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 2nd Quarter of 2020, web sites of the above advertisers were visited by home care and hospice executives and staff 4523 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.

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.

Purchase Recordings

 


Free Webinar: Home Care Marketing Best Practices for Medicaid Agencies

Presented by: Ankota

Featuring: Steve "The Hurricane" Weiss

Date: June 18
Time: 12:00 EDT
Fee: Free

Register

Here are a few biographical fun-facts about Steve:


Virtual Conference: Virtual Summit on Health System Recovery from the COVID-19 Pandemic 

The Nation’s Health System Leaders Engage in a Real-Time Dialogue on Pandemic Recovery and the Future of Health Care in America

Sponsored by: Global Health Care, LLC

Featuring:

Date: June 22-25

The Nation’s Health System Leaders Engage in a Real-Time Dialogue on Pandemic Recovery and the Future of Health Care in America

All health care providers offering full-time, hands-on services to COVID patients click here to register at no cost.

All others register here by June 5 for $200 discount


Virtual Conference: ATA Annual Meeting

American Telemedicine Association

Date: June 22-26

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.


FREE WEBINAR: COVID-19 Forum: How Coronavirus is Reshaping Home Health and Hospice Financial Operations *

Sponsored by: HealthRev Partners

Moderator: Tim Rowan
Panelists:
Bobby Robertson, Chip Carroll, Holly Miller, John Reisinger, Rachel Bracken (details below)

Date: July 9
Time:
2:00 pm EDT

Register here for all three webinars in this series

Not only is the home care industry under tremendous clinical pressure, but you are also likely feeling a financial squeeze. Because of this, forward-thinking agency leaders are exploring new strategies and opportunities to remain solvent. In this webinar, our panelists will chat about ways to achieve financial success when so many are struggling. They will discuss:
Panelists:
Bobby Robertson | President & Founder, Missouri Home Hospice
Chip Carroll | Director of Strategy & Business Development, Playmaker Health
Holly Miller Chief Revenue Officer, Playmaker Health
John Reisinger | Principal, Innovative Financial Solutions for Home Health
Rachel Bracken | Vice President of Services, HealthRev Partners
Moderated by Tim Rowan | Editor, Healthcare at Home: The Rowan Report

Part III: "Agency Leadership and Operations" is set for July 23.

Virtual Conference: NAHC Financial Managers Annual Meeting

July 27-30

Register


Virtual Conference: SAGE 2020

Hosted by Honor

This is a half day, free conference that will stretch all of us to think about how we are shaping the future of elderhood. Our speakers will cover topics around innovation, technology, the evolving art of caregiving and the future of senior living. I’m very excited that we will kick off with Pulitzer Prize finalist and geriatrician Louise Aronson, author of  Elderhood: Redefining Aging, Transforming Medicine, and Reimagining Life

Date: September 1 & 2, 2020
Time: 10:00 am - 12:45 pm PST both days
Cost: Free of charge for Rowan Report subscribers
Website: https://network.joinhonor.com/sage-2020
Register
 
Free Webinar: Carpe Diem: Now is the Ideal Time to Excavate Your Brand Genius

A complimentary webinar & roundtable discussion for executive business leaders

Featuring: Mary Maloney

Date: September 11
Time: 12:00 - 12:45 EDT

Now more than ever we need leaders ready to own a new world narrative - those who are brave enough to strategically position and message their voice in the marketplace from a deeper perspective of purpose that connects directly to what lights them up (their brand genius).

Many leaders confess that they have forgotten their greatness or feel lost in a sea of sameness, amongst a fiercely competitive set. They say they struggle with what words will resonate or feel “salesy” when asked, “What do you do?”

Thanks to the pace of technology, we have less than seconds to connect, therefore, it’s no longer all about what you do for a living and the quantifiable goals you achieved;  it’s much more about what you stand for, the legacy you want to leave and building trust expeditiously with your tribe.

 If 82% of people make buying decisions based on emotion (Capgemini), what emotive messages are you sending?

This webinar will start you on your journey to deliberately make your personal brand come alive.

Register


*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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