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’s Center for Post-Acute Care represents the interests of CHA member post-acute care providers,  including inpatient rehabilitation hospitals and units,  long-term acute care hospitals, distinct-part skilled-nursing facilities and home health agencies.  As a part of CHA, the Center for Post-Acute Care serves as the primary public policy arm of the hospital association for post-acute care issues. The center also advocates for hospital-based post-acute care services  in the federal and state legislative and regulatory arenas.

CHA News Article

CMS Provides Training for Falls Assessment in Post-Acute Care Settings
For post-acute care leaders, HIM managers, quality managers

The Centers for Medicare & Medicaid Services has developed a web-based training program for the standardized patient assessment data elements related to falls. 

CHA News Article

Guidebook on Strategic Opportunities in Post-Acute Care Market Updated; Save the Date for March Webinar
For CFOs, COOs, clinical operations executives, transformation & strategy executives

The CHA Center for Post-Acute Care has released an updated Productive Partners: Hospitals and the Continuum of Care guidebook to help hospitals and health system leaders align strategic thinking around post-acute care and engage with post-acute providers. 

CHA News Article

CMS Announces Plans to Expand Home Health Value-Based Purchasing Model
For CFOs, post-acute care leaders, compliance officers

The Centers for Medicare & Medicaid Services (CMS) has announced its intention to expand the Home Health Value-Based Purchasing model.  

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.
 

Private Post

CDPH Issues AFL on Temporary Suspension of Regulatory Enforcement of Hospice Requirement
Dec. 21, 2020

The California Department of Public Health (CDPH) has issued All facilities letter (AFL) 20-47.1,  which provides updated information about the temporary suspension of regulatory enforcement of hospice requirement during the public health emergency.  The current AFL rescinds prior authorization to begin operations based solely on submission of an application and clarifies that a hospice provider seeking initial licensure must receive approval before providing care.

 

CHA News Article

CMS Provides Updates on Nursing Home Compare
For post-acute care leaders, case managers, quality and compliance leaders

The Centers for Medicare & Medicaid Services (CMS) has issued an update to the Nursing Home Compare and the Five Star Quality Rating Program. During the COVID-19 public health emergency, required reporting of certain skilled-nursing facility staffing data and quality measures were waived.   

CHA News Article

CMS Completes Transition to Care Compare Website
For post-acute care leaders, case managers, quality and compliance leaders

Effective Dec. 1, the Centers for Medicare & Medicaid Services (CMS) will retire eight original health care compare tools, completing the transition to the streamlined Care Compare website.  

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.Services may range from coordinated interdisciplinary programs to individual therapy disciplines.

CHA News Article

CMS Provides Training for Falls Assessment in Post-Acute Care Settings
For post-acute care leaders, HIM managers, quality managers

The Centers for Medicare & Medicaid Services has developed a web-based training program for the standardized patient assessment data elements related to falls. 

CHA News Article

CHA Comments on IRF Review Choice Demonstration
For IRF leaders, directors of reimbursement, compliance officers, health information managers

CHA has submitted a letter to the Centers for Medicare & Medicaid Services (CMS) on a new demonstration project for payment review for inpatient rehabilitation facility (IRF) services.  

CHA News Article

Guidebook on Strategic Opportunities in Post-Acute Care Market Updated; Save the Date for March Webinar
For CFOs, COOs, clinical operations executives, transformation & strategy executives

The CHA Center for Post-Acute Care has released an updated Productive Partners: Hospitals and the Continuum of Care guidebook to help hospitals and health system leaders align strategic thinking around post-acute care and engage with post-acute providers. 

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’s Center for Post-Acute Care represents the interests of CHA member post-acute care providers,  including inpatient rehabilitation hospitals and units,  long-term acute care hospitals, distinct-part skilled-nursing facilities and home health agencies.  As a part of CHA, the Center for Post-Acute Care serves as the primary public policy arm of the hospital association for post-acute care issues. The center also advocates for hospital-based post-acute care services  in the federal and state legislative and regulatory arenas.

CHA News Article

CMS Provides Training for Falls Assessment in Post-Acute Care Settings
For post-acute care leaders, HIM managers, quality managers

The Centers for Medicare & Medicaid Services has developed a web-based training program for the standardized patient assessment data elements related to falls. 

CHA News Article

Guidebook on Strategic Opportunities in Post-Acute Care Market Updated; Save the Date for March Webinar
For CFOs, COOs, clinical operations executives, transformation & strategy executives

The CHA Center for Post-Acute Care has released an updated Productive Partners: Hospitals and the Continuum of Care guidebook to help hospitals and health system leaders align strategic thinking around post-acute care and engage with post-acute providers. 

CHA News Article

CMS Finalizes Rule on Prior Authorization Process
For CEOs, CFOs, finance & reimbursement staff, government relations staff, post-acute care staff

The Centers for Medicare & Medicaid Services (CMS) – in coordination with the Office of the National Coordinator for Health Information Technology – has issued a final rule intended to streamline and reduce the burden associated with health plan prior authorization processes through Application Programming Interfaces (APIs).   

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

CMS Provides Training for Falls Assessment in Post-Acute Care Settings
For post-acute care leaders, HIM managers, quality managers

The Centers for Medicare & Medicaid Services has developed a web-based training program for the standardized patient assessment data elements related to falls. 

Private Post

CDPH Issues AFL on Regulatory Enforcement of specified Skilled Nursing Facility Requirements
March 1, 2021

The California Department of Public Health (CDPH) has issued all facilities letter (AFL) 20-32.2,  which provides updated information regarding regulatory enforcement of specified skilled nursing facility (SNF) requirements during the current public health emergency.  Specifically,  the AFL extends the existing waiver for change of service,  space use, increase in capacity until June 1, 2021,  and rescinds all temporary COVID-19 staffing waivers, effective March 1, 2021.

Private Post

CDPH Issues AFL on Regulatory Enforcement of specified Skilled Nursing Facility Requirements

The California Department of Public Health (CDPH) has issued all facilities letter (AFL) 20-32.2,  which provides updated information regarding regulatory enforcement of specified skilled nursing facility (SNF) requirements during the current public health emergency.  Specifically,  the AFL extends the existing waiver for change of service,  space use, increase in capacity until June 1, 2021,  and rescinds all temporary COVID-19 staffing waivers, effective March 1, 2021.

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

Updated Minimum Data Set for SNFs, Hospitals With Swing Beds Effective Oct. 1
For skilled-nursing facility leaders, compliance, and reimbursement professionals   

The California Department of Public Health has issued All Facilities Letter (AFL) 20-76, which informs skilled-nursing facilities and hospitals with swing beds to use the revised Minimum Data Set (MDS), effective Oct. 1.  

Private Post

CDPH Issues Guidance for Skilled-Nursing Facilities, Home Health Agencies
September 22, 2020

CDPH has issued several AFLs for post-acute care providers, including:

  • AFL 20-72, which waives certain requirements for home health agencies during the COVID-19 public health emergency. This includes provisions related to licensing, staffing and services, and supervision.
  • AFL 20-73, which provides guidance to skilled-nursing facilities to support residents’ ability to express their treatment wishes through proactive advance care planning. The AFL includes recommendations for all residents, including those who have tested positive for COVID-19.
  • AFL 20-74, which provides recommendations for use of personal protective equipment, cohorting, and staffing for skilled-nursing facility residents. The AFL includes a chart with guidance for each category of COVID-19 status, including COVID-19-positive residents, symptomatic residents awaiting test results, exposed and non-exposed residents, and new admissions.
Private Post

CMS Updates Skilled-Nursing Facility Visitation Guidance
September 22, 2020

The Centers for Medicare & Medicaid Services (CMS) has issued updated guidance for visitation in skilled-nursing facilities during the pandemic. The revised guidance notes that previous restrictions, which focused on protecting residents from COVID-19 by limiting visitation, have taken a physical and emotional toll on residents. It provides reasonable ways that facilities can safely accommodate in-person visitation to address the psychosocial needs of their residents.

While CMS notes that skilled-nursing facilities may continue to restrict visitation (except virtual visits) based on the county’s positivity rate, the facility’s COVID-19 status, or other factors, they may not restrict visitation without a reasonable clinical or safety cause. The new guidance, which is effective immediately, also provides that communal activities and dining can occur with alterations to adhere to guidelines to prevent transmission. Additionally, CMS notes that facilities may apply to use civil money penalties funds to purchase tents for outdoor visitation or dividers to create physical barriers and reduce risk of transmission during in-person visits.

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