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6 tips to address climbing caregiver turnover rates in private duty home care

The national turnover rate for private duty caregivers has soared at an alarming rate, and agency leaders are looking for new ways to keep quality caregivers in place. Turnover in 2018 climbed to 81.6%, according to the 2019 Home Care Benchmarking Study conducted by Rexburg, Idaho-based Home Care Pulse, which includes responses from 688 providers […]

Look inward and follow these key steps when your home care referrals drop

If you can’t keep referral sources engaged and content, you are one good competitor away from losing your position in the market. Taking the time to set solid expectations and guidelines for your entire agency — and focusing on providing an out-of-this-world customer experience — will have far reaching returns. If you see referrals falling, […]

LeadingAge weighs in on proposed payment rule

The comment period for the Medicare proposed rule for SNFs just ended. Here’s what LeadingAge had to say in comments submitted: Wage Index Adjustment As CMS continues to utilize the hospital wage index in developing the SNF wage index, and changes have been proposed in the Hospital Inpatient Prospective Payment System (IPPS) proposed rule to […]

Study finds nursing home prices increase nationwide, exceeding inflation

A six-year study by Georgetown University Medical Center found nursing home prices generally outpaced inflation, including increases in overall medical care (20.2%) and consumer prices (11.7%). Nursing homes in New York during the period reviewed had the highest average daily price, at $302, while Texas had the lowest average daily price, at $121. In 2010 the […]

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CMS posts much anticipated MDS 3.0 RAI Manual v1.17

On Monday, May 20, the Centers for Medicare & Medicaid Services (CMS) posted the MDS 3.0 RAI Manual, v1.17, containing many of the requirements that providers will need to follow to prepare for the Patient-Driven Payment Model (PDPM) effective October 1, 2019. New changes will be reflected in HCPro’s MDS 3.0 RAI User’s Manual. The […]

CMS releases tables detailing the 2019 quality measures for home health

Source: Home Health Line CMS has published updated details on potentially avoidable events, process and outcome measures for 2019. The updated tables also include details on star-ratings measures and quality measures new to Home Health Compare in 2019. Claims-based outcome measures “Medicare spending per beneficiary” and “Discharge to community” are joining the ranks of publicly […]

Proposed bill would innovate use of home health services

The Home Health Payment Innovation Act of 2019, H.R. 2573, would preserve Medicare recipients’ access to home health services and provide a pathway for innovative approaches to using these services. According to LeadingAge, which supports the bill, H.R. 2573 would prevent unwarranted payment rate cuts of Patient Driven Groupings Model (PDGM) by basing any behavioral […]

Ask the expert: Medicare Part A coverage for a PEG tube

Q: I have a patient that has 100 days of Medicare Part A and a percutaneous endoscopic gastrostomy (PEG) tube—the primary source of nutrition—in place since 2008 due to laryngeal cancer. All rehab therapy is discontinuing in three days. Can I continue Medicare Part A, related to the PEG tube? A: As long as 26% […]

Intake and output monitoring

You should monitor residents who have fluid imbalances or are at high risk of dehydration by calculating intake and output (I&O) each shift.