QAPI
HHCAHPS
PDGM
MISC.
STAR
100
What is the requirement for meetings time?

At least every quarter

100

What does HHCAHPS stand for?

Home Health Consumer Assessment of Healthcare Providers and Systems

100

What does PDGM stand for?

Patient Driven Grouping Model

100

What is an example of an ineligible code?

Abnormal gait

Pain

Dyspnea/hypoxia

Muscle weakness

Altered MS

100

What is the dyspnea score: clinician notices client has shortness of breath that increases when the client is talking?

3 = with minimal exertion

200

What does PDSA stand for?

Plan Do Study Act

200

What are the 3 main areas comprising the composite measure on the survey?

Care of patients

Communication between providers and patients

Specific care issues

200

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

200

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

200

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

300

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

300

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

300

What is the 1 metric that affects LUPA/recerts/avg LOS?

<30day

300

What are the 4 parts of a survey?

Home visits

Client chart review

Employee file review

Office observation

300

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

400

Who participates in QAPI?

All office and field employees with representatives from most disciplines on official team

400

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)

400

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)

400

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

400

What is the dyspnea score: client exhibits shortness of breath with any attempt to complete an activity?

4 = at rest (day and night)

500

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

500

What are the 2 questions under the Universal Measures category?

Overall rating of agency

Recommend agency

500

What is the number 1 driver of good PDGM outcomes?

Huddles (SOC/ROC/recert/rehuddle)

500

What is the requirement for compliance for emergency preparedness?

Tabletop

Actual emergency

Community drill

500

What are 2 OASIS metrics that are counted towards both STAR and VBP outcomes?

Dyspnea and Management of Oral Meds