Volume 7, Number 22 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 1st Quarter of 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 2597 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


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)


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
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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.


FY2019 Hospice Proposed Rule: What You Need to Know

Sponsored by HEALTHCAREfirst
Featuring:
Deanna Loftus, Director of Regulatory Compliance, HEALTHCAREfirst

Date: Tuesday, June 5
Time: 2:00 pm EDT

Free Registration

On April 27, 2018, CMS issued a proposed rule that would update FY2019 Medicare wage index and payment rates for Medicare hospice agencies. The proposed rule includes changes to the hospice payment rates, updates to the Hospice Quality Reporting Program (HQRP), and more. Ms. Loftus will review the latest information regarding proposed changes and how they may affect you.


Dementia, Alzheimer's, and Mental Health Aide Education

Presented by Curaport
Featuring:
J'non Griffin, RN, MHA, WCC, President, Home Healthcare Solutions, LLC

Date: Tuesday, May 15
Time: 2:00 p.m. EDT

Fee: $79 (per attendee)
Information & Registration

*This education session is approved for one (1) contact hour of Continuing Education for Nursing

 



Clinical Impact of OASIS-D

Presented by HEALTHCAREfirst

Featuring:

Deanna Loftus, HEALTHCAREfirst Director of Regulatory Compliance
Mary St. Pierre, RN, BSN, MGA, Regulatory Consultant

Tuesday, May 1
2:00 pm EDT

Free Registration

In March 2018, CMS released the draft of the latest version of the OASIS data set, OASIS-D. Modifications are being made to OASIS in order to comply with the IMPACT Act, to reduce data collection burden, and to improve formatting throughout the document. CMS is seeking approval from the Office of Management and Budget for a January 1, 2019 implementation date. Topics:

  • Addition of six new standardized items
  • The removal of 28 OASIS questions that will no longer be assessed.
  • Modification to M1311 to support a new standardized pressure ulcer measure.
  • Addition of responses to M1028, M1311, M2102 and removal of responses to M2310.
  • Review of additional changes to OASIS

 



ADR Education: Prevention & Response

Presented by Curaport

Featuring: Diane Link, RN, MHA

Date: Thursday, May 17
Time: 2:00 p.m. EDT
Fee: $79 (per attendee)

Information and registration

This education session is approved for one (1) contact hour of Continuing Education for Nursing


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

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