1. COMMUNITY BASED HOME HEALTH SERVICES Denise Looker, LSW, MHSM Director of Operations Visiting Nurse Assn. of Arkansas

2. GOAL: INCREASE AWARENESS of the AVAILABILITY OF HOME HEALTH CARE IN THE COMMUNITY FOR THE ELDERLY

3. OBJECTIVES Verbalize one guideline for qualification for Medicare reimbursed home care Verbalize a benefit of using home health care

6. ARKANSAS DEMOGRAPHICS 170 Medicare Certified Agencies in Arkansas 44 Hospital Affiliated 13 Free Standing private AR ownership 27 National Companies 72 Ark. Dept of Health 14 Area Agency on Aging

7. REGULATING BODIES Health Service Permit Agency Centers for Medicare and Medicaid Arkansas Department of Health

8. ACCREDITATIONS The Joint Commission CHAP Not all Medicare certified agencies are accredited

9. HOME HEALTH REFERRAL SOURCES Hospitals Physicians Other Medical Providers (DME, Infusion, Insurance Case Managers) Community agencies Family or patient

11. QUALIFICATIONS FOR MEDICARE REIMBURSED HOME CARE Medical Necessity determined by Physician Face to Face visit with certifying physician 90 days prior or 30 days after home health admission Skilled criteria as defined by Medicare Homebound status

12. QUALIFICATIONS FOR MEDICARE REIMBURSED HOME CARE Medical Necessity: –Skilled Nursing –Physical Therapy –Speech Therapy –Must provide services that must be provided by a licensed clinician

13. QUALIFICATIONS FOR MEDICARE REIMBURSED HOME CARE Face to Face Encounter –By certifying physician OR APN –Certifying physician must date and sign –By hospitalist if communicated to certifying physician –Home Health Agency CANNOT complete the form

14. QUALIFICATIONS FOR MEDICARE REIMBURSED HOME CARE Skilled Criteria –Skilled Nursing Skilled Treatment (Wound care, Infusion, Injections) Teaching & Training (Disease process, Medication side effects) Skilled Observation and Assessment (Response to Treatment, Changes in condition) Management & Evaluation (short term) –Physical Therapy –Speech Therapy

15. QUALIFICATIONS FOR MEDICARE REIMBURSED HOME CARE Homebound: –Leaving home takes considerable & taxing effort –Absences from home must be infrequent –Absences for medical, psychosocial, or therapeutic treatments are exempt –Absences to attend adult day care for medical treatments are exempt

16. QUALIFICATIONS FOR MEDICARE REIMBURSED HOME CARE Homebound examples allowed: –Attending religious services –Family reunion, graduation, wedding, funeral –Barber/Beauty shop –Walk around the block with assistance –Family outing –Restrictions have been lightened in recent years-

17. PATIENTS WHO BENEFIT FROM HOME HEALTH: Patients with chronic disease (especially after hospitalization) Multiple co-morbidities Multiple medications Diet teaching Tube feedings, TPN, IVs, catheter changes/management, dressing changes Debility/falls/lengthy hospitalizations PT,OT,SLP, SN needed to assure safe transition from hospital or SNF

18. Common Transition Problems Medication lists do not match Complex discharge instructions Lack of knowledge regarding disease red flags Poor connections/understanding of care post discharge

19. WHY USE HOME HEALTH??? Patients recover more quickly in the home Decreases risk of re-hospitalization Better informed patients Increases likelihood of patients’ learning to self-manage their disease Cost effective –Home Health is the lowest cost provider

20. The Result of Poor Transitions Med PAC report to Congress – 20 percent of Medicare hospital admissions result in readmissions within 30 days12 $31 B spent on readmissions –75% preventable –50% saw no MD prior to readmission $1.7 B post-hospital savings due to early use of home health 2005-2006

21. WHY USE HOME HEALTH??? Most Home Health Agencies are trained in chronic disease management Most are trained in Transitions of Care techniques Many have technology available for patient engagement –Telehealth –PTINR units –Electronic documentation

22. Home Telehealth

24. Our Patients’ Health Care Experience : Often OVERwhelming!

25. WHY USE HOME HEALTH??? HOME HEALTH CAN HELP!!!! Valuable member of the health care team Publicly reported clinical outcomes as well as patient satisfaction: www.medicare.gov/homehealthcompare

26. CONTACT: gdlooker@stvincenthealth.com