New Products
Building Workforce Across Generations: Are You Ready to Compete?
[3121] Building Workforce Across Generations: Are You Ready to Compete?
Build a winning strategy in a increasing competitive talent marketplace.
Presentation Info:
Presentation Date: August 9, 2018
TAHC&H Event: TAHC&H Annual Meeting | Frisco
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.0 Clock Hrs
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][9]community resources
§558.260[a][10]marketing
Program Description: For the first time in history, five generations can be found working side by side in the workforce. A talent gap is forming as Baby Boomers age into retirement and
Millennials climb the corporate ladder. Recruitment strategies to attract, recruit, retain, and motivate young people need to reply 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.
Program Learning Outcome:
Learners will actively engage in the learning activity and indicate an intent to change their practice by implementing strategies to recruit, retain, and motivate a young workforce.
TAHC&H Faculty/Presenter: Adrian Killebrew, Business Development Executive, Axxess
About the Presenter:
Adrian Killebrew is a savvy professional whose ability to connect others and build
relationships has allowed organizations to establish meaningful business connections nationally. Adrian is a business development executive for Axxess,
the fastest growing home healthcare technology company in North America, where he oversees relationships and partnerships with key industry associations,
regional consultants, and national vendor partners. Adrian has been delivering organizational management and business development strategies for over 13 years.
He brings expertise from the healthcare technology, wireless, and association management industries working for organizations such as Verizon, Dallas Regional
Chamber and Axxess. Adrian is currently in the pursuit of a Doctorate in Management with an emphasis in Organizational Leadership.
Adrian is also the Founder and Executive Director of IRON Dallas. His personal brand is in lock-step with his commitment to
investing in the community. He believes in the power of mentorship and professional development and puts that belief into action. He serves on the board of
the Dallas Arboretum, TAHCH’s PAC Council and is actively engaged in mentorship programs with Dallas Regional Chamber Young Professionals, Year Up and Education is
Freedom. He is an alum of Leadership Dallas, Dallas 40 Under 40, Mayor’s Star Council and serves as the Vice President of the Dallas alumni chapter of his alma mater,
Rhodes College. He is not only committed to his own success, but he is equally committed to the success of others.
[3121] Building Workforce Across Generations: Are You Ready to Compete?
- Speaker
- Killebrew, Adrian
- Model
- 3121
$30.00
Home-Based Care and the (Re)emergence of Managed Care: Opportunities and Strategic Imperatives
[3120] Home-Based Care and the (Re)emergence of Managed Care: Opportunities and Strategic Imperatives
A high-level overview of strategic imperatives and emerging opportunities.
Presentation Info:
Presentation Date: August 9, 2018
TAHC&H Event: TAHC&H Annual Meeting | Frisco
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.0 Clock Hrs
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][7]financial management
Program Description: This program provides a high-level overview of the strategic imperatives and
emerging opportunities facing home health, hospice, and other home-based care providers. It explores the paths that CMS,
Medicaid agencies, and other payers are likely to follow in refining and expanding risk-based payment models—both for
post-acute providers as well as their acute care referral partners. Along with the adoption and diffusion of ACOs and
other value-based payment models, it addresses the implications of the expansion in Medicare Advantage and Medicaid managed
care for the growth and profitability of post-acute care providers.
Against the backdrop of rising managed care penetration and more risk-based payment models, there is a look at how
demographics and evolving consumer preferences are likely to affect the post-acute care business model. The program
concludes with an exploration of the different business models that leading home-based care organizations are pursuing,
ranging from serving as the high-reliability downstream provider to acting as the comprehensive post-acute care manager for
hospitals and payers.
Program Learning Outcome:
Learners will actively engage in the learning activity and indicate an intent to change their practice by applying strategies to remain competitive as new value-based payment models emerge.
TAHC&H Faculty/Presenter: Fred Bentley, Vice President, Avalere
About the Presenter:
Fred Bentley advises clients on health
delivery and payment innovation, providing analytic and strategic insight on issues related to the delivery of care. As an expert in fields
ranging from payer strategy to hospital-physician alignment, and post-acute care, he has worked with providers, including integrated delivery
networks, academic medical centers, post-acute providers, and long-term care organizations as well as national and regional health plans.
Over the past five years, his work has focused on supporting health systems engage in Medicare and Medicaid payment and delivery system transformation initiatives.
Prior to joining Avalere, Fred was a Principal in the Accountable Care Solutions practice at The Chartis Group.
In this role, he worked with leading hospitals and health systems in developing strategic roadmaps to guide their clinical innovation,
population health, and cross-continuum integration initiatives. He also served as a Managing Director with The Advisory Board Company,
managing a team of consultants and analysts who supported provider organizations ranging from physician groups and health systems to post-acute care providers.
Fred holds an MPP and MPH from the University of California, Berkeley and a BA in Political Science from Haverford College.
[3120] Home-Based Care and the (Re)emergence of Managed Care: Opportunities and Strategic Imperatives
- Speaker
- Bentley, Fred
- Model
- 3120
$30.00
Reading the Tea Leaves – Home Health at a Critical Juncture!
[3119] Reading the Tea Leaves – Home Health at a Critical Juncture!
Focus on evolution from fee-for-service to system based on delivery of value.
TAHC&H Faculty/Presenter: Duane Blackwell, CEO, National Home Health Analytics
Presentation Info:
Presentation Date: August 8, 2018
TAHC&H Event: TAHC&H Annual Meeting | Frisco
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.5 Clock Hrs
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][7]financial management
Program Description: The home health industry is at a critical
juncture in its evolution from fee-for-service (FFS) to a healthcare system based on the delivery of value.
This program includes discussion and review of Medicare Home Health claims data and how it supports the arguments
that will be made. The presenter starts with a quick look at the current state of the industry and some of the
new delivery models that are requiring reassessment of how home health is delivered (ACOs, Bundled Payments, etc...)
There is a review and trend of the relevant claims data metrics for the US, Texas, and several local Texas markets.
Included is a discussion on the ongoing processes employed by Accountable Care Organizations and hospital systems of
vetting post-acute care (PAC) providers for inclusion in preferred provider narrow networks. The program concludes
with a look at some "inconvenient truths" surrounding the growing impact and influence of Medicare Advantage on the
home health industry.
Program Learning Outcome: Upon completion of this program, the viewer will be able to:
Indicate an intent to change or
enhance their practice by utilizing publicly available data to enhance care delivery processes.
TAHC&H Faculty/Presenter: Duane Blackwell, CEO, National Home Health Analytics
About the Presenter:
Duane Blackwell has been in home health since August, 1997 when he was
hired as CEO of Thompson Home Health, a multi-provider Louisiana-based home health company. At that time, the industry was undergoing a
dramatic transition from a cost-based system to prospective payment. Duane’s previous career in commercial banking seemed a good fit for
what was to be a tectonic shift in the way home health was delivered. In 2003, he assisted in the successful sale of Thompson to an equity
investment firm, staying on as CEO for five years following the sale.
In 2008, Duane established SOSO Solutions, LLC, a consulting practice focused primarily on the serving needs
of post-acute care providers, including home health and hospice companies. SOSO’s areas of focus include strategic planning, financial
management, the management of change, and sales and business development. SOSO continues to serve a client base centered in the Gulf South..
In 2015, Duane partnered with Dr. Cordt Kassner and Dr Warren Hebert to establish National Home Health Analytics;
a Medicare Clams and Cost Report research and consulting company focused on delivering industry transparency. A native of Hattiesburg, Mississippi, Duane
earned a Bachelor of Science in Business Administration and a Master of Business Administration from The University of Southern Mississippi.
[3119] Reading the Tea Leaves – Home Health at a Critical Juncture!
- Speaker
- Blackwell, Duane
- Model
- 3119
$45.00
Ensure Appropriate Setting Selection by Working with Hospital Discharge Planners
[3117] Ensure Appropriate Setting Selection by Working with Hospital Discharge Planners
How to help Discharge Planners make fact based transition of care decisions.
TAHC&H CONFERENCE RECORDING: This program was presented on 08/08/2018 at the Texas Association of Home Care
& Annual Conference in Frisco. It is one of 16 presentations captured and produced for online access. Subscribers receive
24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page.
Presentation Info:
Presentation Date: August 8, 2018
TAHC&H Event: TAHC&H Annual Meeting | Frisco
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.5 Clock Hrs
Social Worker
1.5 CEU
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of social work education by the Texas State Board of Social Work Examiners, approved provider #1230.
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
§558.260[a][9]community resources
§558.260[a][10]marketing
Program Description:Effective hospital discharge planning and transitions of care have real
benefits in improved patient outcomes and lower hospitalization rates. Though the American Medical Association and the
Joint Commission offer recommendations for discharge planning, there is no universal system used within hospitals. Being
able to work with your hospital discharge planners to help them make fact based transition of care decisions, even if it’s
not to your practice setting, may influence the rest of patients’ lives.
Program Learning Outcome:
Learners will actively engage in the learning activity and indicate an intent to change their practice by
utilizing techniques to help discharge planners make fact-based decisions when assisting with transitions of care.
TAHC&H Faculty/Presenter: Cheryl A. Acres RN, CCM, CDP
About the Presenter:
Cheryl Acres has been an RN since 1978, and a certified case manager since 1998.
As of February 2018, she obtained her credentials as a Certified Dementia Practitioner (CDP), and her certification as an Assisted Living Manager (CALM) in Texas.
Clinical practice areas have included acute care and home health care, and case management practice has included group health insurance, home health care, Workers’
Compensation, disability management and consulting, with multiple areas of expertise. She founded her company, Comprehensive Care Management LLC in 2007, in order to
assist seniors and families to develop a care road map, providing education about illness and services for their aging loved ones, and to aid seniors in maintaining their
health, independence, while aging with dignity.
[3117] Ensure Appropriate Setting Selection by Working with Hospital Discharge Planners
- Speaker
- Acres, Cheryl
- Model
- 3117
$45.00
Medicare Targeted Probe & Educate
[3116] Medicare Targeted Probe & Educate
Learn how to respond to record requests and subsequent audit findings.
TAHC&H CONFERENCE RECORDING: This program was presented on 08/08/2018 at the Texas Association of Home Care
& Annual Conference in Frisco. It is one of 16 presentations captured and produced for online access. Subscribers receive
24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page.
Presentation Info:
Presentation Date: August 8, 2018
TAHC&H Event: TAHC&H Annual Meeting | Frisco
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.5 Clock Hrs
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][2]development and interpretation of agency policies
§558.260[a][6]risk assessment and management
§558.260[a][7]financial management
Program Description: This program reviews the goal of the Targeted Probe & Educate audit process.
Learn how to respond to these record requests as well as the subsequent audit findings. The timelines for responses and the
recoupment process are defined. This presentation describes likely audit risks for home health agencies and how to
monitor those risks, including analyzing PEPPER reports. It will not only assist in providing a checklist for the
documentation required to be sent in, but also suggest a checklist of things to review in the chart before sending it in.
Program Learning Outcome:
Learners will actively engage in the learning activity and indicate an intent to change their practice by using the PEPPER reports
to target documentation enhancements that will result in more successful Targeted Probe and Educate results.
TAHC&H Faculty/Presenter: Melinda A. Gaboury, COS-C Chief Executive Officer, Healthcare Provider Solutions
About the Presenter:
Melinda Gaboury, with more than 27 years in home care, has over 17 years of executive speaking and educating experience,
including extensive day to day interaction with home care and hospice professionals. She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association
meetings throughout the country. Melinda has profound experience in Medicare PPS training, billing, collections, case-mix calculations, chart reviews and due diligence. ZPIC, RA,
ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry. She is currently serving on the NAHC/HHFMA Advisory Board as
ex-officio and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health Pocket Guide to OASIS-C2: A Reference for Field Staff.
[3116] Medicare Targeted Probe & Educate
- Speaker
- Gaboury, Melinda
- Model
- 3116
$45.00
CLAS Implementation-National Standards for Culturally & Linguistically Appropriate Services
[3115] Implementation of the National Standards for Culturally and Linguistically Appropriate Services (CLAS)
Important steps in implementing and sustaining CLAS standards within your organization.
TAHC&H CONFERENCE RECORDING: This program was presented on 08/08/2018 at the Texas Association of Home Care
& Annual Conference in Frisco. It is one of 16 presentations captured and produced for online access. Subscribers receive
24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page.
Presentation Info:
Presentation Date: August 8, 2018
TAHC&H Event: TAHC&H Annual Meeting | Frisco
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.5 Clock Hrs
Social Worker
1.5 CEU
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of social work education by the Texas State Board of Social Work Examiners, approved provider #1230.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][2]development and interpretation of agency policies
§558.260[a][6]risk assessment and management
§558.260[a][8]skills for working with clients, families, and other professional service providers
Program Description:This program covers important steps in implementing and
sustaining the CLAS standards within your organization. You will learn how to manage change by following key strategies
for evolving your environment. You will also learn tips to sustain this evolution long term with turnover and the
ever-changing rules and regulations of the healthcare industry. A real case example of implementing these standards
within a large managed care organization is also presented. By the end of this program, you will be able to identify
the key steps in the CLAS Blueprint with ideas on implementing these standards within your organization.
Program Learning Outcome:
Learners will actively engage in the learning activity and indicate an intent to change their practice by actively
implementing National Standards for Culturally and Linguistically Appropriate Services to enhance patient care.
TAHC&H Faculty/Presenter: Jillian Hamblin, Chief Operating Officer, UnitedHealthcare Community Plan
About the Presenter:
Jillian Hamblin is the Chief Operating Officer of UnitedHealthcare Community & State’s Texas Health Plan.
In this role, Jillian oversees health plan operational excellence, project management, appeals and grievances, state inquiries, vendors, and network relations.
She is responsible for the overall member experience for Medicaid, CHIP, Medicare-Medicaid Dual Demonstration, and Dual Special Needs Plan members, including
the strategy to address Social Determinants of Healthcare. She sponsors initiatives specifically focused on combating homelessness and finding competitive
employment in the community. She also serves as the Executive Sponsor for the Project Search program at the Texas Health Plan, a program that provides young
adults with Intellectual or Developmental Disabilities internship opportunities on their path to competitive employment.
Before assuming this role in December of 2015, Jillian was the Director of Health Services Operations for the Texas Health Plan. Here she focused
on process documentation and improvement, creation and implementation of clinical training programs, employee engagement, and innovation. Her innovation skills
were rewarded as a finalist in the prestigious UnitedHealth Group Stephen Hemsley Innovation Challenge in 2013. Prior to joining UnitedHealthcare, Jillian was the
Director of Account Services for a Specialty Benefit Management vendor that focused on quality, safety, and utilization management for over five million lives
across the United States and Puerto Rico. Jillian received a Bachelor of Science in Psychology from Baylor University in Waco, Texas.
She is very passionate about animal rescue and fostering. She resides in Spring, Texas with her husband, two children, and two dogs.
[3115] Implementation of the National Standards for Culturally and Linguistically Appropriate Services (CLAS)
- Speaker
- Hamblin, Jillian
- Model
- 3115
$45.00
CLAS Overview-National Standards for Culturally & Linguistically Appropriate Services
[3114] An Overview of the National Standards for Culturally and Linguistically Appropriate Services (CLAS)
Learn the purpose, definitions and examples of these standards in action.
TAHC&H CONFERENCE RECORDING: This program was presented on 08/08/2018 at the Texas Association of Home Care
& Annual Conference in Frisco. It is one of 16 presentations captured and produced for online access. Subscribers receive
24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page.
Presentation Info:
Presentation Date: August 8, 2018
TAHC&H Event: TAHC&H Annual Meeting | Frisco
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.25 Clock Hrs
Social Worker
1.25 CEU
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of social work education by the Texas State Board of Social Work Examiners, approved provider #1230.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][2]development and interpretation of agency policies
§558.260[a][6]risk assessment and management
§558.260[a][8]skills for working with clients, families, and other professional service providers
Program Description:This program provides an overview of the National Standards for Culturally
and Linguistically Appropriate Services (CLAS), including the purpose, definitions of each standard, and examples of these
standards in action. By the end of this presentation, you will be able to define the standards and identify examples of
each standard in action as it relates to the health care industry. You will also learn the timeline for health equity and
important milestones in eliminating health care disparities among our population.
Program Learning Outcome:
Learners will actively engage in the learning activity and indicate an intent to change their practice by identifying examples of the Culturally
and Linguistically Appropriate Services (CLAS) standards in action to aid in reducing health disparities among their patient population.
TAHC&H Faculty/Presenter: Jillian Hamblin, Chief Operating Officer, UnitedHealthcare Community Plan
About the Presenter:
Jillian Hamblin is the Chief Operating Officer of UnitedHealthcare Community & State’s Texas Health Plan.
In this role, Jillian oversees health plan operational excellence, project management, appeals and grievances, state inquiries, vendors, and network relations.
She is responsible for the overall member experience for Medicaid, CHIP, Medicare-Medicaid Dual Demonstration, and Dual Special Needs Plan members, including
the strategy to address Social Determinants of Healthcare. She sponsors initiatives specifically focused on combating homelessness and finding competitive
employment in the community. She also serves as the Executive Sponsor for the Project Search program at the Texas Health Plan, a program that provides young
adults with Intellectual or Developmental Disabilities internship opportunities on their path to competitive employment.
Before assuming this role in December of 2015, Jillian was the Director of Health Services Operations for the Texas Health Plan. Here she focused
on process documentation and improvement, creation and implementation of clinical training programs, employee engagement, and innovation. Her innovation skills
were rewarded as a finalist in the prestigious UnitedHealth Group Stephen Hemsley Innovation Challenge in 2013. Prior to joining UnitedHealthcare, Jillian was the
Director of Account Services for a Specialty Benefit Management vendor that focused on quality, safety, and utilization management for over five million lives
across the United States and Puerto Rico. Jillian received a Bachelor of Science in Psychology from Baylor University in Waco, Texas.
She is very passionate about animal rescue and fostering. She resides in Spring, Texas with her husband, two children, and two dogs.
[3114] An Overview of the National Standards for Culturally and Linguistically Appropriate Services (CLAS)
- Speaker
- Hamblin, Jillian
- Model
- 3114
$37.50
Creating an Effective QAPI Program
[3113] Creating an Effective Quality Assurance Performance Improvement (QAPI) Program
Strategies for implementing an effective agency-wide QAPI program.
TAHC&H CONFERENCE RECORDING: This program was presented on 08/08/2018 at the Texas Association of Home Care
& Annual Conference in Frisco. It is one of 16 presentations captured and produced for online access. Subscribers receive
24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page.
Presentation Info:
Presentation Date: August 8, 2018
TAHC&H Event: TAHC&H Annual Meeting | Frisco
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.25 Clock Hrs
Social Worker
1.25 CEU
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of social work education by the Texas State Board of Social Work Examiners, approved provider #1230.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][2]development and interpretation of agency policies
§558.260[a][5]quality improvement
Program Description:This program presents the regulatory requirements for Quality
Assurance Performance Improvement (QAPI), and how to create strategies for implementing the requirements to
build an effective agency-wide QAPI program.
Program Learning Outcome:
Learners will actively engage in the learning activity and indicate an intent to change their practice by
creating strategies to implement the requirements to build an effective agency-wide QAPI program to enhance patient outcomes.
TAHC&H Faculty/Presenter: Diane Datz, RN, MA, Hospice Educator and Regulatory Specialist, HealthCare ConsultLink
About the Presenter:
Diane Datz has been a hospice nurse and chaplain for twenty-five years. In addition to her nursing credentials,
she holds a master’s degree in spiritual psychology from the Institute of Transpersonal Psychology, Sophia University, Palo Alto, California and a certificate in
gerontology from Our Lady of the Lake University. Diane has published original end-of-life research in Omega Journal of Death and Dying and is a regular presenter
at state and national end-of-life conferences and workshops. Diane also serves as an advisor to TrueSolace, an online platform for grief support. Her volunteer
commitments include serving on the Advisory Board of ABODE: Contemplative Care for the Dying in San Antonio, Texas and as a Board member of Texas and New Mexico
Hospice Organization. Diane co-facilitates meetings for San Antonio Death Café, part of an international movement to encourage public conversations about death
and dying. Diane is also an ordained priest in The Old Catholic Church, Province of the United States. She is currently the Hospice Educator and Regulatory
Specialist with HealthCare ConsultLink.
[3113] Creating an Effective Quality Assurance Performance Improvement (QAPI) Program
- Speaker
- Datz, Diane
- Model
- 3113
$37.50
Fraud, Abuse & Ethics
[3108] Fraud, Abuse & Ethics
Provides a general overview of healthcare fraud & abuse laws with a practical understanding of how they work.
Presentation Info:
Presentation Date: November 14, 2017
TAHC&H Event: HCSSA Administrator Program | Houston
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.00 Clock Hrs
Social Worker
1.00 CEU
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of social work education by the Texas State Board of Social Work Examiners, approved provider #1230.
HCSSA Topic(s) Addressed:
§97.259[d][1]information regarding fraud and abuse detection and prevention
§97.259[d][4]agency responsibilities
§97.260[a][6]risk assessment and management
Program Description: Medicare certified home health agencies,
private duty agencies and hospices are looking for ways to collaborate with other providers, including
referral sources. While collaboration may address some difficult problems, the statute and rules regarding
fraud and abuse still apply to all provider types. This program provides a general overview of
healthcare fraud & abuse laws that affect providers including:
False Claims Act
Stark & Anti-Kickback Statutes
Statistics, investigations, and unethical conduct (including blatant overutilization) is discussed.
The program also provides a fundamental understanding of these laws to Home Care
administrators using real-life home care examples. These case studies include a range of situations in marketing,
delivery of care, and referral arrangements. By discussing these laws in context of common scenarios, this presentation
provides a practical understanding of how they work.
Program Learning Outcome:
Learners will actively engage in the activity and indicate an intent to change or
enhance their practice by ensuring application of fraud and abuse surveillance within their agency to promote ethical standards of practice.
TAHC&H Faculty/Presenter: William Dombi, JD, President, National Association for Home Care & Hospice
About the Presenter:
William Dombi, JD is the President of the
National Association for Home Care & Hospice. Bill specializes in legal, legislative, and regulatory advocacy on behalf of
patients and providers of home health and hospice care. With nearly 40 years of experience in health care law and policy,
he has been involved in virtually all legislative and regulatory efforts affecting home care and hospice since 1975,
including the expansion of the Medicare home health benefit in 1980, the formation of the hospice benefit in 1983, the
institution on Medicare PPS for home health in 2000, and the national health care reform legislation in 2010. With
litigation, Dombi was lead counsel in the landmark lawsuit that reformed the Medicare home health services benefit,
challenges to HMO home care cutbacks for high-tech home care patients, lawsuits against Medicaid programs for inadequate
payment rates, along with current lawsuits challenging the Medicare home health face-to-face encounter rule and the
Department of labor changes to the overtime rules under the Fair labor Standards Act.
In addition to litigation, Bill offers extensive community and professional educational services through lectures,
publications, teleconferences, and videos. He is the Editor and lead author of Home Care & Hospice Law: A Handbook for
Executives, the only comprehensive legal treatise on the topic. His lectures include market trends in home care,
compliance, risk management, patient rights, fraud and abuse, health care reimbursement, legislative and regulatory
reforms, and legal issues in telehealth services.
[3108] Fraud, Abuse & Ethics
- Speaker
- Dombi, William A
- Model
- 3108
$30.00
QAPI: Closing the Loop on Agency Performance
Presentation Info:
Presentation Date: November 14, 2017
TAHC&H Event: HCSSA Administrator Program | Houston
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.00 Clock Hrs
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
§97.259[d][4]agency responsibilities
§97.260[a][5]quality improvement
Program Description: All agencies believe they provide
quality service in an effective, efficient, and economically sound manner. But proving and backing up
the assertions requires a Quality Assessment and Performance Improvement (QAPI) program that
quantifies results in a measurable way. This program reviews the regulatory requirement for
QAPI program including selection of committee members, development of an effective QAPI policy
and plan, minimal requirements set forth by the state, and activities that can be performed,
measured, and quantified from point to point of review. It also provide updates
for the new QAPI condition and agency requirements applicable to Medicare certified home health
agencies to be implemented on January 8, 2018. The presenter also provides a sample policy and
procedure guide for the new requirements.
Program Learning Outcome:
Learners will actively engage in the learning activity and indicate an
intent to change or enhance their practice by choosing quality projects that produce measurable outcomes to enhance patient care.
TAHC&H Faculty/Presenter: Jan Spears, Chief Executive Officer of MJS & Associates, LLC
About the Presenter:
Jan Spears is Co-owner and
Chief Executive Officer of MJS & Associates, LLC. 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, LLC.
[3107] QAPI: Closing the Loop on Agency Performance
- Speaker
- Spears, Jan
- Model
- 3107
$30.00
Achieving Regulatory Efficiencies
[3106] Achieving Regulatory Efficiencies
Many tips and ways to streamline and simplify the execution of compliant management.
TAHC&H Faculty/Presenter: Kay Hollers
Presentation Info:
Presentation Date: November 14, 2017
TAHC&H Event: HCSSA Administrator Program | Houston
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.00 Clock Hr(s)
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
Program Description: Today’s Home Care Executive is confronted with myriad
regulatory requirements about State and Federal compliance, reimbursement requirements, personnel management,
confidentiality and safety requirements, taxation and much more. This presentation focuses on and proposes changes to processes and systems that
streamline and simplify the execution of compliant management. Maintaining the focus on efficiencies, the presentation also discusses:
appropriate delegation
strategic outsourcing
time management hints
communication techniques
useful technological tools
Program Learning Outcome:
Learners will actively engage in the learning activity and indicate an intent to change or
enhance their practice by implementing efficiencies to streamline operations related to regulatory requirements.
About the Presenter:
Kay Hollers, RN MPH COS-C HCS-D is an Independent Consultant for HealthCare ConsultLink and has over 35 years’
experience in administration of and consulting with home health and hospice agencies. She holds a post-Masters
certification in Healthcare Evaluation from Wayne State University with emphasis on quality evaluation in healthcare
settings and is a frequent presenter to public and private audiences on topics such as OASIS accuracy, care planning,
clinical best practices, and QAPI procedures.
[3106] Achieving Regulatory Efficiencies
- Speaker
- Hollers, Kay
- Model
- 3106
$30.00
Security & Data Loss Prevention: How to Prepare for Ransomware & Other Cyber Attacks
[3105] Security & Data Loss Prevention: How to Prepare for Ransomware & Other Cyber Attacks
A focus on common areas of vulnerability and ways to protect against most attacks.
Presentation Info:
Presentation Date: November 14, 2017
TAHC&H Event: HCSSA Administrator Program | Houston
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.00 Clock Hrs
Social Worker
1.00 CEU
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of social work education by the Texas State Board of Social Work Examiners, approved provider #1230.
HCSSA Topic(s) Addressed:
§97.259[d][4]agency responsibilities
§97.260[a][6]risk assessment and management
Program Description: The recent ransomware attack, and threats of more to come,
have raised questions regarding security and available protection mechanisms. Protecting your health data is more important
than ever and failing to do so can come at a hefty price. This program provides focus on common areas of vulnerability and
discusses ways to protect against most attacks. Risk of data loss and methods of recovery are also examined.
Program Learning Outcome:
Learners will identify ways to manage cybersecurity risks in compliance with the HIPAA Security Rule to
ensure the confidentiality and integrity of electronic protected health information.
TAHC&H Faculty/Presenter: Ricky Smith, President, Innovative Business Technologies
About the Presenter:
Ricky Smith is the President of Innovative Business Technologies, a
SOC II compliant Cloud Service Provider and Managed IT Service organization that works primarily with healthcare providers.
Prior to IBT, Ricky spent 11 years with the homecare and hospice product group of McKesson Information Solutions. As Director of
Technical Services, he became passionate about IT’s ability to facilitate patient care. In addition to 19 years in IT health-care,
Ricky spent several years as a systems engineer and telecommunications technician in a high-profile financial and chemical engineering
sector. Ongoing research on technology trends, as it relates to healthcare providers, allows him to maintain expertise in data security,
compliancy, business continuity, and risk analysis.
[3105] Security & Data Loss Prevention: How to Prepare for Ransomware & Other Cyber Attacks
- Speaker
- Smith, Ricky
- Model
- 3105
$30.00
Marketing in Healthcare: The Can You and Can’t You Dilemma
[3104] Marketing in Healthcare: The Can You and Can’t You Dilemma
The most important presentation on marketing your agency.
TAHC&H Faculty/Presenter: Jan Spears
Presentation Info:
Presentation Date: November 14, 2017
TAHC&H Event: HCSSA Administrator Program | Houston
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.50 Clock Hrs
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][6]risk assessment and management
§558.260[a][10]marketing
Program Description: Health care facilities are faced with
the need to grow their businesses through the sharing of information about programs and services in an
effective manner. But the rules for implementing an effective marketing program in health care are
limited by several state and federal laws including the Prohibition of Solicitation Law, the
Anti-Kickback Law, Gifts to Beneficiaries, Stark, and other rules implementing by contract and
program directives. Failure to comply with these rules can result in disallowance of a referral,
monetary penalties, loss of licensure, and yes, even imprisonment in some instances. The presenter
explores marketing prohibitions by addressing what an agency “can’t do” under specific regulations
as well as activities that the agency “can do” to promote its business in compliance the law.
Program Learning Outcome:
Learners will actively engage in the learning activity and indicate an intent to change or enhance their
practice by implementing marketing practices in compliance with state and federal regulations.
About the Presenter:
Jan Spears is Co-owner and Chief Executive Officer
of MJS & Associates, LLC. 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, LLC.
[3104] Marketing in Healthcare: The Can You and Can’t You Dilemma
- Speaker
- Spears, Jan
- Model
- 3104
$45.00
Dept of Labor Initiatives & Employment Law: What Employers Need to Know 2018
[3103] Department of Labor Initiatives and Employment Law: What Employers Need to Know in 2018
A most important and useful review of employment law.
TAHC&H Faculty/Presenter: Tommy Simmons
Presentation Info:
Presentation Date: November 14, 2017
TAHC&H Event: HCSSA Administrator Program | Houston
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.50 Clock Hrs
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][6]risk assessment and management
Program Description: Mr. Simmons provides a survey of the most significant
employment-related Texas legislation from 2017, an update on how the Texas Workforce Commission has been ruling on
unemployment, wage, and discrimination claims, a summary of increased federal agency enforcement activities in the area of
employment law, and highlights of the most important and useful best practices for employers to follow in order to minimize
the risk of employment claims and lawsuits.
Program Learning Outcome:
Learners will identify how to remain in compliance with wage and hour laws.
About the Presenter:
William T. (Tommy) Simmons serves as
legal counsel for the Commissioner representing employers at the Texas Workforce Commission,
where he advises the Commissioner on final-level unemployment and wage claim appeals, assists
business groups with employment-related legislation, and counsels employers on Texas and federal
employment laws. He is the author of the book, “Especially for Texas Employers,” and is also the
editor of the Employment Law Handbook of the Texas Association of Business. In 2012, the Texas
Association of Business presented Mr. Simmons with its Lifetime Friend of Employers Award.
[3103] Department of Labor Initiatives and Employment Law: What Employers Need to Know in 2018
- Speaker
- Simmons, Tommy
- Model
- 3103
$45.00
Emergency Preparedness – Disaster Response, Operation Recovery and Resources
Presentation Info:
Presentation Date: November 14, 2017
TAHC&H Event: HCSSA Administrator Program | Houston
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.50 Clock Hrs
Social Worker
1.50 CEU
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of social work education by the Texas State Board of Social Work Examiners, approved provider #1230.
HCSSA Topic(s) Addressed:
§97.259[d][6]emergency preparedness planning and implementation
§97.259[d][4]agency responsibilities
§97.260[a][6]risk assessment and management
§97.260[a][9]community resources
Program Description: Over the course of 2017 in Texas experienced devastation
from Hurricane Harvey that damaged building structures and induced record breaking flooding with rainfall from the storm
widespread 15 to 30 inches in one day, with some spots picking up 50 inches or more. 40% of Texas licensed home care agencies
were located in the FEMA affected areas according to TAHC&H's calculation.
In addition to the Texas natural disaster, we experienced active shootings and terrorist events in our country.
Now more than ever, home care agencies must review and test their emergency preparedness plan.
This program brings you up-to-date on the necessity to review your continuity of operations plans, Emergency policies and
procedures, and necessity for developing partnerships with home health care agencies and other health care entities.
Additionally, a HCSSA provider will share their experience on how they implemented their plan during the disaster.
Information about the applicability of the new federal emergency preparedness rules to the plan is also discussed.
Program Learning Outcome:
Learners will apply disaster preparedness rules, regulatory changes, and requirements that are impacting their
daily practice into their disaster preparedness planning and agency operations.
TAHC&H Faculty/Presenter: Rachel Hammon,BSN, RN, Executive Director, TAHC&H /
Marissa Machado, Chief Operating Officer, TAHC&H / Leann Hubert, Owner, Amazing Grace Hospice
About the Presenter:
Rachel Hammon received her Bachelors of Science degree in Nursing
from the University of Texas in Austin. She has 23 years of experience in nursing with 19 years’ experience in the home health industry.
During her employment with a home health agency, she served in many roles, which gave her a diverse knowledge of the industry. At the
Texas Association for Home Care and Hospice Rachel assisted member agencies with compliance with state and federal laws, served as a
liaison with state and federal government officials and on the Nurse Practice Advisory Committee for the Board of Nurse Examiners. As
the Executive Director, Rachel is responsible for implementing the mission of the association which is to advocate for ethical practices,
quality, and economic viability of licensed providers of home and community support services in Texas. As part of that advocacy she
routinely works with legislators and state agency staff on legislation and policy that affects the home care industry.
About the Presenter:
Marissa Flores Machado is Chief Operation Officer at TAHC&H. Her work
experience in the health home and hospice industry began in 1981. With over 35 years’ of industry experience she recently worked at
DataLogic Software, Inc., an HHSC EVV Vendor, as their Compliance Director. Her previous work experience was at the Texas Department
of Aging and Disability Services (DADS) where she credentialed and licensed HCSSAs; and before that she worked at Girling Health Care, Inc.
in various corporate positions ensuring safety and compliance.
About the Presenter:
Leann Hubert is a graduate from Texas A&M University and has been
a licensed SW since 1994. She has worked in many areas of Social Work to include consulting, Home Health, Long term care, rehabilitative
care as well as hospice, which is where her heart lies. In 2008, Leann’s idea to open Amazing Grace Hospice came to fruition and today
she is the sole owner of the company. She continues to be a play a vital role in the Interdisciplinary Team at Amazing Grace Hospice and
remains actively involved with the healthcare community.
[3102] Emergency Preparedness – Disaster Response, Operation Recovery and Resources
- Speaker
- Hammon, Rachel Machado, Marissa
- Model
- 3102
$45.00
Abuse, Neglect & Exploitation: Common Misunderstandings
Presentation Info:
Presentation Date: November 13, 2017
TAHC&H Event: HCSSA Administrator Program | Houston
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.00 Clock Hrs
Social Worker
1.00 CEU
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of social work education by the Texas State Board of Social Work Examiners, approved provider #1230.
HCSSA Topic(s) Addressed:
§97.259[d][7]abuse, neglect, and exploitation
§97.259[d][4]agency responsibilities
§97.260[a][6]risk assessment and management
Program Description: For the last several years, the failure to timely
report allegations of ANE to the appropriate authorities ranks in the top 10 licensure violations for home health
and hospice providers. For home health (including skilled care and PAS), it has been the third most commonly cited
violation coming in behind management responsibilities of both the supervising nurse and the administrator. Usually
one or both of those is cited along with the failure to timely report. Almost without exception, there are penalties
assessed with each failure to timely report. At times, the failure will result in license revocation. More times
than not the failure to report is due to agency staff misunderstanding this obligation or misunderstanding what
constitutes an allegation of ANE.
By examining these common misunderstandings and mistakes 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.
Program Learning Outcome:
Participants will actively engage in the discussion and incorporate best practices for identifying and reporting
abuse, neglect, and exploitation into their clinical practice.
TAHC&H Faculty/Presenter: Troy Brooks
About the Presenter:
Troy Brooks, Esq 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.
[3100] Abuse, Neglect & Exploitation: Common Misunderstandings
- Speaker
- Brooks, Troy
- Model
- 3100
$30.00
Get Ready! Changes Ahead for Hospice
[3058] Get Ready! Changes Ahead for Hospice
Education-Training Credits:
1.5 Hr(s) HCSSA Administrator/Alternate
Summary: 2018 Hospice Changes
HCSSA Topic(s) Addressed:
§558.260[a][2]development and interpretation of agency policies
§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
Faculty: Sherri Foster and Carolyn Williams
Program Description: The fiscal year 2018 Hospice Proposed Final
Rule will become effective October 1, 2017. In this session, the speakers will talk about Hospice Quality Reporting Program (HQRP),
changes to the hospice wage index and payment rate, aggregate cap amount, new Hospice Consumer Assessment of Healthcare
Providers and Systems (CAHPS®) measures, the launch of Hospice Compare, CASPER reports and the Hospice Evaluation and Assessment Reporting Tool (HEART).
In conjunction, speakers will tie in how clinical behaviors affect each of these changes.
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 identifying how clinical behaviors affect changes in financial and quality reporting measures.
About the Presenter:
Sherri Foster, RN has worked in the home health
and hospice industry, in patient care, management and consulting rolls for 20 years. Her primary role is a legal nurse consultant
with Brooks Acevedo, Attorneys at Law, working with Hospice providers on regulatory and billing compliance issues. Her previous
experience as a hospice administrator allows her unique insights into helping hospice providers in all aspects of ADR and ZPIC
preparation as well as comprehensive regulatory and billing compliance.
About the Presenter:
Carolyn Williams has a clinical background in
home health and hospice regulatory and billing compliance. Ms. Williams began her career as a home health registered nurse in
1997 as a field RN. Later, she served as a case manager, Director of Patient Care and served many years’ as a former home health
agency executive. Ms. Williams holds Board Certifications in Healthcare Compliance and Home Care Clinical Specialist - OASIS, and
is a Certified HIPAA Professional. Ms. Williams also brings experience as a former Medicare and Hospice Regulatory Specialist at
the Texas Association for Home Care and Hospice.
[3058] Get Ready! Changes Ahead for Hospice
- Speaker
- Foster, S & Williams, C
- Model
- 3058
$45.00
Deep Dive: Hospital Readmissions Data Helps Agencies Reduce Rates Further
[3057] Deep Dive: Hospital Readmissions Data Helps Agencies Reduce Rates Further
Education-Training Credits:
1.5 Hr(s) HCSSA Administrator/Alternate
Summary: What data shows about hospital readmissions.
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: Chris Attaya
Program Description: Home Health offers hospitals one of the best
strategies to reduce 30-day readmissions, but are we living up to the challenge? With the negative reimbursement impacts to
hospitals and a likely HHA pay-for-performance measure, agencies need to continually look at their data to understand the
relationships of patient characteristics and the utilization of services provided to improve their scores. Using data from the
SHP (Strategic Healthcare Programs) database, we will analyze the different characteristics and agency profiles behind
hospital readmissions. The data provided during this session will help agencies focus and refine efforts that lead to better
performance. This session will:
Identify how HHA’s should use the CMS hospital readmission penalty criteria to position their value proposition
Identify the characteristics of patients that are readmitted to the hospital
Analyze readmission rates between different agency types
List three definite red flags that put patients at high risk of readmitting within 30 days of discharge from the hospital
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 characteristics of patients at high risk of hospital readmission and identifying optimal utilization of services to promote positive patient outcomes.
About the Presenter:
Chris Attaya Christopher Attaya joined SHP in 2014 after spending
28 years in executive and consulting positions within the Home Health and Hospice industry. In his role as Vice President of Product Strategy, he is
responsible for product development and client relationships to help organizations achieve increased operational and financial performance through the
use of SHP’s industry leading analytics platform and benchmark data. Prior to SHP, Chris was the CFO at the VNA of Boston and had worked at Partners
Health Care at Home as CFO and CEO. He received a B.A. in Public Health from Tufts University and an M.B.A. from the Graduate School of Management at
Boston University concentrating in Health Care Finance.
[3057] Deep Dive: Hospital Readmissions Data Helps Agencies Reduce Rates Further
- Speaker
- Attaya, Chris
- Model
- 3057
$45.00
Financial Ops Mgmnt: What Are the Keys to Success in HH Value-Based Purchasing?
[3056] Financial Operations Management: What Are the Keys to Success in Home Health Value-Based Purchasing?
Education-Training Credits:
1.5 Hr(s) HCSSA Administrator/Alternate
Summary: Strategies, tactics, and
operational adjustments for the financial management team.
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: While clinical performance is essential for success in
Home Health Value Based Purchasing (HHVBP), a strong partnership with a HHA’s Financial Operations can exponentially improve the
chances of positive achievement. Performance tracking, return on investment analysis, cost efficiency strategies, and prioritization
of actions can help turn clinical success into bottom-line positive outcomes. This program explores the strategies, tactics, and
operational adjustments that the financial management team at an HHA can take in combination with clinical practices that form the
foundation for HHVBP success. This session will:
Identify the standards used to determine what brings the best returns on clinical investments
Recognize best practices for integrating HHVBP clinicians with financial operations
Determine which HHVBP measures your agency should target to achieve the highest overall score
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 how financial decisions impact clinical operations.
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.
[3056] Financial Operations Management: What Are the Keys to Success in Home Health Value-Based Purchasing?
- Speaker
- Gaboury, Melinda
- Model
- 3056
$45.00
Minimizing Risk w/ General Inpatient Continuous Service Intensity Admissions
[3055] Minimizing Your Risk with General Inpatient Continuous Service Intensity Admissions
Education-Training Credits:
1.25 Hr(s) HCSSA Administrator/Alternate
Summary:Effective management and documentation
of GIP admissions.
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: After the Office of Inspector (OIG)
probes of hospice GIP admissions in 2011 and 2012, hospices have come under increasing scrutiny when providing
this level of care. The OIG reviews found that 27% of hospices reviewed did not provide GIP to any of their
Medicare hospice patients; and non-compliance was found in meeting admissions criteria, documentation, physician
involvement, IDT oversight, and more. This presentation provides tools for the effective management and documentation
of GIP admissions.
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 ensuring compliance with federal regulations governing general inpatient admissions to ensure optimal patient outcomes.
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.
[3055] Minimizing Your Risk with General Inpatient Continuous Service Intensity Admissions
- Speaker
- Datz, Diane
- Model
- 3055
$37.50
