Volume 6, Number 45 October  11, 2017

Dear Healthcare at Home Colleague,

How can I thank all of you enough for your outpouring of support over the last few weeks as I took some time away to grieve over the unexpected loss of my wife, Shannon? I cannot fully describe how comforting it was to hear from so many of you. Also, many, many of you made your way to her online obituary and found there a link to her beloved charitable organization, The International Zonta Club, which supports women locally and globally. The donations from all over the country surprised and gratified her friends in the local chapter and broke all previous donation records.

I am planning to attend the NAHC Annual Meeting next week and, because of that, I am going to ask a big favor. One thing I have learned about grief is that it is possible during the early days to focus one's mind on work and maintain a measure of composure, given enough concentration. What breaks that concentration is when a well-meaning friend asks, "How are you doing?" So, let's make a deal. If you don't ask, I will not think you do not care. If you ask and I say, "I'm fine," do not think I am being nonchalant about my loss. I'm just saying, "Let's talk about it another time."

I know you care and I know your concern about me might make you a little curious, so here are the things you may want to know but think you should not ask. Shannon was 59. We were married 20 years. She has three grown children; I have four; we have five grandchildren. She had a malignant melanoma removed from her scalp 17 years ago. A cell or two must have hidden in her system all these years and began to grow in her liver and spleen earlier this year. Symptoms only began in early August and all the doctors and radiologists misdiagnosed it as either an ulcer or irritable bowel syndrome, in spite of two ER visits. They did not do the proper tests -- probably due to insurance company limitations I was told -- even though the results may have led them to a treatment plan before it was too late. As you might guess, frustration with the healthcare system combined with grief makes it very difficult to talk about in person. Even writing is still a little tough. I just thought you might want to know.

I hope this is not too much information for this format. Perhaps our experience will inspire someone to pay more attention to skin cancer, perhaps convince oncologists and surgeons to follow patients longer than the standard five years after they remove a mole before declaring a patient "out of danger." If nothing else, I hope it will let you know it's OK to just say 'hi' to me in Long Beach, perhaps with a heartier handshake than usual. I have support from a lot of friends and relatives, and from you, and will make my way through this. I am anxious to get back to reporting on our industry's technology advances and our battles with new payment schemes and labor laws.

Guest writers
I also want to thank all of our guest writers who have provided such valuable articles during my absence. We will be relying on them this week and for the next few issues as I ease my way back.

Be sure to see guest author Ken Accardi's detailed lesson on EVV Best Practice.

You will also benefit from attorney Tom Moverman's experience-based advice in: Five Ways to Help Nursing Staff Avoid Nursing Errors.

David Cole's insights into The Future of Medicaid Waiver Programs are based on knowledge he has gained, over more years in home care than he cares to admit, as an agency owner, tech company CEO, software sales consultant, and telehealth "critical advocate." 

Lastly, I offer a few thoughts from conversations I had with Private Duty agency owners this week at the HCAOA Annual Meeting. These are good people, faced with a daunting task. I thoroughly enjoyed my time with them in Austin.

If you are attending the NAHC Annual meeting, please drop by and thank the sponsors who make this report possible. Here are their booth numbers in the Long Beach exhibit hall:

Briggs - 816
Brightree- 624
Change Healthcare - 644
Delta Health Technologies - 445
Devero - 304
Healthcare First- 610
HomeCare HomeBase - 844
Kantime - 322
Kinnser - 536
MatrixCare - 753
Netsmart - 710
OperaCare- 331
Playmaker - 1238
Sandata - 402

Have a great week. Keep making a difference!


Editor signature
Tim Rowan

The Future of Medicaid Waiver Programs
Industry veteran explains why Medicaid Waivers are good for patients and for home care providers, AS LONG AS they can control costs.

5 Ways To Help Nursing Staff Avoid Nursing Errors
In a study from the Journal of Nursing Care Quality, 68.3 percent of nurses remember making at least two to five errors over the course of their careers. Attorney Tom Moverman offers tips on how to reduce this number in the home.

EVV Best Practice: The One Day Time Sheet
As agencies move to Electronic Visit Verification they will realize numerous benefits, including regulatory compliance and increased speed for processing billing and payroll. Guest author Ken Accardi offers some tips on how to start preparing for the EVV mandate.

Private Duty Agencies Struggle With Unique Issues
Private Duty agencies gather in Austin at HCAOA to share stories, commiserate, re-commit to mission.

When you click on these ads,
you make sure HCTR continues to come to you for free.

During the 4th Quarter of 2017, web sites of the above advertisers were visited by home care and hospice executives and staff 2855 times.

To inquire about placing your message here, contact:


Last Week's Most-Read Stories:
Don't Just Comply with EVV; Embrace It
CEO outlines six ways implementing an EVV solution will improve overall operations.
Four Keys to Future Home Health Success, Part II
Last week, in part I, Amy Shellhart explored how technology companies are tackling the challenges of the home health organization of the future. In part II, Ms. Shellhart assesses a 2016 article by Landers et al, titled, "The Future of Home Health Care: A Strategic Framework for Optimizing Value.

As of this date, approximately 27,236,000 Baby Boomers have become Medicare eligible.

Notable Upcoming Conferences Free Webinars

AHHC 2017 Leadership ConferenceAssociation for Home & Hospice Care of North Carolina
October 9-10
Holiday Inn Resort
Wrightsville Beach

Click here to register

Our Home Care Landscape: Big Challenges, Bigger Opportunities *
Annual Meeting of the Home Care Association of America
October 8-11
Austin, TX
Information and registration

HCSSA Administrator Program
Texas Association for Home Care & Hospice
November 13-15
Westin Galleria

*HCTR will see you there.
CONNECTED HEALTH: Remote Patient Monitoring and Telehealth Summit

6th Annual Care Coordination and Technology Congress

January 24-26
Renaissance Atlanta Waverly Hotel & Convention Center
Designing successful bundles without collaboration between inpatient and post-acute (PAC) providers inhibits the cost-savings opportunities that make bundled payment a valuable model for hospitals and health systems. Designing care management incentives and solutions for complex patients requires integration across hospitals, home care, and the extended continuum of provider organizations.
Register for in-person or online participation

2018 National Leadership Conference
ElevatingHOME Annual Meeting
March 7-9
Grand Hyatt
Washington DC
Information and registration

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

April 25-27
Cliff House Maine Hotel
Cape Neddick

Information and Registration

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

Conference Title
Sponsoring Association
Hotel or Conference Center, City, State

Juggling the New CoPs and Other Applicable Laws

Sponsored by Kinnser Software
Featuring Robert W. Markette, Jr., Esq., CHC, of Hall, Render, Killian, Heath & Lyman, P.C.
Thursday, January 25
1:00 - 2:00 pm EDT

Attend to Learn:

  • Why "legal representative" is a concept you should already be familiar with
  • What compliance with the nondiscrimination provision of the Affordable Care Act may mean for the new CoPs
  • Why you must be more aware of harassment issues and prepared to take action
  • How harassment issues affect your discharge policies

Free: Register here

Creating A Successful Preceptor Program in Home Health Care

Sponsored by Elevating Home
Michael Ward RN, BSN, Division Director; BAYADA Pediatrics; Margit Moran, RN, BA, Director of Pediatric Clinical Education at BAYADA

Thursday, March 29
1:00 - 2:00 pm EDT

Information and registration

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.


How to Attract and Retain Health System Relationships

Presented by Netsmart
Watch now


Compliance Program Basics

Presented by Curaport
Featuring: Stephanie Koehn, RMA, CPC, CPPM, CPCO

Tuesday, March 20
2:00 p.m. EDT

Fee (per attendee): $49
Information & Registration

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

The Hospice Cost Report
Prepare Your Way With Expert Advice from Maureen Laskowski

Presented by Healthcare Synergy

Monday, March 12
10:00 a.m. PDT; 1:00 p.m. EDT

Click here to register

Home Health Aide Skills and Documentation

Presented by Curaport

Featuring: J'non Griffin, RN, MHA, WCC, Owner & President, Home Healthcare Solutions, LLC
Thursday, March 22
2:00 p.m. EDT
Information and registration


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



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.


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

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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