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:: NAHC Report
NAHC Report: Issue# 2278, 9/20/2013
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FDASIA Workgroup Recommends FDA Expedite Guidance on HIT Software and Mobile Medical Apps
Senate Small Business Committee Chair Sends a Letter to HHS Secretary on Rebasing
For Your Information: Nursing Focused Educational Track at NAHC’s Annual Meeting
NAHC/Home Care & Hospice Events
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FDASIA Workgroup Recommends FDA Expedite Guidance on HIT Software and Mobile Medical Apps

Earlier this month, a wide ranging group of stakeholders involved in healthcare, patient safety, the U.S. government, and the mobile industry known as FDASIA released its final Committee Report to the Health IT Policy Committee (HITPC), which is an important Federal Advisory Committee within the U.S. Department of Health & Human Services (HHS) under the Office of the National Coordinator for Health IT (ONC).  The HITPC delivered the FDASIA report to three federal agencies including the Food and Drug Administration (FDA), ONC, and the Federal Communications Commission (FCC).

The FDASIA workgroup was charged to provide expert input to the FDA, ONC, and FCC, to help inform the development of a report by those three agencies on “an appropriate, risk-based regulatory framework pertaining to health information technology including mobile medical applications that promotes innovation, protects patient safety, and avoids regulatory duplication.”

In this report, the FDASIA group makes the following statement: “FDA should expedite guidance on HIT software, mobile medical apps and related matters.” The report goes further to explain that the FDASIA workgroup has “described current regulatory frameworks, potential new approaches, and deficiencies, ambiguities and duplication in current frameworks” in addition to having “described what we believe will be helpful to promote innovation in both the short and long term and maintain patient safety.”

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Nursing Focused Educational Track at NAHC’s Annual Meeting

This year’s Annual Meeting – being held October 31 – November 3 in Washington, DC – has a wide range of educational sessions for professionals in every segment of the home care and hospice community.

Below is a sampling of the many educational offerings available for those pursing the Nursing track:

2014 Rebasing: Strategies to Counteract Constant Cuts while Improving Quality of Care
Rebasing of the home health episode payment rate beginning in 2014 has serious implications for providers and the patients served. This session will provide information and guidance on rebasing principles, strategies for improving care practices while implementing changes, and the achievable positive results that can be obtained.

How the Multi-Factorial Falls Risk Assessment Accurately Predicts Risk of Falls in a Homebound Population
Individuals that are a high risk for falls can be successfully identified using the multi-factorial falls risk assessment. Interventions can then be targeted at specific variables that are the most predictive. The presenters will share their findings from a study that demonstrates that individual items in the assessment were not shown to accurately predict risk of falls in isolation. However, when all variables are included in the model, they can work together to significantly predict the risk for a fall.

Establishing a Home Health/Hospice Bridge Program for Your Agency
This session will describe a bridge program with home health and hospice using a patient-centered approach to determine the patient’s goals and to provide the right care in the right setting at the right time. Transitional planning is essential for coordination and continuity of care between home care and hospice. When patients transfer from one type of care to the next, that transfer needs to be a coordinated, seamless movement between care partners. Care processes to guide the patient flow, communication, care coordination and tracking tools to support the transition along with education tools for clinicians, patients, family and physician are part of successful bridge programs.

Revising the Scope and Standards of Home Health Nursing Practice
This session will enable attendees to participate in revising the Scope and Standards of Home Health Nursing Practice documentation for the next decade. First developed by an ANA taskforce in 1986, the Scope and Standards of Home Health Nursing Practice were updated in 1992, 1999 and 2007 to reflect the shifting challenges and trends facing home health nurses. Besides state Nurse Practice Acts, the most authoritative source for professional home health nurse practice is the American Nurse Association’s Scope and Standards of Home Health Nursing Practice. Nurses, administrators, litigators, policy makers and the public use this document to evaluate the role and practice of home health nurses.

To review all of the Nursing sessions being offered at this year’s Annual Meeting, please click here.

To register for this year’s Annual Meeting, please click here.

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Senate Small Business Committee Chair Sends a Letter to HHS Secretary on Rebasing

Senator Mary Landrieu (D-LA), the Chairman of the Senate Small Business and Entrepreneurship Committee, recently sent a letter to HHS Secretary Sebelius surrounding CMS’ proposed home health rebasing proposal and its negative consequences for small businesses – particularly for the many home health agencies that are categorized as such.

In her letter, Senator Landrieu states that:

“The proposed rule imposes a harmful 14% reduction in Medicare home health payments by implementing the maximum allowable rebasing adjustment of 3.5% each year from 2014 to 2017. Not only will this cut directly impact Medicare beneficiaries receiving home health services who are often the oldest and most vulnerable in Medicare, but it will also be detrimental to home health agencies, the majority of which are small businesses…

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Administrative Director
Adventist Health/Home Care Services, Portland, Oregon

Adventist Health is seeking an experienced Home Care Administrator to oversee a growing and busy mission driven service provider in the greater Portland, Oregon area. Scope of job responsibilities include Home Health, Hospice, Home Medical Equipment, Home Infusion Therapy, and Private Duty business lines. The Administrative Director is responsible to direct, supervise, monitor and evaluate all functions and activities for the Adventist Health/Home Care Services department of Adventist Medical Center (AMC). We are looking to the right individual who can lead in business growth and development, financial management, HR management, and conformity to policies, procedures, quality improvement and regulatory requirements. In addition, we are looking for the right individual to support and promote the mission, philosophy and the vision of our Adventist Health/Home Care Services department, creating an environment in which all Homecare staff can work together harmoniously and with coordinated effort in compliance with AMC’s Service Standards. Candidates must have previous health care and leadership experience; home care experience preferred. Bachelors’ degree in a healthcare field required, Master’s in Business preferred. Compensation Commensurate with Experience.

Please apply on our website for the Administrative Director/Home Care Services position:

Home Care Administrator, RN
Asbury Methodist Village at Home, Gaithersburg, Maryland

Why work for us?

Excellent Community Setting & Work Environment, Unparalleled & Exciting Growth Opportunity, Strong Corporate Resources Available, Autonomy to Run a Successful Program

Asbury Methodist Village, located in Gaithersburg Maryland, is currently searching for an experienced administrator to manage its Private Duty home care agency. Experience in home and community based services and a passion for working with the elderly are a must. The ideal candidate has five years home care experience in all areas of agency operation.  We provide home care to residents of our retirement community with a growth strategy to provide service off campus in the greater community.  The ideal candidate has a network of professionals to tap into for new referral sources to accomplish our growth goals. 

This position is responsible for the full range of operations including: clinical, financial, marketing, human resources, and public relations. Strong networking skills and the ability to develop relationships with referral sources, i.e. physicians, hospitals, healthcare agencies, etc.  Candidate must possess excellent communication and customer service skills. Must be proficient with MS Office, computerized scheduling software and medical records.

Excellent benefits and salary based upon professional experience.

To apply, please forward resume, cover letter, and complete salary history to Human Resources Representative via e-mail:  or fax to 301.250.2110. EOE.

For information about placing an ad, contact Scott Baum at

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