The 2016-2017 National State of the Industry Report

Fazzi Associates, in collaboration with our National Steering Committee, is pleased to bring you the results of our latest best practice study for home care and hospice.  Derived from in depth interviews with 751 agency leaders representing every sector of our industry, this national study is the fourth of its kind and the most comprehensive in the history of home care and hospice.

The intention of the study is to provide information and insight to help all agencies improve quality, profitability, efficiency and patient satisfaction. That’s why we undertake and fund this project and that’s why we offer its findings for free.

The 49-page report covers more than 30 topics of interest to home health and hospice agency leaders, from use of telehealth and outsourced services to productivity, clinical team structure, employee engagement and much more.  Many of the findings clearly provide agency leaders with insights that may be of help to their agency.  Issues addressed include:

  • Clinical models that most impact quality and financial outcomes.
  • Role of accreditation on outcomes.
  • Staffing ratios and their impact on quality and financial outcomes.
  • Difference in outcomes by size or auspices or location.
  • Difference in outcomes based on payment models.
  • Impact and growth in outsourced coding and their implications.
  • Role of productivity on outcomes.
  • Biggest concerns by agencies.
  • Role of telehealth and other technologies on outcomes.
  • Impact of employee engagement surveys on employee retention.

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2013 National State of the Home Care Industry Study

Sponsored by Delta Health Technologies and HealthWyse, and co-sponsored by Community Health Accreditation Program (CHAP), The Joint Commision, NAHC Forum of State Associations, National Association of Home Care & Hospice (NAHC), and Fazzi Associates.

The 2013 National State of the Home Care Industry Study was the largest study in the history of home health and hospice designed to provide agency leaders with insights on industry best practices in three key areas:

  • IT/EHR
  • Telehealth/remote patient monitoring
  • Organizational practices

The goal of the State of the Home Care and Hospice Industry Study was to provide agency leaders with insights on industry trends and best practices for the future. The focus of the study was on the present and future use in the key areas of information technology, telehealth, electronic health records, operational practices, and an array of other issues all related to the future survival and viability of agencies.  The study also included insights into strategies used by agencies that are now participating with ACOs and other health reform models.

state of industry reportAccess the free report.

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The Ohio Move to Improve Campaign for Excellence

The Ohio Move to Improve Campaign for Excellence was a systematic effort to work with 100 Ohio agencies to help them achieve measurable improvement in their acute care hospitalization and management of oral medications by July 1, 2012.  It began on January 1, 2011.  The first six months included data collection, training on a proven improvement model, and support for developing a new, responsive clinical model to improve re-hospitalization outcomes.  From July 1, 2011 to June 30, 2012, participants were supported in making the right moves to improve the re-hospitalization outcome.  Results showed significant improvements in hospitalization reduction.

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National Study on Best Practices to Reduce Unplanned Hospitalizations

Sponsored by Delta Health Technologies.  Co-sponsored by National Association for Home Care & Hospice, Home Health Quality Improvement (HHQI) National Campaign, NAHC Forum of State Associations, American Physical Therapy Association, and Fazzi Associates, Inc. May, 2011.

The National Study on Best Practices to Reduce Unplanned Hospitalizations had two goals: First, to identify the best practices that are used by hospital-based and non hospital-based home care agencies to reduce unplanned hospitalizations.  Second, based on the findings, initiate a systematic effort that results in home care agencies not only learning about the best practice findings, but also adopting the findings.

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Delta National Excellence in Therapy Project

Sponsored by Delta Health Technologies and Co-Sponsored by the National Association for Home Care & Hospice, the Home Health Section of the American Physical Therapy Association, the Home & Community Health Special Interest Section of the American Occupational Therapy Association, the American Speech-Language-Hearing Association, and Fazzi Associates, Inc. April 2011.

This was the largest effort in the history of home care for therapy.  More than 80 clinical experts from around the nation spent nearly 50 hours working collaboratively through six topics important to the proper and consistent documentation of the medical necessity of therapy services and the use of therapy assistants.  The goal: to develop a shared set of recommended strategies, techniques, tips, etc. to help agency clinicians throughout the country more effectively manage their rehab services.

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Delta OASIS-C Best Practices Project

Sponsored by Delta Health Technologies, National Association for Home Care & Hospice, and Fazzi Associates, Inc. January 2010

More than 80 changes took effect with OASIS-C on January 1, 2010—the biggest revision in the history of OASIS.  This project brought together some of home care’s top clinicians from all 50 states in a national effort to support and improve the accuracy of our clinicians in using the OASIS-C data set.

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Philips National Chronic Disease Expert Design Project

Sponsored by Philips Telehealth Solutions, National Association for Home Care & Hospice, and Fazzi Associates, Inc. March 2009.

This project brought together a national panel of medical experts in chronic disease and leaders in home health care, with the objective to develop telehealth clinical protocols and best practices in care for the four leading chronic conditions.

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