Tuesday, October 25, 2005 - 10:30AM - 12:00PM

Education Sessions Alternative Services and Private Pay Financial and Business Development Clinical and Disease Management Human Resources Hospice and Palliative Care Services Legal and Regulatory Issues Marketing Management and Leadership Development Pediatric Care Quality and Outcomes Telehealth and Technology Course Schedules Sunday Courses Monday Courses Tuesday Courses

601. Marketing
The Data Is In! The Best Home Care Marketing Practices Revealed
Finally there is data that show what the best marketing practices are for the top agencies nationally. As one of the difficulties has been understanding what represent best marketing practices for home care, this session will present the initial findings from the first study to look at these issues exclusively and in depth. Some of the measures evaluated will include marketing budget, sales practices, marketing plan, CRM (customer relationship management), and training.

Objectives:

• Discuss the best practices for home care marketing with benchmarked data.
• Evaluate the practices and contrast with agency performance.
• Demonstrate how to apply these practices.

Faculty: Michael Ferris, Principal, Home Care Marketing Solutions, Chapel Hill, NC; Heather Rooney, National Director of Sales and Marketing, OCS, Seattle, WA

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

602. Quality and Outcomes
ACHC Home Health & Hospice Standards and Process
The presentation will provide participants with a brief summary of all aspects of the ACHC accreditation process and revised Interpretive Guide to Standards for 2005. The presenter will also discuss the self-assessment strategy for companies preparing for a site-visit and the typical agenda items reviewed before and during the survey.

Objectives:

• Describe ACHC philosophy and approach to accreditation.
• Describe key components of the ACHC accreditation process, CORE standards and Scope of Service standards for 2005.
• Describe ACHC Crosswalk with Medicare CoPs for home health organizations.

Faculty: Sil Anderson, RN, BS, LNC, MAAA, Clinical Advisor, Accreditation Commission for Health Care, Inc., Raleigh, NC

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

603. Quality and Outcomes
Assessment of Functional Performance and the Continuum of Rehabilitation Care
Recent analyses of functional assessments using the Functional Independence Measure (FIM) instrument have shown that physical and cognitive functioning correlated with the number of physical therapy, occupational therapy, and home health aide visits required by patients in five major ICD-9 diagnostic code categories. This program will present specific methods for incorporating assessment of functional performance into home health visits to evaluate the quality and effectiveness of care, justify reimbursement, and further integrate home care into the rehabilitation continuum.

Objectives:

• Describe the continuum of rehabilitation care.
• Demonstrate relationships between acute rehab functional ratings, need for follow-up in outpatient/in-home rehabilitation, and home health aide visits.
• Describe the rationale for collection of patients' functional performance data in home care settings.

Faculty: Carl Granger, MD, Professor of Rehabilitation Medicine, University of Buffalo School Medicine and Biomedical Sciences, Amherst, NY; Chetan Malik, MBBS, Attending Physician, University of Buffalo Dept. of Rehabilitation Medicine, Uniform Data System for Medical Rehabilitation, Amherst, NY

Course Level: Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

604. Telehealth and Technology
Rehab and Technology - A Great Team for Home Care!
This program shows how the utilization of technology such as computerized documentation, computerized home exercise and education programs, and telehealth can improve the delivery of rehab services to home care patients. Therapists in the home care setting can take advantage of technology available to improve patient care, documentation, and reimbursement of services while obtaining data for research to document the effectiveness of therapy in the home.

Objectives:

• Describe how home care therapists can utilize computerized documentation to improve patient care and document outcomes.
• Demonstrate how a computerized home exercise program can improve patient care.
• Describe how telemedicine can be utilized to improve patient care and document outcomes.
• Discuss the use of "clinic" modalities in the home.

Faculty: Tonya Miller, MPT, Rehab Team Manager, Pinnacle Health Home Care, Harrisburg, PA; Jennifer Walsh, MPT,
Physical Therapist, Pinnacle Health Home Care, Harrisburg, PA

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

605. Marketing
Cold Calling Doctors: Making the Dreaded Drop-In Less Painful!
This session focuses on one of the most difficult barriers to break in referral development: getting in the door with doctors. Many smaller agencies think they have to cater expensive lunches in order to get an audience with physicians, but that's just not true. This session will show you how you can use your small size or not-for-profit status as an advantage in your market.

Objectives:

• Demonstrate each step in the cold call visit strategy.
• Develop tools and reasons for drop-by visits.
• Describe successful outcomes approaches with physicians in one-minute hallway encounters.

Faculty: Polly Rehnwall, Consultant, Polly Rehnwall Inc., Salt Lake City, UT

Course Level: Novice–Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

606. Alternative Services and Private Pay
Niche Programs: The Power of Partnering Nursing and Therapy
Changing market environment, increased patient expectations, and emphasis on improving functional outcomes led to the development of orthopedic and cardiac niche programs. Health care system analysis showed specific need for programs that would deliver superior quality, provide seamless care, and decrease hospital system cost. This program is designed to direct the participants through all aspects of interdisciplinary niche programs, planning, implementation, and marketing.

Objectives:

• Identify potential niche markets using a collaborative practice approach.
• Discuss development and implementation of niche programs to improve functional outcomes, decrease costs and increase employee/customer satisfaction.
• Describe how excellent outcomes were used to market and significantly grow orthopedic and cardiac services.

Faculty: Lisa Anderson, PT, Director Rehabilitation Services-Homecare, Trinity Home Health Services, Bloomfield Hills, MI; Barbara Samson, RN, BSN, MS, CRRN, Professional Services Manager, Mercy Amicare Home Healthcare, Bloomfield Hills, MI

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

607. Hospice and Palliative Care
Touching Our Wounds Gently: Transforming Emotional, Social & Spiritual Pain
This presentation draws upon dialogue, reflection, and viewing selections of films with emphasis on grief and loss, eliciting awareness/ experience and transformation of emotional, social, and spiritual pain. Participant will develop awareness of personal and environmental cues to help identify structures in relationships. Participants will have the opportunity to cognitively recognize the principles discussed, emotionally empathize with the types of suffering being portrayed, and experience the transformative effect of unconditional goodness or presence through this workshop.

Objectives:

• Identify emotional, social and spiritual pain.
• Discuss definitions of spirituality.
• Describe healing response to these types of pain.

Faculty: George Wheeler, MSW, Hospice Social Worker, Providence Hospice & Home Care of Snohomish County, Everett, WA; Mark Power, Hospice Chaplain, Providence Hospice & Home Care of Snohomish County, Everett, WA

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

608. Human Resources
Mentoring Cutting Edge Teams to Help Recruit and Retain the Best
In this session, you will learn how to develop cutting edge teams by identifying what motivates and encourages veterans, boomers, and generation Xers and Yers who now work side by side. The staff of any agency is the best walking billboard for your business. This program will review the basic functions that a healthy growing organization must possess: trust, commitment, accountability, and attention to results.

Objectives:

• Identify cutting edge techniques to recruit and retain veterans, boomers, generation Xers and Yers.
• Identify five dysfunctions of a team.
• Describe five basic functions of a healthy growing team.

Faculty: Marcylle Combs, RN, BS, CHCE, President, Foundation Management Services, Inc., Denton, TX; Brenda Beggs, RN, CHCE, HCS-D, Vice President Clinical Operations, Foundation Management Services, Denton, TX; Michelle Livesay, Foundation Management Services, Inc., Denton, TX

Course Level: Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

609. Clinical and Disease Management
Home Safe Home
Falls are the leading cause of accidents among those 65 and older and the largest single cause of death due to injury of the older adult. The mortality rate for falls increases dramatically with age in both sexes and in all racial and ethnic groups. Presenters will show how a program that identifies hazards, and unsafe actions, finds solutions to make living at home easier, safer, and more comfortable, can increase a provider's referrals.

Objectives:

• Define factors that put older adults at risk in their homes.
• Describe the home safety assessment tool.
• Discuss the potential revenue opportunities for the physician and agency.

Faculty: Raymond Clark, RN, BSN, MA, Vice President, Universal Health Services, Fort Worth, TX; Debbie Schutkowski, MS, LMSW, CCM, Director of Home Health Services, Universal Health Services, Fort Worth, TX; Mark Sanders, DO, JD, Director of Medical Affairs, The University of North Texas Health Science Center, Fort Worth, TX

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

610. Quality and Outcomes
Can Therapists Walk the Walk?
Therapists can talk the talk, but can they walk the walk? This session will review how individual Home Health Compare indicators are scrutinized for ways in which therapy, as a member of a cohesive home health team, can make positive contributions. The discussion will be guided by a multi-disciplinary panel of therapists with many years of home health experience.

Objectives:

• Describe the quality measures reported in home health.
• Compare and identify two therapy interventions that could produce a positive outcome on one of these quality measures.
• Describe a best practice protocol and list a strategy for integration of best practices among therapists.
• Discuss how to best measure change within your chosen measures.

Faculty: Shannon Ericson, MS, PT, Senior Solution Designer, Cerner BeyondNow, Overland Park, KS; Roger Herr, PT, MPA, President of Home Health Section of APTA, Home Therapy Services, Redmond, WA; Karen Vance, OTR/L, Senior Consultant, BKD, Health Care Group, Springfield, MO

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

611. Management and Leadership Development
Laughing All the Way: Harnessing Humor for Serious Results with OBQI
For two home health agencies, what began as a perfunctory nod toward fulfilling "one more government expectation" became a catalyst for creativity, an instigator for positive change, and a powerful source of pride in innovative, multidisciplinary treatment programs. Learn how two agencies used humor to inspire and instruct multidisciplinary clinical staff, using ordinary and inexpensive tools in new and creative ways to transform obligation into opportunity.

Objectives:

• Identify ways of engaging resistant staff in implementing quality improvement projects.
• Examine creative approaches to adult learning that enhance retention.
• Demonstrate how to generate ideas for getting the biggest QI bang for limited agency resources.

Course Level: Novice–Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

612. Hospice and Palliative Care Services
The Art of Hospice Certification and Recertification of Non-Cancer Diagnoses
A Hospice Provider and a Hospice Fiscal Intermediary Medical Director will discuss the processes of certifying and recertifying patients with non-cancer diagnoses. Information regarding assessment and documentation of signs and symptoms that validate a six-month prognosis will be shared. This interactive workshop will include lecture, case study, discussion, and questions and answers.

Faculty: James Cope, MD, Medical Director, United Government Services, Milwaukee, WI; Tim Boon, RN, BS, CRNH, Vice President for Hospice and Palliative Care, Connecticut VNS, Wallingford, CT

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending)

613. Clinical and Disease Management
Implementing a Successful Process of Care Investigation: Determining Best Practice in Administration of Oral Medications
This session will explore how an agency identified a key problem for improvement from home health compare results, formed an interdisciplinary team and worked with the state QIO to investigate the issue and determine a best practice for outcome improvement. The successful results of this process whose outcome increased from 30.2% to 36.2% in the first five months following the initiation of this program will be shared.

Objectives:

• Describe the steps in a successful interdisciplinary process of care investigation.
• Develop a best practice resulting from a process of care investigation.
• Identify an action plan to achieve outcome improvement.

Faculty: Anne Rich, RN, MEd, CHCE, Executive Director, Visiting Nurse and Hospice Care of Southwest Connecticut, Inc., Stamford, CT; Jill Sproch, RN, Performance Improvement and Regulatory Supervisor, Visiting Nurse and Hospice Care of Southwest Connecticut, Inc., Stamford, CT

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

614. Alternative Services and Private Pay
Private Duty Program: The First Six Months
Attendees will learn in detail: market assessment results; development process of the business plan; engaging a marketing consultant; the interview process; and the hiring of caregiving health aide staff. The program will discuss quality improvement efforts to monitor customer satisfaction, quality of life indicators, and caregiver stress measurements. Financial discussion will include break-even analysis, pricing of services, optimal organizational structure, measuring profit and loss calculation, direct and indirect cost determination, and sensitivity analysis.

Objectives:

• Describe the development and contents of the business plan and marketing strategies for the startup of a private duty program.
• Discuss quality improvement initiatives.
• Identify financial strategies for success.

Faculty: Carol Conrad, RN, BSN, MEd, Simione Consultants, LLC, Westboro, MA; Andrea Devoti, MSN, MBA, Vice President/COO, Neighborhood Health Agencies, Inc., West Chester, PA; David Berman, Simione Consultants, LLC, Westboro, MA

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

Tuesday, October 25, 2005 - 2:00PM - 3:30PM

Education Sessions Alternative Services and Private Pay Financial and Business Development Clinical and Disease Management Human Resources Hospice and Palliative Care Services Legal and Regulatory Issues Marketing Management and Leadership Development Pediatric Care Quality and Outcomes Telehealth and Technology Course Schedules Sunday Courses Monday Courses Tuesday Courses

701. Legal and Regulatory Issues
The New Medicare Appeals System: How to Successfully Advocate in the New Structure
The Medicare appeals system has been completely reformed within the last several months. There are new steps in the appeals process, limitations on the introduction of evidence, deadlines for decision making, and new provider rights for direct appeals. In addition, the system of hearings before Administrative Law Judges (ALJ) has been replaced with a new ALJ hearing before judges that are Medicare specialists. This program provides everything home health agencies and hospices need to know to continue the successes they've had in Medicare coverage appeals.

Objectives:

• Recognize the new appeal structure under Medicare.
• Identify the new rights and restrictions on administrative appeals for Medicare beneficiaries and providers of services.
• Discuss advocacy strategies to maximize the opportunities for success in the administrative appeals.

Faculty: William A. Dombi, JD, Vice President, Center for Health Care Law, NAHC, Washington, DC; Mary St. Pierre, BSN, MGA, Vice President for Regulatory Affairs, NAHC, Washington, DC

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

702. Quality and Outcomes
A Prescription for Outcome Improvement and Financial Success: Critical Clinical Problem Solving
Home care providers face financial problems due to noncompliance; not because staff are obstinate, or managers don't spend hours teaching and monitoring staff. Rather, problems result because the rules are subject to interpretation. Critical clinical problem solving (CCPS) is the solution.

Objectives:

• Identify the repercussions of home care staffs' inability to apply criteria set out by the CMS consistently.
• Illustrate the ability of a CCPS approach to help clinical staff provide more effective care and produce more accurate documentation.
• Describe the characteristics of staff education programs that help clinical staff develop and strengthen CCPS skills.

Faculty: Mary Kay Wagner, MEd, Lead Instructional Designer, Beacon Interactive, Mequon, WI; Claudia Conti, RN, MSN, Vice President/Chief Nurse Compliance Officer, Personal Touch Home Care, Inc., Bayside, NY; Diane Omdahl, RN, MS, President, Beacon Health, Mequon, WI

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

703. CANCELLED

704. Telehealth and Technology
The Vision and Challenges of Standardizing and Sharing Information in an Integrated Health Care System
Most health care organizations are either planning for, or have already begun, an automation project that will provide standardized medical information across their health care delivery system. The variety of software products and technology available today are almost limitless and a great deal of time and energy go into selecting exactly the right products for your health care system. This program provides you with key success factors and gives you personal experiences from a health care system that is facing the challenges of integrating and sharing medical information.

Objectives:

• Identify three benefits of standardizing and sharing information in an integrated healthcare system.
• Discuss three challenges of standardizing and sharing information in an integrated healthcare system.
• Describe three positive outcomes of standardizing and sharing information in an integrated healthcare system.

Faculty: Mary Argo, BA, MPA, President/CEO, Universal Health Care Services, Atlanta, GA; Edward Molare, BA, Provena Home Care, Frankfort, IL; Paul Fabbi, MS, Director Information Technology, Provena Health Care, Frankfort, IL

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

705. Marketing
Targeting Culturally Diverse Patient Populations: Program Development and Marketing Strategies
Census statistics prove that ethnic and linguistic diversity continue to grow. An agency that develops specialized programs for diverse populations in its service area will see its own census grow. In this session, you will learn how to target a particular cultural population and develop a program that will make you a leader in meeting their needs. You will learn about the regulatory standards that govern these programs and how to market to the culturally diverse populations you target.

Objectives:

• Identify culturally diverse populations in need of home health care services.
• Develop a program, which meets the needs of culturally and linguistically diverse patient populations.
• Design a market program targeted to diverse patient populations.

Faculty: Mary Narayan, MSN, RN, CS, CTN, APRN, BC, Senior Consultant, Visiting Nurse Service Network, Vienna, VA

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

706. Financial and Business Development
How to Start a Planned Giving Donation Program
In order to survive, non-profits need to get more creative with their strategic plans and incorporate planned giving into their development program. In this session, participants will learn how this volunteer hospice created a basic planned giving program to ensure its long term financial viability. Participants will also learn how to start a successful planned giving program.

Objectives:

• Identify the components of a successful planned giving program.
• Discuss the different types of planned giving gifts.
• Identify prospects and learn how to communicate the plan.

Faculty: Nancy Vance, BS, Director of Development, Fox Valley Hospice, Geneva, IL

Course Level: Intermediate; 1.8 nursing CEs (MNA/Approval Pending); 1.0 CPEs (NASBA/SKA)

707. Clinical and Disease Management
Disease Management: A New & Exciting Opportunity in Home Care
Home care clinicians are the only ones in the health care continuum who routinely observe patients and caretakers in their place of residence, observing barriers to treatment plans and obstacles to patient compliance. This session details how home health agencies can initiate successful disease management by collaborating with physicians, hospitals, managed care organizations, and outpatient clinics in the health care continuum.

Objectives:

• Demonstrate how to select the type of Disease Management (DM) approach appropriate to your agency's mission and strategic plan.
• Prioritize primary patient populations and diagnoses for DM implementation.
• Apply care quality and financial outcomes to effectively market your DM initiative.

Faculty: Melinda Huffman, RN, MSN, CCNS, Senior Consultant, Outcome Logics, Inc., Winchester, TN; Sherry Taylor, ADM, Director of Home Care Operations, Quorum Health Resources, Brentwood, TN

Course Level: Novice; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

708. Hospice and Palliative Care Services
Starting a Hospice Program: Issues to Consider
This workshop will provide you with practical information needed to start a hospice program. We will review the process of conducting a feasibility study and what to look for in your marketplace. Our discussion will include key issues including how hospice differs from home health, what are core services, what operational models look like, what are the steps for creating a budget, how to decide which budget assumptions to use, how to conduct a cash flow analysis, and what it takes to be financially viable.

Objective:

• Identify the services provided by a hospice and how they differ from home care services.
• Describe initial steps required in evaluating the market place for a start-up hospice program.
• Explain the major operational, clinical and business office issues associated with a start-up hospice program.
• Describe the hospice budgeting process and the key assumptions needed to create a hospice budget.
• Discuss the financial issues associated with a hospice program.

Faculty: Robin Seidman, RN, MSN, MBA, LNCC, Simione Consultants, LLC, Westborough, MA; Robert J. Simione, Simione Consultants, LLC, Hamden, CT.

Course Level: Novice; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

709. Clinical and Disease Management
Development of a Disease Management Program for COPD
Chronic Disease Management Programs for CHF and Diabetes are well documented in the literature, but few for COPD. This workshop will help you identify your role in this development and care delivery for a COPD disease management program.

Objectives:

• Identify initial steps taken in development of a COPD Disease Management Program.
• Describe the components for a successful COPD Disease Management program.
• Describe the best practices for favorable
  outcomes.

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

710. Management and Leadership Development
Planning and Executing a Seamless Transition of Agency Ownership
This program will provide the "do's" and "don'ts" of merging agency operations and cultures. Representatives from Patient Care will discuss processes, tools, and lessons learned from agency mergers they have directed. Real life examples from recent mergers of freestanding and hospital-owned agencies will be presented to give participants tips they can use in managing change.

Objectives:

• Describe how to effectively manage the merger of home health agencies.
• Demonstrate how to preserve the agency's most valuable asset – its employees.
• Discuss lessons learned from agency mergers.

Faculty: Jennifer Gallagher, Chief Development Officer, Patient Care, Newton, MA; Kathryn Christiansen, DNSc, MA, BSN, RN, FAAN, Regional Director, Patient Care at Rush Oak Park, Oak Park, IL

Course Level: Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

711. Management and Leadership Development
Maximizing Information Gathered from Point-of-Care Technology
Point-of-care technology has attained an increasing role in home care over the last decade and gives clinicians the tools they need to meet the ever-changing regulatory challenges and maintain compliance. This session will provide agency administrators with tips on utilizing the data itself, additional data that can be gathered, existing data elements that can provide new insight, benefits of going paperless, and tips to encourage more extensive use by existing staff.

Objectives:

• Discuss evolution of point-of-care technology and where the industry currently is with regard to point-of-care technology.
• Discuss benefits of using point-of-care during the visit and steps to encourage more extensive use by existing staff.
• Explain how one agency went paperless and how management used the data gathered through point-of-care technology.

Faculty: Dianna D'Amico Panomeritakis, RN, MA, CRRN, Director of Patient Services, Center for Nursing & Rehabilitation Long Term Home, Brooklyn, NY; Laurie Chaumont, Clinical IS Computer System Specialist, Center for Nursing & Rehabilitation Long Term Home, Brooklyn, NY; Karen Utterback, RN, MSN, CNA, CHCE, Vice President of Clinical Strategies, McKesson Corporation, Springfield, MO

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

712. Alternative Services and Private Pay
The New Reality of Home Care: Disease Management Clinics
Attendees will learn how this agency pioneered disease management clinics for their high cost chronic illness populations. Innovative strategies for reducing LOS and improving patient self-management through referrals to this on-site clinic are discussed. Patient inclusion criteria, ambulatory payment codes, and staffing ratios are reviewed. The new patient education program, Steps to Health, and its seamless transition from home care to clinic will be demonstrated.

Objectives:

• Define two goals of disease management.
• Cite three essential components of a disease management program.
• Describe CHHNC's development of a disease management clinic created from a need in home care.

Faculty: Joan Haizlip, RN, CS, MS, Program and Education Consultant, Innovative Health Care Solutions, Naperville, IL; Laurie Bladen, RNC, BSN, MBA/HCM, Director of Community Health, Community Hospital Home Nursing Care, Celina, OH

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

713. Marketing
Referral Boosting Strategies
This program is designed to provide home care leaders with strategies to boost referral volumes through tried and true practical activities. This program will also guide participants through an assessment of their current referral sources, including identifying the current process, types of patients referred, and the volume of referrals by source. The presenter will discuss an effective referral source survey tool designed to identify opportunities with current sources. This program will provide home care leaders with an in depth plan to increase referrals and patient volumes. Through increasing referrals, home care agencies can stay competitive in today's marketplace.

Objectives:

• Assess current referral sources for potential new/increased business opportunities.
• Identify three internal strategies for increasing business opportunities.
• Discuss three external strategies for increasing business opportunities.

Faculty: Betty Gordon, RN, BSN, MPH, Principal in Charge of Operations Consulting, Simione Consultants, LLC, Westborough, MA

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

714. CANCELLED

Tuesday, October 25, 2005 - 3:45PM - 5:15PM

Education Sessions Alternative Services and Private Pay Financial and Business Development Clinical and Disease Management Human Resources Hospice and Palliative Care Services Legal and Regulatory Issues Marketing Management and Leadership Development Pediatric Care Quality and Outcomes Telehealth and Technology Course Schedules Sunday Courses Monday Courses Tuesday Courses

801. Legal and Regulatory Issues
A Complete and Total Tutorial on Medicare Patient Notices
Home health agencies and hospices must provide a variety of notices to patients relative to Medicare services on coverage denial, reduction, or termination. Home health agencies alone must provide four different notices in writing. Hospices must provide written notice any time a physician ordered service will not be provided as a Medicare covered service. The rules are complex and confusing, but the consequences of noncompliance can be serious. This program provides a comprehensive explanation of the notice responsibilities when the patient is enrolled in Medicare as a fee-for-service beneficiary or Medicare Advantage enrollee. Attendees will receive a detailed roadmap on these notice obligations.

Objectives:

• Recognize the various notice responsibilities regarding Medicare coverage and service determinations.
• Identify when and how to issue notices to patients subject to a denial, reduction, or termination of home health and
  hospice services.
• Discuss the interrelationship between the various notices and other patient communications.

Faculty: Mary St. Pierre, BSN, MGA, Vice President for Regulatory Affairs, NAHC, Washington, DC; William A. Dombi, JD, Vice President, Center for Health Care Law, NAHC, Washington, DC

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

802. Alternative Services and Private Pay
Public Payer Dependence Bad: Private Payer Diversification Good
Public payers, such as Medicare and Medicaid, continue to increase regulatory burdens while, at the same time, decreasing equitable payment rates. One survival response is the development of efficient private pay business lines that can reduce direct dependency on public payers. There are private pay funded HHAs, Nurse Registries, and Health Care Services Pools. This session describes these three health care business models and reviews the advantages and challenges of each one.

Objectives:

• Identify the essential components of a private pay HHA.
• Describe the essential components of a Nurse Registry business model.
• Discuss essential components of a health services pool.

Faculty: Gene Tischer, JD, Executive Director, Associated Home Health Industries of Florida, Tallahassee, FL

Course Level: Novice-Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

803. Quality and Outcomes
Community Health Accreditation Program (CHAP): Celebrating Forty Years of Standards Excellence
This presentation will describe the CHAP mission and philosophy and the four principles on which the CHAP Standards of Excellence are based: the organization's structure and function that consistently supports a consumer oriented mission; the organization consistently provides high quality services and products; the organization has adequate human, financial, and physical resources to accomplish its stated mission; and the organization is positioned for long term viability. The accreditation process will be described for organizations considering CHAP as their accrediting organization.

Objectives:

• Discuss the CHAP mission and philosophy relative to the Standards of Excellence.
• Describe the CHAP Accreditation Process.
• Relate key revisions in standards for private duty services.

Faculty: Marcie Barnette, RN, MSN, Vice President for Accreditation, Community Health Accreditation Program, Alexandria, VA; Terry Duncombe, RN, MSHA, President/CEO, Community Health Accreditation Program, New York, NY

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

804. Hospice and Palliative Care Services
Best Practice: Wound Care at End-of-Life
Guidelines for management of pressure ulcers and other types of wounds in hospice patients will be presented utilizing evidence-based best practices for individualized care delivery. The pressure ulcer guidelines that have been published by agencies such as AHRQ do not specifically address pressure ulcer wound care management at end-of-life. Hospice patients and caregivers could benefit from applying evidence-based practice guidelines for symptom management related to pressure ulcers and other types of wounds. Hospice professionals have a responsibility to improve wound care symptom management outcomes at end-of-life. By promoting standards through best practice and individualized care delivery, this can be achieved.

Objectives:

• Describe current practice challenges and the need for an evidence-based approach to wound care at end-of-life.
• Discuss treatment management strategies for pressure ulcers and other types of wounds at end-of-life.
• Apply pressure ulcer algorithms to guide would care for a patient approaching end-of-life.

Faculty: Linda Hoplamazian, RN, BSN, MHA, WCC, Vice President of Wound Care Services, Hospice Pharmacia, Philadelphia, PA; Tracey Wissman, RN, BSN, CHPN, Director of Patient Care, Lighthouse Hospice, Inc., Cherry Hill, NJ

Course Level: Intermediate–Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

805. Marketing
CRINKING (CReative thINKING) for Strategic Planning in Your Organization
CRINKING is CReative thINKING. In this program, the faculty will demonstrate how
to "get inside someone else's brain" to help develop solutions and prioritize problems when conducting an organization's strategic process. The faculty will also demonstrate how to map out a solution list based on factors affecting implementation.

Objectives:

• Describe CRINKING – a creative way to think outside the box.
• Demonstrate how CRINKING works.
• Discuss using CRINKING for strategic planning.

Course Level: Intermediate-Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

806. Financial and Business Development
Outpatient Therapy for HHAs
Attendees will learn how to expand their traditional homebound services to Outpatient Therapy provided under their provider number. The BBA of 1997 allows agencies to continue therapy of patients on an outpatient basis or provide therapy at Adult Care Centers or ALFs. This course will cover billing, coding, and co-payment collection information needed to implement this program.

Objectives:

• Explain admission and clinical criteria.
• Review financial and billing requirements.
• Explain Medicare bad debts requirements.

Faculty: James Plonsey, President, Medicare Training and Consulting, Landsing, IL; Jean Weber, BSN, Director of Clinical Services, Nurses & Company, St. Peters, MO

Course Level: Novice–Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

807. Alternative Services and Private Pay
The Game of Education: Creative In-services for the Home Care Aide
If you ever worried about leading another meeting where you had to communicate a dry educational topic to your Home Care Aide staff...worry no more! This program is specifically designed to encourage administrators and supervisors to instruct their home care aides in a creative way. Three specific games will be demonstrated which can be adapted for any task or concept for which home care aides might need instruction.

Objectives:

• Define ways adults learn.
• Demonstrate ways to educate the home care aide through interesting and educational programs.
• Develop additional ideas to perform inservices to home care aides.

Faculty: Marcylle Combs, RN, BS, CHCE, President, Foundation Management Services, Inc., Denton, TX; Michelle Livesay, RN, BSN, Regional Director of Operations, Foundation Management Services, Denton, TX

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

808. Clinical and Disease Management
Diabetes: An Independent Risk Factor for Pressure Ulcers
Attendees will learn a team approach to prevention and treatment of pressure ulcers to improve the outcomes for patients with diabetes. WOCN consultation to assess for Braden score and mobility status, and recommendations based on this information is essential. An under-utilized component of "teaming up for prevention of pressure ulcers" initiative is the invaluable work of the rehabilitation specialist.

Objectives:

• Identify two types of neuropathy that contribute to pressure ulcer development in the patient with diabetes.
• Describe the risk factors associated with insensate extremities for development of pressure ulcers.
• Discuss the role of the rehabilitation specialist, i.e. PT and OT in the prevention of pressure ulcers in the patient with
  diabetes.

Faculty: Caryl Ann O'Reilly, RN, CDE, MBA, Clinical Nurse Specialist, Visiting Nurse Service of New York, Staten Island, NY; Jeanne Ryan, OTR, Staten Island, NY; Yannick Martelly, RN, BSN, CWOCN, WOCN, Visiting Nurse Service of New York, Staten Island, NY

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

809. Clinical and Disease Management
To Be Announced

810. Management and Leadership Development
Home Care's Role in State Emergency Disaster Preparedness and Planning
This presentation will describe the Emergency State and Federal preparedness and healthcare response exercise (TOPOFF 3) that simulated a pneumonic plague event in New Jersey. Home care agencies' roles and response within the event will be discussed, including prior to, during, and after the simulated event. Recommendations for emergency preparedness plans will be reviewed and discussed in the context of a statewide strategic planning emergency preparedness event.

Objectives:

• Describe the steps to take in planning for a state wide strategic planning exercise about emergency preparedness/bioterrorism events.
• Identify the elements required in-an-emergency preparedness plan and list resources available for staff education about emergency preparedness.
• Discuss home care's role in a state wide strategic planning event for a potential biological terrorist event.

Course Level: Novice–Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA

811. Management and Leadership Development
Home Care 2006: Adopting the Preemptive Assessment Model
In this session, you will learn how the Preemptive Assessment Model works and why it is important to use as a tool to keep your agency on track. The presenter also will teach the fundamentals of the Circle of Refinement and Agency Effectiveness Assessment, and how vital they are to effective agency management.

Objectives:

• Discuss the importance and the structure of the Preemptive Assessment Model.
• Discuss how to use data acquired using the Preemptive Assessment Model to drive major agency decisions and direction.
• Explain the fundamentals of the Circle of Refinement and the utilization of the Agency Efficiency Assessment tool.
• Describe the Preemptive Assessment Model, Circle of Refinement and Agency Effectiveness Assessment.

Faculty: Jeff Lewis, President/CEO, Lewis, Inc., Baton Rouge, LA

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

812. Management and Leadership Development
A Wound/Ostomy Consultant Program: How One Agency Developed "From Within"
In this session, you will learn how one small-sized agency's educational initiative led to an on-staff wound/ostomy consultant, and how this upgraded clinical practice decreased costs. The wound care expertise which was developed within this agency led to more accurate identification of wounds, appropriate product selection, decreased visits yet better outcomes, overall reduced costs, and professional growth opportunities.

Objectives:

• Describe four benefits of an In-Hospice Wound/Ostomy Consultant.
• Discuss steps needed to facilitate wound/ostomy certification for staff.
• Describe the role of the wound/ostomy consultant in Homecare.

Faculty: Suzanne Van Loon, RNC, BSN, MPH, Director of Clinical Services, Visiting Nurse Association of Somerset Hills, Bernardsville, NJ; Stephanie Metzger, RN, BSN, CWCN, SOCN, Nursing Supervisor, Wound/Ostomy Consultant, Visiting Nurse Association of Somerset Hills, Bernardsville, NJ

Course Level: Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

813. Hospice and Palliative Care Services
The Gift of Dying at Home Alone
With extra planning and coordination, agencies can provide the "gift of dying at home." These presenters will illustrate real stories of patients who successfully managed to die at home, and cases where dying at home alone did not go well and why. A one-page assessment will be presented. It will cover caregiver support, financial resources, functional living accommodations, and the legal and ethical consideration of patient's rights.

Objectives:

• Discuss challenges presented by terminally ill individuals who want to return home, yet live alone.
• Explore particular issues of caring for terminally ill individuals who live alone through case studies.
• Identify the crucial factors and tools that determine outcome.

Faculty: Joan Smith Reese, BA, President, Keystone Home Health Services, Inc., Wyndmoor, PA; Mindi Rovinsky, RN, Nurse Liaison, Keystone Hospice, Wyndmoor, PA

Course Level: Intermediate–Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

814. Hospice and Palliative Care Services
New Medicare Hospice Benefit Proposed Conditions of Participation
CMS has stated the new proposed Hospice Conditions of Participation (CoP) will be printed in the Federal Register in May 2005. The draft is the closest the new CoP have been to publication since the rewrite was begun in 1995. This workshop will review the changes and compare them with the current regulations to explore how they will impact a hospice's day-to-day operations.

Objectives:

• Describe the changes in the new Hospice CoPs.
• Identify differences between the old and new CoPs.
• Discuss the impact of the new CoPs on hospice operations.

Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)

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