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.