Home Health & Hospice Week

Industry Notes:

NEW JCAHO SAFETY GOALS FOCUS ON COMMUNICATION

Caregivers, patients and families targeted by new goals for 2006.

Home care providers accredited by JCAHO will have some new responsibilities on their plates starting next year.

The Joint Commission on the Accreditation of Healthcare Organizations has added new requirements to the National Patient Safety Goals for 2006.

In addition to existing requirements such as implementing a fall reduction program and reducing the risk of infections, home care providers must "implement a standardized approach to 'hand off' communications" between a patient's caregivers. That includes an opportunity to ask and respond to questions, JCAHO says in the new requirement that falls under the caregiver communication goal.

Home care providers also must "encourage the active involvement of patients and their families in the patient's care," the Oakbrook Terrace, IL-based accrediting body instructs. That includes defining and communicating for patients and their families to report safety concerns, and encouraging them to do so.

JCAHO will make some changes to its prohibited abbreviations requirement under the NPSGs as well. Failure to substantially eliminate prohibited abbreviations in medication orders remains, at 27 percent, one of the most frequent non-compliance findings during Joint Commission surveys, the release says. More information is at
www.jcaho.org/accredited+organizations/patient+safety/npsg.htm.

The influential Medicare Advisory Payment Commission is losing its only home health representative. VNS of New York CEO Carol Rapheal's term expired this summer and no new home health repreplaced her on the commission that advises Congress on Medicare payment policy.

Three current MedPAC members, including former HCFA Administrator Nancy-Ann DeParle, have been reappointed to three-year terms. And two new members will come on board - Jennie Chin Hansen, a member of the AARP Board of Directors, and Nancy M. Kane, a faculty member at the Harvard School of Public Health.

More information on the commissioners is at
www.gao.gov/medpac/medpac05.pdf.



  • One of the durable medical equipment regional carriers has a new name.

    CIGNA HealthCare Medicare Administration
    changed its name to CIGNA Government Services effective May 24. The new name better describes its business as a contractor for government health care programs, the company says.

    The change will be phased in over time. DME suppliers will first notice the change on the company's Web site, publications, Interactive Voice Response system and telephone greeting. However, you may still receive correspondence under the company's old name over the next six months.
     
  • Public outcry may keep one North Carolina county's home health agency open. Lincoln County commissioners voted to close government-owned Lincoln County Home Health Agency with no warning to the HHA's staff or patients or the county's Home Health Advisory Board, reports the Charlotte Observer. The county has 18 other providers furnishing the same services, says commissioner Alex Patton.

    But 1,200 people have signed a petition asking commissioners to reconsider and patients and family members have asked for a public forum on the issue by June 8, the newspaper says. Some commissioners are backing away publicly from the decision.
     
  • NationsHealth's revenues are growing, but so are its losses. The Sunrise, FL-based DME supplier lost $8.3 million on revenues of $19 million for the first quarter of 2005. That compares to a loss of $3.1 million on revenues of $13.3 million in the first quarter of last year. The company blames its losses in part on the reductions in Medicare reimbursement for respiratory meds and certain DME items that took effect Jan. 1.
     
  • AMS Homecare is opening its doors to the U.S. public.

    The Vancouver, BC-based DME supplier expects to open its first retail store in Bellevue, WA this month. Called 65 Plus, the store will offer a pharmacy, DME, respiratory supplies, hearing aids and other specialized products for the elderly and disabled.

    The Bellevue store is the first step in the company's initiative to establish a network of 65 Plus stores throughout the United States, says AMS Homecare CEO Harj Gill.
     
     
  • MedStar Health Visiting Nurse Association Inc. in Washington, DC is shelling out more than $1.3 million to settle allegations of fraudulent cost report charges between 1998 and 2000, reports The Washington Times.

    A settlement agreement approved by the feds this month calls for MedStar VNA, formerly known as the VNA of Washington, DC, to pay about $710,000 to Medicare and $650,000 to the HHS Office of Inspector General, the newspaper says. MedStar VNA also entered a corporate integrity agreement with the OIG.

    Investigators questioned reimbursement related to printing, rental costs, medical supplies and contract employees, according to the Times. MedStar VNA denies any wrongdoing and characterizes the problem as a documentation dispute, a rep told the paper.