2019 Our Time to Shine Winners Announced

The Home Care Alliance of MA will honor excellence in home care when we present the 2019 Innovations Showcase and Star Awards at the “Our Time to Shine” celebration on Tuesday, November 19, at the Granite Hills Golf Club, Quincy.

The Home Care Alliance of MA will honor excellence in home care when we present the 2019 Innovations Showcase and Star Awards at the “Our Time to Shine” celebration on Tuesday, November 19, at the Granite Hills Golf Club, Quincy. 

What a better way to show your staff appreciation during home care month then treating them to an afternoon of celebration, food and a special inspiration keynote by Tim Cunningham, an intrepid survivor and best-selling author.

Together, we can celebrate our people and our pioneers by recognizing how they make life better for thousands of patients and their families. In celebrating individual achievement, we shine a light on our collective accomplishments.  

2019 Star Award winners are:  
Champion
Sandy Hurley, President/Administrator, Commonwealth Clinical Services, Winthrop  

Clinicians of the Year:
Nicole Geddes, LPN, Aberdeen Home Care, Danvers
Gerry Sanderson, RN CDP, NVNA and Hospice, Norwell  

Manager of the Year:
Robin Pelletier, Director of Supportive Care Services, Southcoast VNA, Fairhaven  

Aides of the Year:
Me McBride, CHHA Team Leader, South Shore VNA, Rockland
Vinette Tyme, Care Coordinator, HouseWorks, Newton  

Innovation award winners:  
Connected Home Care
, Concord:  Oz Documentation System
O’Connell Care at Home, South Hadley: Advanced Internal In-Service Training
Maxim HealthCare Services, Plymouth: Novice Nurse Program  

Join your peers on November 19 as we celebrate these honorees! Learn more at http://www.thinkhomecare.org/shine

Tickets are just $40 or $275 for a table of 8!

HCA Has Got You Covered with PDGM

PDGM is coming January 1, 2020 – HCA has numerous education opportunities to help you prepare and progress!

Blueprint for OASIS Training & Certification, November 4-6
Training, Devens, MA

Experience the comprehensive and nationally acclaimed two-day Blueprint for OASIS Accuracy workshop and learn to confidently teach, audit, and collect OASIS-D items accurately. Through guided, expert instruction, and participation in problem-solving discussions and application scenarios, achieve mastery of the OASIS items, conventions, and the latest data collection rules.
Rather than provide opinions, assumptions, or unfounded interpretations, the “Blueprint” presenters will model reliance on CMS guidance documents and provide and demonstrate strategies for how to find defendable answers to your OASIS questions.

REGISTRATION
HCA Members: $429/Person
Non-Members: $549/Person

PDGM Comittee Meeting, November 18
Networking Meeting, 10:00-12:00, Milford, MA

Clinical Leadership Development and Care Coordination Under PDGM

PDGM introduces complex challenges and heightens the importance of efficient discipline utilization while maintaining quality care outcomes. The role that the clinical manager plays in this care management process can make or break success under the new model. This session will cover strategies for effective collaboration of care and agency leadership development in order to maintain focus on patient-centered quality care delivery.

Registration: FREE
HCA MEMBERS ONLY!!

PDGM Clinical Episode Management Webinar, November 21
Online Webinar, 2:00-3:30PM

Clinical episode management takes on an even more critical role under PDGM. This session will describe how effective clinical episode management is the foundation for improving both patient and agency
outcomes as well as improving regulatory compliance. We will review tactics for management of the 30 day payment period and explain the new LUPA thresholds and show that effective clinical episode management will be key to ensure patients are receiving appropriate, cost-effective, quality care. We will discuss strategic planning for implementation of clinical episode management best practices within the agency, and strategies to enhance communication and collaboration between all disciplines.

REGISTRATION
HCA Members: $79/Line
Non-Members: $159/Line

PDGM Billing Series, December 2, 3, 4, & 5
Online Webinar Series, 11:00AM-12:30PM

PDGM is fast approaching and a lot of changes are coming with it. HCA has partnered with Melinda Gabourey, CEO of Healthcare Provider Solutions, to put on a 4-part webinar series, each 90-minutes long! The series will run daily from 11:00AM-12:30PM.
Sessions include:
• PDGM Structure & Financial Impact
• PDGM Coding & OASIS Integrity
• PDGM Operational Decision Necessities
• PDGM Revenue Cycle Changes

REGISTRATION
HCA Members: $79/Line per Webinar -OR – $299/Line for Full Series
Non-Members: $149/Line per Webinar -OR – $549/Line for Full Series

2019 Financial Management Conference, December 10
Conference, Worcester, MA, 9:00AM-4:00PM

This years financial conference will cover topics on PDGM, VBP, Billing Compliance, and Managed Care. The following PDGM session will be by Mike Care of Axxess:
PDGM is almost here, now is the time to ensure you are ready for the changes. This session will review where you should be, and how to get there if you’re not. Carr will provide a high level overview of PDGM as well as understanding how past performance will be impacted by PDGM. Other elements to be discussed include technology challenges, therapy impact, and measures for survival.

REGISTRATION
HCA Members: $149/Person
Non-Members: $299/Person

2020 Leadership Summit Pre-Conference, January 28
Conference, Boston, MA, 1:00-4:30PM

Vision Quest: Refining Your Personal Leadership Style for Success Under PDGM and After
We will start the summit with an interactive exploration of what industry and leadership issues you are hear to work on! After breaking it all down, we will engage in some self reflection on your leadership journey to date and how that has or has not got your prepared to meet today’s challenges. The session will continue with an instructional tutorial that will help to make you a better more confident and ultimately successful leader. Put it all together with a set of top industry experts on the journey to PDGM success.

REGISTRATION
Go to http://www.nehomehealthsummit.com for more information!

PDGM Impact on Therapy Practice, March 5
Online Webinar, 1:00-2:30PM

CMS has changed the PPS case mix system “to rely on patient characteristics to set payment for therapy and non-therapy services and should no longer use the number of therapy visits as a payment factor.” The practice patterns and therapy compensation creep associated with the PPS methodology up until 2020 will fit poorly with a case mix system not relying on a therapy visit number. However, practice pattern changes do not occur as abruptly as payment changes.
This session will review the new Patient Driven Groupings Model (PDGM) and how therapy can and should impact the groupings within their own agency. We will then apply reasonable and necessary plans of care to typical home health conditions and link them to the outcomes agencies strive to achieve. Participants will learn to prepare changes in practice and to demonstrate the value therapy services can bring to the home health agency.

REGISTRATION
HCA Members: $79/Line
Non-Members: $159/Line

Journey to PDGM Success Seminar by Axxess, November 5

HCA of MA Members receive a $50 discount on their registration.
Use code: HCAMA2020 at check-out!

For the most up to date information on all upcoming events:
www.thinkhomecare.org/education

Celebrate Your Stars! Nominations are Now Open for Our Time to Shine Innovation & Star Awards!

Celebrate Home Care Month by nominating your best and brightest staff members for the Innovation and Star Awards!

Join us during Home Care Month for the Alliance’s annual celebration of innovation and excellence which will return to the Granite Links Golf Club in Quincy on November 19, 2019.

Nominate your innovative programs and star employees to be recognized during this celebration of the BEST in home care in Massachusetts!

Innovations Awards

The Innovations Awards recognize programs, products, or operational changes that enhance the quality or outcomes of patient care, improve community well-being; drive efficiency in operations within the agency or the health care system; or enhance staff productivity or satisfaction.

Star Awards

The Star Awards celebrate the exceptional accomplishments of the everyday heroes in our midst who make incredible differences in the lives of their patients/clients and their families. A STAR award brings well-deserved recognition for both the agency and the individual.

Nominations are due September 27, 2019!

Thank you for all you do to celebrate excellence at your agency!

Annual Report – Message from our President

Annual Report: Message from the President of HCA of MA

Last month HCA of MA published our Annual Report to members.  Below is the opening message from our President.

To the Members:

“The world is changed by your example, not by your opinion.”

This year HCA of MA is celebrating 50 years as a membership driven trade association advocating with and on behalf of home care agencies, and home care patients.

It is very humbling to be Board Chair during such a milestone year. As many Board chairs before me have done, I have learned from the example set by those that have come before me, that includes both my immediate predecessors, such as Holly Chaffee and Wayne Regan, and those that came before them.  They all instinctively knew that you can’t ask of others what you are unwilling to do yourself and that waiting around for somebody else to do it is a sure way to assure that nobody does it.

As I look back at the year as laid out in this report, I see so much that we can be proud of as a member dedicated organization.  As President for a second term, I will work hard to make sure that continues. As our diverse members – each in their own way – struggles with the human resource, funding, marketing/image and regulatory issues, I want us not to lose site of some very big picture indisputable facts, including:

  • The demographics of our aging population will continue to demand new and more creative approaches to chronic care, serious illness and population health management and home care is the industry to provide these,
  • Home Care is where the professional and paraprofessional health care jobs will be increasingly moving to, and
  • All indications are that patients and families want and are satisfied with the services our member agencies provide.

When we lead by example and build on these certainties, we cannot help but be successful.

Thank you for your confidence.

Maureen Bannan
President

New England Conference Heads to RI for 2020

The 2019 New England Home Care & Hospice conference was a resounding success!

That only makes us more excited about the 2020 NEHCC, which will be at Gurney’s Newport Resort in beautiful Newport, RI May 13-15, 2020.

Nearly 300 registrants and over 75 vendors (over 450 total attendees) made the 2019 New England Home Care & Hospice Conference and Trade Show one of the biggest and best ever. The Sea Crest Beach Hotel in Falmouth, MA hosted two pre-conference intensives, four keynotes, and 24 break-out sessions over three days. Attendees left happy and with their brains full of innovative ideas to bring back to their agencies. The NEHCC committee is thankful to all whom attended and look forward to seeing everyone back next year.

2020-gurneys-newport

 

Be sure to save the date for the 10th Annual Conference, scheduled for May 13-15, 2020 at the Gurney’s Newport Resort in beautiful Newport, RI.

Return to www.thinkhomecare.org.

 

A New Version of OASIS is Coming!

Is your staff just getting used to completing OASIS-D?  Surprise,   CMS recently announced there will be a new version for 2020!

It was a surprise to many when CMS declared during the April 3rd, Open Door Forum, that effective January 1, 2020 there would be a new version of OASIS. I know I was thinking at first that the presenter misread the effective date, but apparently this update is needed to support the Patient Driven Grouping Model (PDGM).  One more thing for HHA to deal with. But, HCA of MA will be here for you.  (See link at end to out Fall 2019 OASIS training.)  

Thankfully though, after reviewing the  CMS Memorandum,   I realize that there are only a few minor changes.

Quick synopsis:   Two items will be added to the Follow-Up assessment:  M1033-Risk for Hospitalization and M1800-Grooming. These items should pose no problem since staff is familiar with answering these items at SOC/ROC. Surprisingly, the other change involves the “option” to no longer answer 23 items!  Rather than leaving the items blank,  the clinician will be required, however,  to respond by using the equal sign (=).

Here are the “optional” items for your convenience.

Start of Care/Resumption of Care (SOC/ROC)

• M1910 Fall risk Assessment

Transfer (TRN) and Discharge (DC)

• M2401a Intervention Synopsis: Diabetic Foot Care

• M1051 Pneumococcal Vaccine

• M1056 Reason Pneumococcal Vaccine not received

Follow-Up (FU)

• M1021 Primary Diagnosis

• M1023 Other Diagnoses

• M1030 Therapies

• M1200 Vision

• M1242 Frequency of Pain Interfering with Activity

• M1311 Current Number of Unhealed Pressure Ulcers at Each Stage

• M1322 Current Number of Stage 1 Pressure Injuries

• M1324 Stage of Most Problematic Unhealed Pressure Ulcer that is Stageable

• M1330 Does this patient have a Stasis Ulcer

• M1332 Current Number of Stasis Ulcers that are Observable

• M1334 Status of Most Problematic Stasis Ulcer that is Observable

• M1340 Does this patient have a Surgical Wound

• M1342 Status of the Most Problematic Surgical Wound that is Observable

• M1400 Short of Breath

• M1610 Urinary Incontinence or Urinary Catheter Presence

• M1620 Bowel Incontinence Frequency

• M1630 Ostomy for Bowel Elimination

• M2030 Management of Injectable Medications

• M2200 Therapy Need

HCA of MA next Blueprint for OASIS Accuracy will be held on November 4th and 5th. Option to take the certification exam will be on the 6th.

You can register for the course here.

Blog post by:  Colleen Bayard.

Home Health, EHRs and Data Interoperability

In 2011, the Centers for Medicare and Medicaid Services launched the “Meaningful Use (MU) initiative to incentivize certain sectors in the US health care system to move toward electronic health records (EHR) that would be used in a meaningful manner that allows for the electronic exchange of information to improve continuity and quality of care. Significant financial incentives were provided to “eligible providers” – essentially defined as hospitals and physician practices. More than $20 billion was spent and more that 600,000 eligible providers were enrolled. Home health, behavioral health and skilled nursing facilities were not eligible.

Now, it seems there is some limited acknowledgement that it may be time to rethink that. In a proposed rule relative to interoperability just published in the Federal Register, CMS is including – as a Request for Information – an ask for any feedback as to how to improve data interoperability for providers that have as yet received any incentives for using electronic health records.

“Transitions across care settings have been characterized as common, complicated, costly, and potentially hazardous for individuals with complex health needs. Yet despite the need for functionality to support better care coordination, discharge planning, and timely transfer of essential health information, interoperability by certain health care providers such as long term and PAC, behavioral health, and home and community-based services continues to lag behind acute care providers,” the proposed rule says.

CMS acknowledges that a contributing factor to the lag in Interoperability among post-acute care providers was that they were not eligible for incentives under the program formally known as meaningful use. CMS asks for input on specific ways it could financially help these sectors adopt and use technology.

CMS also asks for feedback on measurement concepts and quality improvement steps that could feasibly be applied to post-acute care, behavioral health and home and community based-services providers. Given that mandate in the IMPACT ACT that certain patient assessment data should be standardized and CMS is interested in feedback as to what parts of that data set — or the whole IMPACT Act data set — would be appropriate to include.

Adding some fuel to what may be an obvious fire (no incentive = limited movement) is a just published study in the Journal of the American Medical Directors Association that examined gaps in communication between hospital and home health care staff, concluding that some could have serious medical consequences.

The authors surveyed nurses and staff at 56 home health agencies throughout Colorado. Participants were sent a 48-question survey covering communication between hospitals and agencies, patient safety, pending tests, medication schedules, clinician contact and other areas. Although almost all (96 percent) respondents indicated that Internet-based access to a patient’s hospital record would be at least somewhat useful, fewer than half reported having access to EHRs for referring hospitals or clinics. No surprise: getting medication doses right due to conflicting information was identified as a major problem.

Their conclusion: Future interventions to improve communication between the hospital and HHC should aim to improve preparation of patients and caregivers to ensure they know what to expect from HHC and to provide access to EHR information for HHC agencies.

Comments to CMS will be due in April. Date not yet announced.

Return to www.thinkhomecare.org.