6/1/2010 Making HHCAHPS Easy! Understanding HHCAHPS and Using it to Your Advantage Home Care Alliance of Massachusetts 2010 Spring Conference Cathy King National Director of www.deyta.com Business Development P: 888..893.1937 E: homehealth@deyta.com T oday’s Age nda Part I. – HH-CAHPS Overview – Survey Design and Process – Public Reporting Part II. Part II – Tips on Choosing a Vendor – Common Pricing Models – Agency Preparation Tips www.deyta.com P: 888..893.1937 E: homehealth@deyta.com About De yta • Specialists in home health and hospice satisfaction – Administering satisfaction surveys since 1993 – Currently work with over 2,000 home health and hospice agencies, and growing… • CMS approved for HHCAHPS pp • “Satisfaction Technology Platform” – Scalable, effectively supporting multi-site organizations – Sophisticated system, simple to use • Largest satisfaction benchmarks in the nation www.deyta.com P: 888..893.1937 E: homehealth@deyta.com 1
6/1/2010 Be ne fits of Using De yta • We’re specialists in home health satisfaction – We understand your challenges – Experts in satisfaction data collection • Operational, business centric approach – Month of service reports – Multi-level benchmarking structure – Ad Hoc reporting Ad H ti • Dedicated client service team – We make implementation easy – Ongoing training on results interpretation • Value based pricing model for HHCAHPS – CMS required second wave mailing is included – All reporting and comments are included www.deyta.com P: 888..893.1937 E: homehealth@deyta.com HHCAHPS Ove r vie w www.deyta.com P: 888..893.1937 E: homehealth@deyta.com What is Home He alth Car e CAHPS • What is CAHPS? • Consumer Assessment of Healthcare Providers and Systems • Standardized national survey for home health patients patients • Measures patient perception of care • Component of Home Health Quality Initiative • Changing focus from quantity to quality www.deyta.com P: 888..893.1937 E: homehealth@deyta.com 2
6/1/2010 CMS Obje c tive s with HHCAHPS • Produce comparable data • Create incentives for agencies to improve quality • Enhance public accountability www.deyta.com P: 888..893.1937 E: homehealth@deyta.com What is HHCAHPS Me asur ing • Perception of the clinician’s ability to deliver – Details on home care services, visits and timing – Safety and falls prevention – Medication instructions – Pain management – Pain management – Sensitivity to patient needs – Courtesy and respect – Listening • Perception of the HHA’s responsiveness www.deyta.com P: 888..893.1937 E: homehealth@deyta.com HHCAHPS Pr ogr am Highlights • Final Rule HH PPS CY2010 … – Medicare-certified agencies – CMS mandates use of approved survey vendor – Results will be publically reported on HHC • Only Medicare and/or Medicaid patients • Only Medicare and/or Medicaid patients – For CMS data reporting – Many HHA’s surveying all patients for accurate results www.deyta.com P: 888..893.1937 E: homehealth@deyta.com 3
6/1/2010 HHCAHPS Pr ogr am Highlights • Must meet two requirements starting in 2010 or receive a 2% reduction in reimbursement starting in CY 2012 – Conduct Dry Run in Q3 2010 – Continuously collect HHCAHPS survey data as of Continuously collect HHCAHPS survey data as of 10/1/2010 – Qualifies for full market basket update in CY2012 www.deyta.com P: 888..893.1937 E: homehealth@deyta.com Par tic ipation E xe mptions • Less than 60 survey eligible patients per year • Exemption form on www.homehealthcahps.org • Form completed by 6/16/2010 • Provide patient count from 4/1/09 – 3/31/10 – Unduplicated patients • Exempt from data collection from Q3 2010 –Q2 2011 • Annual exemption reporting needed www.deyta.com P: 888..893.1937 E: homehealth@deyta.com Par tic ipation E xe mptions • Medicare-certified on or after 4/1/2011 for payments to be made in CY2012 – Should begin process as soon as possible • A reconsideration and appeals process being developed – Details in CY 2012 HH payment rule www.deyta.com P: 888..893.1937 E: homehealth@deyta.com 4
6/1/2010 F r e e Infor mation www.deyta.com P: 888..893.1937 E: homehealth@deyta.com Sur ve y De sign and Pr oc e ss www.deyta.com P: 888..893.1937 E: homehealth@deyta.com Sur ve y Instr ume nt • Standard set of questions � 35 question survey tool � Questions 1-25 always asked first � Questions 26-34 “About You” - demographic • Supplementary questions (optional) • Supplementary questions (optional) � Deyta Satisfaction Process Measures � Includes satisfaction for all Visit types and Disciplines � Best practice of most successful agencies www.deyta.com P: 888..893.1937 E: homehealth@deyta.com 5
6/1/2010 T he HHCAHPS Sur ve y T ool www.deyta.com P: 888..893.1937 E: homehealth@deyta.com Patie nt E ligibility Cr ite r ia • Monthly random sample of patients: – Medicare and/or Medicaid (for minimum compliance) – At least 18 yrs – Are not deceased when sample frame is drawn – Current or discharged who had at least one skilled visit during sample month – At least two skilled visits in 60 day look back period – No maternity care – Not receiving hospice – Not recently surveyed (during 5 months prior) – Not requested “no publicity status” www.deyta.com P: 888..893.1937 E: homehealth@deyta.com Sur ve y Pr oc e ss 2. Vendor determines 2. Vendor determines 1. Agency sends 1. Agency sends eligible patients, eligible patients, monthly data file to monthly data file to conducts sampling conducts sampling CMS Approved CMS Approved and distributes and distributes Survey Vendor Survey Vendor survey survey HHCAHPS HHCAHPS Process Process 3. Vendor compiles 3. Vendor compiles 4. Monthly reporting 4. Monthly reporting results and results and of results on to of results on to submits data to submits data to HHA HHA CMS CMS www.deyta.com P: 888..893.1937 E: homehealth@deyta.com 6
6/1/2010 Monthly Data F ile • Patient-level data elements submitted monthly to vendor • Required data elements – OASIS – Visit/Transaction records Vi it/T ti d – Patient Information/Demos www.deyta.com P: 888..893.1937 E: homehealth@deyta.com Sur ve y Cyc le • Random sampling and survey distribution • Timing of Survey Distribution – Distributed at the beginning of the month – Surveys received by patient within 3 weeks – Second wave of surveys if no response in first 3 Seco d a e o su eys o espo se st 3 weeks – Six week field period allowed from the first date surveys were mailed – HHCAHPS surveys received after the cut off period will not be reported to CMS www.deyta.com P: 888..893.1937 E: homehealth@deyta.com Data Colle c tion Mode Survey data can be collected using one of three data collection modes: – Mail – Telephone – Mixed mode (mail with telephone follow-up) ( p p) Estimates of Response Rates Associated with Similar Surveys per CMS Mode Response Rate Sample size for 25 responses/month Mail Only 30% 84 Phone Only 35% 72 Mixed 40% 63 www.deyta.com P: 888..893.1937 E: homehealth@deyta.com 7
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