Post-Acute Care

Overview

Home Health

Home health care is a formal, regulated program of care delivered by a variety of health care professionals in the patient’s home for the treatment of a medical condition, illness or disability. Home health is provided through certified home health agencies (HHAs).

As components of the post-acute continuum of care, HHAs provide essential health care services. This specialized support allows patients to remain at home when they would otherwise have to be admitted to a costly institutional setting, such as a skilled-nursing facility or hospital.

CHA provides state and federal representation and advocacy in the legislative and regulatory arenas to improve access to quality, cost-effective home health care services.

CHA News Article

CHA Center for Post-Acute Care Announces 2015 Officers

The CHA Center for Post-Acute Care has announced its leadership team for 2015. Mivic Hirose, administrative director, Laguna Honda Hospital and Rehabilitation Center, will assume the position of chair. Pamela Chevreaux, vice president for ambulatory services, Long Beach Memorial Hospital, has been appointed to serve as chair-elect. Hirose and Chevreaux will represent the Center on the CHA Board of Trustees. 

The CHA Center for Post-Acute Care was established in 2011 to serve the needs of CHA members at all levels of the post-acute care continuum, including inpatient rehabilitation facilities, long-term acute care hospitals, skilled-nursing facilities and home health agencies.

CHA News Article

CMS to Host Call on Home Health Certification

The Centers for Medicare & Medicaid Services (CMS) will conduct a national provider call on new patient certification requirements for home health agencies. The call will take place Dec. 16 from 10:30 a.m. – noon (PT). In the recently released calendar year home health prospective payment system final rule, CMS finalized a new patient certification requirement for home health agencies beginning Jan. 1, 2015. During the MLN Connects National Provider Call, CMS subject matter experts will discuss the changes to the Medicare home health benefit, followed by a question-and-answer session. Registration is available at MLN Connects Event Registration.

CHA News Article

CMS Issues Home Health PPS Final Rule

The Centers for Medicare & Medicaid Services (CMS) has issued the final rule for the home health prospective payment system for calendar year 2015, with provisions to take effect Jan. 1, 2015. Under the final rule, including implementation of payment updates and the second year of a four-year rebasing, CMS estimates that payments to home health agencies will decrease 0.3 percent compared to 2014.

Overview

Hospice

Hospice provides comprehensive and interdisciplinary health care to terminally ill patients, as well as bereavement and support services to the patients’ loved ones. Patients receiving hospice care forgo curative treatments. Hospice care is provided through certified hospice programs, and may be delivered in any patient care setting, but is most often provided in the patient’s home.

CHA provides state and federal representation and advocacy in the legislative and regulatory arenas to improve access to quality, cost-effective hospice health care services.
 

CHA News Article

CHA Center for Post-Acute Care Announces 2015 Officers

The CHA Center for Post-Acute Care has announced its leadership team for 2015. Mivic Hirose, administrative director, Laguna Honda Hospital and Rehabilitation Center, will assume the position of chair. Pamela Chevreaux, vice president for ambulatory services, Long Beach Memorial Hospital, has been appointed to serve as chair-elect. Hirose and Chevreaux will represent the Center on the CHA Board of Trustees. 

The CHA Center for Post-Acute Care was established in 2011 to serve the needs of CHA members at all levels of the post-acute care continuum, including inpatient rehabilitation facilities, long-term acute care hospitals, skilled-nursing facilities and home health agencies.

CHA News Article

CMS Posts Q&As on Hospice Item Set

The Centers for Medicare & Medicaid Services (CMS) has posted a new question-and-answer document about the hospice item set (HIS). The Q&As reflect frequently asked HIS-related questions received by the CMS quality help desk during the third quarter (July through September) of 2014. A copy of the document is attached. 

CHA News Article

Post-Acute Care Bill Signed Into Law

On Oct. 6, President Obama signed into law the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014. The bipartisan bill was designed to increase quality, transparency and accountability in post-acute care for Medicare beneficiaries. The Act would require post-acute care providers — including long-term acute care hospitals, inpatient rehabilitation facilities, skilled-nursing facilities and home health agencies — to collect and report standardized assessment data as a first step in developing recommendations for alternative post-acute care payment models. Additionally, the legislation includes new survey and medical review requirements for hospices. These provisions will be implemented between 2016 and 2022. A copy of the bill is available at www.congress.gov/113/bills/s2553/BILLS-113s2553is.pdf. CHA has also created the attached summary of the bill.  

Overview

Inpatient Rehabilitation & Therapy Services

Medical rehabilitation focuses on improving or restoring functional independence for individuals with disabilities resulting from injury, illness or a medical condition.

Medical rehabilitation is provided at all levels of the health care continuum, including general acute-care hospitals, inpatient rehabilitation facilities (IRFs), skilled-nursing facilities, long-term-care hospitals, outpatient programs and home health agencies.

CHA News Article

Updated IRF-PAI Information Available

The Centers for Medicare & Medicaid Services (CMS) has added information to Section 2 of the inpatient rehabilitation facility patient assessment instrument (IRF-PAI) training manual, as provided for in the fiscal year (FY) 2015 IRF prospective payment system final rule. The new IRF-PAI items – effective Oct. 1, 2015 – include Arthritis Attestation (item 24A) and Therapy Information Section (items O0401 and O0402). CMS has also made changes to the manual’s Helpful Resources document. The updated IRF-PAI training manual is available on the CMS website.

CMS will hold a national provider call on this information Jan. 15 from 10:30 a.m. – noon (PT). For additional information and to register, visit www.cms.gov/Outreach-and-Education/Outreach/NPC/National-Provider-Calls-and-Events.html.

CHA News Article

CHA Center for Post-Acute Care Announces 2015 Officers

The CHA Center for Post-Acute Care has announced its leadership team for 2015. Mivic Hirose, administrative director, Laguna Honda Hospital and Rehabilitation Center, will assume the position of chair. Pamela Chevreaux, vice president for ambulatory services, Long Beach Memorial Hospital, has been appointed to serve as chair-elect. Hirose and Chevreaux will represent the Center on the CHA Board of Trustees. 

The CHA Center for Post-Acute Care was established in 2011 to serve the needs of CHA members at all levels of the post-acute care continuum, including inpatient rehabilitation facilities, long-term acute care hospitals, skilled-nursing facilities and home health agencies.

CHA News Article

NIH Funds Initiatives for Co-Robotics

The National Institutes of Health has provided funding for new research in co-robotics — robots that work cooperatively with people to aid stroke rehabilitation, guide wheelchairs and assist children with autism spectrum disorder. The projects are part of the interagency National Robotics Initiative (NRI), which also includes the National Science Foundation, the National Aeronautics and Space Administration, and the U.S. Department of Agriculture.

The newly announced research projects include investigations of wearable exoskeletons to induce recovery of functions in affected limbs in stroke rehabilitation; a computer vision-based active learning co-robot wheelchair, which can be controlled by the user’s head movements and will adapt to the individual; and music-based interactive robotic orchestration for children with autism spectrum disorder. For additional information about the NRI, visit http://grants.nih.gov/grants/guide/notice-files/NOT-EB-14-008.html.

Overview

Long-Term-Care Hospitals

Long-term-care hospitals (LTCHs) provide hospital-level care for medically complex, long-stay patients. LTCHs meet the same requirements as general acute-care hospitals, but have significantly longer average lengths of stay of 25 days or greater. LTCHs may be freestanding facilities or be co-located within hospitals, and treat a wide variety of conditions, including respiratory failure with ventilator dependency, infections, complex wounds and trauma.

CHA provides state and federal representation and advocacy in the legislative and regulatory arenas to improve access to quality, cost-effective long-term health care services.

CHA News Article

CHA Center for Post-Acute Care Announces 2015 Officers

The CHA Center for Post-Acute Care has announced its leadership team for 2015. Mivic Hirose, administrative director, Laguna Honda Hospital and Rehabilitation Center, will assume the position of chair. Pamela Chevreaux, vice president for ambulatory services, Long Beach Memorial Hospital, has been appointed to serve as chair-elect. Hirose and Chevreaux will represent the Center on the CHA Board of Trustees. 

The CHA Center for Post-Acute Care was established in 2011 to serve the needs of CHA members at all levels of the post-acute care continuum, including inpatient rehabilitation facilities, long-term acute care hospitals, skilled-nursing facilities and home health agencies.

CHA News Article

New AFL Focuses on Patients’ Nutritional Needs

The attached All Facilities Letter (AFL) from the California Department of Public Health reminds providers that patients’ nutritional needs should be met through menu development according to physicians’ diet orders and in coordination with each facility’s diet manual. The AFL explains how facility diet manuals should be used and developed, and addresses the issue of recommended dietary allowances in patients’ diets. The AFL, which supersedes AFL 13-11, also clarifies the intent of disaster menu planning.

CHA News Article

CMS Extends Deadline for IRF, LTCH NHSN Data Submission

The Centers for Medicare & Medicaid Services (CMS) has extended the deadline for 2014 quality measure data submitted via the Centers for Disease Control and Prevention’s (CDC’s) National Healthcare Safety Network (NHSN) for the inpatient rehabilitation facility (IRF) and the long-term acute care (LTCH) quality reporting programs (QRP). For IRFs, the new deadline for submission of quarter one 2014 NHSN data is Nov. 15, which aligns with the previously established quarter two 2014 deadline, effectively requiring the submission of all NHSN data for quarters one and two on Nov. 15. For LTCHs, the new deadline for submission of quarters one and two 2014 NHSN data is Nov. 15, which aligns with the previously established quarter three 2014 deadline, effectively requiring the submission of NHSN data for the first three quarters of 2014 on Nov. 15.

Overview

Skilled Nursing Facilities / Distinct-Part Nursing Facilities

Skilled-nursing facilities (SNFs) have the staff and equipment to provide skilled nursing, medical management and therapy services to individuals, on a 24-hour basis, who do not require high-intensity services provided in the hospital setting.

CHA News Article

CHA Center for Post-Acute Care Announces 2015 Officers

The CHA Center for Post-Acute Care has announced its leadership team for 2015. Mivic Hirose, administrative director, Laguna Honda Hospital and Rehabilitation Center, will assume the position of chair. Pamela Chevreaux, vice president for ambulatory services, Long Beach Memorial Hospital, has been appointed to serve as chair-elect. Hirose and Chevreaux will represent the Center on the CHA Board of Trustees. 

The CHA Center for Post-Acute Care was established in 2011 to serve the needs of CHA members at all levels of the post-acute care continuum, including inpatient rehabilitation facilities, long-term acute care hospitals, skilled-nursing facilities and home health agencies.

CHA News Article

New AFL Focuses on Patients’ Nutritional Needs

The attached All Facilities Letter (AFL) from the California Department of Public Health reminds providers that patients’ nutritional needs should be met through menu development according to physicians’ diet orders and in coordination with each facility’s diet manual. The AFL explains how facility diet manuals should be used and developed, and addresses the issue of recommended dietary allowances in patients’ diets. The AFL, which supersedes AFL 13-11, also clarifies the intent of disaster menu planning.

CHA News Article

California MDS Newsletter Available

The California Department of Public Health (CDPH) has issued the attached All Facilities Letter (AFL) to inform skilled-nursing facilities that the October edition of the Minimum Data Set (MDS) newsletter, California MDS Nuggets, is now available. The AFL also notes that the October issue includes information on MDS 3.0 Sections “S” and “Q,” a link to the new Physician Order for Life-Sustaining Treatment form, the new change of therapy other Medicare required assessment, and other topics. A copy of the newsletter is attached. 

Overview

Subacute Care

Subacute-care units provide a specialized level of care to medically fragile patients. Subacute patients are individuals who do not need acute care, but who are too ill to be cared for by most skilled-nursing facilities. Frequently, these individuals are ventilator-dependent or require frequent respiratory treatments. While subacute beds are licensed as skilled-nursing beds, they are reimbursed differently and are subject to additional staffing and patient criteria requirements.

CHA provides state and federal representation and advocacy in the legislative and regulatory arenas to improve access to quality, cost-effective subacute-care services.

CHA News Article

CHA Center for Post-Acute Care Announces 2015 Officers

The CHA Center for Post-Acute Care has announced its leadership team for 2015. Mivic Hirose, administrative director, Laguna Honda Hospital and Rehabilitation Center, will assume the position of chair. Pamela Chevreaux, vice president for ambulatory services, Long Beach Memorial Hospital, has been appointed to serve as chair-elect. Hirose and Chevreaux will represent the Center on the CHA Board of Trustees. 

The CHA Center for Post-Acute Care was established in 2011 to serve the needs of CHA members at all levels of the post-acute care continuum, including inpatient rehabilitation facilities, long-term acute care hospitals, skilled-nursing facilities and home health agencies.

CHA News Article

California MDS Newsletter Available

The California Department of Public Health (CDPH) has issued the attached All Facilities Letter (AFL) to inform skilled-nursing facilities that the October edition of the Minimum Data Set (MDS) newsletter, California MDS Nuggets, is now available. The AFL also notes that the October issue includes information on MDS 3.0 Sections “S” and “Q,” a link to the new Physician Order for Life-Sustaining Treatment form, the new change of therapy other Medicare required assessment, and other topics. A copy of the newsletter is attached. 

CHA News Article

CDPH Issues AFL on New Law for Optional Services in Federally Certified and Skilled-Nursing Facilities

The California Department of Public Health (CDPH) has issued an All Facilities Letter superseding its AFL 13-19. Beginning Jan. 1, 2015, occupational therapy, physical therapy, speech pathology and audiology services will no longer be considered special services — also known as optional services — when provided to inpatients of federally certified nursing facilities or skilled-nursing facilities. However, the services will still be considered optional as they pertain to non-residents on an outpatient basis. It is important to note that physical therapy, occupational therapy, speech pathology and audiology, social work and special treatment program services in licensed-only skilled-nursing facilities will continue to be considered optional services by the CDPH Licensing and Certification Program. For more information, see the attached AFL.

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