Volume 7, Number 44 March  7, 2018



Dear Healthcare at Home Colleague,

Trying to learn anything at HIMSS is like drinking from a fire hose, while walking for 10 hours straight. I did my best and absorbed nearly 2 percent of it, but it was the 2 percent that matters to our corner of healthcare IT.

Healthcare at Home is still more of an afterthought than a focus at gatherings of the Healthcare Information and Management Systems Society but that afterthought still offers value.

Far more than in past years, HIMSS keynote and breakout sessions gravitated this year toward issues that hospital systems, ACOs, and post acute providers have in common: interoperability, how the ACA might be changing, managed care, remote patient monitoring, and reducing the rate of hospital readmissions.

This week, our HIMSS overview starts with the speech CMS Administrator Seema Verma gave at an opening keynote. Read about her quest to put patients in charge of their own health records in Seema Verma Announces "MyHealthEData" at HIMSS. For Medicare and Medicaid beneficiaries, she can simply mandate it. For the rest, she summoned insurance companies to get in line.

Our survey of new technologies on display includes a waterproof smart phone, a discharge/referral system that streamlines the process of moving patients to the right post acute care locale, an in-home monitor that measures vital signs and manages medications, and a system that turns Amazon's Echo into a personal companion for elderly persons in need of remote monitoring and continuous outside contact. Also in "HIMSS Finally Paying Attention to Post Acute Care" is an update on PointClickCare, which is expanding from SNF software to compete in the home health EMR market.

After this week's HIMSS stories, be sure to spend some time with part two of our three-part series on home health's looming payment system changes. Guest authors Kristi Bajer, BSN, RN, and OperaCare founder Michael McGowan straighten out misunderstandings they have uncovered regarding the how a 30-day payment episode would work in "What A 30-Day Episode Means to HHAs."

Lastly, telehealth reporter Audrey Kinsella has been studying whether there will be an impact on HHAs from a new law that expands payments for virtual visits enabled by remote monitoring systems. She brings her findings in "Telehealth Reimbursement: The CHRONIC Law Gets A Little Closer"

Have a great week. Keep making a difference!

 

Editor signature
Tim Rowan



Seema Verma Announces "MyHealthEData" at HIMSS
DHHS and CMS finally agree to put patients in control of their own health data, Seema Verma told a HIMSS18 audience.

HIMSS Finally Paying Attention to Post Acute Care
More than in past years, we were able to find home health, home care, and hospice-relevant products at the annual HIMSS meeting. Take a peek at the movement toward user-friendly Artificial Intelligence and Machine Learning that will soon generate products in our corner.

What A 30-Day Episode Means to HHAs
Exploring the depth of misunderstanding of the serious challenge that will be presented by HHGM and 30-day episodes.

Telehealth Reimbursement: The CHRONIC Law Gets A Little Closer
The answer is 'yes' but do they pay home health? Maybe.

CMS Posts Hospice CAHPS Previews
You have until the end of the month to see whether there are any mistakes on your hospice CAHPS report.

HEALTHCAREfirst Announces Partnership with Forcura
Software leaders to cooperate to improve home health and hospice document management.

 
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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:
It Is Time To Start Planning for HHGM and 30-Day Episodes
Delayed by CMS at the behest of the industry, HHGM was included in an obscure amendment to a budget bill and passed into law on February 9. In a 3-part series beginning this week, guest author Michael McGowan unpacks what this means to HHAs.
 
Manage Change, A Good Implementation Maintains Your Competitive Advantage
Successful software implementation comes from managing change as much as from training how to use the software. Technical consultant Darcey Trescone offers some tips for dealing with change-resistant staff.

As of this date, approximately 28,853,000 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


The 8th Annual Medicare Compliance Cruise *

Presented by Pearson & Bernard, PSC

January 12-19, 2019
Departs from Ft. Lauderdale

Information and registration


*The Rowan Report 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

Home Health Regulatory Update: Final Rule CY2019/CY2020 Payment & Policy Changes

Hosted by Healthcarefirst

Date:
Tuesday, December 11
Time: 2:00 pm EST
Audience: Home Health Agencies
Fee:
Free


Register Here

Please join HEALTHCAREfirst for a discussion of the final rule and how it may impact your agency. Topics include:
  • Payment rates, rural changes/FIPS
  • Elimination of the recertification estimate
  • HHVBP/HHQRP updates
  • Patient Driven Groupings Model (PDGM) including OASIS-D2 and no RAP payment for newly certified agencies
  • Patient monitoring and home infusion therapy updates


 

The 2019 Home Health Final Rule: Preparing for change
Your PDGM Questions Answered

Presented by WellSky

Featuring: Executive Management Consultant Sharon S. Harder and Home Health Clinical Expert Jill Dyer, BSN, RN, HCS-D, HCS-O
Date: Download on demand
Fee: FREE

Download now

Get answers to questions about the 2019 final rule and PDGM:

  • How to calculate case-mix
  • How to qualify for a rural rate
  • What does the term "budget neutral" mean
  • How will your agency be reimbursed for therapy under PDGM
  • How will LUPAs be calculated under PDGM


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




Hospitalization Performance Improvement Projects (PIPs)

Presented by HealthcareFirst
Hosted by ElevatingHOME & HHQI

Date: December 12
Time: 1:00 pm EST
Free

Information and registration

In this webinar, ElevatingHOME and HHQI will explore how to develop hospitalization avoidance Performance Improvement Project (PIP) for your Quality Assurance & Performance Improvement (QAPI) program. This will include data collection, goals, interventions, rapid-cycle testing, spread, and sustainment. They will review several key strategies to reduce avoidable hospitalizations and emergent visits.



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.



The Penalty Box Compliance Series Part 8: The IMPACT Act

Presented by Curaport
Featuring Kristi Bajer, RN, MSN

Wednesday, May 23
1:00 p.m. EDT
$39

Information and registration

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



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

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