Volume 7, Number 36 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 3rd Quarter of 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 1726 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


NAHC 2018 Annual Meeting*National Association of Home Care and Hospice
October 7-9
Gaylord Texan
Grapevine, TX

Information and registration


TRANSFORMATIONS *
New York Association of Health Care Providers
Annual Management Conference and Exhibition


October 23-24
Uniondale, NY
Information and registration


*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

Final Modifications to the Quality of Patient Care Star Rating Algorithm Call

Presented by HealthcarefirstHosted by CMS
Wednesday, October 3
2:00 pm EDT / 11:00 am PDT
Free

Register Here

During this call, learn about planned modifications to the Home Health Quality of Patient Care star ratings, including:

  • Removal of the Drug Education on All Medications Provided to Patient/Caregiver during All Episodes of Care measure
  • Addition of the Improvement in Management of Oral Medications measure.

CMS presents the rationale, timing, and impact of this change. A question and answer session follows the presentation.



 

Wound Care Basics: Acute and Chronic Wound Healing
Presented by Curaport
Featuring:
Myra Varnado, BS, RN, CWOCN, Director of Clinical Services, Corstrata
Date: Thursday, October 9
Time: 2:00 pm EDT

Fee: $59
Register
*This education session is approved for one (1) contact hour of Continuing Education for Nursing
Providing the best level of Wound Care for your patients is an expensive and daunting task.  Or is it?  To be an expert at Wound Care, you first must master the basics.  This education session will get your clinicians on the right path to improving outcomes for your Wound population.  Part 1 of a 4-part Series.


Public Policy Leadership Series

Presented by: ElevatingHOME

Featuring:

• Joy Cameron, Vice President, Policy and Innovation, ElevatingHOME and VNAA
• Bill Dombi, President, National Association for Home Care & Hospice
• Sarah Myers, Partnership for Quality Home Healthcare

Schedule: Wednesdays, October 3 - November 7
Session 1: October 3
Time: 1:00 pm EDT
Fee: Free to ElevatingHome, VNAA, and Alliance for Home Health Quality Improvement members

Click here for complete schedule and registration




P2P Forum: Strategies to Improve Your Referral, Intake, and Order Processes

Presented by HealthcareFirst
Hosted by CMS

Date: September 13
Time: 2:00 pm EDT
Fee: None

Information and registration

If your home health or hospice agency spends a large amount of time processing documentation associated with referrals, intake, and orders, delaying turnaround times and billing, you will not want to miss this Forum. Kim Gaffey, MSN, RN, owner of Gaffey Home Nursing & Hospice, will share how her agency has significantly improved accuracy, compliance, and turnaround time while reducing time spent managing documentation with HEALTHCAREfirst and Forcura. They are now receiving orders within 24-48 hours and are billing RAPs within 7 days of the start of care, improving their cash flow and profit margins too! Join us to learn how you can experience results like these in this 30-minute open forum. 



PDGM is on the Horizon - What Now?

Presented by Netsmart

Featuring: Chris Attaya, President, Rapid Recovery Center; AJ Peterson,Netsmart VP of Interoperability

Date: Thursday, October 25
Time: 2:00 pm EDT
Fee: None

Register
To thrive in the regulatory climate today, it’s important to stay ahead of the changes and adjust your business model to face the challenges. That is why we invited Strategic Healthcare Programs (SHP) to share the latest updates from CMS and to review the components of the proposed Patient-Driven Groupings Model (PDGM) program.  
Using data from the SHP national database, Chris Attaya, vice president of product strategy, and Zeb Clayton, vice president of client services, will identify the expected winners and losers of the new model. They will share insights around the operational and clinical changes you need to consider to remain a vital organization. Teresa Craig, director of client strategy for Netsmart, will join the discussion to outline what you should expect from your EHR partner as you prepare for the new PDGM requirements.
Key Takeaways:
  • The latest updates from CMS and the components of the proposed PDGM model
  • Insights to help your agency prepare for a PDGM-like model
  • How to work with your EHR partner to prepare for new requirements


OASIS-D: Ensuring Consistency & Accuracy

Presented by Curaport
Featuring:
Melissa Abbott, RN, MSN, MHA, of 5 Star Consultants

Date: Thursday, October 18
Time: 2:00 p.m. EDT

Fee: $99 (per attendee)

Information & Registration

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

OASIS! Possibly the most spoken word, or acronym, in the Home Health industry. And just when you get to grips with the current version, the next set of changes arrive before you know it, this time in the form of OASIS-D. In this webinar, you will gain an understanding of the significant changes D brings to OASIS and how to ensure consistencies and accuracy within your agency.

 

*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 request.



Building a Successful, Data-Driven Quality Program

Presented by Brightree

Featuring: Rhonda Dornbos, RN, BSN, Chief Clinical Information Officer, DB HealthTech Consulting
Date: Wednesday, September 26
Time: 1:00 pm CDT

Free Registration

The home care and hospice industry is increasingly competitive. The shift from “volume” to “value” means that agencies must increasingly focus on quality outcomes and prove their “worth” to customers and referral sources alike.  Agencies must have a robust quality program in place that identifies, tracks, and trends key metrics against agency goals.  Successful agencies not only have visibility into their current performance, but they continually modify and develop new strategies for improvement, while engaging their clinicians.



Using a Sales & Marketing Dashboard to Get Ahead of Your Competition

Presented by Curaport

Featuring: Melanie Stover, OT, MBA, Homecare Sales

Date: Wednesday, September 5
Time: 2:00 p.m. EDT
Fee: $59 (per attendee)

Information and registration

Webinar Overview
Driving patient admissions and revenue is the top priority for your sales team. Creating a system that quickly monitors production is key to keeping your agency on track for sustainable growth.

This webinar will provide your agency with 3 ways to use your dashboard to get ahead (and stay ahead!) of your competition.



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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