Volume 7, Number 14 January  31, 2018



Dear Healthcare at Home Colleagues,

Conditions of Participation; Value-Based Purchasing; ACO partnerships; Managed Care; Medicare Advantage. Insiders with insights into each of these areas gathered in Orlando this week at the 2018 Homecare 100 meeting. This is the gathering sponsored by Lincoln Healthcare Leadership where only the executives from the largest home health, home care, and hospice providers are invited. The volume of information and opinion was overwhelming but we have done our best to summarize the highlights for you. This week, we start with the onstage discussion between NAHC Interim President Bill Dombi and the CEO and president of the National Hospice and Palliative Care Organization, Edo Banach.

Though technically competitors, Bill and Edo agreed on almost every point, especially regarding the likes of MedPAC, Congress, CMS, and the incoming HHS Secretary. Don't miss our summary of what developed during their moderated conversation.

Vendor Watch is our most important column this week. We just heard about two significant acquisitions in the tech vendor community. Some of the biggest names in Healthcare at Home software are involved. As the announcements were only released hours before we wrapped up this issue, we have only had time to conduct brief interviews with the principals so far. Mediware CEO Bill Miller was quite forthcoming about the meaning of his company's purchase of MedTranDirect. And HomeCare Accounting Solutions founder Mike DelCollo shared some thoughts about selling his company to Netsmart, not the least of which might trigger a memory among readers who have been around long enough.

Mike was the software development genius behind one of our industry's first software systems, a DOS-based gem called HCS. When HCS CEO Steven Griff retired in 1999, DelCollo's software was sold to Misys. Later, Misys became Allscripts and Allscripts was ultimately acquired by Netsmart. Meanwhile, DelCollo built HAS. So, loosely defined, Mike DelCollo has sold two products to essentially the same company. Business is interesting.

Next week, we will dig a little deeper into the acquisitions and have more to say about our chats with the people at their center.

Lastly, as we continue to try to help you cope with regulations, especially the new CoPs, we bring a guest article by home care attorney Elizabeth Hogue, titled "Refusal of Services and/or Non-Compliance." She bases her analysis on the draft Implementation Guidelines.

We also detail coming changes in Medicare ID card numbers. The transition from social security numbers to randomly-generated number and letter combinations will pose a challenge for providers and software vendors for at least a full year.

Have a great week. Keep making a difference!


Editor signature
Tim Rowan



Dombi and Banach Spar at Homecare 100
When leaders of competing associations essentially agree, their members should pay attention. Bill Dombi and Edo Banach kicked off Homecare 100 with some strong language, not for each other but for their common enemies.

Merger Mania: Mediware + MedTranDirect; Netsmart + HAS
This week, two major acquisitions were announced in the home health and hospice tech community. Mediware, Kinnser's parent company, acquired Medicare connectivity and eligibility vendor MedTranDirect. Netsmart announced the acquisition of HomeCare Accounting Solutions.

Draft Interpretive Guidelines for HHAs: Refusal of Services and/or Non-Compliance
Guest author Elizabeth Hogue, esq. explains the compliant procedure for refusing to continue services to a non-compliant patient.

CMS Begins to Generate Random Medicare ID Numbers
EMR software developers have their work cut out for them. During the transition from Social Security Numbers to randomly-generated ID numbers on Medicare cards, CMS contractors will accept either number but return both on remittance advices. Here is the official guidance from CMS.

 
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During the 1st Quarter of 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 2597 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
Home Health Attorney Explains Most Vexing CoP Challenges in Plain English
Getting into compliance with the new CoPs is much harder than reading them and having a training session with your staff. Attorney Liz Pearson walked a group through it this week and helped agency owners see the tasks ahead of them more clearly.
 
Vendor Watch: Patient Recruitment Tool
— Swift Shift Introduces Boost, A Re-Engagement Platform to Revitalize Home Healthcare Recruitment
— BlackTree Healthcare Consulting Partners with Forcura
— Nasdaq Chair Joins Wellbe, A Connected Care Software Company

As of this date, approximately 28,468,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

MHHA Annual Conference

Michigan Home Care & Hospice Association
April 25-26
Amway Grand Plaza
Grand Rapids
Information and Registration


New England Home Care and Hospice 2018 Conference
Presented by Home Care Associations of:
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont


April 25-27
Cliff House Maine Hotel
Cape Neddick

Information and Registration


2018 Annual Conference

AHHC of North Carolina

May 7-9
Sheraton Imperial Hotel & Convention Center

Register


2018 National Leadership Conference

Home Care Association of America

September 22-25
Marriott Wardman Park Hotel
Washington DC

Information for Providers and Exhibitors


Your state or national association meeting not listed? Send the details to Conferences@RowanResources.com using this format:

Conference Title
Sponsoring Association
Date(s)
Hotel or Conference Center, City, State
URL

Improving CAHPS Response Rates: 2 Free Webinars

Sponsored by HEALTHCAREfirst
Featuring:
Liz Silva, Director of Home Health & Hospice, HEALTHCAREfirst

Hospice CAHPS: Wednesday, May 2
2:00 pm EDT
Free Registration

Home Health HHCAHPS: Thursday, May 10
2:00 pm EDT
Free Registration

With greater visibility into quality through public reporting on Hospice Compare and Home Health Compare, hospice and home health providers have an even greater incentive for performance improvement. During each 45-minute webinar, we will discuss methods and activities that have been instrumental in improving CAHPS survey response rates, a key element of implementing a data-driven approach and improving your scores. To be discussed:

  • Hospice CAHPS Regulations
  • Response Rate Calculation
  • Available Benchmarks
  • Effective Strategies to Improve Response Rates

 



Are You Marketing to the Wrong Person?
A Different Way to Get Home Health Referrals

Presented by Healthcare Synergy
Featuring: Melinda Rodriguez, PT, DPT, MSCS, LSVT
Date: Wednesday, March 7
Time: 10:00 a.m. PST; 1:00 p.m. EST

In this Webinar, you will:
  • Learn another way to market inpatient facilities other than discharge planners, case managers or social workers.
  • Discuss the role of Home Health in the challenging healthcare environment – Short Term Home health.
  • Describe the Continuum of Care Concept in the post acute care network
  • Identify strategies to reduce risk of acute care readmission.
  • Discuss options for discharge disposition for potential skilled nursing facility candidates to decrease SNF discharge rate for inpatient rehab units.

Register



How to Attract and Retain Health System Relationships

Presented by Netsmart
Ongoing
Free
Watch now

 


Good Ways to Break Bad News: Social Worker Edition

Presented by Curaport
Featuring:
Heather Calhoun, RN, BSN, COS-C, HSC-D

Date: Tuesday, May 1 
Time: 2:00 p.m. EDT

Fee: $79
Information & Registration

*This education session is pending approval from the National Association of Social Workers for one (1) contact hour of Continuing Education for Social Workers.

 

 

 



Clinical Impact of OASIS-D

Presented by HEALTHCAREfirst

Featuring:

Deanna Loftus, HEALTHCAREfirst Director of Regulatory Compliance
Mary St. Pierre, RN, BSN, MGA, Regulatory Consultant

Tuesday, May 1
2:00 pm EDT

Free Registration

In March 2018, CMS released the draft of the latest version of the OASIS data set, OASIS-D. Modifications are being made to OASIS in order to comply with the IMPACT Act, to reduce data collection burden, and to improve formatting throughout the document. CMS is seeking approval from the Office of Management and Budget for a January 1, 2019 implementation date. Topics:

  • Addition of six new standardized items
  • The removal of 28 OASIS questions that will no longer be assessed.
  • Modification to M1311 to support a new standardized pressure ulcer measure.
  • Addition of responses to M1028, M1311, M2102 and removal of responses to M2310.
  • Review of additional changes to OASIS

 



The Penalty Box Compliance Series
Part 7: Audit-Proof Your Visit Notes

Presented by Curaport

Featuring: Kristi Bajer, RN, MSN

Wednesday, April 18
1:00 p.m. EDT
$39

Information and registration

Description: An auditor shows up on your doorstep and fear sets into your agency.  You have worked hard to be compliant, but you still have several days of anxiety until the auditor pronounces you have passed and are deficiency free!   Everyone celebrates.  The next day you receive 20 audits from CMS. Don't let this happen to you and your agency!  Learn from the compliance experts at OperaCare how to ensure compliance with the new CoP's. This education session in part 7 of the Penalty Box Compliance Series.

*This education session is approved for one (1) contact hour of Continuing Education.

 

 

 





What Does Behavioral Health Have to do With Home Health Outcomes?

Presented by: Netsmart/DeVero
Featuring: Katherine J. Vanderhorst ,RN-BC,BSN and Dr. Amy Craven

Thursday, February 22
2:00 p.m. Eastern
Learn why integrating behavioral health with chronic care management can improve star ratings.

Many home health patients have co-existing Chronic Behavioral Health problems that are not dealt with. If not addressed, problems like anxiety and depression leave patients unable to self-manage diabetes, congestive heart failure, CHF, COPD and other serious medical conditions. This presentation will show why recognizing and managing behavioral health diagnoses and can have a positive outcome on your agency’s STAR ratings. Presented by Katherine J. Vanderhorst ,RN-BC,BSN and Dr. Amy Craven.

Registration



The Penalty Box Compliance Series Part 6: Audit-Proof Your Visit Notes

Presented by Curaport
Featuring Kristi Bajer, RN, MSN

Wednesday, March 21
1:00 p.m. EDT
$39

Information and registration

*This education session is approved for one (1) contact hour of Continuing Education for Nursing


Webinar hosts, send your announcements to: Conferences@RowanResources.com

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Home Care Technology Report is published by Rowan Consulting Associations, Inc., Colorado Springs, CO. All rights reserved. Request reprint permission by writing to editor@homecaretechreport.com.

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