|Wednesday, February 13
|8:30-10:45 am 1a. Under the Dome – An Inside Look at Texas Politics, Health Policy and the Impact on Your Future ♦
2018 is the start of a political process that will have significant impact on your business….the Texas Legislative session. The 140 days that follow will consist of legislative discussions that include reimbursement, policy and regulatory issues that will affect your ability to operate in 2019 and beyond. In this session you will hear about what to expect directly from Chairman Zerwas and Chairman Raymond, two key legislators and thought leaders who are integral to appropriations and policy decisions. The discussion will continue with representatives from the Center for Public Policy Priorities and Texas Public Policy Foundation; two think tanks that continue to influence Texas’ healthcare policy. Experience the empowerment of knowledge and use the knowledge gained to improve your home care business and take your important message directly to Texas Legislators. Speakers: Rachel Hammon, RN, BSN, Texas Association for Home Care & Hospice, Panel of Invited Legislators to include Representative Dr. Zerwas, Rep. Richard Raymond and Sen. Lois Kolkhorst, Anne Dunkelberg, Center for Public Policy Priorities, Hans Rickhoff, JD Akin Gump Strauss Hauer & Feld, LLP (2.25 clock hours continuing education for Administrators/Alternates)
1b. Legislative Advocacy: A Skill for Everyone
If you’re in home care you’re in politics! Knowing how and what to say to legislators is important not only for businesses but for everyone whose career is in healthcare and it’s easier than you think! You go to the ballot box to elect legislators that will work on your behalf so getting to know them is an empowering way to ensure you are in control of your destiny. This session will arm each of you with the message and talking points you can use as you participate directly in the process during the March on the Capitol after lunch. Speakers: Gregg Knaupe, JD, and Eric Wright from Congress Avenue Partners, Rachel Hammon, RN, BSN, Texas Association for Home Care & Hospice (0.5 clock hours continuing education for Administrators/Alternates)
1c. Getting to Know the New Health and Human Services ♦
With the new appointment of Dr. Courtney Phillips to the highest post at the Texas Health and Human Services (HHS), you can expect changes that affect your business. The Texas Health and Human Services Commission is one of the largest State agencies in the country and all aspects of home care in Texas are impacted, including private pay agencies, now licensed and regulated by the HHS. Attend this informative panel with Executives from the Commission that work directly with Dr. Phillips. Participate in a moderated discussion about new HHS initiatives, the Commission’s philosophy on stakeholder engagement and what to expect in 2019 and beyond. Speakers: Stephanie Muth, Medicaid Director, Texas Health & Human Services, Victoria Ford, Chief Policy Officer at Texas Health and Human Services Commission (invited) (0.5 clock hours continuing education for Administrators/Alternates)
12:00pm-1:00pm Lunch (included in registration)
1:00pm-5:00pm Lobby Day at the State Capitol
March with you industry peers to bring important messages about Home Care and Hospice to the Texas State Capital. Remind legislators that home care and hospice agencies provide more high quality care that costs less to Texans and their families, saving the State billions of dollars by preventing higher cost services.
6:00-8:00pm Legislative Reception, The Terrace 816 Congress (included in registration)
Enjoy appetizers & cocktails with legislators, capitol staff, & your fellow home care advocates. Sponsored by:
|Thursday, February 14
Target audience key: ♦Medicare ♦Hospice ♦Pediatric ♦All HCSSA's ♦Community Care ♦Clinical ♦Medicaid
8:15-9:15 am 2a. Home Care – State of Reform ♦
Everywhere one looks in home care, it is apparent that transformational reform is underway. Medicare is bringing in a completely changed payment model. Medicaid is moving nationally to managed care. Medicare Advantage can now offer expanded home care services. Private pay home care is seeing a number of new care models. Technology is expanded the breadth and depth on care in the home. This program reviews these unprecedented reforms and provides a view of the very positive home care landscape for the future. Speaker: William A. Dombi, Esq., President, NAHC (1.00 clock hour continuing education for Administrators/Alternates)
9:30-11:30 am CONCURRENT SESSIONS.................................................................................................................................................................................................................................
3a. MAKING IT REAL: Helping Home Health Agencies Put PDGM Into Action ♦
Understanding the CMS proposed rule isn’t enough to carry a home health organization forward successfully with the new payment and quality requirements. Agencies must work to operationalize the new reality, assessing the impact and transforming policies and practices to uphold quality and maximize reimbursement. This session will outline essential steps to help home health teams fulfill new standards for episode payment under the Patient-Driven Groupings Model (PDGM).
Speakers: William J. Simione III, Managing Principal, Simione Healthcare Consultants (2.00 clock hours continuing education for Administrators/ Alternates; ; 2.00 contact hours Continuing Nursing Education)
3b. Employment Law for Home Care & Hospice - Get the Facts! ♦
There are many situations that may appear to be unique to home care, but don’t be fooled … employment law does not make any exceptions for this industry. In addition to a survey of the most significant hiring, policy, and work separation issues, and an update on how the agencies and courts have been ruling on employment claims and lawsuits, Mr. Simmons will offer a detailed look at common wage and hour law problem areas such as exempt vs. non-exempt employees; on-call time; travel time; deductions from pay; hourly vs. contract workers; PRN; live-ins; companionship exemption; and final pay issues. Attendees will hear about the most important compliance issues for payroll and HR in Texas, as well as the most important and useful best practices for employers to follow in order to minimize the risk of employment claims and lawsuits. Speaker: Tommy Simmons, Senior Legal Counsel to Chair Ruth Hughs, Commissioner Representing Employers, Texas Workforce Commission (2.00 clock hours continuing education for Administrators/Alternates)
3c. Maximize Value Based Models in Medicaid Managed Care ♦ ♦
With the majority of Texas Medicaid beneficiaries receiving services through managed care organizations (MCOs), providers have a unique opportunity to develop value-based payment (VBP) and quality improvement contracts. Texas and other states are moving quickly in the value based space, while providers are still looking for the pathway to a common conversation with MCOs about value. Questions like, what defines a high performing provider?, what data would an agency need to produce related to performance and value? and what VBP programs are already in the works are just a few of the topics providers need to know.
Join us for a panel of MCOs to discuss the antecedents to alternative payment models and value based arrangements and what MCOs are looking for. Discuss how to look at your data, where to get it and how a home care provider can work with the MCOs on developing a VBP approach to care. This panel discussion will also leave time for a robust Q&A. Speakers: Kenya Scott Woodruff, Katten Muchin Rosenman, LLP and Jeffrey Humber, AccentCare (2.00 clock hours continuing education for Administrators/Alternates; 2.00 contact hours Continuing Nursing Education)
3d. Nursing Jurisprudence ♦
Did You Know? It is your responsibility to keep up with all Nursing Rule changes. Did you know the Board of Nursing approved changed continuing competence rules Dec. 2018? All Texas nurses must obtain 2 contact hours continuing education on jurisprudence and ethics that must include education on board rules, practice act, position statements and professional boundaries. This session fulfills the requirements of the Texas Board of Nursing in an interactive format. Join us in becoming reacquainted with the Texas Nursing Practice Act, Texas BON Rules and Position Statements. Every nurse is charged with knowing the Texas BON rules that apply to nursing practice. Rachel will take the rules everyone needs to know and apply those rules to your practice in home care. Ethical principles and professional boundaries will also be covered. Speaker: Rachel Hammon, BSN, RN, Executive Director, TAHC&H and Amanda Ellis, JD, Dalrymple, Shellhorse, Ellis & Diamond, LLP (2.00 clock hours continuing education for Administrators/Alternates; 2.00 contact hours Continuing Nursing Education)
1:00-2:30pm CONCURRENT SESSIONS...................................................................................................................................................................................................................................
4a. Surviving Government Inquiries – Part 1: ADRs and TPE (Targeted Probe & Educate) ♦
Have you just received a “Dear Provider” letter from one of the Medicare contractors? Are you confused about what the objective of the letter is and what your rights and responsibilities are? These sessions will examine in detail the differences between the various kinds of letters sent to home care and hospice providers by Medicare contractors, the implications of each letter, and how best to respond. In addition, the sessions will discuss what you can do in advance to prepare for the day that YOUR agency will receive one of these letters. This Part 1 session will focus on ADRs and TPEs. Speaker: Heidi Kocher, JD, MBA, CHC, Liles Parker, PLLC (1.50 clock hours continuing education for Administrators/Alternates; 1.50 contact hours Continuing Nursing Education)
4b. The “How” and “Why” to Outsource/Centralize Operations ♦
There are many new business practices taking shape in the home care/hospice industry. Outsourcing is one business practice used by companies to reduce costs or improve efficiency by shifting tasks, operations, jobs or processes to an external contracted third party for a significant period of time. This same process of centralization is utilized by many companies internally to achieve the same outcome. Home care/hospice agencies must enact smart change management techniques to prepare for this new practice. Speakers: Marcylle Combs, RN, MS, Founder, Foundation Management Services; William Simione III, Managing Principal, Simione Healthcare Consultants, LLC (1.50 clock hours continuing education for Administrators/Alternates)
4c. How Did We End Up Here?! A Legal Workshop of Do’s and Don’ts in Home Health and Hospice Care ♦ ♦ ♦ ♦ ♦
Home Health and Hospice care have been targets for enforcement by federal and state agencies for several years. That trend is not slowing down. The compliance requirements for running a home health or hospice are extensive and complex. Despite companies’ diligent compliance efforts, it is almost inevitable that there will be problems in execution. This workshop/discussion will address some of these problems such as audits, recoupments, licensing, credentialing, false claims act allegations and criminal indictments. Former federal prosecutors Mindy Sauter and Mike Elliott will discuss current cases and best practices in addressing the Do’s and Don’ts in this highly regulated industry. Speakers: Mindy Sauter, Co-Founder, Partner, Elliott Sauter PLLC & Michael Elliott, Co-Founder, Partner, Elliott Sauter PLLC (1.50 clock hours continuing education for Administrators/Alternates; 1.50 contact hours Continuing Nursing Education)
4d. BE-ing with Those Suffering: What To and Not to Say ♦
We WANT to be present with others when they are hurting. We WANT to know what to say or do to help. We’ve simply forgotten that we already know how. This presentation explores why it is so challenging to be with others’ pain, what to say, what not to say, and how to care well for ourselves in the process. Rev. Dr. Carla Cheatham, Founder, Carla Cheatham Consulting Group (1.50 clock hours continuing education for Administrators/Alternates; 1.50 contact hours Continuing Nursing Education)
2:45-4:15pm CONCURRENT SESSIONS...................................................................................................................................................................................................................................
5a. Surviving Government Inquiries – Part 2: ZPIC, UPIC, and CERT Audits ♦
Have you just received a “Dear Provider” letter from one of the Medicare contractors? Are you confused about what the objective of the letter is and what your rights and responsibilities are? These sessions will examine in detail the differences between the various kinds of letters sent to home care and hospice providers by Medicare contractors, the implications of each letter, and how best to respond. In addition, the sessions will discuss what you can do in advance to prepare for the day that YOUR agency will receive one of these letters. This Part 2 session will focus on ZPIC, UPIC and CERT audits. Speaker: Heidi Kocher, JD, MBA, CHC, Liles Parker, PLLC (1.50 clock hours continuing education for Administrators/Alternates; 1.50 contact hours Continuing Nursing Education)
5b. The Uberization and Automation of the Home Health Industry ♦
The ability to embrace the "Uber Culture" that we live in today, is necessary if we want to stay viable in the current climate of declining reimbursement. Automation and "Uberization" not only streamlines business, but it also improves Quality, Compliance, and Recruitment. The culture of Home Health needs to be changed and embracing Technology is going to be a means to do so. Speaker: Nate Foreman, President, Foreman Therapy Services and Zuum Solutions (1.50 clock hours continuing education for Administrators/Alternates)
5c. Staffing, Recruitment and Retention ♦
The expansion of home care services has led to a shortage of qualified home health field staff. Hospice providers have additional challenges given the turnover rates of nurses and aides. Agencies that meet their staffing requirements will be able to meet the increasing demand for services. Join us for a discussion on proven techniques to recruit home health and hospice field staff, how various compensation models impact retention of personnel, the impact of employee benefits on retention, and more. Speaker: Marcylle Combs, RN, MS, Founder, Foundation Management Services (1.50 clock hours continuing education for Administrators/Alternates)
5d. Meeting Expectations in Hospice Medicine: Adopting a Total Patient Care Philosophy to Avoid Unnecessary Transitions ♦
Transitions in care would seem on the surface to be a "non-issue" in hospice medicine, but with increasing complexity and segmentation of care for the seriously ill, patients often enter hospice from the acute care system with unrealistic expectations of what is needed and what will be provided. Often unnecessary emergency department visits and hospitalizations result, as well as demands for services not part of the standard hospice plan of care. This session will explore not only addressing the expectations of patients and their families, but also addressing the increasing expectations of payers. A vision for the future of optimal care of the seriously ill will be presented, acknowledging the daunting steps needed for the evolution of a hospice organization towards a "full service" model, as our organizations enter into a time of increased demand, regulatory uncertainty, quality-based scrutiny, and fiscal constraint. Speaker: J. Robert Parkey, MD, MTS, HMDC, CMD, Hospice of Wichita Falls/Palliative Care of North Texas, Healing Hands Home Health (1.50 clock hours continuing education for Administrators/Alternates; 1.50 contact hours Continuing Nursing Education)