Volume 6, Number 45 December  13, 2017



Dear Healthcare at Home Colleague,

Representatives from hospital, physician, and post-acute associations gathered in Washington DC this week at the intersection of healthcare and politics. It turned out to be an intersection with elevated speed limits and no traffic signals or yield signs. We'll go into more detail next week about the BRG Healthcare Leadership Congress, but imagine one panel discussion that included Obama-era CMS staffers alongside senior healthcare staffers from current Republican committees, one from the House, the other from the Senate. Then picture another panel that found David Axelrod and Karl Rove sparring from adjacent chairs about everything from the ACA to the controversial 2017 tax cut bill. When the dust settled, there was a lot to learn. We will attempt to sort through our notes by next week. BRG organizes excellent conferences. We will let you know about next year's event.

For now, we turn our attention to the next chapter in the Ohio EVV saga, to a Texas judge who administered a record-breaking prison sentence to a home health owner, and to an historic study that finally proves exactly how much home health saves payers.

In this week's news:

  • Our lead story summarizes the methodology used by the Cleveland Clinic to determine that, all told, payers save an average of $6,500 every time a hospital discharges a patient to home health instead of sending them home alone.
  • We have been advocating one EVV model over others. This week, we interview principals of a company that provides the data aggregator service that makes the best model possible. This would be a good article to share with your state Medicaid officials.
  • A Houston jury found a woman guilty of Medicare fraud after her husband had pleaded guilty to the same charges. Wait until you see the length of the sentence the judge gave the couple, in spite of the wife's health condition and little children at home.
  • Telehealth reporter Audrey Kinsella files another story from Partners Health's Connected Health Symposium. Three different keynote presentations, from totally different starting points, arrived at the same conclusion: the role of healthcare for the aging is to keep them moving, not just keep them at home, to help them age in health, not just in years.
  • As the January 13 deadline nears for compliance with the new Conditions of Participation, we are finding that software vendors are stepping up to help their customers prepare. Online webinars and in-person workshops may offer content unrelated to software support but many vendors are doing it anyway. This week we interviewed the leadership team at Change Healthcare.

We are planning one more report before taking a break for Christmas and New Year's. Let me take this opportunity to wish a Happy Hanukkah to all my Jewish readers. 

Have a great week. Keep making a difference!

 

Editor signature
Tim Rowan



Study Finally Proves How Much Healthcare at Home Saves Public and Private Payers
Print this article and show it to hospital and ACO executives, Managed Care Organizations, and your Congressional representatives. Mail a copy to MedPAC commissioners and CMS administrator Seema Verma. The American Journal of Medicine will soon publish results of a study conducted by the Cleveland Clinic that puts a precise dollar figure on Healthcare at Home savings to public and private payers when compared to hospitalization costs.

Statewide Single Source EVV; There Has to be A Better Way
In this exclusive interview with an EVV data aggregator service provider, we unearth more evidence to support our previously stated editorial position that state Medicaid offices must avoid naming a single vendor as the only approved path toward 21st Century CURES Act compliance.

Software Vendor Becomes More Than Software Vendor for COP Prep
Software vendors are stepping up to help their customers prepare for the new Conditions of Participation. In this segment of our series, we describe what Change Health has been doing.

Experts Outline New Care Directions: From 'Aging in Place' to 'Thriving in Motion'
One likes mobile devices, another technologies to repair molecular and cellular damage, a third the healthcare applications of artificial intelligence. What do they all have in common?

Texas Judge Gives Agency Director of Nursing 75 Years; Husband Gets 80
If you are going to commit Medicare fraud, do not do it within the jurisdiction of the U.S. Federal Court for the Southern District of Texas.

 
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Last Week's Most-Read Stories:
Total Knee Replacement, A Patient's-Eye View
Since I wrote my first article for this report in the summer of 1998, I have often written about the way you take care of total joint replacement patients. From wound care nurses and physical and occupational therapists in the field to the software vendors that help them track a patient's progress, it is safe to assume that everyone reading this page has been directly or indirectly impacted by the dramatic increase in the total number of these surgeries. Today, I find myself on the other side of the scalpel. I took detailed notes before, during, and after my own October 24 total knee replacement procedure. I trust I am not assuming too much that some readers might be interested in my experience.
 
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.

As of this date, approximately 27,929,000 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


NAHC 2019 Annual Meeting*National Association of Home Care and Hospice

October 7-9
Gaylord Texan
Grapevine, TX
Information and registration

The 8th Annual Medicare Compliance Cruise *

Presented by Pearson & Bernard, PSC

January 12-19, 2019
Departs from Ft. Lauderdale

Information and registration


17th Annual Northeast Home Health Leadership Summit: Playing to Win!

Sponsoring Associations:

  • Connecticut Association for Healthcare at Home
  • Home Care and Hospice Alliance of Maine
  • Home Care Alliance of Massachusetts
  • Home Care Association of New Hampshire
  • Home Care and Hospice Association of New Jersey
  • Home Care Association of New York State
  • New York State Association of Health Care Providers
  • Rhode Island Partnership for Home Care
  • VNAs of Vermont

Date: January 22-24, 2019
Location: Colonnade Hotel, Boston

Information and Registration

In addition to the pre-conference and full Summit program, There will be a bonus Home Care & Hospice Special Medical Directors Meeting that coincides with the conference on January 23 from 8:30 to 10 a.m. Details.


PDGM National Summit in the Rockies *

Home Care Association of Colorado & NAHC


Date:
February 13, 2019
Location:
Hyatt Regency Aurora/Denver Conference Center
Fee Schedule:

Early bird – ends 11:59 p.m. MST Friday, January 11
Member $249, Non-Member $449

Regular Price  - ends 11:59 p.m. MST Sunday, February 10
Member $299, Non-Member $499 

Onsite – February 13 
Member $349, Non-Member $549

*Member rates apply to members of: Home Care Association of Colorado, National Association of Home Care & Hospice and participating state home care associations. 

Register now!

The Home Care Association of Colorado and the National Association of Home Care, together with state home-care associations in the region, will host a one-day conference Feb. 13 on the Centers for Medicare & Medicaid Services' Patient Directed Groupings Model. PDGM's adoption will bring significant change to home health care. This one-day regional conference on PDGM allows providers to hear from national experts on the new model, with significant time allocated to Q&A. Click here to view the schedule.



Information for Providers and Exhibitors


National CXO Summit *

Presented by Marcus Evans Events


Date: May 19-21
Location: Eau Palm Beach Resort

Keynote Presenters: Susan Blumenthal, past US Assistant Surgeon General; Nicholas Webb, Healthcare Futurist

Registration Information


*The Rowan Report 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

Home Health Regulatory Update: Final Rule CY2019/CY2020 Payment & Policy Changes

Hosted by Healthcarefirst

Date:
Tuesday, December 11
Time: 2:00 pm EST
Audience: Home Health Agencies
Fee:
Free


Register Here

Please join HEALTHCAREfirst for a discussion of the final rule and how it may impact your agency. Topics include:
  • Payment rates, rural changes/FIPS
  • Elimination of the recertification estimate
  • HHVBP/HHQRP updates
  • Patient Driven Groupings Model (PDGM) including OASIS-D2 and no RAP payment for newly certified agencies
  • Patient monitoring and home infusion therapy updates


 

The 2019 Home Health Final Rule: Preparing for change
Your PDGM Questions Answered

Presented by WellSky

Featuring: Executive Management Consultant Sharon S. Harder and Home Health Clinical Expert Jill Dyer, BSN, RN, HCS-D, HCS-O
Date: Download on demand
Fee: FREE

Download now

Get answers to questions about the 2019 final rule and PDGM:

  • How to calculate case-mix
  • How to qualify for a rural rate
  • What does the term "budget neutral" mean
  • How will your agency be reimbursed for therapy under PDGM
  • How will LUPAs be calculated under PDGM


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




Hospitalization Performance Improvement Projects (PIPs)

Presented by HealthcareFirst
Hosted by ElevatingHOME & HHQI

Date: December 12
Time: 1:00 pm EST
Free

Information and registration

In this webinar, ElevatingHOME and HHQI will explore how to develop hospitalization avoidance Performance Improvement Project (PIP) for your Quality Assurance & Performance Improvement (QAPI) program. This will include data collection, goals, interventions, rapid-cycle testing, spread, and sustainment. They will review several key strategies to reduce avoidable hospitalizations and emergent visits.



Dementia Webinar Series

Presented by Home Care Association of America

Featuring: Dr. Deborah Bier, PhD

Date: Thursday, January 17
Time: 1:00 pm EST
Fee: None

Register
Dr. Bier will discuss how to create dementia behavior handling success within home care. In addition, this presentation will include ten “secrets” few in home care understand about dementia and behavior handling. Part 2 of the series is set for January 24.


OASIS-D: Ensuring Consistency & Accuracy

Presented by Curaport
Featuring:
Melissa Abbott, RN, MSN, MHA, of 5 Star Consultants

Date: Thursday, October 18
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.

OASIS! Possibly the most spoken word, or acronym, in the Home Health industry. And just when you get to grips with the current version, the next set of changes arrive before you know it, this time in the form of OASIS-D. In this webinar, you will gain an understanding of the significant changes D brings to OASIS and how to ensure consistencies and accuracy within your agency.

 

*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 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.

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