Get documents about "Sample Recruitment Agency Contract
W
Description
Sample Recruitment Agency Contract document sample
Document Sample
Home Health Agency
Recruitment Package
This material was prepared by Quality Insights of Pennsylvania, the Medicare Quality Improvement Organization Support Center for Home Health, 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. Publication number 8SOW-PA-HHQ07.341.
Quality Insights of Pennsylvania • 2 Penn Center West, Suite 220 • Pittsburgh, PA 15276 • Phone: 1.877.346.6180 • www.qipa.org
Dear Sir or Madam:
Thank you for showing your dedication to quality improvement by expressing interest in the
Home Health Quality Improvement (HHQI) National Campaign. We are pleased that you are
considering joining us in our shared vision of reducing avoidable hospitalizations.
As you know, home health patients desire and prefer to stay home whenever possible. Being
hospitalized can create unnecessary financial and emotional burdens for patients and their
families. Currently, more than one in four home health patient episodes result in a
hospitalization. Reducing this number is an excellent opportunity to unite for home health quality
improvement, and is the focus of our national campaign.
Every home health agency in the nation is invited to join the effort by registering at
www.homehealthquality.org starting January 11, 2007. Note that participation is free and
voluntary. After registering, you will receive a welcome packet, including a logo denoting your
participation in the effort. This logo is recommended for use on your Web site or in printed
materials. Consumers will identify your organization’s commitment to quality when they see the
HHQI National Campaign logo.
Your agency will also receive free monthly intervention packets that include educational tools
and resources, success stories, best practice education and individual agency reports to assist
with reducing avoidable hospitalizations.
If you have any questions, please visit the campaign Web site referenced above. You may also
choose to contact your state home health association or Quality Improvement Organization
(QIO), which are combining to serve as Local Area Networks of Excellence (LANEs)
throughout the campaign.
Thank you for your commitment to quality improvement. By working together, we can see that
patients receive the right care at the right time, every time. Your assistance is greatly appreciated.
Sincerely,
Marian A. Essey, RN, BSN
Director, HHQIOSC
Quality Insights of Pennsylvania
How to Register Guide
Home health agencies can begin to register for the Home Health Quality Improvement
(HHQI) National Campaign on January 11, 2007. Agencies that register will receive free
monthly best practice intervention packages that include educational tools and
resources, guidelines, success stories and best practice education that may be selected
for use to assist agencies to reduce avoidable hospitalizations. Additionally, registered
agencies will receive monthly reports including actual and risk-adjusted monthly Acute
Care Hospitalization (ACH) rates, along with some characteristics of hospitalized
patients.
To register, follow these few steps:
1) Visit www.homehealthquality.org
2) Click on “Home Health Agency Registration”
3) Fill out the form on the Web site – you will need your six digit Medicare provider
number when you register
4) Click “Submit”
Your agency will receive an electronic welcome package within two to three weeks from
registration. The welcome package will include an informational letter, the exclusive
HHQI logo and a certificate of participation. Your first intervention package will arrive
in March 2007.
If you encounter technical problems while registering, please contact the HHQI
National Campaign Web site administrator, Laura Dugan, at ldugan@wvmi.org.
If you have questions about registering, contact your Quality Improvement Organization
(QIO), your state home health association or Karen Michael at kmichael@wvmi.org.
This material was prepared by Quality Insights of Pennsylvania, the Medicare Quality Improvement Organization Support Center for Home Health, 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. Publication number 8SOW-PA-HHQ06.309.
2007 Home Health Quality Improvement
National Campaign – Info Sheet
Who: The Centers for Medicare & Medicaid Services (CMS), in
conjunction with the Home Health Quality Improvement Organization
Support Center (HHQIOSC), has launched a national home health quality
improvement campaign targeting home health agencies and other key
stakeholders.
What: The Campaign seeks to unite the home care community under the
shared vision of reducing avoidable hospitalizations to improve patient
quality of care. This will be accomplished through the distribution of tools
and resources, guidelines, information and best practice education.
Agency recruitment will occur locally through state and national home
health associations and Quality Improvement Organizations (QIOs), which
will combine to serve as Local Area Networks for Excellence (LANEs).
When: Campaign registration started January 11, 2007 and is ongoing.
The campaign will provide home care agencies with a monthly
intervention packet that includes educational tools and resources,
information sharing, best-practice education and individual agency
reports to assist with reducing avoidable hospitalizations.
Where: The Campaign Web site (www.homehealthquality.org) allows
agencies to register and receive monthly intervention packets. Contact
your state’s Quality Improvement Organization (QIO) or state home care
association for more information.
Why: Patients desire and prefer to stay at home whenever possible.
Being hospitalized can unnecessarily create financial and emotional
burdens for patients and their families, and can negatively impact the
health care delivery system. Currently, more than one in four home health
patient episodes will result in a hospitalization. This campaign addresses
avoidable hospitalizations, and seeks to reduce them nationally.
For more information, contact your state’s
Quality Improvement Organization (QIO)
or state home care association.
This material was prepared by Quality Insights of Pennsylvania, the Medicare Quality Improvement Organization Support Center for Home
Health, 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. Publication number 8SOW-PA-HHQ06.305.
Why Participate?
• Optimize performance with support, free resources, networking and
benchmarking based on CMS data.
• Don’t be left behind. This is an unprecedented national initiative with support
from key home health stakeholders, including the National Association for
Homecare and Hospice, American Association for Homecare, Visiting Nurses
Association of America, American Telemedicine Association, Hospice and Palliative
Nurses Association, University of Colorado Health Sciences Center, American
Occupational Therapy Association, American Physical Therapy Association,
American Speech-Language-Hearing Association, and the Center for Home Care
Policy and Research.
• Opportunity for leadership to demonstrate commitment to quality and
improved patient care to staff, referral sources and the community.
• A “seal of recognition” HHQI logo will be provided to registered participants to use
in marketing to showcase your quality improvement commitment.
• Participation is FREE for home health agencies and includes:
o Individual agency reports
o Monthly ACH educational resources designed for ease of implementation with
opportunities to earn CEUs
• Cope with staff turnover: Monthly ACH Intervention Packages will be an
efficient way to keep new quality improvement personnel, management and clinical
field staff up-to-date with best practice strategies for reducing hospitalizations.
• Continue to improve your ACH rate or sustain an exemplary ACH rate:
o Evaluate your current ACH rate and ask: Is this as good as you can get? Are you
satisfied with your ACH outcome rate? If so, can you sustain that rate?
• No data collection is required:
o HHAs may continue to monitor best practices, but no additional data collection
is required.
• Flexible program:
o HHAs can select what resources they want to use.
o HHAs should find this complements their current workload, and NOT create an
additional burden.
This material was prepared by Quality Insights of Pennsylvania, the Medicare Quality Improvement Organization Support Center for Home Health, 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. Publication number 8SOW-PA-HHQ06.307.
HHQI Campaign Participant Data
(Provided only to HHQI participants)
This table compares data that is currently available to all home health agencies to the data
that will be provided exclusively to registered participants in the HHQI National Campaign:
All HHAs Campaign Participants
OBQI Outcome rates Actual and risk-adjusted ACH rates
(current rates are NOT risk-adjusted)
Monthly outcome rates must be derived Calculated monthly ACH rates
from Tally Reports (with a 2½ - 3 month (With only 1½ - 2 month lag)
lag)
Home Health Compare risk-adjusted ACH Risk-adjusted ACH rate updated monthly (with
rate updated quarterly (with a 6-9 month only a 2½ - 3 month time lag)
lag)
Vendor specific benchmarking National and Statewide ACH benchmarking
based on CMS data
This material was prepared by Quality Insights of Pennsylvania, the Medicare Quality Improvement Organization Support Center for Home Health, 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. Publication number 8SOW-PA-HHQ06.307.
Home Health Quality Improvement National Campaign Monthly Summary Sample Report for:
AGENCY NAME: XYZ HOME HEALTH AGENCY MEDICARE #: XXXXXX
LOCATION: ANY CITY, US REPORT DATE: 2/15/2008
Acute Care Hospitalization: Benchmarking Report
Statewide and National Percentile Rankings
Feb Mar Apr May Jun Jul Aug Sep Oct Nov
2007 2007 2007 2007 2007 2007 2007 2007 2007 2007
Your Agency's Actual ACH Rate 28.02 28.59 28.67 29.01 29.05 29.02 28.84 28.56 28.51 28.21
Your Agency's Risk-Adjusted ACH Rate 27.0% 27.4% 27.5% 27.9% 28.1% 28.4% 28.3% 27.6% 27.5% 27.2%
Your Agency's National Percentile Ranking 25th 27th 28th 30th 31st 33rd 32nd 28th 27th 26th
National 20th Percentile Rate 22.0% 22.0% 21.9% 21.9% 21.9% 21.8% 21.8% 21.8% 21.8% 21.8%
National 10th Percentile Rate 11.0% 11.1% 11.0% 10.9% 10.9% 10.9% 10.9% 10.9% 10.9% 10.8%
Your Agency's Statewide Percentile Ranking 30th 31st 32nd 33rd 34th 35th 34th 30th 29th 28th
Statewide 20th Percentile Rate 24.0% 24.2% 24.3% 24.3% 24.2% 24.1% 24.0% 23.9% 24.0% 23.8%
Statewide 10th Percentile Rate 12.1% 12.0% 12.1% 12.2% 12.1% 12.0% 11.9% 11.9% 11.9% 11.8%
Acute Care Hospitalization: Actual Rates vs. Risk-Adjusted Rates for Your Agency
Actual Rate (from OBQI Reports) vs. Risk-Adjusted Rate (as Reported on Home Health Compare)
35
34
33
32
31
30
% 29
28
27
26
25
9/2006* 10/2006 11/2006 12/2006* 1/2007 2/2007 3/2007* 4/2007 5/2007 6/2007* 7/2007 8/2007 9/2007* 10/2007 11/2007 12/2007* 1/2008 2/2008
12-Month Period Ending
Actual ACH Rate (OBQI Reports) Risk-Adjusted ACH Rate (Home Health Compare)
* Months highlighted represent data periods that have been (or will be) publicly reported on Home Health Compare. Home Health Compare is updated quarterly with the
12-month period approximately 6 months prior to the update. For example, the 12-month period ending 9/30/2006 will be posted to Home Health Compare on 3/29/2007.
Data Source: Data shown is from the Quality Improvement and Evaluation System (QIES) national repository, which is maintained by the Centers for
Medicare & Medicaid Services (CMS). Each 12-month period is calculated from all OASIS assessments from Medicare / Medicaid patients that were
transmitted by your state agency to CMS approximately 2.5 months from the end of the 12-month period. Risk-adjusted rates are calculated based on the
risk model developed by the University of Colorado (details on the risk models used for all publicly reported outcomes are available at
http://www.cms.hhs.gov/HomeHealthQualityInits/downloads/HHQIOASISOBQIOverviewRADocumentation.pdf).
CONFIDENTIAL XYZ HOME HEALTH AGENCY (#XXXXXX) Page 1 of 2
AGENCY NAME: XYZ HOME HEALTH AGENCY
MEDICARE #: XXXXXX
Monthly Hospitalizations vs. Transfers / Discharges
Number of Monthly Hospitalizations out of Total Transfers / Discharges (as of 2/15/2008)
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Total
2007 2007 2007 2007 2007 2007 2007 2007 2007 2007 2007 2007
Hospitalizations 22 23 0 17 19 20 22 19 18 17 16 15 15
Transfers / Discharges 52 56 0 55 58 62 60 64 60 62 65 68 68
Hospitalization % 42.3% 41.1% N/A 30.9% 32.8% 32.3% 36.7% 29.7% 30.0% 27.4% 24.6% 22.1% 22.1%
Urgency of Hospitalizations
Percentage of Hospital Admissions by Urgency of Hospitalization from M0890 (as of 2/15/2008)
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Total
2007 2007 2007 2007 2007 2007 2007 2007 2007 2007 2007 2007
Emergent 85.1% 85.1% 85.1% 85.1% 85.1% 85.1% 85.1% 85.1% 85.1% 85.1% 85.1% 85.1% 85.1%
Urgent 5.6% 5.6% 5.6% 5.6% 5.6% 5.6% 5.6% 5.6% 5.6% 5.6% 5.6% 5.6% 5.6%
Elective 9.3% 9.3% 9.3% 9.3% 9.3% 9.3% 9.3% 9.3% 9.3% 9.3% 9.3% 9.3% 9.3%
Unknown 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
Reason for Hospitalizations
Percentage of Hospital Admissions by Reason for Hospitalization from M0895 (as of 2/15/2008)*
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Total
2007 2007 2007 2007 2007 2007 2007 2007 2007 2007 2007 2007
Improper Med. Admin. 5.0% 5.0% 5.0% 5.0% 5.0% 5.0% 5.0% 5.0% 5.0% 5.0% 5.0% 5.0% 5.0%
Fall or Accident 2.1% 2.1% 2.1% 2.1% 2.1% 7.5% 7.5% 7.5% 7.5% 7.5% 7.5% 7.5% 7.5%
Respiratory Problems 5.6% 5.6% 5.6% 5.6% 5.6% 5.6% 5.6% 5.6% 5.6% 5.6% 5.6% 5.6% 5.6%
Wound or Tube Site 5.7% 5.7% 5.7% 5.7% 5.7% 5.7% 5.7% 5.7% 5.7% 5.7% 5.7% 5.7% 5.7%
Hypo/Hyperglycemia 5.0% 5.0% 5.0% 5.0% 5.0% 5.0% 5.0% 5.0% 5.0% 5.0% 5.0% 5.0% 5.0%
GI Bleeding 17.8% 17.8% 17.8% 17.8% 17.8% 17.8% 17.8% 17.8% 17.8% 17.8% 17.8% 17.8% 17.8%
Exacerbation of CHF 1.0% 1.0% 1.0% 1.0% 1.0% 1.0% 1.0% 1.0% 1.0% 1.0% 1.0% 1.0% 1.0%
Myocardial Infarction 0.5% 0.5% 0.5% 0.5% 0.5% 0.5% 0.5% 0.5% 0.5% 0.5% 0.5% 0.5% 0.5%
Chemotherapy 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% 2.0%
Scheduled Surgery 1.1% 1.1% 1.1% 1.1% 1.1% 1.1% 1.1% 1.1% 1.1% 1.1% 1.1% 1.1% 1.1%
Urinary Tract Infection 2.1% 2.1% 2.1% 2.1% 2.1% 2.1% 2.1% 2.1% 2.1% 2.1% 2.1% 2.1% 2.1%
IV Catheter Infection 1.2% 1.2% 1.2% 1.2% 1.2% 1.2% 1.2% 1.2% 1.2% 1.2% 1.2% 1.2% 1.2%
Deep Vein Thrombosis 1.8% 1.8% 1.8% 1.8% 1.8% 1.8% 1.8% 1.8% 1.8% 1.8% 1.8% 1.8% 1.8%
Uncontrolled Pain 1.9% 1.9% 1.9% 1.9% 1.9% 1.9% 1.9% 1.9% 1.9% 1.9% 1.9% 1.9% 1.9%
Psychotic Episode 0.4% 0.4% 0.4% 0.4% 0.4% 0.4% 0.4% 0.4% 0.4% 0.4% 0.4% 0.4% 0.4%
Other 39.3% 39.3% 39.3% 39.3% 39.3% 39.3% 39.3% 39.3% 39.3% 39.3% 39.3% 39.3% 39.3%
* Percentages may exceed 100% due to multiple reasons per hospitalization.
Hospitalizations by Day of the Week
Percentage of Hospital Admissions by Day of Week from M0906 (as of 2/15/2008)
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Total
2007 2007 2007 2007 2007 2007 2007 2007 2007 2007 2007 2007
Sunday 8.0% 8.0% 8.0% 8.0% 8.0% 8.0% 8.0% 8.0% 8.0% 8.0% 8.0% 8.0% 8.0%
Monday 10.0% 10.0% 10.0% 10.0% 10.0% 10.0% 10.0% 10.0% 10.0% 10.0% 10.0% 10.0% 10.0%
Tuesday 8.0% 8.0% 8.0% 8.0% 8.0% 8.0% 8.0% 8.0% 8.0% 8.0% 8.0% 8.0% 8.0%
Wednesday 15.0% 15.0% 15.0% 15.0% 15.0% 15.0% 15.0% 15.0% 15.0% 15.0% 15.0% 15.0% 15.0%
Thursday 19.0% 19.0% 19.0% 19.0% 19.0% 19.0% 19.0% 19.0% 19.0% 19.0% 19.0% 19.0% 19.0%
Friday 22.0% 22.0% 22.0% 22.0% 22.0% 22.0% 22.0% 22.0% 22.0% 22.0% 22.0% 22.0% 22.0%
Saturday 18.0% 18.0% 18.0% 18.0% 18.0% 18.0% 18.0% 18.0% 18.0% 18.0% 18.0% 18.0% 18.0%
This report is subject to change at any time prior to or during the HHQI National Campaign. This material was prepared by Quality Insights of Pennsylvania, the
Medicare Quality Improvement Organization Support Center for Home Health, 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. Publication Number: 8SOW-PA-HHQ06.310.
Data Source: Data shown includes all Medicare / Medicaid patients transferred or discharged within each particular month, according to OASIS
assessments from your agency that have been transmitted to the QIES national repository (maintained by CMS) by approximately 1.5 months after the
end of each month. These numbers are subject to change based on additional OASIS assessment submissions by your agency, and are only intended to
be used for your internal quality improvement purposes.
CONFIDENTIAL XYZ HOME HEALTH AGENCY (#XXXXXX) Page 2 of 2
Information on the Best Practice
Intervention Packages
The Home Health Quality Improvement (HHQI) National Campaign will be providing
monthly best practice intervention packages that will include tools and resources,
guidelines, information and best practice education to participating home health
agencies (HHAs). The best practice intervention packages are designed for all agency
clinical disciplines, supportive staff, administration and management to use effortlessly
to strive to reduce avoidable acute care hospitalizations (ACH). Many of the best
practice interventions are currently being used nationally in an attempt to sustain
and/or improve ACH rates. Agencies may also choose to use the best practice
intervention package as part of new hire orientation. The agency can pick and choose
which components may effectively support their ACH reduction efforts.
The packages are divided into the following sections:
Section I
• Administration & Managers. This section includes:
o A brief description of the best practice intervention and potential application
o A self-assessment to determine current actions for implementation
o Sample tool(s)
o Action Items checklist(s) to select action items for implementation
o Action Plan worksheet to promote implementation
o Supporting resources
Section II:
• Disciplines (SN, PT, OT, ST, MSW, HHA). This section includes:
o A brief description of the best practice intervention and it’s application for the
specific discipline
o A 15 minute audio recording(s) that can be shared with staff
o Sample tool(s)
o A Guide to Practical Application (checklist)
o Multidisciplinary success stories
o Supporting resources
This material was prepared by Quality Insights of Pennsylvania, the Medicare Quality Improvement Organization Support Center for Home Health, 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. Publication number 8SOW-PA-HHQ06.308.
