Volume 6, Number 45 March  22, 2017




Dear Healthcare at Home Colleague,

As this is being written, the U.S. House of Representatives is inching closer to a vote on the Republican version of healthcare reform. We have been watching the proceedings and listening to both sides — well, to all three or four sides — and trying to determine the impact on the entire Healthcare at Home sector.

To get a picture of the impact of the bill on Medicaid beneficiaries, we turned to a local expert. Dr. Patricia Yeager, PhD, is the CEO of The Independence Center in Colorado Springs, Colorado. This is a Medicaid home health agency that operates under the umbrella of an organization that provides services to persons with disabilities. This week, Dr. Yeager made a heartfelt appeal to local and national press, describing the consequences to her clients should the AHCA bill be signed into law in its current form. She paints a bleak picture. We thought you would find it enlightening.

Whatever happens, any changes in the healthcare law will still take a year or two to take effect, and longer for CMS to complete rulemaking. So we will continue our close coverage of current regulations, with a focus on compliance strategies and the role of technology. One of those is found in our lead article this week. Medicare appeals consultant Michael McGowan writes a guest article for us to warn Florida about the confluence of regulatory changes all hitting at once. You will not want to miss his article titled, "Perfect Storm Takes Aim at Florida."

You also will not want to miss McGowan's upcoming webinar, sponsored by Curaport, April 6 at noon Eastern Time. Not limited to Florida issues, it will outline for listeners the MAC and ZPIC crackdown on multiple successive episodes, especially for patients with low acuity scores. McGowan claims this is an epidemic and that agencies that have been artificially supporting their cash flow in this way are about to hit a wall. Register today for "Under Pressure: OASIS Service Utilization Review."

Also, in this highly competitive era in non-medical home care, we thought it would be useful to reprint an important educational piece that we first ran last year. Marketing expert Roger McManus explains how marketing has moved online in recent years in "Insurance to Protect Home Care Advertising Dollars."

Our friends at Curaport are also offering a webinar by Mark Sharp and Raymond Belles of BKD. Scroll down to our webinar listings for details.

I hope to see HCTR readers at the National Leadership Conference, sponsored by the VNAA and the Alliance for Home Health Quality and Innovation. April 19-21, San Diego.

Have a great week. Keep making a difference!


 

Editor signature
Tim Rowan



Perfect Storm Takes Aim at Florida
Florida has grown accustomed to weathering storms but not like this; not four concurrent regulatory storms hitting simultaneously.

Medicaid Cuts Would Force People with Disabilities into Nursing Homes
We dropped in on a press conference conducted by a Colorado non-profit that provides services, including home care services, to people with disabilities. The company's CEO had done quite a bit of research on the impact the American Health Care Act would have on the disabled should it become law.

Insurance to Protect Home Care Advertising Dollars
"The Internet changes everything." Even when a cliché is so overused that it becomes trite, it is worth repeating if it is still true. Guest author Roger McManus, an online marketing consultant, warns that you are throwing your advertising dollars away if you are still spending them the way you did before Google's star rating system and Yelp reviews took control of public opinion.

 
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:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
Meet CMS Administrator Seema Verma
What can the Healthcare at Home industry expect from the new CMS boss?
 
Livongo Health Gets $52.5 Million to Combat Diabetes
General Catalyst and Kinnevik co-lead investment group that includes Microsoft Ventures. Proceeds will be used to accelerate growth, add new chronic conditions, speed international expansion.

As of this date, approximately 25,003,000 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


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


Home Health Emergency Preparedness CoP Requirements:
Getting Your Agency Ready

Featuring Mary St. Pierre, RN, BSN, MGA
Free, sponsored by HEALTHCAREfirstSeptember 13

1:00 pm Central Time
Omni Austin Hotel Southpark

Details and registration

http://www.healthcarefirst.com/webinars/

  • Overview of the emergency preparedness requirement
  • What surveyors will be looking for
  • Steps home health agencies should take to prepare

Our Home Care Landscape: Big Challenges, Bigger Opportunities *
Annual Meeting of the Home Care Association of America
October 8-11
Austin, TX
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

HCSSA Administrator Program
Texas Association for Home Care & Hospice
November 13-15
Westin Galleria
Houston
tahch.org

*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
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

New England Home Care and Hospice 2018 Conference
Presented by Home Care Associations of:
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont


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
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


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



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



    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

     


    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 


    Increase Referrals, not Overhead- Streamlining the Intake Experience

    A streamlined, efficient intake process creates a better patient experience and improves referral relationships. During this webinar, industry experts will share their quick tips and best practices for improving your intake process and managing your organization's revenue cycle.

    Sponsored by Forcura
    Featuring: Craig Mandeville, Founder & CEO of Forcura Jessica Stover, Senior Manager of Blacktree Healthcare Consulting
    Tuesday, Oct 3
    2:00 pm EDT

    Registration


    QAPI Overview

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


    Transitional Care Management - What is Your Practice Missing?

    Presented by Curaport
    Featuring: Kimberly Kicklighter, MSN, RN,
    Director of Nursing & Quality, Successful Health & Wellness Solutions

    Thursday, February 22
    2:00 p.m. Eastern

    Fee: $39

    Information & Registration

     



    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



    Social Worker Documentation: The Route to Quality Assessments

    Presented by Curaport

    Featuring Christina A. Nuqui, M.S.W., Home Healthcare Solutions, LLC
    Tuesday, February 20
    2:00 p.m.EST
    $99
    Click here to register

    (approved for 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.

    Registration



    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)

     



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