Volume 6, Number 28 February  15, 2017



Dear Healthcare at Home Colleague,

As Medicare-certified HHAs know, new Conditions of Participation have been published and take effect on July 13. Among the changes are nearly two dozen that will force changes to EMR software. If CMS change strategy remains consistent with past practice, interpretations and instructions to software developers will continue to be released over the next five months, possibly right up to the deadline. Vendors are accustomed to this pressure and will gear up for it but it would be wise to read your vendor's update releases, watch their web site and stay in touch about their plans to keep you compliant with the new rules.

The IMPACT Act is driving some of the more drastic changes. As CMS moves toward the Act's mandate to create a common assessment form for all post-acute providers, the first target is the patient's Plan of Care. Current practice is to set the initial POC in stone and modify it as needed with signed verbal orders from the patient's physician. The new rules turn the POC into a living document. Changes will no longer appear as separate documents stapled to the original POC but will change the POC itself. Every change will require a new physician signature on the plan of care.

One developer, Tom Peth, CEO of Thornberry Ltd., told us he also noticed a mandate that the POC become more patient-directed. "Somehow, patient preferences have to be captured and integrated into the POC," he said. He added that his team will also be working on another mandate, changes in the way aide supervision is tracked.

As always, best practice is to stay in close touch with your vendor as July approaches. If they have a history of meeting regulatory deadlines, you need not worry. While you still may want to keep a close eye on them, however, you have to exercise some empathy at the same time. CMS does not make allowances for the time it takes to modify software, test it for bugs, and distribute it, which makes these transitional times challenging for healthcare software vendors. Last-minute official interpretation changes, tweaks to previous instructions and other speed bumps are common and should be expected.

I remember an interview with a vendor's product manager before a recent OASIS update that took effect on one January 1 deadline. When I asked, "What if CMS issues changes in November or December?" former HealthWyse VP Andrew Braunstein laughed, "Or February!"

We already have a notice of one free webinar on the new CoPs, from Relias Learning and DeVero. See the announcement and link below. And we hear that the Texas association is offering a webinar series to its members as well. Though not free, it is a comprehensive, 7-part series by Jennifer Gibson, RN, from Axxess.

This week's news centers largely around software company news releases. A large Long Island Healthcare at Home provider is having great success with a new telehealth system. A former Homecare Homebase executive has launched a consulting firm. And HEALTHCAREfirst is announcing a significant growth surge, marked by the addition of several familiar names to its executive roster.

We will be talking to our sponsors and other software vendors over the coming weeks to see how work on the new CoPs is coming along. This would be a good time for you to share our reports with colleagues. Better yet, forward this issue with a note reminding them how easy it is to sign up for their own FREE subscription. There are two easy ways. Click to go to homecaretechreport.com/subscribe.asp or simply send a text to 22828 with the message HOMECARETECH

Have a great week. Keep making a difference!

 

Editor signature
Tim Rowan



HEALTHCAREfirst Announces Continued Expansion
HEALTHCAREfirst continues its hiring spree, announces new faces in key positions.

Former HCHB Exec Launches Post-Acute Care Consulting Firm
Tom Maxwell has created a post-acute care consulting firm, bringing together a group of experts with a level of knowledge and experience that equips them to fill the technology and optimization gap in the home health and hospice industry.

Power Shot Training Joins Forces with Savii Care
Guest author Michael Giudicissi describes PowerShot's new "Momentum Selling" webinar series.

Telehealth Platform Provides Home Care Patients with Bluetooth-Enabled Tablets
Largest health system in Long Island, NY switches to Health Recovery Solutions for post-acute remote patient monitoring.

 
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During the 2nd Quarter of 2017, web sites of the above advertisers were visited by home care and hospice executives and staff 2300 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
CMS Ordered to Create Its Own Corrective Action Plan
Bureaucrats at CMS are getting a chance to find out what it is like to be forced to follow a Plan of Correction. Ordered by the court to improve its messaging, agency failed to write a required paragraph, so the judge wrote it for them.
 
Former Congressman Explains "Repeal and Replace"
Former Congressman educates Homecare 100 audience about planning for the uncertainty of healthcare reform under a new HHS Secretary.

As of this date, approximately 24,618,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

National Leadership Conference *
Sponsored by:
Visiting Nurse Associations of America

Alliance for Home Health Quality and Innovation

April 19-21

Hilton San Diego Bayfront
https://www.homebasedcareevents.com/

Omaha System International ConferenceA Key to Practice, Documentation and Information Management
April 20-22, 2017
Eagan, MN
Bi-annual conference offers opportunities to gain knowledge about using electronic health records across diverse settings, exchanging health information, and enabling data sharing among practice, education, and research. For additional information about the conference, the call for poster abstracts and award nominations, and to register, visit www.omahasystem.org/conferences.html.
Email abstracts to lchoromanski@gillettechildrens.com

ATA Annual Meeting

American Telemedicine Association
April 23-25
Orange County Convention Center
Orlando

http://www.ata2017.org


Pediatric Home Care Conference

Texas Association for Home Care & Hospice
May 9
Omni Austin Hotel Southpark

Details and registration


Community Care Conference

Texas Association for Home Care & Hospice
May 9
Omni Austin Hotel Southpark

Details and registration


New England Home Care & Hospice Conference & Trade ShowMay 16-18
Radisson Hotel
Manchester, NH
Brochure and Registration

Annual Conference *Home Care Association of Colorado
May 17-19
Keystone Resort & Conference Center
Keystone, CO
http://www.homecareofcolorado.org


Technologies and Tactics Transforming Long-term Care Conference: Igniting Innovation and Best Practices Across the Long-term and Post-acute Care Continuum
Sponsored by TCBI and Telehealth and Medicine Today
June 30
Washington, DC
Information and registration

2017 Annual Conference and Trade Show *
Home Care Association of FloridaJuly 23-27
Renaissance Orlando at Sea World
Information and Registration

AHHC 2017 Leadership ConferenceAssociation for Home & Hospice Care of North Carolina
October 9-10
Holiday Inn Resort
Wrightsville Beach

Click here to register

Hospice Financial and Administrative Management Conference
Presented by The Health Group
November 6-7
Caribe Hilton
San Juan, Puerto Rico
Registration: conference@healthgroup.com
 

*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

2017 Regulatory Updates, Including Home Health Conditions of Participation

Free Webinar Hosted by DeVero Software and Relias Learning
Featured Speakers: Michael Tidd, Healthcare Synergy; Robert Love, DeVero
Tuesday, March 21
2:00 pm EDT / 11:00 am PDT

Register Here


A New Approach for Home Health Face-to-Face:
Updated Info, Updated Insights

Sponsored by Kinnser Software
Featuring Arlene Maxim, RN
Thursday, April 20
1:00 pm EDT

Learn:

  • What CMS requires for "adequate documentation" under Face-to-Face
  • How to handle inadequate progress notes provided by the physician/in-patient facility
  • Exactly what to include on your checklist of items for the physician's packet

Free: Register here



Clinician Recruitment, Retention & Satisfaction: Does Technology Help or Hinder?

Sponsored by Brightree and Elevating Home
Featuring: Karri Harpole, RN, BSN, Brightree; Tarrah Lowry-Schreiner, President & CEO, Sangre de Cristo Hospice & Palliative Care; Wendy Cofran, CIO, Century Health Systems, Inc.; Melissa Polly, MBA, Brightree Product Marketing (moderator)

Wednesday, July 26
1:00 pm EDT

Learn:

  • Best practices related to the use of technology and the best way to engage clinicians in a model that provides the most value the organization, including recruitment, retention and satisfaction; 
  • From colleagues, how to get the most value from the use of technology from clinical documentation and nurse satisfaction to operational efficiencies; and,
  • How changes in the post-acute environment, from regulatory drivers to value-based care, drive effective utilization of technology.

Register



    2017 What You Need to Know about Electronic Visit Verification

    EVV offers many benefits to agencies and care providers, and choosing the right solution can lead to improved operating efficiency, caregiver communication, quality of care, and client satisfaction.

    Wednesday, March 15
    11:00 am MST - 12:15 pm MST

    Register Here



    Navigating Alternative Payment Models

    Presented by Mark Sharp and Raymond Belles of BKD
    Tuesday, March 28
    2:00 p.m. EDT
    Cost: $79
    Registration

     


    Under Pressure — OASIS Service Utilization Review

    Presented by Michael McGowan of OperaCare
    Thursday, April 6
    12:00 p.m. EDT
    Cost: $49
    Registration



    What You Need To Know About Electronic Visit Verification
    Presented by Darby Anderson, CDO, Addus HomeCare Corporation
    Sponsored by CellTrak
    Wednesday, April 12
    1:00 p.m. EDT
    Cost:  Complimentary
    Registration link
     


    Understanding the Effect Functional Scoring Has on Your Agency
    Presented by Chad Whitefield, PTA, Managing Partner of Advance Rehabilitation Management Group
    Thursday, April 13
    2:00 p.m. EST
    Cost:  $99
    Registration link 


    Navigating Pre-Claim Review

    The controversial Pre-Claim Review Demonstration has been delayed in FL and paused in IL. So what's next? We'll cover what we've learned, what you should be doing now, and what home health care agencies can expect next.

    Sponsored by Forcura
    Featuring: Nick Seabrook, BlackTree Healthcare Consulting; Craig Mandeville, Forcura; Kim Gaffey, MSN, RN, Gaffey Home Nursing & Hospice
    Thursday, April 13
    2:00 pm EDT

    Registration Link


    Hospice vs. Palliative Care: What's the Difference?

    Presented by Curaport

    Featuring Katie Wehri, CHPC, Healthcare Provider Solutions
    Thursday, August 17
    2:00 p.m. EDT
    Cost: $49 per attendee
    Registration


    QAPI Overview

    Presented by Diane Link, BlackTree Healthcare Consulting
    Tuesday, May 23rd
    2:00 p.m. EST
    Cost:  $99
    Registration


    Home Health Conditions of Participation Series 1: Overview and Patient Rights

    Presented by Curaport

    Featuring Sharon Litwin, RN, BSHS, MHA
    Thursday, August 10
    2:00 p.m. EDT 
    Cost: $39 
    Registration



     

    The Current Homecare Market: an M&A Perspective

    Presented by Curaport

    Featuring Rich Tinsley, CEO, Stoneridge Partners
    Friday, July 14
    12:00 p.m. EDT 
    Cost: $39 
    Registration



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