Volume 7, Number 14 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

MHHA Annual Conference

Michigan Home Care & Hospice Association
April 25-26
Amway Grand Plaza
Grand Rapids
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


2018 Annual Conference

AHHC of North Carolina

May 7-9
Sheraton Imperial Hotel & Convention Center

Register


2018 National Leadership Conference

Home Care Association of America

September 22-25
Marriott Wardman Park Hotel
Washington DC

Information for Providers and Exhibitors


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

Improving CAHPS Response Rates: 2 Free Webinars

Sponsored by HEALTHCAREfirst
Featuring:
Liz Silva, Director of Home Health & Hospice, HEALTHCAREfirst

Hospice CAHPS: Wednesday, May 2
2:00 pm EDT
Free Registration

Home Health HHCAHPS: Thursday, May 10
2:00 pm EDT
Free Registration

With greater visibility into quality through public reporting on Hospice Compare and Home Health Compare, hospice and home health providers have an even greater incentive for performance improvement. During each 45-minute webinar, we will discuss methods and activities that have been instrumental in improving CAHPS survey response rates, a key element of implementing a data-driven approach and improving your scores. To be discussed:

  • Hospice CAHPS Regulations
  • Response Rate Calculation
  • Available Benchmarks
  • Effective Strategies to Improve Response Rates

 



Good Ways to Break Bad News: Social Worker Edition

Presented by Curaport
Featuring:
Heather Calhoun, RN, BSN, COS-C, HSC-D

Date: Tuesday, May 1 
Time: 2:00 p.m. EDT

Fee: $79
Information & Registration

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

 

 

 



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

 



The Penalty Box Compliance Series
Part 7: Audit-Proof Your Visit Notes

Presented by Curaport

Featuring: Kristi Bajer, RN, MSN

Wednesday, April 18
1:00 p.m. EDT
$39

Information and registration

Description: An auditor shows up on your doorstep and fear sets into your agency.  You have worked hard to be compliant, but you still have several days of anxiety until the auditor pronounces you have passed and are deficiency free!   Everyone celebrates.  The next day you receive 20 audits from CMS. Don't let this happen to you and your agency!  Learn from the compliance experts at OperaCare how to ensure compliance with the new CoP's. This education session in part 7 of the Penalty Box Compliance Series.

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

 

 

 





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