[1580] Managing Your Risk by Maintaining Client/Caregiver Boundaries
Subscription Type:Individual
Faculty: Pena
An important part of a Teaxs HCSSA Administrator’s job is to manage the risks
of the agency and the employees. One common problem area in all sectors of home care and hospice is establishing
and maintaining professional boundaries between direct care workers and patients. Learn why this is important and
how to establish, communicate, and implement these boundaries.
Presented by Angela Pena, Administrator, Special Kids Care.
Angela Peña has over fifteen years experience in the home health arena, initially working as a private duty
LVN for pediatric patients and then as a Registered Nurse. Angela’s experience includes managing a Primary
Home Care program and Medicare home health agency to ultimately managing a pediatric home health agency.
As a result, Angela has been in the “front lines” of home health client care and understands all too well
the boundary crossing situations every home health nurse is faced with at one time or another during their career.
Education-Training Credits:
1.0 Hr(s) HCSSA Administrator/Alternate
[1543] Workplace Violence:Prevention & Solutions - Personal Safety in High Risk Situations
Subscription Type:
Individual
Faculty: Rosner
This program is part of the Workplace Violence : Prevention & Solution series,
developed specifically for home care and hospice personnel. This program goes beyond the Personal Safety program,
delivering valuable information about self defense usage that may be required, especially in high risk locations or situations.
Joe Rosner explains and displays techniques for defense against physical altercations and protection from weapons.
The psychology of attackers is discussed and outlines are given to provide the viewer with the best information on how to NOT become a victim of crime.
This program is presented by Joe Rosner, Director of Best Defense USA, and a nationally recognized
expert on safety and self-defense for real estate, homecare and hospice professionals.
Education-Training Credits:
1.0 Hr HCSSA Administrator/Alternate
[1542] Workplace Violence:Prevention & Solutions - Policy & Plan Solutions
Subscription Type:
Individual
Faculty: Rosner
Part of the Workplace Violence : Prevention & Solution series,
this program is specifically designed for home care and hospice administrators, owners, human resource, management,
and supervisory personnel. In it Joe Rosner presents workplace violence situations that can impact your agency, tips for
avoidance, and suggestions on how to handle violent or dangerous interactions in the workplace. Throughout this program
Joe presents guidance for organizational managers on development of new workplace violence and personal safety policies
and plans (or guide in updating existing policies and plans) with over dozens of plan suggestions and applicable rationale
narrative. If your agency does not yet have a workplace violence plan this program is a "must-have." For those that do,
it provides a refresher on the importance of maintaining your plan - and may even provide many new suggestions to
enhance the safety of your most important asset - your workers.
This program is presented by Joe Rosner, Director of Best Defense USA, and a nationally recognized
expert on safety and self-defense for real estate, homecare and hospice professionals.
Education-Training Credits:
1.0 Hr HCSSA Administrator/Alternate
[1541] Workplace Violence:Prevention & Solutions - Personal Safety
Subscription Type:
Individual
Faculty: Rosner
This program is part of the Workplace Violence : Prevention & Solution series,
developed specifically for home care and hospice personnel. The program provides the definition of workplace violence and
shares statistics that prove workplace violence can impact anyone, anywhere, and at any time. In this program Joe Rosner
provides many helpful ideas to enhance one's personal safety and how to avoid certain situations in order to reduce your
risk for personal violence. In detail, Joe also explains how to handle dangerous encounters with clear demonstrations,
along with a field nurse, on key self defense techniques and the practical tools of self defense. He provides an overview of
tazers, blunt weapons, sprays and improvised tools that can be used as weapons as well as weapons must be avoided to enhance one's personal safety.
This program's goal is to enable the viewer to have more self confidence, be more aware of their
surroundings and how to deal with possible situations that demand self defense.
This program is presented by Joe Rosner, Director of Best Defense USA, and a nationally recognized
expert on safety and self-defense for real estate, homecare and hospice professionals.
Education-Training Credits:
1.0 Hr HCSSA Administrator/Alternate
[1520] S.U.R.C.H. - A Utilization Program for
Home Health
Summary:
Can hospital-like utilization review improve you agency productivity and clinical outcomes?
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
Faculty: Cisneros, Arnie
Program Description: This exciting QA program utilizes UR
mechanisms employed by hospitals to manage care. Agencies that have implemented
this methodology have enhanced clinical outcomes and improved productivity.
Accurate Start of Care programming is the first step in producing and
delivering audit-proof care, and a S.U.R.C.H.-like mechanism assures PPS
compliant programming. This program has been presented across the country and
featured in CARING magazine, The Remington Report, and Decision Health's Home
Care Outcomes in 2009.
Program Objectives: Upon completion of this program, the viewer will be able to:
Describe the history of the Medicare Home Health benefit
Discuss how the Prospective Pay System (PPS) model utilizes the Outcome and Assessment Information Set (OASIS) and
Outcome-Based Quality Improvement (OBQI) methods to identify programming
Evaluate the Service Utilization for Care in the Home (SURCH) method of utilization review and its effect on clinical and fiscal outcomes
Demonstrate the Clinical Synthesis method via interactive audience participation demos with specific nursing and rehab management scripting
Diane Levan, Director of Home Care for
South Jersey VNA states "Our nurses love SURCH..." when describing that it "can be
easily replicated by anyone".
About the Presenter: This program is presented by Arnie Cisneros, PT,
Owner and President of HomeHealth Strategic Management. Arnie is renowned for his adaptation of traditional care philosophies
to address current and future healthcare initiatives. A practicing clinician, Arnie provides working level insight into program
development and care consultation for providers. He authors "Home Health Forum", a bi-weekly column addressing homecare issues
and is a contributor to "The Remington Report", Caring, and Decision Health publications. He presents nationally on topics
including S.U.R.C.H. - UR for Home Health, OBQI case Conference, and PPS/P4P strategies.
Education-Training Credits:
1.5 Hrs HCSSA Administrator/Alternate
[1520] S.U.R.C.H. - A Utilization Program for
Home Health
RAC Scrutiny, Audit Findings from RAC-like Surveys
Summary: Learn what's
coming in RAC audits.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
Faculty: Cisneros, Arnie
Program Description: This program helps you prepare for audit
scrutiny. The presenter has had a front-row seat as audits performed by Fiscal
Intermediaries served as a warm-up for the RAC (Recovery Audit Contractor) era.
Having analyzed audited cases from multiple agencies in multiple states, this
program describes denied care in clinical terms that can help providers
identify claim concerns that exist in their programs. Specific dissections of
partial denials illustrate areas where clinical improvements can help agencies
re-wire care delivery for future stability and success. This program is
important for all levels of home health professionals.
Program Objectives: Upon completion of this program, the viewer will be able to:
Identify the challenges facing the Home Health industry as they confront more stringent regulatory constraints and audits
Discuss methods employed by other provider types to adapt care to meet requirements of reforms in their care delivery
Evaluate findings from Home Health audit/denial patterns experienced in other states to determine care modifications required for the audits
Outline action plans required for homecare providers to survive these challenges
About the Presenter: This program is presented by Arnie Cisneros, PT,
Owner and President of HomeHealth Strategic Management. Arnie is renowned for his adaptation of traditional care philosophies
to address current and future healthcare initiatives. A practicing clinician, Arnie provides working level insight into program
development and care consultation for providers. He authors "Home Health Forum", a bi-weekly column addressing homecare issues
and is a contributor to "The Remington Report", Caring, and Decision Health publications. He presents nationally on topics
including S.U.R.C.H. - UR for Home Health, OBQI case Conference, and PPS/P4P strategies.
Education-Training Credits:
1.5 Hrs HCSSA Administrator/Alternate
[1518] RAC Scrutiny, Audit Findings from RAC-like Surveys
Outliers - Friend or Foe?
Summary: Understanding
outliers, individual case outlier qualification and strategies for wound &
diabetic patients.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
Faculty: Teenier, Pamela
Program Description: Managing outliers can be like walking a
tightrope...each agency needs to manage resources, patients and community
needs. This program walks you through determining individual case outlier
qualification and how to determine your agency outlier payment percentage.
Basic strategies for clinical management of wound care and diabetic patients,
major factors in this complicated puzzle, is also examined.
Program Objectives: Upon completion of this program, the viewer will be able to:
Evaluate an individual cases to determine if they will qualify for an outlier payment
Identify ways to determine an agencies current outlier payment percentage
Discuss basic strategies for clinical management of wound care and diabetic patients
About the Presenter: This program is presented by Pamela
Teenier, RN, MBA, CHCE, HCS-D, COS-C, Assistant VP, Medicare Operations, Gentiva Health Services.
Education-Training Credits:
1.1 Hrs HCSSA Administrator/Alternate
[1521] Outliers - Friend or Foe?
[1514] Home Care's New Trilogy: CAHPS, Quality
and Customer Service
Subscription Type: Individual
Faculty: Ashe
Thanks to the new CMS mandated CAHPS
survey, patient satisfaction, quality and customer service has moved to the
forefront of successful home care agency management. Learn why CAHPS will shape
your future, what strategies lead to better quality outcomes and what the role
of customer service will be inpatient satisfaction, home health quality and
profitability. Get insights into the five measures that will be included in Home
Health Compare and how to improve your performance with each of them. With over
twenty-five years providing patient satisfaction and customer services and in
reviewing the scores of millions of patients, Fazzi Associates provides real
life examples of what works, what doesn't work and what you can do immediately
to improve your CAHPS scores.
This program is presented by Tim Ashe,
RN, MS, MBA, partner and director, Fazzi National Operational Consulting
Services.
Education-Training Credits:
1.25 Hr(s) HCSSA Administrator/Alternate
[1355]Caring for Your Hospice Business - a
Month in the Life of a Hospice Administrator
Subscription Type: Individual
Faculty:Spears
The heart of hospice is caring for the patient but caring for
the business of hospice must be the focus of the administrator. How can you get
on top of the business of hospice and stay there? This program traces the
business activities that the hospice administrator must manage through one
operational month in the hospice year. While the hospice administrator may be a
clinician with clinical oversight duties as well, the focus for this program is
the operational and financial activites that when performed well, signal a
healthy business environment. The program includes guidance on budgeting,
contracting, staffing, billing, collecting, compensating staff and more to
assist the administrator in establishing a report card on the hospice's overall
performance. Caring for the hospice business IS caring for the hospice
patient!
Presented by Jan Spears, MJS & Associates. Her
expertise as a business consultant to home care and hospice providers as well
as physician groups, hospitals, durable medical equipment suppliers, and legal
counselors has increased her demand to more than 20 states during the past two
years. As a certified educator, Jan uses teaching methodologies that simplify
the most complex theories into practical day-to-day advice for the entry level
or the most experienced health care provider. She heads a team of more than
thirty-five consultants at MJS & Associates, known for its solution-driven
approach to achieving best practice to clinical and operational standards for
all provider types.
Education-Training Credits:
2.0 Hr(s) HCSSA Administrator/Alternate
[1354] Financial Responsibilities of the
Texas HCSSA Administrator
Subscription Type: Individual
Faculty: Berman
This program covers
a variety of topics to provide administrators with knowledge and tools to
improve their financial oversight responsibilities. Topics include:
cash management techniques for home care
banking relationships
use and control of bank accounts
employer implications of health care reform
and in particular:
compliance dates
small vs. large employer
penalties
employer subsidies
tax credits
required disclosures
This program is presented by Sheldon J. Berman, CPA, CVA,
Principal, Simione Consultants, LLC. Shelly Berman is a Principal for
Simione Consultants and is responsible for the firm’s Merger &
Acquisition Department which includes the supervision and review of merger
& acquisition activity for home care, hospice and private duty providers.
Shelly has extensive expertise in the valuations of health care and in particular home health care
including, but not limited to, providers of skilled nursing and rehabilitation,
home infusion, respiratory, hospice, private duty and medical equipment
suppliers. These companies include all auspices of the health care industry.
He has performed valuation
assignments including merger & acquisition appraisals, sales and
divestitures, fairness opinions, shareholder transactions, litigation support
and appeared as an expert witness in court proceedings.
Education-Training Credits:
1.0 Hr(s) HCSSA Administrator/Alternate
How to Increase Referrals Without Increased Costs
Summary: Insight into
more effective marketing, sales and referral generation.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
Faculty: Ferris, Michael
Program Description: As agencies are faced with unparalled competitive challenges,
protecting key accounts and growing their numbers will determine your agency's
success over the coming years. This program provides focus on increasing
referrals (revenues) without increasing costs. You will discover best practice
tricks and techniques to control costs AND increase referrals.
Program Objectives: Upon completion of this program, the viewer will be able to:
Identify strategies to increase return on investment for sales and marketing programs
Discover which skills your sales people need and how to train and manage them
Develop plan to manage referral process for implementation at your agency
About the Presenter: Mike is the Director of the Marketing, Sales and Customer Service Consulting
Division at Simione Consultants. Long a nationally recognized expert in
Home Care and Hospice Sales, Marketing and Customer Service, his training
programs are the most acclaimed in the country, receiving accolades from
some of the biggest CEOs and Sales managers from California to New York.
He has the unique perspective of having counseled and consulted with many
of the most successful home care and hospice organizations and seen what
works on a national basis.
Education-Training Credits:
1.0 Hr(s) HCSSA Administrator/Alternate
[1351]Enterprise Risk Management for Home Care
& Hospice
Subscription Type: Individual
Faculty:Poblenz
This program provides focus on how to establish a robust risk management program. It enables
the home health administrator to:
understand the key principles of risk managementidentify key elements of an enterprise risk
management programidentify strategies to minimize
riskunderstand options to finance
riskidentify common home care hazards/risks and
develop a plan to address those risksexplore common home care risk scenarios and how
to manage risk
This program is presented by Nancy T. Poblenz, RN, BSN, DDS,
JD, CPHRM. Nancy serves as the Litigation and Loss Prevention Director for
CHRISTUS Health, based in Houston Texas. In this capacity, she is responsible
for the claims investigation and litigation management of all matters involving
the healthcare system, including professional, general, employment, business,
class action and other litigation against CHRISTUS Health facilities.
She also coordinates the corporate response to all government
and regulatory investigations. As corporate Loss Prevention Director she is
responsible for leading all corporate loss prevention initiatives. She serves
on various corporate committees, including the corporate Quality Committee and
Clinical Policy Team, and is active in the CHRISTUS St. John Hospital Ethics
Committee. Nancy’s publications include an article on Medical
Futility published in the Houston Bar Journal and a chapter on Medical Tourism
in the First Edition of Enterprise Risk Management, a textbook recently
published by the American Health Lawyers Association. She is a frequent speaker
on healthcare related topics.
Education-Training Credits:
1.25 Hr(s) HCSSA Administrator/Alternate
[742] 22 Tips to Find and Keep Non-Medical Caregivers
Subscription Type: Individual
Faculty: Tweed
In this seminar, Stephen Tweed addresses the staff recruitment
and retention challenges faced by private duty home care providers, focusing specifically on non-medical caregivers.
Stephen shares with viewers practical tools and tips, discusses the importance of finding and keeping non-medical caregivers
and offers advice on preparing a recruiting and retention action plan.
For the past 25 years, Stephen Tweed has served
the home care industry as a business strategist, professional speaker, author and consultant.
He has served as a board member for three not-for-profit home care agencies and as the Interim
President and CEO of a $25 million home care company. He is the father of a 36-year-old son who
uses the services of home care on a daily basis. Stephen is also Past-President of the National
Speakers Association, a professional society of 3800 experts who speak professionally.
As principal of Leading Home Care, Stephen brings this wealth of knowledge and experience
and applies it as the leader of this exciting company serving the home care industry.
Education-Training Credits:
1.1 Hr(s) HCSSA Administrator/Alternate
[726] Ethical and Legal Practices in Home Care
Subscription Type: Individual
Faculty:Tischer
Gene Tischer is an attorney with more than 30 years of home care experience.
Gene served from 1993 to 2009 as the Executive Director of Associated Home Health Industries of Florida, one of the country's largest home care associations.
In this program, Gene reviews a variety of legal and ethical issues that confront home care providers across the country.
Among the key issues he tackles are:
patient choice
federal anti-kickback laws
questionable referral arrangements
patient remuneration
false claim filing and whistleblower statutes
Gene walks through relevant federal laws and regulations and discusses key OIG rulings to
help home care executives identify potential pitfalls and legal landmines.
Education-Training Credits:
1.1 Hr(s) HCSSA Administrator/Alternate
Are You Managing SMART? Know How Your Agency is Doing at All Times
Summary: Learn the
importance of on-going agency performance monitoring and benefits.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
Faculty: Litwin, Sharon
Program Description: During this program the
presenter discusses the importance
of on-going performance monitoring to successful home care agency management. She suggests a variety of clinical,
financial and operational measures that can be put in place to monitor performance and avoid "surprises."
Also outlined are the elements of an agency performance assessment.
Program Objectives: Upon completion of this program, the viewer will be able to:
Discuss how to proactively manage their agency
Complete and evaluate their agency using a Homecare Agency Assessment
Identify key financial, clinical and operational indicators and develop an action plan
Implement action plan and ongoing monitoring of key indicators
About the Presenter:
Sharon Litwin, RN, BSHS, MHA is principal and founder of Missouri-based Five Star Consultants. Sharon has been in healthcare management and administration for 25 years.
For the past 20, she has been actively involved in the homecare industry, from field nurse to Executive Director to Principal Consultant in 5 Star Consultants.
She has worked in and managed certified homecare, hospice, private duty, home infusion and dme as regional and executive directors.
Her expertise is in problem solving, teaching and implementing successful action plans. She is a well known speaker at state and national conferences,
specializing in case management, outcome enhancement, management training, OASIS, PPS, and documentation. She is an expert in regulatory, compliance, and operations.
Education-Training Credits:
1.0 Hr(s) HCSSA Administrator/Alternate
[746] Basic Sales Skills: Mktg. & Sales Tactics to Generate Legendary Results
Subscription Type: Individual
Faculty:Ferris
In this introductory program, Mike provides an overview of the skills
necessary to compete and win more referrals. He has designed this program for all types of staff including outside
sales representatives, community and hospital liaisons, program representatives, sales managers, clinical managers
and administrators. This program is appropriate for anyone having direct contact with referral sources and consumers
in the community. Basic skills covered include:
Proper Introductions
Asking for Business
Handling Objections
Problem Resolution
Differentiation
Competitive Analysis
Using Promotional Items
Goal Setting
Mike is the Director of the Marketing, Sales and Customer Service Consulting
Division at Simione Consultants. Long a nationally recognized expert in
Home Care and Hospice Sales, Marketing and Customer Service, his training
programs are the most acclaimed in the country, receiving accolades from
some of the biggest CEOs and Sales managers from California to New York.
He has the unique perspective of having counseled and consulted with many
of the most successful home care and hospice organizations and seen what
works on a national basis.
Education-Training Credits:
2.0 Hr(s) HCSSA Administrator/Alternate
Orientation to Comprehensive Assessment, OASIS & Outcomes
Summary: This program examines
the comprehensive assessment, OASIS and outcomes model for home health.
HCSSA Topic(s) Addressed:
§558.259[d][10]the Outcome and Assessment Information Set (OASIS)
Faculty: Will, Rhonda & Krafft, Cindy
Home care clinicians need a clear understanding of what is involved in the completion of a
comprehensive assessment both from a clinical and regulatory perspective. The OASIS assessment is an integral part of care delivery
as the data it collects drives our care, determines the quality of the care delivered and impacts payment. This program examines
the comprehensive assessment, OASIS and outcomes model for home health.
Cindy Krafft and Rhonda Will discuss the comprehensive assessment process and its relationship to achieving positive patient outcomes while,
throughout this discussion, emphasizing the importance of OASIS accuracy. They also explore the role of outcome measures in determining quality of care.
Program Objectives: Upon completion of this program, the viewer will be able to:
Discuss the necessary components of a comprehensive assessment
Discuss the significance of completing the OASIS document accurately
Explore the relationship between OASIS and outcome measures in determining quality of care
About the Presenters:
Rhonda Will, RN, BS, HCS-D, COS-C heads Fazzi's OASIS auditing team and is one of home
care's most well known national trainer and speaker. Cindy Krafft , MS, PT, COS-C is an Assistant Director of
Operational Consulting, Rehab Services at Fazzi Associates, Chair of the NAHC Therapy Advisory Committee
and the current Vice President of the Home Health Section of the American Physical Therapy Association.
Education-Training Credits:
1.25 Hr(s) HCSSA Administrator/Alternate addressing TX §558.259[d][10]the Outcome and Assessment Information Set (OASIS)
[715] Orientation to Comprehensive Assessment, OASIS & Outcomes
[772] Nutrition at End-of-Life
Subscription Type: Individual
Faculty:Martin
Not providing food and water at end-of-life may be difficult for
care givers, whether they are family or healthcare professionals. You will learn activities that
may assist care givers in providing nutritional and emotional support, both prior to and during this time.
Personal nutritional choices, cultural considerations, and ethical issues are also explored. Presented by C. Andrew Martin, RN, Consultant with Weatherbee Resources.
A recommended program for addressing the following required topic(s) of TX §558.259( d )
[9] Nutrition
Education-Training Credits:
0.5 Hr(s) HCSSA Administrator/Alternate
Administrator Training: Initial Training Requirements
Summary: Addresses seven
(7) required topics for Texas HCSSA administrators.
HCSSA Topic(s) Addressed:
§558.259[c][1] information on the licensing standards for an agency
§558.259[c][2] information on the state and federal laws applicable to an agency
§558.259[d][2]legal issues regarding advance directives
§558.259[d][3]client rights, including the right to confidentiality
§558.259[d][5]complaint investigation and resolution
§558.259[d][7]abuse, neglect, and exploitation
§558.259[d][8]infection control
Faculty: Hammond, Rachel
Program Description: This program presents the regulations
required of home care agencies in order to comply with the rules and provide quality care. Topics covered include:
licensing standards
state and federal laws applicaple to agencies
Advanced Directive law requirements
client rights and responsibilities
abuse, neglect, or exploitation
complaints
infection control
Program Objectives: Upon completion of this program, the viewer will be able to:
Indentify licensing standards, state and federal laws applicable to their agency license
Discuss Advance Directive law requirements
Discuss Client Rights and responsibilities
Identify what qualifies as abuse, neglect, or exploitation
Identify what is considered a complaint
Discuss infection control regulations
About the Presenter: Rachel Hammon is the Director of Clinical Practice
and Regulatory Affairs for TAHC&H. Rachel has been in health care for 17 years with over 11 years of home care experience,
including pediatric case manager, Medicare case manager, Administrator/DON and Corporate Director of Clinical Services, with
the majority of her time focused on supervision and management of home care pediatric programs. At TAHC&H, Rachel provides clinical
and technical assistance related to both federal and state regulations.
She currently serves on the Nursing Practice Advisory Council for the Texas Board of Nurse Examiners.
Education-Training Credits:
0.75 Hr(s) HCSSA Administrator/Alternate addressing TX:
§558.259[c][1] information on the licensing standards for an agency
§558.259[c][2] information on the state and federal laws applicable to an agency
§558.259[d][2]legal issues regarding advance directives
§558.259[d][3]client rights, including the right to confidentiality
§558.259[d][5]complaint investigation and resolution
§558.259[d][7]abuse, neglect, and exploitation
§558.259[d][8]infection control
[468] Administrator Training: Initial Training Requirements
[672] Survey Strategies and Plans of Correction
Faculty: Hollers
This program addresses the steps
involved in preparing for a survey and responding when deficiencies are noted.
The process to be followed for preparing a plan of correction is discussed in
detail.
Ms. Hollers is an Austin-based home care consultant with nearly 30 years
of experience in a variety of agency settings.
This program is included in the Initial Phase One Curriculum
Education-Training Credits:
1.0 Hr(s) HCSSA Administrator/Alternate addressing TX §558.259( c )(1)