Home Health Value-Based Purchasing in Barnestorm

Important Note: If you do not bill Medicare, this article does not apply to you.  

Otherwise, if your agency is based in one of the following states, you are required to collect HHVBP data for 2016: North Carolina, Massachusetts, Maryland, Florida, Washington, Arizona, Iowa, Nebraska, and Tennessee.  

If your agency is not based in one of these states, HHVBP data collection will be required starting in 2017 or 2018, per CMS. 

**Attached are printable PDF files that cover each topic. 

About Home Health Value-Based Purchasing

Beginning July 1, 2016, data collection will begin for the CMS implementation of the HHVBP Model among all home health agencies (HHAs) in nine states representing each geographic area in the nation. All Medicare-certified HHAs that provide services in Massachusetts, Maryland, North Carolina, Florida, Washington, Arizona, Iowa, Nebraska, and Tennessee will compete on value in the HHVBP model.

The data collection points for HHVBP are:

• Employee flu shots
• Patient shingles vaccines
• Advance care plan

HHVBP Data Collection in Barnestorm: Tested and Complete

Below, you'll find information and screen shots of the HHVBP screens in Barnestorm.  

Employees: Flu Shots

Only employees who receive a direct paycheck from the agency AND any licensed practitioner, student, trainee, volunteer will need to have this data filled in. The Barnestorm screen and process for this data collection are shown below.

We recommend you clean up your employee list before Oct 1, 2016.  You will want to go through your active employee list and terminate any employees as needed with the appropriate termination date.

You will mark non-employees as EXCLUDE (ie. unassigned aide, training/test employees).  Contractors are not to be counted; be sure to use the EXCLUDE Employee Type option.  The October report must have all zeros for the employee count. On Oct 1, 2016, when the first flu season starts, you can start to document employee flu vaccines. 

1. Click the Show Employees Active During Flu Season button.  The list of employees will include active employees and employees that were terminated within the flu season.
2. If you have already keyed in information before and you are updating the list, you can check the box Only Employees With No Flu Data, then click the Show Employees Active During Flu Season button.  This will hide employees already documented and narrow down your list. 
3. You can sort the employee list by employee number or employee last name by clicking the header at the top of the screen. 
4. Select an employee and answer the question(s) to the left of the screen.  Remember, non employees and contractors should be marked as EXCLUDE.  
5. Click the Save button.

Patients: Shingles Vaccine

Patients admitted on or after July 1, 2016 need to have the shingles vaccine documented.  This list will include Medicare and Medicare Advantage Plans only, ages 60 years and older at time of admission.  The Barnestorm screen and process for this data collection are shown below. 

For patients who have had the Herpes Zoster vaccine:

1. From Patient Histories > Immunizations you can key in the patient's Herpes Zoster (Shingles) history.  Once this information is keyed in it will automatically update the Patient Histories > HHVBP > Shingles Vaccine screen.  Visiting staff can also update the Immunization screen from the Main Menu in Point of Care. 

For patients who have never received the Herpes Zoster vaccine:

1. From Patient Histories > HHVBP > Patients: Shingles Vaccine, check the Only Patients With No Shingles Data box and then click the Show Patient Active During the Reporting Period button. 
2. Eligible patient's will show up on the list: admit date on or after 7/1/2016, age of 60+ on admit date, has a visit on the admit date for the PPS payer, Start of Care OASIS must have been created with M0150 having Medicare or Medicare HMO checked. 
3. Select the patient you need to document on and answer the questions to the left of the screen.  If the first panel is answered as Yes, the rest of the questions are skipped. If you answer No, then the rest are required.  If the patient has received the vaccine, the fourth question is skipped. 
4. Select the date of the vaccine in the Date of Shingles Data calendar field.  If you do not select a date, the patient's admit date will be used by default.  If the patient did not receive the vaccine, use the date of the conversation with the patient. 
5. Click the Save button.

Over time the answers to this question can change.  You can update the Shingles date and answers as needed. 

Patients: Advance Care Plan

Patients admitted on or after July 1, 2016 are required to have Advance Care Plan data captured.  This list will be for all patients, aged 65 years and older, except those that are only in Hospice and CAP/PCS. The Barnestorm screen and process for this data collection are shown below.

1. Check the box Only Patients With Incomplete ACP Data and then click the Show Patients Active During the Reporting Period button.
2. Eligible patient's will show up on the list: admit date on or after 7/1/2016, age of 65+ at current time of documentation or discharge, excludes Hospice payers and payers that are CAP/PCS primary.  
3. Select the patient from the right panel and answer the first question from the left panel.
4. If the third question is answered yes, then the fifth question is required. 
5. Select the date of the ACP towards the top of the screen.  If you do not select a date, the patient's admit date will be used by default.  If the patient does not have an ACP, use the date of the conversation with the patient. 
6. Click on Save at the bottom of the screen.