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Home Health Agencies

Home Health Agencies. Melia Belonus, Director Bureau of Community Program Licensure & Certification Cindy Boyne, Director Division of Home Health. Number of Home Health Agencies. 2007 379 2008 401 2009 410 2010 434 4/30/11 447 384 are Medicare certified.

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Home Health Agencies

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  1. Home Health Agencies Melia Belonus, Director Bureau of Community Program Licensure & Certification Cindy Boyne, Director Division of Home Health

  2. Number of HomeHealth Agencies • 2007 379 • 2008 401 • 2009 410 • 2010 434 • 4/30/11 447 • 384 are Medicare certified

  3. Top 5 Home Health Deficiencies • Plan of Care (G0159) • Conformance with Physician Orders (G0165) • Acceptance of Patients, POC, Med Sup (G0158)

  4. Top 5 Home Health Deficiencies • Plan of Care (G0160) • Compliance with Fed, State, Local Laws (G0118)

  5. New HHA Survey Protocols • Focus – Data driven survey • Changes scope of standard survey • Evaluates 9 of 15 Conditions • Patient –focused, outcome –oriented • Limited paper review • Review of outcome data prior to survey • HHA Survey Investigation Worksheets

  6. New HHA Survey Protocols • Efficient: • Increased use of HHA interview, data • Paper review limited to PE or Extended • Guidelines for citation of deficiencies • Effective: • Targeted patient care standards • Enhanced consistency in deficiency citations

  7. Survey Protocols • Standard survey – Level 1 standards • Most relate to patient care processes • Partial Extended survey – Level 2 standards • Guidelines for further investigation • Condition level guidance • Related conditions for further investigation • Extended survey – condition cited, all examined

  8. Standard Survey Protocols • Level 1 standards • Focus on delivery of quality patient care • Address 9 of 15 Conditions • Increased use of interviews • Minimal need to review non-clinical paper • Compliance with all Level 1 – survey ends

  9. Standard Survey Expands • Expected outcomes not met for 1 or more Level 1 standards • Surveyor recognizes other issues • Survey becomes Partial Extended survey • Level 2 standards are evaluated • Surveyor discretion -Review additional standards under same condition or related conditions

  10. 484.10 Patient Rights Standard Survey Partial Extended Survey

  11. Condition Level Deficiencies • Guidelines for citing conditions • Guidelines, not requirements • May be cited for serious findings unrelated to Level 1 or 2 standards • Immediate jeopardy - always condition • Extended survey – all conditions reviewed

  12. Number of Hospice Agencies • 2006 147 • 2007 163 • 2008 171 • 2009 179 • 2010185 • 25 In-patient facilities

  13. Top 5 Hospice Deficiencies New COP’s • Plan of Care (L543) • Update of Comprehensive Assessment (L533) • Time Frame for Assessment Completion (L523) • Content of Comprehensive Assessment (L524) • Content of Plan of Care (L547)

  14. Hotline

  15. Home Health Complaints – 4/1/10 – 3/31/11 • Total # HHA – 447 • # HHA w complaints – 46 • % HHA w Complaints – 10% • Total # Complaints - 54 • Substantiated - 19 • Unsubstantiated - 35 • %Substantiated - 35%

  16. Hospice Complaints 4/1/10 – 3/31/11 • Total # Hospices – 185 • # Hospices w Complaints – 23 • %of Hospices w complaints – 12% • Total # Complaints - 24 • Substantiated – 6 • Unsubstantiated – 18 • % Substantiated – 25%

  17. Helpful Tips • Event Reporting System (ERS) • Chapter 51 reporting requirements • Unique login online submission of events • Message Board • www.health.state.pa.us/facility • Log in NOT required • Announcements, updates, alerts • ERSUser’s manual available

  18. OASIS • Top Online Resources • OASIS Implementation Manual - www.cms.hhs.gov/OASIS/05_UserManual.asp • CMS Q&As - https://www.qtso.com/hhadownload.html • OASIS Certificate & Competency Board - www.oasiscertificate.org

  19. OASIS • Pa OASIS Education Coordinator • Duane Sapar (dsapar@state.pa.us) or • Michael Hodge (mhodge@state.pa.us) They can be contact at (717) 783-1379

  20. Contact • Department of Home Health • http://www.health.state.pa.us • Division of Home Health 132 Kline Plaza, Suite A Harrisburg, Pa 17104 717-783-1379

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