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A New Look at Section GG for the Home Health Agency: 2018 Update

presented by Ellen R. Strunk

Accreditation Check:

If you currently practice (or plan to practice) in a Home Health Agency (HHA), then you must prepare for Section GG. The Improving Post-Acute Care Transformation Act (IMPACT) of 2014 requires the standardization of patient assessment data reported in each post-acute care setting (Inpatient Rehab Facilities, Long-Term Care Hospitals, Skilled Nursing Facilities, and Home Health Agencies). On January 1, 2019, Home Health Agencies will begin to collect mandatory data items related to functional status at admission and discharge from the agency. The intent of the data collection is to facilitate communication and care processes between settings as well as provide the basis for comparing patient types, outcomes of care, and costs associated with that care between settings and longitudinally. Beginning October 1, 2019, HHAs will begin to collect Section GG items for both self-care and mobility. The Centers for Medicare and Medicaid Services (CMS) has recently updated the language in several of the items and added a new response option to provide more clarity to users and facilitate consistency in data collection.

Meet Your Instructor

  • Ellen R. Strunk, PT, MS, GCS, CEEAA, CHC

    Ellen R. Strunk, PT, MS, GCS, CEEAA, CHC, has worked in various roles and settings as both a clinician and manager/director: hospital, transitional care, Director of Rehab for a hospital home health agency, Clinical Consultant, Director of a HH staffing division, and Director of Governmental Affairs for a company providing rehab services in long-term care, home health, and outpatient settings. Presently, Ellen is the owner of Rehab Resources & Consulting, Inc., a company providing continuing education and consulting services for post-acute care settings. For the past seven years, she has specialized in helping clients understand and navigate the CMS regulations for post-acute care settings, as well as how to prepare for the transition to a value-based system. Ellen is passionate about delivering medically necessary therapy services in these settings and lectures nationally on the topics of pharmacology for rehabilitation professionals, exercise and wellness for older adults, the importance of functional outcomes, and coding/billing/documentation for therapy services. Ellen is a member of the American Physical Therapy Association, where she has served on a Payment Policy Strategy Committee advising the APTA Board of Directors on payment policy in all settings. She is a member of the APTA Section on Geriatrics, the APTA Home Health Section, and the APTA Health Policy & Administration Sections. She serves on a state level as the President of the Alabama Physical Therapy Association and as its Practice & Reimbursement Chair. She is a member of the American Health Care Association, where over the last three years she has been a part of a therapy workgroup to develop a national quality measure for rehabilitation.

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Chapters & Learning Objectives

Download Learning Objectives
  1. Overview of the Functional Measures

    1. Overview of the Functional Measures

    Chapter One will provide an overview of the functional measure implemented across the post-acute care spectrum, and the measure selected for the Home Health Agency. The Centers for Medicare and Medicaid Services’ (CMS) rationale for selecting the measure are discussed, as well as how the measure will be used to evaluate providers.

  2. Assessing Self-Care

    2. Assessing Self-Care

    Chapter Two will provide an overview of the self-care items used in the Home Health Agency. The rating scale definitions and guidelines for assessment will be discussed.

  3. Self-Care Items

    3. Self-Care Items

    Chapter Three will explain the self-care items used in the Home Health Agency. Each item’s definition will be discussed in detail, and examples of assessment application will be given.

  4. Assessing Mobility

    4. Assessing Mobility

    Chapter Four will provide an overview of the mobility items used in the Home Health Agency. The rating scale definitions and guidelines for assessment will be discussed.

  5. Mobility Items: Part One

    5. Mobility Items: Part One

    Chapter Five will explain the mobility items used in the Home Health Agency to assess bed mobility and transfers. Each item’s definition will be discussed in detail, and examples of assessment application will be given.

  6. Mobility Items: Part Two

    6. Mobility Items: Part Two

    Chapter Six will explain the mobility items used in the Home Health Agency to assess walking, wheeling and picking up an object. Each item’s definition will be discussed in detail, and examples of assessment application will be given.

  7. Discharge Goals

    7. Discharge Goals

    Chapter Seven will explain the concept of setting discharge goals for Section GG in the Home Health Agency. Coding tips for determining the most appropriate level of ability will be given.

  8. How Will the Functional Measure Be “Measured

    8. How Will the Functional Measure Be “Measured"?

    Chapter Eight will describe the functional measure used in the Home Health Agency. The calculation used for the annual payment update will be reviewed as well as the importance of accurate data collection.