It was a Frenchman who said, “The more things change, the more they remain the same.” It could just as easily have been the Centers for Medicare & Medicaid Services (CMS) about its goal to encourage healthcare providers to provide better care at lower cost. Regardless of the changes swirling around our industry, CMS pushes steadfastly toward that goal.
To that end, we have new Home Health Conditions of Participation (CoPs) regarding care coordination in home health. It boils down to this: home health is no longer about going out to take care of a hip-replacement recipient or a someone who experienced a cardiac episode. It’s about becoming a health coach.
On the bright side, nurses we’ve encountered are well disciplined to perform these basic skills, so the guidelines shouldn’t require drastic changes. From what we’ve observed, it’s more a matter of mentoring and support of the nurses in these rolls.