Post-Acute Care

Overview Jenna Eckert

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 Lindsay Mohler

CHA Comments on IMPACT Act Beta Test Results

CHA has submitted comments to the Centers for Medicare & Medicaid Services (CMS) on its release of preliminary findings from the national beta test of standardized patient assessment data elements (SPADEs).

CHA News Article Lindsay Mohler

Palliative Care Pilot Program Participants Required to Use New Web-Based Reporting Tool

In All Facilities Letter 18-57, the California Department of Public Health announces a new web-based data collection tool intended to assist providers that participate in the Palliative Care Pilot Program with annual reporting. Program participants must submit certain information using this tool by Jan. 1 of each program year. 2018 reports were due Jan. 1, 2019, but the online reporting portal will remain open through March 1.

CHA News Article

DME Competitive Bidding Suspended for Two Years

The Centers for Medicare & Medicaid Services (CMS) has issued a fact sheet announcing that it expects a temporary gap for the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program to last until Dec. 31, 2020. 

Overview Jenna Eckert

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 Nicole Hoffman

CMS Issues FFY 2020 Inpatient Rehabilitation Facility PPS Proposed Rule
For CEOs, CFOs, Directors of Rehabilitation Services

The Centers for Medicare & Medicaid Services (CMS) has issued the proposed rule for the inpatient rehabilitation facility prospective payment system (IRF PPS) for federal fiscal year (FFY) 2020. If finalized, the provisions would be effective Oct. 1, 2020.

CHA News Article

MedPAC Issues Recommendations to Congress

At the January meeting, the Medicare Payment Advisory Commission (MedPAC) recommended that Congress increase the rate for hospital inpatient and outpatient prospective payment systems (PPS) by 2 percent in federal fiscal year (FFY) and calendar year (CY) 2020.

CHA News Article Lindsay Mohler

Palliative Care Pilot Program Participants Required to Use New Web-Based Reporting Tool

In All Facilities Letter 18-57, the California Department of Public Health announces a new web-based data collection tool intended to assist providers that participate in the Palliative Care Pilot Program with annual reporting. Program participants must submit certain information using this tool by Jan. 1 of each program year. 2018 reports were due Jan. 1, 2019, but the online reporting portal will remain open through March 1.

Overview Jenna Eckert

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 Nicole Hoffman

CMS Issues FFY 2020 Inpatient Rehabilitation Facility PPS Proposed Rule
For CEOs, CFOs, Directors of Rehabilitation Services

The Centers for Medicare & Medicaid Services (CMS) has issued the proposed rule for the inpatient rehabilitation facility prospective payment system (IRF PPS) for federal fiscal year (FFY) 2020. If finalized, the provisions would be effective Oct. 1, 2020.

CHA News Article Lindsay Mohler

CHA Encourages Hospitals to Respond to CDPH Stroke Care Survey by May 31
For CMOs, CNOs, Licensing & Certification Staff

The California Department of Public Health (CDPH) Stroke Registry/California Coverdell Program requests that hospitals participate in its annual stroke survey. Responses to the survey will be used to assess hospitals’ capacity to provide stroke care, describe the quality improvement intervention work underway in hospital settings, and identify acute stroke care service gaps.

CHA News Article Brianna Nathan

CHA Submits Pre-Regulatory Title 22 Comments on Regulations for Acute Care Hospitals
For COOs, Licensing Staff, Rehabilitation Staff

CHA recently submitted comments to the California Department of Public Health (CDPH), responding to its requests for input on changes to Title 22 regulations. In the letter, CHA thanks CDPH for undertaking the process of revising the regulations, noting that the majority are outdated and no longer relevant to current hospital care delivery. 

Overview Jenna Eckert

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 Brianna Nathan

CMS Issues FFY 2020 Long-Term Care Hospital PPS Proposed Rule
For CEOs, CFOs, Post-Acute Care Executives

The Centers for Medicare & Medicaid Services (CMS) has issued the proposed rule for the long-term care hospital (LTCH) prospective payment system (LTCH PPS), as part of the inpatient prospective payment system (IPPS) for federal fiscal year (FFY) 2020.  The provisions in the proposed rule, if finalized, would be effective Oct. 1.

CHA News Article

MedPAC Issues Recommendations to Congress

At the January meeting, the Medicare Payment Advisory Commission (MedPAC) recommended that Congress increase the rate for hospital inpatient and outpatient prospective payment systems (PPS) by 2 percent in federal fiscal year (FFY) and calendar year (CY) 2020.

CHA News Article Lindsay Mohler

CHA Comments on IMPACT Act Beta Test Results

CHA has submitted comments to the Centers for Medicare & Medicaid Services (CMS) on its release of preliminary findings from the national beta test of standardized patient assessment data elements (SPADEs).

Overview Jenna Eckert

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 Nicole Hoffman

CMS Issues FFY 2020 Skilled-Nursing Facility PPS Proposed Rule
For CEOs, CFOs, Post-Acute Care Executives

The Centers for Medicare & Medicaid Services (CMS) has issued the federal fiscal year (FFY) 2020 proposed rule for the skilled-nursing facility prospective payment system (SNF PPS). The provisions in the proposed rule, if finalized, would be effective Oct. 1, 2020.

CHA News Article

MedPAC Issues Recommendations to Congress

At the January meeting, the Medicare Payment Advisory Commission (MedPAC) recommended that Congress increase the rate for hospital inpatient and outpatient prospective payment systems (PPS) by 2 percent in federal fiscal year (FFY) and calendar year (CY) 2020.

CHA News Article

Federal Funding Available to Support Nursing Facilities

In All Facilities Letter 19-03, the California Department of Public Health outlines requirements for a federal grant available to skilled-nursing and nursing facilities.

Overview Jenna Eckert

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 Allison Bradley

CMS Provides Updates for Post-Acute Care Quality Reporting

The Centers for Medicare & Medicaid Services (CMS) regularly provides important updates for post-acute care quality reporting programs, including training opportunities, public reporting details and reminders of data submission and review deadlines.  

Inpatient Rehabilitation Facilities 
Provider Preview Reports
Updated inpatient rehabilitation facility (IRF) provider preview reports are now available. Providers have until Oct. 8 to review their 2017 quality measure performance data prior to their posting to the IRF Compare website in December. Corrections to the underlying data will not be permitted during this time. However, providers can request CMS review if they believe the data scores displayed are inaccurate. 

Four new quality measures will be reported on IRF Compare: 

  • Assessment-based measures:
    • Application of Percent of Long-Term Care Hospital Patients With an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function (NQF #2631)
    • Application of Percent of Residents Experiencing One or More Falls with Major Injury (NQF #0674)
  • Claims-based measures: 
    • Medicare Spending Per Beneficiary
    • Discharge to Community

Commands