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These sessions are final, but the scheduled times may be subject to change. Click on each topic track to read descriptions of the sessions.


  Wednesday
April 10, 2013
3:00 PM - 4:15 PM
Thursday
April 11, 2013
10:45 AM - 12:00 PM
Thursday
April 11, 2013
2:30 PM - 3:45 PM
Friday
April 12, 2013
10:15 AM - 11:30 AM
Track Breakout Session 1 2 3 4
Financial A Financial Experts Discuss the Current Environment and Future Strategies The Role of Home Health in ACO Post-Acute Bundling Model Understanding the Medicare Appeals Process: Strategies, Tips and Tools for Overturning Denials Findings from the VNAA Vulnerable Patient Study
Hospice/Reimbursement Issues B The Value of Homecare and Hospice in Accountable Care Making Medicare Advantage Plans Work for your Agency Medications and Delirium in the Hospice Patient Preparing for the Changes in Hospice Reimbursement: A Finance Prespective
Clinical/
Operational
C Extreme Makeover: A Decentralized Model of Care Developing the Home Health Aid Workforce to Provide Enhanced Care to Rehabilitation Therapy Patients Development, Implementation and Evaluation of a Behavioral Health Home Care Program Managing Internal Organizational Agency Conflict
Partnerships/
Business Development
D Can Missions/Values Driven Organizations Be Great Sales/Marketing Organizations Leading with Intention: Key Elements for Effective Board Governance in the age of Health Reform Care Coordination Model for Collaboration with Medical Homes Integration Strategies with the Primary Care Provider
Performance Improvement E The Nutrition Solution: Screening and Intervention Strategies to Improve Outcomes and Reduce Readmissions Staying Ahead of the Curve: Ten Ideas Changing the Landscape of Home Health Care Meet DEAN and EDNA: Practical Applications of HHQI Resources to Reduce Avoidable Hospitalizations Successful Care Transitions Programs From Two Different Agency Prespectives: Pilot Programs


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Session Descriptions

Financial

Financial Experts Discuss the Current Environment and Future Strategies
Changes due to the Affordable Care Act have already begun to affect and penalize hospitals based on care transitions outcomes. This opens many opportunities for home care to create financially successful partnerships. These experts will share best steps and actions to ensure a place at the table in your community.  Faculty will review the current finance outlook and address how to make changes now to ensure success down the road.

The Role of Home Health in ACO Post-Acute Bundling Model
Are you familiar with Accountable Care Organizations (ACO’s)? Understand how home health providers fit into them? What does your organization have to do to be ready to survive in the new world of Post-Acute Bundling? This session will answer many of these questions by describing the work of a leading CMS Pioneer Awardee, the Detroit Medical Center, who has recently completed development of a Care Transition Program to assist with Post-Acute Care for the Pioneer ACO. The model was developed using clinical analysis and care pathways to address needed care in a cost-saving, non-silo manner. Issues to be highlighted include programming and documentation requirements, care content and transparency expectations, and clinical benchmarks that will pose challenges to our clinicians and agencies. Start your preparations today!

Understanding the Medicare Appeal Process: Strategies, Tips and Tools for Overturning Denials
Is your agency seeing an increase in ADR’s? Many agencies don’t appeal denials due to several reasons. Don’t be one of them!  This presentation will help providers to understand the many effective strategies that can be used in the appeals process. Participants will understand the five step Medicare appeals process and how to implement effective strategies to successfully appeal Medicare denials at all levels.  Included with this presentation will be a Timetable Flowchart Tool, template letters and links to important Websites.

Findings from the VNAA Vulnerable Patient Study
In order to better understand which home health patients are vulnerable to potential inconsistencies and deficiencies in Medicare Home Health PPS, VNAA in collaboration with the Center for Home Care Policy & Research conducted a study that collected data on a range of patients treated by VNAA members, including costs associated with treating these patients. Spearheaded by Dr. Rosati of VNSNY and Kathleen Sheehan of VNAA, participants attending this session will learn about the primary objectives of the study along with the important results. Presenters will also highlight groups of vulnerable beneficiaries and identify possible strategies for prevising the Medicare PPS.

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Hospice

The Value of Homecare and Hospice in Accountable Care
Home care agencies can be valuable partners in accountable care organizations. We can demonstrate our partnership qualities through Home Health Compare quality and process outcomes, as well as the HHCAHPS patient experience outcomes. This presentation will identify 11 distinct traditional characteristics and core competencies that set home health care apart from most modes of care and continue to hold and provide value. We will also identify current and future opportunities including chronic care management, technology and transitional care. As proof of value will be paramount, highlights include characteristics of success: cost, quality, process and patient experience outcomes; implementation of chronic care management; financial viability; and specialty programs such as palliative care.

Medications and Delirium in the Hospice Patient
Delirium is a condition that expert clinicians in hospice must understand and manage, but it’s often poorly understood. This session will help improve the management of delirium by explaining the differences between delirium and dementia, describing the common precipitating factors and identifying medications commonly used in hospice care that may cause delirium. Differences between traditional and atypical antipsychotic drugs will be discussed as well as appropriate first-line and second-line medication therapy for management of delirium.

Preparing for the Changes in Hospice Reimbursement: A Finance Perspective
Take advantage of this opportunity to learn from an expert! The phase out of the Budget Neutrality Adjustment Factor (BNAF) and other policy changes have left hospices scrambling to maintain financial stability. This program will review data you will need for success. Faculty will present on what actions can be taken within an agency and will provide metrics on what to look for and steps for adapting hospice practice for future financial success and stability in this environment.

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Clinical/Operational

Extreme Makeover: A Decentralized Model of Care
Learn how VNA Health Group responded to the many challenges facing home health agencies through a process of creating a decentralized home care service delivery approach that would build on internal partnerships and collaboration and create a broad, integrated process for meeting families’ multiple needs and satisfaction. Attendees will come away with specific processes and an organizational structure for the development of a patient-centered model of care. You will be led through the creative process, roles and responsibilities, lessons learned and positive results of this challenging but exciting “Extreme Makeover”.

Developing the Home Health Aide Workforce to Provide Enhanced Care to Rehabilitation Therapy Patients
This session will present a description of a pilot program developed at VNSNY to offer enhanced training and career opportunities to home health aides through a specialized rehabilitation therapy program. The specialization is derived from a set of training and evaluation components that prepare the Rehab HHA to provide enhanced care to patients receiving rehabilitation therapy. Results of the program evaluation will be presented. Key planning and implementation phases will be discussed as well as the benefits accrued to the agency as a result of the program’s implementation.  Key business and operational value of enhancing the skills of the home health aide workforce will be highlighted.

Managing Internal Organizational Agency Conflict
Is organizational conflict preventing your agency from obtaining critical goals and operational success? This session will identify several types of organizational conflict. Tools to intervene including root cause analysis strategies, organizational development tools and education will be identified that can be used to develop an interventional approach to resolving identified conflicts and effecting positive cultural changes. Specific examples of successes will be provided using techniques that have been shown to improve overall operations including employee/customer satisfaction.
 
Development, Implementation and Evaluation of a Behavioral Health Home Care Program
Depression and other psychiatric symptoms are prevalent in the home care population, but are typically undetected and undiagnosed, often leading to poorer than hoped for treatment outcomes. This session will help participants understand the necessary components of a behavioral health program to address this need. Emphasis will be placed on depression detection and modeling a clinically effective and financially sustainable evidence-based practice in home health care. Operational details regarding feasibility will be highlighted and program evaluation measures will be identified.

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Partnerships/Business Development

Can Mission/Values Driven Organizations Be Great Sales/Marketing Organizations
The environment for home care/hospice providers is one of continued competition, pricing compression and increasingly demanding referral sources - not to mention patients/families increasingly aware of their choices and influenced by broader trends in health care "consumerism." What must we do, consistent with our mission/values, to continue to successfully serve our communities in this environment?  For example, how can we embrace sales/marketing/business development and effectively compete with for profit organizations without compromising what we believe in?  How can we assure that we know what is most important to our referral sources and prioritize allocating operational resources to what they really want? What about payors; is all they care about price? Participants will learn about essential ingredients for successful marketing programs.

Leading with Intention: Key Elements for Effective Board Governance in the Age of Health Reform
Is your Board doing its job? Successfully competing in this era of health care reform will take Governance accurately aware of how their agency is positioned in the health care market and ready to assume ultimate accountability for the performance of the company. Participants in this session will emerge with an understanding that meaningful board level engagement is necessary to achieve and sustain performance excellence.  Attendees will come away with a selected set of tools that can be immediately used to enhance board engagement, result in productive meetings, and provide meaningful direction to the leadership responsible for implementation.

Care Coordination Model for Collaboration with Medical Homes
Future changes in our health care system will require home health agencies to make many decisions about how best to meet the needs of the future populations. This Care Coordination Model for Collaboration with Medical Homes was developed with Dartmouth-Hitchcock Concord Medical Group as part of a Pioneer Accountable Care Organization model sponsored by the CMS Innovation Center. Come learn what the future might hold from the experience of this agency. The session will describe how the agency identified and implemented a project of care coordination with a medical practice. Discussion will include project leadership, role definition, identifying and working with internal and external stakeholders, understanding patient selection, goals of the project. Additionally, this presentation will review the data requirements, analytics communication modes and expectations, outcome measures as well as what them care agencies need to consider when contemplating embarking on such an endeavor.

Integration Strategies with the Primary care Provider
What strategies can home health agencies use to align themselves with Accountable Care Organizations (ACOs)? The role of home care in the continuing drive for accountable care will continue to expand as health care reform and reimbursement change the environment within which care is provided. This session will highlight strategies developed and implemented within the Iowa Health System, an integrated delivery system that includes hospitals, clinics and home care. Participants will be able to identify strategies to align with Primary Care Medical Homes (PCMH’s), transitional care programs, as well as work force retraining strategies that will help your agency meet the needs of the future. 

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Performance Improvement

The Nutrition Solution: Screening and Intervention Strategies to Improve Outcomes and Reduce Readmissions
Malnutrition and age-related muscle loss have serious health and economic consequences that can impede the care your agency provides and have a negative impact on your outcomes. This program will describe an effective and validated nutrition screening technique and explain the evidence linking malnutrition and loss of lean body mass on independent functional status and rehospitalization rates. Participants will also learn how to plan an effective nutritional care plan for patients using a continuum of interventions as demonstrated by case study examples.

Staying Ahead of the Curve: Ten Ideas Changing the Landscape of Home Health Care
Are you struggling to stay informed and up-to-date in today’s rapidly changing health care environment? This session will examine several critical new ideas you need to be familiar with to stay “ahead of the curve”. In addition, strategies for home care executives to stay current and up-to-date with new ideas will be examined. Specific Websites, use of social media and blogs will be used as examples. Participants will be encouraged to add their own suggestions and new ideas.

Meet DEAN and EDNA: Practical Applications of HHQI Resources to Reduce Avoidable Hospitalizations
The Home Health Quality Improvement (HHQI) National Campaign is back and offering new evidence-based educational resources, individualized data reports, networking opportunities and assistance to reduce avoidable hospitalizations. This session, by focusing on two home health patients who share many common characteristics with patients you care for every day will help you learn how to use the free HHQI National Campaign resources to ensure that patients like them avoid unnecessary hospitalizations while receiving the highest quality care.

Successful Care Transitions Programs from two different agency perspectives: Pilot Program
Come hear how two agencies developed successful care transitions by strategically planned partnerships. VNA of Somerset Hills, run by Ann Painter and Karen Ellis dramatically reduced hospitalization rates due to the innovative care transition program. Discussions will include the training, coordination and collaboration efforts necessary to improve treatment adherence among chronically ill clients with heart failure. Bridget Young of Visiting Nurse Association in Omaha, NE will discussed how her agency paired a transitional care pilot program with a large university hospital with a home health agency to reduce rehospitalization rates for the chronically ill. Techniques such as those aimed at improving patient self-management will also be discussed. This program will provide an excellent foundation for creating strategic partnerships to reduce hospitalizations at your agency.

 

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