Care and Hospice State of the Industry Study, 29.4% of agencies larger than $500,000 in Medicare revenue are outsourcing their coding — a number that has more than tripled since 2014.

Coding is a specialized, time sensitive skill that can be difficult for individual agencies to maintain at a reasonable cost with high quality. That’s why there’s Fazzi coding services – we’re the largest coding company serving home health and hospice.

If you would like to discuss the potential of ROI outsourcing your coding to Fazzi, please contact us today. 2017 is almost here!

Webinar, Emergency Preparedness for Home Health Agencies: Final Rule

Thursday, Dec. 8, 2016, 1:00 – 2:00 PM EST
1.0 Contact Hour

Home health and hospice agencies have a new Condition of Participation. After three years of waiting, the final rule for Medicare and Medicaid Programs, Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers, was finally posted in September.

The Emergency Preparedness Rule outlines the requirements for all providers and suppliers in regards to planning, preparing and training for emergency situations. The rule includes emergency plans, communication and accountability requirements as well as the training of staff. The rule goes into effect November 16, 2016. Home health and hospice providers must have an emergency plan in place when this rule takes effect and must comply and implement all regulations one year after the effective date (November 16, 2017).

The time to begin preparing is now! Join us for a 1-hour live webinar where we’ll review the new rule and discuss best practice strategies for implementing a solid Emergency Preparedness program in your agency.

Sign up today and receive a free Emergency Preparedness Checklist: A step by step guide for implementing a successful Emergency Preparedness program in your organization.

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