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In the various roles he has undertaken through the years, Val J. Halamandaris has been a singular driving force behind the policy and program initiatives resulting in the recognition of home health care as a viable alternative to institutionalization. His dedication to consumer advocacy, which enhances the quality of life and dignity of those receiving home health care, merits VNA HealthCare Group’s highest recognition and deepest respect. 

VNA HealthCare Group

I have the highest respect for them, especially for the nurses, aides and therapists, who devote their lives to caring for people with disabilities, the infirm and dying Americans.  There are few more noble professions.

President Barack Obama

Home health care agencies do such a wonderful job in this country helping people to be able to remain at home and allowing them to receive services

U.S. Senator Debbie Stabenow (D-MI) Chair, Democratic Steering and Outreach Committee

Heath care at home…is something we need more of, not less of.  Let us make a commitment to preventive and long-term care.  Let us encourage home care as an alternative to nursing homes and give folks a little help to have their parents there.

Former President Bill Clinton

Home care is a combination of compassion and efficiency.  It is less expensive than institutional care...but at the same time it is a more caring, human, intimate experience, and therefore it has a greater human’s a big mistake not to try to maximize it and find ways to give people the home care option over either nursing homes, hospitals or other institutions

Former Speaker of the U.S. House of Representatives Newt Gingrich (R-GA)

Medicaid covers long-term care, but only for low-income families.  And Medicare only pays for care that is connected to a hospital discharge....our health care system must cover these vital services...[and] we should promote home-based care, which most people prefer, instead of the institutional care that we emphasize now.

Former U.S. Senator Majority Leader Tom Daschle (D-CD)

We need incentives to...keep people in home health care settings...It’s dramatically less expensive than long term care.

U.S. Senator John McCain (R-AZ)


Home care is clearly the wave of the future. It’s clearly where patients want to be cared for. I come from an ethnic family and when a member of our family is severely ill, we would never consider taking them to get institutional care. That’s true of many families for both cultural and financial reasons. If patients have a choice of where they want to be cared for, where it’s done the right way, they choose home.

Donna Shalala, former Secretary of Health and Human Services

A couple of years ago, I spent a little bit of time with the National Association for Home Care & Hospice and its president, Val J. Halamandaris, and I was just blown away. What impressed me so much was that they talked about what they do as opposed to just the strategies of how to deal with Washington or Sacramento or Albany or whatever the case may be. Val is a fanatic about care, and it comes through in every way known to mankind. It comes through in the speakers he invites to their events; it comes through in all the stuff he shares.

Tom Peters, author of In Search of Excellence

Val’s home care organization brings thousands of caregivers together into a dynamic organization that provides them with valuable resources and tools to be even better in their important work. He helps them build self-esteem, which leads to self-motivation.

Mike Vance, former Dean of Disney and author of Think Out of the Box

Val is one of the greatest advocates for seniors in America. He goes beyond the call of duty every time.

Arthur S. Flemming, former Secretary of Health, Education, and Welfare

Val has brought the problems, the challenges, and the opportunities out in the open for everyone to look at. He is a visionary pointing the direction for us. 

Margaret (Peg) Cushman, Professor of Nursing and former President of the Visiting Nurses Association

Although Val has chosen to stay in the background, he deserves much of the credit for what was accomplished both at the U.S. Senate Special Committee on Aging, where he was closely associated with me and at the House Select Committee on Aging, where he was Congressman Claude Pepper’s senior counsel and closest advisor. He put together more hearings on the subject of aging, wrote more reports, drafted more bills, and had more influence on the direction of events than anyone before him or since.

Frank E. Moss, former U.S. Senator

Val’s most important contribution is pulling together all elements of home health care and being able to organize and energize the people involved in the industry.

Frank E. Moss, former U.S. Senator

Anyone working on health care issues in Congress knows the name Val J. Halamandaris.

Kathleen Gardner Cravedi, former Staff Director of the House Select Committee on Aging

Without your untiring support and active participation, the voices of people advocating meaningful and compassionate health care reform may not have been heard by national leaders.

Michael Sullivan, Former Executive Director, Indiana Association for Home Care

All of us have been members of many organizations and NAHC is simply the best there is. NAHC aspires to excellence in every respect; its staff has been repeatedly honored as the best in Washington; the organization lives by the highest values and has demonstrated a passionate interest in the well-being of patients and providers.

Elaine Stephens, Director of Home Care of Steward Home Care/Steward Health Systems and former NAHC C

Home care increasingly is one of the basic building blocks in the developing system of long-term care.  On both economic and recuperative bases, home health care will continue to grow as an essential service for individuals, for families and for the community as a whole.

Former U.S. Senator Olympia Snowe (R-ME)

NCOA is excited to be part of this great event and honored to have such influential award winners in the field of aging.

National Council of Aging

Extensive Hospice Educational Offerings at NAHC’s Annual Meeting & Exposition in Phoenix

September 18, 2014 04:09 PM

The National Association for Home Care & Hospice (NAHC) is gearing up for its Annual Meeting, taking place in Phoenix, Arizona, from Oct. 19 - 22.  As part of its educational offerings, NAHC has included over 60 programs that are either explicitly geared toward hospices or provide education that would be applicable to the hospice arena. 

Hospice stakeholders may want to give particular consideration to attending some of the following programs, which are geared toward addressing pending regulatory changes:

  • 114-How to Ensure Hospice Compliance, Program Integrity, and More
  • 117-How to Create Comprehensive, Resource-Based Hospice Charge Structures
  • 214-How to Deal with Current and Future Changes: Medicare Hospice Policy Roundup

A Special Three-Part Series on the New Hospice Cost Report:

  • 318-How to Prepare Your Hospice for the Revised Cost Reporting Requirements (Part 1)
  • 413-How to Prepare Your Hospice for the Revised Cost Reporting Requirements (Part 2)
  • 516-How to Maximize the Value of the New Cost Reporting Requirements through its Use as a Management Tool
  • 414-How to Improve Hospice Staff Productivity Using Optimum Clinical and IDG Models and Incentive Compensation
  • 512-How to Use QAPI Data to Prepare for the Hospice Quality Reporting Program and the New Era of Competition
  • 513-How to Manage Provider Impact in 2014: Hospice Billing Change Strategies for Managing Provider Impact
  • 614-How to Make Your Decisions Stand Up to Government Scrutiny: The Non-Clinical Side of Hospice Relatedness Determinations
  • 714-How to Apply Key Coding Concepts in Establishing a Principal Hospice Diagnosis
  • 812-How to Master Hospice Aggregate CAP Reporting and Financial Management

Below we are providing a comprehensive list of Annual Meeting offerings that hospices may find of particular interest to assist in pre-planning for the conference.  We recommend that you check these listings against the final program when making final decisions about the programs you would like to attend. 

To register for the conference, please click here

NAHC has also secured special rates at four hotels near the Phoenix Convention Center, but the discounted rates are ending the week of September 22. To book your hotel rooms, click here.

NAHC Annual Meeting

Educational Sessions with Hospice Focus

100 Series

Sunday, Oct. 19

11:30 a.m. - 1 p.m.

108-How to Prevent Infection Control Breaches

A key component of health care reform is infection prevention, including surveillance activities, financial penalties, and documented compliance with recognized standards.  At the end of May, CMS sent a memorandum to state surveying agencies and accrediting bodies, directing them to identify breeches and report any that warrant disclosure. This notification comes on the heels of significant breaches, conducted knowingly and unknowingly, by health care providers. Don't be one of them. Attend this session to learn how to adhere to professional standards of infection control. 


  • Discuss breaches
  • Identify policies and procedures necessary for compliance
  • Discuss the importance of needle stick safety in a home environment

Faculty:Barbara B. Citarella, MS, RN, President, RBC Limited, Staatsburg, NY

110-How to Grow Through Innovative Partnerships in Care

Evolving regulatory and payment landscapes encourage partnerships among physicians, home health, hospice, and home care. Innovative partnerships drive new business, length of stay, and promotable outcomes. The speaker will discuss the importance of choosing a partner based on maximizing synergies and how all those involved in a partnership can use evidence-based tools to promote business.


  • Identify national trends driving the need for cross-continuum partnerships
  • Discuss regulatory limitations and opportunities for partnership within each segment of the care continuum
  • Describe potential growth opportunities that result from selecting the most operationally and clinically compatible partners

Faculty:Jennifer Ramona, BA, Director of Business Development, Homewatch CareGivers International, Greenwood Village, CO; Elisabeth Doherty, MBA, MS, Strategic Initiatives Manager, Homewatch CareGivers International, Greenwood Village, CO

114-How to Ensure Hospice Compliance, Program Integrity, and More

Compliance and program integrity involve all aspects of hospice - clinical, financial, administrative - and go well beyond compliance with regulations. The Centers for Medicare & Medicaid Services has amped up program integrity efforts across all provider types, some of which ultimately impact hospices (i.e. Part D drugs). But hospices are under direct and increasing scrutiny from health care oversight entities (including CMS's Office of Program Integrity and the Department of Justice), as well as entities like the Equal Employment Opportunity Commission charged with oversight of businesses and employers. This session will focus on the hot topics of relatedness and hospice eligibility, moving beyond regulatory compliance to discuss program integrity efforts affecting hospice and the importance of having an effective compliance plan.


  • Briefly describe the current compliance environment for hospice
  • Review the reasons for concern about hospice compliance
  • List and explain regulatory areas of vulnerability and hospice-wide areas of vulnerability
  • Outline key components necessary for program integrity 

Faculty:Katie Wehri, CHC, CHPC, Hospice Regulatory and Operations Specialist, National Association for Home Care & Hospice, Washington, DC

117-How to Create Comprehensive, Resource-Based Hospice Charge Structures

Hospice per-diem charge structures fail to provide hospices with financial control and assessment of margins and profitability.  As CMS continues to move toward greater charge reporting through the billing process, hospices should begin to rethink their entire charge structure.  This program will focus on how alternative charge structures can be created and the benefits of a resource based charge structure.


  • Describe the historic disincentives for hospice providers to create coherent charge structures and ongoing changes within Medicare that make development of such structures increasingly important
  • Discuss the organizational benefits and uses of a comprehensive resource-based charge structure for hospices
  • Outline approaches to developing a resource-based hospice charge structure and essential inputs

Faculty:William T. (“Ted”) Cuppett, BS, CPA, Managing Partner, The Health Care Group, Morgantown, WV; Mark  P. Sharp, CPA, Partner, BKD, LLC, Springfield, MO

200 Series

Sunday, Oct. 19

1:15 - 2:45 p.m.

207-How to Build a World-Class Onboarding Program: The First 90 Days

Onboarding is the process of integrating new employees into a company's culture. This course teaches HR leaders how to design and implement a world-class onboarding program that promotes retention, employee engagement, and performance. The best part: a great onboarding program is a lot of fun.


  • Discuss current research regarding onboarding
  • Identify best practices for onboarding programs
  • Discuss key metrics to measure the success of the programs

Faculty:Benjamin Forstner, MBA, Director of Human Resources, First Choice Home Health & Hospice, Orem, UT

210-How to Drive Referral and Revenue Growth + Four Myths That Are Killing Your Business

Succeeding in business today, especially the competitive health care business, requires you to effectively connect the value of your brand to the specific challenges customers face. Participants will learn three proven strategies for driving referral and revenue growth. They'll also find out about four common myths that can kill their business.


  • Review the role of sales and marketing, including the necessity for more solutions-based, diagnostic methods to drive referral and revenue growth
  • Apply three proven strategies for driving referral and revenue growth
  • Describe the four myths that can reduce brand credibility and erode referrals and revenue

Faculty:Mark Wilson, BA, Vice President of Business Development, Wilshire Health and Community Services, Inc., San Luis Obispo, CA; Tricia Ritchie, BS, President/CEO, Wilshire Health and Community Services, Inc., San Luis Obispo, CA

213-How to Use Technology to Improve Triage Efficiency: The Experience of Tidewell Hospice

Triage scheduling is the Achilles heel of most hospice programs. Overstaff your triage department and waste precious resources; understaff and risk being unavailable to meet the patient/family needs. Tidewell Hospice has the answer to improving patient satisfaction, timely response to triage calls, and decreased rehospitalizations. Find out how we improved staff tracking, dispatching, and communication with patient and staff through the use of technology.


  • Describe the importance of hospice triage programs
  • Identify the staffing challenges faced by hospice triage programs
  • Explain how Tidewell Hospice uses technology to dispatch a triage team

Faculty:Mary Heath, RN, BS, CPHQ, Executive Vice President/ Chief Clinical Officer, Tidewell Hospice, Sarasota, FL; Sue Zawacki, RN, BSN, CHPN, Vice President Home Teams, Tidewell Hospice, Sarasota, FL; Jessica  Stevenson, RN, Vice President, Clinical Staffing Services, Tidewell Hospice, Lakewood Ranch, FL

214-How to Deal with Current and Future Changes: Medicare Hospice Policy Roundup

The Medicare hospice benefit has entered an era of rapid change that is being driven by regulatory and legislative initiatives. As part of this session, experts from the National Association for Home Care & Hospice's (NAHC's) Hospice Association of America will provide insight into the latest regulatory issues hospice providers are facing, as well as changes that are anticipated in the not-too-distant future. The session will also outline hospice issues currently under consideration by Congress, the Medicare Payment Advisory Commission (MedPAC) and oversight organizations that may yield future changes in Medicare hospice policy.


  • Outline key issues related to current and future hospice regulatory requirements
  • Describe federal legislative initiatives in hospice and end-of-life care
  • Describe work related to hospice that is currently being conducted by MedPAC

Faculty:  Theresa M. Forster, VP, Hospice Policy & Programs, National Association for Home Care & Hospice, Washington, DC; Katie Wehri, CHC, CHPC, Hospice Regulatory and Operations Specialist, National Association for Home Care & Hospice, Washington, DC

216-How to Determine Objectives, Priorities and Effectiveness: Post-Acute-Care Compliance

Most post- acute providers have compliance programs but struggle to identify priorities and allocate scarce budget dollars. This session will focus on which priorities and objectives home health and hospice providers should focus on and how providers can demonstrate that their compliance program effectively meets its goals.


  • Identify home health and compliance objectives for 2014
  • Identify methods for prioritizing compliance objectives
  • Identify methods for demonstrating the effectiveness of a compliance program

Faculty:Marsha Lambert, RN, The Corridor Group, San Francisco, CA; Alan Schabes, Esq, Partner, Benesch Friedlander Coplan & Aronoff, LLP, Cleveland, OH

300 Series

Monday, Oct. 20

8 - 9:30 a.m.

301-How to Incorporate Evidence-based Practices and Clinical Decision Support to Improve Outcomes and Agency Efficiency: The New EMR

National IT standards include providing EBP and CDS to support clinical decision making and documentation within an EMR. This presentation will show how definitions, conceptions, and applications of this system affected one organization. Adopting this new approach to clinical documentation can position agencies for overall success.


  • Identify how evidence-based practice (EBP) concepts apply to home care and hospice clinical practice
  • Explain national IT standards that include CDS as a component of an EMR, integrated with EBP
  • Discuss one organization's EHR journey and benefits of using an EMR that integrates CDS and EBP

Faculty:Andrea L.  Devoti, MSN, MBA, RN, President & Chief Executive Officer, Neighborhood Health Agencies , West Chester, PA; Carolyn Humphrey, RN, MS, FAAN, President, CJ Humphrey Associates , Louisville, KY

303-How to Use Scorecards to Manage Revenue Cycle Compliance

The home health and hospice revenue cycles are dependent on maintaining efficient and effective operations in the most compliant manner.  This workshop provides strategies for implementing a compliance 'scorecard' system to measure and manage regulatory compliance throughout the revenue cycle.


  • Identify key compliance risk areas influencing the revenue cycle
  • Identify key performance metrics for managing a revenue cycle compliance scorecard
  • Describe key accountability strategies for managing compliance in the revenue cycle

Faculty:Patrick Brown, BA, CFO, Penn Home Care & Hospice Services, Bala Cynwyd, PA; M. Aaron Little, CPA, Managing Director, BKD, LLP, Springfield, MO

305-How to use Clinical Decision Support Technology to Improve Clinical Workflow and Margins

How do you increase efficiency while retaining quality care and compliance? One way is to use clinical support technology at the point of care. By doing so, you'll produce a paradigm shift in work flow and retain margins in an ever-decreasing reimbursement environment. The presentation will discuss the challenges of episode management and the paradigm shift in work flow after CDS implementation in a home care agency.


  • Review market forecast for home care reimbursement, inflation rate, and episode cost for home care
  • Discuss the challenges within each category of episode management
  • Demonstrate the typical home care work flow and the paradigm shift in work flow after implementation of CDS

Faculty:Jeff  Nyquist, PhD, CEO, Upper Peninsula Home Health, Hospice, & Private Duty, Marquette, MI; Janelle Schroeder, MS, Vice President, Business Strategies, Eventium, LLC, Milwaukee, WI

307- How to Provide Service as a Unique Benefit: A Culture of Caring

This program will discuss how to develop a culture of caring that permeates your organization. Despite major financial cuts in the industry, organizations still have to find a way to provide excellent care for patients and have a unique factor that sets them apart. Outstanding service is one way to accomplish this goal.


  • Describe the role of leaders in creating a customer service program
  • Identify the components of training focused on customer service  
  • Develop a compelling vision for change, come up with a short-term win strategy, and make change part of an organization's future

Faculty:Marcylle Combs, RN, BS, CHCE, CEO and President, FMS, Denton, TX; Samantha McKay, CHCE, Regional Director of Customer Loyalty, FMS, Denton, TX

308-How to Stay Informed: Medicare Updates and Reminders from CGS

CGS is the Medicare Administrative Contactor (MAC) for Jurisdiction 15 (J15).  We process home health and hospice claims for providers in the primary states of Colorado, Delaware, Iowa, Kansas, Maryland, Missouri, Montana, Nebraska, North Dakota, Pennsylvania, South Dakota, Utah, Virginia, West Virginia, Wyoming, and the District of Columbia.  We also serve home health and hospice agencies in other states.  This educational session will address recent and future changes in Medicare that have or will impact the processing and payment of Medicare claims to home health and hospice agencies.  Common billing errors and resources for preventing and resolving these errors will also be discussed.  Time is allotted during this session for Q & As.


  • Discuss recent or impending Medicare changes impacting home health and hospice agencies
  • Review the most common reasons home health and hospice claims are rejected or returned to the provider for correction
  • Cite resources to assist in resolving common home health and hospice provider billing issues and errors

Faculty:Shona  Brummer, BS, Senior Provider Representative, CGS Administrators, LLC, Des Moines, IA; Nykesha Scales, BS, HH & H Senior Provider Relations Representative, CGS, Administrators, LLC, Des Moines, IA; Sandy Decker, BSN, Senior Provider Education Consultant, CGS, Administrators, LLC, Des Moines, IA

312-How to Manage Advanced COPD: What Every Home Health Clinician Should Know

Chronic obstructive pulmonary disease (COPD) requires medications to manage symptoms and slow progression. This presentation discusses management of pulmonary medications and symptom management in patients with advanced COPD. Since conversations with patients, families, and clinicians about these medications can be difficult, there will also be a review of communication strategies for improving agreement and compliance with care plans.


  • Review the medications used to manage advanced COPD
  • Demonstrate patient assessment skills and decision making in pulmonary medication selection
  • Identify strategies for improving agreement and compliance with care plans among patients, family members, and clinicians

Faculty:Amanda Weiland, PharmD, RPh, Clinical Pharmacist, HospiScript, a Catamaran Company, Dublin OH, Dublin, OH

315-How to Ensure the Future of Home Health and Hospice in a Time of Shifting Accountabilities

How can your organization survive and grow in a system driven by accountable care and managed care? Learn best practices that lead to the building of a successful population health program. Hear what you need to do to become a "chosen provider" and manage in a risk-sharing environment.


  • Describe population health management and the key opportunities and requirements for providers in a population health, risk-sharing payment system
  • Explain the importance of data and data analysis in gaining access to contracts and succeeding in a population health system
  • Identify opportunities, best practices, key critical success factors and challenges to a successful population management program

Faculty:Barbara  Hiney, RN, MPH, CHPCA, Executive VP, MJHS Hospice and Palliative Care, New York, NY; Suzanne  Sblendorio, BSN, MA, Director, Healthcare  Information Technology, Simione Healthcare Consultants, LLC, Shamong, NJ

318-How to Prepare Your Hospice for the Revised Cost Reporting Requirements (Part 1)

CMS has released the long-awaited final version of the revised Hospice Cost & Data Report effective for cost reporting years beginning on or after October 1, 2014.  Part 1 of this two-part program provides attendees with a comprehensive understanding of the changes to existing cost reporting requirements.


  • Describe the general cost reporting requirements and changes thereto
  • Identify and describe the changes in cost centers and the underlying accounting records required of hospice
  • Outline a comprehensive list of statistical information required for accurate completion of the revised report
  • Identify those costs and transactions that pose difficulty for the hospice in accounting and cost reporting

Faculty:William T. (“Ted”) Cuppett, BS, CPA, Managing Partner, The Health Group, LLC, Morgantown, WV

400 Series

Monday, Oct. 20

2:30 - 4 p.m.

404-How to Manage within Managed Care: Lessons Learned in Home Care

Over the last several years, managed care has become a significant part of life in home care. Medicare Advantage enrollment has increased along with a growing shift to managed Medicaid, particularly Managed Long Term Services and supports. While traditional fee-for-services remains the dominate source of business on home care, working within a managed care system is an essential part of today's operations. This program is a "lessons learned" workshop on managed home care. Led by a distinguished panel of home care executives with extensive experiences in managed care, the program is intended to unveil the secrets to successful management of managed home care.


  • Identify the key issues in managed home care operation
  • Recognize how managed care organizations perceive and understand home care services
  • Identify steps to achieve administrative efficiencies and consistent program operations in managed home care

Faculty:Lynne Hebert, RN, Vice President/Clinical Operations, Senior Home Care, affiliate of Kindred at Home, Clearwater, FL

405-How to Ask the Five Right Questions before You Invest in Technology

Health care IT was a failure in 2013. Forty percent of providers say they wouldn't recommend their EHR to a colleague and more than 30 percent say they are buying a new EHR system to replace existing software. Nonetheless, there is no doubt that technology drives effectiveness and efficiency. The important thing is for the technology you choose to fit your purposes, just like the apps you download to your iPhone. To learn what's right for you, you must ask the right questions.


  • Describe the current healthcare technology landscape
  • Pinpoint the problems most care providers are having with technology
  • Highlight the advantages of technology

Faculty:Chad Creech, RN, BS, CHCE, Chief Development Officer, Alternate Solutions, Kettering, OH; Dan  Hogan, BA , CEO/Founder, Medalogix, Nashville, TN

408-How to Have a Happy Marriage or Ugly Divorce: Affiliations

In the rapidly changing home care environment, home health and hospice organizations are considering who their strategic partners should be and how to make affiliations with them. This presentation will discuss pre-affiliation considerations, steps in making an affiliation happen, living through the process, and life after the honeymoon is over.


  • Identify the reasons to affiliate and at least three types of affiliations
  • Discuss the steps in the affiliation process
  • Describe the integration process and the challenges and pitfalls of living with an affiliation

Faculty:Margie Walsh, RN, BSN, Vice President of Home Health and Marketing, VNA of  Western Pennsylvania, Butler, PA; Kristy Wright, RN, BSN, MBA, FAAN, Director of Operations Consulting, Simione Healthcare Consultants LLC, New Castle, PA

409-How to Communicate Organizational Change

An exploration of the theory and practice of organizational transformation and the leadership necessary to help change efforts succeed. This presentation will creatively define the change process, needs assessment for innovation, SWOT analysis and describe short time wins of successful organizational change.


  • Define the change process
  • Identify a needs assessment, SWOT and culture analysis, and guiding coalition 
  • Describe elements of short term wins

Faculty:Marcylle Combs, RN, BS, CHCE, President/CEO, FMS, Denton, TX; Brenda  Beggs, RN, CHCE, VP Regulatory Compliance, FMS, Denton, TX

412-How to Develop and Grow Successful Palliative Care Programs

Many health care organizations are providing palliative care programs and more are considering launching their own programs. In this dynamic program, the presenters will discuss palliative care and successful program models, including reviewing a successful hospital-based hospice and palliative care program and the implementation and use of a research-based palliative care decision tool. They will also discuss program models, payment, referral structures, and potential strategic opportunities, and a successful model of an integrated hospital-based hospice and palliative care program.


  • Describe the growth of hospice and palliative care, along with the need to continue expanding access to it
  • Describe a successful hospital, hospice, and community-based palliative care program; identify barriers to developing and growing such a program, and describe the Decision Aid for Palliative Care Referral tool
  • Describe strategic opportunities and considerations for home health agencies, hospices, hospitals, and health systems in developing an integrated palliative care program

Faculty:Melanie Cama, RN BSN, Hospice and Palliative Care Program Director, Middlesex Hospital Home Care, Middletown, CT; Julia Maroney, RN, MHSA, Senior Manager, Simione Healthcare Consultants, Bennington, VT

413-How to Prepare Your Hospice for the Revised Cost Reporting Requirements (Part 2)

Part 2 of this two-part program will focus on practical preparation for and completion of the newly revised Hospice Cost & Data Report, effective for cost reporting years beginning on or after October 1, 2014.  Attendees will be able to take information provided in this session back to their respective hospice and begin or enhance their planning process.


  • Describe those critical elements of the hospice's accounting records (chart of accounts) enabling the hospice to report revenues and expenses
  • Provide attendees with sample worksheets for purposes of accumulating financial and statistical information necessary to complete the cost report
  • Provide attendees with the underlying information to assess alternative statistical bases for allocation of costs and direction in making requests of their MAC
  • Identify potential enhancements to cost report through changing the order of cost allocations and describe the special requests that must be made to Medicare's Administrative Contractor (MAC) for permission; demonstrate other practical techniques intended to ease the cost reporting burden while enhancing the quality of the cost report submission

Faculty:William T. (“Ted”) Cuppett, BS, CPA, Managing Partner, The Health Care Group, Morgantown, WV

414-How to Improve Hospice Staff Productivity Using Optimum Clinical and IDG Models and Incentive Compensation

The anticipated payment changes from Medicare and the newly developed outcomes measures tool will put more demands on hospice agencies to anticipate increased patient census, achieve excellent clinical outcomes and Family Evaluation of Hospice Care (FEHC) scores, and take patient care management to new levels. All incentives throughout a hospice agency should align with these goals, including compensation, FEHC scores, care management, and the measures of both clinical and financial outcomes.


  • Identify goals for increasing staff productivity, case capacity, and timeliness of documentation
  • Identify a clinical staff incentive compensation model to achieve overall desired outcomes, higher FEHC scores, and financial outcomes
  • Identify staff performance issues, along with approaches to improve productivity, case capacity, outcomes, and FEHC scores by providing appropriate visits while reducing the direct cost per visit

Faculty:Carolyn Flietstra, RN, BSN, VP - Home and Community Services, Holland Home, Grand Rapids, MI; Pat Laff, CPA, Managing Principal, Laff Associates, Hilton Head Island, SC

500 Series

Monday, Oct. 20

4:15 - 5:45 p.m.

503-How to Benchmark from Soup to Nuts

This program will present cost-control techniques needed to face the numerous threats to home health and hospice payment rates. You will learn how to implement benchmarking strategies to control home health and hospice costs. This is essential as home health rate rebasing continues, and hospice is threatened with rate reductions.


  • Evaluate different benchmarks to understand how they relate to your cost structure and operations
  • Develop benchmark-based reporting tools to monitor current operating performance
  • Implement significant changes in your cost structure

Faculty:Walter Borginis III, CPA, MBA, Executive Vice President- Finance & Admin/CFO, Visiting Nurse Association of Greater Philadelphia, Philadelphia, PA; Josh Sullivan, BS, BA , Director of Financial Planning & Analysis, Visiting Nurse Association of Greater Philadelphia, Philadelphia, PA; Rob Simione, CPA, Vice President of the Financial Monitor, Simione Healthcare, Hamden, CT

508-How to Use Benchmarks and Metrics to Maintain Quality and Margins

Metrics and benchmarking are the buzz words of the day. The presenters will discuss how to use these tools to provide a snapshot of where the agency is and a roadmap to higher-quality scores and margins. Real examples of proper and improper use of metrics will be discussed.


  • Identify key benchmarks and metrics that directly relate to the quality of care and financial stability
  • Explain how to use the data to strengthen an organization's quality and margin
  • Describe the use of metrics in managing organizations and communicating with governing bodies

Faculty:Andrea L. Devoti, MSN, MBA, RN, President and CEO, Neighborhood Health, West Chester, PA; David  Berman, CPA, CVA, Principal, Simione HealthCare Consultants LLC, Hamden, CT

509-How to Build a Referral Process Focused on Customer Service: It All Starts Here!

Every home care agency is tasked with providing a referral process that is both accurate and focused on customer service to meet the needs of referral sources and families. The question is what is the best way to make this happen? How can agencies collect all the information needed internally without the referral taking over 24 hours to process? Learn the best options for performing this critical process.


  • Define a strategy for maintaining accuracy in the referral process and meeting all regulatory requirements
  • Define a strategy to maintain a sense of urgency in the referral process and assist families with barriers to care
  • Execute an agency-wide customer service strategy and monitor ongoing progress towards established goals in the referral process

Faculty:Katherine  Northcutt, ADN, Senior Manager, Simione HealthCare Consultants, Marietta, GA; Kara Osborne, BS, MBA, Simione HealthCare Consultants, Ofallon, IL

511-How to Navigate Recent Wage & Hour Developments in the Home Care Industry and Strategies for Compliance: Legal Update

Recently, there has been an upsurge in class action litigation against home care companies alleging a wide variety of violations under the Fair Labor Standards Act (FLSA). This program will present an overview of the litigation and how to address risk areas through an effective wage and hour liability prevention and compliance plan.


  • Discuss the importance of wage and hour law compliance and how it affects the home care industry
  • Identify the most current compensation risk areas under the FLSA with respect to home care employees
  • Explain how to address these risk areas and develop an effective wage and hour liability prevention and compliance plan

Faculty:Angelo Spinola, Esq., Shareholder (Attorney), Littler Mendelson, P.C., Atlanta, GA; Lisa ("Lee")  Schreter, Esq. , Shareholder (Attorney), Littler Mendelson, P.C., Atlanta, GA

512-How to Use QAPI Data to Prepare for the Hospice Quality Reporting Program and the New Era of Competition

Now is the time to review the adequacy of your QAPI program and evaluate your ability to demonstrate outcomes improvement. This program will demonstrate how an effective QAPI program and process can be used to comply with the Conditions of Participation. Learn how to prepare your hospice for the Hospice Quality Reporting Program (HQRP) through systematic data collection and analysis while enhancing your ability to grow referrals.


  • Identify QAPI Program Requirements
  • Describe current content and future intent for Hospice Quality Reporting Program
  • Demonstrate how a leading hospice uses data to improve performance

Faculty:Lynda Laff, RN,BSN,COS-C, Consultant, Laff Associates, Hilton Head Island, SC; Barbara Rosenblum, BSN, MAOM, Founder & CEO, Strategic Healthcare Programs, LLC., Santa Barbara, CA

513-How to Manage Provider Impact in 2014: Hospice Billing Change Strategies for Managing Provider Impact

Medicare hospice billing requirement changed extensively in 2014 and substantially increased providers reporting requirements. While these requirements have not affected payment, they have heightened compliance risks and increased the difficulties of reporting claims data correctly. This session is focused on strategies for effectively managing the new requirements while minimizing cash flow disruptions.


  • Identify key recent hospice billing requirements
  • Describe key performance challenges in complying with new requirements
  • Describe key strategies for managing new billing requirements

Faculty:M. Aaron Little, CPA, Managing Director, BKD, LLP, Springfield, MO

516-How to Maximize the Value of the New Cost Reporting Requirements through its Use as a Management Tool

The data collection and reporting requirements associated with the new hospice cost report pose immediate challenges to hospices.  But they also promise more detailed data that can strengthen efforts to reduce costs and enhance efficiencies.  New cost report data collections can assist with analysis of cost trends and profitability (and loss) by level of service, and to benchmark your hospice's explicit costs and costs per day against other hospices throughout the nation.  This session provides insight and guidance as to how thoughtful use of this new resource can help improve your hospice's overall financial health.


  • Discuss effective methods for tracking and analyzing key hospice cost and utilization data, and for identifying areas of financial risk
  • Identify key benchmarks for comparison against other hospices throughout the nation
  • Develop methods for engaging key organizational stakeholders in efforts to improve operational efficiencies

Faculty:Robert J. Simione, BS, Managing Principal, Simione Healthcare Consultants, Hamden, CT

600 series

Tuesday, Oct. 21

8 - 9:30 a.m.

601-How to Address the Looming Epidemic in Baby Boomers: Are You Ready?

Millions of baby boomers - between 5.6 and 8 million older adults - will face a deadly trail of illnesses: diabetes, depressive disorders, and dementia-related behavioral and psychiatric symptoms. These figures suggest both a challenge and a huge opportunity for home health care providers. Data indicates significant opportunities for home health care providers not only to initiate psychiatric home care programs but also to provide training and education to all professional staff regarding the links among these three diagnoses. Attendees will learn how to identify each of them; how to manage the co-morbidities, including the behavioral and psychiatric problems; and how to develop a specific skill set in dementia care.


  • Discuss at least three ways that diabetes, depression, and dementia overlap and increase the acuity of each individual diagnosis
  • Discuss the treatment options for these three overlapping conditions
  • Discuss at least 2 benefits of adding both a psychiatric and a specific dementia program to an organization's home care offerings

Faculty:Verna Carson, PhD, PMH/CNS-BC, President, C&V Senior Care Specialists, Inc, Fallston, MD; Katherine Vanderhorst, RN, BSN, Vice President, C&V Senior Care Specialists, Inc., Williamsville, NY

602-How to Educate Your Staff for the Future of the Home Care Industry

Our health care world is changing rapidly. Practices and norms that have persisted for at least the last 20 to 30 years will no longer support the services we will be delivering in the future. We can no longer afford to under-educate staff like home care aides who spend the most time with our patients and clients. Only by establishing ongoing education and training programs will agencies be able to fully participate as partners in the health consortiums that are coming. Participants attending this presentation will learn to develop agency-specific education and training that will provide for a viable future.


  • Identify the educational needs of your agency
  • Develop new educational programs
  • Develop the marketing and sales aspect of the education program

Faculty:Ginny Kenyon, RN, MN, Principal, Kenyon HomeCare Consulting, Seattle, WA

603-How to Solve the Mystery Behind the Multiples in Home Health and Hospice Valuation

While some buyers may rely on the GIOOTA approach to home health and hospice valuation (that's Grab It Out of the Air), for most, it's not entirely magic. In this session, we will peek behind the curtain to discuss the fundamentals that underlie the multiples buyers use to price providers. It's a financial wizard's brew of numbers prognostication, and, yes, whimsy, and your financial future (and go-forward business strategy), may depend on it.


  • Identify the basic building blocks of valuation
  • Explain the variety of factors that influence the assessment of investment risk regarding the industry and their companies
  • Identify real market valuation inconsistencies and where math and logic diverge

Faculty:Dexter Braff, MBA, MS, BA, President, The Braff Group, Pittsburgh, PA

605-How to use Telehealth and the Key Components in Advanced Illness Management

This session will define telehealth's role in advanced illness management and the components needed to coordinate chronic care across the continuum of care from acute settings to the home. We will discuss use of telemonitoring on patients appropriate for home care as well as those who are part of the health system. Participants will be able to describe advanced illness management and the use of telehealth monitoring to support integrated chronic care management across the continuum.


  • Describe the advance illness management model
  • Discuss basic practice behaviors to effectively manage chronic illness
  • Identify how the use of telehealth monitoring can decrease readmission rates 

Faculty:David Taylor, RN, Supervisor Telehealth Services, Visiting Nurses Association of the Rockford Area, Rockford, IL; Deb Rolf, RN, BSN, Clinical Director Home Health, Visiting Nurses Association of the Rockford Area, Rockford, IL

606-How to Build an Excellent Competency Program

An effective competency program is more than only in-services and supervisory visits. Agencies must be sure that staff members have the knowledge, education, skills, and experience necessary to perform their jobs. Competency is a frequent deficiency in both new and established agencies, and it can cause risk management issues for all. This session will help you understand what an effective competency program looks like.


  • Define what a successful competency program looks like
  • Describe how to develop a competency program
  • Explain how to implement and evaluate a competency program

Faculty:Sheryl Bellinger, RN, BSN, MAEd, President, Professional Home Health Care, Inc., Longmont, CO; Sharon  Litwin, RN, BSHS, MHA, HCS-D, Senior Managing Partner/Founder, 5 Star Consultants, LLC, Camdenton, MO

608-How to Become a Lean Organization While Driving Quality Outcomes

Today's successful health care organizations understand the need to deliver high-quality client outcomes in a cost-effective manner. With the advent of health care reform, there continues to be downward pressure on reimbursement for all providers along the health care continuum. As a result, it is increasingly important for home care and hospice organizations to maximize their efficiency so they can drive down costs while providing exceptional outcomes.


  • Identify three performance improvement tools that your organization can use
  • Describe three key tenets for effective change management
  • Determine key drivers for improving quality outcomes

Faculty:Julia Finken, BSN, MBA, CPHQ, CSSBB, Associate Director, The Joint Commission, Oakbrook Terrace, IL

609-How to Create Lasting Partnerships and a Meaningful Value Proposition with ACOs

Accountable care organizations (ACOs) represent the fastest-growing segment of the health care industry. Yet few home health and hospice executives are familiar with ACOs or have experience dealing with them. This session will discuss what ACOS are, how to work with them, and their impact on our industry - now and in the future. Attendees will leave with an understanding of how to form partnerships with ACOs.


  • Identify the history, legal and operational framework, and future prospects of ACOs
  • Describe current relationships between ACOs and home health care and how certain home health agencies have so far experimented with ACOs
  • Discuss the leadership perspective of ACO executives, including their views on home health care, other means to control costs, and how they seek to improve population health

Faculty:Bob Roth, BS, Managing Partner, Cypress HomeCare Solutions, Phoenix, AZ; John  Marchica, BA, MA, MBA, Partner and Health Care Specialist, Brainforest, Inc., Phoenix, AZ

610-How to Quantify Opportunities and Threats Caused by the Affordable Care Act (ACA)

This presentation will discuss how to quantify the impact that parts of the ACA will have on hospitals, SNFs, physicians and payers in local markets and how these changes will, in turn, affect home health agencies and hospices. Attendees will learn how to incorporate these changes into their financial projections as both opportunities and threats. They will also gain an understanding of how to set their strategic market direction.


  • Review initiatives under the ACA that will directly and indirectly impact home care and hospice in the future
  • Show how home health and hospice can quantify the impact of each of these initiatives on the local market or referral source level
  • Demonstrate how organizations can incorporate the opportunities and threats presented by the ACA in their strategic market plans

Faculty:Richard Chesney, MBA, President, Healthcare Market Resources, Dresher, PA

613-How to Think Outside the Box of Medicare Hospice/Home Health/Palliative Care and Advanced Illness Management

Recent years have seen a significant increase in interest in, demand for, and development of programs that serve patients who do not meet eligibility criteria for home health or hospice. This session will review goals, models, and reimbursement for palliative care and advanced illness management programs, and provide an in-depth look at two examples.


  • Describe the types of goals that palliative care or AIM programs might be designed to meet
  • Identify the main sources of funding for palliative care and AIM programs
  • Explain differences between key models that have been developed

Faculty: Bill Musick, BS, MBA, CHC, Senior Associate & Consulting Projects Manager, The Corridor Group, Honolulu, HI; Robert Parker, RN, MSN Ed., CHPN, Program Manager, AseraCare Palliative Medicine, AseraCare, Lockhart, TX

614-How to Make Your Decisions Stand Up to Government Scrutiny: The Non-Clinical Side of Hospice Relatedness Determinations

The regulatory arena for hospice is constantly evolving, making it difficult for hospices to stay ahead of the curve. Determining whether a condition or symptom is "related to" the terminal illness is not a new challenge, but hospices are beginning to see the implications of such decisions through pharmacy audits and increased government scrutiny. The presenter will share her broad knowledge of past and up-to-the-minute guidance on relatedness determinations, recent government investigations of the issue, and key considerations to help hospices substantiate their decisions.


  • Describe the legal framework for relatedness determinations
  • Explain considerations for substantiating a relatedness determination
  • Explore the implications of past and present guidance and government enforcement.

Faculty:Meg S. L.  Pekarske, BS, JD, Shareholder, Reinhart, Boerner Van Deuren, LLC, Madison, WI 

615-How to Manage Non-Medicare Patients to Maintain Profitability

Sta-Home, a home health and hospice provider that offers services across the state of Mississippi, found that it was spending too much time dealing with payers without contracts, unacceptable payment rates, uncollectable deductibles, and co-pays. This presentation will outline the policies, procedures, and tools that Sta-Home used to focus its management approach for non-Medicare patients.


  • Identify the challenges that Sta-Home faced that led to a reduced payment rate
  • Describe the best practices that Sta-Home implemented to increase its management approach for non-Medicare patients
  • Explain how Sta-Home streamlined its claims management approach resulting in faster payment

Faculty:Carole Grantham, Director of Billing Operations, Sta-Home, Jackson, MS; Matt  McCarthy, BS, Senior Financial Implementation Consultant, Homecare Homebase, Dallas, TX; Ken  Willman, Vice President of Payer Solutions and Strategy, ZirMed, Louisville,  KY

700 Series

Tuesday, Oct. 21

2:30 - 4 p.m.

701-How to Use Medication Safely in Chronic Kidney Disease

For patients in the home or community setting, nursing staff are often the first to recognize changes that may be related to adverse drug effects. This program focuses on renal function changes in advanced age or chronic kidney disease (CKD) and how drugs are affected by these changes. The presenter will review common drug offenders and signs of toxicity that should alert clinicians to drug-related problems.


  • Discuss chronic kidney disease(CKD)
  • Identify concerns surrounding safe medication use in CKD
  • Choose appropriate medications for use in CKD

Faculty:Maureen Jones, PharmD, CGP, Clinical Pharmacist, HospiScript, a Catamaran Company, Dublin, OH

702-How to Engage Patients: Tools and Competencies for Home Health and Hospice Providers

There is mounting evidence that a focus on patient engagement helps realize the triple aim of health care reform: better health, better care, and lower cost. This presentation will provide a rationale for why agencies should make patient engagement a high-priority strategic objective. Presenters will share home health/hospice tools designed to improve patient literacy and shared decision making, effectively beginning the cycle of patient engagement.


  • Define patient engagement and how it improves health outcomes
  • List competencies needed to promote health-care literacy and shared decision making
  • Evaluate tools agencies and their staff can use to improve patient literacy and shared decision making

Faculty:Paula Suter, RN, BSN, MA, Clinical Director, Sutter Care at Home, Fairfield, CA; Beth  Hennessey, BSN, MSN, Executive Director, Sutter Care at Home, Fairfield, CA; Mag VanOosten, BSN, Executive Director, Hospice, Sutter Care at Home, Fairfield, CA

703-How to Buy, Sell and Value Panel Discussion: Mergers and Acquisitions

This panel brings together leading M&A experts to discuss updates on the current market conditions, for example, reduced Medicare reimbursement, Obamacare, ACOs, Medicaid and private pay, along with issues that are the keys to the process of closing transactions. The presenters will also go into preparation for a merger or acquisition, valuation, negotiation and initial offers, and due diligence. This is an open format designed to encourage Q&A.


  • Provide an update on market conditions
  • Explain valuation preparation
  • Explain preparation

Faculty:Peter  Sosnow, BA, Vice President, Corporate Development, SeniorBridge, New York, NY; Donald Cummins, RPh, M&AMI, President/Owner, Stoneridge Partners, Fort Myers, FL; Cory  Mertz, Vice President/Partner, Stoneridge Partners, Fort Myers, FL; Brian Bruendermann, JD, Partner, Stoneridge Partners, Fort Myers, FL; J. Todd Flowers, BS, Vice President, Kindred Healthcare Inc., Louisville, KY

704-How to Reduce Costs per Episode by Going Paperless: Case Study

Rebasing has forced agencies to evaluate how their back-office infrastructure and employee productivity affect the bottom line. Learn how an agency strategically formulated and executed a plan to transition to a 100 percent paperless office. A core focus on people, process, and technology led to reduced cost per episode, enabling the agency to increase profit margins, streamline job processes, and thereby do a better job.


  • Describe the process review of back-office document workflow
  • Describe an in-depth team review
  • Identify solutions that use technology to eliminate paper

Faculty:Sharon Kim Gaffey, MSN, BSN, RN, Founder & CEO, Gaffey Home Nursing & Hospice Inc., Sterling, IL; Craig Mandeville, BS, Founder & CEO, Forcura, Jacksonville Beach, FL

706-How to Recruit and Hire the Best, the Never-ending Challenge for Home Care

Home health and home care agencies all deal with the never-ending search for the best field employees. This presentation will focus on how to recruit, select, and retain these valuable assets. Participants will learn how to develop an agency-specific caregiver profile, hire to that profile, then train and retain those caregivers using selected retention strategies.


  • Identify the steps in developing the ideal caregiver profile
  • Developing orientation and training programs
  • Develop and implement a monitoring program/scorecard

Faculty:Ginny Kenyon, RN, MN, Principal, Kenyon HomeCare Consulting, Seattle, WA

710-How to Drive More Hospice Referrals from Physicians: Hospice Referral Partner Barometer

This session will enable hospices to solve the age-old problem of getting physicians to expand their use of hospice. The hospice referral partner barometer refers to the way three key elements affect referrals: how physicians feel about hospice, what they know about hospice, and their basic personality type. Learn how to grow referrals while reducing the cost per referral.


  • Describe the hospice referral source barometer and how to use it to increase referrals and build stronger relationships
  • Use the barometer to drive the sales process and generate more referrals at less cost
  • Devise a plan to become a pre-acute care provider in the minds of hospice referral partners

Faculty:Michael Ferris, Principal, Simione Healthcare Consultants, Chapel Hill, NC; Phaedra Kunze, MA, Director of Business Development, The Elizabeth Hospice, Escondido, CA

711-ICD-10 Reboot:  How to Get Your Agency's Readiness Planning Back on Track

Agencies had just started preparing to transition ICD-10, with a particular emphasis on coding training, when the US Congress passed the sustainable growth rate (SGR) bill, which had within it a delay of ICD-10 implementation to not before October 1, 2015. All transition planning and activities came to a halt. There is much skepticism as to whether ICD-10 will ever be implemented, and, therefore, a reluctance to spend resources, time or money, on planning, training or changing workflow processes.  Yet, by NAHC's annual meeting, the ICD-10 implementation date will be just one year away and agencies must begin the transition.


  • Interpret the value of adopting ICD-10 and what to do to build and implement a transition plan
  • Train staff on how to map out a training program that ensures all staff have the ICD-10 knowledge necessary to complete required tasks in ICD-10
  • Identify what transition resources are available, free and fee-based, and how to find those resources

Faculty:Corinne Kuypers-Denlinger, BA, Vice President, Home Health, Decision Health, Gaithersburg, MD; Tricia  A. Twombly, RN, BSN, HCS-D, HCS-O, COS-C, CHCE, Senior Director, Decision Health, Gaithersburg, MD; Arlene  Maxim, RN, CEO, A.D. Maxim Consulting, Troy, MI

713-How to Improve the Hospice Experience for Patients and Families with Innovative Intentional Visit and Communications Models

As length of stay decreases and patient acuity increases, hospices are challenged to ensure that patients/families are ready for the dying process (measured by the FEHC). Transitioning patients between teams requires consistent care planning, delivery, and communications, and it is critical to providing a high-quality hospice experience. Intentional visit design and communications can help your teams improve their care delivery and patient satisfaction.


  • Describe how a consistent intentional visit design and communications model can improve overall clinical consistency and patient/family experience
  • Develop a process to implement an intentional visit model with your clinical teams
  • Identify the communication challenges facing clinicians working with end-of-life patients and their families, along with strategies to overcome them

Faculty:Mary McElroy, BSN, MA , Chief Nursing Officer, Hospice of Northeast Florida, Jacksonville, FL; Robin Finkelstein, MBA, Director of Implementation and Consulting, Deyta, Louisville, KY

714-How to Apply Key Coding Concepts in Establishing a Principal Hospice Diagnosis

In recent years the Centers for Medicare & Medicaid Services (CMS) has put increasing emphasis on the importance of identifying the diagnosis most contributory to the six-month prognosis as the principal hospice diagnosis and of following ICD-9-CM coding guidelines and conventions.  Effective for hospice services provided on or after Oct. 1, 2014, hospices may not use the following codes as the principal hospice diagnosis: debility, failure to thrive, any manifestation code, and any code that CMS has determined is inappropriate for use as a principal hospice diagnosis based on coding conventions and guidelines.  This session will provide key concepts related to proper sequencing of diagnosis codes and coding conventions, with special emphasis on dementia diagnoses.


  • Review the regulatory requirements related to hospice coding and explain the Medicare Code Editor
  • Briefly describe the principles that underlie coding in hospice cases
  • Review dementia diagnoses with emphasis on allowed codes and how to determine the appropriate code
  • Identify methods of improving documentation for more accurate coding

Faculty:Katie  Wehri, CHC, CHPC, Hospice Regulatory and Operations Specialist, NAHC, Washington, DC; Lisa Selman-Holman, JD, BSN, RN, HCS-D, COS-C, Owner, Consultant, Selman-Holman & Associates, Denton, TX 

800 series

Tuesday, Oct. 21

4:15 - 5:45 p.m.

801-How to Decrease Rehospitalizations in Older Adults with Multiple Co-morbidities

About a quarter of seniors discharged from the hospital are rehospitalized in 30 days. A substantial number of these rehospitalizations are avoidable. This program will give you the tools and strategies to decrease rehospitalizations of older patients with multiple illnesses. Disease management strategies, including those for heart failure, diabetes, and COPD, will be addressed with a focus on patient-centered care. Attendees will learn behavioral strategies, nutritional therapy, and medication management techniques that help patients remain in their homes. The program will also address the role of telehealth and the care of older adults with cognitive impairments who present more complex management issues.


  • Identify common reasons and prevention strategies for hospitalizations of older adults with multiple chronic illnesses
  • Describe diabetes, heart failure, and COPD disease management strategies
  • Discuss the use of telehealth to decrease rehospitalizations

Faculty: Mary Ann Rosa, RN, MSN, GNP, North Shore LIJ Home Care Network, Associate Professor, Queensborough Community College, Bayside, NY; Kathleen Pecinka, RN, MSN, North Shore LIJ Home Care Network, Assistant Professor, Queensborough Community College, Bayside, NY

802-How to Meet the Challenge: Preventing and Controlling Infections in Home Care and Hospice

Providing care in the home environment presents unique infection prevention and control challenges. This session will focus on these unique challenges of providing care in the home setting and provide practical guidance on how to prevent the transmission of infectious agents that is based on evidenced-based guidelines adapted for care in the home setting.  Topics addressed will include hand hygiene, cleaning and disinfecting equipment used in patient care, bag technique, medical waste management, isolation precautions, caring for a patient with multidrug-resistant organisms, and more.


  • Describe infection prevention and control challenges specific to providing care in the home setting
  • Describe methods to reduce the risk of infection transmission by implementing infection prevention and control strategies in the home
  • Describe infection prevention and control strategies specific to patients with multidrug-resistant organisms (MDROs) receiving care in the home 

Faculty:Mary McGoldrick, MS, RN, CRNI, Home Care and Hospice Consultant, Home Health Systems, Inc., Saint Simons Island, GA

804-How to Improve Population Health through an Electronic Wound Management Program

Learn how three wound specialists at UnityPoint at Home manage the care of more than 750 post-surgical and diabetic wound patients every month. Get their tips for achieving better outcomes in fewer visits, preventing readmissions, and raising patient engagement and satisfaction. Part of their success is the result of an electronic wound care management program with clinical decision support.


  • Measure the positive impact on clinical quality and financial outcomes of moving from a paper-based to an electronic wound care management program
  • Describe how automation improves processes and reduces waste in managing the home care of post-surgical and diabetes patients
  • Identify the way automation changes the practice of wound specialists and improves clinical outcomes, patient engagement, and employee satisfaction

Faculty:Lois Glanz, RN, BSN, Clinical Information Specialist, Iowa Health Home Care Hospice - Intrust, Urbandale, IA; Karen Utterback, RN, MSN, CNA, CHCE, VP Strategy and Marketing Connected Care and Analytics - Extended Care Solutions, McKesson, Springfield, MO; Karen  Martin, RN, MSN, FAAN, Health Care Consultant, Martin Associates, Omaha, NE

806-How to Stay the Course in Compliance and Ethics

In recent years, formidable changes in the foundation of home health and hospice care have agencies under fire to prevent fraud. This presentation will provide participants with practical tools to forge ahead in the continuing evolution of agency ethics and compliance programs. Emphasis will be placed on areas the Office of the Inspector General has focused on in recent enforcement actions. Participants will identify lessons learned from corporate integrity agreements (CIAs) and how to use this information.


  • Identify seven elements of a sound ethics and compliance program
  • Explain how auditing practices reduce risk
  • Summarize one lesson learned from a CIA

Faculty: Fran  Moffitt, RN, BSN, WCC, DWC, ICDM, Administrator-CEO, Basin Home Health, Inc., Farmington, NM; Kathleen Hessler, RN, JD, Director, Compliance & Risk, Simione Healthcare Consultants, Albuquerque, NM

807-How to Identify Home Care and Hospice's Triggers and Indicators: Crisis Standards of Care

As disasters of large scale, whether natural or man-made, continue to escalate, home care and hospice providers must be able to keep providing essential services. These services may need to change in line with altered or crisis standards of care, so integrated planning is a must. This session will focus on the triggers and indicators that will move the provision of care from normal to crisis standards.


  • Define standards of care as they relate to disaster preparedness
  • Identify triggers
  • List Indicators

Faculty: Barbara Citarella, RN, BSN, MS, CHCE, CHS-V, President, RBC Limited, Staatsburg, NY

808-How to Use Five Strategies to Create High-Return Relationships in Health Care Sales

Get a proven prescription for building the mutually beneficial relationships that power phenomenal growth in the dynamic health care industry. Convert sales prospects into loyal customers with strategies for developing high-return relationships. And learn how the Affordable Care Act affects health care sales professionals.


  • Describe how to make the interpersonal connection that sets the stage for high-return relationships
  • Discuss how to capture a client's interest in your services and products
  • Review the patient needs that caregivers must address

Faculty:Gary Polsky, MBA, CEO, Author, self-employed, Los Angeles, CA

809-How to Meet Regulatory & Legal Recommendations: Clinical Documentation

Clinical documentation jeopardizes or supports payment. It also makes or breaks an agency's defense in malpractice cases. This session brings two different perspectives to the documentation conundrum. It will show you how to teach your clinicians protective and improved documentation strategies.


  • Identify strategies for enhancing documentation from a regulatory and payment perspective
  • Describe methods for strengthening documentation from a legal perspective
  • Deliver an in-service at your agency that enhances clinical documentation

Faculty:Mary  Narayan, MSN, RN, HHCNS-BC, COS-C, Clinical Nurse Specialist, Narayan Associates, Vienna, VA; Tina Marrelli, MSN, MA, RN, FAAN, President, Marrelli and Associates, Inc, Venice, FL

811-How to Assess and Manage Pain: I Can't Give You Anything Else Should Never Be the Answer

Pain management continues to be problematic for a variety of reasons. Too often patients are told: It's too early. You shouldn't be having that much pain. I am afraid you will become addicted. These responses are never appropriate. Learn how to properly assess pain, address pain through appropriate interventions, and look at outcomes.


  • Differentiate between the three categories of pain and classifications
  • Describe ongoing assessment of pain, implementation of appropriate interventions, and measurement of outcomes.
  • Discuss the pharmacologic treatment of pain

Faculty:Robert Parker, MSN,  Ed, CHPN, Program Manager PRIME by AseraCare, AseraCare Hospice, Lockhart, TX; Sherri Heavey, RN, MSN, APRN, PRIME NP, AseraCare Hospice, Omaha, NE

812-How to Master Hospice Aggregate CAP Reporting and Financial Management

Over recent year, an increasing percentage of hospices are exceeding their aggregate CAP; similarly, a growing percent of hospices are ending their CAP year close to the aggregate cap threshold.  The Centers for Medicare & Medicaid Services (CMS) has recently mandated self-reporting of hospice aggregate CAP status and payment of any associated liability beginning with the 2014 CAP year.  Through this new requirement, CMS is seeking to recoup any outstanding aggregate CAP liability on a more timely basis.  Many hospices are unfamiliar with how to secure appropriate data to calculate their aggregate CAP status and fulfill this reporting requirement. Accuracy and appropriate timing of the CAP calculation play a critical role in minimizing interim payments, as do knowledge of a hospice's options related to Extended Repayment Schedules (ERS).This session will provide attendees with general knowledge and skills to effectively monitor their aggregate CAP, manage CAP reporting and any associated CAP liabilities.


  • Outline the rationale behind closer scrutiny of aggregate CAP liability and the policy goals related to more timely self-reporting
  • Explain the way in which the hospice CAP works and compute the hospice's aggregate CAP
  • Secure the information necessary to prepare the annual CAP self-determination and to make this submission
  • Project the final CAP liability and make request for ERS

Faculty:William T. (Ted)  Cuppett, BS, CPA, Managing Partner, The Health Group, LLC, Morgantown, WV; Theresa Forster, VP, Hospice Policy and Programs, NAHC, Washington, DC

815-Financial Managers Open Forum

Once again, the Home Care and Hospice Financial Managers Association (HHFMA) presents its open, no holds-barred forum meeting to pull together all the crucial information presented in the financial management workshops, legislative and regulatory developments, and innovations in health care. This session will address any and all issues of interest to the conference faculty and attendees. The insights are endless, all the advice is free and the experience is priceless. All are welcome to attend and get engaged!

Faculty:William Dombi, Esq., VP for Law, Executive Director, HHFMA, Director, Center for Health Care Law, National Association for Home Care & Hospice, Washington, DC




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