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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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:
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

*HCTR will see you there.

4th Annual Home Care Winter Warm-Up
Home Care Association of Florida

January 16-17
Boca Raton Marriott
Keynotes by Stephen Tweed, Bill Dombi, 12 others

Information and Registration


CONNECTED HEALTH: Remote Patient Monitoring and Telehealth Summit

6th Annual Care Coordination and Technology Congress

January 24-26
Renaissance Atlanta Waverly Hotel & Convention Center
Agenda:
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

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

Workforce Webinar Series: Stacking the Odds in Your Favor
Best Practice Selection Strategies


Presented by ElevatingHOME

All programs in the series have been archived for those unable to attend live:

 

  • Part 1, "Why Staff Leave and How to Keep Them," sponsored by Exact Recruiting, a Simione Talent Solution. Click here to view this session.
  • Part 2, "From Turnover to Engagement for the Healthcare Executive," sponsored by Relias. Click here to view this session.
  • Part 3, "The ROI of Using Pre-Hire Assessments," sponsored by Relias. Click here to view this session.
  • Part 4, "Stacking the Odds in Your Favor: Best Practice Selection Strategies," sponsored by Home Health Selection Solutions. Recorded 11/28, recording available soon.

Upcoming topics in the Workforce Webinar Series:

Part 5: "Recruiting and Compensation Strategies that Work," sponsored by Exact Recruiting, a Simione Talent Solution
December 5 | 1:00 p.m. ET

Register here

 

Part 6: "Employee Engagement: Your Key to Exceeding Home Health and Hospice Outcomes," sponsored by Fazzi Associates
December 12 | 1:00 p.m. ET

Register here

 

Part 7: TBD
December 19 | 1:00 p.m. ET
Details coming soon.


How to Attract and Retain Health System Relationships

Presented by Netsmart
Ongoing
Free
Watch now

 


Clinical Documentation: Hospice Nursing

Presented by Curaport

Featuring Diane Link, RN, MHA
Thursday, January 25
2:00 p.m. EST
$99
Click here to register
(Approved for 1 contact hour of Continuing Education for Nursing)



CHF and COPD Education for Aides

Presented by Curaport

Featuring J'non Griffin, RN, MHA, WCC, President, Home Healthcare Solutions, LLC
Tuesday, February 6
2:00 p.m.EST
$49
Click here to register

(approved for 1 contact hour of Continuing Education for Nursing)


Prevention of Diabetes Related Lower Extremity Amputation

Presented by Curaport

Featuring Myra Varnado, BS, RN, CWON, CFCN, Director of Clinical Services, Corstrata
Thursday, February 8
2:00 p.m. EST
$49

Click here to register

(approvedfor 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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