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Session Details - Quality and Outcomes
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Education Sessions |
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101. Quality and Outcomes
Evidence-based Practices to Reduce Avoidable Hospitalizations
CMS has identified reducing acute care hospitalization of home health patients as a priority focus in its new home health quality improvement initiatives beginning in August 2005. For the period of April 03-Mar 04, the average agency risk-adjusted rate was approximately 30%. However, there is considerable variation across agencies and 25% of all agencies had rates of 23% or less. This session will provide an overview of the new QIO program to assist home health agencies implement evidence-based practices to reduce avoidable hospitalizations. The improvement model, change strategies, and results of a pilot test of the quality improvement change package conducted March to July 2005 will be presented.
Objectives:
- Identify evidence-based strategies to reduce avoidable hospitalizations.
- Identify how to obtain materials and assistance available through CMS.
- Describe how to incorporate evidence-based practices into outcome-based quality improvement (OBQI).
Faculty: Karen Pace, PhD, RN, Senior Scientist, Home Health Care QI, Delmarva Foundation, Easton, MD
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
102. Quality and Outcomes
It's Not Who - It's What: Innovative Strategies for Improving Outcomes
This presentation will examine the cognitive and communication aspects of each of the publicly reported outcome
measures regarding OASIS. Participants will be able to select appropriate screening tools and intervention strategies, and
incorporate them into their clinical decision making and best practice development after attending this session.
Objectives:
- Describe the cognitive communication aspects of the publicly reported outcomes.
- Identify screening tools and intervention strategies for cognitive communication disorders, and resources for staff
training.
- Describe the impact of cognitive and communication skills on patient and financial outcomes.
Faculty: Janet Brown, MA, CCC-SLP, Director of Health Care Services in SLP, American Speech-Language-Hearing
Association, Rockville, MD; Rebecca Skrine, MS, CCC-SLP, CHCE, Rehabilitation Services Manager, Baptist Hospital
East Home Health Agency, Louisville, KY
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
103. Quality and Outcomes
The Clinical Admission Home Visit
This program will describe a project of the Boston VNA undertaken to yield strategies and a process to facilitate accurate
and efficient assessment as well as care planning. The purpose of this project was to examine the clinical admission home
visit process, and to develop suggestions facilitating accurate and efficient data collection, and overall case management
from the point of entry.
Objectives:
- Describe the eight major phases of the clinical admission home visit.
- Describe the content areas and assessment strategies to be used during each phase.
- Discuss the sequence of the phases which emerged as facilitating accurate and efficient patient assessment.
Faculty: Elaine Gardner, MS, RN, CS, Clinical Educator, Visiting Nurse Association of Boston, Charlestown, MA; Carol
A. Morris, BA, RN, Practice Advancement Specialist, Visiting Nurse Association of Boston, Hyde Park, MA
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
201. Quality and Outcomes
Pay for Performance: It is Not Too Early to Start Preparing!
This session will describe the evolution of pay for performance as a reimbursement methodology and guide participants in evaluating their agency practices to start preparing for pay for performance. The session will continue by discussing the current legislative activity at the time of the presentation and payment qualifications.
Objectives:
- Describe the development and purpose of pay for performance.
- Discuss current progress towards the implementation of pay for performance.
- Identify ways you can prepare for pay for performance.
Faculty: Susan Sender, RN, BSN, CHCE, Vice President, Clinical Operations, Gentiva Health Services, Melville, NY; Pamela Teenier, BSN, RN, MBA, CHCE, Director of Medicare Operations, Gentiva Health Services, Corpus Christi, TX
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
203. Quality and Outcomes
Effects of Front-Loaded Visits: Redesign for Quality Outcomes and Improved Utilization
This session will demonstrate how practice redesign following implementation of a frontloading visit pattern can result in improved clinical outcomes, continued patient satisfaction, and better service utilization. The speakers will present and discuss the clinical pathway that was used, the challenges in implementing the clinical pathway for frontloading and their recommendations for home health care agencies considering front loading.
Objectives:
- Describe methods of best practice redesign for front-loading patient visits.
- Discuss the impact on outcomes when front-loading patient visits for heart failure and diabetic patients.
- Identify agency challenges to consistently front-load visits.
Faculty: Joanne Rogers, RN, BSN, MA, Director, Coordinated Care, University Hospitals Home Care Services, Warrensville Heights, OH; Elizabeth Madigan, PhD, RN, Associate Professor, Bolton School of Nursing, Case Western Reserve University, Cleveland, OH; Mary Perlic, RN, ND, Performance Improvement, University Hospitals Home Care Services, Inc., Warrensville Heights, OH
Course Level: Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
301. Quality and Outcomes
The CMS 8th Scope of Work and Home Health Agencies
The emphasis of the current Scope of Work (SOW) for home health agencies is to increase their ability and proficiency with quality improvement methodologies, with emphasis
on Outcome-Based Quality Improvement (OBQI), to improve the CMS publicly reported quality measure rates. CMS has selected two OASIS quality measures for national focus: acute care hospitalization and emergent care utilization. This session will discuss, in detail, the OBQI target outcomes that CMS is focusing on and the initiatives being developed to
address them.
Objectives:
- Describe the goals of the CMS 8th SoW relative to home health agencies.
- Identify the OBQI target outcomes that CMS is focusing on.
- Identify lessons learned during the 7th SoW that will help agencies achieve success in targeted outcomes.
Faculty: Ann Ganung, BSN, MBA, RN, Senior Coordinator, Special Projects, Quality Partners of Rhode Island, Providence, RI; Patricia Burt, BSN, RN, CPHQ, Accreditation Specialist, United Home Health Services, Inc., Canton, MI
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
302. Quality and Outcomes
Access along the Continuum: Using OASIS Data to Identify Appropriate Hospice Referrals
This presentation will introduce new and powerful information that can be used to better identify those patients in home health care who would benefit from transition to hospice, or to be managed under a palliative care program. Attendees will have the first-ever look at comparative analysis of case weight, primary diagnoses, visit utilization, emergent care, and hospitalization rates and key
clinical outcomes.
Objectives:
- Discuss comparative OASIS data relevant to end-of-life care.
- Describe three key measures that can be used to indicate appropriate transfer to hospice/palliative care.
- Discuss key elements of a successful process.
Faculty: Melinda Fey, BSN, RN, Strategy and Planning Executive, Outcome Concept Systems, Inc., Seattle, WA; Linda Richardson, RN, BSN, MS, Vice President of Clinical Services over Hospice, Visiting Nurse Services, Inc., Indianapolis, IN
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
303. Quality and Outcomes
Therapy "Out-of-the-Box:" Positive Outcomes and Positive Staff Retention
By providing your rehab clinicians with the "tools," they are empowered to create a plan of care that accomplishes many goals. The team approach discussed in this program will tap into your clinicians' hidden excitement and initial desires to become a therapist in the first place.
Objectives:
- Discuss the importance of establishing a Holistic care plan that incorporates the patient's life goals in the home setting.
- Demonstrate the use of creative care planning that results in positive outcomes via case studies.
- Identify the importance of clinician support and ownership in devising the "Out-of-the-Box" Care Plan.
Faculty: Theresa Gates, PT, Director of Professional Services, Home Care Advantage, Inc., Jacksonville, FL
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
401. Quality and Outcomes
How to Measure Your Organization's Performance in One Easy Lesson
In this interactive session, attendees will determine how to build and use a family of measures index to communicate quality indicators in a single tool, which is adaptable to any home care program. Participants will even experience building an index! This includes brainstorming measures, prioritizing measures, weighting measures, establishing performance levels, and tabulating the index score.
Objectives:
- Discuss what the index is, how it is constructed, and how to use it.
- Experience an abbreviated index development process.
- Discuss the skills and knowledge to implement the index in an organization.
Faculty: Mary Ellen Warren, LCSW, Quality Manager, Providence Home Services , Portland, OR; Marla London, MA, Research Director, Providence Health System, Portland, OR; Karen Bell, RN, MBA, Director Hospice and Palliative Care, Providence Health System, Portland, OR
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
402. Quality and Outcomes
Joint Commission Accreditation - 2006 Update
Participants will be presented with the new simplified language used within the text of the standards, as well as the revised applicability of the standards and National Patient Safety Goals. The basic components of the 2006 changes in the manual will be discussed.
Objectives:
- Apply the intent of the Joint Commission's 2006 National Patient Safety Goals to their organizations.
- Discuss the significant differences between the 2004/2005 and the 2006 Comprehensive Accreditation Manuals for Home Care.
- Demonstrate knowledge of the rationale and implementation of the Joint Commission's 2006 Subscription Billing
Program.
Faculty: Maryanne Popovich, RN, MPH, Executive Director, Joint Commission, Oakbrook Terrace, IL; Robert Floro, BA, RRT, Associate Director, Joint Commission, Oakbrook Terrace, IL
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
502. Quality and Outcomes
Six Sigma: Quality Improvement with the Bottom Line in Mind
This program describes how an integrated multi-product line home care company used Six Sigma as the framework for improving quality outcomes, customer service, and financial performance in data-driven process improvement. Designed to reduce variances, improve the quality of outcomes, customer satisfaction and the bottom line, this approach was pioneered in the early 80's by manufacturing companies.
Objectives:
- Describe the Six Sigma framework as a process for quality improvement.
- Identify operational applications of Six Sigma.
- Discuss how Six Sigma improved clinical and financial outcomes.
Faculty: Nancy Martin, MSN, RN, President & CEO, Vital Care, Cheboygan, MI; Shari McLennan, BSN, RN, Director of Quality Improvement, Vital Care, Cheboygan, MI
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
503. Quality and Outcomes
How to Use Benchmarking & Best Practices to Improve Patient Care & Outcomes
Attendees will learn about one agency's experience and participation in a national benchmarking project on Foley catheter infections. The presentation will describe the power inherent in the performance improvement process to solve patient care problems, improve patient care and outcomes, build relationships in the physician community, and use benchmarking for strategic marketing activities.
Objectives:
- Describe the components of the performance improvement model: FOCUS-PDCA.
- Define terms: benchmark, best practice, peer mean, target.
- Cite three benefits of performance improvement using benchmarked data.
Faculty: Karen Marshall Thompson, MS, RN, Administrator, SOMC Home Health Services, Portsmouth, OH
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
511. Quality and Outcomes
In the Northwest: Rising above the CMS Quality Tides
In this presentation, you will learn how one agency has been able to rise above the CMS tides of quality. After careful analysis of the CMS outcomes, the agency was able to identify and isolate agency issues, formulate an action plan, and improve 9 out of 11 quality indicators in an 18-month period. Legacy Visiting Nurse recently won the Quality Innovator Award for their program.
Objectives:
- Describe how to identify and isolate agency issues.
- Identify root causes and inconsistent OASIS errors in your agency.
- Discuss three methods in which your agency can improve their CMS outcomes.
- Redesign your agency documentation review procedure.
Faculty: Cheryl Lovell, BA, Administrator, Legacy Visiting Nurse, Portland, OR; Angela Bergman, BSN, Director of
Patient Care Services, Legacy Visiting Nurse, Portland, OR
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
602. Quality and Outcomes
ACHC Home Health & Hospice Standards and Process
The presentation will provide participants with a brief summary of all aspects of the ACHC accreditation process and revised Interpretive Guide to Standards for 2005. The presenter will also discuss the self-assessment strategy for companies preparing for a site-visit and the typical agenda items reviewed before and during the survey.
Objectives:
- Describe ACHC philosophy and approach to accreditation.
- Describe key components of the ACHC accreditation process, CORE standards and Scope of Service standards for 2005.
- Describe ACHC Crosswalk with Medicare CoPs for home health organizations.
Faculty: Sil Anderson, RN, BS, LNC, MAAA, Clinical Advisor, Accreditation Commission for Health Care, Inc., Raleigh, NC
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
603. Quality and Outcomes
Assessment of Functional Performance and the Continuum of Rehabilitation Care
Recent analyses of functional assessments using the Functional Independence Measure (FIM) instrument have shown that physical and cognitive functioning correlated with the number of physical therapy, occupational therapy, and home health aide visits required by patients in five major ICD-9 diagnostic code categories. This program will present specific methods for incorporating assessment of functional performance into home health visits to evaluate the quality and effectiveness of care, justify reimbursement, and further integrate home care into the rehabilitation continuum.
Objectives:
- Describe the continuum of rehabilitation care.
- Demonstrate relationships between acute rehab functional ratings, need for follow-up in outpatient/in-home rehabilitation, and home health aide visits.
- Describe the rationale for collection of patients' functional performance data in home care settings.
Faculty: Carl Granger, MD, Professor of Rehabilitation Medicine, University of Buffalo School Medicine and Biomedical Sciences, Amherst, NY; Chetan Malik, MBBS, Attending Physician, University of Buffalo Dept. of Rehabilitation Medicine, Uniform Data System for Medical Rehabilitation, Amherst, NY
Course Level: Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
610. Quality and Outcomes
Can Therapists Walk the Walk?
Therapists can talk the talk, but can they walk the walk? This session will review how individual Home Health Compare indicators are scrutinized for ways in which therapy, as a member of a cohesive home health team, can make positive contributions. The discussion will be guided by a multi-disciplinary panel of therapists with many years of home health experience.
Objectives:
- Describe the quality measures reported in home health.
- Compare and identify two therapy interventions that could produce a positive outcome on one of these quality measures.
- Describe a best practice protocol and list a strategy for integration of best practices among therapists.
- Discuss how to best measure change within your chosen measures.
Faculty: Shannon Ericson, MS, PT, Senior Solution Designer, Cerner BeyondNow, Overland Park, KS; Roger Herr, PT, MPA, President of Home Health Section of APTA, Home Therapy Services, Redmond, WA; Karen Vance, OTR/L, Senior Consultant, BKD, Health Care Group, Springfield, MO
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
702. Quality and Outcomes
A Prescription for Outcome Improvement and Financial Success: Critical Clinical Problem Solving
Home care providers face financial problems due to noncompliance; not because staff are obstinate, or managers don't spend hours teaching and monitoring staff. Rather, problems result because the rules are subject to interpretation. Critical clinical problem solving (CCPS) is the solution.
Objectives:
- Identify the repercussions of home care staffs' inability to apply criteria set out by the CMS consistently.
- Illustrate the ability of a CCPS approach to help clinical staff provide more effective care and produce more accurate documentation.
- Describe the characteristics of staff education programs that help clinical staff develop and strengthen CCPS skills.
Faculty: Mary Kay Wagner, MEd, Lead Instructional Designer, Beacon Interactive, Mequon, WI; Claudia Conti, RN, MSN, Vice President/Chief Nurse Compliance Officer, Personal Touch Home Care, Inc., Bayside, NY; Diane Omdahl, RN, MS, President, Beacon Health, Mequon, WI
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
803. Quality and Outcomes
Community Health Accreditation Program (CHAP): Celebrating Forty Years of Standards Excellence
This presentation will describe the CHAP mission and philosophy and the four principles on which the CHAP Standards of Excellence are based: the organization's structure and function that consistently supports a consumer oriented mission; the organization consistently provides high quality services and products; the organization has adequate human, financial, and physical resources to accomplish its stated mission; and the organization is positioned for long term viability. The accreditation process will be described for organizations considering CHAP as their accrediting organization.
Objectives:
- Discuss the CHAP mission and philosophy relative to the Standards of Excellence.
- Describe the CHAP Accreditation Process.
- Relate key revisions in standards for private duty services.
Faculty: Marcie Barnette, RN, MSN, Vice President for Accreditation, Community Health Accreditation Program, Alexandria, VA; Terry Duncombe, RN, MSHA, President/CEO, Community Health Accreditation Program, New York, NY
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
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