July 2018
brought to you by the Home Health Quality Improvement (HHQI) National Campaign
HHQI's online resource library has literally hundreds of free resources that home health agencies can use for staff and patient education. The volume of resources can be overwhelming, and we want to make it easy for you to find our most popular tools. So each month, we'll highlight a favorite resource from an HHQI team member or a campaign participant.
This month, we asked HHQI RN Project Coordinator Cindy Sun to share one of her favorite HHQI resources.

"I’m not sure if I would call the My Medication Pocket Card my 'favorite’ HHQI tool, but it is the one I use most often with my own family. Because it's a Word document, it’s easy to alter; I add a space for my name and number as the Medical Power of Attorney. By cutting and folding where instructed, it fits nicely into a wallet. Then when asked ‘What medications are you taking?’, my family member can pull out this paper with all the answers."
HHQI has free resources to help you promote many of July's annual healthcare observances among your patients and staff. Visit the July Featured Resources page on the HHQI website.
HHQI Agency of the Month
This month, HHQI recognizes Touchmark on South Hill Home Health of Spokane, Washington for their dedication to improving home health quality.

Home health agencies that are active in the HHQI National Campaign and closest to the national, risk-adjusted ACH 20th percentile and/or the national, risk-adjusted Oral Medication Improvement 80th percentile (or better) are eligible for random selection as HHQI Agency of the Month. 

BE IN THE SPOTLIGHT. Nominate your agency today! If you are selected, your organization will be prominently featured here in HHQI Inside Edition which reaches nearly 13,000 subscribers and on the HHQI website. Your achievement will also be shared via HHQI's social media channels.
Quarterly UP Network Webinar | July 19, 2018 | 2-3 p.m. ET

More than 46 million Americans — or 15 percent of the United States’ population — live in rural areas as defined by the U.S. Census Bureau. In general, residents of rural areas tend to be older and sicker than their urban counterparts.

If your agency operates in a rural area, you likely encounter many unique challenges when serving patients. During this webinar, seasoned home health leaders will discuss successful intervention strategies to address several key barriers and provide an opportunity for sharing ideas.

This activity has been submitted to Alabama State Nurses Association for approval to award contact hours. Alabama State Nurses Association is an accredited approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC).

To receive CE credit, participants must watch the webinar and enroll in the corresponding course in HHQI University's Underserved Populations course catalog to complete related coursework. 

Step-by-step instructions will be reviewed at the end of the webinar.

  • State three common rural health barriers.

  • Describe one intervention strategy for two different rural health barriers.

  • Apply one implementation strategy to overcome a rural health barrier.

Director of Nursing
Mississippi HomeCare of Eupora

Director, Chadron Community Hospital & Health Services (NE)
'Third Thursdays' Event Schedule
Home health professionals are busy. Now, there's an understatement. In order to make the most of your limited time, HHQI's three primary online Networking events LiveChat, Cardiovascular Learning & Action Network (CardioLAN) webinars, and Underserved Populations (UP) webinars will each be held quarterly. 

Events will rotate and always begin at 2:00 p.m. ET on the third Thursday of the month.
Click on the networking event type above for links to past event recordings and upcoming event registration. You can also subscribe to our mailing lists to receive details (topics, objectives, speaker info, & registration links) as soon as they are available.
Senior Independence
The July 2018 issue of  QIO News  is focused on how the QIO Program is working to ensure that people with Medicare have access to high-quality home health care, particularly in rural communities. 
This issue also discusses the roadmap   outlining  the three-pronged approach to combating the opioid epidemic released by the Centers for Medicare & Medicaid Services released last month.
Draft OASIS-D Guidance Manual Released
The draft Guidance Manual for the OASIS-D version of the OASIS data set, effective January 1, 2019, is now available.
First Wave of New Medicare Cards Complete
The Centers for Medicare & Medicaid Services has finished mailing new Medicare cards to people with Medicare who live in Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia. If someone with Medicare in these states says they did not get a card, they can:

  • Sign into MyMedicare.gov to see if we mailed their card. If so, they can print an official card; they need to create an account if they do not have one.
  • Call 1-800-MEDICARE (1-800-633-4227). They may need to correct something, such as their mailing address.
  • Use their current card to get health care services.

You can share this  product  with your patients, so they have something for reference. Continue to check the  Mailing Strategy  and direct people with Medicare to  Medicare.gov/NewCard  for information about the mailings.
Your Comments Are Needed!
The Centers for Medicare & Medicaid Services (CMS) has proposed changes to the Home Health Star Ratings algorithm . Please email comments to HH_QM_Comment@abtassoc.com before July 26, 2018

CMS is seeking public comments on a new Pre-Claim Review Demonstration (PCRD) proposal . Comment period ends July 30, 2018.

A new CMS proposed rule would remove the regulatory text that allows a state to make payments to third parties on behalf of an individual provider for benefits such as health insurance, skills training, and other benefits customary for employees. Comments will be accepted through August 11, 2018

CMS is seeking comments on how to address any undue regulatory impact and burden of the physician self-referral law . Comments must be received by August 24, 2018.  

CMS has issued a proposed rule outlining proposed Calendar Year (CY) 2019 Medicare payment updates and proposed quality reporting changes for home health agencies, and proposed case-mix methodology refinements and a change in the home health unit of payment from 60 days to 30 days for CY 2020. This proposed rule also discusses the implementation of temporary transitional payments for home infusion therapy services to begin on January 1, 2019 and includes proposals related to full implementation of the new home infusion therapy benefit in CY 2021. Comments on the proposed rule will be accepted until August 31, 2018. 
Webinars, Courses & Other Events
July 13
1:00 p.m. ET
Host: TMF Quality Innovation Network
July 17
11:00 a.m. ET
Host: TMF Quality Innovation Network
July 18
1:00 p.m. ET
Host: Centers for Disease Control and Prevention
July 19
3:30 p.m. ET
Host: TMF Quality Innovation Network
July 25
1:00 p.m. ET
Host: Centers for Disease Control and Prevention
August 15
1:00 p.m. ET
Host: ElevatingHOME
August 28
2:00 p.m. ET
Host: Centers for Medicare & Medicaid Services
September 5
2:00 p.m. ET
Host: Centers for Medicare & Medicaid Services
Host: ElevatingHOME
* Continuing education credit(s) included, available or pending.

Reference to any specific organization or its products or services is for information and convenience and does not constitute endorsement, recommendation, or favoring by Quality Insights, the Home Health Quality Improvement National Campaign, or the Centers for Medicare & Medicaid Services.
This material was prepared by Quality Insights, the Medicare Quality Innovation Network-Quality Improvement Organization supporting the Home Health Quality Improvement National Campaign, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The views presented do not necessarily reflect CMS policy. Publication number 11SOW-WV-HH-MMD-071118