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.

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:
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

*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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