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SESSIONS

Detailed Agenda & Session Descriptions

August 6-7

TAHC&H Committee & Board Meetings. Full agenda here.

Target Audience:

Home Health

Hospice

Community Care

Pediatric

Private Pay

Wednesday, August 8

Wednesday
7:15am-8:30am

Jump Start Session: How Do They Make Cheetos? Creating Paradigms of Possibility

Danny Mack, MDiv, Christian Care Hospice

This creative and highly entertaining presentation will reveal how any organization can shift from a negative culture to a paradigm of possibility. It will reveal how leaders can help employees reach their highest potential and how employees can tap into their leadership skills. (1.25 clock hours continuing education for Administrators/Alternates)

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9:00am-10:00am
Opening Welcome & Awards
8:00am-5:30pm
MCO Row (get face time with your contracted MCOs)
10:00am-11:00am

KEYNOTE: A Day in the Life of a Nerdy Hospice & Home Care Professional

Beth Z

What would your day look like if you took the advice of all your nerdy friends and implemented the
tech tools and apps they recommend to make your life easier? This fast-moving, laugh-filled session
takes you hour by hour through a day in the life of a tech-savvy hospice professional. You'll learn
how a professional nerd solves a security crisis before 10 a.m., learns to make more of a lunch hour
with an extra set of virtual hands, saves money on software before the staff meeting and brings the
team together online before the day is done.

  • Understand how technology fits into every part of your day

  •  Learn about technology systems that streamline projects and tasks

  • Discover dozens of free and bargain apps and online tools that put the ideas from the conference into action!

(1.0 clock hour continuing education for Administrators/Alternates)

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Sponsored by:

11:15am-12:30pm
Concurrent Sessions:

1a. Patient Driven Groupings Model (PDGM)

Melinda A. Gaboury, COS-C Chief Executive Officer, Healthcare Provider Solutions

The largest change that home health has seen since the inception of PPS in 2000. PDGM was introduced in the 2019 Home Health Proposed Rule. While this rule has not yet been finalized, it is in the works. Under PDGM, the 60-day episode of care is replaced with a 30-day period of payment and patients are placed into one of 216 payment groups. The structure of determining the payment grouping is as follows: 1. Admission Source & Timing (Claims) - (Community Early, Community Late, Institutional Early or Institutional Late) 2. Clinical Grouping (Primary Diagnosis) - (Medication Management Teaching & Assessment (MMTA), Neuro Rehab, Wounds, Complex Nursing Interventions, Musculoskeletal (MS) Rehab, Behavioral Health) 3. Functional Level (OASIS Items) - Low, Medium, High 4. Comorbidity Adjustment (Secondary Diagnoses) - No or Yes Low Utilization Payment Adjustments (LUPA) will exist in the PDGM, but multiple ways to calculate versus the current standard. All this and more will be addressed in this MUST HEAR session.  (1.25 clock hours continuing education for Administrators/Alternates; 1.25 contact hours Continuing Nursing Education)

1b. How Do They DO That? Secret Tech Weapons for Home Care & Hospice Professionals

Beth Z

What if you could schedule a team meeting without having to send three dozen emails to find a
time everyone could meet? Or automate your little tasks that keep you from your real work? Or
pass off annoying projects to someone else - without breaking the bank?


And what if you could pull all this off straight from your mobile device - without an IT degree?


Join Your Nerdy Best Friend, aka Author Beth Ziesenis, to discover how to use free and bargain
technology tools you never knew existed to work more efficiently with your teams, create
professional-level graphics and wow your colleagues. This high-energy session will give you 30+
tools that will leave people asking, "How DO they do that?" (1.25 clock hour continuing education for Administrators/Alternates)

1c. Creating an Effective QAPI Program

Diane Datz, RN, MA, HealthCare ConsultLink

This workshop will discuss the regulatory requirements for Quality Assurance Performance Improvement (QAPI), and create strategies for implementing the requirements to build an effective agency-wide QAPI program. (1.25 clock hours continuing education for Administrators/Alternates; 1.25 contact hours Continuing Nursing Education; 1.25 SWCEUs: 1.25 PT CCUs-credit approval pending)

1d. An Overview of the National Standards for Culturally and Linguistically Appropriate Services (CLAS)

Jillian Hamblin, Chief Operating Officer, UnitedHealthcare Community Plan

This session will provide 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 session, 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.(1.25 clock hours continuing education for Administrators/Alternates; 1.25  contact hours Continuing Nursing Education; 1.25 SWCEUs)

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12:30pm-1:45pm
Owner's Forum Lunch (must own 20% or more of agency)
12:30pm-1:45pm
Networking Lunch
Kendra Scott Pop-Up Shop
     20% Proceeds benefiting Home Care Defense Fund 
1:45pm-3:15pm
Concurrent Sessions:

2a. Medicare Targeted Probe & Educate

Melinda A. Gaboury, COS-C Chief Executive Officer, Healthcare Provider Solutions

This session will review the goal of the Targeted Probe & Educate audit process. Agencies will learn how to respond to these record requests as well as the subsequent audit findings. The timelines for responses and the recoupment process will be defined. This session will describe likely audit risks for home health agencies and how to monitor those risks, including analyzing PEPPER reports. Lastly, this session will assist in providing a checklist for the documentation required to be sent in, but also a checklist of things to review in the chart before sending it in. Speaker: Melinda Gaboury, CEO, Healthcare Provider Solutions, Inc. (1.50 clock hours continuing education for Administrators/Alternates; 1.50 contact hours Continuing Nursing Education)

2b. The Trouble with Opioids

Dr. Linda Tavel

Opioids are very useful in treating pain and shortness of breath. However, a significant side effect of the opioids is constipation. In this session we will discuss management of constipation, primarily through medications, but also some description of non-pharmacological approaches. The new issue with opioids is national attention on the issue of opioid abuse and adverse outcomes, which has made prescribing analgesics more complicated. Current strategies to combat the Opioid Crisis will be discussed.  (1.50 clock hours continuing education for Administrators/Alternates; 1.50 contact hours Continuing Nursing Education)

2c. Ensure Appropriate Setting Selection by Working with Hospital Discharge Planners

Cheryl A. Acres RN, CCM, CDP

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.  (1.50 clock hours continuing education for Administrators/Alternates; 1.50 contact hours Continuing Nursing Education; 1.50 SWCEUs)

2d. Implementation of the National Standards for Culturally and Linguistcally Appropriate Services (CLAS)

Jillian Hamblin, Chief Operating Officer, UnitedHealthcare Community Plan

This session will cover 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. You will also hear a real case example of implementing these standards within a large managed care organization.  By the end of this session, you will be able to identify the key steps in the CLAS Blueprint and leave with ideas on implementing these standards within your organization. (1.50 clock hours continuing education for Administrators/Alternates; 1.50 contact hours Continuing Nursing Education; 1.50 SWCEUs)

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3:30pm-5:30pm
Concurrent Sessions:

3a. Best Practices in Keeping Geriatric Patients Independent at Home in Our Changing Healthcare Culture

Lisa McClammy, RN, BSN, COS-C, HCS-D, Lee HealthCare

This course satisfies the Texas Board of Nursing requirement for continuing education related to geriatric nursing care, and addresses some of the major challenges our older population faces in trying to remain in an independent living setting. We will review some of the hurdles faced by healthcare professionals, as well as strategies to implement in order to help geriatric patients remain at home. (2.00 clock hours continuing education for Administrators/Alternates; 2.00 contact hours Continuing Nursing Education)

3b. Reading the Tea Leaves – Home Health at a Critical Juncture!

Duane Blackwell, CEO, National Home Health Analytics

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. Included in all of our discussions will be a review of Medicare Home Health claims data and how it supports the arguments that will be made. We'll start 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...) Next, we will review and trend the relevant claims data metrics for the US, Texas, and several local Texas markets. We will discuss 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. Finally, we will take a look at some "inconvenient truths" surrounding the growing impact and influence of Medicare Advantage on the home health industry. (2.0 clock hours continuing education for Administrators/Alternates)

3c. TAHC&H Business Meeting

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5:30pm-7:00pm
President's Reception | Expo Hall
Sponsored by:
Digital Caricature Artist | Food | Drinks | Prizes | Networking
Thursday

Thursday, August 9

7:00pm
PAC Lip Sync Battle​   more info
Dinner | Drinks | Lip Sync Battle | Dancing | Karaoke
8:00am-9:00am

General Session: Powerful Leadership for Healthcare at Home

William J. Simione III, Managing Principal, Simione Healthcare Consultants

Leading has never been tougher, and leaders need to build teams and organizations to be flexible in uncertain times, even when no clear answers may be forthcoming. For home care and hospice organizations, thriving in the future of healthcare requires an appreciation of the bigger picture. Learn what is changing and why to discover leadership strategies and access to answers for your most pressing concerns in home- and community-based care.  (1.00 clock hours continuing education for Administrators/Alternates)

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9:00am-10:00am
Power Snack | Expo Hall
Power Snack | Prizes | Networking
10:00am-10:45am
President's Message; Board Installation
Welcome new officers and board members as they assume their roles in the Association.
11:00am-12:15pm
Concurrent Sessions:

4a. Cost Reporting - How Can You Be Better Prepared?

Amy Knight, CPA, Knight CPA Group; Audrey Yetter, BKD CPAs & Advisors

This session is designed to assist agencies in understanding what information is needed at year-end for their Medicare and/or Medicaid cost reporting.  This will not be a simple list of information, but rather will be an open conversation with the agency’s perspective in mind.  We will explore what information is needed, what is most important, how to capture the information, what to do now to make the entire process easier for everyone?  We will answer all these questions and exchange ideas on how to setup best practices to simplify the year-end burden and demystify the cost reporting process.

Specifically, we will cover topics such as:  tracking statistics, categorizing direct costs, hospice direct cost segregation by level of care, and payroll system setup to assist in tracking costs and statistics with ease.  We encourage participants to bring questions and be ready to share solutions and ideas with one another.  (1.25 clock hours continuing education for Administrators/Alternates)

4b. Home-Based Care and the (Re)emergence of Managed Care: Opportunities and Strategic Imperatives

Fred Bentley, Avalere

This session will provide a high-level overview of the strategic imperatives and emerging opportunities facing home health, hospice, and other home-based care providers. We will first explore the paths that CMS, Medicaid agencies, and other payers are likely to follow in refining and expanding risk-based payment models—both for post-acute providers as well as their acute care referral partners.  Along with the adoption and diffusion of ACOs and other value-based payment models, this session will address the implications of the expansion in Medicare Advantage and Medicaid managed care for the growth and profitability of post-acute care providers. 

Against the backdrop of rising managed care penetration and more risk-based payment models, we will comment on how demographics and evolving consumer preferences are likely to affect the post-acute care business model.  This session concludes with an exploration of the different business models that leading home-based care organizations are pursuing, ranging from serving as the high-reliability downstream provider to acting as the comprehensive post-acute care manager for hospitals and payers.  (1.25 clock hours continuing education for Administrators/Alternates)

4c. Building Workforce Across Generations: Are You Ready to Compete?

Adrian Killebrew, Business Development Executive, Axxess

For the first time in history, five generations can be found working side by side in the workforce. A talent gap is forming as Baby Boomers age into retirement and Millennials climb the corporate ladder. Recruitment strategies to attract, recruit, retain, and motivate young people need to reply less heavily on traditional pay and benefits, and focus more on creating welcoming cultures. Learn how to build a winning strategy in an increasingly competitive talent marketplace. (1.25 clock hours continuing education for Administrators/Alternates)

4d. HIPAA Compliance for Hospice Agencies

Katie Wehri, Healthcare Provider Solutions

Complying with HIPAA requirements isn’t always easy, and hospices have some unique complications.  There are often a number of family members, unique and intricate family dynamics and often stressful family situations; communication amongst staff working remotely but as a team; volunteers; working with records after a patient’s death; etc.  An overview of the requirements and application in the hospice setting will be addressed. (1.25 clock hours continuing education for Administrators/Alternates; 1.25 contact hours Continuing Nursing Education; 1.25 SWCEUs)

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12:15pm-1:45pm
Lunch | Expo Hall
Food | Prizes | Networking
1:45pm-3:00pm
Concurrent Sessions:

5a. Hospice is NOT your Home Health Agency on Steroids

Mary Helen Tieken, RN, BSN, President, Nurses in Touch, Inc.; Allison Smoot, RN, BSN, DON/Owner, All County Home Care & Hospice

Join us for a discussion about administrative and clinical considerations when a home health agency is deciding to start a hospice.  While a novice might think that hospice is just another side of or even another level of home health care, this discussion will help dispel the idea that there isn’t much difference between home health and hospice. This discussion will enlighten participants about the significant differences, present considerations for sound business decisions, contemplate the service delivery models, staffing nuances, clinical models, contracting decisions, and other important basic information that will help distinguish the operations of a home health program from that of a hospice program. (1.25 clock hours continuing education for Administrators/Alternates; 1.25 contact hours Continuing Nursing Education; 1.25 SWCEUs)

5b. The Tax Cuts and Jobs Act of 2018: Big Challenges Ahead for Healthcare Entities

Paige Gerich, CPA; Andrea Lewman, CPA, BKD CPAs & Advisors

The Tax Cuts and Jobs Act (TCJA) represents the most significant change to Internal Revenue Code in more than 30 years and creates big changes for all taxpayers including healthcare entities. Join us as BKD trusted advisors, Paige Gerich and Andrea Lewman, share their knowledge and expertise on the recent legislation that will affect you and you’re organization. (1.25 clock hours continuing education for Administrators/ Alternates)

5c. Strategies for Managing Margins: Working Smarter, Not Harder

William J. Simione III, Managing Principal, Simione Healthcare Consultants

Financial success in home health and hospice means thinking beyond merely cutting costs.  To thrive and achieve sustainable results, organizations must work intentionally to implement integrated strategies systematically and in a disciplined way. Learn about ways to increase the value of your services by maximizing existing resources, simplifying processes, evaluating the clinical service delivery model and leveraging the use of technology. You don’t have to sacrifice quality, access and patient satisfaction in the process! (1.25 clock hours continuing education for Administrators/Alternates)

5d. Preparing for HEART – Hospice Evaluation and Assessment Reporting Tool

Katie Wehri, Healthcare Provider Solutions

HEART is a standardized comprehensive assessment tool that CMS will require all Medicare certified hospices to use.  While we do not have an exact tool or an exact date of implementation, we will discuss what is happening now with HEART, how it will be used, what might be in the tool, and a possible timeline.  Lessons learned from other provider types about mandated standardized assessments will be shared with suggestions for preparation specific to hospices.  This will incorporate lessons learned so far in the hospice quality reporting program. (1.25 clock hours continuing education for Administrators/Alternates; 1.25 contact hours Continuing Nursing Education; 1.25 SWCEUs)

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3:15pm-4:45pm
Concurrent Sessions:

6a. Quality Assurance and Performance Improvement (QAPI) Performance Improvement Project – Are You in the Driver’s Seat?

Linda Parker, RN, BSN, COS-C, HCS-D, Education Coordinator, HealthCare ConsultLink

Learn how to stay in the driver’s seat with the CoP required Performance Improvement Project.  Keep your project in “drive” and avoid the potholes and detours that can cause your project to be become neutral or even go in reverse. Learn about the purpose and components of the Performance Improvement Project (PIP) and how to stay in compliance. (1.50 clock hours continuing education for Administrators/Alternates; 1.50 contact hours Continuing Nursing Education; 1.50 SWCEUs)

6b. Wound Management: A Clinical Perspective

Furqan Khan, APRN, ACNS-BC, MSN, CWCN, WCN-C; Ket Harris Davis APRN FNP-C DNP

This presentation will provide participants with knowledge of the current evidence-based standard of care management guidelines in the area of Wound Care. Understanding wound management guidelines allows care providers to make appropriate decisions for their patients to ensure optimal outcomes. Management guidelines include: Pressure Ulcers, Diabetic Ulcers, Arterial and Venous Ulcers, Burns, and Wound Care for Hospice patients.  (1.50 clock hours continuing education for Administrators/Alternates; 1.50 contact hours Continuing Nursing Education; 1.50 PT CCUs, credit approval pending)

6c. Cyber Update: HIPAA Audits, Encrypted Cell Phones, Emails and Texts, e-Faxing, and Cloud Computer Guidelines and Concerns

Heidi Kocher, BS, MBA, JD, Liles Parker PLLC

The Office of Civil Rights is aggressively auditing both Covered Entities and Business Associates in an effort to better ensure that these organizations are meeting their privacy obligations under HIPAA and HITECH. What are the primary risks of breach facing your organization? What risks do you face when receiving e-mails and texts on your cell phones? What steps should you take before signing-up to use a cloud storage provider? (1.50 clock hours continuing education for Administrators/Alternates; 1.50 contact hours Continuing Nursing Education; 1.50 SWCEUs)

6d. Long Length of Stay Patients: To recertify or not? That is the question

Robert Friedman, MD, Chief Medical Officer, Hospice Austin

The purpose of this presentation is to share pertinent information to help frame ongoing hospice eligibility determinations in long length of stay (LLOS) patients, to utilize this information to inform recertification decisions in LLOS patients, and to appropriately address regulatory concerns and regulatory scrutiny. (1.50 clock hours continuing education for Administrators/Alternates; 1.50 contact hours Continuing Nursing Education)

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