Home Health Conditions of Participation (CoPs)

Jan 13, 2017 – CMS modernizes CoPs for home health agencies (HHAs) that serve Medicare patients and changes are effective from July 13, 2017 with a proposed delay of 6 months. National Association for Home Care and Hospice (NAHC) predicts cost to be about $300 million, as an impact of new changes. EHRs must ensure that the transition of HHAs that bind to the new CoPs be automated, thereby ease the burden of the HHA and every involved personnel. Those who fail to meet any of the HHA CoPs are at risk of a number of sanctions and potentially at risk of program termination.

Are you Compliance ready?

HHAs must meet the Medicare HH CoPs to participate in the Medicare program. But, beyond that, those that fail to meet any of the HH CoPs are at risk, at a minimum, for the imposition of a number of sanctions and potentially at risk of program termination.

Changes that lay ahead are put together here

CoP Implementation Impact
Data Submission
  • QIES System or CMS OASIS Contractor
  • FIPS complaint
  • OASIS data within 30 days of assessment
  • Adhere to CMS record layout
  • Include accurate patient condition at time of assessment
EHR Impact
  • Maintaining clinical information and post discharge plans
  • PHI complaint
  • Emergency preparedness
  • Integrating with registries
  • QAPI program integration
  • Care planning & written info. to patient
HHA Administrative Impact
  • Federal, State, and local compliance regulations
  • Introduce Clinical Manager
  • Emergency Preparedness
  • Qualified Home health aide services
  • Experience of HHA individuals must adhere to requirements
Where we come in?

Step 1: Help you Analyse & Prioritize the required features

Step 2: Do a system assessment and have concrete suggestions

Step 3: Implement it for you and take you past the finish line

CoP Implementation Impact
  • QIES System or CMS OASIS Contractor
  • FIPS complaint
  • OASIS data within 30 days
  • Adhere to CMS record layout
  • Maintaining clinical information and post discharge plans
  • PHI complaint
  • Emergency preparedness
  • Integrating with registries
  • QAPI program integration
  • Care planning & written info. to patient
  • Federal, State, and local compliance regulations
  • Introduce Clinical Manager
  • Emergency Preparedness
  • Qualified Home health aide services
  • Experience of HHA individuals must adhere to requirements
How can we help?

Some high priority features that we propose are:

  • Proper tracking of every visit including clinical notes, care plan, goals, etc
  • Complaint tracking feature
  • Sharing patient educational resources
  • Patient portal for tracking the care plan, communication with home health aides, etc
  • QAPI using analytics
If you need more details about this, do take a look at the handbook