Putting HHA Casper Reports to Use – For Agency Success October 24, 2018 Speaker: Betty Metz This material was prepared by Telligen, the Medicare Quality Innovation Network Quality Improvement Organization, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 11SOW-QIN-B1-10/11/18-3017
Putting HHA CASPER Reports to Use – For Agency Success! Betty Metz, BS, c-SSBB, MDS-CCP Education and Technical Assistance Branch October, 2018
What’s Happening Today Understand the “WHY” of CASPER Reports Its really not “WHY ME?!?!” Learn about QAPI/QI resources Deep dive into CASPER Report that you can use today!
Typical CASPER Requests Most folks use CASPER Reports to verify their software OASIS Agency Final Validation Report • OASIS Assessment Print • HHA Roster • Don’t forget to check the Review and Correct Reports for the new Quality Reporting Program measures (QRP/Impact Act)
But Wait! There’s More! Reports/HHA Maintenance/OASIS Quality Improvement And more options Agency Patient-Related • Characteristics – Demographics HHA Discharges • HHA Start Resume Care •
What Difference Does it Make? You can run a HHA without checking any of these reports – the surveyors will never know Would you let your Granny be a patient? Would you let your child be an employee?
Other Fun Ideas A bunch of Workflow tools https://healthit.ahrq.gov/health-it-tools-and- resources/evaluation-resources/workflow- assessment-health-it-toolkit/all-workflow-tools A PDSA in action https://www.ahrq.gov/professionals/quality- patient-safety/quality-resources/tools/literacy- toolkit/healthlittoolkit2-tool2b.html
Your QAPI Team Needs hourly people Needs an energized leader who wants money saved Needs time and patience and patients Needs the grace to fail fast so they can go on to success
More CASPER Friends Three main categories Outcomes – Did the patient actually get better? • Potentially Avoidable Events – Oopsies! (PAE) • Process – How is the agency communication? • Each category has report types Report – Graphs comparing national figures against • time points you specify, usually now and an earlier time point Report – Text – Comparisons as above but in tables • Tally – Which specific patient are we talking about? • (PHI !!)
Casper QI Package
Default Timepoints
So What does this All Mean?
Changing the Time Points
So, What Does This Mean?
And What Does This Mean?
Tally Reports Helps you know which specific individual’s assessment is triggering the measure you are interested in Again, make sure you run for the correct “interesting” timepoints A tally report for each category Calculations (numerators and denominators) at Downloads section at the bottom of the page, one file for each category https://www.cms.gov/Medicare/Quality-Initiatives-Patient- Assessment-Instruments/HomeHealthQualityInits/Home-Health- Quality-Measures.html
Transfer to P-D-S-A Cycle
Checking on your PDSA Depending on the report, some do not allow much resolution for the data
Your Next PDSA Cycle The most productive cycles are often very short Single issue • Tallies for an afternoon • Meetings of less than 15 minutes • Don’t do a long cycle with an intent to “prove” the change concept until you are sure that the change is an improvement So CASPER reports are often left for long cycles or maintenance cycles or year-over-year checks
Stories CASPER reports of stubborn “Improvement in Pain Interfering in Activity” led to increased OT involvement BTW – what category of measure is that? CASPER reports of unexciting “Diabetic Foot Care and Patient Education in Plan of Care” led to recruitment of podiatrist consultant BTW – category of measure is that?
More CASPER Friends Many more reports possible than we covered today HHA Trend Analysis Reports for Outcomes measures provide very helpful run charts over time
My Library
ReRun
Thanks for Your Time! Contact me any time: Betty Metz 303-692-2905 betty.metz@state.co.us Or QTSO HelpDesk: 800-339-9313 If I am not around, there are lists of OASIS Automation Coordinators on www.cms.gov https://www.cms.gov/Medicare/Quality-Initiatives- Patient-Assessment- Instruments/OASIS/Downloads/OASISautomationco ordinators.pdf
Questions? 25
Contact Information • Ilinois & Colorado: Kristen Marino Kristen.Marino@area-d.hcqis.org • Iowa: Frann Otte Frann.Otte@area-d.hcqis.org • Visit our website at: www.telligenqinqio.com • Find us on social media at: Twitter: @TelligenQIN Facebook: @TelligenQIN LinkedIn: Telligen QIN 26
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