Tina M. Marrelli, MSN, MA, RN, FAAN

Tina M. Marrelli, MSN, MA, RN, FAAN is President of Marrelli and Associates, Inc., an international health care consulting and publishing firm which was founded in 2002. Ms. Marrelli has a background in management, operations performance improvement, payment and regulatory policy, and home care and hospice advocacy.

Tina offers expert and comprehensive consulting services for home care, hospice, and hospital organizations, with special emphasis on clinical, compliance, regulatory and systems analysis.

Tina is especially interested in successful “transitions of care and “transitions in care” models. This area can be a challenge all involved – for older adults and their families, as well as sometimes for hospitals and other organizations discharging people back to home, skilled nursing facilities, rehabilitation centers and other care settings. If you are seeking to review and improve transitions of care  and related processes at your hospital or other organization, Tina can be contacted directed at news@marrelli.com.

Authored publications that communicate the depth and scope of practice include:

  • •  The Handbook of Home Health Standards and Documentation Guidelines for Reimbursement, “The Little Red Book” (in its 5th edition)
  • •  The Hospice and Palliative Care Handbook (2nd edition)
  • •  Home Health Aide: Guidelines for Care
  • •  Home Health Aide: Guidelines for Care Instructor Manual

Tina is a prolific writer and serves as an editorial board member of The American Nurse as well as the Journal of Community Health Nursing. Tina is also an Editor Emeritus of Home Healthcare Nurse/Home Care Now.

Tina received a Bachelor’s degree in Nursing from the Duke University School of Nursing and a Master of Arts in Management and Supervision, Health Care Administration from Central Michigan University. She also has a Masters in Nursing, with an emphasis on administration from Otterbein College. Tina was a home care and hospice nurse and manager for many years and wrote the books initially for her team!

Tina also worked at the central office of the Health Care Financing Administration (HCFA), now the Centers for Medicare and Medicaid (CMS) for four years in the areas of home care and hospice policy and operations, where she received the Bureau Director’s Citation. She also served on the National Hospice and Palliative Care Organization’s (NHPCO) Standards and Accreditation Committee, has been the recipient of the Arizona Association for Home Care’s prestigious Genie Eide Award, and served as a member of the Hospice and Palliative Nurses Association’s “National Competency Project” which wrote and published the first standards for hospice nurses. Tina also served as a Reviewer for the 2014 Scope And Standards of Practice Home Health Nursing (2nd edition, 2014 American Nurses Association).

Consultative Services

The team at Marrelli and Associates, Inc. provides product development and process improvement consultative services to many diverse organizations which includes home health, hospitals, universities, publishers, hospices, software firms and other organizations for various assessments and interventions. Examples include management training, compliance assessment considerations, accreditation assistance, quality initiatives, orientation development and services, daily operations, OASIS, retention and recruitment programs, clinical documentation systems, written product development and case management models. Tina also offers legal nurse consulting and review services. Tina can be contacted directly by e-mail at news@marrelli.com.

Transitions of Care Services

This experienced team of consultants assists client organizations in meeting the daily challenges as well as identifying those looming on the horizon. Our services are multi-faceted and the list of services is extensive, and usually based on a comprehensive organizational review. While tackling a broad range of complex issues, both nationally and internationally, we seek to exceed client expectations by engaging the expertise of industry leaders in specialized health care services.

Hospice Regulatory and Compliance Expertise

Tina has been working in hospice since its inception and was on the panel that defined the first hospice nursing standards! Tina’s team of experienced hospice leaders can provide your organization with the specialized knowledge to succeed. This includes due diligence activities, compliance activities such as reviews, documentation and coverage assessments and presentations based on findings, and more. Whether you need an accreditation related review pre-survey or help after a survey, pre-audit assistance or post-audit help, compliance assessment or compliance program development, this specialized team brings a wealth of real-world operational and regulatory and compliance expertise.

Put our extensive experience to work for you!

  • •  Providing comprehensive operational/clinical assessments
  • •  Preparing for accreditation, including comprehensive mock surveys
  • •  Development and implementation of clinical paths
  • •  Compliance assessment and programs
  • •  Quality monitors
  • •  Customized conference planning
  • •  Orientation of new managers or organizational staff
  • •  Software and content design
  • •  Specialized reimbursement assistance
  • •  Integrating and operationalizing OASIS into your home health agency
  • •  Performance improvement initiatives
  • •  Interim management
  • •  Identify clinical or administrative leaders
  • •  Customized presentations
  • •  And much, much more!