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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

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

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

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

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

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

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

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

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

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

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

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

QAPI: Closing the Loop on Agency Performance

Speaker: Spears, Jan
Model: 3107

$30.00

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

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

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

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

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

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

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!