Changing Home Social insurance .


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Home Health Quality Improvement Priorities for eighth SoW - Possibly ... IPs will take a shot at one of their picking; with respect to the statewide, the QIO will pick the ...
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Slide 1

Changing Home Healthcare – 8 th Scope of Work LT David Dietz Task 1b Government Task Leader ddietz@cms.hhs.gov

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February 16 – Chester River Home Health and Hospice visit Meeting the requirements of HHAs Structure/center of visits Timeliness Processes/frameworks that fit their needs Data/comes about

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Transformational Change which empowers a HHA to convey care meeting the objectives of security, adequacy, proficiency, convenience, tolerant centeredness and value Results from the execution of 4 methodologies: Measure and report execution Adopt HIT and utilize it successfully Redesign care process Transform authoritative society

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Home Health Quality Improvement Priorities for 8 th SoW - Possibly Achieve indicated diminishment in disappointment rates for intense hospitalization (IPs and statewide) Achieve determined decrease in disappointment rates for the openly reported OASIS measures (IPs and statewide) Achieve a predetermined change rate for inoculation appraisal (statewide) Implement and use telehealth

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Effective Use of Resources Maximize accessible assets (e.g., MedQIC, QIOSC, joint effort with other Task 1 sub-undertakings) Share assets inside the QIO people group – this is a national project, not a state one Integrate interchanges and reliable system messages Share learning and advance triumphs – this is a national project, not a state one

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Acute Care Hospitalization - Possibly Based on 23% best feasible rate (75 th percentile of 7 th SoW Round 1 IPs) half Reduction in disappointment rate for IPs (e.g., 27% - 25%) 30% Reduction in disappointment rate for statewide IPs must work with this measure This is likewise an obligatory statewide measure If a state has a rate not exactly or equivalent to 23%, they may build up their own particular arrangement for lessening intense consideration hospitalization (to be endorsed by PO and GTL)

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Publicly Reported OASIS Measures - Possibly Target lessening in disappointment rates, taking into account 75 th percentile of 7 th SoW Round 1 IPs Target diminishment in disappointment rates in view of 90% best achievable rate (100% for status of surgical injuries) If the execution for the QIO\'s state/ward for statewide work or IP work is more prominent than or equivalent to 90% (short intense consideration and status of surgical injuries, the QIO might take a shot at an alternate measure) IPs will take a shot at one of their picking; in regards to the statewide, the QIO will pick the measure Emergent consideration is rejected

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Statewide Immunization Work - Possibly Goal: to consolidate flu and pneumococcal vaccinations into HHAs thorough patient evaluations Two studies directed – Sept 2006, the other measuring change, Nov 2007 Goal: to accomplish a half change from standard to remeasurement, measuring the percent of HHAs that have fused these vaccinations into their far reaching quiet evaluation, including offering these immunizations and in addition giving follow-up conference if fundamental

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Telehealth IP Specifics - Possibly Implement or use telehealth as a device to lessen intense consideration hospitalization May incorporate telemedicine (i.e., sound interview, telephone messages) or telemonitoring (i.e., sound/video/information counsel) Shall meet CMS Telehomecare Clinical Guidelines (created by Quality Insight of PA), to be discharged summer of 2005 Evaluation would incorporate both a usage and intense consideration hospitalization segment (more noteworthy RFR than non-telehealth IPs)

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IP HHA Size Requirements - Possibly HHA size in view of OBQI reports Small HHAs – under 90 scenes every year Medium HHAs – 91-350 scenes yearly Large HHAs – 351+ scenes yearly Minimum necessities: 10% Small HHAs 10% Medium HHAs 15% Large HHAs *If a state/locale can\'t meet these prerequisites, it must exhibit so to both the PO and GTL

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Substitution Clause - Possibly The QIO may choose up to 10 extra HHAs to work with on distinguished member exercises. The QIO may substitute 1 or a greater amount of these 10 HHAs at the season of assessment just if an) an IP has left business, or b) changed proprietorship (changes taking into account PRS )

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eighth Scope of Work – QIOSC Competition Scope of work is finished, demand for proposition soon to take after Open rivalry to all Consider your assets before you present a specialized proposition… … Consider your reasons before you present a specialized proposition… …

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The 4 QIO Commandments We live amazing the numbers We should continually report quantitative appraisals of our exercises and achievements We should show execution contrast between recognized members and statewide We should appreciate and get a kick out of the chance!

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7 th Scope of Work, Rounds 1 and 2 36 Total states rounds 1 and 2 22 States scored .95 or better 14 States did not reach .95 !!!!

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How Do We Prove QIO Program is Effective? Distinguished member execution taking into account NUMBERS Direct relationship between\'s QIO endeavors and positive change in the information

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How Do We Prove QIOs Are Efficient? Shared assets created by QIOSC Less duplication in endeavors Shared learning = shared examples of overcoming adversity National change

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EVERYONE IS RESPONSIBLE FOR ULTIMATE SUCCESS WE ARE A NATIONAL PROGRAM WE MUST SUCCEED NATIONALLY

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