Making HHCAHPS Easy! Making HHCAHPS Easy! Understanding HHCAHPS and Using it to Your Advantage Using it to Your Advantage HCAF 2010 Annual Conference Bill Bassett ill VP, Home Health Care www.deyta.com P: 888..893.1937 E: homehealth@deyta.com
T oday’s Age nda Part I. – HH-CAHPS Overview – Survey Design and Process – Public Reporting P bli R ti Part II. – Tips on Choosing a Vendor Tips on Choosing a Vendor – Common Pricing Models – Agency Preparation Tips g y p p www.deyta.com P: 888..893.1937 E: homehealth@deyta.com
About De yta • Specialists in home health and hospice satisfaction p p – Administering satisfaction surveys since 1993 – Currently work with over 2,000 home health and hospice agencies and growing agencies, and growing… • CMS approved for HHCAHPS • “Satisfaction Technology Platform” gy – Scalable, effectively supporting multi-site organizations – Sophisticated system, simple to use • Largest satisfaction benchmarks in the nation Largest satisfaction benchmarks in the nation www.deyta.com P: 888..893.1937 E: homehealth@deyta.com
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 p – Multi-level benchmarking structure – Ad Hoc reporting • Dedicated client service team Dedicated client service team – We make implementation easy – Ongoing training on results interpretation • Value based pricing model for HHCAHPS 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
E: homehealth@deyta.com P: 888..893.1937 www.deyta.com vie w HHCAHPS Ove r
What is Home He alth Car e CAHPS • What is CAHPS? • Consumer Assessment of Healthcare Providers and Systems • Standardized national survey for home health • Standardized national survey for home health patients • Measures patient perception of care p p p • Component of Home Health Quality Initiative • Changing focus from quantity to quality www.deyta.com P: 888..893.1937 E: homehealth@deyta.com
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 clinicians' ability to deliver – Details on home care services, visits and timing – Safety and falls prevention – Medication instructions Medication instructions – Pain management – Sensitivity to patient needs 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
HH-CAHPS Pr ogr am Highlights • Final Rule HH PPS CY2010 … – Medicare-certified agencies – CMS mandates use of survey vendor – Results will be publically reported on HHC Results will be publically reported on HHC • Only Medicare and/or Medicaid patients – For CMS data reporting For CMS data reporting – Many HHAs surveying all patients for accurate results www.deyta.com P: 888..893.1937 E: homehealth@deyta.com
HH-CAHPS 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 Conduct Dry Run in Q3 2010 – 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 y g p p y • 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 f f Q Q • 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 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
E: homehealth@deyta.com P: 888..893.1937 www.deyta.com mation e e Infor r F
E: homehealth@deyta.com oc e ss P: 888..893.1937 www.deyta.com ve y De sign and Pr g y Sur
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 Questions 26 34 “About You” demographic • Supplementary questions (optional) � Deyta Satisfaction Process Measures 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
E: homehealth@deyta.com P: 888..893.1937 www.deyta.com ool ve y T he HHCAHPS Sur T
Patie nt E ligibility Cr ite r ia • Monthly random sample of patients: – Medicare and/or Medicaid (for minimum compliance) M di d/ M di id (f i i li ) – At least 18 yrs – Are not deceased when sample frame is drawn p – Current or discharged who had at least one skilled visit during sample month – At least two skilled visits in 60 day look back period At l t t kill d i it i 60 d l k b k i d – No maternity care – Not receiving hospice g p – 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 1. Agency sends sends eligible patients, eligible patients, g g p p monthly monthly data o o y y da a da a data file to file to e o e o conducts sampling conducts sampling CMS Approved CMS Approved and distributes and distributes Survey Vendor Survey Vendor survey survey y HHCAHPS HHCAHPS Process Process 3. Vendor compiles 3. Vendor compiles 3 V 3 V d d il il 4 M 4 M 4. Monthly reporting 4. Monthly reporting thl thl ti ti 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
Monthly Data F ile • Patient-level data elements submitted monthly to vendor • Required data elements – OASIS – Visit/Transaction records – Patient Information/Demos 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 Timing of Survey Distribution – Distributed at the beginning of the month – Surveys received by patient within 3 weeks Surveys received by patient within 3 weeks – Second wave of surveys if no response in first 3 weeks – Six week field period allowed from the first date surveys were mailed – HHCAHPS surveys received after the cut off period 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: data collection modes: – Mail – Telephone Telephone – Mixed mode (mail with telephone follow-up) 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
Managing the Sample • HHAs should target 300 completed surveys per year – Smooth inflow of completed surveys during course of the year Smooth inflow of completed surveys during course of the year – Monthly sampling protocols – Automatically adjust the random sample size to generate the new monthly requirement monthly requirement • If patient count will not reach 300, then survey 100% of patients Proportionate Random Sampling Deyta will first determine the minimum number of records needed to maintain the goal of 300 returns per year per CCN. Set n = maximum between this value and the goal for that CCN. The data “k” will be split into mutually exclusive sets. For each download we will determine for i=1 to k F h d l d ill d t i f i 1 t k N = the number of patients for the CCN submitted N = the number of patients to sample for the CCN N = the number of patients in the ith strata the sum Ni = N pi = the proportion of patients in the ith strata pi = Ni / N and sum pi = 1 pi Ni / N and sum pi 1 Ni = N * pi we will round up to be conservative on the sample size. Thus sum Ni>= N www.deyta.com P: 888..893.1937 E: homehealth@deyta.com
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