Over the course of the coronavirus (COVID-19) outbreak, patients and caregivers are beginning to refuse in-home services out of fear of contracting COVID-19.
CMS’s new discharge planning final rules requires that home health agency data be provided to the patient at the time of their discharge.
The home care provider was experiencing a high LUPA rates that consistently exceeded 15%. A staffing shortage, particularly with nurses, combined with communication challenges throughout made it difficult to achieve positive patient outcomes.
More than any of the very complex modifications contained in the Patient-Driven Groupings Model, the most important enhancements emphasize the dire need for all agencies to have a solid and well-functioning episode management program in place before January 1, 2020.
The new Conditions of Participation (CoPs) incorporate a focus on patient-centered care. A growing concept within the health care industry over the past several year, patient-centered is defined as “providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.” Effective episode management is critical to all home health agency’s success in incorporating patient-centered care strategies to increase compliance with these new conditions.
Explore findings from past and present episode management engagements and discuss episode management’s role in improving clinical and financial outcomes and raising patient satisfaction scores. Findings suggest that a strong episode management program promotes patient-centered care and includes ongoing communication throughout the continuum to aid in care coordination, OASIS accuracy and ensure patient satisfaction.
This agency faced a LUPA rate consistently more than 13%, which reflected room for improvement in patient care and in reimbursement. A nursing and therapy staff shortage combined with high patient volume made it difficult to achieve proper visit utilization.