Volume 8, Number 29 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.

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



























During the 2nd Quarter of 2019, web sites of the above advertisers were visited by home care and hospice executives and staff 2157 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

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

Senior Care 360: Strategy and Solutions Conference *

Presented by: Lincoln Healthcare Leadership

Date: July 31 - August 2
Location: Gaylord National Resort, National Harbor, MD

Information and Registration


 

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.

SAGE/2019 *

Hosted by Honor

Date: September 10
Location
: Portofino Hotel & Marina, Redondo Beach, CA
Time: 9:00 am - 5:00 pm

Information and Registration
(Rowan Report subscribers have been offered a 25% discount; use discount code "Rowan" when you register)

How we care for our aging population is one of the most daunting and important challenges we face as family members, as community builders, as leaders in our industry.
That’s why Honor is launching SAGE/2019, a day of inspiring keynotes, lively panel discussions, and intimate conversations on the most compelling topics in senior care and wellness. We’re bringing together thinkers and doers, innovators and entrepreneurs, academics and leaders in healthcare and home care.
You’ll meet creative thinkers who are shifting the narrative about aging, company founders who are driving change, and visionaries who are imagining what’s possible in the future. This is a unique opportunity to network with thought leaders, peers, and potential partners, to revolutionize how we think about aging, and, most importantly, to take action.

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


*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

How to Satisfy the OIG's Requirements for Fraud and Abuse Compliance Training
Featuring: Elizabeth E. Hogue, Esq.
Date: Wednesday, August 7
Time: 1:00 - 2:30 pm EDT
Available on demand after broadcast date.
Option to purchase CD & handouts
Information and Registration
 
The OIG requires that home care providers of all types must provide effective training on fraud and abuse compliance for employees early in their employment and on at least an annual basis thereafter. Let us help you satisfy these requirements by participating in this teleconference! Whether you are a home health agency, hospice, HME company or private duty agency, gather your staff members together for this teleconference to satisfy the OIG's requirements. 
Participants will learn about three major types of fraud and abuse: false claims, kickbacks, and violations of the Stark law. Practical examples in the home care industry will be emphasized with concrete guidance about what to do about possible violations. The teleconference will also focus on how employees should raise concerns about possible fraudulent conduct internally before they even consider going outside the company. 
 


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


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

Did you receive this issue as a forward from a colleague? Would you like to have your own free subscription? Click here.

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.

HCTR is free to subscribers and supported by its generous advertisers. To inquire about presenting your message to our 5,000 subscribers, write to Kristin in our ad sales department, Kristin@RowanResources.com.