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:: NAHC Report
NAHC Report: Issue# 2320, 11/21/2013
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
Confined to the Home Definition – Clarification or Change?
Study Finds Long-term Brain Risk after ICU Stay
For Your Information: 2014 NAHC Annual Meeting & Exposition Call for Presentations: Proposals Now Due Wednesday, December 18, 2013
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Confined to the Home Definition – Clarification or Change?

Since the issuance of the Centers for Medicare & Medicaid Services’ (CMS) Change Request (CR) 8444/Transmittal 172 - Home Health - Clarification to Benefit Policy Manual Language on Confined to the Home Definition there have been varying interpretations as to its meaning. Some believe the definition is a change with fewer restrictions while others believe the definition is a change with more restrictions. Then there are those that view the homebound definition in the transmittal as without change from how it is currently applied.

The National Association for Home Care & Hospice (NAHC) does not view the definition as a change, but rather, a restructuring of the manual section under “confined to the home” in order to provide better clarification of the Medicare homebound definition.

Additonally, CMS does not intend for the transmittal be interpreted as a change in their long- standing definition of homebound. CMS cites the reason for the need to rearrange sections of the manual is to better align the homebound definition with the Social Security Act at 1814(a)(8).

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2014 NAHC Annual Meeting & Exposition Call for Presentations: Proposals Now Due Wednesday, December 18, 2013

The National Association for Home Care & Hospice invites prospective faculty, speakers, and presenters to submit presentation proposals for the 2014 NAHC Annual Meeting & Exposition, Sunday, October 19 – Wednesday, October 22, 2014 at Phoenix Convention Center in Phoenix, Arizona

Online Submission

Due to the overwhelming success of the online submission process, NAHC will again make it possible for potential faculty, speakers, and presenters to submit presentation proposals ONLINE. Click here to submit online.

Due Date Now Extended to: Wednesday, December 18, 2013

The lead contact faculty member for each session must complete the Call for Presentation submission process using the Website. Only submissions with complete information will be eligible for review and consideration as potential educational sessions. Please be sure to read the instructions and submission policies carefully when you go online to submit your presentation proposal.

Submission Deadline Extended

All submissions must be received by Wednesday, December 18, 2013. No submissions or change in content on previously submitted presentations received after this date will be considered. Decisions and notification regarding accepted submissions will be made by the NAHC Annual Meeting Committee in early, 2014.

Complimentary Registration

The faculty complimentary registration allows two (2) faculty to attend all educational sessions (with the exception of other ticketed events) scheduled from Sunday, October 19 – Wednesday, October 22, 2014.
In addition, faculty members are entitled to attend the general sessions, receptions and/or events each day, as well as the Home Care & Hospice Exposition. Complimentary faculty registrations are not transferable.

Thank you for submitting an educational session proposal for the NAHC Annual Meeting & Exposition. We look forward to seeing you in Phoenix, Arizona in 2014!

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Study Finds Long-term Brain Risk after ICU Stay

A recent study Long-Term Cognitive Impairment after Critical Illness reported in the October 3, 2013, issue of the New England Journal of Medicine found that patients in medical and surgical intensive care units (ICUs) are at high risk for prolonged and disabling cognitive impairment affecting multiple cognitive domains. 

Nearly 80% of the long-stay ICU patients in the study showed cognitive problems a year or more after the ICU stay - as measured against scores typical for their age and education - and more than half exhibited Alzheimer’s or traumatic brain injury-like symptoms. 

Risk for dementia continuing post-discharge increased based on the length of time a patient suffered from delirium while in the hospital; putting patients in drug-induced comas may also lengthen the delirium.  The results did not differ based on the age of the patients.   One of the study authors advises that once pain and comfort issues are addressed, deeper sedation should not be induced.

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Director of Compliance
Community Health Systems Professional Services Corporation
Community Health Systems Professional Services Corporation seeks a Director of Compliance for its Franklin, TN, headquarters’ Corporate Compliance (Home Care Division) team. The Director of Compliance is a liaison to an assigned group of home health and hospice agencies.
Essential Duties and Responsibilities: Ensure full implementation of the CHS Corporate Compliance Program at each agency assigned to the Director. Develop training and education programs for regulatory changes and topics identified as potential risk areas. Structure tools for use with compiling data and trend analysis. Assess auditing and monitoring trends and coordinate mitigation activities when opportunities for improvement (audit variances) are identified. Prepare oral and written reports, including recommendations for improvement based on audit and investigative findings. Monitor Compliance Committee minutes to ensure adequate follow-up of potential risk areas. Maintain an awareness of current laws, statutes, regulations, etc. that impact healthcare operations and physician relationships. Conduct focused compliance audits on topics of concern. Coordinate compliance policy development and/or revision, when necessary. Participate in compliance and privacy investigations. Other duties as assigned by the VP, Corporate Compliance and Privacy Officer. This position will require travel up to 40% of the time.
Education/Experience: The Director must have current experience working within the Home Health and Hospice industry and should be familiar with reimbursement methodologies and regulations pertaining to benefit coverage. Bachelor’s degree in Health Information Management, Nursing, Business, or related area, or three or more years’ experience in compliance functions. The Director must have the ability to plan, develop, and present educational or programmatic materials in front of an audience greater than 20 people.
To apply for this job, please visit the career section of www.chs.net and apply to Job Number 1254993.

For information about placing an ad, contact Soott Baum at ads@nahc.org.

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