Volume 7, Number 29 March  28, 2018




Dear Healthcare at Home Colleague,

The times they are a changin'. So is healthcare. As comfortable as we may be in our current silos — acute and post-acute, skilled and non-skilled, institutional and in-home, geriatric and pediatric specialties — regulators and payers are forcing us into relationships.

The last piece is software interoperability, which some say will eventually be a reality if market forces and competition issues are ever solved.

Delivering care in silos that cannot, or will not, share patient data with each other harms patients and unnecessarily increases costs. I have personal experience with this, with tragic results. Typical free market forces are supposed to produce the greatest good for the greatest number but those forces are effete, even counterproductive, tools in the healthcare arena. When a life-or-death diagnosis depends on today's tests, without access to additional clues available from years of evidence gathered by other clinicians and technicians at other acute and post-acute institutions, it is too often incorrect.

Regulators and payers have finally come to realize this and have begun the slow, plodding march in the direction of a set of policies encouraging cooperation, data sharing, inter-agency consultations, transitional care specialists, case managers who work across competitive barriers, and patient-centered rather than payment-centered care.

Our featured story this week deals directly with this inevitable future. It is a brief, readable summary of a presentation we heard during this year's Homecare 100 gathering by a Bayada Home Health executive. Chief Strategic Growth Officer Greg Bellomy's message was twofold. On the surface, he explained his company's strategy to build relationships with senior living facilities. Bayada is improving patient care by offering its case managers as transitional care coordinators to close gaps in care. Beyond the mechanics of how they do this, however, is the unavoidable conclusion: home health and home care agencies who establish these relationships are the ones that will survive once regulators and payers have finished transforming the way U.S. healthcare operates.

Hospitals cannot continue to accidentally kill 270 people per day. Nor can they discharge a patient and regard every subsequent post acute care episode as irrelevant. Home health cannot continue to average 17 visits when 7 will accomplish the same outcomes, or string together five or six contiguous payment episodes in order to make ends meet. Software companies cannot continue to build walls around their data in order to gain a competitive advantage. The number of post-acute providers is shrinking and the ones disappearing are the ones in silos. The only viable future is one with coordinated care and shared data. 

Take a look at my summary of Mr. Bellomy's strategy and let me know if you think he's got something there, something that should be emulated. The article bears an obvious headline so you can't miss it: Transitional Care Update: Bayada Exec Reveals Company Strategy. I look forward to hearing your feedback.

In other news this week: Telehealth reporter Audrey Kinsella has found a fascinating study by Northwestern University. They developed a memory-strengthening system and provided it to seniors with early signs of dementia through an interactive, remote video system. They say it works! People who were struggling to call to mind even the most familiar words started to speak again in sentences without those long pauses. We expect that study to evolve into a product that will be welcomed by adult children of seniors everywhere.

CMS has several announcements this week of particular interest to hospice providers. They are providing support and education for the hospice QRP. Also, in honor of "Minority Health Month," they have a special instructional program for you. Speaking of hospice, I hope to see you at this year's NHPCO Conference in Washington DC, April 21-25.

Have a great week. Keep making a difference!

Editor signature
Tim Rowan



Transitional Care Update: Bayada Exec Reveals Company Strategy
Can your staff provide case management services to other post-acute care providers? Should you decide to diversify in this direction, take the advice of a colleague who has learned how to do it well.

Home Telehealth for Patients with Dementia
New home telehealth uses help elders living with dementia recover "lost words."

CMS News
CMS is offering support and education for hospice QRP; special webinar on minority health.

 
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During the 2nd Quarter of 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 2335 times.

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Last Week's Most-Read Stories:
The Importance of Data Analytics in Compliance Audits
Your ongoing effort to remain compliant with regulations can be tremendously enhanced through the application of data analytics.
 
Software Implementation: A Vendor-User Team Effort
In part 4 of her series, Darcey Trescone, RN speaks from her years of experience assisting home care agencies with software implementations, then offers a stern warning to administrators who would turn the whole project over to a software vendor's implementation team.

As of this date, approximately 29,084,000 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


2018 National Leadership Conference *

Home Care Association of America

Date:
September 22-25
Location: Marriott Wardman Park Hotel
Washington DC

 

Information for Providers and Exhibitors


*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

Patients' Right to Freedom of Choice of Providers: How to Avoid Lawsuits

 

Presented by Elizabeth Hogue, Esq.

 

Thursday, June 14 (Encore Date: 6/21)
Recording available 24/7 On Demand; option to purchase CD & handouts.
1:00 - 2:30 pm EDT

 

Register here

 

Conflict between hospitals and home health agencies, private duty agencies, hospices and HME companies that receive referrals from hospitals may be intensifying regarding patients' right to freedom of choice. Hospitals say that they comply with all requirements while some post-acute providers maintain the exact opposite. Now post-acute providers are suing hospitals for violations.
  • What exactly are hospitals supposed to do?
  • What do post-acute providers say are common violations?
  • What is an example of a recent lawsuit filed against hospitals for violations?
  • What can hospital discharge planners/case managers do to avoid these types of lawsuits?
  • How can providers help ensure that patients' rights are honored instead of filing court cases against hospitals?
Participate in this teleconference to learn the answers to all of these questions! Extensive handouts will be provided that will also serve as a resource when questions come up in the future.


Bridging the Gap Between Acute and Home Care with PICO Single-Use NPWT

Sponsored by: ElevatingHOME

Featuring:
Ravi K. Bashyal, MD, Director of Outpatient Hip and Knee Replacement Surgery, Northshore University Health System
Kristi Huebner, RN, MSN, CWS, Professional Education Manager, Smith & Nephew

Date: Friday, August 10
Time: 1:00 pm EDT

Registration

This webinar will provide participants with insight into how PICO Single Use NPWT may benefit wound care patients in the home care setting. Additionally there will be a discussion about prophylactic use on incisions for prevention of readmission to the acute care setting. Participants will gain insight into appropriate utilization of PICO NPWT in the home care setting and how participation in this program may improve patient outcomes.



Three-Part Webinar Series by Relias Learning

August 8: A Journey to Achieving Quality Care
Presenter: Diane Geis, EVP and Chief Personnel Officer, Altercare of Ohio, Inc. and TSG Resources, Inc.
Register

August 15: Best Practices in Dementia Care for A Competitive Edge
Presenter:
Teepa Snow, MS, OTR/L, FAOTA, Positive Approach, LLC
Register: Facility Professional
Register: In-Home Professional

August 28: Developing Managers as Leaders: Top Down is Dead. Lead From the Middle!
Presenters:
Jan Wilson, M.Ed., SPHR, SHRM-SPC, Director, Learning and Design Outcomes, Relias
Register

, ,

Secrets to a Positive Home Health Survey Experience

Presented by Curaport
Featuring:
Heather Calhoun, RN, BSN, COS-C, HSC-D, Home Health Solutions, LLC

Date: Tuesday, August 28
Time: 2:00 p.m. EDT

Fee: $99 (per attendee)

Information & Registration

Your Home Health Agency will be surveyed soon. Even if that is 9 months away – that will be here before you know it! With all the changes that are constant in the world of Home Health, one thing that does not change is the importance of preparing well for a surveyor to walk through your door. How to prepare for and perform well in your next Survey should not be a secret.

Heather Calhoun of HHS will be leading this education session on uncovering the secrets to preparing your Agency to excel in your next survey. Learning objectives for this webinar are:

  1. Describe 3 ways that an agency can be survey ready
  2. Develop processes in the agency that will ensure success during a survey
  3. List 2 things to avoid during a survey
  4. Discuss educational opportunities within the agency in preparation for the survey
*This education session is approved for one (1) contact hour of Continuing Education for Nursing.

*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 their request.

 



Home Health Proposed Rule: CY2019/2020 Payment & Policy Changes

Presented by HEALTHCAREfirst

Featuring:

Deanna Loftus, HEALTHCAREfirst Director of Regulatory Compliance
Liz Silva, HEALTHCAREfirst Director of Home Health & Hospice
Mary St. Pierre, RN, BSN, MGA, Home Health Regulatory Expert

Wednesday, August 8
2:00 pm EDT

Free Registration

On July 2nd, CMS issued a proposed rule outlining changes for CY2019 and CY2020. Join HEALTHCAREfirst for a two-part webinar series where we will break down the proposed changes and discuss what it may mean for home health agencies. In session one, we discussed the proposed changes for CY2019, including a review of the 2.1% payment increase, home health value-based purchasing refinements, updates to the HH QRP requirements, and changes to the rural add-on structure. In session two, we will cover the proposed changes for CY2020, including implementation of the Patient Driven Groupings Model (PDGM) and changes to OASIS. You won’t want to miss this webinar series to learn more about the possible overhaul of the home health prospective payment system and CMS's continuing shift towards value-based care.

 



Understanding Social Determinants to Improve Health Care

Presented by Curaport

Featuring: Christina A. Nuqui, M.S.W., of Home Healthcare Solutions, LLC

Date: Thursday, July 12
Time: 2:00 p.m. EDT
Fee: $79 (per attendee)

Information and registration

This education session is pending approval for one (1) contact hour of Continuing Education for Social Work from the National Association of Social Workers.

Addressing the Social Determinants of health will be the most important factor of health care reform. This webinar will discuss what Social Determinants are, and how they can help you better understand your patient. In addition, we will discuss how Social Determinants affect access to health services, Re-Hospitalizations, & Individual Behaviors.



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.



Webinar hosts, send your announcements to: Conferences@RowanResources.com

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