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Home Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell January 19, 2017

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Page 1: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Home Health Conditions of Participation

Visiting Nurse Associations of America

Joy M. Cameron and Robert Wardwell

January 19, 2017

Page 2: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Background on CoPs

Timing

Changes – Section Review

Request for Feedback on Implementation

Q&A

Resources

Overview

Page 3: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Conditions of Participation (CoPs)

Updated after almost 20 years

Some variations from proposed rules

Background on CoPs

Page 4: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Official released on January 13, 2017

Implementation date of July 13, 2017

Except for Performance Improvement Projects reflecting scope, complexity and past performance of HHA and document projects, reason for conducting, and measurable progress – January 13, 2018.

Timing

Page 5: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Section Overview

Page 6: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Branch Office

Clinical Note

In Advance

Parent Home Health Agency

Primary Home Health Agency

Proprietary Agency

Public Agency

Representative

Subdivision

Summary Report

Supervised Practical Training

Verbal Order

Definitions

Page 7: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Ensure confidentiality of all patient data

Release of Patient Identifiable OASIS Information

Page 8: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Encoding and Transmitting OASIS Data

Accuracy of Encoded OASIS Data

Transmittal of OASIS Data

Data Format

Reporting OASIS Information

Page 9: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Notice of Rights

Exercise of Rights

Rights of the Patient

Transfer and Discharge

Investigation of Complaints

Accessibility

Patient Rights

Page 10: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Initial Assessment Visit

Completion of the Comprehensive Assessment

Content of the Comprehensive Assessment

Update of the Comprehensive Assessment

Comprehensive Assessment of Patients

Page 11: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Plan of Care

Conformance to Physician Orders

Review and Revision to Plan of Care

Coordination of Care

Written Information to Patient

Care Planning Coordination of Services, and Quality of Care

Page 12: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Program Scope

Program Data

Program Activities

Performance Improvement Projects

Executive Responsibilities

Quality Assessment and Performance Improvement

Page 13: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Prevention

Control

Education

Infection Prevention and Control

Page 14: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Provision of Services by Skilled Professionals

Responsibilities of Skilled Professionals

Supervision of Skilled Professional Assistants

Skilled Professional Services

Page 15: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Home Health Aide Qualifications

Content and Duration of Home Health Aide Classroom and Supervised Practical Training

Competency Evaluation

In-Service Training

Qualification for Instructors Conducting Classroom and Supervised Practical Training

Eligible Training and Competency Evaluation Organizations

Home Health Aide Assignments and Duties

Supervision of Home Health Aides

Individuals Furnishing Medicaid Personal Care Aide-Only Services Under a Medicaid PC Benefit

Home Health Aide Services

Page 16: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Disclosure of Ownership and Management Information

Licensing

Laboratory Services

Compliance with Federal, State, and Local Laws and Regulations Related to the Health Safety of Patients

Page 17: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Emergency Plan

Policies and Procedures

Communication Plan

Training and Testing

Integrated Health Care Systems

Emergency Preparedness

Page 18: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Governing Body

Administrator

Clinical Manager

Parent-Branch Relationship

Services Under Arrangement

Services Furnished

Outpatient Physical Therapy or Speech-Language Pathology Services

Institutional Planning

Organization and Administration of Services

Page 19: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Contents of the Clinical Record

Authentication

Retention of Records

Protection of Records

Retrieval of Clinical Records

Clinical Records

Page 20: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Administrator

Audiologist

Clinical Manager

Home Health Aide

Licensed Practical (Vocational) Nurse

Occupational Therapist

Occupational Therapy Assistant

Physical Therapist

Physical Therapist Assistant

Physician

Registered Nurse

Social Work Assistant

Social Worker

Speech Language Pathologist

Personnel Qualifications

Page 21: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Feedback on Implementation

Page 22: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Questions and Answers

Page 23: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Webinar – recorded for later access

PowerPoint

Link to the CMS Regulations with Comments

Link to the Federal Register version of the Regulations

Descriptive Overview of Changes

List of Changes from Proposed to Final

Side by Side (previous regulations / new regulation) *

* coming soon

Resources

Page 24: Home Health Conditions of Participation Overview Webinar 1 19 17.pdfHome Health Conditions of Participation Visiting Nurse Associations of America Joy M. Cameron and Robert Wardwell

Joy Cameron Vice President, Policy and Innovation

[email protected]

571-527-1536