Volume 8, Number 34 July  24, 2019




Dear Healthcare at Home Colleague,

(Remember, if you're too busy to read, click on the "Listen" button and my podcast will summarize this week's news for you.)

Is Medicaid in trouble? The first state has submitted a Section 1115 waiver application to HHS. Others may follow. Section 1115 is a request to allow a state to accept Medicaid block grant funding, replacing the usual proportional Federal cost-sharing funding.

Our guest author this week, Raymond Feierabend, is a retired physician and professor emeritus of Family Medicine at East Tennessee State University. He is gravely concerned about moves his state has made to limit access to Medicaid. If you are a Tennessee Medicaid provider, or a provider in any state that has chosen not to accept additional Medicaid funds from the Affordable Care Act, Dr. Feierabend's detailed opinion piece, Physician Concerned About TennCare's Future, is must reading.

Home Care, Hospice Behind with Interoperability

Equally important to post-acute providers on all levels is a survey conducted by Porter Research and sponsored by our friends at Brightree. It has a disturbing finding. After learning interoperability and electronic referrals are extremely important, the survey found 4 percent of post-acute providers are capable of exchanging patient data electronically. See "Interoperability Importance Underscored by New Survey" below.

Invention Saves Caregiver Backs

Do your in-home caregivers ever have to move patients who cannot walk on their own to and from the bathroom? Typically, getting from a bed or chair to a wheelchair for transport to a toilet and back again can involve eight to ten lifts, each one an injury risk. We discovered a potential solution to this risk in an invention that we think will be popular once it moves from prototype to manufacture. Our review of the "Bottoms-Up SwingChair" includes links to a video that explains better than our words might how this invention will help.

New PDGM Survival Tools

Axxess sent us an announcement about PDGM tools it has already made available to users of its home health EMR.

Payment Problem for Hospices

CMS sent us an important reminder to hospices about reconsideration requests for the FY 2020 Annual Payment Update.

Worth the Trip

Will you be joining me at Lincoln Health's "Senior Care 360" conference at the Gaylord in National Harbor, Maryland at the end of this month? It promises to be an excellent opportunity to explore the theme of our series of articles about the importance of interoperability. There will be colleagues there from skilled nursing, senior living, home care and hospice. I look forward to the opportunity to hear them talk to each other about care coordination.

Have a great week. Keep making a difference!

Editor signature
Tim Rowan



Interoperability Importance Underscored by New Survey
Survey reveals that 60 percent of referral sources would switch to a Home Health and Hospice provider that can accept electronic referrals from its EMR, while only 4% are able to do so today.

Physician Concerned About TennCare's Future
A retired Tennessee physician and professor believes his state is shredding its medical safety net.

CMS News: Reminder to Hospices
A July 24 CMS briefing sent a firm reminder to hospices and other Medicare providers.

Product Review: "Bottoms-Up Swing Chair" Eases Care of Non-Mobile Patients
This new invention may not technically be a technology but we find it innovative, especially thinking back to family members who could have used it.

Axxess to Provide Clients With Technology Tools to Prepare for PDGM
EMR company to provide Revenue Impact Analyzer and Case-Mix Impact Analyzer plus a PDGM Resource Center.

 
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During the 3rd Quarter of 2019, web sites of the above advertisers were visited by home care and hospice executives and staff 2767 times.

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Last Week's Most-Read Stories:
The 5 Things You Need to Know to Successfully Implement An EMR
Mitigate the frustration that comes with implementation and enhance post implementation buy-in by implementing your EMR correctly.
 
Brightree Executive Advocates Interoperability Standards
Brightree's Nick Knowlton has been a CommonWell Health Alliance board member for five years. Few have his insights into the movement toward interoperability.

As of this date, approximately 34,397,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

 

3rd Interoperability Forum

Office of the National Coordinator for Health IT (ONC) 

Date: August 21-22
Location: Renaissance Hotel, Washington, DC

Register Online

This event will bring people together from ONC, the healthcare industry, and the technology sector to:
  • Learn about recent efforts to advance interoperability nationwide
  • Identify concrete actions in response to current interoperability barriers
Attendees will hear keynotes from industry influencers, have the opportunity to view demos showcasing innovative solutions and participate in tracks focused on various aspects of interoperability. Co-led by industry leaders and supported by ONC experts, the tracks will provide an opportunity to discuss the latest issues and identify actions that can be taken to address key barriers to interoperability in a group setting.
Who: Health IT standards and technology community, including developers, policymakers, technology staff at provider organizations, and consumers.

Home Health, Home Care, Hospice GROWTH SUMMIT *

Date: Sept. 17-19
Location: Green Valley Ranch, Las Vegas

Information and Registration

Join renowned agency mentors Cheryl Peltekis and Melanie Stover for an owners' and executives' ONLY event focusing on how to survive and thrive in this rapidly changing environment. Cheryl and Melanie will break down exactly how to maximize your agency’s growth during this time of disruption in an easy to follow system you can use, over and over.

HCAOA 2019 Annual Leadership Conference *

Home Care Association of America

Date: September 22-23
Location: Marriott Tucson Starr Pass Resort

Information


Fall Conference: ICD-10 & Emergency Preparedness

Texas Association for Home Care & Hospice

Date: October 9
Venue: Great Wolf Lodge
City: Grapevine, TX

Information and registration


NAHC 2019 Conference & Expo - Foresight: Care for the Future*

Join NAHC and hundreds of your peers to explore the pioneering spirit of home care and hospice providers!

Date: October 13-15
Location: Seattle, Washington

Information and Registration

Join us in Seattle, Washington, this October as the National Association for Home Care & Hospice explores “Foresight: Care for the Future.” Explorers are leaders and risk takers. They have a vision for the future, and they help others see and believe their vision. Our role as pioneers and explorers is to help others understand that home care and hospice are “Care for the Future.”

Our educational sessions have been completely redesigned with you in mind, and there’s something for everyone! Choose from over 80 sessions that cover topics that most concern you and your business.

Hear from top experts on:

  • Effective strategies to prepare for the implementation of the Patient-Driven Groupings Model (PDGM), which begins on January 1, 2020
  • Home care and hospice regulatory changes, including quality, finance, and compliance topics
  • Innovations in palliative care and hospice, including technology, quality assurance and business development
  • Trends in care continuum management and the development of relationships to facilitate care
  • Growth and development of staff, beginning with talent acquisition
  • Business and workforce development, leadership, and financial management for private duty and private pay organizations

These sessions will leave you informed and excited to implement new ideas in your workplace.

Pre-conferences will offer a more focused exploration into key topics

  • H3IT: International Conference on Home Healthcare, Hospice, and Information Technology
  • PDGM Summit: An In-Depth Primer
  • NAHC Grassroots Advocacy Boot Camp

 


Two Sales Training Boot Camps: Home Health and Hospice & Palliative Care

Presented by Healthcare Strategica, LLC

Featuring: Michael Ferris
Location: Westin Lake Las Vegas Resort

Bootcamp 1: PDGM Home Health Sales
Date: November 12-13

Bootcamp 2: Hospice & Palliative Care Sales
Date: Novenber 14-15


Register with code "HCTR" for $100 off.

Michael Ferris brings 20+ years of experience to your sales team!

Home Health Sales Training Bootcamp

The Home Health Sales Training Bootcamp has an extensive training related to Success Under PDGM.  We will cover what the Sales Professionals need to know about PDGM and more importantly what the referral partners need to know!  How to have those conversations to drive more referrals and avoid the pitfalls experienced by hospices when "failure to thrive" was no longer an acceptable primary diagnosis to qualify for hospice services.

Hospice Sales Training Bootcamp

The Hospice and Palliative Care Sales Training Bootcamp is new and improved with the best of class sales training for hospice with the addition of How to Conduct Family / Patient Meetings for Maximum Success and How to Sell Palliative Care.  Send your Hospice Sales Representatives to us and we will send them back to you ready to drive significant incremental growth in quality admissions.

Each Sales Professional Will Receive:

  • Class Workbook
  • Laminated Field Cards
  • Copy of Definitive Guide to Home Health Sales: Achieve Superstar Success - PDGM Success Edition ($79 value)
  • One on one coaching
  • 90-day sales campaign planning tool
  • Lunch each day

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.

 


Successful Hospice 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, 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.

 


PDGM Success Seminars hosted by Axxess *
Sponsored by: BKD, Aegis Therapies, HealthCare ConsultLink, Home Health Care News, Gateway Home Health Coding and Consulting, Worldview, Connected Home Living, Laengrich Healthcare Partners and Swift Medical

Dates and Locations (open to all Home Care providers):
  • Dallas, TX Tuesday, September 24
  • Houston, TX Thursday, September 26
  • Boston, MA Tuesday, November 5
  • Fort Lauderdale, FL Thursday, November 14
  • Chicago, IL Tuesday, October 22
  • Columbus, OH Thursday, November 12
  • Las Vegas, NV Friday, October 4
  • McAllen, TX Tuesday, December 3
  • San Antonio, TX Thursday, December 5
Information and Registration (early bird discount code: Axxess2020)
The one-day seminars will focus on the following learning objectives:
  • The PDGM impact numbers that matter most, along with operational strategies to ensure proper reimbursement                   
  • Specific actions to take for each PDGM risk factor, including coding, non-groupable diagnoses, LUPA avoidance and management, chronic care management, and therapy management
  • How to drive growth for your organization through institutional referral strategies and the use of specialty programs, including wound care and complex nursing
Including specifics such as:
  • How to get the most important OASIS information you need in five minutes
  • Implementing maintenance therapy programs and telemonitoring
  • Setting up visit schedules that prevent avoidable LUPAs 
  • How each component of PDGM builds the case weight 
  • Restructuring intake processes to obtain necessary billing 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

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.


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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