Volume 8, Number 43 — August 7, 2019
Dear Healthcare at Home Colleague,
It turned out to be a brilliant idea to bring together all types of post- and non-acute care organizations in one conference. The interactions among private duty home care, Medicare home health and hospice, skilled nursing facility, and rehab hospital owners and other executives last week were rich with insights and ideas. We learned about joint ventures between non-medical in-home care providers and large hospital systems, about the growing need for care transition case management, and about the way MedPAC commissioners look at post-acute care.
This last insight is the topic of our lead article this week. If you wonder why Medicare payment rates have suffered under downward pressure ever since MedPAC started advising Congress, our summary of the keynote presentation by MedPAC Commissioner and Harvard Professor David Grabowski may help you understand. You may still disagree with him, and we cannot say you will enjoy reading the article, but at least you may understand why they treat you the way they do.
Review Choice Demonstration
CMS has published details for Ohio HHAs, the second state to join RCD. Texas, North Carolina, and Florida are next. Ohio needs to act quickly to choose between two ways to participate (three if you count the silly one). The window for choosing opens August 16 and closes September 15. We re-published the CMS announcement for your convenience.
A Book for Everyone
Whether you are a professional caregiver or the child of an aging parent, "Eldercare 101: A Practical Guide to Later Life Planning, Care, and Wellbeing" by Mary Jo Saavedra should be on your desk. Frankly, I wish she had written it before my own parents died. In our review, we share a couple of excerpts and congratulate her for the way she pulled together expert authors to write a chapter, each in her own field -- legal, financial, healthcare, spiritual, etc. -- instead of merely interviewing them and trying to write it herself.
New App for Hospices
Tina Marrelli has been helping nurses learn and improve their skills for decades. Her "Red Book" can be found in nearly every HHA and hospice in the country. Now, she has created an app to accompany her book. The "Red Book Hospice Care Planning" app supports care plan development to help clinicians care for hospice patients and their caregivers.
Worth the Trip
Competition is top-of-mind for every agency owner. Whether you do battle for physician referrals or from that coveted telephone call from the adult daughter across the country, your sales efforts are your business's oxygen. If you want to learn how to do it right, from top national experts, join me at this year's "Growth Summit" with Melanie Stover, OT, and Cheryl Petelkis, RN. We'll be in Las Vegas, September 17-19. I went last year and was surprised at how much content they can squeeze into three days. Click the graphic on the right side of this page or go to homecaresales.com/vegas for all the details.
Have a great week. Keep making a difference!
Commissioner Offers Rare Peek into MedPAC Decision-Making Process
David Grabowski shared data with SNF, HHA, hospice audience, offered frank explanation of how MedPAC uses it.
CMS News: Review Choice Demonstration in Ohio
Illinois started Review Choice in the spring. Ohio begins on September 30. Texas, North Carolina, and Florida to follow every 60-90 days.
Book Review: Eldercare 101 by Mary Jo Saavedra
For your patients and clients, or for your own parents, you need the guidance offered in this book.
Hospice Care Planning App Released to Accompany Tina Marrelli's Popular "Red Book"
Tina Marrelli's Red Book has been a Home Health and Hospice staple for generations. Her new app accompanies the book and supports nurse care planning.
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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 34,551,000 Baby Boomers have become Medicare eligible. |
Last Week's Most-Read Stories:
Hospital-to-Home Program Saves Lives, Slashes Costs
Ongoing Series: PDGM Vendor Perspectives and Preparations
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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 RegistrationAgencies 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 successMichael 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:
- Hospice Item Set (HIS) reporting requirements;
- HQRP compliance cycle;
- How to achieve hospice compliance;
- CAHPs survey requirements; and
- How to switch CAHPS survey research vendors.
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.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 StrategiesSponsored by Kornetti & Krafft Health Care Solutions & MedBridge
Date: December 5
Time: 1:00 pm EST
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:
- Highlight key differences between OASIS D and D1
- Make an informed decision about the use of "=" as a response
- As an outsourced OASIS/Coding company, the most commonly seen OASIS errors and proven strategies for success will be 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.
- 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.
Free Webinar: Marketing During a Lockdown
Presented by: Savii
Featuring: Steve Weiss
Date: April 21
Time: 12:00 - 1:00 EDTWho 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:
- What you should be doing now
- How to contact your referral sources
- Creative ways to grow and maintain your business
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: FreeThe COVID-19 pandemic has made the importance of Telehealth and Remote Care abundantly clear. This webinar will cover:
- When to use secure video chat vs secure messaging
- How to build "manage by exception" care plans
- Reviewing notifications and non-compliance in minutes per day
- Getting started quickly and affordably
FREE WEBINAR: Q2 2020 Post-Acute Care Compliance Forum
Presented by: Casamba
Featuring: Holly Hester, Casamba SVP of Compliance and EducationDate: Thursday, May 21
Time: 3:00 pm - 4:00 pm EDTIn-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
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:
- What the terms "moral distress," "moral injury," and "secondary/vicarious trauma" mean, and how they affect your health and well-being
- Practical solutions and strategies from the fields of resilience, emotional intelligence, and post-traumatic growth
- How to develop and use a personalized plan of care that tends to your mental and emotional needs, as well as those of your team and the people you serve
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, NAHCDate: 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 HospiceDate: 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 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.
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.
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.
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: FreeThe webinar covers:
- CMS assumptions and intended adjustments and their impact on:
- Upcoding
- Comorbidities
- LUPA Avoidance
- Considerations for HHAs
- Evaluating your HHA data now to assess tomorrow based on today’s reality
A QUALITY JOB: Clinical Management & Care Coordination Under PDGM
Hosted by VNAA
Sponsored by MatrixCare/Brightree
Presented by Simione Healthcare ConsultantsFeaturing: 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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