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Video instructions and help with filling out and completing cms maintains an extensive list of conditions of participation (cop). what are these?
Good morning this is Leah right VP for quality compliance and informatics at Northern Light Home Care and Hospice I am here today to present to you some updates on the home health conditions of participation which actually went into effect January 2021 however we been a little busy so we're just getting to implement some of these new processes that are a requirement of the new conditions of participation so we're going to get started if you have any questions please feel free to email me at Wright L at northern light org or talk to your manager and we'll try to get those questions answered there we go so the first area of focus is on risk for hospitalization it is a new requirement that the patient's risk for emergent emergency care or hospitalization and any interventions to address those risks are documented on the plan of care or the 485 in home health so that is something that we need to start doing we're going to be looking at getting this going as of February 1st 2021 so people have the opportunity to watch this video to get all the changes and that will be turned on February 1st so the first way that you are going to start to learn more about this on your particular client is that northern health no excuse me northern light health has adopted a tool called lace and that tool determines when a client should get follow-up care after a hospitalization lace stands for length of stay acuity comorbidities and emergency room visits and then based on that score you get a recommendation on when they should have their physician follow-up intake is going to start receiving this information as part of the referral process from any northern light health facility so and that will be included in their assessment so right off the bat when you receive a referral you can get a sense of whether that person is a high risk for emergency department visits or actual rehospitalization so how do we do it locally in our EMR so basically whenever you do an oasis assessment you have the when the assessments done you could the predictive modeling will run and this is actually published by a company called ability and they take all the answers to your Oasis questions and they determine the patient's risk the problem with this tool is that it's not a hundred percent accurate until the diagnosis coding is entered by our coders and they don't do that until after you've done the admission obviously so when you run this and you look at your the patient score you really should also be using your clinical judgment to determine what the person's risk score is either very high high moderate low or very low obviously if they're lower very low we might want to consider why they need home care so we've added a new intervention on all or we will be.