Volume 7, Number 25 April  18, 2018




Dear Healthcare at Home Colleague,

In my consulting practice, my partners and I frequently encounter home healthcare agencies or hospices that are dissatisfied with their Electronic Medical Record software and are ready to search for a better one. More often than not, however, the source of their distress turns out to arise not from any software deficiency but from an insufficient, poorly executed implementation and training.

We decided to find out — from you — just how serious the problem of inadequate implementations might be. Our 20-question survey should take you about 10 minutes to complete. Would you please do me a favor and help us? Click here to start. We are seeking input from agency staff and ownership. We will share the results with you and use your input to help build education materials for the benefit of all. The survey is completely anonymous and we are not asking you to identify your EMR software. Thank you in advance for your cooperation.

Vendors, I know you're curious. If you want to know the questions on the survey, go ahead and look, but please do not click the final "submit" button. We only want responses from your customers.

In this week's news: At this year's HIMSS conference, we kept hearing the same three buzzwords: facial recognition, artificial intelligence, and Blockchain. The first two we are familiar with, though we will be looking into how they are going to be used in healthcare. But "Blockchain" just sounded like to random words combined for no good reason...we were wrong.

After some research, we are prepared to offer a primer. You are going to say, "Why do I need to know what Blockchain is?" and I don't blame you. But you do need to know because it is a technology making a rapid entrance into the healthcare space. Before long, it will appear on your software vendor's sales materials. And you do not want to get caught nodding wisely, pretending to know what it is. Here's why it matters, and why you should at least give this week's lead article a glance: Blockchain technology improves data sharing between hospitals and post-acute care; it virtually eliminates hacking; and, perhaps most importantly, it guarantees data integrity. It is virtually impossible to surreptitiously alter patient data in the Blockchain.

Humana is on the move again. Read this week about the insurance giant's acquisition of a large physician practice, even while it is itself in the middle of being acquired by Walmart.

If you are a clinical manager, don't miss our interview with a colleague of yours in Arizona. This innovative home health agency bought mobile printers for its nurses and therapists. Good idea? Bad idea? You decide, after reading "Should Nurses Carry Portable Printers?"

Lastly, we also have good news on the Telehealth front. The budget bill Congress passed and the President signed into law includes a major step forward for the use of remote patient monitoring systems. Read the reaction of the American Telemedicine Association in "ATA Lauds Telehealth Expansion in FY2018 Budget Bill."

Be sure to scroll down to the bottom section of this report. We have listings of several important upcoming conferences and some free or low-cost webinars that look quite valuable.

Have a great week. I hope to see you in DC at the NHPCO Conference. Keep making a difference!

Editor signature
Tim Rowan



Blockchain 101
It will not be long before your software vendor starts tossing the word "blockchain" around to describe their latest version. Here is a primer so you can look smart when they do.

ATA Lauds Telehealth Expansion in FY2018 Budget Bill
The federal funding bill signed into law on February 9 includes the entirety of the "Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care" Act, known as CHRONIC.

Should Nurses Carry Portable Printers?
Arizona home care agency answers a resounding "yes." Significant efficiencies gained. Staff satisfaction high.

Humana Acquires Florida Physician Group
April 10 acquisition not the first of its kind; it won't be the last. Soon to join Walmart, the Humana/Kindred company now owns one of Florida's largest physician clinic.

HSBlox Adds R3 Co-Founder Todd McDonald and Dr. Luke Burchard to Advisory Board
Blockchain technology in healthcare. Should you care? Absolutely. Here is one company to watch.

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



















During the 2nd Quarter of 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 2335 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
Netsmart Announces Next Generation Platform
myUnity™ will support full continuum of care at home and senior living communities.
 
Backlog of Appeals Before ALJs: More Progress
Home care attorney Elizabeth Hogue has been keeping a close eye on recent, positive developments in the ALJ backlog problem. She gave us permission to reprint two recent articles based on her research. We put them all in one place for reader convenience. The court is getting frustrated with HHS, slamming "Medicare's Byzantine four-stage administrative appeals process" and "the harrowing labyrinth of Medicare appeals."

As of this date, approximately 29,315,000 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


HomeCareCon: Unleash Your Inner Super Hero

Home Care Association of Florida Annual Conference 2018

July 29-Aug. 1
Renaissance Orlando at Sea World

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
Sponsoring Association
Date(s)
Hotel or Conference Center, City, State
URL

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.


Chronic Disease Education: Becoming the Partner of Choice

Presented by Curaport
Featuring:
Ginny Kenyon, RN, MN

Date: Tuesday, July 17
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

 



Understanding Social Determinants to Improve Health Care

Presented by Curaport

Featuring: Christina A. Nuqui, M.S.W., of Home Healthcare Solutions, LLC

Date: Thursday, July 12
Time: 2:00 p.m. EDT
Fee: $79 (per attendee)

Information and registration

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

Addressing the Social Determinants of health will be the most important factor of health care reform. This webinar will discuss what Social Determinants are, and how they can help you better understand your patient. In addition, we will discuss how Social Determinants affect access to health services, Re-Hospitalizations, & Individual Behaviors.



Managed Care Insights and Strategies for Post-Acute Partners

Presented by: Netsmart/DeVero
Wednesday, July 11
2:00 p.m. Eastern
Registration

According to a recent MedPAC report, enrollment in managed care programs grew 8% from 2016 to 2017, accounting for nearly 32% of all Medicare beneficiaries, with enrollment projected to grow even higher in 2018. With the rapid growth in managed care plans, the organizations managing these contracts are looking to narrow their network of post-acute providers, creating smaller networks of high-value preferred partners.

To help post-acute providers develop effective managed care strategies, we invited Stacey Youcis, senior vice president of service lines and population health at Lancaster General Health to discuss what they look for in an ideal post-acute partner. AJ Peterson, vice president of interoperability at Netsmart, will join the conversation to discuss technology strategies post-acute providers should consider when positioning to their managed care partners.

Key Takeaways:

  • Insights from a managed care organization
    • Current state of managed care programs
    • Ideal characteristics of a post-acute partner
    • Future of managed care programs
  • Strategies to participate in managed care
    • Understanding risk
    • Technology solutions to facilitate participation
    • Integrating into the broader ecosystem of care


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

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Home Care Technology Report is published by Rowan Consulting Associations, Inc., Colorado Springs, CO. All rights reserved. Request reprint permission by writing to editor@homecaretechreport.com.

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