Home Health & Hospice Articles by Topic: Quality care

How can our agency get started on implementinga clinical documentation improvement (CDI) program? We already have a CDI specialist/committee to lead the effort. How can we rally in external sources of better documentation?

• Homecare Q&A, Issue 15, August 3, 2017

  The first decision for the CDI committee is to establish which CDI program model to adopt. The...

Agencies' payments will drop in 2018

• Homecare E-News, Issue 29, July 31, 2017

  While the HHGM is the most significant long-term change for agencies’ payments, in the short...

New PEPPER available for home health agencies, CMS updates to Home Health Compare

• Homecare E-News, Issue 28, July 21, 2017

  New Program for Evaluating Payment Patterns Electronic Reports (PEPPERs) through CY 2016 are...

Very few 5-star agencies in quality of care have been on top since the beginning

• Homecare E-News, Issue 28, July 21, 2017

  Only a select group of 43 agencies that earned 5 stars in quality of care July 12 have remained on...

We are looking to decrease our rehospitalization rate but we do have a decent number of patients with multiple chronic conditions. What can we do? Can telehealth help? Some of our patients are so frail.

• Homecare Q&A, Issue 14, July 17, 2017

  It’s true that you will struggle. A study of hospitalizations using a national all-payer...

What does a psychosocial assessment need to include?

• Homecare Q&A, Issue 14, July 17, 2017

   The CoPs make clear that the plan of care will continue to be based on the comprehensive...

How can we improve on timely initiation of care?

• Homecare Q&A, Issue 14, July 17, 2017

  As part of a monthly or quarterly quality assurance review, agencies should closely monitor...

Implement a strong performance improvement project as part of QAPI

• Homecare Direction, Issue 7, July 10, 2017

  Your agency has gone through the quality assessment piece of QAPI and identified areas that need...

Approximately one million fewer Americans suffering from dementia

• Homecare E-News, Issue 45, November 28, 2016

  Between 2000 and 2012, dementia rates among U.S. seniors show a significant decline, dropping from...

Physical activity for patients with chronic illnesses

• Homecare E-News, Issue 44, November 21, 2016

  Physical activity is a cornerstone of health, even for people with multiple chronic conditions...

IMPACT Act comments due on new measure for home health

• Homecare E-News, Issue 44, November 21, 2016

  The call for public comment on the IMPACT Act of 2014’s cross-setting quality measure on...

In Focus: Authors of study suggest framework for optimizing home health value

• Homecare E-News, Issue 40, October 24, 2016

  The final report from the Alliance for Home Health Quality and Innovation (AHHQI)’s Future...

Is skilled nursing administering allergy injections sub-q twice a week or weekly to a patient (due to no willing or available caregiver) a covered skill under CMS guidelines?

• Homecare Q&A, Issue 18, September 17, 2016

  Medicare will pay for administration of these injections with the proper circumstances and with...

Question on physician interactions and medication reconciliation...

• Homecare Q&A, Issue 17, September 3, 2016

  Remember, as an agency, you must follow the strictest of the guidelines, including your agency...

Do only CWCN credentials give you necessary authority/scope to answer OASIS questions differently than the scope of a registered nurse with no wound training?

• Homecare Q&A, Issue 16, August 22, 2016

  Our agency is in the process of evaluating wound certification courses for our nursing staff. We...

We just want to confirm that a patient coming to us from a SNF who then goes back to the SNF does not count in hospital readmission data.

• Homecare Q&A, Issue 16, August 22, 2016

  All acute care hospitalizations are “counted;” however, a SNF admission would not be...

How can I teach my staff to avoid unprofessional behavior?

• Homecare Q&A, Issue 15, August 3, 2016

   To start, define unprofessional behavior for them. Most employers consider some behaviors...

Inside story | Star ratings

• Homecare E-News, Issue 29, August 1, 2016

  CMS created the five-star rating systems to assist patients, families, and caregivers in...

Weekly Roundup

• Homecare E-News, Issue 28, July 25, 2016

  In this week's roundup: New HHA PEPPER is now available. A new release of the Program...

We've begun a new robust reporting system, including incident reporting, and would like to take advantage and share our process and outcomes data with our staff. How do you suggest going about this, and what do we need to keep in mind?

• Homecare Q&A, Issue 12, June 17, 2016

  Now that leadership has the data, what to do with it? First and foremost, give the data to the...

In Focus: Senators introduce Compassionate Care Act

• Homecare E-News, Issue 21, May 23, 2016

  United States Senators Richard Blumenthal (D-CT) and Shelley Moore Capito (R-WV) recently...

Weekly Roundup

• Homecare E-News, Issue 21, May 23, 2016

  In this week's roundup: Overtime laws could change the game for home health: The Department...

Inside story | Define quality

• Homecare E-News, Issue 20, May 16, 2016

  Editor’s note: This week’s Inside story is from Quality Care in Home Health: Improving...

In Focus: Strategies for fighting "quality fatigue"?

• Homecare E-News, Issue 19, May 9, 2016

  Is the constant haranguing about “quality” getting to you? You’re not alone...

Weekly roundup

• Homecare E-News, Issue 19, May 9, 2016

    DoJ: Thousands deprived of home care options: South Dakotans with disabilities do not...

Inside story | Ensure compliance with IC regulations

• Homecare E-News, Issue 15, April 11, 2016

  The home health Conditions of Participation outline CMS’s expectation that the agency will...

What are some standardized approaches to care planning?

• Homecare Q&A, Issue 7, April 4, 2016

  Although it plays an important role in care planning, delivery, and coordination, the care plan...

Weekly Roundup

• Homecare E-News, Issue 13, March 28, 2016

  The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) has launched...

Weekly Roundup

• Homecare E-News, Issue 12, March 21, 2016

  The CMS Office of Minority Health last week unveiled a snapshot of chronic disease-related service...

I just learned I'm in one of the nine states required to abide by value-based purchasing (VBP)! What do I need to know?

• Homecare Q&A, Issue 6, March 18, 2016

  I just learned I'm in one of the nine states required to abide by value-based purchasing (VBP...

What are some plan of care pitfalls to avoid?

• Homecare Q&A, Issue 4, February 18, 2016

  What are some plan of care pitfalls to avoid?

Weekly roundup

• Homecare E-News, Issue 7, February 15, 2016

  CMS intends to start a Medicare Probable Fraud Measurement Pilot for home healthcare services...

What are the key aspects of medication reconciliation, and how can we improve?

• Homecare Q&A, Issue 2, January 18, 2016

  Although there are many ways to develop a medication reconciliation program at a particular...

Inside Story | Cerebrovascular disease (stroke) care

• Homecare E-News, Issue 2, January 11, 2016

  When working with stroke patients, you are responsible for several types of observations. First...

What are the legal risks with telehealth?

• Homecare Q&A, Issue 1, January 3, 2016

  Telehealth devices are becoming more common in the area of home healthcare. It is important for...

Patients who experience a decline in their condition upon their discharge from home health are impacting our outcome scores.

• Homecare Q&A, Issue 1, January 3, 2016

  You are correct, M1034 is risk adjusted. Please be sure clinicians are answering response “3...

Inside Story | Pain management for cancer patients

• Homecare E-News, Issue 50, December 21, 2015

  Chemotherapy drugs can damage nerves, which causes burning, numbness, tingling, or shooting pain...

Where do we begin with implanting best practices? What benefits come with doing so?

• Homecare Q&A, Issue 24, December 17, 2015

  In simplest terms, a best practice is a process or procedure that consistently produces superior...

In Focus | Understanding value-based purchasing in the final rule

• Homecare E-News, Issue 49, December 14, 2015

  Although the final rule contained several notable changes to the proposed VBP pilot set to launch...

Weekly Roundup

• Homecare E-News, Issue 49, December 14, 2015

  The Centers for Medicare & Medicaid Services (CMS) will host an open door forum on Thursday...

Weekly Roundup

• Homecare E-News, Issue 46, November 23, 2015

  Vets waiting, even dying, for home health care; telemedicine gains momentum After the Inspector...

In Focus | 2016 Home Health Final Rule Released

• Homecare E-News, Issue 43, November 2, 2015

  After receiving 118 comments from the public during the official comment period, the Centers for...

The Weekly Roundup

• Homecare E-News, Issue 43, November 2, 2015

  Final Rule Released After receiving 118 comments from the public, the Centers for Medicare &...

The Inside Story | Staff education on infection control

• Homecare E-News, Issue 40, October 19, 2015

  Care delivered according to infection control guidelines is the most effective tool available for...

What are some approaches patients may try to implement themselves to overcome swallowing difficulties, and what are more effective alternatives?

• Homecare Q&A, Issue 20, October 16, 2015

  What are some approaches patients may try to implement themselves to overcome swallowing...

What kind of events count as "potentially avoidable"? What will and should be in the CASPER Outcome-Based Quality Improvement Report?

• Homecare Q&A, Issue 20, October 16, 2015

  What kind of events count as "potentially avoidable"? What will and should be in the...

Can we provide two home health aides to provide care for a quadriplegic patient?

• Homecare Q&A, Issue 19, October 2, 2015

  Can we provide two home health aides to provide care for a quadriplegic patient?

Can you please explain what specifically needs to be under the supervisions of licensed professionals?

• Homecare Q&A, Issue 19, October 2, 2015

  Can you please explain what specifically needs to be under the supervisions of licensed...

What should be our frequency of visits?

• Homecare Q&A, Issue 18, September 17, 2015

   We have an 87-year-old woman who was referred by the wound care center for care of a wound...

We discharged a patient who then resumed services. Are we going to have troubles receiving reimbursement?

• Homecare Q&A, Issue 17, September 8, 2015

  If an agency discharges a patient and that patient resumes services, there may be questions about...

We are looking for a checklist for our case conferences within our agency. Any tips?

• Homecare Q&A, Issue 14, July 16, 2015

  Because there is no requirement to conduct case conferences, agency policy should...

What content would be in a best practice statement for homecare providers?

• Homecare Q&A, Issue 13, July 2, 2015

  AA best practice should identify clinical actions—assessment, teaching, procedures...

Homecare Q&A

• Homecare Q&A, Issue 13, July 2, 2015

  July 3, 2015

How will OASIS-C1/ICD-10 differ from the data set iteration currently in use?

• Homecare Q&A, Issue 0, June 9, 2015

   To accommodate the extended effectiveness of ICD-9 after the Protecting Access to Medicare...

Can a single physical therapy visit determine a need for occupational therapy that is covered under Medicare?

• Homecare Q&A, Issue 10, May 17, 2015

  Can a single physical therapy visit determine a need for occupational therapy that is covered under...

What does the proposed standard Patient Care 485.65: Quality Assessment & Performance Improvement mean for my agency?

• Homecare Q&A, Issue 9, May 3, 2015

  My agency has been reviewing the proposed Conditions of Participation (CoP). We are looking at the...

Is it an appropriate use of Medicare to do three weeks of assessment and venipuncture for a patient hospitalized with deep vein thrombosis (DVT)?

• Homecare Q&A, Issue 9, May 3, 2015

  Is it an appropriate use of Medicare to do three weeks of assessment and venipuncture for a patient...

Does the start of the VFOs for the HCA need to begin on the day of the new cert period, or can it begin the following week?

• Homecare Q&A, Issue 7, April 3, 2015

  You can write orders for when the services begin.

Any tips for preventing future legal fallout in such cases?

• Homecare Q&A, Issue 7, April 3, 2015

  Unfortunately, when a fall occurs in the presence of agency staff, people assume that it...

Will home health remain exempt from overtime compensation in most circumstances like it has for 40 years?

• Homecare Insider, Issue 1, January 5, 2015

  Will home health remain exempt from overtime compensation in most circumstances like it has for 40...