Volume 6, Number 45 October  25, 2017

Dear Healthcare at Home Colleague,

There are different ways to make history. Often, the news appears in bold headlines and the shift from old to new is obvious. At other times, it only appears to those able to read between the lines. This is one of those other times.

Our lead story this week deals with the impending changes to Medicare's Home Health Prospective Payment System for calendar year 2018. On the surface, the crux of the story is that the proposed HHGM system, with 30-day payment episodes, will be harmful to providers and patients and that the only way to stop it is to talk some sense into Congress, hoping they will do the same for CMS administrator Seema Verma.

Underneath, the history-making story is that all of the national home care associations are cooperating to spearhead this effort. A team that includes the National Association for Home Care and Hospice, the Partnership for Quality Home Health Care, and ElevatingHOME, with its affiliated associations the Visiting Nurse Associations of America and the Alliance for Home Health Quality and Innovation, presents a formidable front when speaking with one voice. At least, that is the front we imagine they will present; nothing like this has happened before.

Learning that it is possible for these historic rivals to work together when confronted by a common enemy, one can only wonder whether another enemy could make it happen again one day in the future. We can think of one: low attendance at annual meetings. What if all the national associations held their meetings together, or at least in adjacent conference center spaces on the same dates? Exhibitors who pay the lion's share of the cost of these meetings would benefit and might be in favor.

As I've said before, you may say I'm a dreamer, but I'm not the only one. In fact, this exact suggestion is not my own but came up several times this month at the Long Beach Convention Center as a possible solution to exhibitor disappointment over attendance numbers. Similar comments have been heard during and after ElevatingHOME conferences and VNAA meetings in past years. If leadership can talk to each other about a threat from CMS, perhaps they will one day be open to putting other topics on the agenda as well.

Have a great week. Keep making a difference!

Editor signature
Tim Rowan

CY18 Home Health Prospective Payment System Called Disastrous
The final rule for the 2018 Home Health payment system is likely to be revealed this week. Every national home health association and many large providers have joined forces to urge Congress to order CMS administrator Seema Verma not to implement the system as it appeared in the proposed rule. This level of cooperation among competing organizations only occurs when the situation is dire.

Electronic Submission of Hospice NOEs
Learn the benefits but avoid false assumptions, recommends guest author Carolyn Dean.

2017 Telehealth Honors Award Recipients Announced
Thirteen home health veterans were honored at this month's NAHC Annual Meeting for their brilliant use of home telehealth systems.

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

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Last Week's Most-Read Stories:
NAHC Opens Its New Era With A Pledge for Openness
At this year's Annual Meeting, the path toward "NAHC 2.0" was laid out by its Interim President. We spoke to him about what comes next.
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.

As of this date, approximately 27,390,000 Baby Boomers have become Medicare eligible.

Notable Upcoming Conferences Free Webinars

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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