Home Health Value-Based Purchasing – What scores should I be shooting for?

June 05, 2018 Home Health
With the second performance year (CY 2017) of HHVBP over, I wanted to see how the year over year measure outcomes changed across our SHP national database. Comparing the same agencies year over year it appears both HHVBP states and Non-VBP states improved about the same on their average outcomes and process measure scores with little change in the HHCAHPS scores. Notice that with a few exceptions, VBP agencies had better outcomes than their non-VBP state agency peers. I expect CMS has noticed that too. In deciding what scores you want to target, it is best to know what percentile rank you want to realistically achieve.

Hospice Proposed Rule has QRP Updates with no HEART

May 03, 2018 Hospice
On April 28th, CMS issued the FY 2019 Hospice Payment and Quality Reporting proposed rule. Along with the typical annual payment updates, there were new proposals to the Hospice Quality Reporting Program (HQRP) for consideration, but no mention of the Hospice Evaluation and Reporting Tool (HEART).

CMS Open Door Forum concludes a busy news month

March 06, 2018 Home Health
On February 28th CMS ended the month hosting their regular Home Health Open Door Forum with some very notable updates to the home care industry. With little fanfare and during the Q&A portion, CMS responded to a question regarding the timing of the new OASIS forms as OASIS-D!

National Home Infusion Association (NHIA) and Strategic Healthcare Programs (SHP) to Collaborate on Collection of Industry Data to Enhance Patient Care

The partnership between NHIA and SHP supports the association’s longstanding Data Initiative effort created to collect and report patient outcomes data in a standardized manner and to provide the industry with the tools needed to establish national benchmarks for home infusion quality. Utilizing its web-based, automated, real-time data solution for home infusion pharmacies, SHP will work with NHIA to collect, aggregate, and report data from any eligible provider that can be used to establish future national standards for the field.

CMS confirms changes to Quality of Patient Care (QoPC) Star Ratings

December 24, 2017 Home Health
At their December 14th HH QRP webinar, CMS announced the deletion of the Influenza Immunization Received for Current Flu Season measure from the algorithm in calculating the home health Quality of Patient Care (QoPC) Star ratings. CMS made this after the month-long comment period ended in November 2017. The change will take effect in the April 2018 Home Health Compare (HHC) refresh.

HHGM is not finalized — but here are the final rule changes you still need to know

November 07, 2017 Home Health
The CY 2018 Home Health Payment System Rate final rule was published last week and CMS announced the news the industry was hoping to read – “We are not finalizing the implementation of the Home Health Groupings Model (HHGM) in this final rule.” Below are a few other highlights from the final rule related to the Home Health Value Based Purchasing (HHVBP) program, Home Health Quality Reporting Program (HHQRP) and the changing HH PPS case-mix weights (CMW).

Hospice Compare is live! Now what?

October 05, 2017 Hospice
The Centers for Medicare and Medicaid Services (CMS) released the new Hospice Compare website in August. The data shows how important it is to track and manage your performance improvement program with real-time scores. With a 9 month delay expected in Hospice Compare data, your scores today will be part of the CMS benchmark through June 2019. Hospices should evaluate their highest and lowest performers for identifying best practices and remedial training accordingly.

What’s next – OASIS-C3 or OASIS-D?

August 15, 2017 Home Health
The big news in the latest proposed rule for HH PPS was the Home Health Groupings Model (HHGM). Along with the typical recalibration to case-mix payments and case weights, did you see the significant proposals regarding the Home Health Quality Reporting Program (HH QRP)? Almost a third of the 389 pages in the rule were in regard to the HH QRP.