Volume 8, Number 31 August  7, 2019




Dear Healthcare at Home Colleague,

It turned out to be a brilliant idea to bring together all types of post- and non-acute care organizations in one conference. The interactions among private duty home care, Medicare home health and hospice, skilled nursing facility, and rehab hospital owners and other executives last week were rich with insights and ideas. We learned about joint ventures between non-medical in-home care providers and large hospital systems, about the growing need for care transition case management, and about the way MedPAC commissioners look at post-acute care.

This last insight is the topic of our lead article this week. If you wonder why Medicare payment rates have suffered under downward pressure ever since MedPAC started advising Congress, our summary of the keynote presentation by MedPAC Commissioner and Harvard Professor David Grabowski may help you understand. You may still disagree with him, and we cannot say you will enjoy reading the article, but at least you may understand why they treat you the way they do.

Review Choice Demonstration
CMS has published details for Ohio HHAs, the second state to join RCD. Texas, North Carolina, and Florida are next. Ohio needs to act quickly to choose between two ways to participate (three if you count the silly one). The window for choosing opens August 16 and closes September 15. We re-published the CMS announcement for your convenience.

A Book for Everyone
Whether you are a professional caregiver or the child of an aging parent, "Eldercare 101: A Practical Guide to Later Life Planning, Care, and Wellbeing"  by Mary Jo Saavedra should be on your desk. Frankly, I wish she had written it before my own parents died. In our review, we share a couple of excerpts and congratulate her for the way she pulled together expert authors to write a chapter, each in her own field -- legal, financial, healthcare, spiritual, etc. -- instead of merely interviewing them and trying to write it herself.

New App for Hospices
Tina Marrelli has been helping nurses learn and improve their skills for decades. Her "Red Book" can be found in nearly every HHA and hospice in the country. Now, she has created an app to accompany her book. The "Red Book Hospice Care Planning" app supports care plan development to help clinicians care for hospice patients and their caregivers. 

Worth the Trip
Competition is top-of-mind for every agency owner. Whether you do battle for physician referrals or from that coveted telephone call from the adult daughter across the country, your sales efforts are your business's oxygen. If you want to learn how to do it right, from top national experts, join me at this year's "Growth Summit" with Melanie Stover, OT, and Cheryl Petelkis, RN. We'll be in Las Vegas, September 17-19. I went last year and was surprised at how much content they can squeeze into three days. Click the graphic on the right side of this page or go to homecaresales.com/vegas for all the details.

Have a great week. Keep making a difference!

 

Editor signature
Tim Rowan



Commissioner Offers Rare Peek into MedPAC Decision-Making Process
David Grabowski shared data with SNF, HHA, hospice audience, offered frank explanation of how MedPAC uses it.

CMS News: Review Choice Demonstration in Ohio
Illinois started Review Choice in the spring. Ohio begins on September 30. Texas, North Carolina, and Florida to follow every 60-90 days.

Book Review: Eldercare 101 by Mary Jo Saavedra
For your patients and clients, or for your own parents, you need the guidance offered in this book.

Hospice Care Planning App Released to Accompany Tina Marrelli's Popular "Red Book"
Tina Marrelli's Red Book has been a Home Health and Hospice staple for generations. Her new app accompanies the book and supports nurse care planning.

 
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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:
Hospital-to-Home Program Saves Lives, Slashes Costs
Colorado home health agency thrives with hospital partnership. Patients and payers benefit. This program could be duplicated anywhere.
 
Ongoing Series: PDGM Vendor Perspectives and Preparations
WellSky Chief Clinical Officer Tim Ashe and Axxess Chief Technology Officer Andrew Olowu share their perspectives on PDGM and how their companies are assisting customers.

As of this date, approximately 34,551,000 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.

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


NAHC 2019 Conference & Expo *

October 13-15
Seattle

Information and Registration


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.


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

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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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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