Volume 8, Number 43 — November 20, 2019
Dear Healthcare at Home Colleague,
Interoperability will be one of the most important capabilities in 2020 for all post-acute providers, home health, hospice, and home care. Winning collaborative partnerships with health systems, SNFs, rehab hospitals, and other care providers will not be possible if you tell them you can only exchange patient data by phone or by that brilliant technology from 1980, the fax (shudder). Interoperability can be accomplished through your EMR, if your vendor has developed that function. It can also be offered to your partners through a 3rd party service, a Health Information Exchange.
I know, I know, you've looked into HIEs. They are handy but sometimes their membership or subscription fees range from burdensome to outrageous. That is why every post-acute provider needs to read this week's lead article, our interview with Reynold Bunzel, an HIE user in New Mexico. The HIE he uses so impressed payers in that state, they underwrite the cost for New Mexico post-acute providers to participate. The founders of that HIE are working on payers in the other 38 states in which they operate. We titled our article, "HHAs Eschew HIE, Even When It's Free" because, so far, Mr. Bunzel is the only NM home healthcare provider using it. Here's the article's bottom line. Data interoperability has saved him so much money and improved patient care so drastically, he would be using this HIE even if it were not free. Every provider needs to hear his story and, when you read the article, be sure to click on the footnotes for a lot more valuable HIE information.
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We have been impressed by the industry insights of Adrian Schauer, founder and CEO of private duty scheduling and EMR software vendor AlayaCare, and not just because they are one of our sponsors. As the Toronto-based company makes its presence more and more known south of the border, non-medical home care providers are beginning to take notice. We asked Schauer what he sees coming in the immediate future for the private duty sector. Read Darcey Trescone's interview with him in "Alayacare Forecasts What 2020 Will Bring for Home Care."
Again in the interoperability category, WellSky sent us two announcements this week about new product and services releases that will help its clients exchange patient data with health systems and payers. Read about both WellSky I/O and WellSky REACH in this week's Vendor Watch column.
The Visiting Nurse Service of New York is developing its population health service and has chosen Netsmart CareManager™ to support its program, known as Care360°Solutions. Details are in the article cleverly titled, "VNSNY Selects Netsmart CareManager™ to Support Its Population Health Management Activities."
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We do not have all the details yet, but we heard just as we were wrapping up this week's issue that a longtime EMR software vendor was hit with a ransomware attack recently. Customers were shut down for a few days while they worked through the attack. All it takes is one gullible employee to click on a link or open a document disguised in an apparently legitimate email and the entire company is compromised. I have gotten a few of them recently, some appear to come from people I know. You can always tell they are bogus though. The English is awkward, the greeting is usually "Hi, Friend" or some other wording that does not include your name, and the closing is rarely signed, ending in "Sincerely," and nothing else. Train your people to be on the alert. It could happen to anyone and it can be extremely expensive.
Join me in Columbus next month for a full day exploring the technologies that can ease your transition into, and increase your changes of thriving during, PDGM. Not a Medicare provider? Come along with us anyway. My keynote address to the Ohio Council for Home Care & Hospice will include a number of new tech systems specifically designed to help non-medical home care agencies, many of them surprisingly affordable. December 12, Crown Plaza Columbus North-Worthington, 9:00-5:00. Here is the registration link.
No issue next week. Have a terrific Thanksgiving. Keep making a difference!
HHAs Eschew HIE, Even When It's Free
If home health, hospice and home care providers say they avoid using Health Information Exchange services because of high subscription fees, why do they not use this free one? The one agency that does loves it.
Alayacare Forecasts What 2020 Will Bring for Home Care
We were lucky enough to catch Adrian Schauer, AlayaCare CEO to discuss his viewpoints on 2020 and what will be important with technology for the year to come.
VNSNY Selects Netsmart CareManager to Support Its Population Health Management Activities
VNSNY will utilize Netsmart CareManager™ to provide care coordination, data reporting and analytics support for its full range of population health management programs, including VNSNY Care360°Solutions.
Vendor Watch
— Two announcements from WellSky: WellSky I/O, a new interoperability framework; and WellSky REACH a Technology and Services Platform Powering Payer-Provider Collaboration.
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During the 4th Quarter of 2020, web sites of the above advertisers were visited by home care and hospice executives and staff 4319 times. To inquire about placing your message here, contact: Kristin@rowanresources.com As of this date, approximately 35,706,000 Baby Boomers have become Medicare eligible. |
Last Week's Most-Read Stories:
What Home Care Providers Need to Know About New Stark Rules
Hospice Expert Wants Home Health Nurses to Understand Hospice
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Conference: Successful Home Health Transformation
Hosted Dixon Healthcare Solutions, Inc.
Date: December 5-6
Location: Bally's, Las Vegas
Time: 7:00 am - 4:00 pm
Speakers: Richard K. Dixon, Cheryl Peltekis, RN, Meaghan McCormick, Esq., Donna Floyd, RN, BSN, J'non Griffin, RN, MHA, HCS-D, BCCH-C, COS-C, WCC; Annette Lee, RN, MS, HCS-D, COS-C; Cory Mertz, managing partner for a leading healthcare M&A firm.Approved for up to 10 hours of Continuing Nursing Education by Corexcel, an accredited provider by the American Nurses Credentialing Center's Commission on Accreditation.
WEBINAR: Key Documentation Issues for 2020 & the Future
A 90-Minute Lunch & Learn Audio Conference by Elizabeth E. Hogue, Esq. Health Care Attorney
Date: March 18
Time: 1:00 - 2:30 EDT
Encore date: March 25; On-demand recording available
Information and Registration
Documentation remains a key requirement for home care providers as the consequences for inadequate documentation become more severe.
- What can home health agencies do to avoid denials by ZPICs, RACs, etc., for lack of homebound status and reasonable and necessary care?
- What kind of documentation must home health agencies, hospices, private duty agencies and HME companies maintain regarding gifts to referral sources and payments to physicians who make referrals to them?
- How can providers avoid an increase in enforcement action in this area?
- What kinds of documentation problems are private duty agencies facing with regard to recoupments from state Medicaid Programs?
- What dangers do electronic medical records cause for all types of home health providers?
- Is it true that if it wasn't documented, it wasn't done?
Gather your staff members to emphasize effective documentation yet again. Real examples of cases involving problematic documentation will be presented. Questions and case examples are welcome, and extensive handouts will be provided for use by staff members.
Recordings Available: Pandemic Recovery - Rebuild Stronger Than Ever
Texas Association for Home Care and Hospice
Two days of keynote and breakout presentations for home health and hospice providers.
Webinar Series: Sales Training, Home Health and Hospice
Presented by: Healthcare Strategica, LLC
Featuring: Michael Ferris
1 - 8-week Hospice & Palliative Care Sales Training Course2 - 8-week Home Health Sales Training
Rowan Report subscribers: Register with this link to receive $100 discount.
We have taken our best of class industry specific sales training bootcamps and are offering them via Webinar to enable you to continue to train your sales team in today's world of limited travel and social distancing.
The Hospice and Palliative Care course will be offered live every Tuesday starting May 19 through July 7, 2020.
The Home Health course will be offered live every Tuesday starting May 21 through July 9, 2020.
Each class will have participation exercises, homework assignments, quizzes and question and answer opportunities.
Each participant will receive their own course materials and individual coaching and feedback. At the conclusion of the course each student will receive a certificate of completion, an invitation to join the exclusive Sales Mastery Group* and opportunity to join the 52-week Sales Training Excellence Course.*
* Only available to Sales Professionals that have successfully completed the 8-week Sales Training Course – additional fees may apply.
Each session will be offered on-demand and if unable to attend the live webinar, you will be able to view the recording and participate in exercises, questions, coaching and quizzes. If you start after the first webinar date, you will be provided with access to those classes missed so that you can get caught up or you may elect to attend via the recorded sessions.
FREE WEBINAR: How Technology Enhances Home Care in an Increasingly Remote World *
Sponsored by: Care Connect
Moderator: Tim Rowan
Panelists: Mike Gelman, President COO, CareConnect; Jim Rolla, SVP, VNSYNY Partners in Care; Steve Pellito, SVP, Provider Sales, Sandata
Date: November 12
Time: 1:00 pm EDT
The 2021 Home Health Final Rule
Insights to position your agency for success
Sponsored by: WellSky
Featuring: Sharon Harder, president, C3 Advisors; Jill Dyer, BSN, RN, HCS-D, HCS-O, president, JID Consulting and Coding, LLC
Date: November 18
Time: 1:00 - 2:00 ESTAttendees will learn:
- How to prepare for and implement the operational changes imposed by the final rule, including submission of no-pay RAPs within five calendar days of the start of care and changes to the types of non-physician practitioners who can order home health services
- The impact of CMS’s decision to retain the PDGM behavioral adjustment
- The status of proposed legislation aimed to allow home health agencies to bill for telehealth services during public health emergencies and how this change would affect care planning and delivery
FREE WEBINAR: Cybersecurity in Healthcare: Assess Threats & Reduce Your Risk
Presented by: Netsmart
Featuring: Randy Pargman, Binary Defense senior director of threat hunting and counterintelligence; Sharon Hicks, MBA, MSW, OPEN MINDS senior associate; and Mike Murray, Netsmart director of Plexus Technologies,
Date: December 9
Time: 1:00 EST
Healthcare organizations are often at risk of cyberattacks due to a lack of dedicated IT and reliance on traditional reactive approaches. To learn how to protect your data, register now to join Randy Pargman, as they map the risk landscape and provide guidance for safeguarding your organization.
Key takeaways:
• Cyber threats in healthcare
• Impacts of a data breach
• Best practices for securing your data
FREE WEBINAR: Can you collect Cash faster?Sponsored by: Savii
Date: Tuesday, January 12
Time: 2:00 pm EST
With small margins in home care it has prompted the question, “Can we collect cash faster?” And what would this do for an agency? One thing we know is margins are small and have become more challenging than ever to for agencies to profit. This doesn’t mean it impossible for agencies to survive; it means a focus on collecting cash faster will be ever so important.
Agency leaders will first need to develop a timeline cadence of when to address claims based on when they were submitted for payment. In addition it will be pertinent to understand their own agency metrics such as DSO (Daily Sales Outstanding) and how they compare to industry standards.
On this webinar you will walk away with how to develop a timeline and your own DSO dashboard for benchmarking. All of these topics will weave into strategic steps to take toward collecting cash flow faster.
FREE WEBINAR: Return to Work under COVID-19
Presented by: Healthcare Synergy
Featuring: David Mauzey, SVP & General Manager, HealthPointe SolutionsDate: January 14
Time: 11:00 - 11:30 PST
The COVID pandemic has evolved, initial processes in place ensure a safe work force environments but need to evolve to stay effective and efficient. Home health has an extra layer of scrutiny given the population may be at a higher risk. This webinar will focus on how an organization can evolve to keep their workforce and patients safe. HealthPointe Solutions has a full inventory of new and advanced recommendations that help implement and maintain site safety. This includes step-by-step guidance that include medical testing administration strategies, patient/employee monitoring, training/education and program auditing.
Objectives:
David Mauzey has over 25 years' experience in healthcare, helping bring operational efficiency solutions to both providers and payers. Within HealthPointe Solutions, he is responsible for operations and was a part of the team that developed HealthPointe Solutions’ COVID response solutions. Prior to joining HealthPointe Solutions, David served as VP and GM of Optum's Network Payment Innovation, where he focused on alternative payment programs, including bundle d payments and population-centric, value-based programs.
FREE WEBINAR: The Rise of Hospital at Home: A Roundtable Discussion
Sponsored by: AlayaCare
Featuring: Dr. Bruce Leff, Hospital at Home Pioneer & Professor, John Hopkins School of Medicine; Adrian Schauer, Founder and CEO
AlayaCare; Joel Theisen, Founder and CEO, Lifesprk; Brady Murphy, VP Sales & Marketing, AlayaCareDate: Wednesday, January 27
Time: 1:00 EST
Information and RegistrationAgenda
Across the U.S., the Acute Hospital Care at Home initiative from CMS is taking off amid the pandemic with at least 80 approved participants to date. As hospital-at-home models become more popular and more beneficial to both patients and health care organizations, those that have recognized the perks of home-based care prior to the COVID-19 crisis may have the upper hand.
Join us on Wednesday, Jan 27th at 1:00 pm EST for a roundtable discussion with industry experts such as Dr. Bruce Leff, Hospital at Home Pioneer and Professor at John Hopkins School of Medicine who deserves his reputation as a founding father of this virtual hospital concept, to learn about the hospital-at-home model and its impact on the home care industry.
FREE WEBINAR: 5 Key Elements of a Successful Home Health Remote Patient Monitoring Program
Presented by: Amity Healthcare Group
Featuring: Irina Gorovaya, owner and president of Amity Healthcare Group; Erin Vallier, AlayaCare Account Executive; Kaila Raimondo, AlayaCare Solution Engineer
Date: Wednesday, January 27
Time: 2:00 pm EST
Information and Registration
Agenda:
Explore key factors and solutions necessary for successful deployment of patient remote monitoring program in home health.
The discussion will include policies and procedures, documentation, staff education, and telehealth equipment and solutions.
FREE WEBINAR: Rubber Meets the Road with the No-Pay RAP
Sponsored by: KanTime & BlackTree Consulting
Featuring: Nick Seabrook, Managing Principal and Founder, BlackTree; Kim Spence, RN, Director, KanTime Customer Success; Greg Lotz, Director, KanTime Marketing & Sales Technology
Date: February 4
Time: 2:00 ESTAGENDA:
Re-visit regulatory changes and how they have impacted agencies. Plus, tips and tricks to stay ahead of the curve.
Virtual Conference: Winter Leadership Summit
Presented by: National Association for Home Care and Hospice
Date: February 23, 2021
Homecare 100 *
Presented by: Lincoln Healthcare Leadership
Date: June 27-30, 2021
Venue: JW Marriott Marco Island Beach Resort, FL
https://www.homecare100.com/
*The Rowan Report will see you there.
Your state or national association meeting or webinar 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
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