Volume 8, Number 43 May  1, 2019



Dear Healthcare at Home Colleague,

We here at the Rowan Report are often regarded as a source of information for Medicare-certified Home Health and Hospice providers. This week, however, we bring you a news analysis that is possibly the most important report we have ever written for the non-medical, personal care side of our healthcare sector. If you are in that sector, scan through the headlines below this letter and click on our interview with Bob Roth, managing director of Cypress Home Care in Phoenix.

Roth has decided to have Cypress join the Honor Care Network. In the past, we have relayed to you both positive and negative reader opinions about Honor's reincarnation as a strategic partner instead of as a full-service home care agency of its own. With the jury still out, in our opinion, we were anxious to learn Bob's decision process.

Frankly, we were impressed. You will read that he sees Honor's approach as, among other things, a solution to a looming crisis...not a problem, a crisis. Under current wage limitations and labor laws, in less than 10 years there will simply not be enough caregivers to serve a population that is aging and that values remaining at home as long as possible. Our conversation with Bob Roth was wide-ranging but we think we have captured the essence of his journey toward this decision. Plus, the article includes the frightening demographic statistics that drove him to look for a solution in the first place.

In other news: 

Senior staff writer Darcey Trescone interviewed Jeremy Powell, CEO and Founder of Acclivity Health Solutions, a platform for connected care communities that built a reputation in acute care and is now turning its attention to post-acute, specifically Hospice. Big data, Darcey discovered, will be crucial to the effort to improve care outcomes for patients with advanced illness.

This issue's Vendor Watch column has several announcements. A new Hospice Academy for Texas Association for Home Care & Hospice members; a mileage calculator add-on for Wellsky users; and a new COO for a reorganized HHAExchange.

Guest author Roger McManus, MBA, teaches a marketing trick you should try. There is a way to appear as the only result in a search when someone is looking for home care services in your market area on Google. His primer shows you how to do it, step by step.

For the IT Department, we share what we learned about the next Windows 10 update, due this month. We don't usually do this but this one is big. So big, Microsoft will not automatically download it to your PC. You get the option to upgrade or not, but only for 35 days. Note to IT support staff: long nights ahead. While waiting for the as yet unannounced release date, start checking available hard drive space on every PC. Not only does 10 absorb about 30GB, now it will set aside an additional 7GB of reserved space to allow for the smooth installation of future automatic updates.

Have a great week. Keep making a difference! I hope to meet some of you at next week's annual meeting of the Home Care Association of New York State in Saratoga Springs.

 

 

Editor signature
Tim Rowan



Award-Winning Private Duty Agency Joins Honor Care Network
When a highly respected home care provider accepts the invitation to try out an innovative partnership program, we wanted to know why. Read our interview with new Honor Care Network Partner Bob Roth of Cypress Home Care Solutions in Phoenix.

Hospice As The Hub: Acclivity's Vision for a New Care Model with AI
Interview with Jeremy Powell from Acclivity Health Solutions and their vision for the future of Hospice utilizing AI.

One Box: How to Grab All of the Attention
Guest author and marketing consulting Roger McManus offers a step-by-step trick to get your business to be the only search result when someone searches online for home care services.

Big Changes Coming in May Windows 10 Update
A recent Microsoft newsletter provided us with some news your IT Department probably already knows but that all Windows 10 users should hear.

Vendor Watch
— Axxess sponsors "Hospice Academy" for TAHC&H members
— New Wellsky software integration supports accurate mileage calculations for field clinicians
— HHAeXchange announces new organizational structure and new COO


 
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During the 1st Quarter of 2020, web sites of the above advertisers were visited by home care and hospice executives and staff 2948 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
New Product Solves Leftover Controlled Substance Problem for Hospices
What do you do with leftover opioids after a hospice patient dies? Rules from the DEA and EPA make it clear you have only two options, and one of them can be expensive. Here is our review of a new product for the other option.
 
Providers v. UPICs and ZPICs: Another Chapter
Guest author Elizabeth Hogue brings us another chapter in the continuing saga of Providers v. UPICs and ZPICs. The stakes are high! Providers must continue to seek relief from the courts from devastating actions by the UPICs and ZPICs.

As of this date, approximately 33,473,000 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.


WEBINAR: 5 Crucial Ways to Prepare for PDGM

Sponsored by: HealthCare Synergy

Featuring: Michael Tidd, LVN, COS-C, COS-D
Dates: November 13
Time:
10:00 am PST / 1:00 am EST

Information and Registration

Agencies are rapidly trying to prepare for the PDGM payment model. We will show you the most crucial ways an agency can prepare for the internal changes needed for PDGM. While most agencies are focusing on how to instruct clinicians on the change, PDGM has the most impact on office functions. Attend and gain insight on the things the agency needs to be doing now to prepare for January 1, 2020.

Objectives:
1. Learn agency level changes that can be implemented to be successful in 2020
2. Understand how to approach budgeting and finances under PDGM
3. What do your clinicians really need to know to ensure the agencies continued success

Michael Tidd has over 19 years of experience in the Home Care Industry and is a frequent speaker at HealthCare Synergy Workshops and Webinars. He is a Software Developer, LVN and Certified in ICD-9/10 Coding and OASIS (COS-C, HCS-D). As the Clinical Manager for HealthCare Synergy, he directs the Outsourced Management Services, assists in directing the development of the Healthcare Assistant Web Edition, oversees the Clinical Documentation Auditing provided to clients and directs the Clinical Form Development for the Healthcare Assistant Web Edition. Michael continues to educate agencies in the ongoing regulations that CMS produces, the proper application of the Medicare Conditions of Participation and completing timely, accurate and defendable clinical documentation to survive in the current Medicare Reimbursement Model.


Webinar: Post-Acute Care Quality Reporting Programs

Presented by: CMS

Date: Thursday, November 14

Time: 2:00 - 3:00 pm EST

Fee: Free

Description: The Centers for Medicare & Medicaid Services (CMS) will be hosting a webinar for Medicare-certified hospice providers to provide an overview on Hospital Quality Reporting Program (HQRP) requirements.

During this webinar, CMS subject matter experts will provide information on the following topics:

  • Hospice Item Set (HIS) reporting requirements;
  • HQRP compliance cycle;
  • How to achieve hospice compliance;
  • CAHPs survey requirements; and
  • How to switch CAHPS survey research vendors.

CMS will answer questions at the end of the webinar as time permits.

Register

Conference: Successful Home Health Transformation

Hosted Dixon Healthcare Solutions, Inc.

Date: December 5-6
Location
: Bally's, Las Vegas
Time: 7:00 am - 4:00 pm
Speakers: Richard K. Dixon, Cheryl Peltekis, RN, Meaghan McCormick, Esq., Donna Floyd, RN, BSN, J'non Griffin, RN, MHA, HCS-D, BCCH-C, COS-C, WCC; Annette Lee, RN, MS, HCS-D, COS-C; Cory Mertz, managing partner for a leading healthcare M&A firm.

Information and Registration

Approved for up to 10 hours of Continuing Nursing Education by Corexcel, an accredited provider by the American Nurses Credentialing Center's Commission on Accreditation.

 


 

WEBINAR: PDGM Preparation: Operational Strategies

Sponsored by Kornetti & Krafft Health Care Solutions & MedBridge

Date: December 5
Time: 1:00 pm EST

Information and Registration

Knowing that resources are tight as PDGM approaches, Kornetti & Krafft is offering a free overview of OASIS D1 to ensure that changes to this critical data collection instrument do not get lost in the shuffle.

What is Included:

  • Highlight key differences between OASIS D and D1
  • Make an informed decision about the use of "=" as a response
  • As an outsourced OASIS/Coding company, the most commonly seen OASIS errors and proven strategies for success will be included.

 


Homecare 100 *January 19-22
JW Marriott Miami Turnberry Resort
Miami, FL

https://www.homecare100.com/

WEBINAR: Key Documentation Issues for 2020 & the Future

A 90-Minute Lunch & Learn Audio Conference by Elizabeth E. Hogue, Esq. Health Care Attorney

Date: March 18
Time:
1:00 - 2:30 EDT

Encore date:
March 25; On-demand recording available


Information and Registration

Documentation remains a key requirement for home care providers as the consequences for inadequate documentation become more severe.

  • What can home health agencies do to avoid denials by ZPICs, RACs, etc., for lack of homebound status and reasonable and necessary care?
  • What kind of documentation must home health agencies, hospices, private duty agencies and HME companies maintain regarding gifts to referral sources and payments to physicians who make referrals to them?
  • How can providers avoid an increase in enforcement action in this area?
  • What kinds of documentation problems are private duty agencies facing with regard to recoupments from state Medicaid Programs?
  • What dangers do electronic medical records cause for all types of home health providers?
  • Is it true that if it wasn't documented, it wasn't done?
Gather your staff members to emphasize effective documentation yet again. Real examples of cases involving problematic documentation will be presented. Questions and case examples are welcome, and extensive handouts will be provided for use by staff members.

Free Webinar: Marketing During a Lockdown

 

Presented by: Savii

Featuring: Steve Weiss

Date: April 21
Time: 12:00 - 1:00 EDT

Who should attend this webinar?

Home care agency owners, directors, and marketers who want to remain relevant in their market and prepare for anticipated growth as we come out of a crisis.

You will walk away armed with knowledge about:

  • What you should be doing now
  • How to contact your referral sources
  • Creative ways to grow and maintain your business

Information and Registration

Course materials will be sent to all who register, even if you cannot attend.

Steve "The Hurricane" Weiss is a dynamic and entertaining public speaker, known for his expert knowledge in all things sales and marketing. From a young age, Steve has been driven to succeed, and excelled across vastly different industries. Steve founded his current company, Hurricane Marketing Enterprises, in 2012 with a goal to help other business owners across the country. In a few short years, he grew it to a seven-figure business and it has been booming ever since.

FREE Webinar: Digital Strategies to Survive and Thrive During and After COVID-19

Sponsored by: AlayaCare

Featuring: a panel of experts from AlayaCare, Hireology, Home Care Pulse, and CareMaster Medical Services

Date: Thursday, April 30
Time: 2:00 pm EDT

Information and Registration

As weeks turn to months of social distancing and government regulations continue to restrict in-person contact, home and community care agencies must embrace digital strategies both to maintain operations now and future-proof for a post-pandemic world. This webinar unites a panel of experts from AlayaCare, Hireology, Home Care Pulse and CareMaster Medical Services to discuss best practices for all aspects of digital operations – from tips on managing remote staff and virtual hiring to best practices for maintaining quality care.

After the discussion, participants will have the opportunity to engage in a live Q&A session.

Learning objectives:

After this webinar, participants will be better able to:

-Discuss ways to adapt to remote hiring
-Strategically manage remote staffing needs
-Ensure continuity of care between caregivers and clients
-Describe how technology supports each aspect of virtual operations


Free Webinar: Tips for Launching Telehealth and Remote Care in Less Than a Week

Presented by: Ankota

Featuring: Ken Accardi

Date: May 19
Time: 12:00 EDT
Fee: Free

Register

The COVID-19 pandemic has made the importance of Telehealth and Remote Care abundantly clear. This webinar will cover:

  • When to use secure video chat vs secure messaging
  • How to build "manage by exception" care plans
  • Reviewing notifications and non-compliance in minutes per day
  • Getting started quickly and affordably

FREE WEBINAR: Q2 2020 Post-Acute Care Compliance Forum

Presented by: Casamba
Featuring: Holly Hester, Casamba SVP of Compliance and Education

Date: Thursday, May 21
Time: 3:00 pm - 4:00 pm EDT

Information and registration

In-depth discussion of regulatory and compliance updates for the post-acute care industry, including CMS waivers and flexibilities in response to the Public Health Emergency, telehealth and other virtual services, TRICARE update, and more.


Free Webinar: On the Heaviness of Halos: care for the professional caregiver during crisis 

Sponsored by: Wellsky

Featuring: Dr. Carla Cheatham, M.A. M.Div., Ph.D. Philosophy/Health/Kinesiology

Date: Friday, May 29
Time: 1:00 - 2:00 EDT

Reserve a Seat

Join us for a powerful webinar that will help caregivers in all disciplines tend to their own emotional and mental health as they continue to serve others during the COVID-19 pandemic. Dr. Cheatham, renowned educator and author on compassion fatigue and resilience, will discuss the trauma and moral injury that professional caregivers face and will provide you with practical techniques to help yourself, your colleagues, and your patients or clients, including:

  • What the terms "moral distress," "moral injury," and "secondary/vicarious trauma" mean, and how they affect your health and well-being
  • Practical solutions and strategies from the fields of resilience, emotional intelligence, and post-traumatic growth
  • How to develop and use a personalized plan of care that tends to your mental and emotional needs, as well as those of your team and the people you serve

WEBINAR SERIES: Hospice Academy FOUNDATIONS

Sponsored by: Texas Association for Home Care and Hospice

Part 1: The Evolution of Hospice - from Practices to Regulations Over Time
Instructor: Katie Wehri, Director, Home Care & Hospice, Regulatory Affairs, NAHC

Date: June 2

Part 2: The Hospice Plan of Care - An Interdisciplinary Document
Instructors: Amy Ives, RN, BSN, CHPN, Director, Peterson Hospice; Danny Mack, Director of Spiritual and Social Services, Christian Care Hospice

Date: June 4

Information and Registration

 


Webinar Series: Sales Training, Home Health and Hospice

Presented by: Healthcare Strategica, LLC

Featuring: Michael Ferris

1 - 8-week Hospice & Palliative Care Sales Training Course

2 - 8-week Home Health Sales Training

Rowan Report subscribers: Register with this link to receive $100 discount.

We have taken our best of class industry specific sales training bootcamps and are offering them via Webinar to enable you to continue to train your sales team in today's world of limited travel and social distancing.

The Hospice and Palliative Care course will be offered live every Tuesday starting May 19 through July 7, 2020.

The Home Health course will be offered live every Tuesday starting May 21 through July 9, 2020.

Each class will have participation exercises, homework assignments, quizzes and question and answer opportunities.

Each participant will receive their own course materials and individual coaching and feedback. At the conclusion of the course each student will receive a certificate of completion, an invitation to join the exclusive Sales Mastery Group* and opportunity to join the 52-week Sales Training Excellence Course.*

* Only available to Sales Professionals that have successfully completed the 8-week Sales Training Course – additional fees may apply.

Each session will be offered on-demand and if unable to attend the live webinar, you will be able to view the recording and participate in exercises, questions, coaching and quizzes. If you start after the first webinar date, you will be provided with access to those classes missed so that you can get caught up or you may elect to attend via the recorded sessions.


Conference: Leading Age Leadership Conference

Hosted by: VNAA, Elevating Home, and Leading Age

In light of the President’s national emergency declaration to address the coronavirus pandemic, LeadingAge is postponing the 2020 Leadership Summit originally scheduled April 20-22 to August 10-12, 2020 at the Omni Shoreham Hotel in Washington, DC.

We understand that the possibility or reality of COVID-19 means all-hands-on-deck at our member communities and travel bans for our Business Partners, with a singular focus on the health and welfare of residents, clients, staff, and families.

LeadingAge will continue to assist with information and resources to help you respond to COVID-19. You’ll find a clearinghouse of resources—updated daily—at leadingage.org/coronavirus-resources.

If you registered for the conference, you will be sent an email with information on your registration and hotel reservation.

Information and Registration

With the Leadership Summit, LeadingAge has designed an event for forward-thinking leaders to connect, engage in dialogue, and deepen their knowledge about the future—how we can shape it, and the paths to get there together.

 


*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

Interoperability for Service Providers through CMS’s EMDI Initiative

Presented by: ElevatingHOME and VNAA

Featuring: Pallavi Talekar, Project Manager, Scope Infotech, Inc.; Ray Wilkerson, Sr. Business Analyst, Scope Infotech, Inc.; Nandini Ganguly, Business Analyst, Scope Infotech, Inc.; Kishan Patel Business Analyst, Scope Infotech, Inc.; Briana Barnes, Project Coordinator, Scope Infotech, Inc.

Date: Tuesday, July 30
Time:
12:00 pm EDT
Fee:
Free to ElevatingHome, VNAA, and Alliance for Home Health Quality Improvement members

Registration

Representatives from the EMDI Initiative team will discuss interoperability using health IT standards, including Fast Healthcare Interoperability Resources (FHIR). Participants will learn about pilot opportunities with CMS to enhance provider workflow using three critical use cases. Participants will:
  • Gain knowledge of interoperability concepts and use of latest standards, including FHIR;
  • Gather information on three critical use cases in the post-acute care setting to reduce provider burden and enhance their interoperability footprint; and
  • Identify next steps for participation in an upcoming pilot opportunity with CMS.


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


PDGM’s Behavioral Adjustments - What You Need to Know Now

Sponsored by eSolutions

Featuring: Karri Wright, Sr. Director, Product Management at Homecare Homebase

Date: Thursday, August 29
Time: 2:00 pm CDT
Fee: Free

REGISTER NOW

The webinar covers:

  • CMS assumptions and intended adjustments and their impact on:
    • Upcoding
    • Comorbidities
    • LUPA Avoidance
  • Considerations for HHAs
  • Evaluating your HHA data now to assess tomorrow based on today’s reality


A QUALITY JOB: Clinical Management & Care Coordination Under PDGM

Hosted by VNAA
Sponsored by MatrixCare/Brightree
Presented by Simione Healthcare Consultants

Featuring: Laura Wilson, RN, BSN, Sr. Manager, Simione Healthcare Consultants
Date: Wednesday, September 11
Time: 12:00 pm EDT

Free Registration

PDGM is so much more than a billing change! Home health agencies preparing for payment reform need to look closely at clinical operations to make accommodations that will uphold quality, including care alternatives that add value to the equation. In this webinar, we’ll share insights based on the findings of gap analyses to help your organization make a successful transition under the new requirements. Recommended Attendees: Clinical Managers, Intake Staff, Coders / QA, Finance & Billing personnel Hosted by VNAA, sponsored by MatrixCare/Brightree, presented by Simione Healthcare Consultants



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

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