QAPI
At least every quarter
What does HHCAHPS stand for?
Home Health Consumer Assessment of Healthcare Providers and Systems
What does PDGM stand for?
Patient Driven Grouping Model
What is an example of an ineligible code?
Abnormal gait
Pain
Dyspnea/hypoxia
Muscle weakness
Altered MS
What is the dyspnea score: clinician notices client has shortness of breath that increases when the client is talking?
3 = with minimal exertion
What does PDSA stand for?
Plan Do Study Act
What are the 3 main areas comprising the composite measure on the survey?
Care of patients
Communication between providers and patients
Specific care issues
Name 3 of the 12 clinical groupings?
MMTA Cardiac/Surgical Aftercare/Endocrine/Infectious/GI GU/Respiratory/Other
Wounds
MS rehab
Neuro rehab
Complex nursing
Behavioral health
What are 2 requirements to provide to clients as part of client rights, often found on front of admission folder?
CM name
Office phone number
What is the dyspnea score: chairfast client reports shortness of breath while transferring from bed to wheelchair?
1 = when walking more than 20 feet, climbing stairs
What is an office practice QAPI?
An identified metric based on prior year’s outcome that is selected by an office for a yearly focus which is reported up to board of directors at BAYADA – upstream/downstream ideas sharing
What is a question within Care of Patients?
In last 2 months...
Agency up-to-date about the treatment you got at home
Agency treat you as gently as possible
Agency treat you with courtesy and respect
Any problems with the care you got through this agency
What is the 1 metric that affects LUPA/recerts/avg LOS?
<30day
What are the 4 parts of a survey?
Home visits
Client chart review
Employee file review
Office observation
Management of Oral Meds score is based on ability to take oral medications and proper dosage at correct times. What are 2 other items to consider during the assessment ?
Vision
Strength
Manual dexterity (hands/fingers)
Cognition
Who participates in QAPI?
All office and field employees with representatives from most disciplines on official team
What is a question within Communication between Providers and Patients?
Did someone tell you what care and services you would get (yes/no)
How often were you kept informed about when they would arrive (always)
How often were things explained in a way that was easy to understand (always)
How often did this agency listen carefully to you (always)
When you contacted agency’s office did you get the help/advice needed (yes/no)
When you contacted agency’s office how long did it take to get the help/advice needed (same day)
What does the institutional component mean?
Institutional = in last 14 days prior to HH SOC, client was in an inpatient facility (Hospital/SNF/IRF) (regardless of referral source)
What are 3 examples of items reviewed during office observation component of a survey?
Storage of supplies/Lab certificates posted/QAPI/EP/Administrator/APE/Dress code/Name tags
What is the dyspnea score: client exhibits shortness of breath with any attempt to complete an activity?
4 = at rest (day and night)
How is a PDSA determined and executed?
Based on reports such as SHP, EEX, CEX, complaints, PAE, prior survey results and executed via monitoring of metrics, audits and education
What are the 2 questions under the Universal Measures category?
Overall rating of agency
Recommend agency
What is the number 1 driver of good PDGM outcomes?
Huddles (SOC/ROC/recert/rehuddle)
What is the requirement for compliance for emergency preparedness?
Tabletop
Actual emergency
Community drill
What are 2 OASIS metrics that are counted towards both STAR and VBP outcomes?
Dyspnea and Management of Oral Meds