Volume 6, Number 45 May  31, 2017




Untitled Document

Dear Healthcare at Home Colleague,

It is with great pride that I begin this week's report by announcing the publication of my first book.

"Entrepreneurial Insanity in the Home Care Business" has been quietly in the works for a year. My co-author, Roger McManus, supplied the brilliant, experienced-based lessons for business owners and I adapted his concepts to specifically target the needs and concerns of Healthcare at Home businesses.

Entrepreneurial Insanity in Home Care

Arising from the experience the two of us have gained over a lifetime in business development (Roger) and half a lifetime in Healthcare at Home (Tim), "Entrepreneurial Insanity" is packed with insights that will have both Private Duty and Home Health agency owners nodding in recognition of their own journey. You will remember your own learning experiences (we try not to call them mistakes) and your successes to celebrate. New owners will finish the book knowing whether they have bought themselves a job or are legitimate entrepreneurs. The difference is striking and we lay it out step-by-step so that you can make mid-course corrections. You will be able to answer the question, "Why did I start this business?" Click on the book cover to order.

In This Week's News
We are keeping a close eye on a critically important trend. You should too as it will affect home health and hospice providers, private duty agencies and the entire tech vendor community, if it hasn't already. Last week's announcement of the merger between Kinnser Software and Mediware, itself acquired earlier this year by TPG Capital, was big news but it is only the tip of the iceberg. A quick search through our own archives reveals the rest of the story.

MatrixCare acquired AOD Software, which already owned Soneto (formerly Stratis Business Systems) a year and a half ago. PointClickCare has been appearing at state association meetings promoting its home health software system. Medical device manufacturer ResMed acquired Brightree, which had previously acquired CareAnyware. Optima Healthcare Solutions acquired HospiceSoft just last month.

What do all of these have in common? MatrixCare is the largest Long Term Care software company in North America, serving Continuing Care Retirement Communities on all levels. Its subsidiary AOD was already in the top five in the same category. PointClickCare is a large, Canadian Long Term Care software company. Brightree was the Home Medical Equipment software leader. ResMed makes sleep apnea and other devices for use in the hospital and the home. Optima Healthcare Solutions owns the therapy software market. The Mediware family of acquired software systems spans home infusion and specialty pharmacies as well as HME.

Why are tech vendors consolidating home health, hospice, private duty, Home Medical Equipment, Home IV, contract and outpatient therapy services, and skilled nursing facility software systems under one roof? The overall healthcare reform tidal wave, which includes but is not limited to the Affordable Care Act and its possible future legislative replacement, results from the knowledge that there is not enough money in the entire country to provide healthcare the way we have been. Healthcare silos are killing us and bankrupting us. Care coordination among care locales is not merely a nice idea but an absolutely necessity. These tech companies have figured out that their revenue stream and competitive advantage depends on their ability to serve healthcare providers that have reached the same conclusion.

This is not a movement to be ignored and, we predict, is not a movement that is finished yet. So we will keep and eye on it for you, starting this week with two parallel efforts that explain why this is happening. On June 1, MatrixCare unveiled "Care Community," a kind of private HIE with the power to share patient data from any EMR to any EMR. "Commonwell Health Alliance" was unveiled at HIMSS 2013 by McKesson, Cerner and Allscripts and two physician practice software developers and is now up to 60 members. We spoke with John Damgaard, CEO of MatrixCare, and with Nick Knowlton, VP of Business Development and Interoperability Coordinator for Brightree, the first post-acute Alliance member, who explained to us exactly how the Alliance was born.

Worth the trip
There is an important telehealth conference coming up at the end of June. TCBI, The Center for Business Innovation, is collaborating with a new, CME-accredited journal, Telehealth and Medicine Today, to organize the Technologies and Tactics Transforming Long-term Care Conference: Igniting Innovation and Best Practices Across the Long-term and Post-acute Care Continuum, to be held on June 30th in Washington, DC. Home Care Technology Report will be a publication sponsor. You can find more information and a registration form here.

Speaking of traveling, I hope to see HCTR readers at the upcoming Post Acute Link conference in Chicago, June 11-13. See their display ad below to register. I will also be putting in a speaking appearance for the Home Care Association of Florida in July in Orlando. Those details are in our "Notable Upcoming Conferences" section, below. While you are browsing, be sure to also peruse the adjacent column for online webinars we have found.

[This week's letter is long but there has been so much to tell you. As a reward for reading all the way down to the bottom, here is a coupon code that will get you $5 off when you order my new book at this link. KH54XYT9]

Have a great week. Keep making a difference.

 

Editor signature
Tim Rowan



MatrixCare Unveils "Private HIE;" to Address Care Coordination
Proclaiming the goal of eventually providing care coordination services to all U.S. seniors, MatrixCare announced this week the release of "CareCommunity," a data interoperability system that can receive patient data from any Electronic Health Record and deliver it to any other.

Brightree Takes Leadership Role in Commonwell Alliance
FIrst home health and hospice software vendor joins interoperability club dominated by hospital and physician practice tech companies. Benefit to patients called 'tremendous.'

Transitional Care Under A Value-Based Purchasing System
Readiness to operate under Value-Based Purchasing is not a switch HHAs will flip on the deadline date, nor is it just a different payment system. Medicare consultant Michael McGowan asserts in a guest essay, VBP will demand an entirely different approach to patient care planning and participation in transitional care systems. His survey says most HHAs are not ready.

From Technology-Centric to Patient-Centric: Putting Interoperability in Context
To get started on the road toward sharing data with hospital and ACO partners, start with a solid definition and history of interoperability, such as this one by guest author Nick Knowlton.

Home Health Division of $5.4 Billion Health System Selects PlayMaker CRM
Based in Dallas, Texas, Evolution Health/Ascension at Home provides in-home care services to patients in eight states. The Envision Healthcare division looks to Playmaker CRM to help drive business growth.

 
When you click on these ads,
you make sure HCTR continues to come to you for free.



















During the 4th Quarter of 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 2106 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
Kinnser Merges into Mediware
Some say 'merger,' some say 'acquisition.' Whatever the case, this transaction is being backed by TPG Capital, one of the world's leading private equity platforms.
 
OperaCare Releases Free VBP and Revenue Integrity Toolkit
Home health agencies are now able to identify their level of attractiveness as a VBP partner and connect their cost of care with risk of audit review.

As of this date, approximately 25,773,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

Home Health Emergency Preparedness CoP Requirements:
Getting Your Agency Ready

Featuring Mary St. Pierre, RN, BSN, MGA
Free, sponsored by HEALTHCAREfirstSeptember 13

1:00 pm Central Time
Omni Austin Hotel Southpark

Details and registration

http://www.healthcarefirst.com/webinars/

  • Overview of the emergency preparedness requirement
  • What surveyors will be looking for
  • Steps home health agencies should take to prepare

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


NAHC 2019 Annual Meeting*National Association of Home Care and Hospice

October 7-9
Gaylord Texan
Grapevine, TX
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


17th Annual Northeast Home Health Leadership Summit: Playing to Win!

Sponsoring Associations:

  • Connecticut Association for Healthcare at Home
  • Home Care and Hospice Alliance of Maine
  • Home Care Alliance of Massachusetts
  • Home Care Association of New Hampshire
  • Home Care and Hospice Association of New Jersey
  • Home Care Association of New York State
  • New York State Association of Health Care Providers
  • Rhode Island Partnership for Home Care
  • VNAs of Vermont

Date: January 22-24, 2019
Location: Colonnade Hotel, Boston

Information and Registration

In addition to the pre-conference and full Summit program, There will be a bonus Home Care & Hospice Special Medical Directors Meeting that coincides with the conference on January 23 from 8:30 to 10 a.m. Details.


PDGM National Summit in the Rockies *

Home Care Association of Colorado & NAHC


Date:
February 13, 2019
Location:
Hyatt Regency Aurora/Denver Conference Center
Fee Schedule:

Early bird – ends 11:59 p.m. MST Friday, January 11
Member $249, Non-Member $449

Regular Price  - ends 11:59 p.m. MST Sunday, February 10
Member $299, Non-Member $499 

Onsite – February 13 
Member $349, Non-Member $549

*Member rates apply to members of: Home Care Association of Colorado, National Association of Home Care & Hospice and participating state home care associations. 

Register now!

The Home Care Association of Colorado and the National Association of Home Care, together with state home-care associations in the region, will host a one-day conference Feb. 13 on the Centers for Medicare & Medicaid Services' Patient Directed Groupings Model. PDGM's adoption will bring significant change to home health care. This one-day regional conference on PDGM allows providers to hear from national experts on the new model, with significant time allocated to Q&A. Click here to view the schedule.



Information for Providers and Exhibitors


National 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 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.



Dementia Webinar Series

Presented by Home Care Association of America

Featuring: Dr. Deborah Bier, PhD

Date: Thursday, January 17
Time: 1:00 pm EST
Fee: None

Register
Dr. Bier will discuss how to create dementia behavior handling success within home care. In addition, this presentation will include ten “secrets” few in home care understand about dementia and behavior handling. Part 2 of the series is set for January 24.


Increase Referrals, not Overhead- Streamlining the Intake Experience

A streamlined, efficient intake process creates a better patient experience and improves referral relationships. During this webinar, industry experts will share their quick tips and best practices for improving your intake process and managing your organization's revenue cycle.

Sponsored by Forcura
Featuring: Craig Mandeville, Founder & CEO of Forcura Jessica Stover, Senior Manager of Blacktree Healthcare Consulting
Tuesday, Oct 3
2:00 pm EDT

Registration


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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