Volume 8, Number 25 April  10, 2019




Dear Healthcare at Home Colleague,

As hard as we try to balance news for both private duty and home health and hospice providers, the relentless push toward next year's new Medicare payment system has pretty much taken over our pages this week. We promise to return to our wax on / wax off balance next week. That said, look below to see if our story about penalized hospitals gives you some ideas about how non-medical home care providers might be able to partner with hospitals in desperate need of help.

Vendor PDGM update

Home health providers are looking to their EMR vendors for guidance and leadership between now and January 1. Our series of interviews with software product managers and company executives continues this week with Darcey Trescone's report on the plans being assembled by Axxess, Netsmart, and OperaCare. Combined with Darcey's conversations last month with Brightree and KanTime, I think you will begin to see that they are all working hard to make sure you thrive through the transition. And why wouldn't they? Keeping you in business is good for you, and good for them. A number of webinars have been scheduled to help you prepare for PDGM. Scroll to the bottom of this page for a complete listing.

In other news

Medical and non-medical providers alike are keeping a close eye on the new rule that opens Medicare Advantage to private duty providers. In this week's news, CMS announces an expansion of its support for remote patient monitoring technologies when used by MA plans. Perhaps today's millennials will live to see Medicare reimburse home health for caring for patients with telehealth systems.

In this week's Vendor Watch column, Wellsky has announced a partnership with Citus Health to improve home health and Home IV documentation.

We have an extra news item this week. It appears to be about hospitals but if you read between the lines you may see an opportunity. A problem that hospitals have that post-acute care does not have is fatal errors. This week, CMS announced that eight hundred hospitals will be penalized this coming year because of high rates of infections and patient injuries, as well as elevated readmission rates. We include a link to a CMS tool that can be used to find the penalized hospitals in your area. Perhaps one near your agency would appreciate your offer of help with at least one of those problems.

Have a great week. I hope to see you next week in Las Vegas at the "Telehealth 2019" conference; details below. Keep making a difference!

 

Editor signature
Tim Rowan



EMR Vendors Discuss PDGM Preparations and Innovations
The success of your transition to a drastically different Medicare payment system is largely dependent on the efforts of your EMR vendor. Staff writer Darcey Trescone spoke with three more of them this week to learn what they are planning for you.

CMS Finalizes Policies to Bring Innovative Telehealth Benefit to Medicare Advantage
Final Rule will strengthen popular Medicare private health insurance plans, expand telehealth access for patients, and improve coordination for dual-eligible individuals

Medicare Trims Payments To 800 Hospitals, Citing Patient Safety Incidents
We republish a story from Kaiser Health News as a reminder to be grateful that some healthcare segments have problems we do not have.

Vendor Watch
WellSky and Citus Health collaborate to provide a web-based, secure, mobile messaging and automated workflow solution for post-acute pharmacy providers and patients

 
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you make sure HCTR continues to come to you for free.























During the 2nd Quarter of 2019, web sites of the above advertisers were visited by home care and hospice executives and staff 2157 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
Home Modification to Support the Aging Population
If Boomers are going to stay in their homes into old age, they need no only in-home healthcare, but a home that works for them. Can your agency make money by advising your clients about remodeling?
 
It's Nice to Be Appreciated, But...
Guest author Elizabeth Hogue, esq. raises serious questions about whether UPS should be competing with home health.

As of this date, approximately 33,242,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

National Healthcare CXO Summit

Presented by Marcus Evans Events


Date: May 19-21
Location: Eau Palm Beach Resort

Keynote Presenters: Susan Blumenthal, past US Assistant Surgeon General; Nicholas Webb, Healthcare Futurist

Registration Information

The National Healthcare CXO Summit is the premium forum bringing senior level healthcare executives and solution providers together. As an invitation-only event, taking place behind closed doors, the Summit offers an intimate environment for a focused discussion of key new drivers shaping the healthcare industry.


National Healthcare CFO Summit
Sponsored by Marcus Evans

Date:
May 19-21
Location:
Eau Palm Beach Resort

Register

Andrew Gwin, Senior Director of Revenue Cycle, and his colleague David Maxwell, Senior Director of Performance Excellence at Ascension, present "Denials:Improving Your Playbook." They will discuss how Clinical Denials continue to be a leading opportunity to improve net revenue for most acute hospital organizations, and how Ascension is taking a collaborative approach by developing a comprehensive Playbook that invites each hospital to take an interdisciplinary approach to improving denials.
The session will address:
  • Discuss how to develop a national best practice playbook
  • Review key components of a successful clinical denial mitigation program
  • How to implement a national best practice amongst 150+ hospitals
  • Tracking and monitoring results

NAHC Financial Managers Meeting *

July 14-16
Sheraton Grand Hotel
Chicago

Information and Registration


Senior Care 360: Strategy and Solutions Conference *

Presented by: Lincoln Healthcare Leadership

Date: July 31 - August 2
Location: Gaylord National Resort, National Harbor, MD

Information and Registration


 

3rd Interoperability Forum

Office of the National Coordinator for Health IT (ONC) 

Date: August 21-22
Location: Renaissance Hotel, Washington, DC

Register Online

This event will bring people together from ONC, the healthcare industry, and the technology sector to:
  • Learn about recent efforts to advance interoperability nationwide
  • Identify concrete actions in response to current interoperability barriers
Attendees will hear keynotes from industry influencers, have the opportunity to view demos showcasing innovative solutions and participate in tracks focused on various aspects of interoperability. Co-led by industry leaders and supported by ONC experts, the tracks will provide an opportunity to discuss the latest issues and identify actions that can be taken to address key barriers to interoperability in a group setting.
Who: Health IT standards and technology community, including developers, policymakers, technology staff at provider organizations, and consumers.

SAGE/2019 *

Hosted by Honor

Date: September 10
Location
: Portofino Hotel & Marina, Redondo Beach, CA
Time: 9:00 am - 5:00 pm

Information and Registration
(Rowan Report subscribers have been offered a 25% discount; use discount code "Rowan" when you register)

How we care for our aging population is one of the most daunting and important challenges we face as family members, as community builders, as leaders in our industry.
That’s why Honor is launching SAGE/2019, a day of inspiring keynotes, lively panel discussions, and intimate conversations on the most compelling topics in senior care and wellness. We’re bringing together thinkers and doers, innovators and entrepreneurs, academics and leaders in healthcare and home care.
You’ll meet creative thinkers who are shifting the narrative about aging, company founders who are driving change, and visionaries who are imagining what’s possible in the future. This is a unique opportunity to network with thought leaders, peers, and potential partners, to revolutionize how we think about aging, and, most importantly, to take action.

HCAOA 2019 Annual Leadership Conference *

Home Care Association of America

Date: September 22-23
Location: Marriott Tucson Starr Pass Resort

Information


*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

Giving and Getting Referrals from Hospitals

Featuring: Elizabeth E. Hogue, Esq.

Date: Wednesday, May 8
Time: 1:00 - 2:30 pm EDT

Encore date: May 15
Option to purchase CD & handouts

Information and Registration


Referrals from hospitals may be even more important for agencies under the Medicare Program's Patient-Driven Groupings Model (PDGM). Hospitals also remain a major source of referrals for hospices and HME, amid increasing competition. Private duty agencies have a key role to play in the discharge of patients to home and referrals from hospitals are expanding rapidly. All types of providers need to know how to get more referrals from hospitals without breaking the law. And hospital discharge planners/case managers need to know the rules so the referral process remains in compliance!

This teleconference will address crucial questions for both providers and discharge planners, such as:

  • Can home care providers participate in discharge planning meetings?
  • Should home care providers have access to case managers and patients prior to discharge?
  • What do regulations and interpretive guidelines for discharge planning say about giving and getting referrals?
  • How can providers and case managers use Preferred Provider Agreements?

Extensive handouts will be provided, and there will be time for comments, questions and answers.



Understanding the Hospice PEPPER

Presented by: ElevatingHOME and VNAA

Featuring: Kimberly Hrehor, Program Director, RELI Group

Date: Tuesday, May 7
Time: 12:00 pm EDT
Fee: Free to ElevatingHome, VNAA, and Alliance for Home Health Quality Improvement members

Registration

This free webinar reviews the Hospice PEPPER—a report that summarizes Medicare claims data for individual hospices and compares their statistics to other hospices in the nation, Medicare Administrative Contractor jurisdiction, and their state. The Hospice PEPPER can be used to support hospices’ efforts to protect the Medicare Trust Fund by helping to ensure that services are correctly coded and billed, and appropriate and in accordance with Medicare Payment Policy. A new release of the Hospice PEPPER is available as of April 5. Participants will gain working knowledge of how to use their Hospice PEPPER.

Kimberly Hrehor, MHA, RHIA, CHC, PMP is a program director with the RELI Group. She currently manages a contract with the Centers for Medicare & Medicaid Services to develop, produce, and distribute comparative billing reports for a variety of healthcare providers that summarize Medicare claims data in areas that are vulnerable to improper Medicare payments. Her previous experience includes health information management, quality/performance improvement, and compliance.




Security Risk Assessment Tool Overview and User Feedback Session

Presented by: CMS

Date: Wednesday July 17

Time: 1:00 pm EDT

Fee: Free

ONC and the HHS Office for Civil Rights are holding a training session and overview of the Security Risk Assessment (SRA) Tool. The tool is designed to assist small to medium providers in conducting an internal security risk assessment. This assessment will aid providers with their security risk analysis as required by the HIPAA Security Rule and the CMS EHR Incentive program. Following the webinar, participants will have the opportunity to ask questions and provide feedback.
 
Register


"Motivating Providers to Deliver Care Vitually"

Sponsored by Arizona Telemedicine Program and Southwest Telehealth Resource Center

Presented by Jan Ground, PT MBA

Date: June 6, 2019
Time:
12:00pm MT
Fee: Free

REGISTER NOW

Learning Objectives:

1. Define the problem: be clear on the problem to be solved with telehealth initiatives.

2. Sponsorship: identify the right sponsorship, be clear on what is specifically needed from each level of sponsors.

3. Reinforcement: start with positive reinforcement, move to negative reinforcement on the clearly defined behavior changes

Jan Ground PT, MBA, has been leading clinicians and other healthcare personnel through change for more than twenty years. She led the virtual care work for the Colorado Permanente Medical Group and was the Innovation Hunter for the Colorado Region of Kaiser Permanente (KPCO). Most of her work supported innovation initiatives to enable people to get care anywhere and providers to provide care from anywhere. Areas of focus have included video visits, remote patient monitoring, e-visits, as well as the use of mobile apps and social media in care delivery. In all of these efforts, motivating providers to provide care differently was the most significant barrier to success. Jan has trained physicians and staff inside and outside of KP in Innovation, Meeting Management, and Leading People through Change. Jan has degrees in psychology, physical therapy, exercise science, and business administration from Middlebury College, Middlebury, VT; Emory University, Atlanta, GA; and the Univ of S. FL



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

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