Common Links for Home Health, Hospice, and CAP/PCS General Info


National Links

http://www.cms.hhs.gov/
This is the main CMS web site

http://www.cms.hhs.gov/center/hha.asp
This 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-l
Listserv 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 sheet

PGBA (All except Virginia and Michigan send Medicare claims here)
http://www.palmettogba.com/palmetto/palmetto.nsf/SiteHome?ReadForm
PGBA 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

Michigan
Michigan Medicare, click here

North Carolina
https://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.htm
NC DMA site to look up NPI and Carolina Access numbers

South Carolina
http://www.dhhs.state.sc.us/dhhsnew/ServiceProviders/ProviderManualsAll.asp?pType=Hospice%20Services
SC Hospice Services Manual

Virginia
Cahaba GBA (Virginia Medicare claims are sent here)
https://www.cahabagba.com/rhhi/index.htm

CMS Links

General Sources, Publications, and Web Sites
CMS Internet-Only Manuals (IOMs)
http://www.cms.hhs.gov/Manuals/iom/list.asp
Conditions of Participation
http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html
HAVEN 
https://www.qtso.com/havendownload.html and http://www.cms.hhs.gov/OASIS/045_HAVEN.asp#TopOfPage
HHA Center 
http://www.cms.hhs.gov/center/hha.asp
Home Health Compare 
http://www.medicare.gov/HHCompare/Home.asp
Med Learn Network 
http://www.cms.hhs.gov/MLNGenInfo/
NPI Registry 
https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do
OASIS Archives 
http://www.cms.hhs.gov/HomeHealthQualityInits/20_HHQIArchives.asp#TopOfPage
OASIS-C 
http://www.cms.hhs.gov/HomeHealthQualityInits/06_OASISC.asp#TopOfPage
OASIS Data Specifications 
https://www.qtso.com/hhadownload.html and http://www.cms.hhs.gov/OASIS/04_DataSpecifications.asp#TopOfPage
OBQI 
http://www.cms.hhs.gov/HomeHealthQualityInits/16_HHQIOASISOBQI.asp#TopOfPage
OBQM 
http://www.cms.hhs.gov/HomeHealthQualityInits/18_HHQIOASISOBQM.asp#TopOfPage
Open Door Forum 
http://www.cms.hhs.gov/OpenDoorForums/17_ODF_HHHDME.asp#TopOfPage
Home Health PPS Payment 
http://www.cms.hhs.gov/HomeHealthPPS/01_overview.asp#TopOfPage
OASIS Privacy Rights Notice 
http://www.cms.hhs.gov/OASIS/03_Regulations.asp#TopOfPage
Home 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#TopOfPage
Rulemaking 
http://www.cms.hhs.gov/eRulemaking/
State OAC/OEC information 
http://www.cms.hhs.gov/OASIS/06_EducationCoord.asp#TopOfPage
http://www.cms.hhs.gov/OASIS/07_AutomationCoord.asp#TopOfPage
State by State Comparison of Measures
http://www.cms.hhs.gov/OASIS/09b_hhareports.asp#TopOfPage
CMS Survey and Certification
http://www.cms.hhs.gov/SurveyCertificationGenInfo/01_Overview.asp#TopOfPage
OASIS Q&A’s Submit and Review questions
Q&A Tracking Table 
https://www.qtso.com/hhadownload.html
Mailbox 
http://www.cms.hhs.gov/OASIS/09_HHAQA.asp#TopOfPage (to be updated in association with OASIS C)

Guidelines and Best Practices
Home Health Best Practice Intervention Packages (QIO)
http://www.homehealthquality.org/hh/hha/interventionpackages/default.aspx
Falls 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=MQTools
Evidence-Based Practice Guidelines, University of Iowa, College of Nursing
http://www.ahrq.gov/clinic/cpgonline.htm
National Guideline Clearinghouse™ (NGC): 
http://www.guideline.gov/browse/guideline_index.aspx
VNSNY Geriatric Home Care Excellence 
http://www.champ-program.org/

Healthcare Technology
NQF and HIT 
http://www.qualityforum.org/Topics/Health_Information_Technology_(HIT).aspx
Office 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.asp
http://www.hhs.gov/healthit/initiatives/
http://www.hitsp.org/news.aspx
http://www.nationalehealth.org/
http://nhinwatch.com/

Infection Control and Immunizations
CDC 
http://www.cdc.gov/vaccines/default.htm
http://www.cdc.gov/flu/
http://www.cdc.gov/az/

Medical Resources
Activities of Daily Living Definitions 
http://www.cancer.gov/Templates/db_alpha.aspx?CdrID=430402
Congestive Heart Failure
http://www.nlm.nih.gov/medlineplus/ency/article/000158.htm
http://www.emedicinehealth.com/congestive_heart_failure/article_em.htm
Diabetes
http://www.diabetes.org/
http://diabetes.niddk.nih.gov/
Diabetic Foot Care
http://diabetes.niddk.nih.gov/dm/pubs/complications_feet/index.htm
http://www.ndep.nih.gov/media/Feet_HCGuide.pdf
MEDLINE Medications 
http://www.nlm.nih.gov/medlineplus/druginformation.html

Mental Health Resources
Alzheimer’s 
http://www.alz.org/living_with_alzheimers_caring_for_alzheimers.asp
BIMS’ 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.html
Brown 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.x

CMS website. Available: http://www.cms.hhs.gov/NursingHomeQualityInits/Downloads/MDS30FinalReport.pdf
Chodosh 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 Resources
American Heart Association Statements and Practice Guidelines 
http://www.americanheart.org/
Depression
PHQ-2 resources 
http://www.innovations.ahrq.gov/content.aspx?id=2280
PHQ-2 resources (University of Washington Impact Program)
http://impact-uw.org/tools/phq9.html

Falls Risk
Home 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.doc
Timed 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=MQPresentations
Get-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=3
National Heart Lung and Blood Institute
Body Mass Index guidelines 
http://www.nhlbisupport.com/bmi/

Pain
Non-verbal patient pain assessment: 
http://prc.coh.org/PAIN-NOA.htm
Geriatric Pain: 
http://www.champ-program.org/

Pressure Ulcers
Established, 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-tools

Braden 
http://www.bradenscale.com/
Norton scale 
http://www.woundcarehelpline.com/NortonScale.pdf
NQF Framework 
http://www.qualityforum.org/Projects/n-r/Pressure_Ulcer/Pressure_Ulcers.aspx
National Pressure Ulcer Advisory Panel (NPUAP) 
(www.npuap.org )
Pressure ulcer definitions: 
http://www.npuap.org/pr2.htm
Pressure ulcer pictures: 
http://www.npuap.org/resources.htm
NPUAP 's Pressure Ulcer Scale for Healing (PUSH) 
http://npuap.org/tools.htm
Wound Ostomy and Continence Nurses Society (WOCN) 
http://www.wocn.org/
Leg ulcers: 
http://www.wocn.org/pdfs/WOCN_Library/Fact_Sheets/C_QUICK1.pdf
OASIS guidance 
http://www.wocn.org/WOCN_Library (Look for the upcoming OASIS-C Guidance Document)


Professional Organizations
ANA 
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.aspx
AOTA 
http://www.aota.org/
APTA
http://www.apta.org/AM/Template.cfm?Section=Home_Health1&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=55148
ASHA 
http://www.asha.org/default.htm

Quality Resources
Agency 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=English
Institute for Clinical Systems Improvement
http://www.icsi.org/
http://www.icsi.org/guidelines_and_more/patient_education_resources/
Institute for Healthcare Improvement
http://www.ihi.org/
http://www.ihi.org/ihi/workspace/
Institute of Medicine
http://www.iom.edu/CMS/28312/RT-EBM.aspx
http://www.iom.edu/CMS/3718.aspx
http://books.nap.edu/openbook.php?isbn=0309072808&page=1
MedQIC 
http://www.qualitynet.org/dcs/ContentServer?pagename=Medqic/MQPage/Homepage
National Transitions of Care Coalition (NTOCC) 
http://www.ntocc.org/

Safety Resources
AHRQ Patient Safety 
http://www.psnet.ahrq.gov/
Joint Commission 
http://www.jointcommission.org/AccreditationPrograms/HomeCare/
Joint Commission National Patient Safety Goal
http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/09_ome_npsgs.htm
Fall Risk/Safety 
http://www.nice.org.uk/nicemedia/pdf/CG021quickrefguide.pdf
Geriatric 
http://www.champ-program.org/page/51/tools
Medication Safety Institute for Safe Medication Practices (ISMP)
http://www.ismp.org/Tools/anticoagulantTherapy.asp
http://www.ismp.org/Tools/highalertmedications.pdf
QualityNet -- 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.pdf
Teamwork/TeamSTEPPS Training Curriculum Materials 
http://teamstepps.ahrq.gov/index.htm
VA National Center for Patient Safety 
http://www.va.gov/NCPS/TIPS/tips.html