Webinar recap: Home Health Conditions of Participation

 In Home Health, Industry News, Regulatory

The changing landscape of home healthcare is about to change even more – but we’re here to help! We recently launched a webinar series that will help keep your home health agency educated on the programs, regulations and business strategies that can impact the bottom line. Our first webinar topic was value-based purchasing, and on March 21st, we held a webinar aimed at explaining the new CMS Home Health Conditions of Participation with our partners Healthcare Synergy and their regulatory expert, Michael Tidd.

Here’s what you missed if you haven’t yet listened to the webinar recording:

The basics of the Conditions of Participation

The recently published Conditions of Participation reflect the first update since 1997, so many would argue that they are long overdue. However, being published in January, they are effective with just six months to prepare. All provisions except for one QAPI standard will take effect July 13, 2017  January 13, 2018. This means that consultants, software vendors, and agencies have very little time to ensure compliance. While we’ve heard speculation that there is a chance the new effective date could be delayed (alert- a Proposed Rule would delay the  2017 Home Health Conditions of participation until January 13, 2018), we believe that preparation is a must and that we must assume that no postponement will occur.

The actual publication put forth by CMS can be found here. In it, you’ll find that there are changes in many key areas:

  • Definitions
  • Patient Rights
  • Comprehensive Assessment
  • Care Plan
  • Quality Assessment (QAPI)
  • Infection Control
  • Skilled Services
  • Home Health Aide
  • Organizational Environment
  • Clinical Record
  • Personnel Qualifications

Key Changes in the new Conditions of Participation

  • Raises Governing body and Administrator involvement and
    accountability
  • Creates Clinical Manager designation
  • Expanded Patient Rights
  • Increased focus on Care Coordination and Care Planning
  • Expanded Assessment and Plan of Care Requirements
  • Creates Summary and Time Frame requirements for Transfer and Discharge
  • Changes Supervision and Training requirements for Home Health Aide

Five New Focuses in the New CoP’s

  • Increase focus and enforcement of patient rights
  • Increase quality of care through monitoring of assessment data for performance improvement specific to each agency
  • Removes administrative focus of projects that lack adequate evidence of predicting or obtaining improved or preventing harmful patient outcomes.
  • Use an improved patient centered, interdisciplinary coordination of care to help meet the needs of the patient.
  • Build a continuous, integrated care process utilizing all disciplines for a patient assessment, care plan and delivery to provide improved quality and performance.

Keys to success and next steps

Between now and then, monitor resources and become educated. Examine your processes against the new requirements, involving staff from intake, nursing, QA, and administration. While CMS should publish guidelines soon that will hopefully give us more clarity, we recommend taking action now rather than waiting. As an additional resource, DeVero has built a page of Home Health Conditions of Participation Resources that will update as information becomes available. Other webinars and resources are listed as well.

This spring, if your state association is offering an annual conference, there should be numerous resources presented there. We recommend attending for the education and networking.

Check out the full webinar recording for more detail and insight into HHVBP. Downloads are available here.

If you have trouble accessing the material, please email Robert Love at robertl@devero.com.

For more information on the entire DeVero webinar series, visit here.

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HHVBP webinar recapHome Health regulations CMS