Embed Size (px)
Citation preview
Legislative Issues Public Policy News
A Weekly Publication Of HCAHCAHCAHCAHCAHome Care Association of New York State
Helping New YorkersFeel RightAt Home
ASAPVolume 20, No. 16 April 24, 2015
Inside Inside Inside Inside Inside ASAPASAPASAPASAPASAP
HCA Exclusive: Hear from NY’s Value Based Payment
Contract Expert at Upcoming Annual Conference (May 6-8)
In an HCA exclusive, our upcoming Annual Conference,on May 6-8, will feature Dr. Marc Berg, from the GlobalCenter of Excellence for Health at KPMG, the state ofNew York’s lead contractor on how Value Based Payments(VBPs) work.
Dr. Berg is an expert in the methodology andimplementation of value based measurement andcontracting – two areas of major focus in New York Stateand, indeed, nationally.
HCA to Showcase New Digital Tools for Members at HCA’s Annual ConferenceBring your tablets and smartphones! HCA’s Annual Conference, beginning May 6 in Saratoga,is an important part of your membership experience,where you get to network with colleagues and learn aboutall of the major issues and themes affecting your work inhome care – all in one place, all at one time.
Dr. Marc BergSee BERG p. 3
See DIGITAL p. 2
HCA Exclusive: Value Based Payment Session at Annual Conference.......1HCA to Showcase New Digital Tools at Annual Conference..............1NEW: May 28 HCA Program on New Models of Care..........................4Assembly Advances Essential Personnel Bill......................................5CARE Act Passes State Senate..............................................................6Developments on Veterans Home Care Initiative..............................7DSRIP Update.......................................................................................7Attention LTHHCPs: Join Us for May 19 Forum...................................8Update on F2F Narrative Lawsuit....................................................8Free Webinar on Executive Order 38 for Members Only: June 4..........9Final Open Door Forum on Home Health-MD Clinical Template.......10Compliance Guidance Issued for Governing Boards...............10Managed Care Update.....................................................................11CMS to Hold Forum on Home Health Star Ratings: May 7.................12DOH Posts FIDA Training Requirement Info.....................................13FIDA FAQs Released for Home Health Providers..........................14Vaccination Reports Due May 1......................................................15DFTA Issues Draft Case Management Program Concept Paper........16TBI and NHTD Rates Update.........................................................17CMS Issues Hospice Quality & Hospice CAHPS Survey Updates.....17NGS: Resubmit Certain TPL Demand Bill Claims...............................18New Version of PC Print: April 2015................................................19Xerox to Replace CSC as State’s Medicaid Contractor...................19Publications.................................................................................20
2
ASAP is a weekly publication of the Home Care Association of NewYork State (HCA). Unless otherwise noted, all articles appearing inASAP are the property of the Home Care Association of New YorkState. Reuse of any content within this newsletter requires permissionfrom HCA.
Joanne Cunningham, [email protected]
Roger L. Noyes, Director of Communications, [email protected]
Al Cardillo, Executive Vice President, Policy & Programs, [email protected]
Patrick Conole, Vice President, Finance & Management, [email protected]
Andrew Koski, Vice President, Program Policy and Services, [email protected]
Laura Constable, Senior Director, Membership & Operations, [email protected]
Lynda Schoonbeek, Director of Education, [email protected]
Mercedes Teague, Finance Manager, [email protected]
Jenny Kerbein, Director of Governance and Special Projects, [email protected]
Billi Hoen, Manager, Meeting and Events, [email protected]
Teresa Brown, Administrative Assistant, [email protected]
President:
Editor:
388 Broadway, 4th Floor, Albany, NY 12207Tele: 518-426-8764; Fax: 518-426-8788; Website www.hcanys.org
Volume 20, No. 16 April 24, 2015ASAP – a publication of the Home Care Association of New York State
It is also an opportunity for HCA to check-in with youon a membership-service level, as you participate in HCA’sBoard of Directors meeting, catch up with HCA’s expertpolicy team about concerns at your agency, and hear fromHCA President Joanne Cunningham about all of theways HCA is working on your behalf, during her annualaddress to the membership. At this year’s conference, HCA will be presenting severalnew and exciting digital tools we are offering to betterkeep you informed, provide you with easy access toinformation and resources, to support your advocacywork, and to help you engage with policymakers on socialmedia.
We are very excited about these new tools and want todemo them for you first-hand, in-person, so that you cansee the various ways we are working to maximize yourmembership benefit. There is no better time or place todo so than at HCA’s Annual Conference on May 6-8. Please join us to learn more about getting the most fromyour membership experience, while hearing from apremier lineup of speakers on: how to analyze and address
the health care needs of your entire patientpopulation; understanding what is important tocaregivers as they apply for jobs at yourorganization; the mechanics of value basedpayment models; strategizing on how to become avalued partner with physicians; and much more. Please also be sure to register for our post-conference Leadership Institute, where you’ll beable to burnish your leadership skills and gainaccreditation.
As you prepare for your arrival in Saratoga, make
sure you also pack your smartphones, tablets and
other digital devices to take part in an interactive
experience.
If you haven’t yet seen our conference brochure,you can download it from our conference website(www.hcaannualconference.com) to find out all ofthe great education programs and keynotespeakers we’ll have on hand to inspire you andprepare you for the future of your organization.This year’s conference offers you value like never
before. Register today.
DIGITAL from p. 1
Volume 20, No. 16 April 24, 2015ASAP – a publication of the Home Care Association of New York State
3
BERG from p. 1
Understanding how value based models work, how they are constructed, and becoming knowledgeable aboutVBP incentives are critical to your organization’s success as the state and federal governments pursuepayment reform.
As extensively reported in recent editions of ASAP, HCA is a member of the state’s Value Based PaymentWorkgroup, which is examining VBP design in New York. The state’s draft program is detailed in a Roadmapdocument that policymakers are imminently sending to the federal government for its approval.
Under the special terms and conditions of its multi-billion-dollar federal Medicaid waiver, New York Statemust pursue non-fee-for-service payments – rewarding value over volume – for a targeted 90 percent of allMedicaid managed care payments by waiver year 5, a major initiative.
Put simply, value-based models are coming soon, and they will dictate virtually all levels of home care servicepayment. How better to learn about them than from Dr. Berg, the leading expert consulting with the state onits VBP design?
Read Dr. Berg’s bio and check out the video about him at http://www.kpmg.com/global/en/industry/healthcare/center-of-excellence/pages/marc-berg.aspx.
Most importantly, make sure you have a front-row seat for his program at HCA’s Annual Conference – justone of several workshops, seminars and presentations offered to help you and your organization succeed.Register for the conference today!
Look for the brochure at the back of this week’s ASAP or register online athttps://www.eventville.com/Catalog/EventRegistration1.asp?EventId=1011491.
Jefferson County Public Health Service
Director of Patient Services is responsible for the administrative, professional and financialoperations of the home health programs. Minimum qualifications include licensure as a registerednurse with two years of experience as a Supervising Public Health Nurse; or two years of home carenursing experience plus a master’s degree in nursing, public health, business administration oranother health related field. Master’s degree preferred.
Supervising Public Health Nurse is responsible for supervising a nursing team to ensurecomprehensive home care services are provided to achieve positive patient outcomes. Minimumqualifications include BS degree in nursing, two years of experience as a public health nurse andlicensed to practice as an RN in NYS.
Physical Therapist is responsible for evaluating, planning and providing physical therapy treatmentto patients in accordance with physician orders. Minimum qualifications include licensure andcurrently registration by the New York State Education Department as a Physical Therapist.
Applications Accepted At: Jefferson County Department of Human Resources, 175 Arsenal Street,
Watertown, NY 13601, (315)-785-3147. EOE. http://www.co.jefferson.ny.us
HIRING
Volume 20, No. 16 April 24, 2015ASAP – a publication of the Home Care Association of New York State
4
NEW: May 28 HCA Program Will Help you Navigate New Models of
Care & Strengthen Your Business Model to Compete
DSRIP, FIDA, VBP … the alphabet soup is gettingthick, and HCA members have asked for helpnavigating these and other new acronym-heavypayment models that are now with us and on the nearhorizon.
These new models will affect you; it’s only a matter ofwhen, as the state juggles multiple waiver andMedicaid pilot initiatives with the federal governmentin an effort to construct incentive programs.
To help you, HCA will hold a daylong program inAlbany on May 28 entitled Are You Ready to NavigateNew Models of Care and Coverage? Registration isnow open. Please see the registration form at the backof this week’s ASAP, or register online from HCA’swebsite.
This program is geared for home health provider andhealth plan CEOs, CFOs, COOs and those who needto gain a better understanding of emerging caremodels to position your organization successfully ina service and payment delivery environment of newmodels of care.
With the enactment of far-reaching health care reforms at the federal and state levels, changes to the healthcare delivery and payment systems are evolving quickly. It is important for home care providers to get up tospeed on all of these fast-moving developments.
Speakers at this program will include top state health care program officials, expert consultants and more,including: State Medicaid Director Jason Helgerson; Value Based Payment Expert Dr. Marc Berg of KPMG;Greg Allen, Director of the Division of Program Development and Management within the New York StateOffice of Health Insurance Programs (OHIP); Tracy E. Miller, a health law expert at Bond Schoeneck andKing; and others.
In addition to providing insights on these new models, how the incentives work, and their structure, thisprogram will also focus on how to strengthen your business model to remain competitive.
Download the brochure and register online from HCA’s events page athttp://hca-nys.org/events-education/upcoming-events.
5
Volume 20, No. 16 April 24, 2015ASAP – a publication of the Home Care Association of New York State
Assembly Advances HCA Home Care-Hospice “Essential Personnel”
The Assembly Governmental Operations Committee voted on Wednesday to advance HCA’s Home Care-Hospice “Essential Personnel” emergency response bill.
The Assembly bill, A.5125-A, sponsored by Assemblyman Michael Cusick, would ensure procedures forhome care, hospice and other essential personnel to access patients during emergencies. It would also bringhome care and hospice representatives into the formal emergency planning process at the local levels. Thislatter provision would ensure that the array of often unique emergency preparedness, response and recoveryneeds of home care and hospice are considered within local emergency management planning.
The Government Operations Committee vote advances the bill to the Assembly Codes Committee, which isexpected to take up the bill shortly. From there, it is likely to go through one further Committee – AssemblyWays and Means – before reaching the Assembly Floor for a vote by the full chamber.
Last year’s version of the bill passed the Assembly and Senate unanimously. However, it was vetoed byGovernor Cuomo in December, likely due to a misread on the part of those reviewing and commenting forthe Governor. Several wording changes to this year’s reintroduced bill are intended to eliminate this misread.
Meanwhile, the Senate version of this bill, S.3482-A, sponsored by Senator Andrew Lanza, is before theSenate Committee on Homeland Security. HCA spoke with the sponsor’s office this week and anticipatesSenate advancement soon as well.
HCA has been continuously working with the Home Base Care Alliance (HBCA) and the legislative sponsorsfor the past several years to research, document support, draft legislative language and advocate passage ofthis critical measure. The home care and hospice communities have consistently affirmed strong supportand critical need for this bill to HCA. Providers and other concerned parties should call, e-mail and writeletters of support to Assemblyman Cusick and Senator Lanza at the addresses below:
Honorable Michael CusickMember of AssemblyNYS Assembly LOB 724Albany, NY 12248(518) [email protected]
Honorable Andrew LanzaState SenatorNYS Senate708 LOBAlbany, NY 12247(518) [email protected]
For further information, please contact Al Cardillo at [email protected].
Volume 20, No. 16 April 24, 2015ASAP – a publication of the Home Care Association of New York State
6
CARE Act Passes State Senate
This week, the Caregiver, Advise, Record and Enable (CARE) Act passed the state Senate and was sent tothe Assembly for further action.
The CARE Act (S. 676A-Hannon/A.1323A-Rosenthal) would require a hospital: 1) to allow a patient anopportunity to designate, upon admission to a hospital, a caregiver in the patient’s medical record whowould be included in discharge planning; 2) to notify the patient’s caregiver in advance of the patient’sdischarge or transfer to another hospital; 3) to consult with the caregiver and patient regarding the caregiver’scapabilities and limitations and issue a discharge plan that describes the patient’s after-care needs at home;and 4) offer instruction to the caregiver in all after-care tasks as described in the discharge plan.
The discharge plan is mandated to include: a description of all after-care tasks recommended by thedischarging physician, taking into account the capabilities and limitations of the caregiver; and contactinformation for health care, community resources, and long-term services and supports necessary to carryout the discharge plan.
HCA strongly supports the intent and goal of this legislation to ensure that appropriate family or anotherdesignated informal caregiver is identified, informed and assisted in understanding post-discharge needsand procedures for the patient. Ultimately, provision of this information dovetails with appropriate hospitaldischarge planning, should contribute to effective care transitions, and facilitates the initiation of home careor hospice services when also needed.
Jewish Home Lifecare is currently hiring for the following positions:
Associate Director of Rehabilitation Services, Part-Time Weekend RNs, Fee for ServiceNutritionists, Fee for Service positions in OT, PT, SLP, and LMSW for our CHHA.
We are also currently recruiting for an RN Instructor and Fee for Service RNs for our LHCSA.
In addition to the above mentioned positions, we are looking for a Director to oversee Quality andPerformance Improvement.
The Director of Clinical Excellence for QAPI (Quality Assurance Performance Improvement) isresponsible for directing the development, implementation, and evaluation of the QualityAssurance Performance Improvement program for the organization’s Certified Home Health Agency(CHHA). This involves collaboration with the administrative and clinical leadership in order toeffectuate a successful and regulatory compliant program. The Director of Clinical Excellence forQAPI fosters a culture that promotes a commitment to continually improving quality of care forclients and that empowers staff to build quality improvement processes into daily work activities.License and current registration as a Registered Professional Nurse, Bachelor’s Degree in Nursingrequired. Minimum three years home care experience; knowledge of home health regulations,accreditation and quality standards.
We offer competitive compensation, excellent benefits, and a positive work environment. Forfurther consideration, please send a cover letter and resume to: Victoria Izraylevsky, Director ofHuman Resources at [email protected].
HIRING
7
Volume 20, No. 16 April 24, 2015ASAP – a publication of the Home Care Association of New York State
Developments on Veterans Home Care Initiative
HCA’s initiative with the New York State Health Foundation tosupport veterans’ home care saw several new developments this week.
Since last fall, HCA has been working with the Foundation and ourprovider membership to explore avenues for support of veterans’ homecare needs.
Our efforts have included: 1) an exploratory roundtable with theHealth Foundation’s executive staff and board members, HCAprovider members, HCA policy staff, veterans’ consumer advocates,the National Association for Home Care and Hospice and otherexperts; 2) outreach to U.S. Representative Lee Zeldin of New York,and a member of the U.S. House Committee on Veterans Affairs, toassist in acquiring federal data on VA covered home care services; 3)drafting of a veterans’ home care pilot program bill, which wouldcreate and test a federal/state integrated, interdisciplinary andcomprehensive care management and delivery structure for veterans’home care; and 4) outreach to the state Senate and Assembly VeteransCommittee chairmen and the state Department of Health.
This week’s developments
HCA Veterans Home Care Bill – HCA met further with theLegislature this week to discuss introduction of our veterans’ homecare legislation. HCA received positive feedback that the bill is underactive consideration and word on sponsorship is expected imminently.
VA Data on Home Care – U.S. Department of Veterans AffairsUnder Secretary for Health, Carolyn Clancy, MD, provided programand quantitative information on home care provided under theVeterans Administration, responding to Congressman Zeldin’srequest. Dr. Clancy’s letter was shared with HCA and we will bereviewing it and determining next steps together with the Foundationand the Congressman’s office.
DOH Meeting – HCA also met with and briefed the stateDepartment of Health, seeking the Department’s support andcollaboration on our work to date and further plans in this area.
HCA has received extremely positive feedback from the membershipon the possibilities of these efforts, with providers strongly conveyingtheir spirited desire to collaborate and actively participate in theadvancement of home care for veterans and their families. We willkeep you closely apprised of our progress.
For further information, please contact Al Cardillo at [email protected].
DSRIP Update
This week, the state Department ofHealth (DOH) announced thatthe Delivery System ReformIncentive Payment (DSRIP)program Year 1 timeline has beenupdated to reflect recent changesmade to DSRIP key deliverables.The update is now availableat http://www.health.ny.gov/health_care/medicaid/redesign/dsrip/timelines/year_1_timeline.htm.
Dates have changed for release ofthe revised Value Based PaymentRoadmap (now early May); releaseof attribution for valuation (May7); award letters sent toPerforming Provider Systems/PPSs (May 7); PPS PartnerNetworks posted (late May); andsome other milestones.
Any questions related to thetimeline may be directed [email protected].
Quarterly reports
In other news, the DSRIPprogram requirements outlined bythe U.S. Centers for Medicare andMedicaid Services (CMS) requiresthe state to prepare and submitprogress reports to CMS on aquarterly cycle to describe DSRIPstatus, deliverables, andtransformation milestones.
The state’s DSRIP QuarterlyReports for the reporting periodbeginning on April 14 throughDecember 31, 2014 are nowavailable at https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/quarterly_reports.htm.
8
Volume 20, No. 16 April 24, 2015ASAP – a publication of the Home Care Association of New York State
Attention LTHHCPs: Join Us for May 19 Forum to Discuss Role under Managed
Care, FIDA, DSRIP, VBP and Other New Policy Developments HCA is holding a Statewide LTHHCP Forum for all LTHHCP members on May 19, from 10 a.m. to 2:30p.m. in Albany. The purpose of this statewide members-only forum is to examine issues to support LTHHCPs and assisttheir transition in an environment where payment and patient enrollment is moving toward or expandingunder new models, such as Managed Long Term Care (MLTC), Fully Integrated Duals Advantage (FIDA),Delivery System Reform Incentive Payment (DSRIP), and Value Based Payment (VBP). The Forum also gives HCA a chance to update LTHHCPs on several other concrete policy developmentsdirectly affecting your programs, including: a new Dear Administrator Letter on the applicability of home careConditions of Participation (CoPs) for care management services under managed care; the prospect of billingand coding efficiencies long sought by LTHHCPs – and now supported in this year’s state budget – to assistin your work with managed care; and action on the LTHHCP waiver, which is due in September. HCA has invited officials from the state’s Divisions of Managed Care, Home and Community Based Careand Health Care Financing to join HCA policy staff in providing these vital updates that will help LTHHCPsin their strategic planning and operational functions. Please join us for this critical forum that is an important part of your membership in HCA.
All LTHHCPs operating in New York, no matter what your current role in the delivery system, should
participate in this important forum to learn the latest.
Download the registration form at http://hca-nys.org/wp-content/uploads/2015/01/HCAStatewideLTHHCPForumMay192015.pdf.
Update on F2F Narrative Lawsuit
The National Association for Home Care and Hospice (NAHC) recently provided an update on its Medicareface-to-face (F2F) narrative lawsuit.
NAHC is challenging the Medicare rule that required physicians to construct a “narrative” documenting thephysician’s face-to-face encounter with the home health patient. While Medicare dropped the “narrative”requirement following the filing of the lawsuit (though it still requires face-to-face documentation to occur),NAHC continues to litigate the case as a potential remedy for the tens of thousands of claim denials alreadyimposed on home health agencies and the risk of future retrospective claim audits.
The case is in the middle of briefing by the parties. The Department of Justice, on behalf on the Medicareprogram, recently filed its Motion for Summary Judgment and supporting Memorandum. NAHC’s cross-motion and brief are due on May 7.
Medicare’s brief argues that it has the authority to require a physician narrative under the law passed byCongress in 2010 as part of the Affordable Care Act (ACA). Its position is that the ACA provision does not
Volume 20, No. 16 April 24, 2015ASAP – a publication of the Home Care Association of New York State
9
prohibit the U.S. Centers for Medicare and Medicaid Services(CMS) from requiring that the certifying physician – whocertifies the Medicare patient eligibility for coverage – mustsupport that certification with a narrative explaining whatspecifically in the face-to-face encounter demonstrates thatthe patient is homebound and needs skilled care.
The NAHC responsive brief is under development. It will arguethat the plain language of ACA limits CMS’s requirement – onlyrequiring the physician to document that the encounter occurred– thereby prohibiting a narrative mandate.
NAHC will also argue that the narrative requirement isarbitrary and capricious, as the standards for compliance areat best vague and the narrative requirement results in theirrational outcome of patients who are clearly homeboundand in need of skilled care being denied coverage without a fullrecord review.
Keep in mind that these legal questions about the “narrative”pertain to services before January 1, 2015 when the narrativecomponent of F2F was in effect. Providers still remainvulnerable in such cases due to retrospective audits – and foraudits that already occurred, for which NAHC is seekingremediation.
Complicating this issue is the fact that F2F remains in effectafter January 1, 2015, albeit without the specific narrativerequirement. The new requirement poses a whole new set ofissues that the home care community is otherwise seeking toaddress.
HCA has long advocated for a legislative fix on the F2Fdocumentation issue. We understand the burden it places onagencies and the exorbitant amount of resources expended tocomply, whether in the case of the narrative requirement orthe current requirements.
Short of repealing this problem regulation, the home careindustry has asked, at a minimum, for Congressional actioncompelling CMS to streamline the face-to-face certificationprocess. We have repeated this call in the most recent healthcare negotiations as Congress considered a fix to the physicianfee schedule. (See HCA’s press release at http://tinyurl.com/osg8u6u.)
HCA is offering a session on F2F documentation at ourupcoming Annual Conference. See the brochure at the backof this week’s ASAP for details.
Free Webinar on Executive
Order 38 for Members
Only on June 4 On June 4, HCA is holding a free,one-hour, members-only webinar,led by HCA Counsel FrankFanshawe, who will provide anupdate on Executive Order 38, amandate which limits executivecompensation and administrativeexpenditures at organizationsreceiving state funds directly orindirectly. In the nearest development,Executive Order (EO) No. 38requires most agencies to submit adisclosure form by June 30, just twomonths away. Mr. Fanshawe willhighlight this and otherrequirements of the complicatedmandate, as well as new legaldevelopments related to courtactions challenging EO 38. If you are a covered provider underEO 38, you will not want to missthis session and the opportunity toask questions about this policyaffecting expenditures at yourorganization. This is an HCA members-only
program and there is no charge toparticipate; however, registration is
required by May 29. Please complete the registrationform (at http://hca-nys.org/wp-content/uploads/2015/01/EO38MemberWebinar6.4.15.pdf )and log-in/dial-in information willbe sent to you one day prior to thewebinar at the e-mail address youprovide in the form.
Volume 20, No. 16 April 24, 2015ASAP – a publication of the Home Care Association of New York State
10
Final CMS Forum on Home Health Template
The U.S. Centers for Medicare and Medicaid Services (CMS)will hold the final Open Door Forum on its proposed HomeHealth Electronic Clinical Template and Home Health PaperClinical Template on April 28, 2015 from 1:30 to 2:30 p.m.This program should be of interest to all providers seeking astandardized approach to face-to-face documentation. (Seerelated p. 8 story.)
To participate in the forum, dial 1-800-603-1774; theconference identification number is 78964234. No registrationis required, but participants are advised to call in ahead oftime.
As reported in previous editions of ASAP, CMS is consideringa voluntary electronic clinical template and a voluntary homehealth paper clinical template to help reduce the burden onphysicians and practitioners who order home health services.
The templates are posted at https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Medical-Review/Home_Health_Medical_Review_Update.html.
CMS is accepting comments on the draft templates [email protected].
Once a draft of the template is completed, it will undergo therequired Paperwork Reduction Act (PRA) approval process.A release date for the template cannot be determined until thePRA process is complete. Once released in its final approvedformat, the use of this documentation tool will be voluntary.
HCA and our national partners continue to express ourconcerns with CMS’s efforts to implement the Medicare face-to-face (F2F) requirements, and a F2F fix remains a focus ofour national advocacy efforts. (See related p. 8 story.)
At HCA’s Annual Conference, on May 6-8, we are offering asession on physician documentation, featuring a representativefrom New York’s Medicare Administrative Contractor,National Government Services (NGS). Shelly Bernardini, aRegistered Nurse who is NGS’s Medicare Home Health ClinicalConsultant, will provide attendees with a greater understandingof patient eligibility, face-to-face encounters and certificationrequirements for home health. Register for HCA’s AnnualConference today at www.hcaannualconference.com.
Compliance Guidance
Issued for Governing
Boards
The Office of the Inspector General(OIG) of the Department of Healthand Human Services (HHS), theAmerican Health LawyersAssociation (AHLA), theAssociation of Healthcare InternalAuditors (AHIA) and the HealthCare Compliance Association(HCCA) this week released a jointeducational resource to assistgoverning boards of health careorganizations carry out theircompliance plan oversightobligations.
The document, “Practical Guidancefor Health Care Governing Boardson Compliance Oversight,” is athttp://oig.hhs.gov/compliance/compliance-guidance/docs/Practical-Guidance-for-Health-Care-Boards-on-Compliance-Oversight.pdf.
According to the OIGannouncement, in addition togoverning boards of health careorganizations, the document willalso assist internal auditors, lawyers,and compliance officers that reportto those boards.
This new educational resourceprovides practical ideas that boardsmay consider implementing in theirorganizations. The guidance includesprocesses for identifying risks, toolsfor improving adherence to programobjectives, and reporting tools forboard meetings.
Volume 20, No. 16 April 24, 2015ASAP – a publication of the Home Care Association of New York State
11
Managed Care Update
At this week’s Managed Care Policy andPlanning meeting, the state Department ofHealth (DOH) provided updates on the FullyIntegrated Duals Advantage (FIDA)program; the transition to Managed LongTerm Care (MLTC) plans; implementation ofthe Conflict-Free Evaluation and EnrollmentCenter (CFEEC); and enrollment ofindividuals who “age out” of MainstreamMedicaid Managed Care Plans into an MLTCplan.
FIDA
Some information presented on FIDAincluded:
• 4,158 individuals are enrolled in FIDAas of April 1; 41,906 have elected toopt out of FIDA.
• 3,733 individuals will be “passively”enrolled into a FIDA plan startingMay 1 after not selecting a plan orindicating an intention to opt out.
• No passive enrollment is scheduled forJune but has been deferred to July 1.
• 5,498 individuals will be passively enrolledinto a FIDA plan starting July 1.
• DOH is planning this month to issuean MLTC/FIDA comparison chartfor plans to share with current orpotential participants, explaining thebenefits of FIDA.
• DOH and the U.S. Centers forMedicare and Medicaid Services aremaking draft changes to theInterdisciplinary Team (IDT)provisions and will release them fordiscussion.
• As of April 14, 2015, more than 9,200providers have registered for the core
provider training module on the Lewin portal.
• Two new modules (Behavioral Health andCultural Competency) have been added to theportal. A new letter will be sent by plans lettingproviders know that the new modules areavailable.
• Two additional training modules are indevelopment – supplementary IDT andAmericans with Disabilities Act compliancetraining.
• A Frequently Asked Questions (FAQ) document onprovider training and instructions was released to plansto be shared with providers at: http://tinyurl.com/mzgno43. (See separate p. 13 story.)
• DOH is working with CMS on revising theFIDA rates.
• DOH has developed a participant friendlywebsite at https://www.health.ny.gov/health_care/medicaid/redesign/fida/.
Managed Long Term Care
• 135,028 individuals are enrolled in MLTCplans; this includes 113,456 in the New YorkCity (NYC) area and 21,572 outside of NYC.
• Counties that have not yet transitioned toMLTC plans include: Chautauqua, Allegany,Seneca, Yates, Schuyler, Chemung, Jefferson,Lewis, St. Lawrence, Franklin, Clinton,Hamilton and Essex counties.
CFEEC
The Conflict-Free Evaluation and Enrollment Center(CFEEC) will start in May in Oswego, Oneida,Herkimer and Madison counties.
Under the CFEEC, all new individuals who requiremore than 120 days of community-based long term careservices must be assessed, using the Uniform Assessment(UAS-NY) tool, by the Medicaid Enrollment Broker,Maximus, to determine their eligibility for Medicaid
Volume 20, No. 16 April 24, 2015ASAP – a publication of the Home Care Association of New York State
12
community based long term care andeligibility for enrollment in a MedicaidMLTC plan.
MLTC plans can no longer enroll anindividual unless those individuals have firstundergone a CFEEC UAS in those regionswhere the CFEEC policy is in effect.
After May, the remaining counties toimplement CFEEC (expected in June) are:St. Lawrence, Franklin, Clinton, Essex,Hamilton, Seneca, Yates, Schuyler,Chemung, Jefferson, Lewis, Chautauqua,and Allegany.
Additional information on the CFEEC is athttp://www.health.ny.gov/health_care/medicaid/redesign/mrt_90.htm.
Mainstream Managed Care
DOH has been receiving a lot of complaintsrecently from beneficiaries in MainstreamMedicaid Managed Care programs whohave been disenrolled when they turn 65 andbecome dually eligible and they are notenrolled into a MLTC plan. (HCA hasbrought this issue to DOH’s attention.)
In response, DOH has established a policywherein if the Mainstream Managed Careplan has a sister MLTC plan, the beneficiarywho is “aging out or turning 65” will then beauto assigned to that sister MLTC plan. Thisis effective April 1, 2015.
For beneficiaries who do not choose anMLTC plan within the required timeframeand whose Mainstream Managed Careplans do not have a sister MLTC, DOH willauto assign them when they age out of themainstream plan.
Questions on FIDA, MLTCs, CFEEC ormainstream Managed Care plans can bedirected to Andrew Koski at [email protected] (518) 810-0662.
CMS to Hold Special Open Door Forum
on Home Health Patient Survey
(HHCAHPS) Star Ratings: May 7
The U.S. Centers for Medicare and Medicaid Services(CMS) will host a Special Open Door Forum on Thursday,May 7 from 1:30 to 2:30 p.m. to discuss the new set of StarRatings for the CMS Home Health Compare website. Thetitle of the Special Open Door Forum is “All About HomeHealth Patient Survey (HHCAHPS) Star Ratings.”
The dial-in number is 1-800-603-1774 and the conferenceidentification code is 96436960.
During the forum, CMS will share how they plan to useHome Health CAHPS survey results to create PatientSurvey Star Ratings for the Home Health Compare website.CMS plans to publicly report the Patient Survey StarRatings on Home Health Compare on www.medicare.govstarting in January 2016. The Patient Survey Star Ratingsare in addition to the Quality of Patient Care Star Ratingswhich will start in July 2015.
CMS will also describe the rationale and overview of theHHCAHPS Patient Survey Star Ratings. It will give adetailed description of the methods for calculating the ratingsand assigning stars.
PowerPoint Slides, a Technical Paper, and Frequently AskedQuestions can be found on the following websites:
• http : / / w w w.cm s . gov / Me d ica r e / Qu al i t y -
Initiatives-Patient-Assessment-Instruments/H o m e H e a l t h Q u a l i t y I n i t s /HHQIHomeHealthStarRatings.html
• https://homehealthcahps.org
This week, the HCA Quality Committee, with participationby Mary Carr (Vice President for Regulatory Policy at theNational Association for Home Care and Hospice/NAHC), extensively analyzed the star proposal and itsparticularly problematic aspects for New York’s providersand system. HCA will be further discussing responses andpossible advocacy strategies with NAHC and other partners.
For further information, contact Patrick Conole at (518) 810-0661 or [email protected].
Volume 20, No. 16 April 24, 2015ASAP – a publication of the Home Care Association of New York State
13
DOH Posts FIDA Training Requirement Info
The state Department of Health (DOH) has posted a Questions and Answers (Q&As) document on thetraining requirements for providers that participate in the Fully Integrated Duals Advantage (FIDA) program.
The Q&As are at https://www.resourcesforintegratedcare.com/sites/default/files/Provider%20Training%20Q%20%20A_3_30_2015_1.pdf.
According to the Q&As, All Physicians, Nurse Practitioners, Physician Assistants and other Practitionersand Providers that are normally credentialed by FIDA plans and responsible for the care of FIDA participantsmust take the training.
The clinical leadership and compliance or administrative staff in the organization are also required to takethe FIDA training.
Furthermore, FIDA education of additional downstream staff would need to be determined by theorganizational leadership depending on the internal structure, but it must take into account how theorganization will comply with the FIDA requirements for FIDA participants. Any member of theInterdisciplinary Team (IDT) must complete the training.
Examples of downstream staff that can be trained internally by the organization, as deemed appropriate bythe organization’s leadership, include Certified Home Health Agency and Licensed Home Care ServicesAgency nurses, home care workers, social workers, therapists, etc. that will provide care or support to FIDAparticipants.
Consumer Directed Personal Assistance Services aides must be trained by the FIDA participant only if theaide is on the IDT as decided by the participant.
The Q&As point out that as new staff and practitioners are employed, it is the responsibility of theorganization to provide the appropriate FIDA training, either by directing them to complete it on the websiteportal, or through an in-service training within 60 days of the new staff and practitioners’ start date.
Three training modules (FIDA Overview; Cultural Competency, and Behavioral Health) are currentlyavailable and two additional ones (Disability and Supplemental IDT) will be available soon.
Providers only have to take each training module once to satisfy the FIDA training requirements for all of theFIDA plans. Each FIDA plan and vendor is able to download the listing of providers affiliated with theirorganization outlining who completed the training. Each provider should also receive an e-mail confirmationwhen each training is complete which will serve as a certificate of completion.
FIDA plans are expected to implement Corrective Actions with providers who have not complied with thetraining, up to and including termination of the provider’s contract.
Technical issues with the website portal training should be sent to [email protected].
Volume 20, No. 16 April 24, 2015ASAP – a publication of the Home Care Association of New York State
14
FIDA FAQs Released for Home Health Providers
The state Department of Health (DOH) has posted Frequently Asked Questions (FAQs) for home health providersparticipating in the Fully Integrated Duals Advantage (FIDA) program.
The FAQs are at http://www.health.ny.gov/health_care/medicaid/redesign/faq_for_home_health_providers.htm.Some important information includes:
• FIDA plans will pay for any covered items or services that are medically necessary and authorized whenrequired. This applies to home health care services, too. However, unlike in managed long term care(MLTC) or Medicare Advantage managed care, home health services may be authorized either by theFIDA plan or by the individual’s care team (“Interdisciplinary Team,” or “IDT”).
• All individuals new to a FIDA plan will have a transition period during which they can continue theircurrent course of treatment with any home health providers they have seen in the past six months,regardless of whether those providers are in the FIDA plan’s network or not. The transition period willlast for at least ninety days. During this period, FIDA plans are required to pay out-of-network homehealth providers at least the lessor of the providers’ charges or the Medicare fee-for-service rate.
• More information on the continuity of care provisions is in Section 2.6.6 on page 68 of the FIDA Three-Way Contract at http://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/FinancialAlignmentInitiative/Downloads/NewYorkContract.pdf.
• In response to a question about whether home health providers must complete OASIS documents,obtain face-to-face documentation and follow Medicare coverage requirements, CMS writes: “Nothingin the FIDA program changes the Medicare certification requirements for home health agencies (HHAs).Any HHA seeking Medicare certification is required to meet the Medicare Conditions of Participation(CoPs) prior to certification. This includes compliance with the OASIS (Outcome and AssessmentInformation Set) data set collection and transmission requirements.”
• As in Medicare Advantage, a FIDA plan’s authorization for home health services may substitute for theMedicare fee-for-service (FFS) face-to-face certification requirement for the authorization of home healthcare services. In certain circumstances, FIDA plans are not required to follow Medicare FFSdocumentation requirements for the provision of Medicare-covered services, but may substitute methodsthey deem appropriate for ensuring that the services provided are medically necessary, so long as they arenot more restrictive than the coverage standards that apply in Medicare FFS.
• Under FIDA, home health providers will bill all home health services directly to the FIDA plan. If adetermination of medical necessity is made for home health services, Medicare homebound requirementsfor coverage are not relevant.
• Home health providers must give individuals a completed copy of the Notice of Medicare Non-Coverage(NOMNC) prior to termination of Medicare-covered home health (including psychiatric home health)services. Medicare Advantage NOMNC rules continue to apply in FIDA. However, in accordance with theMedicare rules, the NOMNC should only be issued when services are terminated. This means the NOMNCshould not be issued if the FIDA participant continues to receive Medicaid home health services.
Questions about FIDA should be sent to [email protected].
Volume 20, No. 16 April 24, 2015ASAP – a publication of the Home Care Association of New York State
15
Vaccination Reports Due May 1HHA training information due April 30 HCA reminds members about two very important upcoming deadlines: one for the Healthcare PersonnelVaccination Report (due May 1) that must be submitted on the Health Electronic Response Data System(HERDS) and the other for submission of quality and evaluation information by Home Health Aide TrainingPrograms/HHATPs (due April 30). As mentioned in numerous editions of ASAP, this year’s Vaccination Report covers personnel employed by oraffiliated with your agency from October 1, 2014 through March 31, 2015. Agencies are required to submita single, longitudinal report through the Health Commerce System that is open from November 19, 2014through May 1, 2015. Detailed guidance on how to access, complete, and submit the report on HERDS, including instructions anda Frequently Asked Questions (FAQ) document, are available at www.health.ny.gov/FluMaskReg. Under the ‘flu mask’ requirement – in effect since December 11, 2014 for this current influenza season – homecare and other health providers are mandated to ensure that their aides and other designated personnel whoare not vaccinated against influenza wear a surgical or procedure mask while in areas where patients arepresent. Questions about the report should be directed to the DOH Bureau of Immunization at either (518) 473-4437 or [email protected]. Technical questions about HERDS should be directed to the Health Emergency Preparedness Program at(518) 408-5163 or [email protected].
Questions about the flu mask regulation should be directed to [email protected]. HHATPs In early April, the state Department of Health (DOH) posted a Dear Administrator Letter (DAL) to remindHHATPs that they are required to have policies and procedures describing their quality management programand to conduct an annual evaluation of the training program. The DAL is at http://hca-nys.org/wp-content/uploads/2015/04/AprilDALHHATP.pdf. Program monitoring must be conducted on at least a quarterly basis; documentation of this monitoring mustbe included in the quality assurance minutes of the sponsoring agency. In addition, an annual evaluationreport must be submitted to the sponsoring agency’s governing authority and to the applicable DOH RegionalOffice with the re-approval application. This year, to ensure statewide compliance with the program monitoring component, the Division of Homeand Community Based Services is requiring all HHATPs to provide a copy of the 2014 (or 2013) annual
Volume 20, No. 16 April 24, 2015ASAP – a publication of the Home Care Association of New York State
16
Continued on next page
evaluation report by April 30, 2015 to: Marjorie Brier-Lynch, RN, NYS Department of Health, Division ofHome and Community Based Services, 875 Central Avenue, Albany, NY 12206. The DAL also reminds HHATPs to provide the applicable DOH Regional Office with a schedule of anticipatedclasses every six months (each April 1 and October 1). Any changes to the submitted schedule should be reportedas soon as they occur. The schedule must include the dates, times and location of each class and the name of the approved NurseInstructor for each class. DOH has posted a form and instructions with the DAL to transmit information abouttraining classes to the Regional Office and a list of these offices. Any questions about the DAL should be directed to [email protected].
DFTA Issues Draft Case Management Program Concept Paper
The New York City Department For The Aging (DFTA) has issued a draft concept paper for its upcoming CaseManagement Program (CMP) request for proposals (RFP).
The concept paper is at http://www.nyc.gov/html/dfta/downloads/pdf/community/CaseMgmtProgramConceptPaper033115.pdf.
Comments are due May 6, 2015; they should be sent to [email protected] (with “Case ManagementProgram Concept Paper” in the subject line).
DFTA expects to issue an RFP in late spring/early summer with contracts to begin on July 1. DFTA will belooking to procure 20 or more contracts; each contact would cover a designated catchment area (i.e. a pre-determined group of community districts).
The concept paper highlights some of the defined and developing parameters, expectations and standards of theCMP funded by DFTA, as well as a description of the approach and vision for the program.
According to the concept paper, the primary purpose of DFTA’s case management program is to assist olderadults who live with functional and/or cognitive impairment(s) in their efforts to remain safe at home andmeaningfully engaged in their communities and to do so in a manner that takes into consideration that person’suniqueness.
The core functions of the case management program include:
1. Identification of a client’s needs and capabilities through a comprehensive strength-based intake andassessment;
2. A financial assessment to determine whether clients are enrolled in or eligible for various city, state andfederal programs and services;
3. The development of a comprehensive care plan, in collaboration with the client and caregivers, whichidentifies interventions that are based on the individual’s needs and preferences;
Volume 20, No. 16 April 24, 2015ASAP – a publication of the Home Care Association of New York State
17
Continued from p. 16
4. Activation of the care plan, including service authorization and/or linkages to services;
5. Care plan management including monitoring of the effectiveness of interventions and service delivery;and
6. Overall care coordination that enables clients and caregivers to make informed choices about long-term care options, costs and planning for future needs.
The core services provided by case managers include: intake; assessment; care planning; authorization ofservices; service agreements; linkages with other community partners; client and care plan monitoring; use ofSenior Tracking, Analysis and Reporting System; and emergency planning.
TBI and NHTD Rates Update
The state Division of the Budget (DOB) has approved retroactive rate increases for Traumatic Brain Injury(TBI) services for the period November 1, 2014 through March 31, 2015.
These are expected be loaded to eMedNY sometime this week. (HCA awaits confirmation that this hasoccurred.) An eMedNY alert is expected to be sent out to TBI providers informing them of the November 1,2014 rate changes.
In December, eMedNY released an alert about an expected TBI rate increase effective November 1, 2014. Thatdocument is at https://www.emedny.org/listserv/HCBS-TBIWaiver/TBI_Rate_Increase_-_12-16-14.pdf.
Another set of rate increases for both TBI and Nursing Home Transition and Diversion (NHTD) services,effective April 1, 2015, is at DOB and, once approved, will be loaded into eMedNY. However, withoutapproval by the U.S. Centers for Medicare and Medicaid Services (CMS), the increase will only be effectiveuntil October 1, 2015.
A second alert is expected to be sent to TBI and NHTD providers informing them when the April 1, 2015rates have been loaded to eMedNY.
For more information, contact Andrew Koski at (518) 810-0662 or [email protected].
CMS Issues Hospice Quality & Hospice CAHPS Survey UpdatesHospices must submit CAHPS vendor authorization form by May 1
The U.S. Centers for Medicare and Medicaid Services (CMS) has recently issued new items on its HospiceCAHPS (Consumer Assessment of Healthcare Programs and Services) website related to the CAHPSHospice Survey Vendor Authorization, a CAHPS Hospice Survey Fact Sheet, as well as a separate HospiceQuality update.
Continued on next page
Volume 20, No. 16 April 24, 2015ASAP – a publication of the Home Care Association of New York State
18
CAHPS Hospice Survey Vendor Authorization Form Due
HCA strongly encourages our hospice members to make sure you submit the CAHPS Hospice Survey VendorAuthorization Form by the May 1, 2015 deadline to ensure ongoing compliance with the CAHPS Surveyrequirements.
Technical specifications on accessing the form are at:http://www.hospicecahpssurvey.org/Content/TechnicalSpecifications.aspx.
Additional information on the CAHPS Hospice Survey is athttp://www.hospicecahpssurvey.org/Content/HomePage.aspx.
CAHPS Hospice Survey Fact Sheet
The CAHPS Hospice Survey Fact Sheet contains an overview of the CAHPS Hospice Survey program, informationregarding the CAHPS Hospice Survey measures and information for survey vendor participation. HCA memberscan download the CAHPS Hospice Survey Fact Sheet at: http://www.hospicecahpssurvey.org/Documents/CAHPS_Hospice_Survey_Fact_Sheet_April_2015.pdf.
CMS Issues Hospice Quality Updates
CMS has issued an update related to the Hospice Item Set (HIS) within the Hospice Quality Reporting Program(HQRP). Of particular note is the issuance of three new CASPER reports for the HIS including: 1) HISRecord Error Detail by Provider; 2) HIS Record Errors by Field by Provider; and 3) HIS Records with ErrorNumber.
The CASPER reporting application and these reports are only available to hospice staff registered in the QIESSystems for Providers. (These are hospice staff registered to submit HIS data to the Quality Improvement andEvaluation System/QIES system.) For those eligible individuals, the reports are available on the CMS QIESSystems for Providers Hospice Welcome page at: https://mds.qiesnet.org/hospc/home.html. For specificquestions concerning this information, contact the QTSO Help Desk at [email protected] or at 1-888-477-7876.
For further information, contact Patrick Conole at (518) 810-0661 or [email protected].
NGS Asks that Providers Resubmit TPL Demand Bill Claims Rejected with Claim
Code 38308
National Government Services (NGS), New York’s Medicare Administrative Contractor (MAC), has identifieda system issue with some home health Third Party Liability (TPL) demand claims that has specifically impactedsome home health agencies in New York.
Earlier this year, claims properly submitted with condition code 20 were not being suspended for additionaldocumentation request (ADR); however, they were rejected with claim level reason code 38308.
NGS asks providers to resubmit any rejected demand claims that did not go through the ADR process, (i.e.,your agency did not receive a request for medical records and the demand claim was not reviewed by Medical
Continued from p.17
Volume 20, No. 16 April 24, 2015ASAP – a publication of the Home Care Association of New York State
19
Continued on next page
Review). Note: If the Request for Anticipated Payment (RAP) has been cancelled by the system, providersshould resubmit the RAP, wait for it to process and then resubmit the demand claim.
New Version of PC Print: April 2015
Version 5.0.4 of PC Print is now available on the National Government Services (NGS) website. This versioncontains the following corrections and enhancements:
• Correction to a printing issue with the SC tab. The Single Claims report was only printing one claim ata time instead of multiple claims.
• Correction to an Installation error encountered with some Users of v 5.0.2 who are also utilizingWINDOWS 7. The error is ‘ansi asc x12 835 viewer has stopped working.’
• Addition of RARC N742 (ICD-10 ‘Warning’ RARC).
Please note, however, that PC Print version 5.0.4 is not compatible with Windows 8. For Windows 8 users,there is an option for compatibility mode when installing the software. One can perform the installation byusing the right click of the mouse over the executable, and then installing the compatibility mode option. Thismay vary from system to system.
For further information contact Patrick Conole at (518) 810-0661 or [email protected].
Xerox to Replace Computer Science Corporation as State’s Medicaid Contractor
The state Department of Health (DOH) recently announced the finalization of a five-year, $565 million dealwith Xerox State Healthcare, LLC to implement and administer a new Medicaid Management InformationSystem (MMIS).
The new system, called the New York Medicaid Management Information System (NYMMIS) will replaceeMedNY, the current state Medicaid system.
This recent announcement comes almost a year after the contract was initially awarded by the Department toXerox; however, two other companies, Computer Sciences Corporation (CSC), the current Medicaid contractorfor the state, as well as Hewlett-Packard Corporation had protested the initial award of the contract, whichprompted a lengthy review by the State Office of the Comptroller.
Among the concerns raised by the competitors were what they believed to be short timeframes for getting thenew system up and running.
In the state’s award letter, Comptroller DiNapoli’s office said safeguards were taken to address some of thoseconcerns, and DOH has taken ‘proactive steps’ to make sure milestones in the project are met. The contract isscheduled to take effect within the next couple of weeks.
Volume 20, No. 16 April 24, 2015ASAP – a publication of the Home Care Association of New York State
20
Continued from p. 19
The NYMMIS will utilize a web-based core platform, called Health Enterprise, as well as commercial off-the-shelf rules components configured to meet New York State’s requirements. Health Enterprise uses a web-native architecture that is scalable to serve future New York Medicaid needs.
The new agreement will have no immediate impact on eMedNY or providers’ billing requirements. Configurationand implementation of the NYMMIS is scheduled to take approximately eighteen months and will consist ofthe following two phases:
• Phase I: Issuing Provider Management services, Pharmacy Benefits Management, a provider callcenter and the Electronic Health Records (EHR) Incentive Program.
• Phase II: Activation of a member call center, remaining claims processing and related services includingprior approval, coordination of benefits, capitation payments and specific benefit carve-outs forMedicaid managed care members.
HCA will update the membership as additional information becomes available on the implementation process.
For further information, contact HCA’s Patrick Conole at (518) 810-0661 or at [email protected].
Publications
• “Medicaid Fraud Control Units Fiscal Year 2014 Annual Report,” by the Office of the Inspector Generalhttp://oig.hhs.gov/oei/reports/oei-06-15-00010.pdf
• “Changes Needed To Fulfill The Potential Of Medicare’s ACO Program,” Health Affairs Bloghttp://healthaffairs.org/blog/2015/04/08/changes-needed-to-fulfill-the-potential-of-medicares-aco-program-2/print/
• “Key Themes From Delivery System Reform Incentive Payment (DSRIP) Waivers in 4 States,” by theKaiser Family Foundationhttp://files.kff.org/attachment/issue-brief-key-themes-from-delivery-system-reform-incentive-payment-dsrip-waivers-in-4-states
• “Clarification of Ordering and Certifying Documentation Maintenance Requirements,” by the U.S.Centers for Medicare and Medicaid Serviceshttp://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R587PI.pdf
• “Demonstrations to Improve the Coordination of Medicare and Medicaid for Dually EligibleBeneficiaries,” by the Kaiser Family Foundationhttp://files.kff.org/attachment/report-demonstrations-to-improve-the-coordination-of-medicare-and-medicaid-for-dually-eligible-beneficiaries
For more information, contact Andrew Koski at (518) 810-0662 or [email protected].
Are You Ready to Navigate New Models of Care and Coverage?
Thursday, May 28, 2015Empire State Plaza – Albany NY
Meeting Room 2-4
9:00am
Welcome and HCA Update Joanne Cunningham, President
9:15am to 10:30am
The State’s Roadmap on New Models of CareNew York State continues to rapidly reform its Medicaid program and work collaboratively with the federal government on introducing and facilitating the adoption of new models of care, coverage, service delivery and financing. Hear from New York’s health care and Medicaid reform leader about the state’s vision in the adoption of new models of care delivery, as New York State’s Medicaid program evolves with a focus on care delivery through Managed Long Term Care plans, Fully‐Integrated Duals Advantage plans, Delivery System Reform Incentive Payments (DSRIP) and others. This session will help you understand the state’s continued priorities, areas of focus, and expectations for how you can fully participate in these and emerging models.
Jason Helgerson, State Medicaid Director, Deputy Commissioner, New York State Department of Health
10:30am to 11:30am
Value Based Payment – Positioning for Home Health ProvidersState and federal reforms are prompting massive and far‐reaching changes that affect how health care and home care services are delivered. These reforms are also driving change in the financing of and payment for care. Understanding how new payment models work, how they are constructed and how the payment incentives function is critical as you plan for a successful future. With the advent of Value Based Payment Models, successful providers are compelled to learn ways of positioning themselves competitively. Hear from the State of New York’s lead contractor about how VBP models work, how outcomes are measured and how this model aims to improve value and outcomes while reducing the costs of care.
Marc Berg, MD, Ph.D., Partner, Global Center of Excellence for Health, KPMG
11:45am to 12:45pm
DSRIP Lessons Learned and Next StepsOne of the most recent innovations in delivery system reform came in the form of a waiver with the federal government that set in motion the plan for a larger focus on outcomes, payment and service delivery integration. This initiative, the Delivery System Reform Incentive Payment (DSRIP) program, aims to promote collaboration among health care and community care providers, transform health care service and reduce re‐hospitalizations while offering incentives and rewards for high quality outcomes. Hear from the state’s DSRIP implementer about how DSRIP is transforming payment and services for patients and the lessons learned in the rollout and adoption of this innovative initiative.
Greg Allen, Director of the Division of Program Development and Management within the New York State Office of Health Insurance Programs (OHIP).
AGENDA
Who should attend
Home health provider and health plan CEOs, CFOs, COOs and those who need a better understanding of emerging care models to position successfully in a new service and payment delivery environment.
With the enactment of far‐reaching health care reforms at the federal and state levels, changes to the health care delivery and payment systems are evolving quickly. To jump‐start these initiatives, policymakers are incentivizing the creation of new models that focus on the seamless integration of health care delivery, providing value, high quality care and targeted outcomes.
It is critical for the home care community to understand how these new models work, how they are financed, and how they are constructed. In addition, the provider community needs to be prepared to position themselves competitively and effectively in these new models.
This workshop is designed to be informative, thought‐provoking and relevant as you position your organization in this environment of change and in this environment of health care service delivery and payment reform evolution. Don’t miss this opportunity!
AGENDA
12:45pm to 1:30pm
Lunch and the Opportunity to Share Ideas with Your Peers
1:30pm to 2:30pm
Re‐Tooling Your Operation to Achieve Success in New Models of Care and Service DeliveryDSRIP implementation poses unprecedented challenges and opportunities for performing providers systems (PPSs) and the providers who participate in them. This session will focus on assisting participating providers to anticipate, understand, and tackle DSRIP developments in the first year, including fund flow models and potential funding opportunities emerging from PPSs, project participation, regulatory waivers, and PPS compliance and HIPAA requirements.
Tracy E. Miller, Bond Schoeneck and KingMs. Miller practices health care and not‐for‐profit corporate law, focusing on corporate, regulatory and compliance matters for health care providers, health systems, managed care plans and charitable organizations.
2:30pm to 3:30pm
Strengthening Your Business Model in an Era of New ModelsSuccessful health care organizations in a new environment of evolving service, coverage, payment and delivery system reforms must challenge themselves to make necessary changes to their business models in order to adapt and successfully partner. The future success of home health as critical partners in new models will depend on the ability to become more efficient, streamline functions, and provide a high level of care with excellent outcomes at a competitive cost. In this final session, learn what others across the nation are doing to strengthen their business models and boost their offerings of support to their partners.
Presenter TBA
REGISTRATION FORM – Fax to (518) 426‐8788 or Mail to the address below.Please register by May 22 to guarantee your seat, lunch and handout materials.
Name: _____________________________________________________________________________________________
Title:_______________________________________________________________________________________________
Agency:_____________________________________________________________________________________________
Address:____________________________________________________________________________________________
City/State/Zip:______________________________________________________________________________________
Phone:______________________________________ Ext.________________
Fax: __________________________________________________________
Email: ___________________________________________________
PAYMENTPlease check method of payment:
____MasterCard ____VISA ____ American Express ________ Check*
*Make checks payable to HCA Education and Research
and mail to: 388 Broadway, 4th Floor, Albany, NY 12207 (checks must be received one week prior to program)
Please print clearly.
Credit Card #: ____________________________________ Exp. Date:__________ Security Code: ____________
_____________________________________________________________________________________________________Name and/or Company Name on Card
_____________________________________________________________________________________________________Billing Address of card (including City, State and Zip Code)
_____________________________________________________________________________________________________Authorized Signature
Cancellations received by May 18 are refundable less a 25% administrative fee. Cancellations must be received in writing via e‐mail to [email protected]. No refunds after that time or for no shows. Substitutions are permitted. Questions? Call HCA at (518) 426‐8764.
REGISTRATION FEE
HCA Members $229 per person ________
Non‐Members $329 per person ________
Are you Ready to Navigate New Models of Care and Coverage?Thursday, May 28, 2015Empire State Plaza, Meeting Rooms 2-4, Albany NY
FAX TO: (518) 426‐8788
On June 4, from 11:00 am to 12 Noon, HCA is holding a member webinar led by HCA’s Counsel, Frank Fanshawe, who will provide an update on Executive Order 38. This program will include an overview of the requirements, the disclosure form agencies that don’t file a cost report have to submit by June 30, and any new legal developments. There will be an opportunity for participants to ask questions during the program.
As extensively reported to members, Executive Order 38 places limits on executive compensation and administration costs for entities, including home care and other health providers that receive state funds directly or indirectly.
This is an HCA members only program and there is no charge to participate, however, registration is required by May 29. Log‐in/dial‐in information will be sent one day prior to the webinar to the e‐mail address provided below.
REGISTRANT INFORMATIONRegistration deadline is May 29.
Name: __________________________________________________________________
Title:____________________________________________________________________
Agency:_________________________________________________________________
Address:________________________________________________________________
City/State/Zip:___________________________________________________________
Phone:______________________________ Ext._________ Fax: __________________
Email: __________________________________________________________________(Required)
WebinarJune 411:00am
to12noon
Return your registration form by:
• Fax to: (518) 426‐8788• Scanning and emailing to: [email protected]• Mail to: HCA, 388 Broadway, 4th Floor, Albany NY 12207
Frank Fanshawe, Esq., is an integral part of the Health Care law practice at the Albany office of Wilson Elser MoskowitzEdelman & Dicker, LLP. He has practiced health care law for more than 20 years and served as a senior adviser to the New York State Senate Health Committee Chair on legislative and public policy issues in connection with New York's Health Care Reform Act and other major health care initiatives.
Sponsored by:
Cancellation Policy: Cancellations received by May 12 will receive a full refund, less 25% of total due as an administrative fee. Cancellations received on May 13 or later will forfeit theirregistration fee, along with those who register and do not attend. Substitutions are permitted. Please contact Teresa Brown at (518) 426-8764 or [email protected] to cancel.
STATEWIDELTHHCP FORUM
Tuesday, May 19th
10:00am-2:30pm
LocationAlbany Hilton
State and Lodge StreetsAlbany, NY 12207
Preliminary Agenda Items Include:
• Mandatory MLTC Enrollment, FIDA, DSRIP, Value Based Payments and Other Critical Developments and Implications for LTHHCP
• Status, Developments and Reports of LTHHCPs locally, regionally and statewide
• Discussion with State Long Term Care, Division of Home and Community Based Services, Division of Managed Care and Division of Health Care Financing Officials re LTHHCP program, operation and policy issues.
• More
RegistrationOnce complete, please fax to (518) 426-8788. You must provide us with an email address in order to receive your confirmation.
_________________________________Name
_________________________________Title
_________________________________Agency
_________________________________Phone
_________________________________ Email (Required)
This is an HCA Members-Only session.There is a $40 fee per person for thissession to cover the costs of meetingmaterial and lunch.
The Forum provides LTHHCP representatives, statepolicymakers, other invited guest speakers and HCAstaff the opportunity to discuss the salient issuesaffecting the LTHHCP at the local, state and federallevels, as well as the program’s priority advocacyneeds.
Statewide implementation of mandatory managed care enrollment is continuing, FIDA is ramping up, DSRIP is being implemented, and simultaneously the state and federal governments are moving the health care payment system to “Value Based Payment.” Meanwhile, a new DAL on care management has just been issued, the state regulatory reform workgroup is considering recommendations for additional regulatory streamlining, the state budget includes a new uniform coding/billing system for home care‐managed care, action on the LTHHCP waiver is due this September, a series of new home care quality innovations is being explored, and many other developments are in full swing.
Attend this important Forum opportunity to discuss these and critical LTHHCP program and operational issues, opportunities, and needs amid these changes and developments.
Payment of $40 per person
_______ VISA _________ MC _______ AM EX
Credit Card No._____________________________________________________________
Expiration Date:________________________ Sec. Code:___________________________
Card Billing Address:_________________________________________________________
__________________________________________________________________________
Name on Card:______________________________________________________________
Signature:__________________________________________________________________
Or, make checks payable to: HCA and mail to 388 Broadway, 4th Floor, Albany, NY 12207
_________________________________Name
_________________________________Title
_________________________________Agency
_________________________________Phone
_________________________________ Email (Required)
2015 Annual Membership Conference
May 6 & 7, 2015
ACHE Leadership Institute
May 8, 2015
Saratoga Hilton – Saratoga Springs, NY
Who Should Attend
Chief Executive Officers,
Executive Directors, Administrators, Finance
Managers, Clinical Leaders or any other department
leader who plays a key role in the success of your
operation.
Why not use the HCA Annual Conference as an
educational retreat for your team?
Let us know if we can help
make that happen!
NAB Continuing Education
Clock Hours
This educational offering has been reviewed by the
National Continuing Education Review Service (NCERS) of the National
Association of Long Term Care Administrator Boards (NAB) and
approved for 12.25 clock hours and 8.25
participant hours.
Dear Members and Friends of HCA, A sea of change is happening in health care, and we all have weathered its rough waters over the past two years. But with change comes renewed purpose. Today you are no doubt seeing this outcome as you run a tighter ship, diversify what you offer your community, and extend new lines of outreach well beyond the deck of your organization, engaging new players and partners in an
increasingly coordinated system. On this new course, home care needs to ride the wave of opportunity, and avoid getting overwhelmed by the flow of new information, expectations and shifting currents. This takes skill, intelligence, strategic thinking, patience and courage. HCA’s 2015 Annual Membership Conference aims to support you in this effort by bringing you tips, tools and strategies to help you successfully point your ship in the right direction and embark on a course of positive change. Our conference is now a two-day event, on May 6 and 7, reducing the cost to you and limiting the amount of time spent away from your office while offering you the same caliber of excellent learning and networking opportunities that have always been a signature of our conference. Also new this year, we are adding a half-day Leadership Institute on May 8, brought to you by the American College of Healthcare Executives. You can choose to attend both programs – the HCA Annual Conference and the Leadership Institute – or only one. All programs will take place at the Saratoga Hilton, in Saratoga Springs, where we’ll have an exciting lineup of world-renowned speakers and industry experts offering thought-provoking ideas and valuable learning opportunities. The Annual Conference is an ideal setting to network with your peers, pay tribute to outstanding individuals in the industry through our awards program, and visit with an assortment of vendors who will be on hand showcasing their latest products or services. If you are new to home care, new to your agency or if your agency just recently joined HCA, the Annual Conference is a perfect way to get your feet wet, meet HCA’s team, make new contacts, and learn. To broaden your team’s learning experience, HCA is also offering one of your staff members the opportunity to attend the conference at half price and the leadership institute at the lowest price possible if they’ve never attended HCA’s conference before. To take advantage of this “first-timer” opportunity, you must register yourself and your staff person by April 6. This is a great way to show your appreciation to a valuable member of your staff. (Online registration for this offer is not available; please use the registration form in this brochure.) So what are you waiting for? Check out the agenda and register today! I look forward to seeing you there. Joanne Cunningham President HCA
Hotel Information
The Saratoga Hilton, Saratoga Springs, NY is the site of the HCA Annual
Conference. Rooms at the Saratoga Hilton are $162 per night. This
discounted rate is available until April 5. After this date, higher rates will
prevail. Parking is $5 per night.
To make a reservation, call 888-866-3596 or register online at
https://resweb.passkey.com/go/HCANYS2015 The hotel’s check-in time is 4 p.m. and check out is 11 a.m. Luggage storage is available should your room not be ready prior to check-in time.
We also extend a special thanks to HCA’s Board of Directors who
donate their time and talents for the success of HCA.
Marie Andreacchio Allen Health Care Services
Susan Brett, People Care, Inc.
Maura Cahill-Bordas
Hebrew Hospital Home, Inc.
Anne Calvo, Winthrop University Hospital Home Health Agency
Susan Caputo, Individual Member
Northport, NY
Shelly Eggleton Lourdes At Home/Hospice At Lourdes
Michael Feinman
Any-Time Home Care, Inc.
Ann Frisch, New York City HHC – Health & Home Care
Bridget Gallagher
Jewish Home Lifecare
Ginger Hall, Jefferson County Public Health Services
Pamela Joachim, Montefiore Medical
Center Home Health Agency
Orael Keenan Visiting Nurse Association
of Long Island
Kenneth Kilroy Progressive Home Health Services
Sue Larman, VNA Home Health
Russell Lusak
Selfhelp Community Services
Irina Mitzner, North Shore – Long Island Jewish Health Care Network
Laurie Neander
Basset Healthcare Network: At Home Care
Karen O’Kane, Brookhaven Memorial Hospital Medical Center
Mary Kate Rolf, VNA Homecare
Paul Rosenfeld, CenterLight Health System
Brian Schiel, Bestcare
Rae Szymanski, Visiting Nurse Association
of Hudson Valley
Vivian Torres-Suarez, Individual Member Bayside, NY
Joseph Twardy, VNS of Northeastern NY
Mary Wagner
Metropolitan Jewish Health System
Mary Zagajeski Dominican Sisters Family Health Service
Elizabeth Zicari, HCR Homecare
HCA graciously thanks those Sponsors and Exhibitors who have already committed to support you
and this signature educational event.
Additional Sponsors Arthur J. Gallagher Risk Management Services, Inc.
Bassett Healthcare Network, At Home Care Brookhaven Memorial Hospital Medical Center
Byram Healthcare Dominican Sisters Family Health Service, Inc.
Hinman Straub, P.C. People Care, Inc.
RBC Limited Healthcare and Management Consultants VNS Westchester
Winthrop University Hospital
Exhibitors AccuPoint, LLC Avanti Health Care Services Black Tree Healthcare Consulting Bosch Healthcare Brinster & Bergman, LLP Cardiocom, a Medtronic Company ContinuLink The Corridor Group Delta Health Technologies, LLC Fazzi Associates Forcura Friedlander Group Grassi & Co. CPA’s Homecare Homebase
Homecare Software Solutions. LLC LCG Community Trust Mobile Health MobilexUSA Mom’s Meals Nourish Care MyCNAjobs Philips Hospital to Home Quality in Real Time Senior Planning Services MLTC Simione Healthcare Consultants Stay at Home Solutions TSG Financial Total Program Management United Healthcare Community Plan
Sponsorship and Exhibitor opportunities are still available. Visit
www.hcaannualconference.com to learn about all the benefits you will receive as a supporter.
Wednesday, May 6 10:00am – 5:00pm Hotel Lobby
HCA Registration Opens At the registration desk, you will obtain your conference program, name badge and directions to your first session. 1:00pm to 1:30pm
HCA Annual Meeting of the Corporation (Note New Time)
All HCA members are invited to attend the Annual Meeting of the Corporation. This brief meeting of the HCA corporation will include membership review and passage of the 2014 audit and financials, a synopsis of the year’s activities, and ratification of the Slate of Board of Directors members. (The HCA Board of Directors meeting, which all members are encouraged to attend, will be held on Thursday, May 7, from 4:15pm to 6:00pm.) 1:30pm to 1:45pm – HCA Welcome 1:45pm to 2:45pm
The Healing of America: Opportunities for Home Care T.R. Reid, author of the national best-seller ‘The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care,’ will examine why all other industrialized democracies manage to provide high-quality universal health care but still spend half as much as the U.S. does. Mr. Reid’s PBS documentary, ‘U.S. Health Care: The Good News,’ reveals how some U.S. communities have found ways to improve the quality of care, and contain costs, by orchestrating their local health care providers to work together, rather than waiting for Washington to tell them what to do. T.R.Reid has become one of the nation’s best known reporters through his books, articles, and documentary films. His work includes reporting for the Washington Post, NPR’s Morning Edition and PBS. 3:00pm to 4:30pm
You Can Never NOT Communicate We all understand the importance of communicating effectively in the health care field. But do you realize that you can never NOT communicate? In this presentation, Janene Schneider will help you bring communication to the conscience level by focusing on nonverbal communication and providing you with tips to enhance your professional interactions. Janene Schneider is chair of the English Department for Franklin Academy in Wake Forest, NC. With a Master’s in Communication from the University of Iowa, she has developed a passion for nonverbal communication and is a frequent speaker for Duke University’s Population Care Coordinator Program. 3:00pm
Exhibit Gallery Opens HCA is pleased to have 31 exclusive vendors on hand to showcase the latest home health products and services expressly for HCA conference participants. Take advantage of this one-stop shopping opportunity – no appointment needed.
Wednesday, May 6 – continued 4:30pm to 6:00pm
Welcome Reception Before heading out to dinner at one of Saratoga’s many fine restaurants, be sure to take the time to visit with old friends and new, peruse the exhibits of our home health vendors and register for their great raffle prizes. Dinner is on your own this evening. 8:30pm to 11:00pm
PAC Beach Party and Trivia Night Join in the fun at this fundraiser for HCA’s Political Action Committee (PAC). Attendees who make a $50 minimum personal donation will get to enjoy drinks and light refreshments while making their best guesses for prizes in response to questions on pop culture, sports, geography, science, history and more. Anyone who has attended HCA’s popular PAC fundraisers in the past will know what a great time to expect at this year’s event, so please encourage your peers to join you.
Thursday, May 7 7:00am
Registration Opens The registration desk is open bright and early for those who haven’t yet obtained their conference program, name badge and directions. 7:30am to 8:30am
Exhibit Gallery Enjoy coffee while meeting with vendors to learn more about their latest products or services that support home health. 8:30am to 9:30am
HCA’s Breakfast of Champions During this morning’s breakfast, HCA pays tribute to recipients of the Ruth F. Wilson Award, the Caring Award and the Advocacy “Giraffe” Award – a highlight of our annual conference. Join your peers as we recognize these champions over an elegant breakfast. 9:30am to 10:00am
Catching the Wave – An Address by HCA’s President, Joanne Cunningham Home care is a vital line of support for the patients you serve, and HCA’s ongoing goal is to help you navigate potential obstacles, tie-up alongside partner organizations in integrated models, and keep home care in its flagship role as the driver of community-level support services. 10:15am to 11:15am
The Art of Audacity Can one person really change the world? National Geographic journalist Tom Clynes will bring us along on assignment to some of the most dramatic and intriguing places on Earth. Through his provocative stories and stunning photos, we’ll meet the extraordinary people who dared to challenge and change the status quo: The explorer whose Congo Basin expedition led to the biggest African conservation victory in decades … the “elephant whisperer” who rescued the animals in the Baghdad Zoo … as well as virus hunters, Ebola doctors, climatologists, and a pre-teen nuclear physicist. Along the way we’ll discover the life lessons behind the success of those who dared to follow their audacious dreams, and to shape once-ordinary lives into world-changing adventures. Tom Clynes is an author and photographer who covers the adventurous side of science, the environment and public health. He writes regularly for National Geographic and Popular Science where he is a contributing editor.
Thursday, May 7 – continued 11:15am to 3:00pm
Three Workshops in Two Sessions Session 1 (11:15am to 12:15pm) Session 2 (2:00pm to 3:00pm) All three of the programs summarized below are held concurrently from 11:15 a.m. to 12:15 p.m. (Session 1) and then repeated, again concurrently, from 2 to 3 p.m. (session 2). These workshops will help you gain further knowledge on: specific regulatory compliance issues like the Medicare face-to-face requirement, workforce recruitment and retention, and population health – all of which are vital to the success of your organization.
Session 1 & 2 Descriptions
Certifying Home Health Services On January 1, the U.S. Centers for Medicare and Medicaid Services (CMS) changed the requirements for the face-to-face documentation mandate. New York’s Medicare Administrative Contractor, National Government Services (NGS), is your main point of interaction for Medicare payment and is empowered with enforcement activity related to face-to-face. Hear directly from a representative of NGS who will help you gain a greater understanding of patient eligibility, face-to-face encounters and certification requirements for home health. Attendees will receive NGS/CMS resources and the opportunity to ask questions. Shelly Bernardini, RN, CPHM, is the Medicare Home Health Clinical Consultant for Jurisdictions K and 6 at NGS where she provides outreach and education.
A Caregiver’s Perspective: Data-Driven Recruitment Get under the hood to discover the perspective of Certified Nursing Assistants and Home Health Aides on working in home care. This session will unveil key insights from a caregiver's point of view – gleaned from thousands of survey results – alongside key strategies to drive more caregivers to apply to your jobs, show up for the interview, entice them to want to work for you, and stay with your organization for the long run. Maggie Keen is Director of Customer Success for myCNAjobs. She is a national caregiver recruitment speaker, and key researcher behind The Caregiver Trend Report. Her team consults with home care recruiters across the country to optimize local recruitment efforts.
Population Health Explore how multilevel care coordination can help your organization be best positioned to improve clinical and financial outcomes by increasing communication across settings, effectively analyzing patterns and addressing health care needs for your entire patient population. Sharon Rushton, MSN, MS, RN, CCM is Assistant Professor at Duke University School of Nursing. Her interests include care coordination of complex patients, transitions of care, resource utilization and patient/family education.
Thursday, May 7 – continued 12:15pm to 1:15pm
Networking Buffet Lunch 12:30pm to 2:00pm
Desserts in the Exhibit Gallery While enjoying dessert, take advantage of this last opportunity to meet with vendors who are showcasing their products and services exclusively for you. 2:00pm to 3:00pm
Session 2 – Workshops Workshops from Session 1 (held at 11:15am) are repeated. Please refer to previous page for session descriptions.
3:00pm to 4:00pm
Physicians and Home Health: Partners in Care In this closing segment, you’ll discover new strategies for working more collaboratively with your local physician groups in achieving the same goals: better coordination of care for the patients you serve and reduced re-hospitalizations. Linda Lambert, CAE, is Executive Director for the New York Chapter of the American College of Physicians, the state's largest medical specialty organization representing over 12,000 internal medicine physicians dedicated to advancing the specialty of Internal Medicine and improving patient care through education, advocacy and quality improvement.
4:15pm to 6:00pm – HCA Annual Board of Directors Meeting All HCA members are encouraged to attend the HCA Board of Directors meeting, which will focus on Board discussion and debate of federal and state policy and advocacy strategy as well as organizational and operational priorities. This event is an important tradition and includes an invited guest speaker from the public policy arena. Dinner is on your own this evening at one of the many fine restaurants Saratoga Springs has to offer.
8:00pm – Pat’s Pub Crawl After dinner, join HCA Staff and your peers for our first-ever Saratoga Pub Crawl. Visit a variety of venues that offer something for every taste including the upscale atmosphere of wine bars, authentic brew pubs and jazzy lounges. Free drink coupons for all pub crawl participants. Watch for further details coming soon.
Friday, May 8 - Bonus Session! 7:30am to 8:45am
Value Based Payment Workshop and Breakfast Enjoy a full buffet breakfast and the opportunity to learn more about an emerging policy and payment priority at both the State and the National level focusing on value-based payment. Hear from expert faculty on how value based payments are developed, and how home health agencies can position themselves to benefit in value based payment models.
Be sure to take advantage of HCA’s Leadership Institute on Friday, May 8th!
Friday, May 8 7:30am to 8:45am
Breakfast and Value Based Payment Workshop Enjoy a full buffet breakfast and the opportunity to learn more about an emerging policy and payment priority at both the State and the National level focusing on value-based payment. Hear from expert faculty on how value based payments are developed, and how home health agencies can position themselves to benefit in value based payment models. (Coffee will be available beginning at 7:00 am.) 9:00am to1:00pm
The Courage to Lead: Critical Skills for Healthcare Leaders This session, presented by the American College of Healthcare Executives (ACHE), is exclusively for HCA on-location. Leadership is an applied skill, but too often it is left to chance as something to be picked up on the job. Progressing as a successful leader requires more. In this half-day session, designed for health care leaders at all levels of their careers, you will use proven tools and techniques to identify and develop your leadership philosophy and to develop your leadership skills even if you have little formal authority. You will also learn how to:
• Create an action plan using course content through an illustrative case study, leadership tools and integrative discussions.
• Increase your influence and effectiveness by becoming a quiet but strong leader. • Practice ways to recognize and reward employee contributions and build a winning team.
This program is presented by Jody Rogers, PhD, FACHE, visiting professor in the health care administration graduate program, Trinity University, San Antonio, TX. He has more than 30 years of experience as a health care executive in public and private health care organizations and is a certified master facilitator of The Leadership Challenge.
Program Agenda
Accreditation Participants will receive ACHE Face-to-Face Education credits as well as contact hours from the National Association of Boards of Examiners of Long Term Care Administrators (NAB).
About the American College of Healthcare Executives
The American College of Healthcare Executives is an international professional society of more than 40,000 health care executives who lead hospitals, healthcare systems and other healthcare organizations. ACHE offers its prestigious FACHE® credential, signifying board certification in healthcare management. ACHE's established network of 80 chapters provides access to networking, education and career development at the local level. In addition, ACHE is known for its magazine, Healthcare Executive, and its career development and public policy programs. Through such efforts, ACHE works toward its goal of being the premier professional society for healthcare executives dedicated to improving healthcare delivery. HCA’s Leadership Institute can be purchased in conjunction with the Annual Conference registration which offers the best value. The Leadership Institute is also available for purchase separate from the HCA Annual Conference. See the registration form for fees and discounts.
Return this completed registration form with your payment by fax to (518) 426-8788
or mail it to 388 Broadway, 4th Floor, Albany, NY 12207. You may duplicate this form
for additional attendees. Please save a copy for your records.
CONFERENCE PARTICIPANT REGISTRATION
NAME ______________________________________________________________ TITLE ____________________________________________________
AFFILIATION ____________________________________________________________________________________________________________________
ADDRESS ______________________________________________________________________________________________________________________
CITY/STATE/ZIP _________________________________________________________________________________________________________________
PHONE _____________________________________________________________ FAX _____________________________________________________
E-MAIL ________________________________________________________________________________________________________________________
REGISTRATION FEE: We encourage you to attend both the Annual Conference and ACHE Leadership Institute for the best value. No credits can be given for meals not taken or unattended education programs.
METHOD OF PAYMENT: Please select your method of payment:
________MasterCard ________Visa ________American Express
Credit Card No.________________________________________________
Name on Card_________________________________________________
Expiration Date __________________ Security Code _________________
_____________________________________________________________
Billing Address for Card
_____________________________________________________________
City, State, Zip
Authorized Signature____________________________________________
_____Check* Make payable to: HCA Education and Research
Mail to: 388 Broadway, 4th Floor, Albany, NY 12207
Checks must be received by May 2.
Cancellation Policy: Cancellations received by April 22 will receive a full
refund, less 25% of total due as an administrative fee. Cancellations
received on April 23 or later will forfeit their registration fee, as will those
who register and do not attend. Substitutions are permitted.
In accordance with the Americans with Disabilities Act or special meal
needs, please let us know how we can accommodate you:
___________________________________________________________
____________________________________________________________
FAX THIS FORM TO (518) 426-8788
REGISTRATION FEE
Seven Registration Options
Please indicate your registration choice below:
1. HCA Member – Annual Conf. and Leadership Inst. $768
2. HCA Member – Annual Conference Only $489
3. Non-Member – Annual Conf. and Leadership Inst. $948
4. Non-Member – Annual Conference Only $599
5. Leadership Institute Only (Members and Non-Members) $349
6. *First Time Attendee HCA Member – Annual Conf. Only $244
7. *First Time Attended HCA Member – Ann. Conf. & Ldr. Inst. $523
*Must register by April 6.
TOTAL DUE: $__________
Beach and Trivia Night HCA PAC Party Wednesday, May 6th – Saratoga Hilton Lounge
I will attend the HCA PAC Fundraiser My personal donation will be submitted separately.
I will attend the Pat’s Pub Crawl
Register online at: www.eventville.com/hcanys
2015 ANNUAL CONFERENCE REGISTRATION Catch the Wave! Are You Ready for the Turn-Around?
38
8 B
roa
dw
ay
Fo
urth
Flo
or
Alb
an
y, N
ew
Yo
rk 1
22
07
