Quality Outcomes
Agencies should create processes with assisted living facilities and other settings so that they understand when to call the agency first to avoid patient hospitalizations that could be prevented.
In addition to poor communication, language barriers can lead to negative outcomes for both the patient and the agency, including the increased risk of hospitalizations and poor HHCAHPS scores.
In a surprise to many, only 20% of pilot-state HHVBP agencies received payment adjustments greater than approximately 3% in 2021, with the maximum adjustment in 2021 being approximately 7%. This means that most agencies were not reaching the maximum adjustment, according to the 6th annual HHVBP report.
Social Determinants of Health (SDoH) not only give agencies better insight into environmental factors that affect patients, but they also provide a better idea of how to best treat patients with optimal care that leads to better outcomes.
Agencies do not have to submit any additional data under the expanded Home Health Value-Based Purchasing (HHVBP) program.
A new outcome measure is on the horizon for agencies. It will impact your Care Compare results, and potentially future HHVBP reimbursement.
Instead of the clinicians, coders are often being asked to assign symptom ratings for M1021/M1022. But they don’t have much to go on except best guesses based on documentation. Inaccurate SCRs lead to an inaccurate reflection of the patient condition, an incomplete or misdirected plan of care and incorrect coding.
As more patients look to receive care at home, there’s an opportunity for home health agencies to take on higher acuity patients and become the referral partner of choice for hospitals and other providers.
Home health aides spend a lot of time in the home and in direct communication with their patients. Because of this, they can often provide beneficial insight into the patient’s abilities which can then be followed through with education provided by the clinicians.
In times of staffing shortages, you can find efficiencies by carefully prescreening patients to be sure they meet eligibility requirements and are open to care to avoid future LUPAs from missed visits.


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