The Final Home Health CoPs: Where Do We Go From Here?

Event Information
Product Format
Prerecorded Event
Presenter(s)
Conference Date
Thu, Jul 20, 2017
Length
60 minutes
Product Description

Complying with CMS’ Final Home Health Conditions of Participation


In January 2017, CMS published the final home health Conditions of Participation (CoPs). Although the initial compliance deadline was July 13, 2017, CMS has given providers an additional six months. This additional time must be used wisely, because the CoPs make a number of key changes to the home health conditions of participation.

This session with expert Robert W. Markette, Jr., CHC, will review the final CoPs and explore how they differ from the current CoPs and from what CMS proposed originally. Robert will review the new QAPI condition and evaluate how quality drives these new conditions. He will address the changes in the governing body's role and the revised patient rights. He will consider the insight CMS' comments provide on the new CoPs and what that means for compliance. Robert will then explore how key changes will impact agency efforts to comply with the CoPs.

Robert will also review the new CoPs and compare key changes to current CoPs in order to help providers begin to identify what current policies and procedures can be utilized going forward. You will learn how the elimination of certain conditions will require changes to current policies. Robert will also look at key changes to current CoPs that will require providers to modify current practices. Additionally, you will be able to identify new policies that will need to be developed to comply with new and altered CoPs.

Session Highlights

  • The CoPs finally recognize quality as a condition, how does that change compliance?
  • How close to the proposed CoPs did the final rule stay?
  • What do the new patient rights rules mean for compliance?
  • How will we need to modify practices in light of revisions to the current conditions?
  • When will we begin to be surveyed on these new conditions?

Session Agenda

  • Final revised home health conditions of participation
  • Final delay rule
  • Changes in final CoPs
  • Goals
  • New(ish) conditions
  • Other conditions
  • Quality assessment and performance improvement (QAPI)
  • 42 C.F.R. §484.65 – final QAPI CoP
    • 42 C.F.R. §484.65 –QAPI: more on agency wide
    • 42 C.F.R. §484.65 –QAPI CoP
    • 42 C.F.R. §484.65(a) –  QAPI CoP: program scope
    • 42 C.F.R. §484.65(b) –QAPI CoP: program data
    • 42 C.F.R. §484.65(c) –QAPI CoP: program activities
    • 42 C.F.R. §484.65(d) –QAPI CoP: performance improvement projects
    • 42 C.F.R. §484.65(e) – QAPI CoP: executive responsibilities
  • The survey process and QAPI
  • QAPI takeaways
  • 42 C.F.R. 484.50 – patient rights
    • 42 C.F.R. 484.50(a) – patient rights: notice of rights
    • 42 C.F.R. 484.50(b) – patient rights: exercise of rights
    • 42 C.F.R. 484.50(c) – patient rights: rights of patient
    • 42 C.F.R. 484.50(d) – patient rights: transfer and discharge
    • 42 C.F.R. 484.50(e) – patient rights: investigation of complaints
    • 42 C.F.R. 484.50(f) – patient rights: accessibility
  • 42 C.F.R. 484.55 – comprehensive assessment of patients
    • 42 C.F.R. 484.55(c) – comprehensive assessment of patients: content
  • 42 C.F.R. 484.60 –care planning, coordination of services and quality of care [new condition]
    • 42 C.F.R. 484.60(a) – care planning, coordination of services and quality of care CoP: plan of care
    • 42 C.F.R. 484.60(a) plan of care
    • 42 C.F.R. 484.60(b) – care planning, coordination of services and quality of care CoP: conformance with physician orders
    • 42 C.F.R. 484.60(b) –conformance with physician orders
    • 42 C.F.R. 484.60(c) –review and revision of the plan of care
    • 42 C.F.R. 484.60(d) –coordination of care
    • 42 C.F.R. 484.60(e) – written information to patient – new standard
  • 42 C.F.R. 484.70 –infection prevention and control
    • 42 C.F.R. 484.70(a) – prevention
    • 42 C.F.R. 484.70(b) –control
  • 42 C.F.R. 484.70 –infection prevention and control
    • 42 C.F.R. 484.70(a) –infection control
  • 42 C.F.R. 484.75 – skilled professional services CoP
    • 42 C.F.R. 484.75(b) –  responsibilities of skilled professionals
    • 42 C.F.R. 484.75(c) – supervision of skilled professional assistants
    • 42 C.F.R. 484.80(a) – home health aide qualifications
    • 42 C.F.R. 484.80(b) – content and duration of home health aide classroom and supervised practical training
    • 42 C.F.R. 484.80(c) – competency evaluation
    • 42 C.F.R. 484.80(e) – qualifications for instructors conducting classroom and supervised practical training
    • 42 C.F.R. 484.80(f) – eligible training and competency evaluation organizations
    • 42 C.F.R. 484.80(g) – home health aide assignments and duties
    • 42 C.F.R. 484.80(h) – supervision of home health aides
    • 42 C.F.R. 484.80(i) – individuals furnishing Medicaid personal care aide-only services under a Medicaid personal care benefit
  • Organizational environment (484.100-115)
    • 42 C.F.R. 484.102(a) emergency preparedness
    • 42 C.F.R. 484.102(b) policies and procedures
    • 42 C.F.R. 484.102(c) communication
    • 42 C.F.R. 484.102(d) training and testing
  • Clinical record 484.110
  • Personnel qualifications 484.115
    • Personnel qualifications 484.115(c) clinical manager
    • Personnel qualifications 484.115(e) clinical manager

Who Should Attend

  • Owners
  • Administrators
  • Compliance officers
  • Directors of nursing
  • Nurses
  • Therapists
  • Staff members

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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About Our Speaker

Robert W. Markette - Home Care Expert



For more than a decade, Robert W. Markette, Jr., CHC, has focused his practice on representing home health, hospice, private duty and DME providers in all aspects of their operations. With more than a decade of experience in working with the these industries, Robert has developed a reputation for understanding the operational, compliance and legal/regulatory issues facing homecare providers.


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