1. JOINT COMMUNITY VENTURE SAVANNAH, GEORGIA CHATHAM COUNTY SHONDRA DAVIS RN AMEDISYS HOME HEALTH DEE DEE SEAGRAVES RN ST. JOSEPH’S/CANDLER HEALTH SYSTEM Face-to-Face

2. What is Face-to-Face?  Documented face to face encounter with a physician or licensed non-physician practitioner (PA,NP, CNS) evaluating the patient to determine the patient meets guidelines to receive home health care

3. Guidelines for Face-to-Face  Must be related to the primary reason home health services are being received  Occurs within 90 days prior to or 30 days after date of home health services beginning with SOC date being day 1  Verifies need for skilled services & homebound status per CMS guidelines

4. Significance in Reducing Readmissions o Establishes appropriate, patient-specific plan of care o Enables continuity of care during transition from inpatient to home setting o Promotes physician involvement

5. Issues Within Savannah/Chatham County o Lack of understanding of importance of FTF o MD refusing to sign & order home health o Patients discharged to community without appropriate services leading to increased ER visits and avoidable hospital readmissions

6. Housekeeping Details o Three local hospitals o Four primary home health agencies o One face to face meeting o Email discussions o Presented results to Savannah Coalition Group

7. Universal Form

8. QUESTIONS

9. Contact Information  Shondra Davis, RN, BSN, MHA-GER Director of Operations Amedisys, Inc.- Savannah 8301 Office Phone: 912-233-9800 Fax: 912-233-9050 Shondra.davis@amedisys.com  Dee Dee Seagraves RN, MSN, CCM, BC-NE Director, Clinical Care Coordination St. Joseph’s/Candler Health System Office Phone: 912-819-8262 Mobile 912-657-3583 Fax 912-691-9091 seagravesd@sjchs.org