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  NAHC Report: Issue# 2899, 5/5/2016
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US Department of Labor Issues Home Care Specific “Sleep Time” Guidance
NIH Releases Resources to Help Families Navigate Pediatric Palliative Care
For Your Information:Peek into FMC! Home Health & Financial Management, Part 4
Job Corner: Seeking a President for Home Care — State Programs Division
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US Department of Labor Issues Home Care Specific “Sleep Time” Guidance

A longstanding area of confusion in federal minimum wage and overtime law has been the issue as to when an employer can exclude sleep time from the calculation of “hours worked” for purposes of calculating employee compensation. With the advent of change in the application of federal overtime requirements to home care workers previously exempt from the Fair Labor Standards Act (FLSA), the sleep time standards have become a big home care issue. On April 25, 2016, the U.S. Department of Labor, Wage and Hour Division (DoL) issued detailed sleep time guidance focused on “domestic service,” specifically home care services. While the guidance does not establish any new standards, it applies existing standards to various home care situations.

As a general rule, an employer may exclude sleep time from the calculation of the number of hours worked. An employee is entitled to be paid only for hours worked, and the determination as to whether overtime is also owed depends on the total number of hours worked. However, there are numerous qualifications and limitations on an employer’s authority to exclude sleep time from hours worked. To start with, DoL divides home care into three categories for purposes of the sleep time guidance: live-in employees; those who work shifts of 24 hours or more; and those who work shifts of 24 hours or less.

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NIH Releases Resources to Help Families Navigate Pediatric Palliative Care

The National Institute of Nursing Research (NINR), part of the National Institutes of Health (NIH), has released new materials to help support families of seriously ill children. The materials include a fact sheet, a resource card for families, and a series of family stories. The materials are part of NINR’s Palliative Care: Conversations Matter campaign.

"Palliative care is often associated with end of life, making it difficult for patients and their families -- and even for healthcare providers -- to start conversations around the subject. However, palliative care can be incredibly helpful for patients and their families at any stage during an illness. We hope these materials will improve patient and family understanding of pediatric palliative care and facilitate discussion with healthcare teams," said NINR Director Dr. Patricia A. Grady.

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Peek into FMC! Home Health & Financial Management, Part 4

July 10-12, 2016 at the Red Rocks Casino & Spa in Las Vegas can be the highlight of your year in the home health financial management industry.  NAHC and HHFMA are bringing you FMC 2016, replete with leadership education about the latest home health regulatory and financial developments. 

The value-based purchasing initiatives encouraged by CMS can be difficult to navigate.  The home health revenue cycle continues to become more complex as new payers enter the market and begin auditing and program integrity measures.  Effective management of the home health revenue cycle is just one means of managing and minimizing compliance risks.  Learn about the face-to-face documentation requirements and other Medicare, Medicaid, and Medicare Advantage payer trends by attending FMC 2016!

Learn more about FMC 2016!  See the conference program and schedule here.

Register for discounted attendee hotel rates at the Las Vegas Red Rock Casino & Spa and the conference itself here.

Seeking a President for Home Care — State Programs Division

We are BAYADA Home Health Care—a leading mission and values based home health care company—and we believe that our clients and their families deserve home health care delivered with compassion, excellence, and reliability.

We are actively looking for a President for our Assistive Care State Programs specialty practice, which is concentrated in NJ, PA, NC, DE, & MA and currently represents $150M in revenue with growth potential of $1B over the next 10 years. Candidates need to have experience in general management for a complex operating business, and demonstrated success working within state and federally funded programs. S/he should have a proven track record in the development and implementation of strategic growth plans, including the ability to operationalize strategies across multiple states.

Founded in 1975 by J. Mark Baiada, BAYADA Home Health Care provides nursing, rehabilitative, therapeutic, hospice, and assistive care services to children, adults, and seniors in the comfort of their homes. Headquartered in suburban Philadelphia, BAYADA employs more than 19,000 nurses, home health aides, therapists, medical social workers, and other home health care professionals who serve their communities in 22 states from more than 300 offices.

Interested candidates should reach out to

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