The Secret World of HIS Measures - How CMS Validates and Changes Your HIS Responses

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[3501] The Secret World of HIS Measures - How CMS Validates and Changes Your HIS Responses
Are your agency's HIS scores lower than you expected? Are you trying to figure out how you could be less than 100%? You are not alone!


Presentation Info:

  • TAHC&H Virtual Event | Winter Conference | Recorded for On-Demand Access
  • Presentation Date | February 9, 2021

Program Description: Are your agency's HIS scores lower than you expected? Are you trying to figure out how you could be less than 100%? You are not alone! Hospice agencies across the nation are surprised that their comprehensive assessment composite, as well as some of the individual scores are lower than expected per CMS data. Did you know that even if you answer positively to some of these process measures, CMS has "Validation questions" embedded in the HIS to ensure your answers represent the measure, as CMS defines it. Literally, you may say "Yes, we screened the patient for pain"- but if any of the following questions - date, rating or type of standardized tool are not answered correctly, per the measure, CMS will change your answer to "No, we did not screen the patient for pain". This presentation uncovers these validation questions, and provides a thorough understanding of the measures, per CMS guidance, and how to be successful 100% of the time!

HCSSA Topic(s) Addressed:

  • §558.259[d][4]agency responsibilities
  • §558.260[a][3]basic principles of management in a licensed health-related setting
  • §558.260[a][5]quality improvement

Education-Training Credits:

  • TX HCSSA Administrator/Alternate Continuing Education
    • 1.25 Clock Hr(s)
  • Continuing Education for Nurses
    • 1.25 Contact Hr(s)
    • This program awards CNE until 02.09.2023

Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.

Nurse CE Approval Statement
Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151


Requirements for Successful Completion
To receive continuing education credits for this online presentation participant must view the entire online presentation, complete an evaluation, and post-test attestation.

Reporting of Perceived Bias
Bias, as defined by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC COA/LSNA) is the “tendency or inclination to cause partiality, favoritism, or influence.” Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants may use their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities, especially in the presence of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their “ANCC Accreditation Feedback Line” to report any noted bias or conflict of interest in the education activity. The toll free number is 1(866) 262-9730.

TAHC&H Faculty/Presenter(s): Annette Lee, RN, MS, HCS-D, COS-C

About the Presenter(s):
Annette Lee
has been in the home health and hospice arena for nearly 30 years! 10 of those years were spent working for the CMS MAC doing reviews and education for hospice and HH agencies. Annette left the MAC to found Provider Insights, Inc- a consulting company that solely focuses on home health and hospice agencies. She brings her expertise from working with CMS, and the "real world" and marries these experiences together to ensure compliance, quality and efficiency.


[3501] The Secret World of HIS Measures - How CMS Validates and Changes Your HIS Responses

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