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Clinical Services Mgmnt: What Works to Improve HH Value-Based Purchasing Performance?

[3053] Clinical Services Management: What Works to Improve Home Health Value-Based Purchasing Performance? Education-Training Credits: 1.25 Hr(s) HCSSA Administrator/Alternate Summary: Clinical practices that make a difference in HHVBP scoring. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][3]basic principles of management in a licensed health-related setting §558.260[a][5]quality improvement §558.260[a][7]financial management Faculty: Melinda Gaboury Program Description: With Home Health Value Based Purchasing (HHVBP) going strong in the 9 demonstration states it is a forgone conclusion that HHVBP will become a nationwide reality. The core goal of HHVBP is to reach the best practical patient outcome. HHVBP measures focus on clinical outcomes as central components of a performance measurement system. For many years, HHAs have worked to achieve improved patient outcomes, but there was no direct connection to payment. With HHVBP, clinical success for payments can translate to higher Medicare reimbursement. This program is designed to explore the clinical practices that make a difference in HHVBP scoring. When clinical practices work for patients, HHVBP makes them work for a HHAs bottom-line as well. This session will: Identify areas most susceptible to patient outcome improvement Recognize best practices in clinical operations that impact HHVBP scores Identify practical steps towards successful implementation of HHVBP best practices Presentation Date: 08.10.2017 Learning Outcomes(s): Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by recognizing best practices in clinical operations that impact client outcomes and home health Value-Based Purchasing scores. About the Presenter:
Melinda Gaboury is co-founder and Chief Executive Officer of Healthcare Provider Solutions, Inc. (HPS), based in Nashville, TN. Melinda Gaboury and Mark Cannon founded the company in April 2001 to provide financial, reimbursement, billing and clinical consulting to the home care and hospice industries. With more than 16 years of executive speaking, educating and most importantly day-to-day experience working with home care and hospice professionals, Gaboury has been a speaker for multiple state and national home care and hospice associations. She is actively conducting Basic and Advanced Home Care and Hospice Seminars throughout the country. She is currently serving on the HHFMA Board and Home Care Association of Florida Board of Directors. Gaboury is also the author of the Home Health Pocket Guide to OASIS-C2: A Reference Guide for Field Staff. [3053] Clinical Services Management: What Works to Improve Home Health Value-Based Purchasing Performance?

Speaker
Gaboury, Melinda
Model
3053

$37.50

Protecting Your Hospice Practice through Effective Documentation

[3052] Protecting Your Hospice Practice through Effective Documentation Education-Training Credits: 1.25 Hr(s) HCSSA Administrator/Alternate Summary:Advice for improving hospice doumentation. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][3]basic principles of management in a licensed health-related setting §558.260[a][6]risk assessment and management Faculty: Diane Datz Program Description: In hospice we are told to "paint the picture" of the patient's condition to authenticate eligibility for admission and recertification. But, do we really understand how to paint the picture? Most survey deficiencies can be traced to faulty documentation. Strategies to improve documentation include specific verbiage to meet regulatory standards and a toolbox filled with descriptive and comparative words and phrases. This presentation equips you to document assessments. Presentation Date: 08.10.2017 Learning Outcomes(s): Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by utilizing the covered material to avoid the most common documentation compliance deficiencies. About the Presenter:
Diane Datz has been a hospice nurse and chaplain for over twenty years. She is a certified CHAP and ACHC consultant and is currently the hospice regulatory specialist and Hospice Program Director for HealthCare ConsultLink. Her duties include education and training to hospice agencies, and maintaining regulatory compliance for HealthCare ConsultLink's hospice policy and procedure manuals. Diane is on the Boards of Texas and New Mexico Hospice Organization and ABODE: Contemplative Care for the Dying. In addition to her hospice commitment, Diane is an ordained priest in The Old Catholic Church. [3052] Protecting Your Hospice Practice through Effective Documentation

Speaker
Datz, Diane
Model
3052

$37.50

Administrator’s Guide to Developing Your Director of Nursing

[3051] Administrator’s Guide to Developing Your Director of Nursing Education-Training Credits: 1.25 Hr(s) HCSSA Administrator/Alternate Summary:Guidance to ensure the Administration and clinical team works together. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][3]basic principles of management in a licensed health-related setting §558.260[a][6]risk assessment and management Faculty: Jennifer Lopez, BSN, RN Program Description: Regardless of an Administrator’s credentials, they are held responsible for both the operational and clinical aspects of home care services. Home care is one of the toughest industries for compliance given the never ending maze of rules and regulations. This is true both in the Administrative side and Clinical side. With that comes the very delicate question, how does an Administrator help develop and guide the Director of Nursing to ensure clinical issues don’t balloon to enforcement level violations that could affect the overall operation of the agency? Ensuring the Administration and clinical team works together is critical to successful operations. In this presentation you will hear from your colleague and TAHC&H President who can share helpful tips to implementing this team approach in your agency. Presentation Date: 08.10.2017 Learning Outcomes(s): Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by implementing best practices that allow the administrator to effectively train the Director of Nursing to oversee the clinical operations of the agency. About the Presenter:
Jennifer Lopez, BSN, RN is the State Health Services Director for ResCare. She has worked in healthcare for over 25 years in many different settings including acute care, physician office, home health care and residential services. She received her LVN from Cooke County College in 1987, Associates Degree in Nursing from North Central Texas College in 1991 and her Bachelor’s Degree in Nursing from The University of Texas, Austin in 2003. She is also a Certified Developmental Disabilities Nurse (CDDN). Her current responsibilities include providing education, training and clinical support for the ICF, HCS and CLASS programs in Texas. She also serves as President of the Texas Association of Home Care and Hospice. Jennifer has a vast range of expertise in the areas of operations, due diligence, QA, clinical, state and federal regulations, compliance and investigations. Jennifer has a passion to ensure each person cared for receives the highest quality care possible. [3051] Administrator’s Guide to Developing Your Director of Nursing

Speaker
Lopez, Jennifer
Model
3051

$37.50

How to Save Face with Face-to-Face

[3050] How to Save Face with Face-to-Face Education-Training Credits: 1.25 Hr(s) HCSSA Administrator/Alternate Summary:The latest and greatest advice on doing Face to Face right! HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][6]risk assessment and management §558.260[a][8]skills for working with clients, families, and other professional service providers Faculty: Jennifer Warfield Program Description: The face-to-face encounter documentation has been a challenge for the home health industry, especially since the Medicare contractors have reported that preliminary results for the Probe and Educate Review were not favorable. We still have much to learn when it comes to achieving better results. If you have already received your five ADRs, use this presentation to learn how to make improvements going forward. Additionally, of course, for those who have either not received any ADRs or those who have received denials, this is your opportunity to learn effective strategies for making corrections. It’s important to note that accurate F2F documentation is an essential part of pre-claim reviews. Join PPS Plus’s Education Director, Jennifer Warfield, as she explains and defines required documentation, how to receive cooperation from providers, and how to respond to the ADRs for F2F documentation. Presentation Date: 08.10.2017 Learning Outcomes(s): Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by implementing nursing documentation practices that will meet the intent of the Face-to-Face requirements. About the Presenter:
Jennifer Warfield With over 30 years of healthcare experience, Jennifer Warfield serves as the education director for PPS Plus, provider of OASIS analysis software, based in Biloxi, MS. She is the author of two coding guidebooks, certified as a home care coding and OASIS specialist, ICD-10 trainer and frequently travels across the country to educate home health professionals on important industry topics, like Face to Face documentation, pre-claim review, value-based purchasing, OASIS accuracy and ICD-10 coding. [3050] How to Save Face with Face-to-Face

Speaker
Warfield, Jennifer
Model
3050

$37.50

Achieve Rewards from Your Performance Data

[3049] Achieve Rewards from Your Performance Data Education-Training Credits: 1.5 Hr(s) HCSSA Administrator/Alternate Summary: TX MCOs present potential VBP/VPC approaches. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][8]skills for working with clients, families, and other professional service providers Faculty: Angie Parks, United Healthcare; Robert Wells and Ceseley Rollins, Superior Health Plan; Kelley Longhofer, Community First Program Description: Texas Medicaid payors are beginning to look at new payment models called “Value-Based Payments (VBP) and/or Value Based Contracting (VBC).” The idea behind the new models is for payors to work with providers to ensure delivery of high quality and cost-effective care to their members. TAHC&H brings you three (3) Medicaid Managed Care Organizations (MCOs) to present a panel discussion about steps a provider might want to take for structuring a VBP/VBC with a payor. Providers will also learn how these (3) Texas MCOs are currently rolling-out VBP/VBC. They will spend time discussing the process they implement with providers and elements needed to create VBP/VBC. Implementing a program in collaboration with your MCO could earn your organization rewards for quality services and care. Understanding how your data is involved as well as other reporting requirements is critical to your success, so don’t miss this opportunity to be ahead of the curve rather than behind it! Presentation Date: 08.09.2017 Learning Outcomes(s): Participants will actively engage in the learning activity and implement agency data evaluation projects that will enhance their ability to participate in Value-Based Purchasing programs. About the Presenter:
Angie Parks serves as the Senior Director for Quality Management & Performance for UnitedHealthcare Community Plan of Texas. She has been with the plan since 2013. She oversees the local quality programs for UHC’s Medicaid, MMP and DSNP plans. Ms. Parks is a registered nurse who holds a Bachelor of Science in Nursing from the University of Texas Health Science Center, and a Bachelor of Science in Adult & Corporate Fitness/Wellness from Abilene Christian University. About the Presenter:
Ceseley Rollins has been working with the STAR+PLUS program since 1998. She began working in Houston, Texas shortly after the initial implementation for the STAR+PLUS program and has been working for the program ever since. Ceseley has played a significant role with each STAR+PLUS expansion/implementation due to her role as Provider Relations Manager, Director of Operations, through her current role as Vice President, Medicaid Operations for Complex Care Programs which includes STAR+PLUS, STAR Kids and STAR Health. About the Presenter:
Robert Wells is the manager of Superior Healthplan’s Transformation Projects group. He designs and manages value based incentive projects and works closely with HHSC to implement state directed alternative payment models. For several years, Robert has been on the forefront of finding new ways for managed care organizations and Superior to interact with their provider networks. Robert has a background in provider relations and business operations and lives in Austin with his wife, three children and six chickens. About the Presenter:
Kelley Longhofer has 25 Years in Health Care Operations for Commercial, Medicare and Medicaid, 20 Years in Managed Medicaid Program Management and Operations as well as Provider Network Management, and 18 Years with STAR+PLUS and now STAR Kids in Program Management and Operations. Kelley has worked in national health plan organization as well as local Texas provider sponsored health plans. Kelley is currently working with Community First Health Plans in San Antonio after a long tenure with Amerigroup. [3049] Achieve Rewards from Your Performance Data

Speaker
Parks,Wells,Rollins & Longhofer
Model
3049

$45.00

Violence in Home Care: Protecting Your Workforce

[3048] Violence in Home Care: Protecting Your Workforce Education-Training Credits: 1.5 Hr(s) HCSSA Administrator/Alternate Summary: The risk of violence from clients, family and community against your workforce. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][6]risk assessment and management §558.260[a][8]skills for working with clients, families, and other professional service providers Faculty: Robert Liles, JD and Anthony Cutrona, JD Program Description: Home healthcare workers often face an unsafe and unpredictable environment as they visit a client’s neighborhood and home. Since more violent incidents occur in health care settings than any other profession, your administrative staff are also vulnerable. The presenters discuss the extent of the problem and what measures your home health agency or hospice can take to help protect your workforce from violence. Presentation Date: 08.09.2017 Learning Outcomes(s): Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by implementing reporting programs that will encourage healthcare staff to more readily report incidents of violence. About the Presenter:
Robert Liles, JD has a background that is somewhat unique. In addition to a law degree, he holds a Master’s in Health Care Administration. Robert has worked on the provider side, as a federal prosecutor and now represents home health and hospice agencies around the country in connection with Medicare and Medicaid audits and investigations. While working as a federal prosecutor, he was asked to serve as the first National Health Care Fraud Coordinator for the DOJ’s, Executive Office for U.S. Attorneys. In this capacity, he advised prosecutors around the country regarding health care fraud statutes, schemes, investigative tools, privacy concerns, and compliance issues. Robert is a nationally-recognized speaker and educator on health law regulatory issues. He has taught and lectured at regional and national conferences, seminars and webcasts to federal and state prosecutors, auditors, industry representatives, providers and suppliers on a variety of regulatory issues. About the Presenter:
Anthony Cutrona, JD began practicing home health law as general counsel for a Houston home health agency in 1996 and opened his solo health law practice in 1997. In 2000, the Texas Association for Home Care named him its Associate Member of the Year. Last year, after 20 years of representing home health care providers throughout Texas, Anthony joined Liles Parker as a Partner and opened its San Antonio office. He continues to represent home health agencies in license and survey matters, administrative appeals, implementation of compliance programs, employment issues, and defends nurses in Board of Nursing matters. [3048] Violence in Home Care: Protecting Your Workforce

Speaker
Liles, R & Cutrona, A
Model
3048

$45.00

Trends in Fraud, Waste, and Abuse

[3047] Trends in Fraud, Waste, and Abuse Education-Training Credits: 1.5 Hr(s) HCSSA Administrator/Alternate Summary:Former Federal Prosecuters explain how your data helps determine fraud. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][6]risk assessment and management §558.260[a][7]financial management Faculty: Mindy Sauter, JD and Mike Elliott, JD Program Description: In order to curtail the continued presence of fraud, waste, and abuse within government programs, specifically home health and hospice, the OIG has implemented the use of data analytics to highlight providers who are outliers in terms of billing trends. It is essential that providers become aware of how their data analytics will be observed by an outside party. Along those same lines, emphasis is now being placed on provider-administered compliance programs. Successfully administered compliance programs will be key if a provider’s data analytics ever come into question. Use this presentation to gain insight from the original Federal prosecutors in the Dr. Roy case who successfully led the indictment for one of the largest fraud cases in home health. Presentation Date: 08.09.2017 Learning Outcomes(s): Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by implementing compliance training and education within the agency’s operations. About the Presenters:
Mindy Sauter, JD and Mike Elliott, JD are both former Assistant United States Attorneys who investigated and prosecuted health care fraud throughout the United States. Mindy is a graduate of Oklahoma State University and SMU law school. Before she was a federal prosecutor, Mindy was an Assistant District Attorney in Dallas where she tried hundreds of cases and supervised felony prosecutions. Mike is a graduate of the United States Naval Academy and the University of Miami School of Law. Prior to working in both the Southern and Northern Districts of Texas with the Department of Justice, Mike was in private practice in New York City. Their firm, Elliott Sauter, focuses on representing health care organizations and professionals in regulatory, compliance and criminal matters. Elliott Sauter is based out of Dallas, TX. [3047] Trends in Fraud, Waste, and Abuse

Speaker
Sauter, Mindy & Elliot
Model
3047

$45.00

Increase Your Svc Value:Tips for Successful Participation in Medicare Value-Based Purchasing

[3046] Increase Your Service Value: Tips for Successful Participation in Medicaid VBP Education-Training Credits: 1.25 Hr(s) HCSSA Administrator/Alternate Summary:Texas Medicaid Value-Based Payments HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][5]quality improvement §558.260[a][7]financial management Faculty: Matt Ferrara, Director, Office of Quality Oversight, Andy Vasquez, Deputy Associate Commissioner of Quality & Program Improvement., Jami Snyder, Associate Commissioner, Medicaid/CHIP Services, Texas Health & Human Services Program Description: With over half of all Medicaid beneficiaries receiving services through managed care organizations (MCOs), states have a unique opportunity to use MCO contracts and relationships to accelerate wide-scale adoption of value-based payments (VBP). Texas is jumping on board with this concept and your agency needs the tools to succeed in this new world. It is key for providers to position themselves successfully to contract with MCOs by understanding the data needed to develop mutually agreeable quality based contracts. During this presentation you will hear directly from HHSC about how they are requiring MCOs to develop alternate payment structures between them and their health care providers to encourage innovation, quality and efficiency. Hear directly from Jami Snyder, Associate Commissioner, Medicaid CHIP, who also implemented VBP in Arizona about the approaches Texas is taking to implement VBP through MCO contracts. Don’t be left behind! Presentation Date: 08.09.2017 Learning Outcomes(s): Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by evaluating MCO pay for quality programs in relation to their agency’s services. About the Presenter:
Jami Snyder is the Associate Commissioner for the Medicaid and CHIP Services Department at the Health and Human Services Commission, and serves as the state's Medicaid director. Jami most recently served as Chief Deputy Director for Medicaid and CHIP for HHSC. Prior to that, she served as the Chief Operating Officer for The University of Arizona Health Plans (UAHP), a division of Banner Health. She has over 18 years of experience in both the public and private sectors, including extensive regulatory experience stemming from her tenure with the Arizona Health Care Cost Containment System (AHCCCS) and the Arizona Department of Health Services, where she was charged with overseeing the state's Medicaid-contracted health plans, including compliance with established federal and state managed care regulations and performance in a variety of areas such as network sufficiency, payment modernization, customer service and the provision of self-directed care. Snyder graduated from Gustavus Adolphus College with a Bachelor of Arts in Political Science and has a Master of Arts in Political Science from Arizona State University. About the Presenter:
Matt Ferrara is the Director of the Office of Quality Oversight within the Quality and Program Improvement Section at the Texas Health and Human Service Commission (HHSC). This office manages and coordinates quality initiatives within the Texas Medicaid and CHIP programs, as well as across the various Texas Health and Human Service agencies. He has held this position for over 5 years. Prior to his employment at HHSC, Matt worked in the mental health and substance use disorder fields for 13 years for the Texas Commission on Alcohol and Drug Abuse, TDMHMR, and Texas Department of State Health Services. Before state employment, Matt served for 8 years in direct service and executive capacities for a private provider of community based long term service and supports in Central Texas and El Paso. He is a graduate of Texas State University San Marcos with a major in Social Work. About the Presenter:
Andy Vasquez has over 20 years of Texas Medicaid experience. During those years he has led teams through several evolutionary changes in Medicaid pharmacy benefits management. He spent the last 10 years serving as director of the Medicaid Vendor Drug Program and now serves as a Medicaid & CHIP Services Deputy Associate Commissioner. He leads five offices that recently joined to form the Quality & Program Improvement Section; working to improve the quality of healthcare for low-income Texans, especially people enrolled in Medicaid and CHIP. Andy is a graduate of the University of Texas at Austin with a Bachelor of Arts in Computer Sciences. [3046] Increase Your Service Value: Tips for Successful Participation in Medicaid VBP

Speaker
Ferrara,M & Vasquez,A & Snyder,J
Model
3046

$37.50

So You Think Your Compliance Program is Effective?

[3045] So You Think Your Compliance Program is Effective? Education-Training Credits: 1.25 Hr(s) HCSSA Administrator/Alternate Summary:Can you show an "effective" compliance program? HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][3]basic principles of management in a licensed health-related setting §558.260[a][6]risk assessment and management Faculty: Jennifer Papapanagiotou, JD and Richard Pecore, JD Program Description: Effectiveness is the new standard for compliance programs. It is no longer good enough simply to have a compliance program; now you must show that it is an "effective" compliance program. This presentation will review how to assess your compliance program for effectiveness, utilizing the government's newly published guidance documents. It will also give attendees tips for inexpensive ways to improve the effectiveness of their compliance programs. Participants will: Understand what makes a compliance program effective. Be able to apply standard criteria to their compliance programs, in order to assess whether their program would be considered effective. Understand inexpensive and easy to utilize means for making their compliance programs more effective. Presentation Date: 08.09.2017 Learning Outcomes(s): Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by utilizing public resources to develop an effective work plan to protect against fraud and abuse and related sanctions. About the Presenter:
Jennifer Papapanagiotou, JD has a legal practice that focuses on compliance, regulatory and transactional matters for a wide array of health care providers, including home health and hospice agencies. She has extensive experience in analyzing proposed and existing business arrangements for compliance with federal and state fraud and abuse laws, and drafting a wide variety of legal agreements. Ms. Papapanagiotou is knowledgeable in all aspects of state licensing for home health and hospice providers, and in Medicare and Medicaid enrollment, including initial enrollment, changes of ownership and appeals of revocation actions. Finally, she assists clients with compliance plans, forming new businesses, and addressing Medicare and Medicaid program coverage and reimbursement issues. About the Presenter:
Richard B. Pecore, JD is a licensed Texas attorney with over 20 years of experience. Mr. Pecore is a graduate of the University of Texas and South Texas College of Law Houston. Mr. Pecore joined Liles Parker as an associate attorney in January 2012 and became a partner with the firm in February 2016. Mr. Pecore has worked on a variety of health care related matters, and the past 6 years focusing on Medicare and Medicaid administrative provider appeals and creating provider regulatory compliance plans. Since joining Liles Parker, Mr. Pecore has focused on “big box” Medicare and Medicaid overpayments. He has successfully defended overpayment cases ranging in value from $15,000 to $6 million dollars. Mr. Pecore is a Certified Medical Compliance Officer with PMI, is a member of the American Health Lawyers Association. Mr. Pecore lives in Kingwood, Texas. [3045] So You Think Your Compliance Program is Effective?

Speaker
Papapanagiotou, J & Pecore, R
Model
3045

$37.50

Contracting with MCOs: Benefit vs. Pitfalls

[2974] Contracting with MCOs: Benefit vs, Pitfalls Education-Training Credits: 1.0 Hr(s) HCSSA Administrator/Alternate Summary:The pros and cons of working with MCOs in and out of network. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][3]basic principles of management in a licensed health-related setting §558.260[a][7]financial management Faculty:Spears, Jan Program Description: This program presents the pros and cons of working with MCOs in and out of network. As traditional payor sources implement payment reductions, new payment models or move exclusively to Managed Care, home health agencies are once again looking at the best way to work within the Managed Care arena. Some MCOs can pick and choose their provider networks based upon geographical area, STARs reporting, and pricing models. Medicaid MCOs typically offer below market value contracts. Although the MCO must follow the home health rules, the payer can establish additional requirements such as prior authorization, timeframes for physician signatures, etc. that can be more stringent than the traditional counterpart. The avenues for appeals are cumbersome and often leave the provider “holding the bag.” Learn how to package your agency for quality, cost and satisfaction in advance of seeking contracts with the MCOs in your area. Delivering care in accordance with MCO requirements requires process modifcation for order development, authorization management and billing. In addition, the presenter touches on best practice processes to improve coverage and reduce days outstanding on your claims. Presentation Date: 11.15.2016 Learning Outcomes(s): Participants will actively engage in the activity and indicate an intent to change or enhance their practice by delivering care in accordance with Managed Care Organization (MCO) requirements while incorporating best documentation practices in order to ensure coverage and reduce days outstanding on agency claims. About the Presenter:
Jan Spears is Co-owner and Chief Executive Officer of MJS & Associates. She has more than 30 years’ experience in the health care field. Ms. Spears has owned and operated a multimillion dollar home health care company as well as consulted for over 300 homecare providers in 25 states. As a full time consultant for the past 15 years, Ms. Spears has successfully merged clinical and financial strategies into successful operational plans for numerous providers nationwide. Jan serves as a Medicare coverage expert for health care facilities who are undergoing audits by federal contractors through all levels of appeals. She has authored several publications and heads a team of more than 25 consultants at MJS & Associates. [2974] Contracting with MCOs: Benefit vs, Pitfalls

Speaker
Spears, Jan
Model
2974

$30.00

HIPAA Compliance - Minimizing Your Risk

[2973] HIPAA Compliance - Minimizing Your Risk Education-Training Credits: 1.5 Hr(s) HCSSA Administrator/Alternate Summary:Learn to be HIPAA compliant and minimize your agency’s risk and potential liability. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][2]development and interpretation of agency policies §558.260[a][3]basic principles of management in a licensed health-related setting Faculty:Acevedo, Luis Program Description: Achieving compliance with HIPAA’s Privacy and Security Rules continues to prove an overwhelming task for home health and hospice administrators. The recent initiation of compliance audits has most providers on the edge and running for the hills! Are you ready for an audit? Is policy development, employee training and technical oversight enough? Learn to be compliant and minimize your agency’s risk and potential liability. Presentation Date: 11.15.2016 Learning Outcomes(s): Participants will actively engage in the learning activity and indicate an intent to change their practice by adhering to the HIPAA Privacy Rule, Security Rule, and Breach Notification Audit Program in an effort to protect patient privacy. About the Presenter:
Luis Acevedo, Esq. with Brooks Acevedo Attorneys at Law, has substantial experience in executive management of large healthcare corporations, as well as extensive knowledge of Health Law including licensing, access, regulation, compliance, Stark Law, anti-kickback and e-health. He offers impressive experience in healthcare transactions, corporate and business counseling. Mr. Acevedo has used his extensive background to help health care clients with sales and transactions, to resolve internal conflicts, as well as conflicts with government agencies. [2973] HIPAA Compliance - Minimizing Your Risk

Speaker
Acevedo, Luis
Model
2973

$45.00

Abuse, Neglect & Exploitation: New Investigative Procedures & Reporting

[2970] Abuse, Neglect & Exploitation: New Investigative Procedures & Reporting Education-Training Credits: 1.0 Hr(s) HCSSA Administrator/Alternate Summary:This program addresses the processes needed to maintain compliance with Texas ANE regulations. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.259[d][7]abuse, neglect, and exploitation §558.260[a][6]risk assessment and management Faculty:Brooks, Troy Program Description: Texas has some of the most stringent regulations related to the identifcation and investigation of suspected ANE in home health and hospice. This program presents the new rules & investigation process identifed in Senate Bill 1880 that was passed last legislative sessions. SB 1880 provides for the Texas Department of Family and Protective Services to be the state agency with primary jurisdiction over ANE investigations. Examined is how these investigations have changed since the implementation of SB 1880 and what has not changed. By examining common mistakes that agencies make with regard to ANE complaints you will learn practical steps to avoid them. From the intake of the complaint to the closing of the investigation, this program addresses the processes needed to maintain compliance with Texas regulations. Presentation Date: 11.14.2016 Learning Outcomes(s): Participants will actively engage in the discussion and incorporate best practices for identifying and reporting abuse, neglect, and exploitation into their practice. About the Presenter:
Troy Brooks is a former Assistant General Counsel for the Texas Department of Human Services, and has worked extensively with the Home and Community Support Services Agencies Program. Troy now represents home health and hospice agencies across Texas in Medicare and Medicaid disputes with government agencies and their contractors. He also represents home health agencies in negotiating and responding to government fraud investigations. Troy runs his own law firm, Brooks Acevedo Attorney at Law in Houston, Texas. [2970] Abuse, Neglect & Exploitation: New Investigative Procedures & Reporting

Speaker
Brooks, Troy
Model
2970

$30.00

The World Has Changed: Word-of-Mouth Went Viral!

[2960] The World Has Changed: Word-of-Mouth Went Viral (and Nobody Told the Home Care Industry) Education-Training Credits: 1.0 Hr(s) HCSSA Administrator/Alternate Summary: Ways to use social media in successful marketing HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][10]marketing Faculty:McManus, Roger Program Description: Dentists, Auto Shops and Pizza Parlors have all used the power of satisfied current customers to draw new ones. Whether through Facebook Fans, Google Reviews or Yelp Yappers, the influence of consumers on buying behavior has changed marketing in this country forever. Amazingly, online consumer feedback about Home Care is almost non-existent. And, there are a range of easy and almost cost-free ways to make it happen! This huge oversight is a massive opportunity for those in the Home Care business who act quickly. In this program you will learn economical, fool-proof ways to exploit this enormous gap resulting in more clients -- and the ability to attract more quality staff to serve them. Your view of marketing Home Care services will be turned completely upside down. Presentation Date: 08.11.2016 Learning Outcome: Upon completion of this program, the viewer will be able to: Discuss economical ways to use social media in successful marketing to clients and to attract higher quality staff. About the Presenters:
Roger McManus earned his undergraduate and graduate MBA degrees from Wake Forest University. Throughout his career, he has focused on the sources of information that allow owners of small businesses, like home care agencies, to gain faster growth and greater freedom. He capsulized those objectives in his 2011 book, Entrepreneurial Insanity, which he is currently restructuring in partnership with Tim Rowan to specifically address the issues facing owners of home care agencies in a book titled, Entrepreneurial Insanity in the Home Care Industry to be published Fall 2016. [2960] The World Has Changed: Word-of-Mouth Went Viral (and Nobody Told the Home Care Industry)

Speaker
McManus, Roger
Model
2960

$30.00

Best Business Practices for Private Pay Agencies

[2958] Best Business Practices for Private Pay Agencies Education-Training Credits: 1.0 Hr(s) HCSSA Administrator/Alternate Summary: Business success tips for private pay agencies HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][5]quality improvement §558.260[a][7]financial management §558.260[a][10]marketing Faculty:Cargle, Ken; Rine, Jennifer; Franco, Carolyn Program Description: Private Pay agencies take pride in focusing on client relationships, avoiding the “cookie cutter” mentality of home health services. What makes the successful agency tick, and… earn a profit? A seasoned panel of experts from the world of private pay presents how they have fine-tuned their business strategies in critical areas including staffing, operations and marketing. Presentation Date: 08.11.2016 Learning Outcome: Upon completion of this program, the viewer will be able to: Examine business success tips for private pay agencies including strategies for proper staffing, efficient operations and effective marketing. About the Presenters:
Ken Cargle is the Administrator/Owner of Goodcare Health Services in Amarillo, Texas. Ken has been active in home care for over 20 years and has owned a Medicare Certified agency (1994-2000) and has owned a Private Duty agency since 2000. He received his Bachelor of Arts and Masters of Divinity from Texas Christian University. Professional activities include serving on the American Cancer Society Board, Alzheimer’s Association Board, and the South Randall County Hospital Board. Ken is also the current president of the Texas Association for Home Care & Hospice. Jennifer Rine has been a Registered Nurse since 1989 with wide-ranging clinical experience from medical-surgical oncology, labor and delivery, pediatrics, long term care and rehabilitation, and home infusion nursing. She returned to school and completed her BSN in 2008. As the Director of Nursing and Administrator for BrightStar Care her vision is to develop a reputation for passionate patient-centered care and excellence in the home setting by ensuring patients and their families experience the best possible care from a team that is well-trained and supported. Carolyn Franco, BBA is the Administrator for Home Health Resources Agency- the private duty sister company to Home Health Resources, a licensed and certified home health agency. (HHR) Carolyn has been an organizational leader in the home health and community setting since 1996 when she began her health care career working for HHR, which was opened by her mother. She has 20 years experience in managing home care operations; having previously served as Chief Financial Officer and Director of Human Resources. Carolyn is deeply committed to using her extensive knowledge and experience to address challenges and barriers associated with recruitment, retention, supervision, and training of our most valuable asset, our caregivers, and to bringing Personal Assistance Services to the forefront of the senior care continuum. [2958] Best Business Practices for Private Pay Agencies

Speaker
Cargele,K / Rine,J / Franco,C
Model
2958

$30.00

Countdown to STAR Kids

[2954] Count Down to STAR Kids! Education-Training Credits: 1.5 Hr(s) HCSSA Administrator/Alternate Summary: All about the STAR Kids managed care model HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][3]basic principles of management in a licensed health-related setting §558.260[a][7]financial management §558.260[a][8]skills for working with clients, families, and other professional service providers Faculty:Dees, Brian Program Description: November 1, 2016 is the start date of STAR Kids. This program includes a presentation from Brian Dees and other HHSC staff as to what’s left to prepare as the STAR Kids implementation date approaches. Many questions from providers in attendance are addressed. The presenters also share what providers need to know as families choose their plans and their services transition to managed care. Presentation Date: 08.10.2016 Learning Outcome: Upon completion of this program, the viewer will be able to: Discuss the history, implementation plans, and clinical program requirements for the new STAR Kids managed care model. About the Presenter:
Brian Dees has been a policy advisor in the Medicaid and CHIP Division of the Health and Human Services Commission since 2011. He has worked closely on implementation of STAR Kids, a new Medicaid managed care program for children and young adults with disabilities that aims to improve care coordination. He has also worked on projects ranging from improving Medicaid program policies, to legislative analysis, to designing assessment tools for home and community-based services. Brian holds a bachelor's degree from Austin College in Sherman, Texas, and a master's degree from the University of Edinburgh in Edinburgh, Scotland. He lives in Austin, Texas, with his wife, Kellie, and two dogs, Dmitri and Seven. [2954] Count Down to STAR Kids!

Speaker
Dees, Brian
Model
2954

$45.00

New Dept of Labor Rules: Overtime Criteria & Other Risks for HHAs

[2950] New DOL Rule: Overtime Criteria and Other Risks for HHAs Education-Training Credits: 1.0 Hr(s) HCSSA Administrator/Alternate Summary:Recent employment law changes & problems common to home health and hospice HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][3]basic principles of management in a licensed health-related setting §558.260[a][7]financial management Faculty:Haff, Alicia Program Description: There are Big Changes from the Department of Labor (DOL) in the overtime criteria! Employers may now have to pay overtime for employees whom did not meet those criteria last year. Don’t risk being a target for a DOL investigation – get the facts! This program addresses many employment law problems common to home health & hospice providers including... overtime on-call travel time hourly vs. contract workers PRN live-ins work separations Fair Labor Standards Act Presentation Date: 08.10.2016 Learning Outcome: Upon completion of this program, the viewer will be able to: Apply the recent changes in overtime laws and recognize employment law problems common to home health and hospice. About the Presenter:
Alicia Haff, JD, Partner, ETC Companies, has practiced law in Texas since 1997, after graduating from The University of Texas School of Law in Austin in 1996. Healthcare issues and specifically, the Affordable Care Act, passed in 2010, have become Alicia’s passion. To that end, she obtained her Certified Health Care Specialist designation and is certified as a Patient Protection and Affordable Care Act Professional. As part of her consulting practice, Alicia is retained on a regular basis by clients to advise on the intricacies of the Affordable Care Act and clients’ need to come into compliance with the law and regulations. [2950] New DOL Rule: Overtime Criteria and Other Risks for HHAs

Speaker
Haff, Alicia
Model
2950

$30.00

How to Improve Outcomes While Dealing with Reimbursement Cuts

[2949] How to Improve Outcomes While Dealing with Reimbursement Cuts Education-Training Credits: 1.0 Hr(s) HCSSA Administrator/Alternate Summary:CMS rebasing, Value-Based Purchasing, and episode management strategies to reduce risk HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][3]basic principles of management in a licensed health-related setting §558.260[a][7]financial management Faculty:Salmons, Laurie Program Description: With the third year of PPS cost rebasing around the corner, it remains very important for agencies to monitor costs while improving clinical outcomes. Agencies MUST make their operations more efficient to preserve margins. Meanwhile, on the clinical front, reporting measures call for agencies to focus heavily on reducing ACH rates. Effective episode management that uses best practice processes and triggers will be the key to success in both these areas. Presentation Date: 08.10.2016 Learning Outcome: Upon completion of this program, the viewer will be able to: Describe CMS rebasing, Value-Based Purchasing, and episode management strategies to reduce risk. About the Presenter:
Laurie Salmons, RN, BSN, Clinical Consulting Manager, McBee Associates, has been a registered nurse for over 30 years with 20 of those years being spent in the home care industry. Her specialty is working with home care providers to improve the care delivery services of the elderly while in their homes through episode and disease management strategies. She has lectured on home care issues for the National Association of Home Care and Hospice and at regional and state conferences as well. Laurie co-authored a manual on Best Practices for the Home Care Patient. [2949] How to Improve Outcomes While Dealing with Reimbursement Cuts

Speaker
Salmons, Laurie
Model
2949

$30.00

Abuse, Neglect & Exploitation: New Rules from TX Senate Bill 1880

[2826] Abuse, Neglect & Exploitation: New Rules from TX Senate Bill 1880 Education-Training Credits: 1.0 Hr(s) HCSSA Administrator/Alternate Summary:How new rules & investigation process identified in the recently passed Senate Bill 1880 that dictates an agency's policies and responses to suspected ANE HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.259[d][7]abuse, neglect, and exploitation §558.260[a][2]development and interpretation of agency policies §558.260[a][3]basic principles of management in a licensed health-related setting Faculty:Brooks, Troy Program Description: Texas has some of the most stringent regulations related to the identification and investigation of suspected ANE in home health and hospice. This program discusses the new rules & investigation process identified in the recently passed Senate Bill 1880 that dictates an agency's policies and responses to suspected ANE. Also examined are common mistakes that agencies make with regard to ANE complaints and practical steps to avoid them. From the intake of the complaint to the closing of the investigation, this program addresses the processes needed to maintain compliance with Texas regulations. Presentation Date: 11.17.2015 Program Objectives: Upon completion of this program, the viewer will be able to: Identify the rule that addresses self-reported incidents of abuse, neglect, and exploitation for Home and Community Support Services Agencies. Identify two laws that provide definitions for ANE as it is used in § 97.249. Describe an allegation of abuse. Describe Texas Senate Bill 1880. About the Presenter:
Troy Brooks is a former Assistant General Counsel for the Texas Department of Human Services, and has worked extensively with the Home and Community Support Services Agencies Program. Troy now represents home health agencies across Texas in Medicare and Medicaid disputes with government agencies and their contractors. He also represents home health agencies in negotiating and responding to government fraud investigations. Troy runs his own law firm, Brooks Acevedo Attorney at Law, here in Houston, Texas. [2826] Abuse, Neglect & Exploitation: New Rules from TX Senate Bill 1880

Speaker
Brooks, Troy
Model
2826

$30.00

Infection Control Components for Home Care & Hospice

[2822] Infection Control Components for Home Care & Hospice Education-Training Credits: 1.0 Hr(s) HCSSA Administrator/Alternate Summary:Infection control compliance strategies. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.259[d][8]infection control §558.260[a][3]basic principles of management in a licensed health-related setting §558.260[a][6]risk assessment and management Faculty:Kelley, Freda Program Description: This program presents the role of the hospice and home care administrator in the adoption and enforcement of infection control practices. With focus on compliance in our world today, setting the standard for basic infection control practices is crucial. Key infection prevention strategies are presented to assist in the management of re-hospitalization rates, patient satisfaction and quality patient care. The presenter also demonstrates how providers, practitioners, patients and lawmakers are all currently involved in this issue. Learn what you as an administrator should be asking of your agency with regard to this topic. Presentation Date: 11.16.2015 Program Objectives: Upon completion of this program, the viewer will be able to: Identify issues in standard infection control practices from our history and events in the world today that impact both patients and providers. List key implications for infection control practice in the home healthcare setting. State how providers, practitioners, patients and lawmakers are all currently involved in infection control issues. Identify the regulatory administrator responsibilities in infection control practice in the home care and hospice agency. About the Presenter:
Freda Kelley has been a Registered Nurse since 1975 and has personal experience with the changes of infection prevention and control practice over the years. Her focused area of practice in home care began in 1985. It was her initial experience as a PRN field nurse in a small, hospital-based home healthcare agency in rural West Texas that set her professional future. Freda has served as a Branch Agency Director, Administrator, Supervising Nurse and now as Vice-President of Clinical Services of a home care organization in Ft. Worth. [2822] Infection Control Components for Home Care & Hospice

Speaker
Kelley, Freda
Model
2822

$30.00

A Corporate Integrity Agreement May be Good Medicine

[2821] A Corporate Integrity Agreement May be Good Medicine Education-Training Credits: 1.50 Hr(s) HCSSA Administrator/Alternate Summary:Ensure your risk and compliance programs meet the Federal Sentencing Guidelines (FSG). HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][3]basic principles of management in a licensed health-related setting §558.260[a][6]risk assessment and management Faculty: Bommelje, Karen Program Description: In today's healthcare environment there is an ever-increasing amount of scrutiny and government oversight of home health and hospice providers. It may not be a question of "if" you are ever under investigation, but "when" your agency is under the microscope. It is becoming increasingly necessary to ensure your risk and compliance programs meet the Federal Sentencing Guidelines (FSG). This program looks at specific Corporate Integrity Agreements (CIAs) and how closely mirrored they are to the FSG. A robust, effective and ethical compliance program that is more than a binder on the shelf will be a key to keeping the "medicine" away! Presentation Date: 11.17.2015 Program Objectives: Upon completion of this program, the viewer will be able to: Identify the Seven Elements of a compliance program Explain how to evaluate the effectiveness of your current compliance plan Describe how an effective compliance plan will assist in reducing risk About the Presenter:
Karen Bommelje is a seasoned professional with more than 25 years of nursing, management, and consulting experience in the health care industry, including: home care, pediatrics, hospice, long-term care, home care pharmacy/infusion, and medical equipment/respiratory. Prior experience includes Corporate and Regional positions with multi-site Home Health and Hospice providers. Karen’s focus since 1991 has been in Regulatory, Quality, Accreditation and Compliance areas. Karen has been with Simione Healthcare consultants for the past five years where she is a Senior Manager on the Compliance Team responsible for management of regulatory and compliance projects for attorneys and clients. [2821] A Corporate Integrity Agreement May be Good Medicine

Speaker
Bommelje, Karen
Model
2821

$45.00

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