2018 AHHC of NC Annual Conference

At this year's Annual Conference, you'll acquire insight into innovations and ideas you need to prepare your agency for the future, while delivering high quality care to your patients. You'll return to the office with strategies and tactics that will help you and your agency thrive amidst constant change. LEAP Into 2018 and beyond as you Lead, Evolve, Ascend, and Persevere!


Click Here to Visit the AHHC Annual Conference Website!

Early Registration Pricing Ends 4/2/2018

Download the Conference Brochure

“The Compliance Certification Board (CCB)® has approved this event for up to 19.8 CCB CEUs. Continuing Education Units are awarded based on individual attendance records. Granting of prior approval in no way constitutes endorsement by CCB of this event content or of the event sponsor.”

 

REGISTRATION INFORMATION

Attendees may register by Fax: Fax a copy of the registration form with the appropriate credit card information and signature to (919) 848-2355.  Faxed registrations will not be processed without credit card information. 

By Mail: Mail registration form with payment to: AHHC, 3101 Industrial Drive, Suite 204, Raleigh, North Carolina, 27609. Registration forms will not be processed without payment. (Be sure and include the suite number!)

Cancellation Policy: Please note that due to hotel obligations having to be made far in advance, fees will be refunded, or invoices will be adjusted, only if written notice of cancellation is received by April 6th.   In the event of cancellation, AHHC will retain, or charge, $115 of the initial registration fee, per registrant, to cover administrative overhead. Once written cancellation is received, an AHHC staff member will review for approval. If your cancellation is approved, we will email back a signed and dated copy of the cancellation that your agency should retain on file in case of questions. While it is not permissible for several individuals to share a registration, AHHC will be happy to accept substitutions if notified of the change in writing.

Confirmation: A confirmation notice, with directions to the Sheraton Imperial Hotel & Convention Center, information on nurse contact hour requirements, and a link to handouts will be sent via email prior to the convention. Should you have any questions or need additional information about registration, please don’t hesitate to contact Richard Fowlkes at (919) 848-3450 or (800) 999-2357 [NC] or via email at richard@ahhcnc.org.

Auxiliary Aids, Services, & Special Diet Requests: AHHC is committed to ensuring that no individual with a disability is excluded, denied service, segregated or otherwise treated differently than other individuals because of the absence of auxiliary aids and services identified in the Americans with Disabilities Act. If you need any auxiliary aids or services or have a special diet request, please contact Richard Fowlkes at richard@ahhcnc.org.

The Association for Home & Hospice Care of North Carolina is an approved provider of continuing nursing education by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

When
5/7/2018 - 5/9/2018
Where
Sheraton Imperial Hotel & Convention Center 4700 Emperor Blvd. Durham, NC 27703

Program

   

Monday, 07 May 2018

 
Bill Dombi, President of NAHC, will present the State of the Nation for Home Care, Home Health & Hospice. He specializes in legal, legislative, and regulatory advocacy on behalf of patients and providers of home health and hospice care. With over 40 years of experience in health care law and policy, Bill has been involved in virtually all legislative and regulatory efforts affecting home care and hospice since 1975. A much sought after speaker for Associations and health care entities across the nation, it is an honor to have Bill keynote at our 46th Annual Conference!
Category
Home Care
Home Health
Hospice
Hospice Medical Director
Time
8:00 AM - 9:45 AM
8:00 AM

Andrew Reed, CEO & Chief Teaching Officer, CPA/System Analyst, Multiview Inc.
A World-Class Hospice can only be built from the strength and quality of its Clinical Managers. This is because up to 70% of the 1) development, 2) morale and 3) retention of staff comes from the immediate Manager as all front-line clinicians take their behavior and performance cues from this critical position. Therefore this level of management requires laser beam FOCUS. Methods of organizations that operate at the 90th percentile and insights from work with over 1,000 Hospices will be shared in this session. Attendees will be able to: discover what a person MUST know to have any legitimate claim of being a True Professional Clinical Manager; and describe how to provide the most innovative and effective “conditions for success” and structures needed to develop True Professional Clinical Managers.
Category
Hospice
Time
10:00 AM - 11:45 AM
10:00 AM

Pam Anderson, BSN, Health Care Personnel Regional Supervisor and Vicky Overby, BSN, MSN, Team Leader, Complaint Intake Unit, NC Division of Health Service Regulation (DHSR)
This presentation will highlight the reporting requirements for home care, home health and hospice agencies to the Division of Health Service Regulation (DHSR) associated with allegations of abuse, neglect, and misappropriation of property, fraud, diversion of drugs and injuries of unknown cause against un-licensed health care personnel. Participants will also learn about new forms for reporting allegations to the DHSR and how to use these reporting forms. Attendees will be able to identify what allegations need to be reported to the Division of Health Service Regulation (DHSR); conduct thorough investigations of allegations against un-licensed health care personnel; and, successfully utilize the new DHSR reporting forms.
Category
Home Care
Home Health
Hospice
Time
10:00 AM - 12:00 PM
10:00 AM

Warren Kennedy, AAS, BIS (retired law enforcement officer, certified law enforcement instructor, Medal of Valor recipient) and Craig Wagner, BS, Director of Marketing and Communication, Lower Cape Fear Hospice (recipient of the 40 Under 40 Award for Public Service)
The unthinkable has happened. A threat was communicated to your nurses and their lives are in danger. How does the organization respond? What’s communicated to staff and the public? As public security and active shooter incidents have increased over the years, is your organization ready for a potential security incident? Retired police officer, Warren Kennedy and Lower Cape Fear Hospice Communications Director, Craig Wagner, will share insights from a recent security incident, communication lessons learned, and practical ways to prepare your employees to be vigilant and ready in case disaster strikes.
Category
Home Care
Home Health
Hospice
Time
10:00 AM - 11:45 AM
10:00 AM

Helen Jenkins, RN, Clinical Educator, NHRMC Home Care
It stands to reason that we need a competent, readied workforce in home health – the complexity of regulations, documentation and patient care demands it.  The presenter will review some innovative ways to ensure staff are ready to do the job and grasp the training they need. This presentation will weave adult learning principles into staff training sharing new methods to advance staff competencies.
Category
Home Health
Time
10:00 AM - 11:45 AM
10:00 AM

Charles Canaan, BSN, MPH and Dan George, Provider Outreach & Education, Palmetto GBA
Part I. Hospice will cover:
Data Analysis, Utilization, Medical Review Top Denials, Recertification and ALS.
Category
Hospice
Time
10:00 AM - 12:00 PM
10:00 AM

Patient Centered, Interdisciplinary Care Planning in a Home Health QAPI Package
Karen Vance, BSOT, BKD, LLP COP
Sections 484.50(c), 484.60 and 484.65 can be operationalized within a structure and process that integrates these standards within an agency cost efficiently. This session will present strategies that objectify processes in practice and documentation to address these requirements. Interdisciplinary care begins with the patient as the most important member of the interdisciplinary team with participation in assessment, goal setting and the plan of care. Guided care coordination continues with an integrated care plan applying the best skill mix toward identified and targeted outcomes. These outcomes have been targeted through an embedded QAPI program that loops back around with carefully constructed Plans of Action intended to influence targeted outcomes before they occur. Lastly, this session will outline the metrics to monitor for evidence of successful outcomes and the documentation necessary for evidence of compliance with the new CoPs.
Category
Home Health
Time
10:00 AM - 11:45 AM
10:00 AM

Michael Lalor, MD, MBA, Chief Medical Officer, Hospice and Palliative CareCenter, Co-Director, Supportive Care Program, Wake Forest Baptist University Medical Center Come and interact with other hospice physicians at this roundtable facilitated by Dr. Michael Lalor. This roundtable will provide an opportunity for physicians to network and discuss hot topics such as pain medication shortages; self-determination for patients- Voluntarily Stop Eating & Drinking (VSED) and other clinical topics that may be of interest to physicians.
Category
Hospice
Hospice Medical Director
Time
10:00 AM - 11:45 AM
10:00 AM

Prior to joining NHPCO, Mr. Banach was a partner in the firm of Gallagher, Evelius & Jones in Baltimore, Maryland.  His breadth of experience includes serving as the Deputy Director of the Medicare-Medicaid Coordination Office at the Centers for Medicare & Medicaid Services; Associate General Counsel at the Visiting Nurse Service of New York; and the Medicare Rights Center’s General Counsel.  He has also practiced health law at the firm of Latham & Watkins and clerked for U.S. Judge John T. Nixon of the Federal District Court for the Middle District of Tennessee.  Prior to attending law school, he worked for the New York City Department of Homeless Services and the Mayor's Office of Operations.
Category
Home Care
Home Health
Hospice
Hospice Medical Director
Time
12:00 PM - 1:30 PM
12:00 PM

Fostering a Caring Community by Bridging the Gap between Personnel and Technology
Raymond Belles, Managing Consultant, BKD, LLP CPAs & Advisors
The successful adoption of technology can help an organization achieve its goals of fostering a caring community and it can be an effective tool in personnel recruitment and retention. But, for technology to work for your organization it must be embraced by personnel, both administrative and clinical, and successfully implemented. Often, there are perceived technology gaps that lead to inefficient cost management, poor personnel satisfaction, poor patient satisfaction, and inefficient care delivery. Often, these perceived gaps can be overcome by conducting a thorough assessment of available technologies and the use of such within an organization’s workflow and identifying whether true functionality gaps exist or if there are educational gaps within the organization’s users that need to be addressed. This session will outline ways to bridge gaps in building a technology centric organization that empowers leadership to drive a focus of caring for the community in a cost effective manner. The presenter will offer strategies for aligning operations, technology, and personnel accountability.
Category
Home Care
Home Health
Hospice
Time
1:45 PM - 2:45 PM
1:45 PM

Maggie Keen, Senior Director Strategic Partnerships, myCNAjobs
Maggie’s company has collected data from 100k+ caregivers, tapping into the minds of job seekers nationwide to deliver new insights to transform recruitment strategies in 2018. Executives understand the war for caregiver talent is here. Now, it’s time to act. Companies that don’t compete, won’t survive. Join us for an action-packed session to uncover the latest trends in job search and get under the hood to better understand a caregiver’s psyche including the impact of: wages, benefits, training, the interview process, and, the local market. The presenter will share new thinking, interesting data, and easy-to-implement strategies to become more competitive in aide recruitment and hiring in 2018.
Category
Home Care
Home Health
Hospice
Time
1:45 PM - 2:45 PM
1:45 PM

Charles Canaan, BSN, MPH and Dan George, Provider Outreach & Education, Palmetto GBA
Part I. Home Health will cover:
Data Analysis, Utilization, Length of Stay, Disbursement, Top Denials Jurisdiction & State, Nursing Documentation and Case Scenarios.
Category
Home Health
Time
1:45 PM - 3:45 PM
1:45 PM

Ellen Fulp, PharmD, BCGP, Clinical Education Coordinator, AvaCare, Inc. This session will address some of the most costly medication regimens encountered by hospice agencies, keeping in mind that not all costs are monetary in nature. Case studies will be used to address formulary medication selection, compliance and patient burden. This session will highlight special considerations for patients with escalated symptoms and organ damage. Lastly, the cost of noncompliance within your organization will be reviewed. Attendees will be able to identify frequently used non-formulary symptom management medications and their alternatives; describe patient populations that are at an increased burden of medication related adverse effects; and, articulate ways to ensure that their hospice agency is creating a positive culture that values medication related compliance.
Category
Hospice
Hospice Medical Director
Time
1:45 PM - 2:45 PM
1:45 PM

Barbara A. McCann, BSW, MA, President/CEO, Community Health Accreditation Partner (CHAP)
Although the HHGM is delayed, the final HHA PPS Payment update offers the industry direction of what lies ahead, and what it means for agency strategy and capability heading into 2019. Quality, efficient care requires compliance, defined clinical processes, and outcomes - and CMS offers the clues in the final rule. Attendees will be able to: identify which characteristics you need to monitor and why the data needs to reflect only 30 days post admission; identify the OASIS C-2 questions which represent where your staff must have competency and agreement across disciplines on evaluation-beginning to standardize practice; and, identify the patient characteristics that require more nursing than therapy based on research, and how to incorporate these into intake and assessing margins and outcomes.
Category
Home Health
Time
1:45 PM - 2:45 PM
1:45 PM

Christine Brown, Chief Marketing Officer, Chris Comeaux, President & CEO, Christopher Morrissette, Chief Operating Officer- Palliative Care, Teleios Collaborative Network Uniting to improve the health and wellness in our communities - partnerships between healthcare and community stakeholders is essential to improve population health in our communities, region and State. This presentation will describe the need for palliative care in multiple settings in the care pathway; the need for community partnerships; the need for consumer engagement; and the need for collaboration among likeminded partners. Attendees will be able to: describe strategies to unite in the care experience, identify outcomes and cost to improve the health and wellness of our communities; and focus on providing the right care model at the right time.
Category
Home Health
Hospice
Hospice Medical Director
Time
1:45 PM - 2:45 PM
1:45 PM

Cheryl Reid-Haughian, VP of Clinical Informatics, CellTrak
Home Health Care organizations have been challenged in 2017 to find innovative ways to meet the new Conditions of Participation in 2018. This presentation will showcase how a care delivery management solution can positively impact quality assessment and performance improvement, emergency preparedness, infection control and prevention, in addition to personnel management and strengthening care communication and coordination. Participants will learn about efficient, effective approaches that improve productivity, and value and client outcomes as part of compliance with the Conditions of Participation.
Category
Home Health
Time
1:45 PM - 2:45 PM
1:45 PM

Courtney Jackson, Vice President of Provider Development, Turn-Key Health & Raquel Braithwaite MA, BSN, RN, Corridor
Hospices will be most successful in building relationships if they can speak to the referral sources' opportunities and pain points. It is therefore necessary for leaders and front-line business development representatives to understand the fundamentals of value based healthcare, and how their value proposition intersects with the rapidly changing healthcare environment. Attendees will be able to articulate fundamental principles of value-based healthcare and train front-line staff; review and revise value proposition to intersect with current and emerging needs of referral sources in context of VBHC; and, identify and create tools to support value proposition, including quantitative and qualitative data.
Category
Hospice
Time
2:55 PM - 3:55 PM
2:55 PM

Small Business Administration (SBA) Financing for Private Duty Home Care Acquisitions
Marianne Markowitz, Director National Government Lending Programs CIBC & Susan Rosner, Managing Partner/Board Member, Calder Associates
This presentation will cover the SBA financing for private duty home care firm acquisitions and the acquisition process. The session covers detailed facts about the SBA program and why it is a good fit for private duty home care acquisitions. Also covered is a detailed analysis of the acquisition process. Attendees will be able to: prepare their private duty home care business for valuation/ divestiture; describe the due diligence and business valuation process for a home care acquisition; and, acquire a thorough understanding of the benefits, cost and requirements of the SBA program. Prior to joining CIBC (formerly The PrivateBank) in 2017, Markowitz served as Acting Administrator for the SBA nationally and as Regional Administrator for SBA’s Midwest Region V. While at the SBA, Markowitz served as an interim member of President Barack Obama’s Cabinet.
Category
Home Care
Time
2:55 PM - 3:55 PM
2:55 PM

Michael McGowan, President, OperaCare
We say we understand the needs of health systems and ACOs seeking to improve quality and reduce cost for defined populations. But, when it comes to getting in the game, home care agencies who want to make a big hit need to examine and improve their ability to add value. This session will identify key steps to bring success to your organization in the new reimbursement landscape in collaboration with providers managing populations. Discussion will include incentives that drive decisions by health systems and ACOs, as well as factors to consider for effective participation with bundled payment programs, narrow networks and other payment models.
Category
Home Health
Time
2:55 PM - 3:55 PM
2:55 PM

Antipsychotics for Dementia: Under Control or Over Prescribed? Nathaniel Hedrick, PharmD, ProCare Hospice Care Dementia is a chronic and progressively worsening disease marked by memory disorders, personality changes and impaired reasoning. As the disease progresses, many patients develop worsening neuropsychiatric symptoms of agitation, depression, insomnia, delusions and psychosis. These symptoms can be distressing to patients, caregivers and especially family members. This presentation discusses the clinically appropriate use of antipsychotics in patients with dementia. Special attention will be given to CMS guidelines and the use of antipsychotics in nursing homes and hospice facilities. Attendees will be able to: recommend potential pharmacologic and nonpharmacological treatment options for symptoms associated with dementia patients in hospice; describe the risks and benefits of antipsychotic medication in patients with dementia; identify appropriate therapeutic options for symptom management based on patient-specific factors.
Category
Hospice
Hospice Medical Director
Time
2:55 PM - 3:55 PM
2:55 PM

Anthony Nunez, CEO, INF Robotics
INF Robotics has developed a solution that allows home care agencies to scale. The RUDY Companion service allows home care agencies to engage seniors earlier in the aging cycle through virtual check-ins and schedule management. RUDY also provides assistance and safety features to help seniors stay in their home. The RUDY Companion can provide a unique level of mobile connectivity to family and home care agencies; assist with carrying and keeping track of commonly misplaced items; offer on-demand access to emergency services 24/7; assist with remembering important appointments; and, provide a level of social engagement unmatched by anything on the market today.
Category
Home Care
Home Health
Hospice
Time
2:55 PM - 3:55 PM
2:55 PM

Melissa Hernandez, RN, HCS-D, HCS-O, Home Health Solutions, LLC
The Home Health Plan of Care is the number one condition-level deficiency found on a certification survey. Learn what you need to make your POCs ready for your next survey, especially with the new Conditions of Participation. Learn how the new COPs will affect what is needed on the POC and the additional documentation required for compliance. Get the tools necessary to review your Plans of Care for accuracy. Attendees will be able to: describe what is necessary on a POC for survey readiness and gain strategies to ensure all staff are complying with POC.
Category
Home Health
Time
2:55 PM - 3:55 PM
2:55 PM

Operationalizing Your Data to Drive Clinical Outcomes and Financial Performance
Andrew Braunstein, CEO & Co-founder of ClinLogica, Rob Simione, CPA, Director of Data Analytics, Simione Consulting & Julia Maroney, RN, MHSA, Director, Simione Consulting
With the shift to value-based care, better health outcomes are critical. How do we drive improved clinical outcomes and stronger financial performance? The data to improve home care clinical operations and lower hospitalization risk are buried in our EMRs. We just need to know where to look, and how. Analyzing our own data can help us determine hotspots and develop opportunities and build operational strategies. Operationalizing that data helps us sell the home health/hospice value proposition to partners. Agencies that successfully leverage their clinical data will see improved health outcomes, increased revenue, savings and quality scores.
Category
Home Health
Hospice
Time
2:55 PM - 3:55 PM
2:55 PM

Join us for Monday afternoon's General Session featuring Arif Kamal, MD, MBA, MHS. The prevalence of significant burnout for health care disciplines is an important concern for all health care providers.  Contributors to burnout include both personal and system issues, many of which cannot be modified overnight. Providing home care, home health and hospice care to a growing population of persons with serious illness and their caregivers requires a workforce capable of thriving through the challenging work.  This capability is built through a focus on personal resilience, which acknowledges the threats of burnout, while deploying skills to forge a path ahead. In this presentation, we will review the threat of burnout to our fields, along with practical solutions to address this challenge.
Category
Home Care
Home Health
Hospice
Hospice Medical Director
Time
4:05 PM - 5:05 PM
4:05 PM

Tuesday, 08 May 2018

 
Time
7:15 AM - 8:00 AM
7:15 AM

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.
Category
Hospice
Time
8:00 AM - 9:30 AM
8:00 AM

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
Time
8:00 AM - 9:30 AM
8:00 AM

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.
Category
Home Health
Time
8:00 AM - 9:30 AM
8:00 AM

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.
Category
Hospice
Time
8:00 AM - 9:30 AM
8:00 AM

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.
Category
Home Health
Time
8:00 AM - 9:30 AM
8:00 AM

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
Time
8:00 AM - 9:30 AM
8:00 AM

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
Category
Home Health
Time
8:00 AM - 9:30 AM
8:00 AM

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.
Category
Hospice
Time
8:00 AM - 9:30 AM
8:00 AM

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.
Category
Home Health
Time
9:45 AM - 11:15 AM
9:45 AM

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.
Category
Home Care
Time
9:45 AM - 11:15 AM
9:45 AM

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.
Category
Hospice
Time
9:45 AM - 11:45 AM
9:45 AM

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.
Category
Hospice
Time
9:45 AM - 11:15 AM
9:45 AM

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.
Category
Home Health
Time
9:45 AM - 11:15 AM
9:45 AM

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
Time
9:45 AM - 11:15 AM
9:45 AM

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.
Category
Home Health
Time
9:45 AM - 11:15 AM
9:45 AM

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
Time
9:45 AM - 11:15 AM
9:45 AM

Time
11:15 AM - 1:15 PM
11:15 AM

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
Time
1:15 PM - 2:15 PM
1:15 PM

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
Time
1:15 PM - 2:15 PM
1:15 PM

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
Time
1:15 PM - 2:15 PM
1:15 PM

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?
Category
Hospice
Time
1:15 PM - 2:15 PM
1:15 PM

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
Time
1:15 PM - 2:15 PM
1:15 PM

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.
Category
Home Care
Time
1:15 PM - 2:15 PM
1:15 PM

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.
Category
Home Health
Time
1:15 PM - 3:15 PM
1:15 PM

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
Time
1:15 PM - 2:15 PM
1:15 PM

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
Time
2:30 PM - 3:30 PM
2:30 PM

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
Time
2:30 PM - 3:30 PM
2:30 PM

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
Time
2:30 PM - 3:30 PM
2:30 PM

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.
Category
Hospice
Time
2:30 PM - 3:30 PM
2:30 PM

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
Time
2:30 PM - 3:30 PM
2:30 PM

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.
Category
Hospice
Time
2:30 PM - 3:30 PM
2:30 PM

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
Time
2:30 PM - 3:30 PM
2:30 PM

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
Time
2:30 PM - 3:30 PM
2:30 PM

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
Time
3:40 PM - 4:40 PM
3:40 PM

Wednesday, 09 May 2018

 
Becoming Leaders in Population Health Management Rose Madden-Baer, DNP Senior Vice President of  Population Health and Clinical Support Services Visiting Nurse Service of NY
As a leader in Population Health Management, VNSNY has experience in working with a range of customers—from hospitals to ACOs to CMS/CMMI and commercial health plan payers—and on a variety of initiatives, including value-based risk sharing arrangements, bundled payments, and chronic care management. Their unique approach is built around a proprietary VNSNY risk stratification model and predictive modeling capabilities and risk based pathways/interventions tied to the model. They have invested in building out a population health interdisciplinary care management platform with enhanced team skills and capabilities, and registered nurses on their teams have received advanced training as Population Health Coordinators through the Duke University School of Nursing. Their programs address patient needs across the care continuum: Gaps in Care Management; Chronic Disease Management; Transitional Care Coordination; and connections to a Certified Home Health Care Episode. Dr. Madden-Baer will share why the VNSNY branched out into Population Health, what the program offers in its service line, their strategic partnerships in both skilled and non-medical services, challenges and future direction.
Category
Home Care
Home Health
Hospice
Time
8:15 AM - 9:15 AM
8:15 AM

Arif Kamal, MD, MBA, MHS, Medical Oncologist, Palliative Medicine Specialist, Physician Quality and Outcomes Officer, Duke Cancer Institute
Palliative Care is a key component of a population health strategy as we know palliative care improves patient outcomes, increases patient satisfaction and lowers total health care costs. In the past palliative care did not fit in well with the traditional fee for service models. This presentation will cover how palliative care, within population health, is an important strategic tool in reducing patient suffering and managing the total cost of care. The presenter also will share current strides in palliative care and implications for the future as the population health model moves forward.
Category
Home Care
Home Health
Hospice
Time
9:15 AM - 10:15 AM
9:15 AM

Ben Galin, DPT, Product Development & Clinical Specialist, BlissCONNECT
Understanding the transition occurring in our health care system means that an agency will need to develop new tool sets and mindsets to transition from traditional episodic care to managing health. The last mile of population health management requires clinical staff, boots on the ground, and a system to manage it in a cost effective manner regardless the payer source or payer model (risk shared, value based, reward shared). Agencies must be able to manage current transitional models while bringing on new payment models and methodologies - as this is crucial for surviving and THRIVING in healthcare reform. Attendees will be able to: describe the shift from traditional to value based and what it means for them; identify at least two new lines of business models and revenue models; and identify at least two other ways to manage health beyond visits to the home.
Category
Home Care
Home Health
Hospice
Time
10:25 AM - 11:25 AM
10:25 AM

Shari Rushton, DNP, MS, RN, CCM Assistant Professor, Duke University School of Nursing
America’s Health Care System is facing unprecedented pressures to improve patient care while reducing costs. The Duke University School of Nursing’s groundbreaking Population Care Coordinator Program uses evidence-based strategies to help improve patient care and engagement while increasing administrative operational efficiencies. The Duke Population Care Coordinator Program can meet the needs of a single practice or scaled up to benefit an entire health care system.  Population Care Coordinators (PCCs) work at both the individual and population levels to identify problems/needs, implement interventions and evaluate the outcomes. The PCCs can also facilitate team processes within and outside the organization as well as consider system changes needed to improve care.
Category
Home Care
Home Health
Hospice
Time
11:25 AM - 11:55 AM
11:25 AM

The Use of Nurse Aides: Innovation for a New Day in  Health Care
Michelle White, BSN, MSN, DNP, Director of Home & Transitional Care While community partnerships in population health have traditionally focused on skilled care such as nursing and therapy, this innovative program has gone in a different direction. This program is focused on the role of in-home aides in ensuring safe, effective transfers home and maintaining patients at home while producing cost savings by preventing discharge delays home and unnecessary hospitalizations. Come hear how one agency reduced acute care utilization as a part of a 2 year retrospective study that analyzed the impacts of the home care aide.
Category
Home Care
Home Health
Hospice
Time
11:55 AM - 12:25 PM
11:55 AM

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