National Links
http://www.cms.hhs.gov/This is the main CMS web sitehttp://www.cms.hhs.gov/center/hha.aspThis is a one-stop resource for Home Health Agencies.https://qtso.cms.gov/providers/home-health-agency-hha-providers/software This is where the OASIS Grouper software is foundhttps://list.nih.gov/cgi-bin/wa.exe?A0=hh-pps-lListserv archives of HH PPS articles maintained by the National Institutes of Health (NIH)http://www.cms.hhs.gov/MLNProducts/downloads/ICD-10factsheet2008.pdf ICD-10 info sheetPGBA (All except Virginia and Michigan send Medicare claims here)http://www.palmettogba.com/palmetto/palmetto.nsf/SiteHome?ReadFormPGBA home page - the main link we will use is Regional Home Health & Hospice Intermediary (RHHI)Then look under EDI for other links that are handy.
http://www.cms.hhs.gov/This is the main CMS web site
http://www.cms.hhs.gov/center/hha.aspThis is a one-stop resource for Home Health Agencies.
https://qtso.cms.gov/providers/home-health-agency-hha-providers/software This is where the OASIS Grouper software is found
https://list.nih.gov/cgi-bin/wa.exe?A0=hh-pps-lListserv archives of HH PPS articles maintained by the National Institutes of Health (NIH)
http://www.cms.hhs.gov/MLNProducts/downloads/ICD-10factsheet2008.pdf ICD-10 info sheetPGBA (All except Virginia and Michigan send Medicare claims here)http://www.palmettogba.com/palmetto/palmetto.nsf/SiteHome?ReadFormPGBA home page - the main link we will use is Regional Home Health & Hospice Intermediary (RHHI)Then look under EDI for other links that are handy.
State-Specific Links
MichiganMichigan Medicare, click here. North Carolinahttps://medicaid.ncdhhs.gov/This is the home page for the North Carolina Department of Health and Human Services Division of Medical Assistance. Click on Medicaid Providers.http://www.dhhs.state.nc.us/dma/WebNPI/default.htmNC DMA site to look up NPI and Carolina Access numbersSouth Carolinahttp://www.dhhs.state.sc.us/dhhsnew/ServiceProviders/ProviderManualsAll.asp?pType=Hospice%20ServicesSC Hospice Services ManualVirginiaCahaba GBA (Virginia Medicare claims are sent here)https://www.cahabagba.com/rhhi/index.htm
MichiganMichigan Medicare, click here. North Carolinahttps://medicaid.ncdhhs.gov/This is the home page for the North Carolina Department of Health and Human Services Division of Medical Assistance. Click on Medicaid Providers.
http://www.dhhs.state.nc.us/dma/WebNPI/default.htmNC DMA site to look up NPI and Carolina Access numbers
South Carolinahttp://www.dhhs.state.sc.us/dhhsnew/ServiceProviders/ProviderManualsAll.asp?pType=Hospice%20ServicesSC Hospice Services ManualVirginiaCahaba GBA (Virginia Medicare claims are sent here)https://www.cahabagba.com/rhhi/index.htm
CMS Links
General Sources, Publications, and Web SitesCMS Internet-Only Manuals (IOMs) http://www.cms.hhs.gov/Manuals/iom/list.aspConditions of Participation http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.htmlHAVEN https://www.qtso.com/havendownload.html and http://www.cms.hhs.gov/OASIS/045_HAVEN.asp#TopOfPageHHA Center http://www.cms.hhs.gov/center/hha.aspHome Health Compare http://www.medicare.gov/HHCompare/Home.aspMed Learn Network http://www.cms.hhs.gov/MLNGenInfo/NPI Registry https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.doOASIS Archives http://www.cms.hhs.gov/HomeHealthQualityInits/20_HHQIArchives.asp#TopOfPageOASIS-C http://www.cms.hhs.gov/HomeHealthQualityInits/06_OASISC.asp#TopOfPageOASIS Data Specifications https://www.qtso.com/hhadownload.html and http://www.cms.hhs.gov/OASIS/04_DataSpecifications.asp#TopOfPageOBQI http://www.cms.hhs.gov/HomeHealthQualityInits/16_HHQIOASISOBQI.asp#TopOfPageOBQM http://www.cms.hhs.gov/HomeHealthQualityInits/18_HHQIOASISOBQM.asp#TopOfPageOpen Door Forum http://www.cms.hhs.gov/OpenDoorForums/17_ODF_HHHDME.asp#TopOfPageHome Health PPS Payment http://www.cms.hhs.gov/HomeHealthPPS/01_overview.asp#TopOfPageOASIS Privacy Rights Notice http://www.cms.hhs.gov/OASIS/03_Regulations.asp#TopOfPageHome Health Quality http://www.cms.hhs.gov/HomeHealthQualityInits/Quality Measures Management Information System (QMIS) Frequently Asked Questions https://www.cms.hhs.gov/apps/QMIS/OASIS Regulations http://www.cms.hhs.gov/OASIS/03_Regulations.asp#TopOfPageRulemaking http://www.cms.hhs.gov/eRulemaking/State OAC/OEC information http://www.cms.hhs.gov/OASIS/06_EducationCoord.asp#TopOfPagehttp://www.cms.hhs.gov/OASIS/07_AutomationCoord.asp#TopOfPageState by State Comparison of Measureshttp://www.cms.hhs.gov/OASIS/09b_hhareports.asp#TopOfPageCMS Survey and Certificationhttp://www.cms.hhs.gov/SurveyCertificationGenInfo/01_Overview.asp#TopOfPageOASIS Q&A’s Submit and Review questionsQ&A Tracking Table https://www.qtso.com/hhadownload.htmlMailbox http://www.cms.hhs.gov/OASIS/09_HHAQA.asp#TopOfPage (to be updated in association with OASIS C)Guidelines and Best PracticesHome Health Best Practice Intervention Packages (QIO)http://www.homehealthquality.org/hh/hha/interventionpackages/default.aspxFalls Prevention Best Practice Intervention Package (A comprehensive Best Practice Implementation Package from the Home Health Quality Improvement Campaign that helps home health agencies to design and implement a fall prevention program for their patients.)http://www.qualitynet.org/dcs/ContentServer?cid=1200602385264&pagename=Medqic%2FMQTools%2FToolTemplate&c=MQToolsEvidence-Based Practice Guidelines, University of Iowa, College of Nursinghttp://www.ahrq.gov/clinic/cpgonline.htmNational Guideline Clearinghouse™ (NGC): http://www.guideline.gov/browse/guideline_index.aspxVNSNY Geriatric Home Care Excellence http://www.champ-program.org/Healthcare TechnologyNQF and HIT http://www.qualityforum.org/Topics/Health_Information_Technology_(HIT).aspxOffice of the National Coordinator for Health Information Technology (ONC) http://healthit.hhs.gov/http://www.hhs.gov/healthit/onc/mission/http://www.himss.org/ASP/index.asphttp://www.hhs.gov/healthit/initiatives/http://www.hitsp.org/news.aspxhttp://www.nationalehealth.org/http://nhinwatch.com/Infection Control and ImmunizationsCDC http://www.cdc.gov/vaccines/default.htmhttp://www.cdc.gov/flu/http://www.cdc.gov/az/Medical ResourcesActivities of Daily Living Definitions http://www.cancer.gov/Templates/db_alpha.aspx?CdrID=430402Congestive Heart Failurehttp://www.nlm.nih.gov/medlineplus/ency/article/000158.htmhttp://www.emedicinehealth.com/congestive_heart_failure/article_em.htmDiabeteshttp://www.diabetes.org/http://diabetes.niddk.nih.gov/Diabetic Foot Carehttp://diabetes.niddk.nih.gov/dm/pubs/complications_feet/index.htmhttp://www.ndep.nih.gov/media/Feet_HCGuide.pdfMEDLINE Medications http://www.nlm.nih.gov/medlineplus/druginformation.htmlMental Health ResourcesAlzheimer’s http://www.alz.org/living_with_alzheimers_caring_for_alzheimers.aspBIMS’ performance in national testing in community setting is included in a final report to CMS. Saliba D, Buchanan J. 2008. “Cognitive Patterns” Chapter 5 in Development & Validation of a Revised Nursing Home Assessment Tool: MDS 3.0.Depression Recognition & Assessment in Older Home Care Patients e-learning module, Weill Medical College of Cornell University:http://www.geriu.org/uploads/applications/DepressionInHomecare/DinHomecare.htmlBrown EL, Raue PJ, Roos BA, Sheeran T, Bruce ML. 2009. “Training Nursing Staff to Recognize Depression in Home Healthcare.” Journal of the American Geriatrics Society. http://dx.doi.org/10.1111/j.1532-5415.2009.02626.xCMS website. Available: http://www.cms.hhs.gov/NursingHomeQualityInits/Downloads/MDS30FinalReport.pdfChodosh J, Edelen MO, Buchanan JL Yosef JA, Ouslander JG, Berlowitz DR, Streim JE, Saliba D. “Nursing Home Assessment of Cognitive Impairment: 2008. Development and Testing of a Brief Instrument of Mental Status.” Journal of the American Geriatrics Society 56(11): 2069-2075.Caregivers http://www.nextstepincare.org/Cognitive assessment tools http://alzheimers.about.com/od/diagnosisissues/a/clock_test.htm (clock test)Mini-Mental Status exam http://www.minimental.com/Risk Assessment Tools and Condition-Specific ResourcesAmerican Heart Association Statements and Practice Guidelines http://www.americanheart.org/DepressionPHQ-2 resources http://www.innovations.ahrq.gov/content.aspx?id=2280PHQ-2 resources (University of Washington Impact Program)http://impact-uw.org/tools/phq9.htmlFalls RiskHome Care Fall Reduction Initiative risk Assessment Screening Tool (A multi-factor falls risk screening tool from the Missouri Alliance for Home Care, specifically designed for home care patients at Start of Care and Re-certification)http://www.homehealthquality.org/shared/content/hhqi_campaign/bpip_falls_prevention/Fall_Risk_Assessment_Screening_Tool__final.docTimed Up and Go (TUG) Test Demonstration video (Demonstration of how to administer the Timed Up and Go (TUG) test -- can be used as one component of a multi-factor risk assessment used to identify persons that are at risk of falling due to balance or gait problems)http://www.qualitynet.org/dcs/ContentServer?cid=1216667046043&pagename=Medqic%2FMQPresentations%2FPresentationTemplate&c=MQPresentationsGet-up and Go Test (A brief assesment of gait and balance – University of Iowa, Iowa Geriatric Education Center)http://www.healthcare.uiowa.edu/igec/tools/categoryMenu.asp?categoryID=3National Heart Lung and Blood InstituteBody Mass Index guidelines http://www.nhlbisupport.com/bmi/PainNon-verbal patient pain assessment: http://prc.coh.org/PAIN-NOA.htmGeriatric Pain: http://www.champ-program.org/Pressure UlcersEstablished, validated pressure ulcer risk tools include the Braden Scale for Predicting Pressure Sore Risk and the Norton Scale (both of which are available at http://providers.ipro.org/index/nhqi-toolsBraden http://www.bradenscale.com/Norton scale http://www.woundcarehelpline.com/NortonScale.pdfNQF Framework http://www.qualityforum.org/Projects/n-r/Pressure_Ulcer/Pressure_Ulcers.aspxNational Pressure Ulcer Advisory Panel (NPUAP) (www.npuap.org )Pressure ulcer definitions: http://www.npuap.org/pr2.htmPressure ulcer pictures: http://www.npuap.org/resources.htmNPUAP 's Pressure Ulcer Scale for Healing (PUSH) http://npuap.org/tools.htmWound Ostomy and Continence Nurses Society (WOCN) http://www.wocn.org/Leg ulcers: http://www.wocn.org/pdfs/WOCN_Library/Fact_Sheets/C_QUICK1.pdfOASIS guidance http://www.wocn.org/WOCN_Library (Look for the upcoming OASIS-C Guidance Document)Professional OrganizationsANA http://www.nursingworld.org/ANA Releases Revised Scope and Standards of Practice for Home Health Nurses (11/21/07)http://www.nursingworld.org/FunctionalMenuCategories/MediaResources/PressReleases/2007/RevisedScopeandStandardsforHomeHealthNurses.aspxAOTA http://www.aota.org/APTAhttp://www.apta.org/AM/Template.cfm?Section=Home_Health1&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=55148ASHA http://www.asha.org/default.htmQuality ResourcesAgency for Healthcare Research and Quality http://www.ahrq.gov/AHRQ's Health Care Innovations Exchange Web site http://www.innovations.ahrq.gov/ (Innovations and QualityTools classified by disease or clinical category, patient population, stage of care, setting of care, and more. )AHRQ's Quality Measures Database - National Quality Measures Clearinghouse (NQMC). http://www.qualitymeasures.ahrq.gov/Commonwealth Fund Commission on a High Performance Health System: http://www.commonwealthfund.org/Diversity:The Provider’s Guide to Quality and Culture http://erc.msh.org/mainpage.cfm?file=1.0.htm&module=provider&language=EnglishInstitute for Clinical Systems Improvementhttp://www.icsi.org/http://www.icsi.org/guidelines_and_more/patient_education_resources/Institute for Healthcare Improvementhttp://www.ihi.org/http://www.ihi.org/ihi/workspace/Institute of Medicinehttp://www.iom.edu/CMS/28312/RT-EBM.aspxhttp://www.iom.edu/CMS/3718.aspxhttp://books.nap.edu/openbook.php?isbn=0309072808&page=1MedQIC http://www.qualitynet.org/dcs/ContentServer?pagename=Medqic/MQPage/HomepageNational Transitions of Care Coalition (NTOCC) http://www.ntocc.org/Safety ResourcesAHRQ Patient Safety http://www.psnet.ahrq.gov/Joint Commission http://www.jointcommission.org/AccreditationPrograms/HomeCare/Joint Commission National Patient Safety Goalhttp://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/09_ome_npsgs.htmFall Risk/Safety http://www.nice.org.uk/nicemedia/pdf/CG021quickrefguide.pdfGeriatric http://www.champ-program.org/page/51/toolsMedication Safety Institute for Safe Medication Practices (ISMP)http://www.ismp.org/Tools/anticoagulantTherapy.asphttp://www.ismp.org/Tools/highalertmedications.pdfQualityNet -- Tools for evaluating potential inappropriate medications http://www.qualitynet.org/TJC - Medication Management:http://www.jointcommission.org/NR/rdonlyres/A4E32C3D-FFDA-4B3A-9754-DBAA8054145A/0/OME_MM.pdfTeamwork/TeamSTEPPS Training Curriculum Materials http://teamstepps.ahrq.gov/index.htmVA National Center for Patient Safety http://www.va.gov/NCPS/TIPS/tips.html