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 2nd Quarter of 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 2335 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


NAHC Financial Managers Meeting

July 15-17
Austin, TX
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)


Medicare and Managed Care Reimbursement Necessities

Presented by HealthCare Synergy, Inc. and Illinois Homecare & Hospice Council

Featuring: Melinda Gaboury, COS-C
Date: Wednesday, September 5
Time: 8:30 am CDT
Location: Northern Illinois University

This is an In-person Workshop and Live Webinar

Information and Registration

(HealthCare Synergy clients, call for a special discount: 714-229-8700; ext 118 for Rangsey Ouk or ext. 137 for Edleen English.)

To maximize your reimbursement, you need to be well informed. Melinda Gaboury of Healthcare Provider Solutions, and a trusted consultant for HealthCare Synergy, will help you stay on top of constantly changing regulatory requirements so you can get paid.


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.


Bridging the Gap Between Acute and Home Care with PICO Single-Use NPWT

Sponsored by: ElevatingHOME

Featuring:
Ravi K. Bashyal, MD, Director of Outpatient Hip and Knee Replacement Surgery, Northshore University Health System
Kristi Huebner, RN, MSN, CWS, Professional Education Manager, Smith & Nephew

Date: Friday, August 10
Time: 1:00 pm EDT

Registration

This webinar will provide participants with insight into how PICO Single Use NPWT may benefit wound care patients in the home care setting. Additionally there will be a discussion about prophylactic use on incisions for prevention of readmission to the acute care setting. Participants will gain insight into appropriate utilization of PICO NPWT in the home care setting and how participation in this program may improve patient outcomes.



Three-Part Webinar Series by Relias Learning

August 8: A Journey to Achieving Quality Care
Presenter: Diane Geis, EVP and Chief Personnel Officer, Altercare of Ohio, Inc. and TSG Resources, Inc.
Register

August 15: Best Practices in Dementia Care for A Competitive Edge
Presenter:
Teepa Snow, MS, OTR/L, FAOTA, Positive Approach, LLC
Register: Facility Professional
Register: In-Home Professional

August 28: Developing Managers as Leaders: Top Down is Dead. Lead From the Middle!
Presenters:
Jan Wilson, M.Ed., SPHR, SHRM-SPC, Director, Learning and Design Outcomes, Relias
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


Secrets to a Positive Home Health Survey Experience

Presented by Curaport
Featuring:
Heather Calhoun, RN, BSN, COS-C, HSC-D, Home Health Solutions, LLC

Date: Tuesday, August 28
Time: 2:00 p.m. EDT

Fee: $99 (per attendee)

Information & Registration

Your Home Health Agency will be surveyed soon. Even if that is 9 months away – that will be here before you know it! With all the changes that are constant in the world of Home Health, one thing that does not change is the importance of preparing well for a surveyor to walk through your door. How to prepare for and perform well in your next Survey should not be a secret.

Heather Calhoun of HHS will be leading this education session on uncovering the secrets to preparing your Agency to excel in your next survey. Learning objectives for this webinar are:

  1. Describe 3 ways that an agency can be survey ready
  2. Develop processes in the agency that will ensure success during a survey
  3. List 2 things to avoid during a survey
  4. Discuss educational opportunities within the agency in preparation for the survey
*This education session is approved for one (1) contact hour of Continuing Education for Nursing.

*Curaport, LLC is an approved provider of Continuing Education by the California Board of Registered Nursing. All states accept this certification for their licensing requirements. No refund shall be given, except for any change in date or time of the webinar. In such case, a full refund shall be given to the registrant upon their request.

 



Home Health Proposed Rule: CY2019/2020 Payment & Policy Changes

Presented by HEALTHCAREfirst

Featuring:

Deanna Loftus, HEALTHCAREfirst Director of Regulatory Compliance
Liz Silva, HEALTHCAREfirst Director of Home Health & Hospice
Mary St. Pierre, RN, BSN, MGA, Home Health Regulatory Expert

Wednesday, August 8
2:00 pm EDT

Free Registration

On July 2nd, CMS issued a proposed rule outlining changes for CY2019 and CY2020. Join HEALTHCAREfirst for a two-part webinar series where we will break down the proposed changes and discuss what it may mean for home health agencies. In session one, we discussed the proposed changes for CY2019, including a review of the 2.1% payment increase, home health value-based purchasing refinements, updates to the HH QRP requirements, and changes to the rural add-on structure. In session two, we will cover the proposed changes for CY2020, including implementation of the Patient Driven Groupings Model (PDGM) and changes to OASIS. You won’t want to miss this webinar series to learn more about the possible overhaul of the home health prospective payment system and CMS's continuing shift towards value-based care.

 



Understanding Social Determinants to Improve Health Care

Presented by Curaport

Featuring: Christina A. Nuqui, M.S.W., of Home Healthcare Solutions, LLC

Date: Thursday, July 12
Time: 2:00 p.m. EDT
Fee: $79 (per attendee)

Information and registration

This education session is pending approval for one (1) contact hour of Continuing Education for Social Work from the National Association of Social Workers.

Addressing the Social Determinants of health will be the most important factor of health care reform. This webinar will discuss what Social Determinants are, and how they can help you better understand your patient. In addition, we will discuss how Social Determinants affect access to health services, Re-Hospitalizations, & Individual Behaviors.



Introduction to the CMS Electronic Medical Documentation Interoperability (EMDI) Program

Presented by: ElevatingHome
Featuring:

  • Pallavi Talekar, Project Manager, Scope Infotech, Inc.
  • Ray Wilkerson, Sr. Business Analyst, Scope Infotech, Inc.
  • Nandini Ganguly, Business Analyst, Scope Infotech, Inc.
  • Briana Barnes, Project Coordinator, Scope Infotech, Inc.
Date: Wednesday, August 8
Time: 1:00 p.m. EDT

Registration

 

Participants will gain understanding of the CMS-driven Electronic Medical Documentation Interoperability program, focused on reducing provider burden by engaging health care providers and stakeholders in pilots that establish secure communication to share medical documentation by aligning with nationally recognized interoperable standards. This event is designed for providers and vendors who are willing to enhance their workflows and communication to achieve efficiency by reducing time and cost.

In this session participants will learn about interoperability and shift in the health care IT landscape, EMDI pilot program details, EMDI pilot program benefits, and how to partner with the EMDI to achieve interoperability.



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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