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thank you for choosing access on-demand we're the fastest-growing home health technology companies helping improve care for more than 1.5 million patients and trusted by more than 7,000 health care organizations to grow their business access is a firm believer in continuing training and we create content so you can learn and grow anywhere anytime let's get started thank you for joining the home health cap survey presentation my name is Susanna Welch and the caps research coordinator here at access and I'll be giving the presentation today so today you'll receive a basic overview of the home health cap survey beginning first with a summary of the survey we'll move along then to how h h caps works from a survey administration perspective the more review the survey questionnaire how the survey can impact your home health agency how to optimize your survey scores in your performance and what each staff role can contribute to the improvement of your agency scores so what is h h caps the home health consumer assessment of healthcare providers and systems is a survey asking patients about the quality of care that they receive from your home health agency the survey aims to accomplish three broad goals firstly to allow patients to compare care between home health agencies to create financial incentives for home health agencies to improve the care that they provide by publicly reporting the survey results and to enhance public accountability in health care by increasing the transparency of the quality of care provided in return for public investments how does h h caps impact you so one way that the home health cap survey can impact your agency is regarding CMS compliance the home health cap survey is required for all agencies serving 60 or more patients within a year so remember that this is not a patient census of 60 but includes the total number of patients served within a year the penalty for an on participation in the survey is a 2 percent reduction in all of your agencies Medicare payments for that year so to illustrate the magnitude of the CMS penalization we provided an example of an agency being reimbursed a million dollars for a year and the 2 percent penalty would deduct 20 thousand dollars from that payment and then again on this slide we have less money for your agency is less money for you just as a reminder that every individual at your agency would be responsible for understanding the impact that the survey can have moving next on to how h h caps works so at the beginning of each new month accessible the list of patients that your agency saw within the previous month we then select the sample of these patients from this list to follow up with the actual survey the sample patients that are selected are contacted then by either male telephone or a combination of the two to ask about the care that they've received from...