FutureFocus January 31, 2018 Preventable Hospitalizations for Home Health

Lisa Remington

In this week’s FutureFocus, is an important development to the future of home health. CMS is developing potentially preventable hospitalizations for the home health setting. This is an indicator of a future quality measure. In another move, CMS is continuing its moratoria on enrollment of new Medicare home health agencies in certain states. We provide the details. In an effort to detect fraud, the Department of Veterans Affairs (VA) and CMS are partnering to share data, data analytics and best practices.

Lisa Remington, President, Remington Health Strategy Group

CMS has contracted with Abt Associates to develop potentially preventable hospitalizations for the home health setting. As part of its measure development process, CMS asks contractors to convene groups of stakeholders and experts who contribute direction and thoughtful input to the measure contractor during measure development and maintenance.

 Project Objectives

  • To develop an approach for defining potentially preventable hospitalizations (PPH) for the home health setting
  • To develop potentially preventable hospitalization measures for the home health setting, including standardized items and specifications such as inclusion/exclusion criteria, and patient and facility characteristics--factors associated with outcome measures (risk adjusters).

"The TEP nomination period opens on January 22, 2018 and closes on February 22, 2018." 

TEP Requirements

Potential TEP members must be aware that participation on the Technical Expert Panel is voluntary. As such, individuals wishing to participate on the TEP should understand that their input will be recorded in the meeting minutes. Proceedings of the TEP will be summarized in a report that is disclosed to the general public. If a participant has disclosed private, personal data by his or her own choice, then that material and those communications are not deemed to be covered by patient-provider confidentiality. If patient participants (only) wish to keep their names confidential, that request can be accommodated. Any questions about confidentiality will be answered by the TEP organizers.

All potential TEP members must disclose any current and past activities that may pose a potential conflict of interest for performing the tasks required of the TEP. All potential TEP members should be able to commit to the anticipated time frame needed to perform the functions of the TEP.

The TEP nomination period opens on January 22, 2018 and closes on February 22, 2018. Please submit all nomination materials by the closing date.

See details here