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Hospice Compensation – The Structure that Makes Management So Much Easier!
Andrew Reed, CEO & Chief Teaching Officer, CPA/System Analyst, Multiview Inc.
Compensation is the fastest way out of financial troubles and to move to World-Class quality as well as one of the most effective structural means to create a healthy Hospice culture. In this program, participants will be exposed to the use of compensation as a tool to foster the behaviors and results desired at a Hospice. 100% of the Hospices that operate at the 90th percentile employ creative compensation approaches. Use of it has enabled the removal of the duties of 1) monitoring documentation, 2) monitoring productivity and 3) performing annual reviews from Clinical Managers making management vastly EASIER by creating a work environment of mutual reliance. Attendees will be able to: describe how to use compensation as a tool to shape behavior and culture; identify some of the mechanics of a top compensation system; and, describe key elements of an effective compensation system roll-out.
8:00 AM
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Janet Fischer, RN, BSN, CPLC
Do you believe that it is possible to have high standards, expect a lot out of someone and hold them accountable without being mean about it? I talk to leaders every day who see accountability as that awkward conversation they are forced to have when they have no results and have run out of patience. But what if creating a culture of kind, professional accountability was the difference between results and stagnation? Let’s take another look at accountability in the hopes we can become comfortable enough with it to use it to improve both relationships and results. From the presentation and discussion attendees will be able to: identify gaps in their own approach to accountability; describe how to create a culture of safety that supports an accountability structure; and, distinguish between an accountability conversation and an accountable culture.
Category
Home Care
Home Health
Hospice
8:00 AM
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The 11 Home Health Regulations Your Staff Absolutely Needs to Know
Joe Osentoski, BAS, RN-BC Reimbursement Recovery & Appeals Director, Quality in Real Time
While leadership and management deal with results of CMS probes, ZPIC/UPIC (Zone Program Integrity Contractor/Unified Program Integrity Contractor) audits, and Recovery Audit Contractor (RAC) reviews, the battle for Medicare coverage is won or lost at the clinician level. "If it wasn't charted, it wasn't done" is the old adage, but "If it was charted wrong, it won't be paid" is the new version in the Medical Review world of home health. This presentation combines 11 key Medicare rules and regulations your staff need to know, need to document and need to follow so that any Medical Review does not take back the visits and cause financial hardships for your agency. Even experienced staff need to have a clear and present knowledge and integrate these requirements into their charting. How these requirements, or lack of these, show up in Medicare Administrative Contractor and Qualified Independent Contractor appeal explanations is also used to demonstrate the importance of charting these right the first time. Addressing these as part of agency culture is an investment in prevention. Joe specializes in additional documentation request (ADR) appeals and has been a registered nurse for more than 20 years. Joe has worked for 20 years as a clinical consultant in home health and hospice, specializing in clinical quality assurance and regulatory compliance. He also has extensive experience with multiple Medicare audits, pre-pay probes, compliance audits and targeted medical reviews. He has completed over 5,000 ADRs in home care and hospice, filed thousands of appeals and has had several thousand claims resolved at the ALJ level.
8:00 AM
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Terri Pomeroy, BSN, VP of Hospice Clinical Services and Teneka Miles, LCSW, CCTP, Director, Quality of Life, PruittHealth Consulting Services
How does an agency take a list of social worker competencies and transform it into an agency wide standard of practice? This session will focus on several standards of practice developed by national associations and offer guidance in how to set up SW competency standards training and competency assessment within a hospice agency.
8:00 AM
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Capitalizing on Market Opportunities: Using Data to Close the Hospital to Home Health Referral Gap
Ian Juliano, CEO, Excel Health Group
In 2016, more than a third of NC hospital patients coded by the hospital for discharge to home health did not receive the anticipated follow-up care. The hospital to home health referral gap represents more than $76 Million in lost home health revenue in NC alone. At the same time, many NC hospitals, along with their counterparts across the nation, continue to grapple with the prospect of readmission penalties for illnesses that are well known to home health providers and for which home health has been proven to be beneficial. In this session, we take a deeper dive into the data, what the failure to secure needed home health care means to hospital readmission trends and how agencies can use analytics to provide significant value to hospital partners in their quest to improve long-term patient outcomes. The market is increasingly data-driven and successful providers are those who have access to data and know how to effectively use it to gain market share and better serve their communities. Attendees will be able to: trend 2017 CMS data available to identify trends impacting hospitals in their local markets; describe the discharge adherence rates and the inpatient to post-discharge process gaps; describe how to use data to improve provider relationships by helping hospitals home in on readmission weaknesses that can be effectively addressed and mitigated by better use of home health care.
8:00 AM
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What Does My Patient Need Now? Examining All Post-Acute Services
Lisa Meadows, MSW, Clinical Compliance Educator, Accreditation Commission for Health Care
What level of care does your post-acute patient need? What is the eligibility criterion for each level of care? Can patients utilize multiple providers at the same time? Does my patient have to be homebound for hospice? This presentation will review the eligibility requirements for the Hospice Medicare benefit, the Home Health Medicare benefit and non-Medicare services. This presentation will review situations when patients are eligible for multiple programs and the criterion for each program as well as the benefits of each program in the post-acute setting. This program is applicable to home health, hospice and non-Medicare providers – licensed home care agencies.
Category
Home Care
Home Health
Hospice
8:00 AM
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Kimberly McCormick, RN, BSN, Executive Clinical Director, Home Health Strategic Management
Recent HH reforms assure that we are headed to a value-based care platform in the near future. VBP, HHGM-like programs, COP changes, and Post-Acute PPS all identify how CMS is switching from “Volume to Value”. Progressive HH Providers are establishing Value-Based care production and delivery protocols that result in 5-Star Ratings and HHRG increases >25%. Learn how to bring care control “In-House” and manage your programs and staff to value outcomes through case studies and inter-active demos. Attendees will be able to: identify areas of the Home Health model that can be modified to assure value; outline Clinical Production and Management processes that assure Value improvements that improve clinical and fiscal outcomes (5 Star Ratings/HHRG Increase >25%); and, participate in Interactive Exercises to demo Value-Based Home Health Programming with Case Studies
8:00 AM
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Annette Kiser, MSN, RN, NE-BC, Chief Compliance Officer, Teleios Collaborative Network
CMS has released the latest Top 10 Hospice Survey Deficiencies. Do your agency's audit processes identify similar issues and concerns? If surveyors arrived tomorrow, is your agency likely to be cited for these same deficiencies due to noncompliance with the Medicare Conditions of Participation? Attendees will be able to describe the Top 10 Survey Deficiencies cited during Medicare Hospice recertification surveys in 2017, cite examples of the deficiencies, and identify suggestions for plans of correction and ongoing regulatory compliance.
8:00 AM
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Christopher Attaya, VP of Product Strategy, Strategic Healthcare Programs (SHP) & Sue Payne, VP of Clinical Services and Innovation, Corridor
This presentation will provide the latest updates from CMS as well as a review of the components of the delayed HHGM program. Using data from the Strategic Healthcare Programs (SHP) national database, the presenters will identify the expected winners and losers of the new model. Clinical operational approaches will need to change given the new payment model. This program will assist providers in identifying the operational and clinical changes they will need to remain a vital organization while caring for the patient. Attendees will be able to: describe the latest updates from CMS and the components of the proposed HHGM model, including the winners and losers; identify clinical operations changes necessary with implementation of a HHGM-like model; and acquire strategies to manage both the patient and the financials under HHGM.
9:45 AM
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Michelle White, BSN, MSN, DNP, Director of Home & Transitional Care, HomeCare Providers
Surveyors, patients, family members, health care partners and payers are all expecting a competent aide work force. This presentation will discuss best practices related to ensuring competency and the relationship to staff retention and patient satisfaction. Methods and resources for in-home aide competency (development and evaluation) will be provided.
9:45 AM
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Charles Canaan, BSN, MPH and Dan George, Provider Outreach & Education, Palmetto GBA
Part II. Hospice will cover:
What You Need to Know for 2018, Data Driven Topics, Notice of Election (NOE) – Late Submission, Comparative Billing Report (CBR), eServices Online Portal, Reminders re: CERT Program, Provider Enrollment Revalidation, and EDI, Provider Resources/Self Service Tools, CMS Resources, Top Links, Forms/Tools, Social Media and Education/Events.
9:45 AM
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Heather Calhoun RN, BSN, COS-C, HCS-D, HCS-H, Home Health Solutions, LLC
As Hospice advances into 2018, the refinement in hospice outcomes becomes more and more important not only for quality but also for future reimbursement. Being proactive in review of the now many reports available at the touch of a button is important to the agency and the industry as a whole. This session will review some of the reports that an agency needs to review weekly, monthly and quarterly to get more accurate indicators of performance. The speaker will provide a review of the HIS and CAHPS® in reporting outcomes; describe the purpose of the HQRP requirements for 2018; assist attendees in understanding the hospice changes/modifications with the 2018 final rule, describe what the comprehensive patient assessment will potentially look like; and overview the purpose of the CMS Probe and educate audit for 2018.
9:45 AM
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Stacy Ashworth, MS, RN, HCS-D, COS-C, Chief Clinical Officer, Select Data, LLC
CMS has signaled their intention to move toward a payment model that incorporates patient characteristics and reduces cost. Agencies are facing razor-thin margins under today's payment model and movement to a model that is focused on patient characteristics to predict their care needs versus the predicted utilization of their care needs presents an operational challenge. This presentation will provide agencies with key factors they will need to know and analyze within their own agency population to best meet the demands of payment reform. Attendees will be able to: define a patient centered payment model; identify patient characteristics within a patient centered payment model; and, describe the differences between a statistical payment model and the traditional payment model.
9:45 AM
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Ascending the Many Medicaid Audits and Persevering through the Process!
Iain Stauffer, JD, Poyner Spruill
Are you familiar with the types of Medicaid audits that may be performed? Is your agency ready? This presentation will review: the types of Medicaid audits; who does DMA contract with to perform audits; who at DMA oversees the audit process; how are auditors paid for their work; what auditors use as policy guides; how are agencies notified of an audit and how to respond; what to do if you disagree with the findings; when and how money might be taken back; and illustrations of real life scenarios.
Category
Home Care
Home Health
Hospice
9:45 AM
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Apryl Swafford, RN, BSN, COS-C, HCS-D, Home Health Solutions, LLC
Electronic medical records have made it easier for those in health care to have instant access to patient medical information. We can immediately see their diagnosis, medications, allergies and other health care information making it quicker and easier to provide timely and necessary care. Unfortunately, it has also had the effect of making our home healthcare plan of care “cookie cutter.” With initiation of the new Conditions of Participation, CMS hopes to move agencies toward a patient-centered, collaborative model where input from patients, physicians and health care providers would meld, forming a realistic plan of care with goals and outcomes leading to improved quality of life and functional status of the patient. Attendees will be able to: describe what is meant by a patient-centered, collaborative model; identify required components of the new POC; and, create patient specific outcomes and goals.
9:45 AM
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Taking Your Culture from Need to Want: Are You Ready to Compete?
Adrian Killebrew, Business Development Executive, Axxess
Technology is changing the nature of work. Organizations in the new foreseeable economy need to manage talent differently. Recruitment strategies to attract, recruit, retain, and motivate young people to need to rely less heavily on traditional pay and benefits, and focus more on creating welcoming cultures. Learn how to build a winning strategy in an increasingly competitive talent marketplace. Attendees will be able to: understand the changing demographics of the global workforce and its impact on health care providers; review current hiring challenges; and, apply practical strategies for creating and supporting a diverse culture.
Category
Home Care
Home Health
Hospice
9:45 AM
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Joanne M. Labiak CRNP, CWOCN, CWS, Medline Industries
This presentation is appropriate for clinical home care and hospice staff who care for patients with multiple alterations of skin integrity including pressure injuries, lower extremity wounds, MASD, and SCALE. Emphasis will be wound assessment and developing cost effective, evidence based, individualized topical strategies for patients across the life span continuum. Attendees will be able to: differentiate MASD from Pressure injuries and their care; establish a cost effective and appropriate plan of care for common alterations of skin integrity; and, identify cost effective strategies for topical care of alterations of skin integrity.
Category
Home Health
Hospice
1:15 PM
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Building and Retaining Human Capital: Back to Basics in Home Care
Mary Alice Mirek, BSN, Home Care Director of Operations, Well Care Home Care
This presentation will elaborate on strategies to gain and retain human capital in home care agencies by utilizing basic internal customer service techniques, and unique strategies that any agency can apply to increase employee volume and morale in an ever increasing staffing shortage. Attendees will be able to: utilize new techniques to recruit in-home aide staff; apply internal customer service to retain current staff; and, gain a better understanding of the market on human capital including turnover percentages and direct hiring costs.
Category
Home Care
Home Health
Hospice
1:15 PM
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Ricky Smith, President, Innovative Business Technologies
This presentation will review the critical areas of concern within your environment, provide insight, and offer tools to defend against these attacks. It will also focus on recovery and the importance of preparing for data loss. Attendees will be able to: identify the source of most security threats and how they infiltrate your network; recognize the common areas of vulnerability and how those risks relate to your environment; and, describe the impact of data loss and how your data protection policy mitigates the risk. This is a presentation for all home care settings!
Category
Home Care
Home Health
Hospice
1:15 PM
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Cindy Morgan, RN, MSN, CHC, LNC, CHPN, VP of Hospice, Palliative Care & Clinical Innovations, AHHC of NC
The legal implications of nursing practice are tied to licensure, state and federal laws, scope of practice and the public’s expectation that nursing practice is at a high professional standard. If a nurse’s practice is below acceptable standards of care and competence, then the nurse has a higher potential to be involved in litigation. In this session, the presenter who is both a legal nurse consultant, a hospice and palliative care certified nurse and a past member of the NC Board of Nursing, presents through case scenarios how legal issues and ethical issues in hospice often intertwine. What are essential clues in agency operation, clinical care and documentation that something is amiss thus placing both the nurse and agency at risk?
1:15 PM
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John Kiehl, MBA, Principal & Operating Partner, viaDirect
Data flies at your agency from many sources these days! It’s important to use industry and agency data, not your “assumptions” to identify agency strengths & weaknesses as well as areas for growth & improvement for both sales activity and financial outcomes. Using your current and historical trended data you can develop a plan to decrease your operating costs and identify key areas of margin improvement and what to do to impact change. Data can create better alignment across your sales, clinical and operational teams and track your progress against agency targets and industry trends. The presenter will review sources of data and key metrics you should be tracking in home health and hospice and provide scenarios where data tracking and analysis can make a true difference.
Category
Home Health
Hospice
1:15 PM
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A Roundtable Discussion on NC’s Electronic Visit Verification (EVV)
Tracy Colvard, VP, Government Affairs & Public Policy, AHHC; Matt Wolfe, JD, MPP, Partner, Parker Poe LLP joined by Shannon Spence, Personal Care Services Unit Manager, Division of Medical Assistance, North Carolina Department of Health & Human Services
This presentation will provide attendees with a status update regarding the implementation of EVV in NC and solicit input from home care attendees. A comparison of models adopted in other states will be provided as well as background on the federal EVV mandate.
1:15 PM
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Charles Canaan, BSN, MPH and Dan George, Provider Outreach & Education, Palmetto GBA
Part II Home Health will cover:
What You Need to Know for 2018, Data Driven Topics, Reason Code 37253 – Why Was My Claim RTP?, Comparative Billing Report (CBR), eServices Online Portal, Reminders re: CERT Program, Provider Enrollment Revalidation and EDI, Provider Resources/Self Service Tools, CMS Resources, Top Links, Forms/Tools, Social Media and Education/Events.
1:15 PM
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Knicole Emanuel, JD, Potomac Law Group
With new legislation eliminating the MCOs in behavioral health care and revamping managed care, home health and hospice may be under the purview of managed care as soon as 2018. This class will explore the effect of managed care on home health and hospice. Attendees will be able to: navigate the managed care arena; identify the regulations associated with managed care and discuss their rights in the managed care world.
Category
Home Health
Hospice
1:15 PM
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How to Prove the Value of Modern Telehealth and Use it to Grow Your Patient Census
Richard Curry MS, PT, MBA, VP of Business Development, Health Recovery Solutions
The Federal Communications Commission reports that remote patient monitoring for chronic conditions such as heart disease, pulmonary disease, and diabetes could save $197 billion nationwide over 25 years. As the demand for telehealth grows, home health agencies are tasked with showing ROI for their telehealth programs. This presentation will educate clinicians on the tools needed to not only implement a successful telehealth program but also how to show ROI for telehealth. By gathering data for your telehealth program and showing its value, you can reap the benefits of telehealth such as: improved patient satisfaction, increased patient census, reduced cost of care and decreased nursing visits.
Category
Home Care
Home Health
Hospice
2:30 PM
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Appreciation and Recognition: Why Caregivers Stay in Home Care
Christina A. Nuqui, MSW, Onboarding Specialist, Home Health Solutions, LLC
Baby boomers report that they would prefer to stay in their current residence as they age. As a result, the home care industry is experiencing an economic growth spurt. Home care agencies have become vital in ensuring that these individuals can remain home safely and independently. The success of the agency relies on the role of the caregiver. In this session we will discuss caregiver turnover and how the keys to success lie in RECRUITMENT and RETENTION. Attendees will be able to: develop a more effective hiring process; identify ways to engage and develop your staff; and apply methods to retain good employees.
Category
Home Care
Home Health
Hospice
2:30 PM
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Realize a 50% Efficiency Gain with a Strategic Intake and Referral Management Process for Home Health and Hospice
Matt Challberg, a Director at Forcura
Value-based care; the growth of consumerism; and, health system consolidation are all prevalent US healthcare trends that will remain constant regardless of the US political climate. These and other trends are driving growth in the home care settings. When facing growth opportunities, providers need to have in place the transparency and structure needed to scale. In early 2016, Forcura and Blacktree Healthcare Consulting worked with Mission Healthcare to improve its intake process in order to connect all of the different teams and processes throughout the large California home health and hospice organization. After assessing its existing processes and technology, Mission centralized intake allowing the agency to route inbound documents through a streamlined workflow directly into Homecare Homebase. In this session, the concepts of efficiency and transparency in healthcare business processes today, and in the future, will be explored. Attendees will be able to: develop a strategic intake plan and process resulting in a 100% paperless process; better define staff responsibilities and track and optimize productivity resulting in a 50% improved efficiency; and, give your organization’s intake process the structure needed to scale.
Category
Home Health
Hospice
2:30 PM
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Edith Ragland, Consulting Director, McBee Associates
Conference attendees will obtain updates pertaining to Medicare hospice billing and a review of the hospice revenue cycle. The presentation will cover critical information necessary to capture and measure (business intelligence) to operate a hospice agency.
2:30 PM
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Laura Page-Greifinger, Founder/President/CEO, Quality In Real Time
Agencies are being asked to do more with less resources, time and people. With QCM in place, agencies can get to a place to always be able to proactively respond to change and be ready well before the change occurs. With best practice work flows in place through QCM, it becomes easier to target the work flows that need to be modified, changed or discarded with every new change that will come through for home health from insurers, patients, regulators etc. Implementing improved workflow with appropriate tools and agency practice will allow the agency to maintain and sustain compliance and improvement in outcomes as the "journey" continues.
Category
Home Care
Home Health
Hospice
2:30 PM
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Strategies for Navigating Hospice ADRs, Probe Edits, and the Medicare Appeals Process
Jane Garrett, RN, BSN, MHSA, Vice President of Quality Initiatives & State Liaison, AHHC of NC & SCHCHA
With increased hospice scrutiny there is a need for a resilient process that includes compliance strategies to challenge denials at every level of appeal and prevent future denials. Navigating the mine fields of what auditors are watching and understanding the appeal procedures and deadlines are only a small part of the issues facing hospices. Attendees will be able to: describe examples of accurate documentation; identify common issues of audits and appeals; develop clearly defined ADR responses and mitigate risk exposure due to noncompliance. A tool kit will be provided to attendees. This presentation is designed for hospice leadership, Medical Directors, clinical and billing staff.
2:30 PM
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Joan Williams, Director of Health Information Management, Lower Cape Fear Hospice
The road to success and exponential growth is paved with a solid foundation of customer service within organizations. The way we treat each other internally feeds external services and those external interactions will feed your business growth. There are numerous studies that have proven the consistent link between how internal customers are treated and how their external customers perceive the quality of the organization’s services. “If you are not serving the customer, your job is to serve somebody who is.” Karl Albrecht. Joan brings to her presentation a diverse background in home care, home health and hospice. The presentation will cover: 9 key characteristics of internal customer service; 10 ways to deliver internal customer service; ways to handle difficult internal customers; and, innovative ideas to integrate internal customer service into company culture.
Category
Home Care
Home Health
Hospice
2:30 PM
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Dig that Data: Analyzing Supply Usage to Improve Clinical and Financial Outcomes
Luke Whitworth, Vice President, Home Healthcare Solutions, a Cardinal Health Company
Supply ordering history…product usage statistics…these are more than just data points sitting in your computer – they are an untapped quality improvement tool. Learn how data analytics drive best clinical practices, and in turn, best clinical practices drive reduced supply spend. By better understanding your data, your agency can: create a cost-saving product formulary that is adjustable to patient and physician needs; revise clinical practices for enhanced patient satisfaction; compare product usage with similar-sized competitors to discover over-utilization; and unlock your data bank to drive home improved clinical and financial results!
Category
Home Care
Home Health
Hospice
2:30 PM
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Tracy Colvard, VP, Government Affairs & Public Policy, AHHC
Matt Wolfe, JD, MPP, Partner, Parker Poe, LLP
Julia Adams-Scheurich, Oak City Government Relations, LLC
Facilitated by Tim Rogers, President and CEO, AHHC, Chair, Council of States
This panel of AHHC lobbyists & Advocates will provide an update to attendees regarding the upcoming 2018 session of the NC General Assembly. Several ongoing legislative efforts remain a concern to AHHC members and your input is desired. Join this session to learn strategic efforts in place now and ahead.
Category
Home Care
Home Health
Hospice
3:40 PM
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