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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

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

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

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

Speaker: Gaboury, Melinda
Model: 3053

$37.50

Protecting Your Hospice Practice through Effective Documentation

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

Speaker: Datz, Diane
Model: 3052

$37.50

Administrator’s Guide to Developing Your Director of Nursing

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

Speaker: Lopez, Jennifer
Model: 3051

$37.50

How to Save Face with Face-to-Face

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

Speaker: Warfield, Jennifer
Model: 3050

$37.50

Achieve Rewards from Your Performance Data

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

Speaker: Parks,Wells,Rollins & Longhofer
Model: 3049

$45.00

Violence in Home Care: Protecting Your Workforce

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

Speaker: Liles, R & Cutrona, A
Model: 3048

$45.00

Trends in Fraud, Waste, and Abuse

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