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Testimonials

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. 

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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.

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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

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

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 element...it’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

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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.

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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.

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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.

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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.

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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.

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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.

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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. 

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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.

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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.

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Frank E. Moss, former U.S. Senator

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

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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.

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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.

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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.

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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.

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National Council of Aging

Health 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.

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Former President Bill Clinton

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Educational Session Descriptions by Topic


Clinical Back to Top

101. How to Prepare for Your Post-Acute Partnership: A Fresh Look at Reducing Avoidable Re-hospitalization

Hear a home care agency's account of its partnership with an accountable care organization (ACO). Learn evidence-based strategies like motivational interviewing that benefit patients and agencies alike. This presentation will also discuss teach back, SBAR communication and medication management, along with how reducing hospitalizations affects clinical outcomes, patient safety, and overall patient satisfaction.

Objectives:

  • Clarify forces driving post-acute care
  • Apply new evidence-based strategies to reduce avoidable re-hospitalization
  • Describe the impact of reducing re-hospitalizations on agencies and patients

Faculty: Patricia Quackenbush, RN-BC, MBA, Director Quality Management, Virtua Home Care, Mt Laurel, NJ; Sandra  Bennis, RN, BSN, MBA, AVP, Executive Director, Virtua Home Care, Mt Laurel, NJ; Diane Flynn, RN, MBA, Consultant, Joint Commission Resources, Oak Brook, IL

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


102. How to use Telehealth in Screening and Management of a Home Health Depression Program

This session reviews Henry Ford eHomeCare, a comprehensive depression management program. The program coordinates home health care, medication management, education, and light therapy to manage patients. Telehealth also plays a key role by identifying patients, monitoring their symptoms, and keeping track of their overall progress.

Objectives:

  • Review market evidence of depression
  • Define care model for comprehensive depression program
  • Define the future evolution of the program

Faculty: Mary Hagen, RN, eHome Care Supervisor, Henry Ford, Detroit, MI

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


104. How to Integrate Telemonitoring into the Care of Heart Failure Patients to Reduce Hospital Readmissions

Ever wondered how to successfully implement telemonitoring across the health care continuum? Come learn how three different home health agencies have incorporated telemonitoring to prevent hospital readmissions. A panel of experts will share telemonitoring strategies for high-risk patients, including those who are not home bound.

Objectives:

  • Describe strategies to improve care of patients with heart failure
  • Discuss telehealth monitoring for non-home-bound patients at risk for rehospitalization and use of oral Lasix protocols for home health telehealth patients
  • Identify opportunities for partnerships using telemonitoring to reduce rehospitalizations

Faculty: Patty Beard, MBA, MHA, RN, CHC,Cardiac Program Developer, Advanced Home Care, High Point, NC; Joanne Porter, RN, RRT, BA, Telemonitor Coordinator, Atlanticare Home Health Agency, Egg Harbor, NJ

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


201. How to Ease Care Transitions and Reduce Hospital Readmissions: The Role of Rehab Therapists

This session will discuss how rehab therapists can collaborate with other care team members, using best practices to minimize hospital readmissions and improve the overall quality of patients’ care. We will also discuss the importance of therapists using their relationships with their inpatient colleagues to provide patients with a seamless transition home. Therapists must be part of the care transition team for successful outcomes and fewer rehospitalizations.

Objectives:

  • Demonstrate why home health therapists are an integral part of care teams in transitioning patients from hospital to home
  • Describe why it is important for home health therapists to receive the "hand-off" from colleagues in acute care, SNU and inpatient rehab when patients are discharged to their homes
  • Discuss how the home health therapist's overall role is to make a lasting impact on patients’ wellbeing and ability to remain safely in their homes

Faculty: Theresa  Gates, PT, Chief Executive Officer/Owner, Beyond Home Heath Care, Jacksonville, FL

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA); Approved for 1.5


202. How to Prevent Complication in Home Infusion Therapy: Current Evidence & Implications

There is growing research, interest, and concern about outcomes for patients receiving infusion therapy. As new products come on the market, home care agencies must provider nurses with the up-to-date knowledge required to effectively manage patients requiring home infusion therapy — and patients must also learn self-care related to their VAD. This session provides an update on the current evidence applicable to home infusion therapy with an emphasis on prevention of common complications. The presenter has served as an expert witness in numerous home infusion lawsuits and will provide real-life examples of adverse events.

Objectives:

  • Identify common complications associated with home infusion therapy
  • Discuss available research evidence aimed at preventing complications
  • Evaluate patient cases for appropriateness of home care

Faculty: Lisa Gorski, MS, HHCNS-BC, CRNI, FAAN, Clinical Nurse Specialist, Wheaton Franciscan Home Health & Hospice, Milwaukee, WI

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA); Approved for 1.5


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.

Objectives:

  • 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 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


302. How to Debunk Myths and Misunderstandings about Maintenance Therapy

When home health agencies are asked if they provide maintenance therapy, very few will confirm that they are billing it as such. Yet almost every single therapist in home health is providing it in clinical practice. Too many agencies and therapists are afraid of the term itself, referring to it as an artificial separation between maintenance and "skilled care." This session will provide accurate and useful information on home health maintenance therapy to defend clinical decision making focused on patients’ needs.

Objectives:

  • Examine the key components of maintenance therapy in PPS regulations
  • Analyze the similarities/differences between rehabilitative and maintenance therapy services in the home health setting
  • Discuss documentation implications specific to maintenance therapy

Faculty: Dee Kornetti, PT, Co-Owner, Integrity Home Health Care, Inc, Citrus Springs, FL; Cindy Krafft, PT, MS, CEO, Kornetti & Krafft Health Care Solutions, Peoria, IL

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA); Approved for 1.5


319. How to Develop a Pediatric VARI Prevention Standard Program in Home Care

Reducing Ventilator Acquired Respiratory Infections for pediatric patients in the home setting can be achieved by implementing a  Home Care pediatric VARI prevention program.  Based on AARC and AAP guidelines for pediatric home health care, this program will provide overview of the components of a home care VARI prevention standard program.  The program will provide training and observational tools to assist with training of in home professional staff and caregivers.

Objectives:

  • Define “Prevention Standard”
  • Describe the components of a Pediatric Home Care VARI prevention Standards program
  • Prepare  to Implement the principles of the pediatric VARI prevention in Home Care

Faculty: Susanne M. Evans, MS, RN, Clinical Director, Home Care Services, Private Duty Nursing & StarShine Hospice, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA); 1.5 PT CEs; 1.5 CEs, NASW (except CA, MI, NC, WV), BBS (BBS except marketing credits)


401. How to Have Candid Discussions about Physical Therapy Practice in Home Health

The dynamic between the nursing and therapy components of home care can make or break an effective interdisciplinary team. This session presents a panel of proven home health experts in physical therapy regulations, utilization, and documentation who will talk about key issues that agencies need to address. Strategies for improving care coordination will be part of the discussion.

Objectives:

  • Examine regulations presenting challenges and opportunities for physical therapy in 2014 and beyond
  • Discuss clinically oriented factors that affect physical therapy practice in home health
  • Explore how functional reassessment changes the delivery of physical therapy

Faculty: Dee Kornetti, PT, Co-Owner, Integrity Home Health Care, Inc, Citrus Springs, FL; Cindy Krafft, PT, MS, CEO, Kornetti & Krafft Health Care Solutions, Peoria, IL; Kristin Mattson, PT, Director of Rehabilitation Development, Masonic Health Systems / Overlook VNA, Sterling, MA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA); Approved for 1.5


402. How to Use Remote Patient Monitoring for Post-Cardiac-Surgery Patients

In this ever-changing industry it becomes increasingly difficult to take care of post-cardiac-surgery patients. These patients are among the most likely to be readmitted to the ED because they lack the necessary education or have limited access to the care they need. See how Wellspan Health VNA Home Care has managed to improve their care and quality of life by partnering with Phillips Healthcare.

Objectives:

  • Discuss why telemonitoring is important for post-cardiac-surgery patients
  • Explain the resources required to develop a successful program
  • Demonstrate results of Wellspan VNA Home Care telemonitoring program

Faculty: Charles McDonough, MBA, CPHQ, Director of Operations and Development, Wellspan VNA Home Care, York, PA; Johann Becker, RN, BSN, MAM, Director of Clinical Operations, Wellspan VNA Home Care , York, PA; Frank McMullin, BS, RN, Sr. Account Manager, Philips Healthcare , Framingham, MA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


501. How to Avoid the Risk and Defend your Reimbursement: Therapy Underutilization

Don’t let CMS’s focus on overutilization drive you to underutilize your therapy services. The risk of underutilization is significant and can be detrimental to patient recovery. Patients must be at the center of the decision making process when coordinating care plans regardless of who is paying the bill.

This session will describe how to keep the patient at the center when making decisions about therapy services and how to defend your reimbursement when providing appropriate care.

Objectives:

  • Discuss trends in therapy utilization
  • Identify methods to prevent underutilization
  • Defend your agency's right to reimbursement

Faculty: Denise Norman, PTA, Manager, Wellness Health Care Partners, Rosemont, IL; Bonny Kohr, RN, CHCE, HCS-D, Manager Clinical Consulting, FR&R Healthcare Consulting, Inc., Deerfield, IL

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA); Approved for 1.5


502. How to Continue the Journey Through OASIS

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.

Objectives:

  • Identify strategies to improve clinician understanding of the OASIS questions
  • Discuss how to establish metrics that tie to individual clinician performance
  • Identify key differences in the OASIS C-1 data set to enhance education

Faculty: Pamela  Teenier , RN, MBA, HCS-D, COS-C, Vice President, Business and Clinical Operations, Gentiva , Corpus Christi, TX; Laurie Otis, PT, MBA, MHA, GCS, Regional Director  & Clinical Reimbursement , Gentiva Health Services , Ft Myers, FL

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


514. How to Measure Your Finanical Success in Private Duty Home Care

Here is an effective approach to take the pulse on the financial health of your private duty business:  This presentation will review the Private Duty Benchmarks in key performance areas that will assist you in determining the financial performance of your agency.  Additional areas that be addressed: measuring your net profit margin, lead conversion data, cash flow, DSO, overtime management, efficient office staffing based on size, budgeting, and many more.  This is your opportunity to see what’s going well and, more importantly, what you can improve in the area of your financial performance.

Objectives:

  • Examine the effective model for financial management of the Private Duty Agency
  • Present industry benchmarks and performance dashboards
  • Discuss the strategies for managing overtime costs

Faculty: TBA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)


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.

Objectives:

  • Discuss (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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


717. How to Reduce Catheter Related Blood Stream Infections In Home Care Populations

Reducing length of stay for patients requiring infusion therapy can be achieved by discharging patients to home with home infusion services.  In order to provide this in-home service professional staff and caregivers require standardized education and training to ensure central line care is safe and mitigates the risk of infection.  Building on the foundation of the CDC guideline for the prevention of intravascular-catheter related infections, this  program provides examples of a unique central  line care training method, implementation of an in-home caregiver observation process and a variety of mitigation strategies for reducing the incidence of catheter related-blood stream infections.

Objectives:

  • Identify the current market environment
  • Explain how financial data can be used for valuations
  • Consider what others have done to monetize their businesses

Faculty: Susan Wade Murphy, RN, MSN, Senior Clinical Director, Home Care Services,  Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA); 1.5 CEs, NASW (except CA, MI, NC, WV), BBS (BBS except marketing credits)


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.

Objectives:

  • 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, QCC Kathleen Pecinka, RN, MSN, North Shore LIJ Home Care Network, Assistant Professor,QCC

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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

Providing care in the home environment presents unique challenges in terms of infection prevention and control. This session will focus on these challenges and provide evidence-based guidelines for preventing the transmission of infectious agents in the home. 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 (MDROs), and more.

Objectives:

  • Describe infection prevention and control challenges specific to care in the home setting
  • Describe infection prevention and control strategies in the home care setting
  • Describe infection prevention and control strategies specific to home care patients with MDROs

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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/)

Hospice Back to Top

114. How to Ensure 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.

Objectives:

  • Describe the importance of determining and documenting relatedness and eligibility
  • Discuss how the seemingly new interpretation of relatedness is affecting hospices
  • Outline key components in determining and documenting relatedness and eligibility

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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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

Objectives:

  • 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) Cuppett, CPA, Managing Partner, The Health Care Group, Morgantown, WV; Mark P. Sharp, CPA, Partner, BKD, Springfield, MO

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • 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 of Clinical Staffing Services, Tidewell Hospice, Lakewood Ranch, FL

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • 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  , Vice President for 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/BMO)


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.

Objectives:

  • Describe those general cost reporting requirements and changes thereto
  • Identify and describe the changes in cost centers and the underlying accounting records required of hospices
  • 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. Cuppett, CPA, Managing Member, The Health Group, LLC, Morgantown, WV

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • 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, CPA, Managing Partner, The Health Care Group, Morgantown, WV

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • Identify QAPI program requirements
  • Describe current content and future intent for the 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


513. How to Manage Provider Impact in 2014: Hospice Billing Changes - 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.

Objectives:

  • 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; TBD-Gentiva’s Hospice Division (?) 

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)


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.

Objectives:

  • 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 Simione, Managing Principal, Simione Healthcare Consultants, LLC, Hamden, CT

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • 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 Deurens.c., Madison , WI 

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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. To 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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • 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, CPA, Managing Member, The Health Group, LLC, Morgantown, WV, and Theresa M. Forster, VP for Hospice Policy and Programs, NAHC, Washington, DC

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)

 Health IT Back to Top

105. How to Exchange Health Information to Improve Care Transitions

Communication among providers about a patient can be difficult without a central repository for patient data. Lack of information can lead to errors or omissions in treatment, resulting in readmissions to the hospital or long-term care facility. This program will describe the types of patient information available through health information exchanges and show how increased access to patients’ clinical information fosters smoother transitions of care.

Objectives:

  • Explain the development and purpose of electronic health information exchange
  • Describe functions of electronic health information exchange
  • Apply the use of electronic health information exchange to a home health care business

Faculty: Ben Garvin, BS, CIO, Global Home Care, Inc., Troy, MI; Greg Cavanaugh, MHA, Implementation Consultant, Great Lakes Health Connect, East Lansing, MI; Mike  Deck, BA, Project Manager, Healthcare Synergy, Cypress, CA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


205. How to Enable an Efficient and Effective Mobile Workforce: Our BlackBerry and Tablet Journey

Revera Home Health has gone through a significant transformation, using small teams, lean principles, and technology to radically change service delivery. An engaged community workforce is not just about what IT platform you choose. It’s also about providing front-line staff with the tools they need, when they need them, to provide client-centered care in a decentralized national environment. Learn how we used IT and lean PM to enable a mobile workforce supported by strong quality standards beginning at the front line.

Objectives:

  • Demonstrate how to efficiently enable a mobile workforce with the right technology at the right time
  • Describe how to prioritize multiple issues to get the maximum return for your technology investments and how to implement them successfully
  • Show how putting the right solutions in the hands of your mobile workforce can make a difference your bottom line and quality of care

Faculty: Jo-anne Stone-Burke, BA, Yellow Belt Lean , National Director, Strategic and Operational Transformation, Revera Home Health, Lower Sackville, NS

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • 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 - Bioinformatics, Vice President, Business Strategies, Eventium, LLC, Milwaukee, WI

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • Describe the current health care 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


505. How to Get to the Data that Matters: Finding the Information Needed for Smart Management Decisions and Operational Changes

Agencies face an array of procedural requirements, audits, and post-payment reviews. Meanwhile the time and staffing necessary to guard against expensive errors is limited. Learn how computerized data can warn you about risks and steer your management toward smart decisions.

Objectives:

  • Inventory the data elements needed to verify and inspect agency operations, ensure best practice standards are met, and reduce risks of post-payment take-backs and reductions
  • Present examples of home health agencies using the computer’s power to find and target assessments and care plans that need scrutiny and possibly immediate modifications
  • Review models employed by successful agencies to regularly analyze field operations and keep them in sync with best practice standards and ensure compliance with CMS rules and regulations

Faculty: Karen  Gomes, RN, MS, CPHQ, Vice President of Clinical Services, Home Health VNA, Lawrence, MA; David Merk, AB, MA, President, Home Health Gold, Waterville, ME;  Jayne Baughter, OT, MA, Quality, Compliance Analyst, Home Home United, Madison, WI

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


604. How to Enhance Self-Management through New Technology for Patients and Their Families: Not Your Mother's Telehealth

The entrance of baby boomers into the Medicare pool places new demands and expectations on home health agencies. Using new low-cost technology as an adjunct to skilled professional care can improve quality, lower costs and improve patient self-management. Current products, impact on work flow, and expected outcomes will be presented.

Objectives:

  • Identify five new IT products that can ease patient transition from hospital to home
  • Integrate use of IT products into the organizational work flow with minimal disruption
  • Identify measurable outcomes that have demonstrated improvement through use of IT programs

Faculty: Merrily Evdokimoff, RN, PhD, Consultant, M & J Associates, Stow, MA; Gail Embt, MBA, Presidet, Kinergy Health LLC, McClean, VA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)

Financial Back to Top

103. How to Contain Costs: Part 1

The challenges for home care financial managers in maintaining profitable operations while improving patient outcomes will require an understanding of all costs and how they relate to different reimbursement models.   In particular, it is important to be able to calculate your costs of care and understand how these costs relate to payment received.  Additionally, non-clinical costs must be measured and managed in accordance with industry benchmarks.   This program will equip you to better measure all costs of your operation and compare them to industry benchmarks.

Objectives:

  • Identify direct and indirect costs and understand the relationship of costs to multiple reimbursement models. 
  • Gain a better understanding of non-clinical and back-office costs and become able to evaluate operational cost structures compared to industry benchmarks
  • Utilize industry benchmarks to evaluate the operating costs and revenues.

Faculty: David Berman, CPA, CVA, Principal, Simione Healthcare Consultants, LLC, Hamden, CT; Andrea L. Devoti, MSN, MBA, CHCE, President & CEO, Neighborhood Health Agencies, West Chester, PA; Rob Simione, BS, CPA, Vice President, Simione Financial Monitor, White Plains, NY

Course Level: Intermediate; Nursing 1.6 CEs; Accounting 2.0 CPEs (NASBA/FIN)


Anchor

115. How to Manage Accounts Receivable and Cash Flow

Potential payment reductions, new payment models, and the growing presence of managed care are causes for concern. In this uncertain reimbursement environment, home health agencies must find ways to maintain a strong cash flow. The presenters of this workshop will share the expertise they gained in a NAHC/HHFMA special committee that studied ways to improve billing operations and cash flow.

Objectives:

  • Introduce Accounts Receivable Committee survey results
  • Examine industry benchmarks and performance dashboards
  • Examine effective billing operations performance and cash flow management strategies

Faculty: Brad Parrish, VP of Finance,Home Health, Harden Healthcare, Austin, TX; M. Aaron Little, CPA, Managing Director, BKD, LLC, Springfield, MO; Melinda Gaboury, COS-C, BBA, Chief Executive Officer, Healthcare Provider Solutions, Inc., Nashville, TN

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)


204. How to Contain Costs: Part 2

Faced with Medicare rate cuts of 3.5% from rebasing in 2014 with additional cuts scheduled for the next 3 years alongside shifts to a managed care payment model, Home Health agencies need to find new sources of cost savings and operating efficiencies in order to survive.  Building upon the recently released HHFMA White Paper on cost containment strategies, this program offers insights and ideas on successful ways to squeeze out even more efficiencies than you thought possible. Everything from back office costs to care utilization must be on the table for consideration.

Objectives:

  • Identify the factors that are driving costs and learn how to better manage them.
  • Recognize methods to accurately calculate costs to deliver care and each element of costs
  • Select the best strategies for cost control and expanded efficiencies in back office staffing, clinical services, operational management, and technological support.
  • Evaluate transportation management opportunities   
  • Identify models that utilize technology to reduce operating costs

Faculty: Walter Borginis, CPA, MBA, CFO, Executive Vice President-Finance & Administration, VNA of Greater Philadelphia, Philadelphia, PA;  Rob Simione, BS, CPA, Vice President, Simione Financial Monitor, White Plains, NY; Shawn Ricketts,  BBA, MBA, CPA, CFO ,Heritage Home Healthcare & Hospice , Albuquerque, NM


Anchor

303. How to Use Scorecards to Manage Revenue Cycle Compliance

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. Attendees will be provided specific information relating to performance goals and details of successful strategies that resulted in better performance.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)


317. How to Use Analytic Tools to Identify Cost and Price for Managed Care Negotiations

This session will demonstrate the use of an analytic tool, developed by the Managed Care Task Force of HHFMA,  that can assist providers with the essential task of costing and pricing Medicare Advantage Plan services to assist all providers with network contract negotiations.  The results of the nationwide Managed Care Survey conducted by HHFMA will be presented to inform the attendees of the variances in programs and payment methodologies across the country. 

Objectives:

  • Demonstrate how analytical tools enable the identification of incremental direct costs by discipline and then weight by each type of visit.
  • Demonstrate how analytical tools enable the analysis of costs related to non-routine medical supplies, telehealth, use of quality staff, and use of authorization staff.
  • Describe the information captured by the nationwide Managed Care Survey conducted by HHFMA.

Faculty: Dawn Michelizzi, BS, Controller, VNA of Greater Philadelphia, Philadelphia, PA; Paul Giles, BS, Director, Home Health Finance, Dignity Health Care, Yorba Linda, CA; Christopher Attaya, MBA, FHFMA, VP,  Business Intelligence, Strategic Healthcare Programs, Santa Barbara, CA; Pat Laff, BS, CPA, Managing Principal, Laff Associates, Hilton Head Island, SC

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/


403. How to Improve Bottom Line and P4P Outcomes during Declining Reimbursement: Utilize standardized Point-of-Care Workflows with Clinical Decision Support, QA and QI

Efficient workflow processes for revenue-generating staff is paramount to controlling costs. These processes include standardized care and real-time clinical decision support, clinical alerts, and process alerts. Learn how a mid-sized agency saved $500,000 a year using efficient point-of-care support tools and a standardized care model (pathways).

Objectives:

  • Describe non-revenue-generating clinical and QI staff activities related to care management and care defense
  • Describe attributes of a point-of-care clinical decision support tool that promotes efficiency at the point of care and in office care management.
  • Recognize financial results of point-of-care clinical decision support and standardized care

Faculty: Jeffrey Nyquist, PhD, CEO, Upper Peninsula Home Health, Hospice & Private Duty Services, Marquette, MI; Lisa Van Dyck, MSN, Vice President of Clinical Product Development, Eventium LLC, Milwaukee, WI

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)


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.

Objectives:

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

Faculty: Mitchel Morel, BA, CPA,  CFO, Senior Home Care; Lynne Hebert, RN,  Vice President of Clinical Operations, Senior Home Care, affiliate of Kindred at Home, Clearwater, FL


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)


504. How to Operate Under Evolving Payment and Service Models

Accountable Care Organizations (ACOs), bundled payment, population health management, and other shifts in payment and service models create a fluid landscape for home health agencies – presenting one more challenge to leaders, but also possibly an opportunity to expand the scope of business and sources of revenue. The first challenge is to understand the terms and how the different models work; the second is to identify how your agency might successfully operate under these non-traditional programs. Take advantage of this session to learn first-hand from financial leaders currently working with ACOs and bundled payment demonstration projects.

Objectives:

  • Describe the structure of ACOs and bundled payment demonstration projects in effect today
  • Anticipate future trends around new payment models and provider partnerships
  • Recognize key relationship and financial management components involved
  • Identify how to evaluate your agency’s readiness for new payment structures
  • Determine elements of successful non-traditional payment contracts and management strategies

Moderator: John C. Richter, CPA, Chief Strategy Officer – Industries, Clifton Larson-Allen, LLP, Charlotte, NC

Faculty: Michael Slavik, CPA, Chief Industry Officer – Health Care, Clifton Larson-Allen, LLP, Charlotte NC ; Samuel Heller, BA, MBA, Senior Vice President and CFO, Visiting Nurse Service of New York, New York


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 underline 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.

Objectives:

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

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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)


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 payors 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.

Objectives:

  • Identify the challenges 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)


715. How to Avoid Problems in HHA Medicare Cost Reporting

Gain an understanding of the many problems found in cost reporting for home health agencies and how to avoid them. Learn how inaccurate reporting likely affected HHA PPS rates and will continue to do so. The legal and regulatory requirements of the cost report and a practical approach to filing the cost report will be discussed.

Objectives:

  • Demonstrate how information from the cost report can be a useful management and operational tool
  • Discuss the value of benchmarking and use of the cost report for that purpose
  • Discuss the filing of the cost report for regulatory compliance

Faculty: Thomas Boyd, BA, MBA, CFE, Vice President of Reimbursable Services, Simione Healthcare Consultants, LLC, Rohnert Park, CA; Dave Macke, MBA, FHFMA, Director of Reimbursement Services, VonLehman and Company, Inc., Fort Mitchell, KY; Paul Giles, BS, Director of Home Health Finance, Dignity Health, Yorba Linda, CA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)


716. How to Monetize Your Business through Home Care Partnerships, M&A, and Valuation

Are you feeling insecure because of more competition, shortage of skilled personnel, need for more technology, and ongoing cuts? If so, attend this session to better understand the current market environment. The presenters will share their knowledge of how financial data can be used for valuation, identify value drivers, and discuss what others have done to make their businesses more secure.

Objectives:

  • Identify the current market environment
  • Explain how financial data can be used for valuations
  • Consider what others have done to monetize their businesses

Faculty: Mitch Waks, CEO and Owner, Cooperative Home Care, St. Louis, MO; Stephen Zielinski, CVA, CMAP, Managing Director, The McLean Group, St. Louis, MO; Joe Golden, CPA, Principal and Senior Managing Director , The McLean Group, McLean, VA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)


813. How to Plan to Sell Your Business — Employee Stock Ownership Plans and Ownership Transitions

ESOPs allow business owners to sell companies gradually or as a whole. The plans lead to a smooth transition of ownership and management, and they unlock the productivity benefits of employee ownership. Hear the experience of other home health agencies with ESOPS and learn how to assess whether an ESOP is a good fit for your business.

Objectives:

  • Explain how ESOPs work and the factors that make them suitable for a company
  • Explore the potential value of ESOPs for ownership transitions, more cash flow, and smoother operations
  • Discuss the role of ESOPs in home health agencies

Faculty: Roger Corbin, BA, Chief Operating Officer, Caring Nurses, Inc., Las Vegas, NV; Loren Rodgers, MPP, Executive Director, National Center for Employee Ownership, Oakland, CA; Thomas Boyd, BA, MBA, CFE, Vice President of Reimbursable Services, Simione Healthcare Consultants, LLC, Rohnert Park, CA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)


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

Course Level: No CEs or CPEs awarded for this session

Private Duty Back to Top

107. Crucial Accountability: How to Hold Others Accountable for Violated Expectations, Broken Promises, or Bad Behavior

Health care is about relationships. Yet we often don’t address problems with staff until it's too late. Participants will be shown how to safely address vital problems before they escalate. Learn some simple skills for talking about an employee’s performance and making any confrontation a good one.

Objectives:

  • Discuss  how to work on yourself first
  • Describe how to safely confront staff
  • Describe how to proceed to action

Faculty: Beau Sorensen, BA, COO, First Choice Home Health & Hospice, Orem, UT; Kevin Miller, MA, President, VisionBound International, Springville, UT

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/BMO)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/MKT)


208. How to Protect Your Business, Intellectual Property and Bottom Line: Legal Issues Facing Home Care Agencies

This presentation provides an in-depth review of agency service agreements and employee contracts to help minimize liability and enhance business operations and efficiency. It will discuss the "must-have" provisions in these documents, as well as those sections that shouldn't see the light of day in a contract. The presenter will offer examples of common mistakes or harmful terms in these agreements and sample language agencies can use for their own agreements.

Objectives:

  • Analyze agency service agreements, review examples of problematic language, and show how to improve contracts with sample provisions
  • Analyze employee agreements, identify gaps, and learn how to draft effective policies
  • Discuss pressing legal issues facing home care agencies

Faculty: Robert King, Esq, Attorney and Founder, Legally Nanny, Irvine, CA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/RE)


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 still provide excellent care for patients and have a unique factor that sets them apart. Outstanding service is one way to accomplish this goal.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/BMO)


314. How to Use Technology in Home Care: Building Your Business, Forging the Future

Have you ever wondered if you’re running your organization as efficiently as possible? Do you worry that you’re losing money by not automating your systems? Do you imagine how future technologies will change your business? If so, this is the session for you. Come hear about the how-to’s of technology use in home care. Learn how to integrate current technologies in your business and get a look at technologies of tomorrow that will shape the future of home care.

Objectives:

  • Describe how to assess an agency’s operations and improve it by using technology
  • Discuss how to evaluate new operational strategies based on the use of technology
  • Identify ways to integrate technology in the future

Faculty: Lucy Andrews, RN, MS, CEO, At Your Home Services, Santa Rosa, CA; Brittnei Salerno, BS, Administrator, La Jolla Nurses Home Care, La Jolla, CA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • 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, Foundation Management Services, Denton, TX; Brenda Beggs, RN, CHCE, Vice President, Regulatory Compliance, Foundation Management Services, Denton, TX 


415. Private Duty Home Care Association (PDHCA) Open Forum

Come meet and share a dialogue with the PDHCA Advisory Board Members at the open forum as we discuss the exciting news on industry trends, the new NAHC Accreditation Process, the Private Duty Community and the current political climate including the federal companion exemption and health care reform.

Faculty:  Lucy Andrews, RN, MS, CEO, At Your Service Home Care, Santa Rosa, CA; Brittnei Salerno, BS, Administrator and President, La Jolla Nurses Home Care, La Jolla, CA 

Course Level: Intermediate:  No CEs or CPEs awarded  for this session


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.

Objectives:

  • 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

Course Level: TBA1.5 nursing CEs; 1.5 CPEs (NASBA/RE)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/RE)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/PHR)


612. How to Be Union Free

The SEIU, AFSCME and other unions are aggressively attempting to organizing in-home care workers across the nation.  In many states, legislators and governors have made it easier for unions to organize in-home care workers.  This Presentation will briefly discuss the three steps to remaining union-free:

  1. Prevention - maintaining positive employee relations
  2. Education - educating your workers on what a union means
  3. Response - legally responding to union organizing attempts

Objectives:

  • Identify 3 approaches in response  to any union contact with your agency’s employees.
  • Identify 5 strategies to construct a union avoidance policy for your employee handbook and employee orientation program. 
  • Identify 10 actions that an agency can take to remain union free.

Faculty: TBA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • 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 Bruenderman, JD/Partner, Stoneridge Partners, Fort Myers, FL; J. Todd Flowers, Vice President of Corporate Development,  Kindred Healthcare, Inc., Louisville, KY

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/PHR)


712. How to Comply with the Removal of the Companionship Exemption

This presentation will provide the Who, What, Where, When and Why on the changes agencies will have make as a result of removal of Companionship Exemption effective January 1, 2015.  This presentation will assist agencies to understand and navigate through overtime and to the live in exemption changes.

Objectives:

  • Identify the 3 main changes for agencies as a result of the removal of the Companionship Exemption, the method of calculating hours for overtime purposes based on sleep time, travel time, meal time, break time and off duty time.
  • Clarify the DOL’s position on Joint Employment issues
  • Identify 5 strategies to manage overtime costs and adjust bill/pay rates for a fiscally sound agency

Faculty: JoAnne Brooks, BA, JA , Shareholder, Littler, PC, Walter Creek, CA


803. How to Enter an Era of Consolidation: Are You the Buyer or Seller?

Whether you are the buyer or the seller, this presentation will review both sides of a transaction. Attendees should leave with new ideas, strategies, and check lists for buying, selling, or merging their organization with another party.

Objectives:

  • Review both sides of a transaction
  • Identify ideas, strategies, and check lists for buying, selling, or merging an organization with another, and give examples of these transactions
  • Create a checklist for buying and selling companies

Faculty: Tiffany  Karlin, BS, Director of Health Care , Mueller Prost, PC, St. Louis, MO; Doug  Mueller, CPA, President, Owner, Mueller Prost, PC, St. Louis, MO

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/MKT)


810. How to Build a Successful Strategy for the Removal of Companionship Exemption

This presentation will address what the companionship exemption changes mean for your agency and the top strategies for being prepared for the implementation date January 2015 including the bottom line on overtime, strategies for costs, estimating the cost of overtime when increasing your bill rate, caregiver recruitment approaches, ideas that just won’t work and steps to a successful transition.

Objectives:

  • Describe the sources of liability for an agency regarding wage and hour violations
  • Discuss the strategies to reduce overtime costs
  • Present the staffing approaches for providing live in care

Faculty: Patricia Drea, MPA, BSN, COO, Visiting Angels Living Assistence, Tega Cay, SC

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


817. How to Conduct an HR Audit of Your Private Duty Agency

This presentation addresses how to conduct and effective Human Resources audit of your agency.  Audit areas include: Applications, I-9s, handbooks, background check process, independent contractors, job descriptions, hours worked, interviewing, performance evaluations, confidentiality and non-competes.  Fasten your seatbelt because here we go!

Objectives:

  • Name  six qualification categories that an employer can question job applicants about
  • List four characteristics that weaken the effectiveness of performance evaluations
  • Name four important categories the employer must address when crafting an effective non-compete clause

Faculty: Tom Revnew, Esq. Shareholder, Seaton, Peters, Revnew, Minneapolis, MN

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)

Human Resources Back to Top

203. How to Use Innovative Incentive Compensation Planning for Home Health Clinicians

This session will present a detailed case study illustrating the development of an incentive pay program for home health nurses and therapists aimed at achieving three primary goals: maintaining high quality and strong patient outcomes, improving patients’ experience, and increasing organizational efficiency.

We will illustrate the building blocks of developing incentive programs and identifying appropriate performance metrics, including productivity, patient satisfaction, and quality.

Objectives:

  • Describe the key steps of the incentive compensation planning process and discuss key elements for success
  • Show the potential success of home health clinician incentive programs via a real world case study
  • Describe the key challenges and lessons of the incentive compensation planning process for this case study

Faculty: Miranda  Mooneyham, MBA, Healthcare Consultant, ECG Management Consultants, Inc., Seattle, WA; Deborah Griffin, MA, Chief Home Health Executive, Sutter Care at Home, Fairfield, CA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/PHR)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/FIN)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/PHR)

Legal & Regulatory Back to Top

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. 

Objectives:

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

Faculty: Barbara B. Citarella, MS, RN, President, RBC Limited,  Healthcare & Management Consultants

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/RE)


212. How to Deal with Current and Future Changes:  Home Health Regulatory Roundup

This program will be presented to inform attendees about the status of the current Centers for Medicare and Medicaid Services (CMS) regulations and policies that are of greatest concern to home health agencies. Hot topics will include: changes to the F2F requirement and  therapy reassessment requirements,  medical review activities,  PECOS and OASIS-C-1/ICD-9, ICD-10 coding.  During this session, an opportunity will be provided to attendees to discuss the challenges that they are facing.

Objectives:

  • 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: Mary  Carr , RN, MPH , Associate Director for  Regulatory Affairs , National Association for Home Care & Hospice , Washington, DC

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/RE)


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.

Objectives:

  • 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: Sharon Brummer, BS, Senior Provider Relations Representative, CSG Administrators, LLC, DE Moines, IA; Nykesha Scales, BS, HH & H, Senior Provider Relations Representative, CGS, Administrators, LLC, DE Moines, IA  

Course Level: Intermediate; No CEs or CPEs awarded for this session


309. How to Stay Informed: Medicare Updates by Palmetto GBA

Palmetto GBA is the Medicare Administrative Contractor for many home health and hospice agencies in the US. This program will include information regarding the most recent Medicare regulation updates and changes. Participants will also learn about some tools and resources that are available that will enable them to better implement processes to ensure compliance with the regulations. In addition, participants will increase their knowledge about the Electronic Data Interchange (EDI) functions and processes.   

Objectives:

  • Use the latest information regarding Medicare regulations
  • Apply knowledge about tools and resources available to ensure compliance with Medicare regulations
  • Employ knowledge of the Electronic Data Interchange (EDI) functions and processes

Faculty: Marilyn Jeske, BS, Senior Provider Relations Representative, Palmetto GBA, Columbia, Charles Canaan, MPH, RN,  Senior Provider Education Consultant,  Palmetto GBA, Columbia, SC; Kim Campbell, BS, MA, MHP, Manager of EDI Operations, Palmetto GBA, Columbia, SC

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/RE)


507. 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.

Objectives:

  • 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, Vice President, The Corridor Group, San Franciso, CA; Alan Schabes, Esq, Partner, BeneschFriedlander Coplan &  Aronoff, LLP, Cleveland, OH

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/RE)


607. How to Prepare for Medicare Audits and Compliance

Whether home health providers have undergone an audit or not, they should be prepared for increased attention from Medicare contractors. This presentation will address key regulatory updates that affect reimbursement for home health providers. It will discuss effective compliance and appeal strategies for home health providers to implement in their daily processes.

Objectives:

  • Identify and explain the various audit contractors and key audit risk areas for home health providers
  • Identify key compliance risk areas facing home health providers as well as the processes to implement in preparation for a possible audit
  • Discuss successful appeals strategies and effective defenses that can be employed if and when a home health provider faces an audit

Faculty: Eileen Amruso, RN, COS-C, Senior Director of QA and Compliance/Chief Compliance Officer, Infinity Homecare, Sarasota, FL; Jessica Forster, JD, BA, Attorney, Wachler & Associates, P.C., Royal Oak, MI; Shannon Abbott, RN, BSN, MBA, VP Clinical Strategies, Infinity Home Care, Sarasota, FL

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/RE)


707. How to Remain Ready for Surveys: A Surveyor’s Perspective

Deficiencies are on the rise, and now they can lead to sanctions. Agencies are struggling with the new survey process, which includes full surveys, and more agencies are accredited, leading to more standards that must be met. How can you stay ready for surveys without a lot of busy work? Learn from a former surveyor with 10 years experience in the field.

Objectives:

  • Interpret Medicare survey process, levels of deficiencies, and sanctions
  • Describe common deficiencies in agencies
  • Discuss how to review clinical records to ensure compliance
  • Show how to do a mock survey

Faculty: Sharon Litwin, RN, MHA, HCS-D, Senior Managing Partner/Founder, 5 Star Consultants, LLC, Camdenton, MO

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/RE)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5      nursing CEs; 1.5 CPEs (NASBA/RE)

Marketing & Business Development Back to Top

116. How to Leverage Care Management Services to Build Strategic Referral Partnerships

As delivery system incentives put more emphasis on population health, care management services are essential for success under risk-based payments. As a result, opportunity exists for HHAs to leverage care management capabilities to differentiate themselves and forge exclusive referral partnerships.

Objectives:

  • Explain the value of care management in an evolving delivery system
  • Identify methods of delivering efficient, high-quality post-discharge care
  • Demonstrate how superior care management capabilities can build referral partnerships

Faculty: Jared Landis, BA, Senior Consultant, The Advisory Board Company, Washington, DC; Donna Lichti, BA, VP, Enterprise Market, Visiting Nurse Service of NY, New York, NY

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/MKT)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/MKT)


410. How to Plan and Package Care Transitions: A Provider's Perspective

This session will review the elements in developing a care transitions program in partnership with hospitals to improve outcomes and reduce hospitalization rates. It covers the preparation necessary to facilitate transitions in care and sell the advantages of it to potential partners, the clinical and financial of such a program for health systems, the metrics for assessing the program’s effectiveness, and the internal metrics for assessing the program’s cost and financial viability.

Objectives:

  • Identify the elements in a care transitions package that benefit a health system
  • Identify metrics for assessing the effectiveness of the care transition product for the health system
  • Identify the unique value and potential pitfalls of a care transitions package

Faculty: Nicole Maag, RN, BSN, COS-C, Executive Director, Porter Hills Home Care, Grand Rapids, MI; Karen Vance, OTR, Managing Consultant, BKD, Health Care Group, Colorado Springs, CO

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/MKT)


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.

Objectives:

  • 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, Senior Manager, Simione Healthcare Consultants, Marietta, GA; Kara Osborne, Simione Healthcare Consultants, Ofallon, IL

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/MKT)


610. How to Quantify Opportunities and Threats Caused by the Affordable Care Act

This presentation will discuss how to quantify the impact that parts of the ACA will have on hospitals, SNFs, physicians and payors 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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/MKT)


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.

Objectives:

  • 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, Business Development, The Elizabeth Hospice, Escondido, CA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/MKT)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/MKT)

Management & Leadership Back to Top

109. How to Have a Successful CCTP Program and so Much more: Home Care's Pivotal Role in Patient Transitions from Acute to Post-Acute Care Settings

Home health care agencies have been managing the challenging transition of at-risk patients from hospital to home for decades. Who then is better positioned or more qualified to create and implement innovative care delivery models that expand upon this framework? Are you ready to have your home health agency take a lead role in our rapidly changing health care landscape? Then join us as we detail compelling and realistic opportunities that will elevate your agency to the center of the health care system.

Objectives:

  • Describe why home health should take a lead role in developing programs to reduce readmissions and improve transitions of patients from acute to post-acute care
  • Describe experiences, results and lessons learned through participation in CMS’s Community-based Care Transitions Program
  • Describe the steps entailed in developing a Community Partners Collaborative

Faculty: Jane Pike-Benton, MS, RN, Senior Director, Home Health, Tenet Healthcare, Marlborough, MA; Patricia  Burke, RN, Transitions in Care Program Manager, MetroWest HomeCare & Hospice, Marlborough, MA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/BMO)


209. How to Counteract Changes in Reimbursement during Year II while Improving Outcomes: Cost Rebasing

Rebasing of the home health payment rate began in 2014 and has serious repercussions for providers and their patients. This session provides information and guidance for Year II on rebasing principles, strategies for improving care and implementing change while achieving positive outcomes. It conveys the first-hand knowledge of a director of rehab services for a large national home care provider whose use of best practices for episode management has led to very positive results.

Objectives:

  • Review the final changes of Year II for cost rebasing of the prospective payment system and their impact on home health operations and finances
  • Describe clinical best practices home health should implement to adapt to Year II of cost rebasing
  • Describe results from using strategies and therapy processes geared toward best outcomes

Faculty: Rodney  Plunkett, PT, DPT, ATC/L, Director of Rehab Services, American Nursing Care, Floyds Knob, IN; Laurie Salmons , RN, BSN, Clinical Consulting Manager, McBee Associates, Inc., Knoxville, TN; Michael  Dordick, MBA, Sen V Presidnet, McBee Associates, Inc, Wayne, PA

Course Level: Intermediate; 1.5 nursing CEs; 1.5  CPEs (NASBA/BMO)


215. How to Establish Partnerships and Opportunities for Home Care Providers in Working with Medical Homes

This program will provide an overview of patient-centered medical homes and identify opportunities for home care agencies to serve patients who are part of established medical homes. The program will also discuss how agencies can partner with physician groups and health care systems that have medical homes. By becoming affiliated providers, agencies can play a significant role in transforming the delivery of health care.

Objectives:

  • Improve understanding of patient-centered medical homes
  • Discuss Medicaid health homes
  • Explain role of home care and hospice in supporting medical homes

Faculty: Lisa Harvey-McPherson RN, MBA, MPPM, Vice President Continuum of Care & Chief Advocacy Officer EMHS, Maine

Course Level: Intermediate; 1.5 nursing CEs; 1.5  CPEs (NASBA/BMO)


310. How to use Compensations Models in Home Health

Compensation models can reinforce, counteract, or have unintended consequences on agency outcomes. There are several models commonly used in the home health industry: hourly pay, salary and per visit compensation. This session describes common compensation models, their pros and cons, and the impact on an agency.

Objectives:

  • List the most commonly used compensation models in home health.
  • Describe the process of transitioning compensation models
  • Identify the compensation model that could resolve barriers to desired outcomes and fit successfully within your own agency's culture and structure.

Faculty: Vickie Morgan, RN, MSN, Dir Clinical Operations, Riverside Home Care Division, Newport News, VA; Karen Vance, OTR, Managing Consultant, BKD, Health Care Group, Colorado Springs, CO

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/BMO)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/BMO)


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.

Objectives:

  • 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 Devoti, MSN,MBA,RN, President and CEO, Neighborhood Health, West Chester, PA; David  Berman, CPA, CVA, Principal, Simione Healtcare Consultants LLC, Hamden, CT

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/BMO)


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.

Objectives:

  • Identify three performance improvement tools that your organization can use
  • Describe 3 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/BMO)


708. How to Develop Staff Competencies that Support Patient Engagement

Like hospitals, home health agencies may soon face a penalty for elevated readmission rates. Developing and embedding of staff competencies within an integrated work flow is the key to improving patient experience. This session will show how to achieve better outcomes through coaching, motivational interviewing, and patient-centered goal setting.

Objectives:

  • Assess the current state of interventions in home health related to care transitions
  • Identify ways to engage staff in implementing these interventions
  • Develop an agency-wide blueprint to support the required competencies.

Faculty: Merrily Evdokimoff, RN, PhD, Consultant, M & J Associates, Stow, MA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/BMO)


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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/BMO)

Quality Back to Top

111. How to Use EMR Data and Process Management Techniques to Improve Efficiencies and Outcomes

The rebasing of home care reimbursement is only the beginning of a relentless focus in the health care industry on doing more with less. Yet health care still has ample opportunity to thrive in the austere new era. This presentation describes a new class of process performance measures in home care and how they can be used to improve both quality and efficiency.

Objectives:

  • Explain why reductions in cost can also result in quality improvements
  • Examine a process and identify opportunities to remove waste from the process
  • Discuss benefits of process improvement activities

Faculty: Samantha Richardson, RN, Clinical Informatics Manager, Health & Hospice, Colorado Springs, CO; Mark Bassett, RN, BSN, MAS, Senior Development Analyst, MEDITECH, Marietta, GA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


313. How to Use HHQI Resources to Succeed: Authentic Agency Stories

The Home Health Quality Improvement (HHQI) National Campaign will demonstrate how simple it can be to implement free evidence-based best practice strategies. A panel of agency leaders will share ideas and lessons learned from partnering with HHQI. Hear insights on how you can jumpstart your own agency’s success.

Objectives:

  • Describe how to access HHQI National Campaign tools and resources
  • Identify three ideas for integrating HHQI materials into your practices to improve outcomes and care quality
  • Use two new educational techniques in different formats.

Faculty: Cindy Sun, RN, MSN, APRN, RN Project Coordinator , West Virginia Medical Institute, Charleston, WV; Crystal  Welch, MSN, RN, RN Project Coordinator , West Virginia Medical Institute, Charleston, WV

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


411. How to Be Elite or be Beat!

Achieving Homecare Elite Status is becoming increasingly essential as reimbursement becomes tied to performance. This program will explain one home health agency's success in repeatedly achieving Homecare Elite Status. Factors that contribute to this status include patient satisfaction, strategies that improve outcomes, and program evaluation.

Objectives:

  • Name the outcomes that contribute to obtaining Homecare Elite Status
  • Apply strategies to improve outcomes that contribute to Homecare Elite Status
  • Evaluate results of strategies to achieve sustainability

Faculty: Marge Superior, RN, MSN, Clinical Director, VNAHG/Cape VNA, Cape May Courthouse, NJ; Wendy  Ebner, RN, MSN, CRRN, Clinical Nurse Manager, VNAHG/RWJVN, North Brunswick, NJ

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


510. How to Pump HHQI's Cardiovascular Health into Action

Come and learn innovative ways to incorporate the Home Health Quality Improvement (HHQI) National Campaign’s free Cardiovascular Health Improvement resources into practice at your agency. We will look at the Million Hearts ABCS — aspirin as appropriate, blood pressure control, cholesterol management, and smoking cessation. Attend this session for new approaches on how home health can use the ABCS to prevent heart attacks and strokes.

Objectives:

  • Describe the overarching purpose of both HHQI and the Million HeartsÆ initiative
  • Identify three key tools from either of the two Cardiovascular Health Best Practice Intervention Packages (BPIPs) that may be appropriate for your agency
  • Develop two new methods of education to integrate cardiovascular health into your practice

Faculty: Misty Kevech, RN, BS Ed, MS, COS-C, CCP, RN Project Coordinator, WVMI, Charleston, WV; Crystal  Welch, MSN, RN , RN Project Coordinator , West Virginia Medical Institute, Charleston, WV; Cynthia  Sun, RN, MSN, NP , RN Project Coordinator, West Virginia Medical Institute, Charleston, WV

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


611. How to Successfully Outsource the Coding and Review Functions in a Home Health Agency

The upcoming implementation of ICD-10 and continued cuts to reimbursement have led many agencies to consider outsourcing their coding function. Engaging a partner with expertise in coding and clinical document review puts the challenge of applying accurate diagnosis codes into the hands of skilled coders and enhances the agency's ability to train staff in developing a POC derived from the assessment and the complexities of OASIS data collection A home care provider describes the necessary action items to successfully plan and implement a coding and review outsource function for a home health or hospice agency.

Objectives:

  • Describe how to evaluate outsource options
  • Discuss the steps for outsourcing coding and review functions to improve overall quality of documentation and delivery of services
  • Describe processes for ongoing evaluation of the outsource contract and discuss questions that relate to the implementation of this change

Faculty: Valerie Landell, BSN, President & CEO, VNA of Greater Cincinnati and Kentucky, Cincinnati, OH; Lisa Woolery, RN, BSN, BCHH-C, Director of Coding,Quality & Education, Fazzi Associates, Northhampton, MA; Kelly Murphy-Miller  , BS, BCHH-C  , Director of Coding Operations , Fazzi Associates, Inc. , Northhampton, MA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • Interpret the value of  adopting  ICD-10 and what to do to build and implement a transition plan
  • Train staff on and 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, Post-Acute Care Product Group; Tricia A. Twombly, RN, BSN, HCS-D, HCS-O, COS-C,CHCE, Senior Director, both from DecisionHealth, Gaithersburg, MD; Arlene Maxim, RN, Founder,CEO, A.D. Maxim, Troy, MI

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


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.

Objectives:

  • Identify strategies for enhancing documentation from a regulatory and payment perspective
  • Describe methods for strengthening documentation from a legal perspective
  • Deliver an inservice 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)

Telehealth Back to Top

106. How to Secure mHealth: Protecting the Integrity of Patient Data

Securing mHealth technology and patient data requires more than simple encryption. Learn about the latest technology, risks, and strategies from some of the most secure mHealth technology manufacturers and data infrastructure providers. They’ll show you how to ensure your organization is safe when deploying patient monitoring applications.

Objectives:

  • Review mHealth, BYOD, and the risks involved
  • Identity the meaning of security and its components
  • Explain how to reduce security risks to patient data

Faculty: Peter  Blanchard, BS, MBA, VP of Business Development, Bethany Home Health, Pewaukee, WI; Rick  Scully, BS, MBA, Senior Member, Remote Healthcare Associates, Pewaukee, WI; Brett Quas, BS, CEO, Connected Healthcare Solutions, Pewaukee, WI

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


206. How to Remodel Telehealth Programs for the Future

This session will explore the remodeling of a stagnant telemonitoring program. We will examine the use of telehealth as a way to distinguish one home health agency from the rest. A strong telemonitoring program can set a home health agency apart as a leading provider of patient-centered care within the community.

Objectives:

  • Identify when a program needs remodeling
  • Describe how to foster change
  • Explain the benefits of a vigorous telemonitoring program in reducing hospital readmissions

Faculty: Heather Ramirez, RN, BSN , Telehealth Program Coordinator, Brooks Home Care, Jacksonville, FL; Krista  Kelly, RN, BSN, CCP, Senior Account Manager, Philips Healthcare, Framingham, MA; Diana Decker, RN, MSN, CNL, Clinical Nurse Specialist, Brooks Home Care, Jacksonville, FL

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


306. How to Use Community-Based Connected Care for Chronic Disease Management: A Nontraditional Approach

A three-year grant was awarded to show how chronic disease self-management can lower costs and improve quality of life for high-cost patients. The study followed 100 patients with CHF, COPD, or diabetes for one year as they participated in an evidence-based program of education, coaching, telehealth, home visits, and care coordination. The way to replicate the process and outcomes gained are highlighted in the presentation.

Objectives:

  • Define objectives connected with the BCBS MA Foundation "Making Health Care Affordable" grant
  • Discuss the role of community health workers and how they can be integrated into a traditional home care model
  • Evaluate sustainability through shared outcome measurements

Faculty: Kim  Santos, RN, Telehealth Case Manager, VNA of Greater Lowell, Lowell, MA; Sharon  Fisher, n/a, Project Director, Self Employed, Andover, MA; Frank McMullin, B.S., RN, Sr Acct. Manager, Philips Healthcare, Framingham, MA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


406. How to Enhance Care and Reduce Costs through Telehealth Programs

This session reviews a care model that uses home telemonitoring on patients with certain acute or chronic conditions. The care model targets shortened inpatient and observation stays to avoid admissions to the ED. This care model can help home health cultivate partnerships with hospital systems and insurance payers to manage acute-care patients from hospital to home.

Objectives:

  • Describe steps necessary to develop a telehealth program than spans the care continuum
  • Define the intensive home care model from hospital to home
  • Identify opportunities to expand the program

Faculty: Linda  Chambers, PT, MBA, Administrative Director, ProMedica Home Health Care, Sylvania, OH; Tatiana  Masyk, MD, FAAFP, CPE, CMD, Director of Medical Services, ProMedica Health, Sylvania, OH; Terese  Higgins, RN, MSN, Director of Operations, ProMedica Home Health Care, Sylvania, OH

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


605. How to use Telehealth and the Key Components of 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.

Objectives:

  • 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

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/CS)


705. How to use a Telehealth-based Care Model to Serve the Medicaid Population

In rural, underserved communities, new telehealth-enabled care models can improve access and allow patients to stay in their homes as long as possible. This session discusses the Kansas Medicaid Home and Community Home and Community Based Service/Frail Elder pilot study, a collaborative effort of the Kansas Department of Aging, University of Kansas Center for Telemedicine and Telehealth, and Windsor Place At-Home Care. The goal of the effort was to study cost analysis, nursing home deferrals, and patient perceptions over an extended period of time.

Objectives:

  • Demonstrate the opportunities to reduce Medicaid costs through use of home telemonitoring.
  • Discuss how to work with state legislatures and regulatory agencies to bring such pilot programs about
  • Define the care model employed to improve access and quality of life for rural populations

Faculty: Monte  Coffman, Executive Director, Windsor Place of Coffeyville, Cofferyville, KS

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


805. How to Use Integrated Telehealth Care in Home Health Agencies: A National Survey by NAHC and UPenn

This session describes NAHC’s national survey of home health care agencies to examine the perspectives of agency directors and staff nurses on telehealth adoption and use. There are strong indications that telehealth can address both physical and mental health issues in an innovative and lower-cost way. Yet there is also great need to understand the factors that encourage or challenge home health agencies in using telehealth to care for chronic conditions.

Objectives

  • Identify issues related to depression in chronically ill home health patients
  • Determine the effectiveness of telehealth interventions in combatting depression and distress, improving patients’ quality of life, and promoting self-care
  • Identify barriers and facilitators to use of telehealth and strategies that could encourage its adoption

Faculty: EunHae Grace Kim, MSW , PhD Student, Social Welfare Program , University of Pennsylvania, School of Social Policy & Practice, Philadelphia

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/CS)

Medicaid Back to Top

816. How to Develop Strategies for Success in Medicaid Home Care: Medicaid Home Care Operations Best Practices Round Table

Over the last decade, Medicaid home care has been evolving at a rapid pace.  Rebalancing incentives included in the Affordable Care Act have allowed states to develop programs to foster growth in home based care.  The Affordable Care Act also brought the Employer Mandate which is presenting significant planning challenges for home care providers. Changes to the Fair Labor Standards Act have modified minimum wage and overtime requirements that previously did not apply to home care providers. Finally, states have moved Medicaid home care services away from the traditional fee for service payment system and into managed care organizations. In 2004, only eight states had managed long term service and support programs. Today, due to states’ desire to maintain budgetary certainty, 21 states have moved some portion of the Medicaid home care population into managed care, either as part of the Duals Demonstrations or a general move to managed care. This trend is expected to continue. In some states, the move to managed care has been a slow and gradual approach that allowed providers to prepare and develop implementation plans. In other states, home care was taken over by managed care seemingly overnight, leaving providers racing to develop strategies for success in a managed care setting. This round table program will bring together providers from a variety of states to share best practices in operations for navigating the road ahead in Medicaid home care.

Objectives:

  • Identify the issues facing Medicaid home care providers
  • Recognize options for dealing with issues successfully
  • Develop methods for sharing best practices across providers as issues become more prevalent in states

Faculty: Michelle Martin, Policy Director, National Council on Medicaid Home Care, Washington, DC

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/RE)

Nursing Home & Assisted Living Administrators Back to Top

116. How to Leverage Care Management Services to Build Strategic Referral Partnerships

As delivery system incentives put more emphasis on population health, care management services are essential for success under risk-based payments. As a result, opportunity exists for HHAs to leverage care management capabilities to differentiate themselves and forge exclusive referral partnerships.

Objectives:

  • Explain the value of care management in an evolving delivery system
  • Identify methods of delivering efficient, high-quality post-discharge care
  • Demonstrate how superior care management capabilities can build referral partnerships

Faculty: Jared Landis, BA, Senior Consultant, The Advisory Board Company, Washington, DC; Donna Lichti, BA, VP, Enterprise Market, Visiting Nurse Service of NY, New York, NY

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/MKT)


306. How to Use Community-Based Connected Care for Chronic Disease Management: A Nontraditional Approach

A three-year grant was awarded to show how chronic disease self-management can lower costs and improve quality of life for high-cost patients. The study followed 100 patients with CHF, COPD, or diabetes for one year as they participated in an evidence-based program of education, coaching, telehealth, home visits, and care coordination. The way to replicate the process and outcomes gained are highlighted in the presentation.

Objectives:

  • Define objectives connected with the BCBS MA Foundation "Making Health Care Affordable" grant
  • Discuss the role of community health workers and how they can be integrated into a traditional home care model
  • Evaluate sustainability through shared outcome measurements

Faculty: Kim  Santos, RN, Telehealth Case Manager, VNA of Greater Lowell, Lowell, MA; Sharon  Fisher, n/a, Project Director, Self Employed, Andover, MA; Frank McMullin, B.S., RN, Sr Acct. Manager, Philips Healthcare, Framingham, MA

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


410. How to Plan and Package Care Transitions: A Provider's Perspective

This session will review the elements in developing a care transitions program in partnership with hospitals to improve outcomes and reduce hospitalization rates. It covers the preparation necessary to facilitate transitions in care and sell the advantages of it to potential partners, the clinical and financial of such a program for health systems, the metrics for assessing the program’s effectiveness, and the internal metrics for assessing the program’s cost and financial viability.

Objectives:

  • Identify the elements in a care transitions package that benefit a health system
  • Identify metrics for assessing the effectiveness of the care transition product for the health system
  • Identify the unique value and potential pitfalls of a care transitions package

Faculty: Nicole Maag, RN, BSN, COS-C, Executive Director, Porter Hills Home Care, Grand Rapids, MI; Karen Vance, OTR, Managing Consultant, BKD, Health Care Group, Colorado Springs, CO

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/MKT)


507. 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.

Objectives:

  • 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: Martha Lambert, RN, Vice President, The Corridor Group, San Franciso, CA; Alan Schabes, Esq, Partner, BeneschFriedlander Coplan &  Aronoff, LLP, Cleveland, OH

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/RE)


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.

Objectives:

  • 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, Associate Professor, Nurse Practitioner, Queensborough Community College, Bayside, NY; Kathleen Pecinka, RN, MSN, Assistant Professor, Queensborough Community College, Bayside, NY

Course Level: Intermediate; 1.5 nursing CEs; 1.5 CPEs (NASBA/SKA)


 

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