April Compliance Newsletter

According to the latest National State of the Industry Report™, agencies that were the highest performers on home health compare outcomes, conducted an employee engagement survey every two years or more often. Conducting regular employee engagement surveys is a best practice for a well-run agency, evidenced by the fact above – and because employee engagement contributes to retention which has become a critical issue for our industry.

What are some of the key takeaways from Fazzi’s employee engagement database? One important finding is that Home Health and Hospice employees give their leadership low scores. Analysis of our employee engagement database shows that the Leadership Doman scores are the second lowest after Compensation and Benefits (which are always the lowest). This graph shows the relative results among the domain areas.

Factors such as communication, having a voice in decision making and alignment between management and staff are among the ingredients that contribute to the ratings employees give their leadership.

Fazzi’s Employee Engagement service, the only survey specifically created for home health and hospice agencies, analyzes composite scores for each of the areas shown above to identify which should be the targets for improvement. Within those areas, you can also single out specific improvements. Then, the action steps can be planned to bring about needed improvements.

Want to know how your agency measures up? Contact us today

Changes Coming to OASIS in 2019!

CMS has posted the new OASIS D instrument and a supporting statement at this link. The revisions effective January 1, 2019 are intended to comply with the 2014 IMPACT Act.

Changes to the assessment are extensive. CMS is removing 235 data elements across all OASIS items as a part of the Paperwork Reduction Act, however 6 new questions with multiple data items are added. For example, at Start of Care 75 data elements are removed, however 65 new elements are added.

Fifteen of the 28 OASIS questions removed provided risk adjustment for publicly reported outcomes. This means accuracy in the responses to remaining OASIS questions will be even more essential. Competence in OASIS-C2 will set the stage for success with OASIS D. Our OASIS Package available through The Fazzi Learning Center will automatically be updated with the changes and all Fazzi Learning Center customers will receive a free “crosswalk” training on the changes during the fall of 2018. If you’re not already a Fazzi Learning Center customer and would like to learn more, please click here.

Projected Supply and Demand for Key Positions in Home Care and Hospice

Home care and hospice will always compete with other sectors of healthcare for employees. That means that regardless of supply, agency leaders need to develop a wide range of strategies to attain and maintain optimal staffing levels. Visit Fazzi’s Workforce Data page, a one-stop resource to view state by state data on Registered Nurses (RNs), Home Health Aides (HHAs), Personal Care Aides (PCAs), Licensed Practical Nurses (LPNs),  Licensed Vocational Nurses (LVNs) and Physical Therapists (PTs).

View Workforce Data

OASIS D: What the Future Holds – Complimentary Webinar

APRIL 11 @ 1:00 PM1:45 PM EDT – FULL

APRIL 12 @ 12:00 PM12:45 PM EDT – Registration OPEN

Free

Presented by Anita Werner, RN, BCHH-C, COQS, Senior Compliance Consultant at Fazzi Associates

As we recently announced, CMS recently posted the new OASIS D instrument and a supporting statement. Changes to the assessment are extensive and will be effective January 1, 2019. Agencies need to begin thinking about their transition plan now in order to ensure success in the new year.

Join us for a complimentary webinar session where we’ll provide a brief overview of the changes, discuss what impact we think the new OASIS will have on agencies, and provide suggestions for becoming OASIS D ready by January 1st.

Register Now

Informational Webinar: Learn About Case Management Credentials

Get your questions answered in this informational webinar recording

You will learn:
• Why are these credentials important?
• What’s in the preparation course?
• What does the exam cover?

View the Informational Webinar Recording

The next online preparation course for the Certified Home Health Case Manager (CHHCM) and the Certified Hospice Case Manager (CHCM), begins April 23. Register by April 15th to receive the preparation course and exam package for $399 (save $100). Agencies that register 10 or more people for this package are eligible for a further discount of $375 per seat.

Case Management Certification Preparation Course Begins April 23

case management credentials

The next preparation course for our industry’s only Case Management Certifications, the Certified Home Health Case Manager (CHHCM) and the Certified Hospice Case Manager (CHCM), begins April 23. Instructed by Cindy Campbell, a nationally recognized leader, speaker and management consultant to the full continuum of healthcare at home.

  • Early bird pricing for the course and exam package is $399 for one exam through April 15. 
  • Agencies that register 10 or more people for this package are eligible for a further discount of $375 per seat. 

View FAQ and Register

Why are these credentials so valuable:

  • Because case management proficiency is central to Quadruple Aim: enhancing the patient experience, lowering costs, managing burgeoning populations while increasing joy in the work itself.
  • Because the new Home Health Conditions of Participation (CoPs) and the expanding Hospice Item Set (HIS) and other regulatory changes require new levels of expertise. Today, case managers must master goal directed, patient centered care planning; clinical best practices; interdisciplinary team management; time management; documentation and more – all while putting the patient first and, yes, loving the job!
  • These credentials demonstrate that a person possesses the knowledge and expertise to perform this critically important function.

About the CHHCM and CHCM:

  • These credentials can be achieved by taking the CHHCM and/or CHCM examination online through the Fazzi Learning Center.
  • An eight-week online preparation course for these examinations begins April 23.
  • With the bundle package, participants may choose the Home Health Track or the Hospice Track or they may do both. They may also choose to take the CHHCM exam or the CHCM exam or pay a small upgrade fee to do both.
  • Certificate holders get a wealth of free resources. You’ll enter a collaborative community of case management professionals and receive ongoing complimentary best practice webinars and other resources.
  • Participants will be inspired by course instructor Cindy Campbell’s expertise, energy and zeal for case management (even those who may fear that outstanding case management is becoming a “lost art”).

Congratulations to Fazzi’s Inaugural Class of Certified Case Managers

case management credentials

We’re pleased to announce and congratulate the inaugural class of Certified Home Health Case Managers (CHHCM) and Certified Hospice Case Managers (CHCM) for earning a passing score on these certification examinations.

View Current List of CHHCM and CHCM Certificant

The role of the Case Manager has become even more critically important with the new Home Health Conditions of Participation (CoPs), the expanding Hospice Item Set (HIS) and the need for every agency to improve quality while lowering costs. These certifications are the only Case Management credentials specifically designed for Home Health and Hospice.

Congratulations to these certificants for passing the rigorous CHHCM and/or CHCM examinations that were developed, reviewed, beta tested and psychometrically analyzed by industry leading case management experts.

Our next offering of the 8-week online preparation course and exam bundle begins April 23. We have received terrific feedback about this course such as this customer comment…

“I have been in HH for over 16 years. Perhaps it is a time in my life where all of the puzzle pieces of HH are fitting the board, yet I am amazed at how much I am enjoying, learning and being validated through this course. It is done with such professionalism and compassion. I just want to extend a heartfelt Thank You to the entire team that produced this rich product. It is truly a blessing for the HH industry.”

 -Marie Guthrie

For more information about the CHHCM and CHCM, please click the link below or contact us at info@fazzi.com or 800-379-0361.

Learn More/View the Comprehensive FAQs

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

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.