Volume 8, Number 43 July  24, 2019




Dear Healthcare at Home Colleague,

(Remember, if you're too busy to read, click on the "Listen" button and my podcast will summarize this week's news for you.)

Is Medicaid in trouble? The first state has submitted a Section 1115 waiver application to HHS. Others may follow. Section 1115 is a request to allow a state to accept Medicaid block grant funding, replacing the usual proportional Federal cost-sharing funding.

Our guest author this week, Raymond Feierabend, is a retired physician and professor emeritus of Family Medicine at East Tennessee State University. He is gravely concerned about moves his state has made to limit access to Medicaid. If you are a Tennessee Medicaid provider, or a provider in any state that has chosen not to accept additional Medicaid funds from the Affordable Care Act, Dr. Feierabend's detailed opinion piece, Physician Concerned About TennCare's Future, is must reading.

Home Care, Hospice Behind with Interoperability

Equally important to post-acute providers on all levels is a survey conducted by Porter Research and sponsored by our friends at Brightree. It has a disturbing finding. After learning interoperability and electronic referrals are extremely important, the survey found 4 percent of post-acute providers are capable of exchanging patient data electronically. See "Interoperability Importance Underscored by New Survey" below.

Invention Saves Caregiver Backs

Do your in-home caregivers ever have to move patients who cannot walk on their own to and from the bathroom? Typically, getting from a bed or chair to a wheelchair for transport to a toilet and back again can involve eight to ten lifts, each one an injury risk. We discovered a potential solution to this risk in an invention that we think will be popular once it moves from prototype to manufacture. Our review of the "Bottoms-Up SwingChair" includes links to a video that explains better than our words might how this invention will help.

New PDGM Survival Tools

Axxess sent us an announcement about PDGM tools it has already made available to users of its home health EMR.

Payment Problem for Hospices

CMS sent us an important reminder to hospices about reconsideration requests for the FY 2020 Annual Payment Update.

Worth the Trip

Will you be joining me at Lincoln Health's "Senior Care 360" conference at the Gaylord in National Harbor, Maryland at the end of this month? It promises to be an excellent opportunity to explore the theme of our series of articles about the importance of interoperability. There will be colleagues there from skilled nursing, senior living, home care and hospice. I look forward to the opportunity to hear them talk to each other about care coordination.

Have a great week. Keep making a difference!

Editor signature
Tim Rowan



Interoperability Importance Underscored by New Survey
Survey reveals that 60 percent of referral sources would switch to a Home Health and Hospice provider that can accept electronic referrals from its EMR, while only 4% are able to do so today.

Physician Concerned About TennCare's Future
A retired Tennessee physician and professor believes his state is shredding its medical safety net.

CMS News: Reminder to Hospices
A July 24 CMS briefing sent a firm reminder to hospices and other Medicare providers.

Product Review: "Bottoms-Up Swing Chair" Eases Care of Non-Mobile Patients
This new invention may not technically be a technology but we find it innovative, especially thinking back to family members who could have used it.

Axxess to Provide Clients With Technology Tools to Prepare for PDGM
EMR company to provide Revenue Impact Analyzer and Case-Mix Impact Analyzer plus a PDGM Resource Center.



During the 1st Quarter of 2020, web sites of the above advertisers were visited by home care and hospice executives and staff 2948 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

As of this date, approximately 34,397,000 Baby Boomers have become Medicare eligible.

 

Last Week's Most-Read Stories:

The 5 Things You Need to Know to Successfully Implement An EMR
Mitigate the frustration that comes with implementation and enhance post implementation buy-in by implementing your EMR correctly.

Brightree Executive Advocates Interoperability Standards
Brightree's Nick Knowlton has been a CommonWell Health Alliance board member for five years. Few have his insights into the movement toward interoperability.




Upcoming Events

WEBINAR: 5 Crucial Ways to Prepare for PDGM

Sponsored by: HealthCare Synergy

Featuring: Michael Tidd, LVN, COS-C, COS-D
Dates: November 13
Time:
10:00 am PST / 1:00 am EST

Information and Registration

Agencies are rapidly trying to prepare for the PDGM payment model. We will show you the most crucial ways an agency can prepare for the internal changes needed for PDGM. While most agencies are focusing on how to instruct clinicians on the change, PDGM has the most impact on office functions. Attend and gain insight on the things the agency needs to be doing now to prepare for January 1, 2020.

Objectives:
1. Learn agency level changes that can be implemented to be successful in 2020
2. Understand how to approach budgeting and finances under PDGM
3. What do your clinicians really need to know to ensure the agencies continued success

Michael Tidd has over 19 years of experience in the Home Care Industry and is a frequent speaker at HealthCare Synergy Workshops and Webinars. He is a Software Developer, LVN and Certified in ICD-9/10 Coding and OASIS (COS-C, HCS-D). As the Clinical Manager for HealthCare Synergy, he directs the Outsourced Management Services, assists in directing the development of the Healthcare Assistant Web Edition, oversees the Clinical Documentation Auditing provided to clients and directs the Clinical Form Development for the Healthcare Assistant Web Edition. Michael continues to educate agencies in the ongoing regulations that CMS produces, the proper application of the Medicare Conditions of Participation and completing timely, accurate and defendable clinical documentation to survive in the current Medicare Reimbursement Model.


Webinar: Post-Acute Care Quality Reporting Programs

Presented by: CMS

Date: Thursday, November 14

Time: 2:00 - 3:00 pm EST

Fee: Free

Description: The Centers for Medicare & Medicaid Services (CMS) will be hosting a webinar for Medicare-certified hospice providers to provide an overview on Hospital Quality Reporting Program (HQRP) requirements.

During this webinar, CMS subject matter experts will provide information on the following topics:

CMS will answer questions at the end of the webinar as time permits.

Register

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.

Information and Registration

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: PDGM Preparation: Operational Strategies

Sponsored by Kornetti & Krafft Health Care Solutions & MedBridge

Date: December 5
Time: 1:00 pm EST

Information and Registration

Knowing that resources are tight as PDGM approaches, Kornetti & Krafft is offering a free overview of OASIS D1 to ensure that changes to this critical data collection instrument do not get lost in the shuffle.

What is Included:

 


Homecare 100 *January 19-22
JW Marriott Miami Turnberry Resort
Miami, FL

https://www.homecare100.com/

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.

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.

Free Webinar: Marketing During a Lockdown

 

Presented by: Savii

Featuring: Steve Weiss

Date: April 21
Time: 12:00 - 1:00 EDT

Who should attend this webinar?

Home care agency owners, directors, and marketers who want to remain relevant in their market and prepare for anticipated growth as we come out of a crisis.

You will walk away armed with knowledge about:

Information and Registration

Course materials will be sent to all who register, even if you cannot attend.

Steve "The Hurricane" Weiss is a dynamic and entertaining public speaker, known for his expert knowledge in all things sales and marketing. From a young age, Steve has been driven to succeed, and excelled across vastly different industries. Steve founded his current company, Hurricane Marketing Enterprises, in 2012 with a goal to help other business owners across the country. In a few short years, he grew it to a seven-figure business and it has been booming ever since.

FREE Webinar: Digital Strategies to Survive and Thrive During and After COVID-19

Sponsored by: AlayaCare

Featuring: a panel of experts from AlayaCare, Hireology, Home Care Pulse, and CareMaster Medical Services

Date: Thursday, April 30
Time: 2:00 pm EDT

Information and Registration

As weeks turn to months of social distancing and government regulations continue to restrict in-person contact, home and community care agencies must embrace digital strategies both to maintain operations now and future-proof for a post-pandemic world. This webinar unites a panel of experts from AlayaCare, Hireology, Home Care Pulse and CareMaster Medical Services to discuss best practices for all aspects of digital operations – from tips on managing remote staff and virtual hiring to best practices for maintaining quality care.

After the discussion, participants will have the opportunity to engage in a live Q&A session.

Learning objectives:

After this webinar, participants will be better able to:

-Discuss ways to adapt to remote hiring
-Strategically manage remote staffing needs
-Ensure continuity of care between caregivers and clients
-Describe how technology supports each aspect of virtual operations


Free Webinar: Tips for Launching Telehealth and Remote Care in Less Than a Week

Presented by: Ankota

Featuring: Ken Accardi

Date: May 19
Time: 12:00 EDT
Fee: Free

Register

The COVID-19 pandemic has made the importance of Telehealth and Remote Care abundantly clear. This webinar will cover:


FREE WEBINAR: Q2 2020 Post-Acute Care Compliance Forum

Presented by: Casamba
Featuring: Holly Hester, Casamba SVP of Compliance and Education

Date: Thursday, May 21
Time: 3:00 pm - 4:00 pm EDT

Information and registration

In-depth discussion of regulatory and compliance updates for the post-acute care industry, including CMS waivers and flexibilities in response to the Public Health Emergency, telehealth and other virtual services, TRICARE update, and more.


Free Webinar: On the Heaviness of Halos: care for the professional caregiver during crisis 

Sponsored by: Wellsky

Featuring: Dr. Carla Cheatham, M.A. M.Div., Ph.D. Philosophy/Health/Kinesiology

Date: Friday, May 29
Time: 1:00 - 2:00 EDT

Reserve a Seat

Join us for a powerful webinar that will help caregivers in all disciplines tend to their own emotional and mental health as they continue to serve others during the COVID-19 pandemic. Dr. Cheatham, renowned educator and author on compassion fatigue and resilience, will discuss the trauma and moral injury that professional caregivers face and will provide you with practical techniques to help yourself, your colleagues, and your patients or clients, including:


WEBINAR SERIES: Hospice Academy FOUNDATIONS

Sponsored by: Texas Association for Home Care and Hospice

Part 1: The Evolution of Hospice - from Practices to Regulations Over Time
Instructor: Katie Wehri, Director, Home Care & Hospice, Regulatory Affairs, NAHC

Date: June 2

Part 2: The Hospice Plan of Care - An Interdisciplinary Document
Instructors: Amy Ives, RN, BSN, CHPN, Director, Peterson Hospice; Danny Mack, Director of Spiritual and Social Services, Christian Care Hospice

Date: June 4

Information and Registration

 


Webinar Series: Sales Training, Home Health and Hospice

Presented by: Healthcare Strategica, LLC

Featuring: Michael Ferris

1 - 8-week Hospice & Palliative Care Sales Training Course

2 - 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.


Conference: Leading Age Leadership Conference

Hosted by: VNAA, Elevating Home, and Leading Age

In light of the President’s national emergency declaration to address the coronavirus pandemic, LeadingAge is postponing the 2020 Leadership Summit originally scheduled April 20-22 to August 10-12, 2020 at the Omni Shoreham Hotel in Washington, DC.

We understand that the possibility or reality of COVID-19 means all-hands-on-deck at our member communities and travel bans for our Business Partners, with a singular focus on the health and welfare of residents, clients, staff, and families.

LeadingAge will continue to assist with information and resources to help you respond to COVID-19. You’ll find a clearinghouse of resources—updated daily—at leadingage.org/coronavirus-resources.

If you registered for the conference, you will be sent an email with information on your registration and hotel reservation.

Information and Registration

With the Leadership Summit, LeadingAge has designed an event for forward-thinking leaders to connect, engage in dialogue, and deepen their knowledge about the future—how we can shape it, and the paths to get there together.

 


*The Rowan Report will see you there.

Interoperability for Service Providers through CMS’s EMDI Initiative

Presented by: ElevatingHOME and VNAA

Featuring: Pallavi Talekar, Project Manager, Scope Infotech, Inc.; Ray Wilkerson, Sr. Business Analyst, Scope Infotech, Inc.; Nandini Ganguly, Business Analyst, Scope Infotech, Inc.; Kishan Patel Business Analyst, Scope Infotech, Inc.; Briana Barnes, Project Coordinator, Scope Infotech, Inc.

Date: Tuesday, July 30
Time:
12:00 pm EDT
Fee:
Free to ElevatingHome, VNAA, and Alliance for Home Health Quality Improvement members

Registration

Representatives from the EMDI Initiative team will discuss interoperability using health IT standards, including Fast Healthcare Interoperability Resources (FHIR). Participants will learn about pilot opportunities with CMS to enhance provider workflow using three critical use cases. Participants will:


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:



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




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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