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.

 
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During the 1st Quarter of 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 2597 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

2018 Annual Conference

AHHC of North Carolina

May 7-9
Sheraton Imperial Hotel & Convention Center

Register


West Coast Payer and Provider Summit to Address Social Determinants of Health for Complex PopulationsA World Health Care Congress Executive Series Event

June 4-5

Doubletree Resort Paradise Valley
Scottsdale, AZ


Download agenda

Post Acute 360: Strategy and Solutions Conference

Presented by: Lincoln Healthcare Leadership

June 25-27
Gaylord National Resort
National Harbor, MD
Information and Registration


Leading in a Changing World

Texas Association for Home Care & Hospice 49th Annual Meeting
August 8-9
Moody Gardens Hotel & Spa
Embassy Suites Frisco Hotel & Convention Center
Frisco

Information and registration


Home Care Cruise

Sponsored by: HealthCare Synergy
Featuring: Melinda Gaboury, Michael Tidd, Paula Pettit
Dates: August 24-27
Location: Carnival Inspiration, Los Angeles to Ensenada, Mexico

Information and Registration

(Early Bird Pricing Ends May 15)


Hospice Financial and Administrative Management Academy

Presented by: The Health Group, LLC

Date: September 17-18
Location: Mirage Las Vegas

Information and registration


2018 National Leadership Conference *

Home Care Association of America

Date:
September 22-25
Location: Marriott Wardman Park Hotel
Washington DC

 

Information for Providers and Exhibitors


*HCTR 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

Patients' Right to Freedom of Choice of Providers: How to Avoid Lawsuits

 

Presented by Elizabeth Hogue, Esq.

 

Thursday, June 14 (Encore Date: 6/21)
Recording available 24/7 On Demand; option to purchase CD & handouts.
1:00 - 2:30 pm EDT

 

Register here

 

Conflict between hospitals and home health agencies, private duty agencies, hospices and HME companies that receive referrals from hospitals may be intensifying regarding patients' right to freedom of choice. Hospitals say that they comply with all requirements while some post-acute providers maintain the exact opposite. Now post-acute providers are suing hospitals for violations.
  • What exactly are hospitals supposed to do?
  • What do post-acute providers say are common violations?
  • What is an example of a recent lawsuit filed against hospitals for violations?
  • What can hospital discharge planners/case managers do to avoid these types of lawsuits?
  • How can providers help ensure that patients' rights are honored instead of filing court cases against hospitals?
Participate in this teleconference to learn the answers to all of these questions! Extensive handouts will be provided that will also serve as a resource when questions come up in the future.


FY2019 Hospice Proposed Rule: What You Need to Know

Sponsored by HEALTHCAREfirst
Featuring:
Deanna Loftus, Director of Regulatory Compliance, HEALTHCAREfirst

Date: Tuesday, June 5
Time: 2:00 pm EDT

Free Registration

On April 27, 2018, CMS issued a proposed rule that would update FY2019 Medicare wage index and payment rates for Medicare hospice agencies. The proposed rule includes changes to the hospice payment rates, updates to the Hospice Quality Reporting Program (HQRP), and more. Ms. Loftus will review the latest information regarding proposed changes and how they may affect you.


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


Dementia, Alzheimer's, and Mental Health Aide Education

Presented by Curaport
Featuring:
J'non Griffin, RN, MHA, WCC, President, Home Healthcare Solutions, LLC

Date: Tuesday, May 15
Time: 2:00 p.m. EDT

Fee: $79 (per attendee)
Information & Registration

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

 



Clinical Impact of OASIS-D

Presented by HEALTHCAREfirst

Featuring:

Deanna Loftus, HEALTHCAREfirst Director of Regulatory Compliance
Mary St. Pierre, RN, BSN, MGA, Regulatory Consultant

Tuesday, May 1
2:00 pm EDT

Free Registration

In March 2018, CMS released the draft of the latest version of the OASIS data set, OASIS-D. Modifications are being made to OASIS in order to comply with the IMPACT Act, to reduce data collection burden, and to improve formatting throughout the document. CMS is seeking approval from the Office of Management and Budget for a January 1, 2019 implementation date. Topics:

  • Addition of six new standardized items
  • The removal of 28 OASIS questions that will no longer be assessed.
  • Modification to M1311 to support a new standardized pressure ulcer measure.
  • Addition of responses to M1028, M1311, M2102 and removal of responses to M2310.
  • Review of additional changes to OASIS

 



ADR Education: Prevention & Response

Presented by Curaport

Featuring: Diane Link, RN, MHA

Date: Thursday, May 17
Time: 2:00 p.m. EDT
Fee: $79 (per attendee)

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.

Registration



The Penalty Box Compliance Series Part 8: The IMPACT Act

Presented by Curaport
Featuring Kristi Bajer, RN, MSN

Wednesday, May 23
1:00 p.m. EDT
$39

Information and registration

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



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

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