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 2017, web sites of the above advertisers were visited by home care and hospice executives and staff 2855 times.

To inquire about placing your message here, contact:


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


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

Our Home Care Landscape: Big Challenges, Bigger Opportunities *
Annual Meeting of the Home Care Association of America
October 8-11
Austin, TX
Information and registration

AHHC 2017 Leadership ConferenceAssociation for Home & Hospice Care of North Carolina
October 9-10
Holiday Inn Resort
Wrightsville Beach

Click here to register

HCSSA Administrator Program
Texas Association for Home Care & Hospice
November 13-15
Westin Galleria

*HCTR will see you there.
CONNECTED HEALTH: Remote Patient Monitoring and Telehealth Summit

6th Annual Care Coordination and Technology Congress

January 24-26
Renaissance Atlanta Waverly Hotel & Convention Center
Designing successful bundles without collaboration between inpatient and post-acute (PAC) providers inhibits the cost-savings opportunities that make bundled payment a valuable model for hospitals and health systems. Designing care management incentives and solutions for complex patients requires integration across hospitals, home care, and the extended continuum of provider organizations.
Register for in-person or online participation

2018 National Leadership Conference
ElevatingHOME Annual Meeting
March 7-9
Grand Hyatt
Washington DC
Information and registration

New England Home Care and Hospice 2018 Conference
Presented by Home Care Associations of:
New Hampshire
Rhode Island

April 25-27
Cliff House Maine Hotel
Cape Neddick

Information and Registration

Your state or national association meeting not listed? Send the details to Conferences@RowanResources.com using this format:

Conference Title
Sponsoring Association
Hotel or Conference Center, City, State

Juggling the New CoPs and Other Applicable Laws

Sponsored by Kinnser Software
Featuring Robert W. Markette, Jr., Esq., CHC, of Hall, Render, Killian, Heath & Lyman, P.C.
Thursday, January 25
1:00 - 2:00 pm EDT

Attend to Learn:

  • Why "legal representative" is a concept you should already be familiar with
  • What compliance with the nondiscrimination provision of the Affordable Care Act may mean for the new CoPs
  • Why you must be more aware of harassment issues and prepared to take action
  • How harassment issues affect your discharge policies

Free: Register here

Creating A Successful Preceptor Program in Home Health Care

Sponsored by Elevating Home
Michael Ward RN, BSN, Division Director; BAYADA Pediatrics; Margit Moran, RN, BA, Director of Pediatric Clinical Education at BAYADA

Thursday, March 29
1:00 - 2:00 pm EDT

Information and registration

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.


How to Attract and Retain Health System Relationships

Presented by Netsmart
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


Compliance Program Basics

Presented by Curaport
Featuring: Stephanie Koehn, RMA, CPC, CPPM, CPCO

Tuesday, March 20
2:00 p.m. EDT

Fee (per attendee): $49
Information & Registration

This education session is approved for one (1) contact hour of Continuing Education for Nursing

The Hospice Cost Report
Prepare Your Way With Expert Advice from Maureen Laskowski

Presented by Healthcare Synergy

Monday, March 12
10:00 a.m. PDT; 1:00 p.m. EDT

Click here to register

Home Health Aide Skills and Documentation

Presented by Curaport

Featuring: J'non Griffin, RN, MHA, WCC, Owner & President, Home Healthcare Solutions, LLC
Thursday, March 22
2:00 p.m. EDT
Information and registration


*This education session is approved for one (1) contact hour of Continuing Education for Nursing



What Does Behavioral Health Have to do With Home Health Outcomes?

Presented by: Netsmart/DeVero
Featuring: Katherine J. Vanderhorst ,RN-BC,BSN and Dr. Amy Craven

Thursday, February 22
2:00 p.m. Eastern
Learn why integrating behavioral health with chronic care management can improve star ratings.

Many home health patients have co-existing Chronic Behavioral Health problems that are not dealt with. If not addressed, problems like anxiety and depression leave patients unable to self-manage diabetes, congestive heart failure, CHF, COPD and other serious medical conditions. This presentation will show why recognizing and managing behavioral health diagnoses and can have a positive outcome on your agency’s STAR ratings. Presented by Katherine J. Vanderhorst ,RN-BC,BSN and Dr. Amy Craven.


The Penalty Box Compliance Series Part 6: Audit-Proof Your Visit Notes

Presented by Curaport
Featuring Kristi Bajer, RN, MSN

Wednesday, March 21
1:00 p.m. EDT

Information and registration

*This education session is approved for one (1) contact hour of Continuing Education for Nursing

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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