Annual Report & Directory - Oklahoma Hospice_AR_2011... · PDF file 2016. 7....

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Transcript of Annual Report & Directory - Oklahoma Hospice_AR_2011... · PDF file 2016. 7....

  • Hospice

    Advisory

    Board

    2011 Annual Report & Directory

  • i

    Table of Contents Open Letter to Hospice Providers ..................................................................... 1 Hospice Advisory Board Members .................................................................... 3 Authority and Responsibilities .......................................................................... 4 The Hospice Philosophy .................................................................................... 5 The Oklahoma Hospice Landscape ................................................................... 6 Accomplishments ............................................................................................... 7 Emerging Issues ................................................................................................. 8 Additional Resources ......................................................................................... 9 Additional Information ...................................................................................... 10 List of Licensed Hospices, sorted by Facility ................................................ 11 List of Licensed Hospices, sorted by County ................................................ 30 List of Licensed Hospices, sorted by License Number ................................. 49

  • 2011 Annual Hospice Report. . 2011 Annual Hospice Report. . 2011 Annual Hospice Report

  • 2011 Annual Hospice Report. . 2011 Annual Hospice Report. . 2011 Annual Hospice Report

    Dear Oklahoma Hospice Provider, The Oklahoma Hospice Advisory Board is committed to promoting the availability and delivery of quality hospice care for all Oklahomans. We are writing to assist you and your hospice organization in preparing for quality measures reporting to the Centers for Medicare & Medicaid Services (CMS) in the very near future. What we know as of November, 2011: In accordance with the Affordable Care Act, hospice providers must report quality measurement data on selected quality indicators as determined by the Secretary of Health & Human Services no later than Fiscal Year (FY) 2014. If the hospice provider does not submit the required data, the provider will have their market basket rate reduced by 2% for that FY. The Secretary of Health & Human Services looks to the National Quality Forum (NQF) and other national entities for validated quality measures when selecting the quality indicators to be reported by hospice providers as part of this national public reporting initiative. Two measures have been identified for quality reporting in the near future: Outcome Measure (NQF-#0209)

    1. Comfortable Dying – Percentage of patients who were uncomfortable because of pain on admission to hospice whose pain was brought under control within 48 hours. First year data collection timeframe: October 1, 2012 – December 31, 2012. Data submission will be due April 1, 2013. This first year data collection will be for the 3 months of calendar year 2012 only. Every year afterwards, the measurement data will be submitted annually.

    Structural Measure 2. Each Hospice Provider will select 3 quality indicators from its own Quality Assurance &

    Performance Improvement (QAPI) program and the quality indicators must be related to patient care.

    First year data collection timeframe: October 1, 2012 – December 31, 2012. Data submission due January 31, 2013. This first year data collection will be for these 3 months only. Every year afterwards, the measurement data will be submitted annually.

    The NQF Palliative and End-of-Life Care Steering Committee met over the summer of 2011 and recommended fourteen performance measures for evaluation of quality palliative and end-of-life care in the future. The recommended measures for palliative care and end-of-life care are now available for review on the NQF website:

    http://www.qualityforum.org/Calendar/2011/07/National_Voluntary_Consensus_Standards_for_Palliative_Care_and_End-of-Life_Care- Call_for_Candidate_Standards-Steering_Committee_Meeting___.aspx

    Transcripts and relevant materials from the Steering Committee meetings are also available on the NQF website. The final decision on endorsement of the recommended measures will occur early in 2012.

    NQF is a nonprofit organization based in Washington, D.C. that reviews and endorses standards for measuring and reporting on performance in healthcare. Most measures selected by CMS for quality reporting must have NQF endorsement.

    Page 1 of 67

  • 2011 Annual Hospice Report. . 2011 Annual Hospice Report. . 2011 Annual Hospice Report

    The 14 Measures reviewed in the summer of 2011 for future FY consideration: NQF 0208: Family Evaluation of Hospice Care (revised 8/19/11) NQF 1617: Patients treated with an opioid who are given a bowel regimen (revised 8/10/11) NQF 1623: Bereaved Family Survey NQF 1625: Hospitalized patients who die an expected death with an ICD that has been deactivated (revised 8/10/11) NQF 1626: Patients admitted to ICU who have care preferences documented NQF 1628: Patients with advanced cancer assessed for pain at outpatient visits (revised 9/16/11) NQF 1630: Hospitalized patients who die an expected death who have dyspnea addressed NQF 1632: CARE - consumer assessments and reports of end of life (revised 8/18/11) NQF 1634: Hospice and Palliative Care - Pain Screening (revised 9/16/11) NQF 1637: Hospice and Palliative Care - Pain Assessment NQF 1638: Hospice and Palliative Care - Dyspnea Treatment NQF 1639: Hospice and Palliative Care - Dyspnea Screening NQF 1641: Hospice and Palliative Care - Treatment Preferences NQF 1647: Percentage of hospice patients with documentation in the clinical record (revised 8/8/11)

    It is important to note that the Board believes we can expect additional mandatory measures in FY 2013, 2014 and 2015. The Oklahoma Hospice Advisory Board also recommends each hospice provider begin selecting the three (3) patient-related quality measures of the provider’s QAPI program to be included in this public reporting initiative. Although there are only two measures selected for required quality reporting to CMS in the coming year, the Oklahoma Hospice Advisory Board recommends each hospice provider thoughtfully review the quality indicators currently being evaluated by the NQF as well as those quality measurements included in the PEACE Project to prepare for quality reporting and as tools to help improve the quality of hospice care provided to Oklahomans. The PEACE Project was conducted by the Carolinas Center for Hospice & End-0f-Life Care. Link for information: http://www.thecarolinascenter.org/default.aspx?pageid=24 Hospice providers can also voluntarily report quality measures prior to the deadline for mandatory reporting to CMS. For more information, go to the following link: http://www.cms.gov/LTCH-IRF-Hospice-Quality-Reporting/10_HospiceQualityReporting.asp#TopOfPage 2011 Oklahoma Hospice Advisory Board Members General Practitioner: Waddah N. Nassar, M.D. – Board Chair Administrator: Michelle Fox, R.N., CHPN Administrator: Gregory A. Wood, M.S., L.B.S.W. Nurse: Stacy Palmer, R.N., BSN Professional Counselor: Terry Jones, B.A., Rel General Public: Linda Edmondson, L.C.S.W. State-wide Association: Kelly Nunn, R.N., CHPN

    Page 2 of 67

  • 2011 Annual Hospice Report. . 2011 Annual Hospice Report. . 2011 Annual Hospice Report

    HOSPICE ADVISORY BOARD MEMBERS Term Expires: General Public: Linda Edmondson September 2013 Oklahoma City, OK [email protected] Hospice Administrator: Michelle Fox, R.N. September 2013 Tulsa, OK [email protected] Hospice Administrator: Gregory A. Wood September 2011 Ponca City, OK [email protected] Professional Counselor: Terry Jones September 2011 Mustang, OK [email protected] General Practitioner: Waddah N. Nassar, M.D. September 2012

    (Board Chair Person) Oklahoma City, OK

    [email protected] Registered Nurse: Stacy Jane Palmer September 2013 McLoud, OK [email protected]

    Statewide Association: Kelly Nunn September 2013 Chickasha, OK

    [email protected]

    Page 3 of 67

  • 2011 Annual Hospice Report. . 2011 Annual Hospice Report. . 2011 Annual Hospice Report

    THE OKLAHOMA HOSPICE ADVISORY BOARD:

    Authorized by Section 1-860.13 of the Oklahoma Hospice Licensing Act {63 O.S. §§ 1-860 et seq.}.

    Appointed by the Governor and functions as a professional advisory body to the Oklahoma State Department of Health (OSDH) for the development and improvement of services provided by hospices.

    The Board:

    • Reviews and approves in their advisory capacity administrative rules for hospice licensure;

    • Evaluates practices and procedures of the Department regarding the administration and enforcement of the provisions of the Act; and

    • Annually publishes a report of its activities and recommendations for improvement of hospice services and patient care to the Governor and the Commissioner of Health.

    Page 4 of 67

  • 2011 Annual Hospice Report.