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


HomeCareCon: Unleash Your Inner Super Hero

Home Care Association of Florida Annual Conference 2018

July 29-Aug. 1
Renaissance Orlando at Sea World

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)


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


*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

Patients' Right to Freedom of Choice of Providers: How to Avoid Lawsuits

 

Presented by Elizabeth Hogue, Esq.

 

Thursday, June 14 (Encore Date: 6/21)
Recording available 24/7 On Demand; option to purchase CD & handouts.
1:00 - 2:30 pm EDT

 

Register here

 

Conflict between hospitals and home health agencies, private duty agencies, hospices and HME companies that receive referrals from hospitals may be intensifying regarding patients' right to freedom of choice. Hospitals say that they comply with all requirements while some post-acute providers maintain the exact opposite. Now post-acute providers are suing hospitals for violations.
  • What exactly are hospitals supposed to do?
  • What do post-acute providers say are common violations?
  • What is an example of a recent lawsuit filed against hospitals for violations?
  • What can hospital discharge planners/case managers do to avoid these types of lawsuits?
  • How can providers help ensure that patients' rights are honored instead of filing court cases against hospitals?
Participate in this teleconference to learn the answers to all of these questions! Extensive handouts will be provided that will also serve as a resource when questions come up in the future.


FY2019 Hospice Proposed Rule: What You Need to Know

Sponsored by HEALTHCAREfirst
Featuring:
Deanna Loftus, Director of Regulatory Compliance, HEALTHCAREfirst

Date: Tuesday, June 5
Time: 2:00 pm EDT

Free Registration

On April 27, 2018, CMS issued a proposed rule that would update FY2019 Medicare wage index and payment rates for Medicare hospice agencies. The proposed rule includes changes to the hospice payment rates, updates to the Hospice Quality Reporting Program (HQRP), and more. Ms. Loftus will review the latest information regarding proposed changes and how they may affect you.


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

 


Chronic Disease Education: Becoming the Partner of Choice

Presented by Curaport
Featuring:
Ginny Kenyon, RN, MN

Date: Tuesday, July 17
Time: 2:00 p.m. EDT

Fee: $79 (per attendee)
Information & Registration

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


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

 



Understanding Social Determinants to Improve Health Care

Presented by Curaport

Featuring: Christina A. Nuqui, M.S.W., of Home Healthcare Solutions, LLC

Date: Thursday, July 12
Time: 2:00 p.m. EDT
Fee: $79 (per attendee)

Information and registration

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

Addressing the Social Determinants of health will be the most important factor of health care reform. This webinar will discuss what Social Determinants are, and how they can help you better understand your patient. In addition, we will discuss how Social Determinants affect access to health services, Re-Hospitalizations, & Individual Behaviors.



Managed Care Insights and Strategies for Post-Acute Partners

Presented by: Netsmart/DeVero
Wednesday, July 11
2:00 p.m. Eastern
Registration

According to a recent MedPAC report, enrollment in managed care programs grew 8% from 2016 to 2017, accounting for nearly 32% of all Medicare beneficiaries, with enrollment projected to grow even higher in 2018. With the rapid growth in managed care plans, the organizations managing these contracts are looking to narrow their network of post-acute providers, creating smaller networks of high-value preferred partners.

To help post-acute providers develop effective managed care strategies, we invited Stacey Youcis, senior vice president of service lines and population health at Lancaster General Health to discuss what they look for in an ideal post-acute partner. AJ Peterson, vice president of interoperability at Netsmart, will join the conversation to discuss technology strategies post-acute providers should consider when positioning to their managed care partners.

Key Takeaways:

  • Insights from a managed care organization
    • Current state of managed care programs
    • Ideal characteristics of a post-acute partner
    • Future of managed care programs
  • Strategies to participate in managed care
    • Understanding risk
    • Technology solutions to facilitate participation
    • Integrating into the broader ecosystem of care


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.

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