1. Health Facility Services
A presentation for the
HomeCare Association of Arkansas, April 2017

2. Content 2017 New Conditions of Participation Deficiency Patterns
Providing Personal Care
Emergency Preparedness
Surveyor Round Table
Questions and Answers about the survey process

3. 2017 Conditions of Participation
WHEN!!
Effective July 13, 2017
Effective January 13, 2018 as published in the Federal Register

4. To tell the age of any horse!

5. 2017 Conditions of Participation
Continuous & Integrated
Patient-centered assessment
Care Planning
Service delivery
Interdisciplinary Contributions

6. 2017 conditions of Participation
Interactions & Communication
Outcomes & QAPI
Pt Rights
Infection Control
Emergency Planning

7. Survey DATA Top condition Top standard
156 Acceptance of Patients , Plan of Care, Medical Supervision
Top standard
158 Written Plan of Care

8. Average # of Deficiencies/Survey
2009 AR 1.7 and Nation 3.2
2010 AR 1.4 and Nation 3.3
2011 AR 2.3 and Nation 3.0
2012 AR 1.2 and Nation 2.7

9. Average # of Deficiencies/Survey
2013 AR 1.3 and Nation 3.2
2014 AR 1.2 and Nation 2.9
2015 AR 1.1 and Nation 3.2
2016 AR 1.4 and Nation 2.9

10. Private Care Agencies Private Care Agencies
9 new Private Care Agencies in 2012
27 new Private Care Agencies in 2016
Currently we have over 100 Private Care Agencies

11. Providing Personal Care
Home Health / Private Care Agencies
to assist in accomplishing activities of daily living

12. Initial Licensure Receive pre-certification from ARChoices
Application
Qualify for provisional license as a Private Care Agency.
Application & CBC
Review of Policy and Procedures
Onsite inspection
Obtain Provider number from Medicaid

13. Community Resources Community Paramedics Community Health Workers
Arkansas Community Health Workers

14. Emergency Preparedness
Headed to a home visit

15. Goals

16. Four Provisions for All Provider Types

17. Risk Assessment and Planning
Develop an emergency plan based on a risk assessment
Perform risk assessment using an “all hazards” approach, focusing on capacities and capabilities
Update emergency plan at least annually

18. Policies and Procedures
Develop and implement policies and procedures (Ps&Ps) based on the emergency plan and risk assessment
Ps&Ps must address a range of issues including evacuation plans, procedures for sheltering in place, tracking patients and staff during an emergency
Review and update Ps&Ps at least annually

19. Communication Plan
Develop a communication plan that complies with both Federal and State laws
Coordinate patient care across health care providers and with state and local public health departments and emergency management systems
Review and update plan annually

20. Training and Testing Program
Develop and maintain training and testing programs, including initial training in Ps&Ps
Demonstrate knowledge of emergency procedures and provide training at least annually
Conduct drills and exercises to test the emergency plan

21. Requirements Vary by Provider Type
Home health agencies and hospices are required to inform state and local officials of patients in need of evacuation

22. Link to the Final Rule View the final rule at:

23. Survey & Certification
Agencies are expected to be in compliance with the CoPs and requirements 1 year following the publication of the final rule
In the event the provider is non-compliant, the same general process will occur as is currently in place for any other conditions and could lead to termination of the provider agreement

24. Survey Process

25. HHA Survey Process Pre survey Preparation Entrance Interview
Information Gathering
Information Analysis
Exit conference
Formulation of the Statement of Deficiencies

26. Surveyors Lynn Wooley, RN – OASIS Education Coordinator
Kirk Gardner, RN
Naomi Armstrong, RN
Carolyn Guth, RN
5. Tim Simpson, RN

27. 1-800-223-0340 Home Health Hotline Email – Liz.Davis @ arkansas.gov
CONTACT Information
(501) – office phone
Home Health Hotline
– arkansas.gov