Volume 7, Number 46 September  5, 2018




Dear Healthcare at Home Colleague,

It must be after Labor Day. Traditionalists have put away their white shoes and marketing departments have suddenly resumed sending us news releases. We begin this week by offering a complete copy of the recently-released, updated, Interpretive Guidelines for the 2018 Conditions of Participation. One link to the downloadable PDF is here, the other is on our main web site, http://homecaretechreport.com. Scroll down toward the bottom of the page and look for "Partner News." While you are there, notice that we are constantly adding to this new feature. Take a look at some of the other White Papers we have posted there.

If you are not with a Medicare agency and the CoP IGs are not your cup of tea, we have something for you too. Using the same link above to our home page, look for the Partner News PDF titled "U.S. Home Care Workers: Key Facts." It is a report on a detailed research study conducted by PHI and is packed with information about who these workers are, how they are paid, and why it is so hard to recruit them.

We didn't believe it at first either. If yours is a typical home health agency, you struggle with a list of challenges. High on the list is cash flow, which is dependent on clinical efficiency and the movement of OASIS assessments from the field to QA and on to CMS. If you can relate to this challenge, you must take a look at our lead article this week, aptly titled, "The VNA RAP Miracle."

Last year, the Southwestern Illinois VNA was barely able to get a RAP out the door in 30 days. Today, they average 24 hours. No, that is not a typo. You most certainly want to learn how they did it, and about the twin side effects. One, SIVNA nurses take no work home at night. Two, area nurses are clamoring to work there. Together, those two side effects mean they no longer turn away referrals due to inability to staff a case and their census is way up.

In other news this week: Keep an eye on a small private duty EMR software company called Savii. Founder Michelle Harper decided to sell and a buyer was found that wants to invest generously in the company's growth. We spoke with Kristen Duell about her plans as she steps into her first CEO position.

Vendor Watch offers two big stories this week. Mediware has announced another acquisition, bringing Rock-Pond Solutions under its ever-growing umbrella. Rock-Pond provides data analysis software for the Home IV sector. Amedisys has invested in Medalogix, the Nashville-based data analysis company that has had a longtime relationship with Homecare Homebase.

Lastly, some news of interest for any nurse looking for an opportunity to move up and out. A Colorado home health agency needs to hire a Clinical Manager. Move up to a supervisory position; move out West to experience the joys of clean air, low humidity, and life at 6,000 feet.

Worth the trip
I am off to Columbus next week to speak about home care technology at the Ohio Council of Home Care and Hospice annual meeting. I hope to meet my Ohio readers there. At the end of the month, I will be teaching my online reputation system at the Home Care Association of America annual leadership meeting in Washington DC. The more I interact with Private Duty owners and staff, the more I learn to appreciate the good they do.

Have a great week. Keep making a difference!

 

Editor signature
Tim Rowan



The VNA RAP Miracle: From 30 Days to 24 Hours
If you recognize your agency in this description of one Midwestern VNA, you are not alone. Their staffing, productivity, and efficiency challenges were typical of most home health agencies. Read here about the process improvements that completely solved every challenge.

Private Duty Software Company Acquired by UK Firm
Savii care set to grow under leadership of new CEO, Kristen Duell and new owner, H.A.S. Technology Group.

Colorado Agency Seeks RN Manager
If a life in one of the top 10 Best Place to Live (U.S. News and World Report, 4/10/18) interests you, take a look at this Colorado job opening for a RN Home Health Clinical Manager.

Vendor Watch
— Mediware acquires Rock-Pond Solutions
— Amedisys invests in Mediware



During the 3rd Quarter of 2020, web sites of the above advertisers were visited by home care and hospice executives and staff 3691 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

As of this date, approximately 30,855,000 Baby Boomers have become Medicare eligible.

 

Last Week's Most-Read Stories:

Lowering Drug Prices is More Complicated Than Verma Says
CMS Administrator Seema Verma's self-congratulatory announcement only scratches the surface of the problem. We researched in some detail a crisis that will impact most home health and home care patients.

CMS Takes Action to Lower Drug Prices
Agency is providing flexibility through private sector tools to negotiate lower prescription drug prices on behalf of beneficiaries.




Upcoming Events

National Healthcare CNO/CMO/Informatics Summit

Presented by Marcus Evans Events

Date: March 18-19, 2019
Location: The Langham Huntington, Pasadena, Los Angeles, CA

The Healthcare Summits are the premium forums bringing senior level medical executives and solution providers together. The one-on-one business meetings provide access to senior medical executives within the largest healthcare organizations across the United States. A thorough selection process ensures a qualified audience, which grants unparalleled business and networking opportunities in a luxurious and stimulating environment.
Information and registration

 


2019 Omaha System International Conference: A Key to Practice, Documentation, and Information Management

Date: April 3-5, 2019
Location: Eagan, Minnesota
Fees: Pre-Conference (1 day): $165
Conference (2 days): $335
Pre-conference and Conference (all 3 days): $500

Registration and Information
The Omaha System International Conference is held every two years as a venue for those in practice, education, research, and software development to exchange experiences. There is something for everyone involved with the Omaha System, from beginners to experts to everyone in between. Joyce Sensmeier, HIMSS is the keynote speaker, and The University of Texas at Austin School of Nursing is the school host. The 2019 PDF flier includes location and registration information, speaker/planner list, agenda, exhibitors, and more.

National Healthcare CXO Summit

Presented by Marcus Evans Events


Date: May 19-21
Location: Eau Palm Beach Resort

Keynote Presenters: Susan Blumenthal, past US Assistant Surgeon General; Nicholas Webb, Healthcare Futurist

Registration Information

The National Healthcare CXO Summit is the premium forum bringing senior level healthcare executives and solution providers together. As an invitation-only event, taking place behind closed doors, the Summit offers an intimate environment for a focused discussion of key new drivers shaping the healthcare industry.


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

 


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


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.


Virtual Conference: NAHC Financial Managers Annual Meeting

July 27-30

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


Free Webinar: Preparation For A New Normal — Infection Control

Presented by: Savii

Featuring: James Cohen, CEO, Nevvon

Date: October 20
Time: 1:00 EDT
Fee:
Free

Register

This webinar is catered to home care agency owners, HR, operations, nursing and marketers.

You will learn:


FREE WEBINAR: How Technology Enhances Home Care in an Increasingly Remote World *

Sponsored by: Care Connect

Moderator:Panelists: 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

Register


Virtual Conference: Southwest Homecare and Hospice

A collaborative online conference by the home care associations of:

Date: November 18-19

Information and Registration

Experience recognized experts and thought leaders as they share their insights, actionable strategies, and relevant tools and resources.


VIRTUALLY UNSTOPPABLE

The 2020 Annual Conference of the South Carolina Home Care & Hospice Association

Virtual Conference: December 9-10
This year's conference will be presented online

Information and Registration

Keynote Speakers:


*The Rowan Report will see you there.

Navigating the Hospice Cost Report

Sponsored by: ElevatingHOME

Date: February 19, 2019
Time: 12:00pm EST
Fee: FREE

Register Now

CMS has stated that 66% of the cost reports previously filed should not have been accepted and will now be subject to more strenuous requirements. The cost reports will be used by CMS to recalibrate and adjust the hospice daily payment rates.

Join Elevating Home for this webinar as Tom Boyd, Vice President of Reimbursable Services with Simione Healthcare Consultants discusses what is new and help participants identify and understand the requirements for the completion of the Medicare Hospice cost report.



 

The Hospice Cost Report: A Requirement & A Management Tool

Presented by: Tom Boyd, MBA, CFE, CHFP, Vice President of Reimbursable Services, Simione Healthcare Consultants

Date: February 14
Time: 2:00 - 3:00 EST
Fee: FREE

Register now

Join Simione Healthcare Consultants for an overview of hospice cost reporting and ways to make sense of all the required information to support timely, accurate and affordable filing. A Simione cost report is backed by our longstanding experience with reimbursement and government reporting. Discover the difference and get the bigger picture on your hospice finances!



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:


Learning Series Webinar: Million Hearts®2022 & Related Medicare-Covered Preventive Services 
CMS National Training Program

Date: February 14, 2019
Time: 1:00 - 2:30 EST
Fee: FREE

Register now

This webinar provides an overview of:

 



Security Risk Assessment Tool Overview and User Feedback Session

Presented by: CMS

Date: Wednesday July 17

Time: 1:00 pm EDT

Fee: Free

ONC and the HHS Office for Civil Rights are holding a training session and overview of the Security Risk Assessment (SRA) Tool. The tool is designed to assist small to medium providers in conducting an internal security risk assessment. This assessment will aid providers with their security risk analysis as required by the HIPAA Security Rule and the CMS EHR Incentive program. Following the webinar, participants will have the opportunity to ask questions and provide feedback.
 
Register


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:



OASIS-D: Ensuring Consistency & Accuracy

Presented by Curaport
Featuring:
Melissa Abbott, RN, MSN, MHA, of 5 Star Consultants

Date: Thursday, October 18
Time: 2:00 p.m. EDT

Fee: $99 (per attendee)

Information & Registration

* This education session is approved for one (1) contact hour of Continuing Education for Nursing.

OASIS! Possibly the most spoken word, or acronym, in the Home Health industry. And just when you get to grips with the current version, the next set of changes arrive before you know it, this time in the form of OASIS-D. In this webinar, you will gain an understanding of the significant changes D brings to OASIS and how to ensure consistencies and accuracy within your agency.

 

*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 request.



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



Using a Sales & Marketing Dashboard to Get Ahead of Your Competition

Presented by Curaport

Featuring: Melanie Stover, OT, MBA, Homecare Sales

Date: Wednesday, September 5
Time: 2:00 p.m. EDT
Fee: $59 (per attendee)

Information and registration

Webinar Overview
Driving patient admissions and revenue is the top priority for your sales team. Creating a system that quickly monitors production is key to keeping your agency on track for sustainable growth.

This webinar will provide your agency with 3 ways to use your dashboard to get ahead (and stay ahead!) of your competition.



Hospice compliance 2019: confronting a surprising new survey focus
Sponsored by: Wellsky
Featuring: Robert Markette, esq.
Date: March 14
Time: Noon CDT
Fee: None
Hospice providers today are confronting a new and unexpected survey focus. Hospice surveyors are increasingly focused on issues relating to hospice administration. This administrative focus includes topics such as your hospice’s corporate structure, the relationship between your hospice’s parent office and its multiple locations, and the role and job title of your administrator. Hospice providers who have been successfully operating for years are suddenly finding themselves hit with condition level citations. How will your hospice team adapt to the major survey focus of 2019? Join renowned hospice attorney Robert W. Markette of Hall, Render, Killian, Heath & Lyman, P.C. for an exclusive webinar that will prepare you and your team for the major survey focus of 2019.

Information and registration

Attend and learn:
Why a poorly drafted organizational chart can be a significant problem for your hospice
What hospice surveyors are looking for in the relationship between your hospice’s parent office and its multiple locations
Why calling your administrator something other than “administrator” could be a survey issue



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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Home Care Technology Report is published by Rowan Consulting Associations, Inc., Colorado Springs, CO. All rights reserved. Request reprint permission by writing to editor@homecaretechreport.com.

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