If you currently practice (or plan to) 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). Beginning January 1, 2019, home health agencies will collect mandatory data items related to functional status at admission and discharge from the facility. The intent of the collection of data is to facilitate consistent communication and care processes between sites of care as well as provide the basis for comparing patient types, outcomes of care and costs associated with that care between settings and longitudinally.
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.
Chapter one will provide an overview of the changes in post-acute care spending that have precipitated the changes occurring in home health care, as well as the larger post-acute care space.
Chapter two will discuss the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014, so participants will understand the significant impact it has and will continue to have on post-acute care space.
Chapter three will outline important timelines home health agencies should be aware of to insure their data collection is accurate and timely.
Chapter four will outline recommended steps home health agencies might employ to collect their data.