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 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:
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


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.


Are You Marketing to the Wrong Person?
A Different Way to Get Home Health Referrals

Presented by Healthcare Synergy
Featuring: Melinda Rodriguez, PT, DPT, MSCS, LSVT
Date: Wednesday, March 7
Time: 10:00 a.m. PST; 1:00 p.m. EST

In this Webinar, you will:
  • Learn another way to market inpatient facilities other than discharge planners, case managers or social workers.
  • Discuss the role of Home Health in the challenging healthcare environment – Short Term Home health.
  • Describe the Continuum of Care Concept in the post acute care network
  • Identify strategies to reduce risk of acute care readmission.
  • Discuss options for discharge disposition for potential skilled nursing facility candidates to decrease SNF discharge rate for inpatient rehab units.

Register



How to Attract and Retain Health System Relationships

Presented by Netsmart
Ongoing
Free
Watch now

 


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


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


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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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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