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New CoPs Demand Software Changes

By | Press

July 1, 2017 will arrive before you know it. On that date, Healthcare at Home organizations that participate in the Medicare program will be under new Conditions of Participation. According to the rules, the new CoPs become law six months after they were published in the Federal Register, which happened on January 13.

Between now and July, providers need to prepare operational adaptations with two central goals: interdisciplinary cooperation and patient independence. Software systems must evolve as well but protocols and practices must change more. We spoke with some software developers to learn the extent of the required changes. The consensus is that provider adjustments are the more extensive but that EMR vendors will help where they are able.

Easier for accredited agencies
Many of the new conditions will be familiar to agencies that are accredited by the Joint Commission, CHAP or ACHC, we were told. New forms to track infection surveillance, completing discharge documents in seven days and transfer documents in two days, emergency disaster plans and new documents to show that patients with Low English Proficiency were adequately informed of certain rights are already in place in accredited agencies. “The new conditions emphasize interdisciplinary cooperation and will call for changes in operational practices more than software adaptations,” explained Bonnie Yingling, a Senior Product Manager for Delta Health Technologies. “Other changes are already in place in other software, such as hospice QAPI, and easily added to home health software.”

As an example of an operational change, she described how the new CoPs encourage therapists to speak with patients about wounds and medications and nurses to talk with patients about the importance of the exercises the physical therapist gave them. In other words, all disciplines are being asked to more often say, “How can we support each other?” rather than, “That’s not my job.”

Care planning as well will have to be more patient-centered and interdisciplinary. These requirements will not require developers to reformat plan of care screens in your EMR. They will have more of an impact on how providers manage planning for patient care, with an emphasis on interdisciplinary cooperation aimed at teaching self-care to encourage patient ownership over their chronic conditions.

Supervisory visits
You may see revisions in your software in the way it formats home health aide assessments. CMS wants to see nurses comment about quality of care more than about whether specific tasks were completed. “A patient may be served by different individual aides during an episode of care,” we were told by Donna Baldwin, Delta’s Hospice Product Manager and Compliance Consultant. “CMS is interested in how the patient was taken care of, not in how an individual caregiver behaved.”

One of the elements will be a standardized format for recording aide assessments, another relatively easy requirement for software developers to meet, though perhaps a little more work for supervisors. “They can no longer just click the box for ‘supervision done,'” Ms. Baldwin added.

“The 5-star agencies are already doing most of this,” Ms. Yingling concluded, “either at the behest of accrediting agencies or contracts with Medicare Advantage firms. Adapting EMR software systems for OASIS updates is much more complex than this will be.”

©2017 by Rowan Consulting Associates, Inc., Colorado Springs, CO. All rights reserved. This article originally appeared in Tim Rowan’s Home Care Technology Report. homecaretechreport.com One copy may be printed for personal use; further reproduction by permission only. editor@homecaretechreport.com

Care-at-Home Modernized with Crescendo 2.0

By | Press

ALTOONA, PA – Delta Health Technologies® continues to modernize Care-at-Home with the release of Crescendo 2.0. This release builds upon the software solutions’ great success with new features that provide even more accuracy and enhanced simplicity to the clinical documentation process. Clinicians are able to leverage their expertise in combination with intuitive guidance, regulatory compliant workflows, automated process prompts and alerts, patient education, and other time-saving tools improving the pace of documentation. Using Crescendo 2.0, clinical staff satisfaction is greatly improved by increasing the amount of documentation completed in the patient’s home and allowing clinicians to provide more attention to patient care.

“Crescendo 2.0 greatly improves the ability for accurate clinical documentation to be completed at a faster rate. The software includes several new features that improve clinical guidance while helping clinicians tap into their wealth of experience,” stated, Keith Crownover, President & CEO, Delta Health Technologies. “Clinical staff are empowered with Crescendo 2.0 to improve the speed and accuracy of their documentation, helping them focus on delivering patient care in the manner they prefer. Recently, we heard from a clinician who said they have never liked their job more than they do now since using our software. This clinician said now they didn’t have to chart late into the night and their family life has greatly improved as well.”

Crescendo 2.0 continues to be the best software solution for those agencies that manage multiple service lines, or are looking to expand in the future, and want a single solution to simplify their processes. Coordinated, value-based, IDT, private, and emerging care models are supported with consistent, accurate patient documentation. The patient information is accessible real-time in the financial, billing and scheduling modules of Crescendo 2 – facilitating back office operations, financial throughput, and the interoperability needs of payers and partners.”

“The product design philosophy in Crescendo 2.0 empowers the agency and the clinical staff to excel at providing great patient care in the world of ever-changing regulations and compliance concerns. The new functions reduce the redundant busy work found in all other software tools,” said Bill Bassett, VP Product Management and Marketing at Delta Health Technologies.  “Crescendo 2.0 removes the barriers that prevent clinicians from spending more time with patients. The software supports their ability to confidently produce complete and accurate documentation that supports the care being provided for each service line an agency provides.”

Delta has led the development of solutions that ensure agencies are able to deliver outstanding care for 42 years. Crescendo 2.0 continues that legacy and bridges the gap between the need to support proper documentation processes with a solution that improves the experience and speed of the process. As has been shown many times, there is a very high correlation between the level of documentation completed in-home and the accuracy of the patient information. With Crescendo 2.0 making the proper processes easier to accomplish, agencies will dramatically improve the quality of care, leading to faster claims submission and revenue while reducing audits.

Crescendo home health and hospice cloud-based software