COP's
In order to receive reimbursement from Medicare, Home Health agencies must abide by this set of 14 rules and their standards
What are conditions of participation (CoPs)?
The Medicare Home Health Compare program provides a star rating in these 2 categories. Name them.
What is Quality and Patient Satisfaction (or survey)?
St. Francis Homecare serves patients in these four counties.
What is Greenville, Spartanburg, Pickens, and Anderson?
2W4 indicates what number of visits for how many weeks?
What is 2 visits per week for 4 weeks?
Referrals go through an admission and registration process to begin a Home Health Episode. This process is known as __________.
What is Intake?
In addition to discipline-specific assessments, this process, designed by CMS meets the COP mandate that agencies provide " a patient specific process that accurately reflects the patient’s current health status and includes information that may be used to demonstrate the patient’s progress toward achievement of desired outcomes."
What is a Comprehensive Assessment (OASIS)?
This process includes review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, ineffective drug therapy, significant side effects,
interactions, duplicate therapies, and noncompliance with drug therapy.
What is a drug regimen review/medication reconciliation?
Licensing regulations require that we furnish patient care/treatment/services for both routine and _________ care (such as in the case of a disaster).
What is Emergency?
The number of hours we have to see a patient after we receive a referral for Home Health services.
What is 48 hours?
There are 2 types of Transfer OASIS assessments. Name them.
What is Transfer with Discharge and Transfer without Discharge?
The HHA must provide the patient with a written notice of their ______ in advance of furnishing care or initiating any treatments.
What are 'rights' or 'patient's rights'?
Home Health is a service between inpatient and outpatient. In order to qualify for Home Health services, patients must be __________ and require _________ intermittent services.
What is homebound and skilled?
Home Health Agencies must inform patients of their _______ which include at minimum: a description of the care to be provided, the opportunity to participate in care planning, the process for filing a grievance/complaint, specific coverage and non -coverage of services/liability for payment, telephone number, purpose, and hours of operation of the home health hotline.
What are rights?
The number of days in a certification period for a home health episode of care.
What is 60?
Josie, a nurse arrives for a patient visit with Mary and notes that she is having chest pain and extreme difficulty breathing. She calls EMS and Mary is transported to the Emergency Department where she is admitted as an inpatient later that day. This type of OASIS assessment needs to be documented.
What is a Transfer without Discharge?
This is the name of the final document pulled together that contains content inclusive of all diagnoses, a general summary of patient condition, needs, supplies, rehabilitation potential, prognosis, discharge plan, discipline visit frequency and problems/goals/intervention to address.
What is Home Health plan of care or 485?
The Consumer Assessment of Healthcare Providers and Systems for Home Health Care is sent to each of our patients and measures patient satisfaction of the care we provide. It is often abbreviated using this acronym.
What is HHCAHPS?
In the SC state licensing regulations, the plan of care is known as a 'treatment plan'. At St. Francis Homecare, we re-evaluate this plan every _____ days. The state licensing regulation gives us a couple more days, requiring re-evaluation be complete no later than every ______ days.
What is 60 and 62?
Face to Face assessments by providers must occur no more than this many days prior or this many days after a Home Health Episode Start of Care.
What is 90 days prior and 30 days after?
Dr. Jones referred Mary Smith to us for OT and SLP Home Health services. Which clinician would perform the Start of Care?
What is Speech Therapy?
This type of documentation evaluates the performance of the home health aide when they are involved in the patient's care and must occur at least every ____ days.
What is a Home Health Aide Supervision?
Per Medicare, OASIS assessments must be completed at various intervals in a Home Health Episode. Name 4 of those intervals.
What is (any 4 of these):
Start of Care
Resumption of Care
Transfer
Recertification
Discharge
Other Follow-Up (Significant change in condition)
Policies and procedures govern how we carry out our roles and align with mandated practices by regulatory agencies. They can be found on IRIS by this path.
What is Local Systems > Greenville > Resources > Policies and Procedures > HomeCare?
Recertifications for subsequent Home Health Episodes must occur within this many days of the last Episode.
What is 5?
Ms. Smith was admitted to the hospital for a CHF exacerbation on April 2nd and discharged home on April 5th with orders for Home Health Services to resume. SN Julie sees her on April 6th for this type of visit.
What is a Resumption of Care?