Volume 6, Number 45 September  13, 2017




Dear Healthcare at Home Colleague,

Let me start this week with a huge thanks to you readers who have ordered my book, "Entrepreneurial Insanity in the Home Care Business" and written me with your comments. I am gratified that you liked it and maybe even learned something from it. Here is the ordering information again. Use this coupon code, KH54XYT9, for $5 off if you order here.

Our thoughts are with providers and their patients in Florida this week, without forgetting that caregivers and patients in Houston continue to need all the assistance they can get. Just in case some Floridians have not been able to get their association's update, HCAF has rescheduled some important workshops. Here is what they told us:

"Medicare Home Health Reimbursement at its Finest!" workshops that were scheduled to take place this week at various locations throughout the state will now take place as follows:

This Week's News:
All of the stories we cover this week center around one urgent concern for Medicare certified agencies. CMS bureaucrats have proposed drastic changes to the Home Health Prospective Payment System, apparently without input from anyone who works in the field. Several national associations have issued appeals for help convincing CMS rulemakers that the proposed rule is unworkable. In the words of NAHC Interim President Bill Dombi to the Massachusetts Association, "Home Health needs a new payment system. HHGM is not it."

After you read about the requests to contact your legislators, be sure to peruse "HHGM: Disaster or Incentive?" for a different way of looking at the proposed payment system. It is not accurate to describe guest author Michael McGowan's take as an opposing view, but it certainly is an expanded examination of the HHGM problem.

In summary, McGowan asserts that the number one threat to Home Health provider profitability -- even survival -- is clinical practice, especially clinical documentation accuracy. Improve clinical practice, gain efficiencies, and your net revenue will increase, making CMS's little 1% or 2% cuts trivial to you. On the other hand, he warns, if you continue to allow your clinical staff to practice the way they did when PPS was new, you may as well put a 'for sale' sign in your office window. Ergo, after you write your representatives, your choice is twofold: You can either change people, or you can change people. (I know, I had to think about that one for a minute too.)

Worth the Trip
As this week's report reaches you, probably Thursday morning, I am delivering the keynote presentation at the annual user conference for AlayaCare, a Canadian home care EMR company that has recently been introduced breaking into the U.S. private duty market. Next month, my business partner and co-author Roger McManus and I will be demonstrating our census-building system, "Home Care Reviews" at the annual meeting of the Home Care Association of America in Austin. The national association that serves the needs of non-medical and private duty providers has an impressive lineup of keynote and breakout speakers scheduled for their October 8-11 meeting, ranging from retired Dallas Maverick Walter Bond to HCTR friend Bob Roth, owner of Cypress Home Care in Phoenix. We'll be in Booth #49. Hope to see you there.

Have a great week. Keep making a difference!

Editor signature
Tim Rowan



NAHC & Partnership Make Same Urgent Plea for Industry-wide Advocacy to Stop CMS PPS Changes
The National Association for Home Care and Hospice and the Partnership for Quality Home Healthcare have each issued urgent pleas for the entire industry to join the effort to educate the new crew at CMS about how home healthcare really works.

HHGM: Disaster or Incentive?
In the event efforts to fend off CMS's proposed changes to the Home Health payment system are not successful, providers will have to adapt to survive. Clinical workflow processes are at the center of the effort.

 
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:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
With Allscripts, HealthMEDX and DeVero Under Its Umbrella, Netsmart Takes Aim at Interoperability
We spoke with VP Kevin Scalia about plans to combine acquired products, about nationwide HIEs, and about (gasp) a working relationship with Epic.
 
New NAHC President Launches Top to Bottom Reorganization
The National Association for Home Care and Hospice announced last week that its board of directors has appointed Bill Dombi as Interim President. Immediately curious about how long an "interim" is and what might be in store for the association after the untimely passing of its 35-year and only president, we called Bill and were graciously given some time during what must have been an extremely busy week for him. He explained the reorganization project dubbed "NAHC 2.0."

As of this date, approximately 26,928,000 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

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
Houston
tahch.org

*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
Agenda:
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:
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont


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
Date(s)
Hotel or Conference Center, City, State
URL

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



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


Transitional Care Management - What is Your Practice Missing?

Presented by Curaport
Featuring: Kimberly Kicklighter, MSN, RN,
Director of Nursing & Quality, Successful Health & Wellness Solutions

Thursday, February 22
2:00 p.m. Eastern

Fee: $39

Information & Registration

 



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



Social Worker Documentation: The Route to Quality Assessments

Presented by Curaport

Featuring Christina A. Nuqui, M.S.W., Home Healthcare Solutions, LLC
Tuesday, February 20
2:00 p.m.EST
$99
Click here to register

(approved for 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.

Registration



Prevention of Diabetes Related Lower Extremity Amputation

Presented by Curaport

Featuring Myra Varnado, BS, RN, CWON, CFCN, Director of Clinical Services, Corstrata
Thursday, February 8
2:00 p.m. EST
$49

Click here to register

(approvedfor one (1) contact hour of Continuing Education for Nursing)

 



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.