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Page 1: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 2: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 3: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

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Page 4: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

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Page 5: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

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Page 6: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

Page 7: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

Page 8: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 9: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

Page 11: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 12: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 13: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 14: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 15: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

Addresses HHA OASIS submission,

error and patient roster reports

Addresses patient-related

characteristics, outcome measures,

process measures, potentially

avoidable event measures, trend

analysis, and review/correct reports.

Addresses surveyor, deficiency tag,

report locator, and template-listing

reports

Page 16: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

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Page 17: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

Claim-Based data: >7 months “lag” time

OASIS-Based data: 3 months “lag” time

To start: Obtain a full year performance data

then quarterly (or less) when monitoring progress/end

result

Page 18: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 19: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 20: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 21: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 22: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

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Page 23: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 24: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

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Page 25: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

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Page 26: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 27: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 28: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 29: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

“ ”

Page 30: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 31: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

HIGH probability that the

difference was due to chance/Low

Probability the difference is REAL

> 0.10 (10% or more)

Not a good priority in

PIP list

LOW probability that the

difference was due to chance/

High Probability the difference is

REAL

Focus on these outcomes/measures

0.06-0.10 (6%-10%) (*)

0.00-0.05 (1%-5%) (**)

Page 32: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 33: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

For All End Result Outcomes: The Goal is for “HHA Obs” rate to be higher than “Nat’l Obs” rate.

Page 34: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

For Utilization AND Claim-Based Outcomes: The Goal is for “HHA Obs” rate to be lower than “Nat’l Obs” rate. Let’s practice (pg 5-6):

Which outcomes would be Top 1?

Page 35: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

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Page 36: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

Let’s practice (pg 1-2): Does this report warrant PIP ?

Page 37: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 38: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

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To start: Obtain a full year submission data then

quarterly (or less) when monitoring progress

Page 39: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

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To start: Obtain a full year submission data then

quarterly (or less) when monitoring progress

Page 40: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months

Page 41: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 42: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 43: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 44: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months
Page 45: PowerPoint Presentation - ACHCU...analysis, and review/correct reports. Addresses surveyor, deficiency tag, report locator, and template-listing reports 16 Claim-Based data: >7 months