home care nursing · 2016-08-29 · home care nursing support h.f. 1122/s.f. 628 to establish a new...
TRANSCRIPT
HOME CARE NURSING
Support H.F. 1122/S.F. 628 to establish a new reimbursement tier for home care nursing provided by highly skilled and specialized nurses to high acuity, medically complex children in their homes.
Let’s work together for sensible legislation so kids can continue to thrive at home, where their care is better managed and more
cost effective.
• Current reimbursement rates do not allow providers like PHS to provide pay that is competitive with the hospitals, leading to high nursing turnover.
• Current rates undervalue home care nurses which adds to a shortage – keeping children in the hospital longer, driving up costs, and limiting options for better care and quality of life at home.
• Create a third tier that will increase reimbursement so that home care nurses – who have the same skills and extensive training – are paid the same as hospital nurses.
• Passing new legislation will help home care providers like PHS ensure stable staffing so Minnesota children and their families can access well-managed, high-quality, cost-effective care at home.
WHY?
HOW?
HOME CARE NURSING
Let’s work together for sensible legislation so kids can continue to thrive at home, where their care is better managed and more
cost effective.
• Current reimbursement rates do not allow providers like PHS to provide pay that is competitive with the hospitals, leading to high nursing turnover.
• Current rates undervalue home care nurses which adds to a shortage – keeping children in the hospital longer, driving up costs, and limiting options for better care and quality of life at home.
• Create a third tier that will increase reimbursement so that home care nurses – who have the same skills and extensive training – are paid the same as hospital nurses.
• Passing new legislation will help home care providers like PHS ensure stable staffing so Minnesota children and their families can access well-managed, high-quality, cost-effective care at home.
WHY?
HOW?
Support H.F. 1122/S.F. 628 to establish a new reimbursement tier for home care nursing provided by highly skilled and specialized nurses to high acuity, medically complex children in their homes.
Support H.F. 1122/S.F. 628 Support H.F 1122/S.F. 628
Reimbursement structures
for home care nurses
haven’t changed much
in 20 years – and do not
reflect the training and
skills required to care for
these complex patients
being cared for in
the home.
CONTACT BILL AMBERG TO SEE HOW YOU CAN HELP. [email protected]
PediatricHomeService.com/legislation
Higher acuity means higher risk, more-complex care
0
10
20
30
40
50
60
70
80
90
100
High
85
Medium
12
Low
5
The majority of PHS patients (85% in April/June 2013) are designated as high acuity, which means they require care that demands advanced skills and experience.
Perc
enta
ge o
f Pa
tien
ts
Acuity Level
The complexity of patients
discharged to the
home has increased
significantly over the years.
In fact, the majority of PHS
nursing care is for children
who are technology-
dependent and require life-
supporting technology, like
ventilators and ventricular
assist devices.
The majority of PHS patients (70% in January/March 2014) are designated as high acuity, which means they require care that demands advanced skills and experience.
(Chart compiled using MN DHS acuity tool)
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
Hospital
$5,800Room Charge
Includes:Skilled Nursingin a Non-ICU
Stepdown Unit
$1,500Vent Charge
Home Care
$460 Total Charges
Includes:Drug, RN Visitand Supplies
Home Care
$1,000 Nursing
Based on 24 Hours/Day
$200 Vent Charge
Hospital
$5,800Room Charge
Includes:Hospital Room
Chargesand Nursing
$727 Drug Only
Hospital vs. PHS Home Care
Vent Patient*Vent charges include all related equipment, supplies, and management by a Respiratory Therapist
IV Antibiotic Therapy*PHS average data from multiple patients and payers
Depending on the acuity of each patient, the estimated cost can be as high as $5,800 per day in the hospital just for the room vs. $750 per day to receive care in the home; 35% of PHS patients would be impacted in this way. For example, of PHS’s ventilator patients, 84 would be affected by rehospitalization due to a lack of access to adequate home care, which would equate to $424,200 in health care spending.
Hospital vs. PHS home care
70
27
2
Depending on the acuity of each patient, the estimated cost can be as high as $5,800 per day in the hospital just for the room vs. $1,000 per day to receive care in the home.
Reimbursement structures
for home care nurses
haven’t changed much
in 20 years – and do not
reflect the training and
skills required to care for
these complex patients
being cared for in
the home.
CONTACT BILL AMBERG TO SEE HOW YOU CAN HELP. [email protected]
PediatricHomeService.com/legislation
Higher acuity means higher risk, more-complex care
0
10
20
30
40
50
60
70
80
90
100
High
85
Medium
12
Low
5
The majority of PHS patients (85% in April/June 2013) are designated as high acuity, which means they require care that demands advanced skills and experience.
Perc
enta
ge o
f Pa
tien
ts
Acuity Level
The complexity of patients
discharged to the
home has increased
significantly over the years.
In fact, the majority of PHS
nursing care is for children
who are technology-
dependent and require life-
supporting technology, like
ventilators and ventricular
assist devices.
The majority of PHS patients (70% in January/March 2014) are designated as high acuity, which means they require care that demands advanced skills and experience.
(Chart compiled using MN DHS acuity tool)
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
Hospital
$5,800Room Charge
Includes:Skilled Nursingin a Non-ICU
Stepdown Unit
$1,500Vent Charge
Home Care
$460 Total Charges
Includes:Drug, RN Visitand Supplies
Home Care
$1,000 Nursing
Based on 24 Hours/Day
$200 Vent Charge
Hospital
$5,800Room Charge
Includes:Hospital Room
Chargesand Nursing
$727 Drug Only
Hospital vs. PHS Home Care
Vent Patient*Vent charges include all related equipment, supplies, and management by a Respiratory Therapist
IV Antibiotic Therapy*PHS average data from multiple patients and payers
Depending on the acuity of each patient, the estimated cost can be as high as $5,800 per day in the hospital just for the room vs. $750 per day to receive care in the home; 35% of PHS patients would be impacted in this way. For example, of PHS’s ventilator patients, 84 would be affected by rehospitalization due to a lack of access to adequate home care, which would equate to $424,200 in health care spending.
Hospital vs. PHS home care
70
27
2
Depending on the acuity of each patient, the estimated cost can be as high as $5,800 per day in the hospital just for the room vs. $1,000 per day to receive care in the home.
Support H.F. 1122/S.F. 628 Support H.F. 1122/S.F. 628