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Home Health Administration

Join us on this journey to help you better understand the role and unique skill set needed to be an effective leader in home health administration.

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About this Certificate Program

Successful administration blends knowledge of the industry and supports why the industry exists—to serve patients in their homes. Key to success is how the delivery of patient care and daily operations seamlessly embed into the business model through onboarding and a knowledgeable, stable, and effective team. Essential topics build on foundational knowledge for the role transition, development, and success in home health administration. Whether new in the role, such as in orientation, or planning to "step up", these essentials include compliance, emergency preparedness, QAPI, the HH-CAHPS Survey, Medicare survey preparedness, the Medicare COPs, coaching and counseling, and management and supervision tips.

Target Audience

Business leaders, nurses, other clinicians, finance, other operational roles, agency leadership, boards, owners, administrators, directors, and team members seeking to understand the scope and role that comprise successful home health administration.

Goals & Objectives

  • Outline the fundamentals of compliance in home health care.
  • Define the terms fraud, waste, and abuse in home health care.
  • Identify three signs of a poorly functioning teams negatively impacting quality and compliance.
  • Describe a strategy for effective functional daily operations in home health.
  • Apply information and concepts presented to management practice and operations.

What's Included in the Certificate Program

Courses
Accredited Online Courses*

18 hours of online video lectures and patient demonstrations.

Courses
Case Study Interviews

Recorded Q&A sessions between instructors and practice managers.

Courses
Interactive Learning Assessments

Case-based quizzes to evaluate and improve clinical reasoning.

Section 1: Compliance in Home Health

2 Chapters

Fraud, Waste, and Abuse: Fundamentals of Compliance in Home Health and Hospicekeyboard_arrow_down

Course
  • Defining Fraud, Waste, Abuse and ErrorsChapter 1

    This chapter defines errors, waste, abuse and fraud and gives examples of each. Through better understanding of these definitions, employees will be positioned to recognize opportunities for improvement in their organization.

  • Laws and Programs Governing HealthcareChapter 2

    This chapter reviews the four primary regulations that affect the home care and hospice industry. The False Claims Act will be reviewed including its history and rationale. Anti-Kickback, Stark, and exclusions will also be reviewed to provide clarification so providers and clinicians are better informed and can make good decisions on their day-to-day activities.

  • Elements of an Effective Compliance ProgramChapter 3

    This chapter reviews the 7 Elements of an Effective Compliance Program as defined by the Office of the Inspector General (OIG). Understanding these elements will help the clinician look for those resources within their own organizations that can assist them in compliance efforts. Each element is reviewed so the clinician will understand why home health and hospice providers carry out specific activities, such as auditing and monitoring.

  • Home Health and Hospice Risk AreasChapter 4

    This chapter reviews the highest risk areas for a home health and hospice provider. Major risk areas for each provider type are listed and discussed. With this information, the clinician is better able to recognize and proactively report any compliance concerns.

  • Individual ResponsibilitiesChapter 5

    Compliance is not the job of one person or one committee. It is the responsibility of every individual within the organization. This chapter reviews individual responsibilities in reporting a concern and cooperating in an investigation. We will also discuss non-retaliation and what you should expect from your employer.

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Emergency Preparedness Rule for Home Care and Hospice Administratorskeyboard_arrow_down

Course
  • Historical Context for the Emergency Preparedness RuleChapter 1

    A nation, an organization, and an individual can each learn from prior experiences. What went well, and what didn’t? How do we do better in the future? This chapter reviews some of the rationale for the development of a National Incident Management System and for the requirements placed on individual health care providers.

  • Emergency Preparedness RequirementsChapter 2

    A collaborative response during an emergency is essential to positive outcomes. Each health care organization has responsibilities to ensure a coordinated effort. This chapter reviews the role of home care and hospice providers during a disaster. We will also interview the executive director of a health care coalition to understand their purpose and how to get a “seat at the table” during community preparedness planning.

  • Core Elements of the Emergency Preparedness RuleChapter 3

    The Emergency Preparedness Rule requires that each health care provider’s emergency plan include, at a minimum, four core elements. This chapter reviews each of these elements and discusses the significance behind each requirement. We will also look at the Incident Command Structure and how home care and hospice can work with and incorporate this structure in their emergency plan.

  • The Emergency Preparedness PlanChapter 4

    This chapter takes a deeper look at each of the core requirements mentioned in the previous chapter / It also discusses the after-action review and reviews when to implement your emergency plan.

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Section 2: Quality Measures

2 Chapters

QAPI in Home Care and Hospice: Setting Higher Standardskeyboard_arrow_down

Course

HH-CAHPS Survey: Your Journey to Enhance Your Patients' Experiencekeyboard_arrow_down

Course
  • What is HH-CAHPSChapter 1

    An overview of the history and current administrative practices of the Home Health – Consumer Assessment of Healthcare Provider and System (HH-CAHPS) is provided. The home health clinician will gain an understanding of the goals, how the survey is administered and analyzed, and how to respond to a patient inquiry. This is important for clinical practice professionals to understand HH-CAHP impact on agency operations and patient care.

  • HH-CAHPS SurveysChapter 2

    A full review of the structure and scoring of the survey is detailed. The home health clinician will be able to distinguish between the survey, the domains, and top box scoring. Accessing the survey is also covered.

  • Home Health Compare and Star RatingsChapter 3

    The clinician will identify how HH-CAHPS data feed into the Home Health Compare website and how to complete a review of an agency’s ratings. Star ratings will further be explored as well as how to find these ratings. It is important for a clinician to know how to access and interpret these results in order to educate patients and to make referral decisions. Discussion about HH-CAHPS and value-based purchasing is introduced.

  • Research and Best PracticesChapter 4

    Providing research surrounding HH-CAHPS will be followed by a discussion on the importance of following the research and integrating it into practice. Applying health system research is also addressed in terms of positive patient outcomes.

  • How Do I Contribute to Success?Chapter 5

    A detail of each HH-CAHPS question, scoring, and domain is presented. In addition, practical suggestions for integration are included. Home health clinicians needs to be knowledgeable of each question and give consideration to how to improve practice. In addition, considerations for communicating with patients is covered. The clinician, with a fuller understanding of HH-CAHPS, will explore how clinical practice and operations may change in coming years. In addition, through critical thinking and self-reflection, the clinician may determine areas for further performance improvement.

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Section 3: Conditions of Participation and Survey Readiness

4 Chapters

Home Health Conditions of Participation Part 1: Patient Carekeyboard_arrow_down

Course
  • Introduction to the Conditions of ParticipationChapter 1

    An overview of the Conditions of Participation (CoPs) will be provided along with the genesis, recent revisions and importance of this document to all levels of the home health agency. An overview of the five (5) key areas that comprise the Home Health Conditions of Participation will be introduced.

  • Patient Rights, Part 1 - What is Included, Providing Notice & Who Can Exercise These RightsChapter 2

    Newly expanded, this key component of the Conditions of Participation (CoPs) outlines the essential elements required by participating home health agencies (HHAs) to ensure patient rights and define agency responsibilities. Part one will explore the specifics related to meeting the standards for Notification of Rights, exercising patient rights, and what is included in patient rights. Instructors will provide insight on how to ensure clinicians can demonstrate compliance in these areas through documentation.

  • Patient Rights, Part 2 – Patient Care Transitions, Handling Complaints and Ensuring AccessChapter 3

    Newly expanded, this key component of the Conditions of Participation (CoPs) outlines the essential elements required by participating home health agencies (HHAs) to ensure patient rights and define agency responsibilities. Part two will explore the specifics related to agency expectations surrounding transitioning patient care during transfer and discharge, investigation of patient complaints and accessibility to care. Instructors will provide insight on how to incorporate and prepare for agency survey events.

  • Care Planning and Care CoordinationChapter 4

    This revised component of the Conditions of Participation (CoPs) outlines the essential elements required by participating home health agencies (HHAs) related to care planning and care coordination. These areas include content of the comprehensive assessment and continue with the planning, coordination, delivery of care, and transfer and/or discharge from patient care. Instructors will provide insight on how to ensure clinicians can demonstrate compliance in these areas through documentation as well as provide insight on how to incorporate and prepare for agency survey events.

  • View full course details »

Home Health Conditions of Participation Part 2: Agency Processeskeyboard_arrow_down

Course
  • Quality Assessment Performance Improvement (QAPI) Part 1 – An OverviewChapter 1

    This new component of the current Conditions of Participation (CoPs) focuses the individual home health agency’s (HHA's) QAPI activities based on their individualized performance and resultant data analysis. Part 1 of this two-part QAPI section will overview the key required areas of a home health agency’s QAPI program. Instructors will provide insight through case example of how each required element of a HH QAPI program can be satisfied in documentation and meet survey expectations.

  • Quality Assessment Performance Improvement (QAPI) Part 2 – Building a Team and Completing a QAPI ProjectChapter 2

    This new component of the current Conditions of Participation (CoPs) focuses the individual home health agency’s QAPI activities based on their individualized performance and resultant data analysis. Part 2 of the two-part QAPI section will detail building your QAPI team simulation of a QAPI project, from data analysis and performance tracking through documenting outcomes and generating reports. Instructors will use common home health case(s) to outline key functions of the QAPI team.

  • Infection Prevention and ControlChapter 3

    This new component of the current Conditions of Participation (CoPs) focuses on agency requirements related to infection prevention, control, and education. Per CoPs, infection control is a required component of any home health agency’s QAPI program. Instructors will outline data collection and analysis methods related to infection control activities and discuss required documentation to address survey expectations.

  • Skilled Professional ServicesChapter 4

    This new component of the current Conditions of Participation (CoPs) will delve into realignment of the roles of the skilled professionals, their responsibilities, and supervision of assistants within the home health agency operations and patient care services. Instructors will provide insight on how to ensure clinicians can demonstrate compliance in these areas through job description review and revision, case management activities, and home health aide supervision.

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Survey Survival Part 1: How to Be Prepared for Any Surveykeyboard_arrow_down

Course
  • Know the Type of SurveyChapter 1

    It is important to know the type of survey being conducted. In this chapter, terms relating to the various types of surveys will be defined. This way, staff can respond appropriately to dispel the fear, mystery, and frequent myths associated with surveys.

  • Survey Secrets Revealed!Chapter 2

    Learn the inside secrets to make the surveyor smile (even if it is only on the inside). In so doing, you will learn how to expedite any survey, audit, or inspection. Plan ahead to avoid an unpleasant survey. Learn how to start out on the right foot and stay on the right foot. Survey processes will be discussed along with lessons learned.

  • Apply Information to Avoid the Common MistakesChapter 3

    Do you have your survey binder ready? Do you know what QIES are and who CASPER is? Learn the inside secrets to demonstrate smooth operations and further facilitate the survey. Learn interpersonal skills to demonstrate the care and respect needed for the surveyor and the processes of the survey.

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Survey Survival Part 2: The Survey Taskskeyboard_arrow_down

Course
  • Start Off Right!Chapter 1

    This course provides practical guidance to expedite any survey or government inspection. The first two survey tasks (Presurvey Preparation and Entrance Interview) will be presented, along with tips for starting the survey appropriately.

  • Gather InformationChapter 2

    Observation, documentation review, and interviews comprise Information Gathering, the third task of the survey process. Home visits and patient records are a large part of this information gathering. Learn how to stay one step ahead of the surveyor with knowledge, and know how to apply information to avoid the common mistakes that lead to standard and condition-level deficiencies.

  • Information AnalysisChapter 3

    Chapter Three describes survey tasks Four and Five (Information Analysis and Exit Conference) and what to expect after the survey. Learn how to avoid deficiencies when possible, even near the end of the survey.

  • Always Be Survey Ready!Chapter 4

    Apply the knowledge shared in this course to avoid survey disconnects and develop systems to always be survey ready! Utilize survey processes to deliver quality and continuously improve patient care. Use the survey processes in your Quality Assurance Performance Improvement program to address any findings in Task Six, the Statement of Deficiencies.

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Section 4: Supervision and Management

4 Chapters

Coaching and Counseling: Tips for Successkeyboard_arrow_down

Course
  • What Is Coaching and Counseling: Working DefinitionsChapter 1

    Coaching and counseling is a fundamental component of the achievement of work and management goals. There are a number of definitions of coaching and counseling, and chances are your organization has a policy that defines them.For purposes of this course, the authors offer practical definitions that may be used that incorporate multiple aspects of these important terms.

  • Why Is Coaching and Counseling a Challenge?Chapter 2

    Unfortunately, there are sometimes negative connotations related to the terms coaching and counseling. This course and chapter seek to help reframe these terms. All team members want to know how they are doing and if they are on the right path from the perspectives of their managers and of the organization. This chapter reviews some of the data, literature, and other information available to assist managers in achieving success related to coaching and counseling.

  • Pulling It All Together: What Does Effective Coaching and Counseling Entail?Chapter 3

    This chapter integrates what we learned about coaching and counseling with practical applications, real-world examples, and strategies with feedback. Coaching and counseling will be demonstrated using different scenarios. No two organizations or team members are alike, and these interactive episodes seek to show this variation in action. Included in this chapter are sample positive as well as negative case scenarios. Practicing before coaching and counseling, maintaining balance and calm, deep breathing, and other strategies are presented to help new managers address feelings that many leaders and team members experience.

  • The Coaching and Counseling Session: Example and Documentation ConsiderationsChapter 4

    The role-playing that occurred in the prior chapter will be reviewed and documented to provide a sample of what documentation might look like for practical application. Some organizations use a number of methods for documentation of such encounters, and this chapter will explain why the use of a SOAP format might also lend itself well to coaching and counseling sessions. A checklist for completion of related documentation will be offered. Information, concepts, and the other materials presented in this course can be applied immediately to practice and operations.

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Fundamentals of Clinical Supervisionkeyboard_arrow_down

Course
  • Being/Becoming a Manager: Welcome and Foundational Concepts for SuccessChapter 1

    This foundational chapter sets the stage for why the clinical supervisor role is so important. Clinical supervisors need to be competent clinicians, in addition to performing a number of administrative and other activities that comprise the role. As home care and hospice models of care flex to meet the increasing needs of the aging and other patient populations, this role remains the anchor for a number of organizational metrics. Though there may be different words for this role, many of the activities remain the same. Some of the roles for success will be addressed, as well as the skill set needed for orientation, success, and retention.

  • Education and Competencies Needed for Success: Core ConceptsChapter 2

    In this chapter, a practical, holistic definition of home care is presented for clarity and application. Because of the complexity of home care, a listing of trusted sources is provided for course participants. Other education and competencies addressed in this chapter include orientation components, care planning, critical thinking, physician considerations, and case management models for organization and workload. In addition, information about making effective home visits with team members, the clinical supervisor’s role in the documentation, understanding of Medicare complexities, and an overview of health care in flux are all presented for practical application. The more focused and holistic the visit, the more quality and safety are brought to the home visit. This chapter helps new and experienced supervisors see these visits with new eyes and value.

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Introduction to Clinical Management and Supervisionkeyboard_arrow_down

Course
  • Managing the Workload and Priorities: The Manager Role in ActionChapter 1

    This chapter seeks to help bring order and structure into the busy days of home care and hospice operations and management. The chapter reviews priorities on a scale of "have to" to "want to." How are decisions best made with dueling and competing workloads? This chapter also addresses making the transition from clinician to manager, highlighting the responsibilities of the manager regarding quality improvement and clinical oversight, and providing tools to aid decision-making in these areas.

  • Where To From Here? Your Personal Path to LeadershipChapter 2

    This summary chapter pulls together information from Chapter One and from the previous course, Making a Successful Transition from Clinician to Manager. These two courses together provide a road map for success for the new manager, who is responsible for clinical oversight and related duties at the organization with respect to people, workload, and shifting priorities and schedules. Tools, dashboards, and reports are provided that can help the new manager get a realistic snapshot of the organization on a daily, weekly, monthly, and annual basis. This chapter also addresses what to consider when the new role is not working as expected, as well as information on networking, supporting your further professional development, and maintaining your sanity during your transition, helping you to identify your next steps and goals for your personal path to leadership.

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Ethical Considerations for Home Care Personnel in the Digital Agekeyboard_arrow_down

Course
  • What is Meant by the Terms “Ethics” and “Digital Age?”Chapter 1

    There are several definitions of the term “digital age” as well as differing understandings of the terms "ethics" and "ethical principles," depending on the field to which they are applied. After a general overview of the terms digital age, ethics, and ethical principles, this chapter will focus on the definitions used for the purposes of this course, the ethical principles of greatest concern in home care, and ethical leadership.

  • How Might Confidentiality Be Compromised in Home Care?Chapter 2

    Confidentiality is an often discussed issue in health care. Communication technology continues to advance, which can put respect for patient privacy at risk, e.g., where and how patient information can be shared. How does one know they are keeping patient information confidential? This chapter identifies potential scenarios when confidentiality could be compromised in the delivery of home care services.

  • How Might Autonomy of Home Care Personnel be Impacted by the Digital Age?Chapter 3

    Individual rights have long been considered important in American society. Yet, there is an inherent struggle between exercising those individual rights and when those rights negatively impact the lives of others. Additionally, the rise of social media has blurred the lines about which personal information is appropriate to share and with whom the information is shared. This chapter takes a look at individual expressions of thoughts and feelings by home care personnel and their potential impact on the person and on the rights and privacy of those under their care.

  • What is the Role of Veracity (Telling the Truth) in Home Care?Chapter 4

    Trust is needed for an effective relationship between a patient and care provider. One might argue that patients need to trust the information given to them in order to follow the plan of care. This chapter will explore actions and behaviors that can be taken by home care personnel to establish and nurture trusting relationships.

  • Emerging Technological Advances that Could Pose Ethical Challenges for Home CareChapter 5

    We’ve gone from the industrial age to the digital age, so what is coming next? The future holds many changes as new technologies develop. What might these changes be and how might they impact home care? What will the challenges be in trying to determine what the right thing is to do in a given situation? This chapter will discuss selected emerging technological advances, their potential use in home care, and ethical challenges that might accompany their use.

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Section 5: Additional Resources

17 Chapters

Medicare Benefit Policy Manual

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Medicare Claims Processing Manual

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State Operating Manual

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Home Health Patient Driven Grouping Model

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OASIS Guidance Manual

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CMS OASIS Q and As

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OASIS Submission

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Home Health Quality Initiative

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Agency for Healthcare Research and Quality

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National Pressure Ulcer Advisory Panel

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Wound Ostomy and Continence Nurses Society

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Elevating Home

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Home Health Quality Initiatives

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ACHC

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CHAPS

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The Joint Commission

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MLN Matters Articles

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Instructors
Cathleen Armato

RN, CHC, CHPC

Dawn Hohl

PhD, RN

Diana (Dee) Kornetti

PT, MA, HCS-D, HCS-C

Tricia Twombly

RN, BSN, HCS-D, HCS-O, HCS-H, HCS-C, COS-C

Nancy Allen

BSN, RNC, CMC

Tina Marrelli

MSN, MA, RN, FAAN

Kim Corral

RN, BSN, MA Ed, COS-C

Nathalie Rennell

MSN, RN, CNE

CEU Approved

18 total hours* of accredited coursework.
MedBridge accredits each course individually so you can earn CEUs as you progress.

      Our clinic could not be happier with MedBridge.

Amy Lee, MPT, OCS
Physical Therapy Central

       MedBridge has allowed us to create a culture of learning that we were previously unable to attain with traditional coursework.

Zach Steele, PT, DPT, OCS
Outpatient Physical Therapy & Rehabilitation Services

    MedBridge has created a cost-effective and quality platform that is the future of online education.

Grant R. Koster, PT, ATC, FACHE
Vice President of Clinical Operations, Athletico Physical Therapy

Frequently Asked Questions

Do I get CEU credit?
Each course is individually accredited. Please check each course for your state and discipline. You can receive CEU credit after each course is completed.

When do I get my certificate?
You will receive accredited certificates of completion for each course as you complete them. Once you have completed the entire Certificate Program you will receive your certificate for the program.

*Accreditation Hours
Each course is individually accredited and exact hours will vary by state and discipline. Check each course for specific accreditation for your license.

Do I have to complete the courses in order?
It is not required that you complete the courses in order. Each Certificate Program's content is built to be completed sequentially but it is not forced to be completed this way.

How long do I have access to the Certificate Program?
You will have access to this Certificate Program for as long as you are a subscriber. Your initial subscription will last for one year from the date you purchase.

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