Volume 6, Number 45 November  29, 2017




Dear Healthcare at Home Colleague,

We are back to our exploration of state plans for the Electronic Visit Verification mandate found buried deep within the 21st Century CURES Act. This week: Ohio. The Buckeye State selected a plan we had dubbed the "aggregator" model, where one EVV vendor is selected to receive data from any other certified EVV vendor, then convert the data to a standardized format before forwarding it to the state. This should be the model that allows each home health agency to use its preferred EVV system. Theoretically, it should generate the least controversy. Unfortunately, controversy is not an easy thing to avoid in our little corner of the healthcare universe, no matter how hard one tries.

We did a little research and found that the Executive Director of the Ohio Council for Home Care and Hospice, Joe Russell, testified before the Ohio Department of Medicaid and that his statements were available to the public. So we publish them in their entirety in this week's report, without editing (except for a couple of misspellings).

We also invited Ohio's chosen EVV aggregator, Sandata, to reply to Joe's comments. I think you will find the two perspectives quite informative.

While we're on the subject of EVV, we recently discovered another EVV vendor that we had not encountered before. Their system of verifying visits is a little different from others we have seen and they have a patent on one of their innovations. So do not miss our interview with Dr. Ed Breazeale, MD, founder and CEO of HealthStar, LLC. He went into some depth with us about his choice to incorporate GPS and random in-visit re-verifications into his EVV system.

Also this week, our telehealth reporter, Audrey Kinsella, continues her series summarizing the keynote speeches at last month's Connected Health Symposium sponsored by Partners Health in Boston. This week's report will raise some eyebrows. Be sure to click below and read about the surprising message delivered by Cleveland Clinic neurologist Dr. Adrienne Boissy, MD.

We haven't reminded you about our book lately but it has been drawing rave reviews so we thought this might be a good time to remind you that you can get your own copy at a discount. "Entrepreneurial Insanity in the Home Care Business" offers essential instruction and inspiration for agency owners. It helps you sharpen your vision of why you became a business owner and define your goal, whether you want to eventually sell the business or retire with it. Click the book cover to order your own copy.

Entrepreneurial Insanity in Home Care

Have a great week. Keep making a difference! And don't forget my $5 coupon (KH54XYT9) if you order my book here.

 

Editor signature
Tim Rowan



Ohio Association Testifies Against EVV Rule
Joe Russell is the Executive Director of the Ohio Council for Home Care & Hospice. Last week, he told the Ohio Department of Medicaid that the model they chose to implement Electronic Visit Verification does not comply with federal law. We reprint his entire testimony.

Sandata Responds to OCHCH Testimony
In response to testimony by the Executive Director of the Ohio Council for Home Care and Hospice, the CEO of the EVV contractor in Ohio offers additional information about that state's EVV plans.

HealthStar Tackles Fraud With A New Approach to EVV
After proving its GPS-based EVV system in Tennessee, HealthStar LLC sets its sights on other states.

Less Time Clicking, More Time Caring: Doctor Wants New Goal for High-Tech Clinicians
In the middle of a healthcare technology conference, one speaker raised eyebrows with her admonition that clinicians put down the tablet once in a while and spend some face-to-face time with each patient.

 
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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:
MedPAC, Back from Summer Break, Explores Unified Post-Acute Payment System
Congress required MedPAC to report on the development of a unified post-acute care prospective payment system by June 30, 2016. The conversation has begun.
 
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.

As of this date, approximately 27,775,000 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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