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.

 
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During the 2nd Quarter of 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 2335 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

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

2018 Annual Conference

AHHC of North Carolina

May 7-9
Sheraton Imperial Hotel & Convention Center

Register


West Coast Payer and Provider Summit to Address Social Determinants of Health for Complex PopulationsA World Health Care Congress Executive Series Event

June 4-5

Doubletree Resort Paradise Valley
Scottsdale, AZ


Download agenda

Post Acute 360: Strategy and Solutions Conference

Presented by: Lincoln Healthcare Leadership

June 25-27
Gaylord National Resort
National Harbor, MD
Information and Registration


NAHC Financial Managers Meeting

July 15-17
Austin, TX
Information and Registration


Leading in a Changing World

Texas Association for Home Care & Hospice 49th Annual Meeting
August 8-9
Moody Gardens Hotel & Spa
Embassy Suites Frisco Hotel & Convention Center
Frisco

Information and registration


Home Care Cruise

Sponsored by: HealthCare Synergy
Featuring: Melinda Gaboury, Michael Tidd, Paula Pettit
Dates: August 24-27
Location: Carnival Inspiration, Los Angeles to Ensenada, Mexico

Information and Registration

(Early Bird Pricing Ends May 15)


Medicare and Managed Care Reimbursement Necessities

Presented by HealthCare Synergy, Inc. and Illinois Homecare & Hospice Council

Featuring: Melinda Gaboury, COS-C
Date: Wednesday, September 5
Time: 8:30 am CDT
Location: Northern Illinois University

This is an In-person Workshop and Live Webinar

Information and Registration

(HealthCare Synergy clients, call for a special discount: 714-229-8700; ext 118 for Rangsey Ouk or ext. 137 for Edleen English.)

To maximize your reimbursement, you need to be well informed. Melinda Gaboury of Healthcare Provider Solutions, and a trusted consultant for HealthCare Synergy, will help you stay on top of constantly changing regulatory requirements so you can get paid.


Hospice Financial and Administrative Management Academy

Presented by: The Health Group, LLC

Date: September 17-18
Location: Mirage Las Vegas

Information and registration


2018 National Leadership Conference *

Home Care Association of America

Date:
September 22-25
Location: Marriott Wardman Park Hotel
Washington DC

 

Information for Providers and Exhibitors


NAHC 2018 Annual Meeting*National Association of Home Care and Hospice
October 7-9
Gaylord Texan
Grapevine, TX

Information and registration


*HCTR will see you there.

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

 

Care Management: What to Know and Why to Care
Presented by Curaport
Date: Thursday, September 27
Time: 2:00 pm EDT

Fee: $79
Register
Care Management is both under-utilized and misunderstood.  Care Managers are becoming their clients’ true partners in health for life.  Care Management aims to improve a person’s experience with the healthcare system by enhancing coordination of care, eliminating duplication, and helping patients and caregivers effectively manage health conditions.
*This education session is approved for one (1) contact hour of Continuing Education for Nursing

 




Public Policy Leadership Series

Presented by: ElevatingHOME

Featuring:

• Joy Cameron, Vice President, Policy and Innovation, ElevatingHOME and VNAA
• Bill Dombi, President, National Association for Home Care & Hospice
• Sarah Myers, Partnership for Quality Home Healthcare

Schedule: Wednesdays, October 3 - November 7
Session 1: October 3
Time: 1:00 pm EDT
Fee: Free to ElevatingHome, VNAA, and Alliance for Home Health Quality Improvement members

Click here for complete schedule and registration




P2P Forum: Strategies to Improve Your Referral, Intake, and Order Processes

Presented by HealthcareFirst
Hosted by CMS

Date: September 13
Time: 2:00 pm EDT
Fee: None

Information and registration

If your home health or hospice agency spends a large amount of time processing documentation associated with referrals, intake, and orders, delaying turnaround times and billing, you will not want to miss this Forum. Kim Gaffey, MSN, RN, owner of Gaffey Home Nursing & Hospice, will share how her agency has significantly improved accuracy, compliance, and turnaround time while reducing time spent managing documentation with HEALTHCAREfirst and Forcura. They are now receiving orders within 24-48 hours and are billing RAPs within 7 days of the start of care, improving their cash flow and profit margins too! Join us to learn how you can experience results like these in this 30-minute open forum. 



Creating Integrated Care Models in Post-Acute

Presented by Netsmart

Featuring: Mark Fritz, President, Rapid Recovery Center; AJ Peterson,Netsmart VP of Interoperability

Date: Tuesday, September 18
Time: 1:00 pm EDT
Fee: None

Register
As the post-acute industry continues the shift from fee-for-service to value-based care models, provider organizations are rethinking the way they measure and prove their value to payers and referral partners. One emerging requirement of preferred provider networks is the ability to participate in integrated care models. Join Mark Fritz, President of Rapid Recovery Center, as he shares how his organization has embraced integrated care programs to thrive in value-based care. AJ Peterson, Vice President of Interoperability at Netsmart, will present strategies providers can leverage to integrate to care networks and prove value.
 
You will learn:
  • What an integrated care network looks like
  • How to best prepare for integrated care models
  • How to identify where your organization fits into integrated care
  • Strategies to position your organization as the preferred referral destination


How to Address Home Health Survey Deficiencies

Presented by Curaport
Featuring:
Heather Calhoun, RN, COS-C, HCS-D, HCS-H, Home Health Solutions, LLC

Date: Tuesday, September 25
Time: 2:00 p.m. EDT

Fee: $99 (per attendee)

Information & Registration

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

Your Hospice Agency had its survey recently, and unfortunately received some deficiencies.  Despite all of your preparation, task forces and process improvement projects, they found something.  You are not alone in this!  This happens to the best agencies, but this webinar will teach you and your team how to address these Deficiencies – and how to analyze the reason(s) a Deficiency was cited. 

*Curaport, LLC is an approved provider of Continuing Education by the California Board of Registered Nursing. All states accept this certification for their licensing requirements. No refund shall be given, except for any change in date or time of the webinar. In such case, a full refund shall be given to the registrant upon their request.

 




Building a Successful, Data-Driven Quality Program

Presented by Brightree

Featuring: Rhonda Dornbos, RN, BSN, Chief Clinical Information Officer, DB HealthTech Consulting
Date: Wednesday, September 26
Time: 1:00 pm CDT

Free Registration

The home care and hospice industry is increasingly competitive. The shift from “volume” to “value” means that agencies must increasingly focus on quality outcomes and prove their “worth” to customers and referral sources alike.  Agencies must have a robust quality program in place that identifies, tracks, and trends key metrics against agency goals.  Successful agencies not only have visibility into their current performance, but they continually modify and develop new strategies for improvement, while engaging their clinicians.



Using a Sales & Marketing Dashboard to Get Ahead of Your Competition

Presented by Curaport

Featuring: Melanie Stover, OT, MBA, Homecare Sales

Date: Wednesday, September 5
Time: 2:00 p.m. EDT
Fee: $59 (per attendee)

Information and registration

Webinar Overview
Driving patient admissions and revenue is the top priority for your sales team. Creating a system that quickly monitors production is key to keeping your agency on track for sustainable growth.

This webinar will provide your agency with 3 ways to use your dashboard to get ahead (and stay ahead!) of your competition.



Introduction to the CMS Electronic Medical Documentation Interoperability (EMDI) Program

Presented by: ElevatingHome
Featuring:

  • Pallavi Talekar, Project Manager, Scope Infotech, Inc.
  • Ray Wilkerson, Sr. Business Analyst, Scope Infotech, Inc.
  • Nandini Ganguly, Business Analyst, Scope Infotech, Inc.
  • Briana Barnes, Project Coordinator, Scope Infotech, Inc.
Date: Wednesday, August 8
Time: 1:00 p.m. EDT

Registration

 

Participants will gain understanding of the CMS-driven Electronic Medical Documentation Interoperability program, focused on reducing provider burden by engaging health care providers and stakeholders in pilots that establish secure communication to share medical documentation by aligning with nationally recognized interoperable standards. This event is designed for providers and vendors who are willing to enhance their workflows and communication to achieve efficiency by reducing time and cost.

In this session participants will learn about interoperability and shift in the health care IT landscape, EMDI pilot program details, EMDI pilot program benefits, and how to partner with the EMDI to achieve interoperability.



The Penalty Box Compliance Series Part 8: The IMPACT Act

Presented by Curaport
Featuring Kristi Bajer, RN, MSN

Wednesday, May 23
1:00 p.m. EDT
$39

Information and registration

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



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.

HCTR is free to subscribers and supported by its generous advertisers. To inquire about presenting your message to our 5,000 subscribers, write to Kristin in our ad sales department, Kristin@RowanResources.com.