Members Flock to HCA’s Quality Improvement Meeting

Lots of member interest in HCA’s July QI meeting to discuss medical record audits and upcoming proposed rule changes.

With the sundry of regulation changes in the home health industry over the past few months, the July 24th Quality Improvement (QI) meeting had over 45 members participating in-person and by phone. The numerous medical record audits plaguing the industry dominated the meeting’s discussion.

Multiple agencies have received letters from C2C Innovation Solutions informing them that some claims under appeal have been selected for potential reopening as part of the Medicare Appeals Demonstration. The C2C auditors are conducting the analysis of claims previously adjudicated unfavorably by the Qualified Independent Contractor (QIC), that are currently pending at the Office of Medicare Hearings and Appeals (OMHA) and may be resolved favorably by the QIC.

Other audits that agencies are experiencing are new Targeted Probe and Educate (TPE) audits. These medical record requests are for 5-7 visits and lengths of stay greater than 90 days. No agency is in the third round of the Face-to Face TPE.

One agency reported at the meeting that they are facing three audits simultaneously; a hospice General Inpatient care (GIP) Targeted Probe from NGS, a home health PERM request for Face-to-Face (awaiting ALJ) and eight GIP Post Payment Review by Noridian.

During the meeting there was a lot of member engagement related the 2020 Proposed Rule; the proposal to require OASIS for all payors and the 8% behavioral adjustment. Agencies also discussed strategies for management with PDGM and the process for completing OASIS B-1 for January 1st episodes. PDGM will be a standing QI agenda item.

The HCA is planning to host a PDGM Networking Meeting to help our members with the transition to this new payment model. We are hoping to begin the meetings in September and have a guest speakers and consultants to assist with planning for this historic payment change. Stay tune for further details.

Don’t forget to check out our PDGM Bootcamp on September 24th!

New PDGM Bootcamp Announced!

HCA of MA has introduced a new full day training on PDGM for Clinical Managers/Supervisors and Quality Management Staff.
https://www.thinkhomecare.org/resource/resmgr/event_forms/PDGM_Bootcamp_Flyer_and_Reg.pdf

Home Health Care Clinical Managers/Supervisors of Clinical Services, Quality Management staff and Clinical Educators will play a key role in the successful implementation of the new Medicare Patient Driven Groupings payment Model (PDGM). In this interactive session, attendees will learn the four key elements of the PDGM scoring system: admission source and timing, clinical groupings, functional levels and comorbidities. Managers will leave with specific techniques for obtaining accurate information
to support coding, scoring and billing. All, while using the least resources to produce the best outcomes.

Areas covered include: optimizing complex care, episode utilization and case management, interdisciplinary teamwork, care coordination and collaboration. The session will also describe key PDGM measures and
monitoring techniques to optimize efficiency, achieve success and prevent pitfalls.

PROGRAM OBJECTIVES (At the completion of this session, participants will be able to….)

  • Describe key elements of Medicare’s PDGM payment model
  • Explain the impact of the new regulations on clinical operations and clinical managers
  • Identify key clinical operations changes that will be required for PDGM success
  • Create an initial action plan for successful PDGM implementation

ABOUT THE SPEAKER: Barbara Katz, RN, MSN is an experienced clinician, manager, trainer and health care consultant. Barbara has been a hospital registered nurse, an APRN in internal medicine, a site manager for a Kellogg Foundation self-care education grant, a training manager and a manager of clinical operations for a network of medical practices. She has been Vice President for Clinical Program Development in a large home health care agency where she founded a family caregiver support network.
Barbara provides training in leadership for value based payment, patient self-management support, family caregiver support, process improvement tools and techniques, population health strategies, the use of data
in daily work, communication, teamwork and motivational interviewing.

REGISTRATION:
Members: $159/Person
Non-Members: $399/Person

Or Download the Registration Form Here

“To get others to be involved: This conference was an eye opener to areas we need to improve upon and the tools provided will help in the process. This really brings it all together and a better understanding of PDGM.”

“This was excellent very informative. Made PDGM clear & understandable. Great tips to get started & to stay on task. Barb is a great presenter & her use of handouts was helpful.”

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

HCA Offers Monthly Aide Webinars to Help with 12-Hour Education Credits

The Home Care Alliance of MA partners with the Association for Home & Hospice Care of North Carolina to put on monthly Aide education webinars. These webinars help satisfy the mandatory 12-hours of education your staff needs to remain complaint.

Take a look below for the following opportunities available until next June! All webinars are just $95/Line for HCA of MA members!

August 8, 2019
TOPIC: The Aide’s Role in Nutrition and Hydration
Speaker: Cindy Morgan, RN, MSN, CHC, CHPN

Description: Nutrition and hydration are necessary to sustain life. The provision of food and water is frequently related to the providing of comfort and nourishment as well as to the giving of life and preserving of life. Adequate nutrition has many advantages to the human body. This presentation will explore some of those, such as: healing, prevention and good health. We will also discuss the element of safety related to nutrition and hydration with a focus on the patient with advanced illness and those at end of life.

September 12, 2019
TOPIC: The Aide’s Role in Advance Directives & Patient Rights
Speaker: Jane Garrett, RN, BSN, MHSA

Description: Legal and ethical responsibilities of the healthcare staff regarding Advance Directives are described from the patient and caregiver’s perspectives. The types of various Advance Directives are explained along with examples and the practical application of this fundamental patient right.

October 10, 2019
TOPIC: The Aide’s Role in HIPAA and Confidentiality
Speaker: Michelle White, DNP, RN, CNL

Description: This workshop will focus on assisting your In-Home Aides in understanding HIPAA and confidentiality guidelines. This workshop will offer practical tips to ensure that the para-professional adheres to the required privacy standards. Also included: the impact of social media such as Facebook, My Space, YouTube and cell phones, text messages, etc.

November 14, 2019
TOPIC: The Aide’s Role in Alzheimer’s and Dementia
Speaker: Kathie Smith, RN, BSN

Description: Alzheimer’s disease (AD) is a type of dementia that affects thought, memory and language.  As the disease gets worse, people often need more and more care. This can be hard for caregivers and can affect their physical and mental health, family life, job and finances. In home aides play a vital role in helping to care for these patients and provide important respite to family caregivers. This teleconference will assist the in-home aide in being able to describe the role they play in helping to manage patients with AD.

December 12, 2019
TOPIC: The Aide’s Role in Maintaining Client Dignity
Speaker: Cindy Morgan, RN, MSN, CHC, CHPN

Description: It is the responsibility of every health care staff member to maintain the dignity of their patients with every contact they have with them. The Nurse Aide works with most patients in an intimate way with the duties assigned to them. This presentation will list strategies to ensure the patient’s dignity is protected.

January 9, 2020
TOPIC: The Aide’s Role in Falls Prevention
Speaker: Jane Garrett, RN, BSN, MHSA

Description:  In this session, there will be a discussion of the many challenges aides face daily in protecting their patients from injury, particularly those resulting from accidental falls. Additionally, as the number of patients with Alzheimer’s Disease and other forms of dementia continues to grow, we all have the added challenge of managing the manifestations of dementia that may increase the risk of falls.

February 13, 2020
TOPIC: TBD
Speakers: John Conrad and Libby Hart, RN

March 12, 2020
TOPIC: The Aide’s Role in Infection Prevention and Control
Speaker: Michelle White, DNP, RN, CNL

Description: This workshop will focus on understanding the basic principles of infection prevention and control. This workshop will also focus on Blood Borne Pathogens and the principles surrounding transmission and methods in which the aide can protect themselves and the patient.

April 9, 2020
TOPIC: The Aide’s Role in Home Care Safety
Speaker: Kathie Smith, RN, BSN

Description: Safety hazards can exist in many areas of the client’s home and the hazards may increase the risk of client falls and other injuries. This workshop will cover ways the In-Home aide can help the client to make their home safer and avoid injury to the client and worker.

May 14, 2020
TOPIC: The Aide’s Role in Understanding the Role of Animals in Patient Care
Speaker: Cindy Morgan, RN, MSN, CHC, CHPN

Description: Do you find that many of your patients have animals as pets and do you wonder why? This presentation will explain the importance of animals to patients. The animal may provide a level of love and care for patients that they get from no other source. There may be times that having to deal with animals in the home are challenging and we will discuss strategies to consider making your visits as pleasing as possible despite those challenges.

June 11, 2020
TOPIC: The Aide’s Role in Recognizing Violence and Patient Abuse
Speaker: Jane Garrett, RN, BSN, MHSA

Description: Many cases of abuse in elderly patients are not reported because they often must decide whether to tell someone they are being hurt or continue being abused by someone they depend upon or care for deeply. This webinar will provide information on recognizing signs of patient abuse and violence and the importance of reporting appropriately.

Check out our calendar at https://www.thinkhomecare.org/page/education for the most up to date information on these webinars and all other education being offered!

50th Anniversary Celebration Photos Now Available!

25 Emerging Stars Honored

HCA held a celebration for our 50th Anniversary on Wednesday, June 26th at the Venezia Waterfront Ballroom in Boston, MA. With close to 200 in attendance it certainly showed the great community the home health industry offers in the state of Massachusetts! The Home Care Alliance is honored to have so many supporting members, old and new.

Pictures from this great event are now available for viewing. A special thank you to Wellsky for sponsoring our photographer for the evening. We would also like to thank our other sponsors as through their support, we were able to hold such a memorable night. Drink sponsor, Axxess; Entertainment sponsor, Simione Healthcare Consultants; Favor sponsor, Hanover Insurance; Décor sponsors, Byram and Fred C. Church.

View pictures here

View the Memorabilia Program Book Here. Featured are throwback pictures, 50 original All-Star Honorees, and 25 Rising Stars!

Most of the HCA Staff (Left to Right): Jake Krilovich, Megan Fournier, Jon Ezrin, Tim Burgers, Pat Kelleher, Colleen Bayard, Michelle Burton, (Missing) Tom Meyer

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.

 

2019 Private Care Guides to Help Families Find Home Care

Now in its 13th edition, the Guide to Private Home Care Services has connected tens of thousands of families with the home care agencies that best meet their needs. While our Resource Directory is intended for professionals who make regular referrals, the Private Care Guides are designed for consumers and are always available at no charge. Choose from among three regional editions:

(Click one of the thumbnails to place your free order).

The Guides contains county-by-county cross-references, as well as short essays about:

  • What home care is;
  • How to pay for it;
  • How to choose an agency, and;
  • What the advantages are of working with an agency over other options.

Return to www.thinkhomecare.org.