Overview OASIS D includes an array of changes, including omission of several very familiar items and addition of several new items. Agencies will need to determine how they will maintain best practices and collect vital information without items such as pressure ulcer risk and pain assessment. The expansion of the one clinician rule and Medicare’s continued plans to make home health assessment like all the other post-acute settings requires a new look at agency policies on collaboration. Home health agency administrators, directors, clinicians, and QA staff need to know the impact of the new and changed items that OASIS-D brings.  This program will assist you and your agency staff to navigate through the myriad of changes to the guidance and get you up to speed on the latest on OASIS, and how your practice will be impacted.  Attendees will review the most up to date OASIS guidance, including the impact of the expansion of the one clinician rule, the updates to the CoPs regarding resumption of care, as well as updates to payment for 2019 and planned changes to payment in 2020.  In-depth scenarios and a review of individual OASIS items will provide attendees with a comprehensive and applied understanding of OASIS to ensure success. This workshop explains what you need to know, what you need to do and how to do it.  The most accurate OASIS means the right POC, the right outcomes and the right payment.  There will be plenty of scenarios and documentation examples to set things straight.  The key to accurate payment and to accurate outcomes depends on answering the OASIS data items accurately and according to CMS instructions.  This program includes not only the CMS based interpretations but also timely advice on operationally implementing all aspects of OASIS.

Overview Knowing and understanding Hospice Quality Reporting is vital for positive Hospice patient outcomes as well as avoidance of potential negative financial impact.  During the workshop we will discuss the evolution of Hospice Quality reporting, current and future Hospice Quality Reporting requirements, ways to make your Hospice Quality program more robust and ways to get buy-in from front line staff as well as leadership in the organization. Who Should Attend: This workshop is designed for anyone who participates in the Hospice quality program which includes staff who are new to Quality, seasoned Quality staff, Quality Team members and Leadership.

Overview: OCHCH is happy to partner with QIRT to bring you a 5-part webinar series to help prepare your agency to transition into the new world of PDGM. Preparing your agency for the new world of PDGM is vital to making sure your agency survives and thrives under PDGM. Please see the breakdown of each webinar part below. 1.) PDGM Readiness: What agencies can do now to assess overall readiness for the transition, including completing an analysis of current referral and patient mix, and a quality assurance chart audit to identify data-collection gaps and train staff to close those gaps? The session will include steps to completing an operational assessment that identifies opportunities for agencies to improve current workflow processes to ensure a smooth transition to PDGM. Also included, when and how to train/prepare staff for coming transition. October 29, 2019, Shelly Eggleton, RN, BS, MBA, Director, Clinical Consulting 2.) PDGM: The devil is in the details: It is more important than ever that agencies collect timely, accurate data. It starts at intake with staff completing a comprehensive checklist to ensure all needed information is collected.  To ensure proper payment, clinicians must provide an accurate assessment of the patient condition on intake, including comorbidities that are likely to have an impact on the plan of care, and correctly capture the primary reason skilled nursing is in the home. Anything less almost certainly will result in improper payment. Strategies for reducing the days to RAP also will be discussed, as the current national average of 12 days to RAP will prove problematic in the PDGM era. November 5, 2019, Sherri Parson, RN, HCS-D, HCS-O, HCS-H, COS-C, BCHH-C 3.) PDGM: Revving up referrals. Do most of your referrals come from the community? It might be time to build bridges to hospitals, in-patient rehabilitation centers and skilled nursing facilities. Does your agency have a patient population disproportionally skewed toward joint-replacement or stroke recovery? November 12, 2019, Gio Pagano, Director, Business Development 4.) P Stands for PATIENT in PDGM. PDGM puts the patient at the center of care decisions and makes a complete 180 on what drives revenue. Its value not volume of services provided. It’s all about giving patients the care they need using the resources necessary to achieve the goals established with the patient. For the patient that might mean more intensive start of care visits, more thorough assessments during the episode of care and documentation by the clinician at the point of care. Agencies also will need to focus on teaching patients how to manage chronic conditions to reduce the patient’s reliance on skilled nursing services, as well as mitigate the risk of rehospitalization and decrease recertifications. November 19, 2019, Laura Page-Greifinger, RN, BSN, MPA 5.) PDGM: Thriving in the new model.  What does a healthy agency look like in this new era? In this session, QIRT will discuss the critical importance of quality cycle management in the PDGM era. QIRT will walk attendees through the process of establishing measurable metrics for every task at each point in the patient journey and the importance of communicating with staff as to how the metrics were established and that their job performance will be measured against those metrics. Agencies will need to focus on episode management keeping the patient’s clinical characteristics and care need at the center of all decisions, ensuring the plan of care addresses those needs to decrease rehospitalizations and recertifications. December 3, 2019, Joe Osentoski, BAS, RN-BC