Volume 9, Number 50 December  2, 2020



Dear Healthcare at Home Colleague,

Did you know that every article we have published since 2005 is still available for researchers? Employers often send new hires to our article search feature at http://homecaretechreport.com to study our sector's recent history. Try it! Just enter 1, 2, or 3 key words and click "Search Now."

We have heard your complaints. There are not enough care workers for home care agencies and not enough nurses for home health. In the second of our series exploring your dilemma and searching for solutions, staff writer Darcey Trescone, RN shares her research into recent literature on the nursing side of the problem. Her suggestions for retaining good nurses applies equally to non-nurse caregivers. Click below on "Nurse Job Satisfaction Increases Retention."

 

 

Most Accidents Happen at Home

As I write this, the COVID-19 pandemic has become worse than it was last spring. The U.S. is recording a daily COVID death count equal to Japan's total deaths since the virus appeared, over 2,000. Last spring, sending home healthcare and hospice staff to work from home became the norm. We did a study then of the cyber security dangers that arise when home networks are not as secure as office networks and found it alarming. Now, with the COVID resurgence, the danger is back but may be worse. International hackers are more practiced at attacking vulnerable home networks and can get through them into any network to which they are connected. Oh, you have firewalls and virus software? They do not help when a home worker clicks on a phishing email that appears to be from Amazon or Verizon or their own bank but is not.

So we are renewing our original warning and adding a new one: Healthcare, it seems, is getting hit by 25 percent of all ransomware and other breaches. If you are sending people home to work, please take a look at our two articles on the subject this week. "Working From Home Poses Major Security Risks...Again" and "Healthcare Prime Target for Pandemic Opportunist Cyber Attacks." 

Our friends at Netsmart agree with us about the urgency of this problem. Scroll down to our Upcoming Events section to register for "Cybersecurity in Healthcare: Assess Threats & Reduce Your Risk." It is free and set for December 9.

 

 

Home Health Agencies

Did you find yourself getting hopeful when CMS announced the loosening of telehealth regulations so it can be used for more patients, even after the pandemic subsides? We did too, until we read the entire announcement. In one of my infrequent editorials, I critique Seema Verma's decision to make it easier for hospitals to treat people at home while ignoring the industry that has been doing exactly that for 120 years. My opinion piece is titled, "CMS Snubs Home Health in New Telehealth Rules." We have also reprinted the reaction to the CMS Final Rule by the American Telemedicine Association, which faults the new regulations for different reasons.

 

 

Worth the Trip

With the changes coming to PDGM in January, a number of experts are offering instructional webinars. KanTime is offering "Home Health Final Rule: Preparing for the No-Pay RAP" on December 10. And if you hurry, you can still register for the December 3 free webinar from Healthcare Synergy, "2021's Most Vital Home Health Regulation Changes." Scroll down to our Upcoming Events section for details.

Have great week. Keep making a safe, masked difference!

Editor signature
Tim Rowan



Nurse Job Satisfaction Increases Retention
The current nursing shortage is only going to get worse as the population ages. Staff writer Darcey Trescone, RN, BSN, offers deep research into the causal relationship between job satisfaction and worker longevity. What causes satisfaction? Darcey explains that as well.

Working From Home Poses Major Security Risks...Again
COVID numbers are up again. Workers are heading back home. Hackers are licking their chops. We found a new, easy to use VPN from Microsoft that could prevent a PHI disaster.

Healthcare Prime Target for Pandemic Opportunist Cyber Attacks
Healthcare was the target of 25% of SSL-based hacker attacks in 2020. Without defensive measures, It could get worse in 2021.

CMS Snubs Home Health in New Telehealth Rules
Announcing "regulatory flexibility" to increase care in the home, Administrator Seema Verma makes it easier for hospitals to do what you have been doing for 120 years. She outlined a program of more telehealth payments to hospitals.

American Telemedicine Association Responds to CMS Telehealth Expansion
It is not only home health and hospice that find the latest CMS final rule on telehealth expansion less than expansive.



During the 3rd Quarter of 2023, web sites of the above advertisers were visited by home care and hospice executives and staff 11531 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

As of this date, approximately 39,864,000 Baby Boomers have become Medicare eligible.

 

Last Week's Most-Read Stories:

Retaining And Growing The Direct Care Workforce
Your care worker shortage problem can only get worse as the number of senior citizens grows. Here are some recruiting and retention suggestions and a list of Congressional bills to support that may help.

Documentation in Order to Manage Risks: Part I
In Part One of her two-part series, home care attorney Elizabeth Hogue lays out some of the legal issues surrounding clinical documentation.


Upcoming Events

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

Information and Registration

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

Information and Registration

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: 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, AlayaCare

Date: Wednesday, January 27
Time:
1:00 EST

Information and Registration

Agenda
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.



2021 Home Care and Hospice Conference and Expo *

National Association for Home Care and Hospice

Date: October 3-5
Venue: New Orleans

Sadly, this conference has had to be postponed, due to the hurricane in New Orleans and COVID situation in Louisiana.


FREE WEBINAR: Targeted Probe & Educate: Where Do You Stand?

Presented by: Healthcare Synergy
Featuring:
Michael Tidd, COS-C, HCS-D, HealthCare Synergy Clinical Manager

Date: Wednesday, November 3
Time: 11:00 am PDT / 2:00 pm EDT

Register

Overview:
Targeted Probe and Educate is a CMS initiative to seek a better understanding of agencies practices in order to protect the Medicare funds. Agencies self-identify themselves and request reviews by their actions and the data they provide to CMS. Are you aware of the signals you might be sending and how to protect yourself?
Objectives:
Speaker:
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.

FREE WEBINAR: Admit more Patients & Stop Nursing Burnout!

Presented by: OperaCare

Date: November 10

Time: 1:00 pm EST; 10:00 PST

Information and Registration

The nursing shortage is getting much worse and will most likely impact your business if it has not already.
During this event we will demonstrate how to complete an entire OASIS in approx. 60 minutes or less. This includes ICD-10 coding, entry and revision of medication’s, all the OASIS items, and Quality Assurance while the nurse is with the patient in the home.

The result: Eliminating 100% of after-hours documentation, increasing clinical productivity, and reducing your labor costs.

The Benefit: The ability to significantly increase your recruitment and retention efforts by providing your clinicians with a sane and humane work life balance.


20th Annual Northeast Home Health Leadership Summit

Sponsored by: State Associations of Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York (HCA), New York (HCP), Rhode Island, VNAs of Vermont

Dates: January 17-19

Venue: Revere Hotel, Boston

 

Information and Registration


Homecare 100 *

Presented by: Lincoln Healthcare Leadership

Date: January 22-25, 2023
Venue: Ritz-Carlton, Orlando, Grande Lakes, FL

Registration Information


 

Shine Your Light
Illinois HomeCare & Hospice Council Annual Meeting and Exposition

Dates: April 9-10
Venue: NIU Naperville

Information and Registration


FREE WEBINAR: CMS’ Proposed Hospice FY2024 Payment Rule: Implications for Agencies and the Hospice Community

Sponsored by NAHC
Featuring: Theresa Forster, Katie Wehri

Date: April 11
Time: 12:00 - 1:30 EDT

Details and Registration

 

Description: In addition to routine annual payment changes, CMS proposed FY2024 Hospice Payment Rule, issued on March 31, contains valuable updates on the Hospice Quality Reporting Program (HQRP). Perhaps most notable, the rule's deep dive into utilization trends signals an intensified interest in hospice care patterns, potentially inappropriate behavior in the hospice sector, and program integrity concerns.  Join two of NAHC's hospice experts as they detail proposed changes, including a new requirement that hospice certifying physicians be Medicare enrolled (or to have validly opted-out) and CMS' Requests for Information on hospice utilization and health equity, and examine their potential impact on hospice practice going forward.

Faculty: Theresa M. Forster, NAHC VP for Hospice Policy & Programs
Katie Wehri, NAHC Director of Home Health & Hospice Regulatory Affairs


WEBINAR: Audits: What to Do

A 90-minute Lunch & Learn Audio Conference by Elizabeth E. Hogue, Esq. Health Care Attorney

Date: Thursday, April 6
Time: 1:00 - 2:30 EDT

Encore date: April 13
On-demand recording available 24/7
Option to purchase recording and handouts

 

Information and Registration

 

Audio-Conference Description: Home care providers of all types; including home health agencies, private duty agencies, hospices and HME companies; remain targets of audits by various regulators, including but certainly not limited to United Program Integrity Contractors (UPICs). The results of these audits can be devastating because they may threaten the ability of providers to remain in business, especially when overpayments are extrapolated to millions of dollars. Audits of all types must be taken seriously and providers must take action to close audits as quickly as possible! The first thing providers must do is to review records requested by auditors.

The purpose of this teleconference is to give providers detailed steps to follow to avoid adverse consequences of audits. Examples of common issues targeted by auditors will be provided and there will be time for questions and answers.


Rise Above!

Michigan Home Care & Hospice Association Annual Conference

Dates: May 3-5
Venue: Grand Traverse Resort & Spa

Registration and Information

The theme for the Conference is “RISE ABOVE” a fitting recognition of the challenges our industry and each of you overcame in your personal lives and professional careers to navigate the challenges of the past three years.

The MHHA conference presents an opportunity to meet new friends and reacquaint with peers. What better place to rise above, than at the spacious and beautiful Grand Traverse Resort & Spa? This conference has a little bit for every service line and discipline. Wednesday offers a track for Volunteer Managers and Thursday offers a track for Palliative Care as well as many other sessions for Certified Home Health, Hospice, DME and Private Duty Home Care.


Home Care Innovation Forum*Presented by: The Influence Group

Dates: June 4-6
Venue: Park Hyatt Aviara 
City: 
Carlsbad, CA


Information and Registration

Featured Speakers:

Partial list of topics:


HI2: Home Care Innovation and Investment Conference *Presented by: Lincoln Healthcare Leadership

Dates: June 12-14
Venue: Swissotel 
City: 
Chicago


Information and Registration

Featured Speakers:


leading ONE vision

Homecare Homebase User Group Meeting

Dates: June 12-14
Venue: Sheraton Dallas Hotel

Information and Registration

Clinical Education Credits
Nationally recognized speakers, eight clinical sessions. Clinicians are encouraged to sign up for the clinical sessions, but are free to jump between clinical and non-clinical topics. Clinical topics include a homecare focus on Wound Care, Value Based Purchasing, Clinical Leadership, conflict resolution, Quality Report, Oasis and more.

Featured Speakers:


2032 NAHC Financial Management Conference & Exposition

Date: July 16-18
Venue: Hilton Riverside, New Orleans

Information and Registration

 

In addition to NAHC president Bill Dombi, featured speakers will include:


54th Annual Meeting: "Bring Care Home"Presented by: Texas Association for Home Care & Hospice

Dates: August 28-31
Venue: Grand Hyatt Riverwalk
City: San Antonio


Information and Registration


FREE Webinar: "The Role of the Hospice Physician in Organizational Compliance"Presented by: FEMA

Date: September 6

Time: 10:30 AM - 12:00 PM, EDT

Register here 

Collaborating with the Administration for Community Living, the Substance Abuse and Mental Health Services Administration (SAMHSA) Office of Policy, Planning, and Innovation, and the Schoharie County, NY, Area Agency on Aging, the webinar is designed to equip organizations with strategies to ensure seamless service continuity during an emergency. 

 


 

Home and Community-Based Palliative Care: Past, Present, and Future
NAHC and HHFMA

September 28, 2023

More Information

 


I've been surfing online more than 3 hours these days, but I never discovered any attention-grabbing article like yours. It is lovely value enough for me. In my opinion, if all site owners and bloggers made just right content material as you probably did, the internet will be a lot more useful than ever before.

2023 NAHC Annual Meeting & Exposition *

"One Voice, Many Stories"

October 15-17
Gaylord Hotel and Conference Center
National Harbor, MD

Information and Registration

Keynote Speakers:

 


 

2023 National Home Care Conference*
Home Care Association of America

October 23-24, 2023

Hilton Chicago
Chicago, IL

More Information

 

 


Vision – Plan – Succeed: 2023 Leadership Conference

Association for Home & Hospice Care of North Carolina

October 29-31, 2023
Renaissance Hotel Ashville, NC

Information and Registration

Featured speakers:

Bill Dombi, Melinda Gaboury, Tim Rogers, Nick Seabrook, Mark Sharp, Robert Markette, Mark Kulik, and more.


Ignite Your Revenue Engine - Virtual

HomeCareSales

November 1-3, 2023

More Information


Strategic Analysis and Provider Guidance

CMS CY2024 Final Rule Cuts to Home Health

Axxess

November 9, 2023
2 PM CST

More Information


Unlocking Home Care Agency Efficiency with AI

Virtual Workshop

Automation Edge

Nov 8, 2023

11 a.m. CST

More Information


Home Health Final Rule: Clinical & Financial Strategies for Success in 2024

McBee Associates

Nov 8, 2023
1:30 - 2:30 p.m. EST
Virtual

More Information


Automating Your Compliance Process in Home Care

AxisCare and CareAcademy

Nov 8. 2023
12 p.m. CT
Virtual

More Information


Call for Speaker Proposals

Association for Home & Hospice Care of North Carolina (AHHC) Annual Convention and Expo

April 7-10, 2024
Raleigh Convention Center

Submit Your Proposal

The deadline to submit a proposal is November 15, 2023.

 


2023 Annual Conference – Hybrid Hospice & Palliative Care

Hospice & Palliative Care Association of New York State

November 13-14, 2023
Albany Marriott Hotel
Albany, NY

More Information


Understanding the CY 2024 Home Health Final Rule:

Your agency's path forward

WellSky

Nov 15, 2023
12 p.m. CST

More Information

Presented by Cindy Campbell, MHA-Healthcare Informatics, BSN, RN, COQS, CHHCM

Request for Speakers: 2024 Annual Conference

Indiana Association for Home Health Care

April 16-17, 2024

More Information

The deadline to submit proposals is November 17, 2023.

Safety Matters: Protecting Home Care Workers from Violence

National Association for Home Care & Hospice

Nov 29, 2023
3:00 - 4:00 p.m. EST

More Information


Rapid Competency and Quality Improvement Training

CMS

November 30, 2023
1:00 p.m. EST

More Information


Safety Matters:
Protecting Home Care Workers from Violence

National Association for Home Care and Hospice

Nov 29, 2023
3 p.m. - 4 p.m. EST

More Information


2023 Virtual Annual Conference
Virginia Association for Homecare and Hospice

Opening Date:November 15

More Information


Turning Lemons into Lemonade: Developing resilience in the face of change

McBee

Dec 6, 2023
1:00 p.m. EST

More Information


CRM Showcase:Empowering Reps for Smarter, More Efficient Growth

Trella Health

December 12, 2023
12 p.m. EST

More Information


Don't be Late for Section GGPrepare now for the new Discharge Function Score

NetSmart

Dec 12, 2023
2:00 p.m. EST

More Information


CRM Showcase: Empowering Reps for Smarter, More Efficient Growth

Trella Health

Dec 12, 2023
12 p.m. EST

More Information


Excavate-Tell-Affirm

Brand Leadership Summit

Revealing Genius

Dec 7-15, 2023
1 p.m. - 2 p.m. EST

More Information


RCM Success Toolkit:

Insights for RCM Leaders

NetSmart

December 14, 2023
2:00 p.m. EST

More Information


Understanding, Identifying, and Overcoming Conscious and Unconscious Bias

Home Care Pulse

Ongoing
FREE Sample Course

More Information


Home Health and Hospice Summit

HealthCare Synergy

January 10, 2024
Renaissance Hotel
Long Beach, CA

More Information


Home Care 100*

Lincoln Intelligence Group

January 21-24, 2024
The Fairmont Scottsdale Princess
Scottsdale, AZ

More Information


AGILE: Axxess Growth, Innovation and Leadership Experience*

Axxess

April 21-24, 2024
Irving Convention Center
Dallas, TX

More Information


Annual Conference & Trade Show

Michigan HomeCare & Hospice Association

May 8-9, 2024
Radisson of Kalamazoo

More Information


2024 KHCA Annual Conference

Kentucky Home Care Association

August 14-15, 2024
Embassy Suites by Hilton Lexington/UK Coldstream
Lexington, KY

More Information


Insight2024

6th Annual Forum on Coding, OASIS & Quality

McBee

Aug 5-7, 2024
Sheraton Overland Park Hotel at the Convention Center
Overland Park, Kansas

More Information


Agency Amplify

HomeCareSales

Recurring
2nd Tuesday

More Information


*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



Did you receive this issue as a forward from a colleague? Would you like to have your own free subscription? Click here.

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.

HCTR is free to subscribers and supported by its generous advertisers. To inquire about presenting your message to our 12,000 subscribers, write to Kristin in our ad sales department, Kristin@RowanResources.com.