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CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME Volume 26, Number 02 FEBRUARY 2010 CAHSAH Sets 2010 Policy Goals The CAHSAH Bulletin is brought to you by McKesson Corporation. Learn more by going to www.mckesson.com CAHSAH Bulletin E d u c a t i o n P. 8 M e m b e r s h i p P. 6 P o l i c y P. 4 2010 Home Care Conference & Expo Guide, P. 10 INSIDE THIS ISSUE (Register for Lobby Day by clicking here) W i t h another year of massive budget cuts looming and over 1800 bills introduced in the legislature, CAHSAH’s Policy, Advocacy, and Public Affairs (PAPA) Committee committed themselves to analyzing all the issues and establishing a path forward for the home industry’s advocacy efforts in 2010. As a result, CAHSAH has set an ambitious agenda with five broad policy goals: Preserve access to care by opposing Governor Schwarzenegger’s proposal to totally eliminate Medi-Cal funding for all medical equipment for the following services: tracheosotomy, gastrostomy, catheters, IV infusion, respiratory, wound care, incontinence, and feeding tube. Oppose major new burdens for small and medium businesses, such as increased payments for Worker’s Compensation and Unemployment Insurance. Support CAHSAH’s efforts to preserve the respite program, and oppose further reductions to Regional Center providers. Support the expansion and funding for health information technology/telehealth. Support efforts to reduce fraud and abuse against the elderly and people with disabilities in their home. A dditionally, the PAPA committee established positions on over 200 legislative bills that impact the home care industry, and identified 26 bills as high priority bills that require active lobbying and advocacy efforts. Some of those bills include: AB 2334 (Salas – D) OPPOSE: Prohibits a medical provider from charging or assessing a fee or interest for any unpaid balance on provided medical care. AB 179 (Portantino – D) SUPPORT: This is CAHSAH’s sponsored bill to remove the home care industry from the weekly pay requirement created through 2008 legislation. AB 950 (Hernandez – D) SUPPORT: Allows Hospice providers to serve patients in a facility under the existing hospice license. AB 1260 (Huffman – D) SUPPORT: This is CAHSAH’s sponsored bill to change the formula for cuts to respite care so that the impact isn’t greater than intended from last year’s enacted budget. SB X870 (Dutton – R) SUPPORT: Allows greater flexibility for employers with meal period requirements. CAHSAH’s Lobby Day is only a couple weeks away, and this year the stakes are high.

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CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME

Volume 26, Number 02FEBRUARY 2010

CAHSAH Sets 2010 Policy Goals

The CAHSAH Bulletin is brought to you by McKesson Corporation.

Learn more by going towww.mckesson.com

CAHSAH Bulletin

Edu

catio

n

P. 8

M

embership

P. 6

Polic

yP. 4

2010 Home Care Conference &

Expo Guide, P. 10

INSIDE THIS ISSUE

(Register for Lobby Day by clicking here)

W ith another year of massive budget cuts looming and over 1800 bills introduced in the legislature, CAHSAH’s Policy, Advocacy, and Public Affairs (PAPA) Committee committed themselves to analyzing all the issues and establishing a

path forward for the home industry’s advocacy efforts in 2010. As a result, CAHSAH has set an ambitious agenda with five broad policy goals:

Preserve access to care by opposing Governor •Schwarzenegger’s proposal to totally eliminate Medi-Cal funding for all medical equipment for the following services: tracheosotomy, gastrostomy, catheters, IV infusion, respiratory, wound care, incontinence, and feeding tube.

Oppose major new burdens for small and medium businesses, •such as increased payments for Worker’s Compensation and Unemployment Insurance.

Support CAHSAH’s efforts to preserve the respite program, and •oppose further reductions to Regional Center providers.

Support the expansion and funding for health information •technology/telehealth.

Support efforts to reduce fraud and abuse against the elderly •and people with disabilities in their home.

Additionally, the PAPA committee established positions on over 200 legislative bills that impact the home care industry, and identified 26 bills as high priority bills that require active lobbying and advocacy efforts. Some of those bills include:

AB 2334 (Salas – D) OPPOSE: Prohibits a medical provider from charging or assessing a fee or interest for any unpaid balance on provided medical care.

AB 179 (Portantino – D) SUPPORT: This is CAHSAH’s sponsored bill to remove the home care industry from the weekly pay requirement created through 2008 legislation.

AB 950 (Hernandez – D) SUPPORT: Allows Hospice providers to serve patients in a facility under the existing hospice license.

AB 1260 (Huffman – D) SUPPORT: This is CAHSAH’s sponsored bill to change the formula for cuts to respite care so that the impact isn’t greater than intended from last year’s enacted budget.

SB X870 (Dutton – R) SUPPORT: Allows greater flexibility for employers with meal period requirements.

CAHSAH’s Lobby Day is only a couple weeks away, and this year the stakes are high.

Lend Your Voice to be a Stronger Voice

CAHSAH’sAnnualLobby Day

JOIN WITH US AT OUR 2010 LOBBY DAY EVENT

TUESDAY, MARCH 16, 2010Sacramento Hyatt Regency 1209 L Street, Sacramento, CA 95814

RSVP by March 4th, 2010!

“What matters the most is the people we serve and being the voice for those who can’t speak for themselves.” Lucy Andrews, PAPA Chairperson

8:30 - 9:00 am Breakfast, Hyatt Regency, Capitol View Room 9:00 - 11:30 am Policy Briefing on CAHSAH’s Legislative Priorities & Lobbying 101, Hyatt Regency, Capitol View Room12:00 - 1:00 pm Luncheon with Legislators, State Capitol Basement, Eureka Room1:15 - 4:00 pm Appointments with Legislators in their Capitol Offices4:00 - 4:30 pm Dessert Debriefing, State Capitol Basement, Eureka Room

AGENDA

Registration Form: Please complete and fax to Mary Adorno at 916.641.5881

I am a CAHSAH member (no conference fee)

I am Not a CAHSAH member (please include $45)

I will attend the entire event Breakfast and Policy BriefingAppointment with Legislators Lunch with Legislators

Total number of people who will attend, including myself:Organization Name: Organization Address:

I will attend

Organization Phone: Name of Attendee(s):

Street City Zip Code (required)

If you have questions about the event, contact Mary Adorno, Legislative Specialist at (916) 641-5795 ext: 124

or [email protected]

California Association for Health Services at Home3780 Rosin Court, Sacramento, CA 95834 Telephone: (916) 641-5795 Fax: (916) 641-5881

www.cahsah.org 3

CAHSAH Bulletin Published by CAHSAH

Joseph H. Hafkenschiel, President

California Association for Health Services at Home

3780 Rosin Court, Suite 190Sacramento, CA 95834

Telephone: (916) 641-5795 Fax: (916) 641-5881Web site: www.cahsah.org

For advertising and sponsorship information, please contact:

Ranesh Maharaj, Bulletin EditorE-mail: [email protected]

(916) 641-5795 ext. 120

CAHSAH does not necessarily endorse any of the products, services or meetings advertised in the bulletin. CAHSAH also does not endorse

the opinions, products or services of guest authors in the bulletin.

Let Heffernan take care of the insurance. So you can focus on what you

do best. Specialists in home care

insurance, offering workers comp,

liability and more, Heffernan has

worked with CAHSAH for over

15 years. Contact Melani Conti

at [email protected] or

John Prichard, Jr. at johnpjr

@heffgroup.com.

800.234.6787 heffgroup.com License #0564249

care ad.indd 1 3/16/09 3:37 PM

CAHSAH Welcomes New Members!Please help us extend a warm welcome to those new

members who have recently joined CAHSAH between January 23, 2010 and February 19, 2010.

Providers

Beacon Home Care, Inc., Antioch

Family inHome Caregiving, Monterey

HomeWell Senior Care, Campbell

Huddleston Care, LLC, Burlingame

Legacy Care Services, Orange

Option One Home Care, Canoga Park

Seniors Helping Seniors, West Covina

Sterling Senior Care, LLC, Laguna Hills

Your Home Services, Inc., San Diego

Affiliates

Armstrong & Associates Insurance Services, Woodland CA

Caring Companions Referral Agency, Hemet CA

Carmen Cano, Oxnard CA

Margaret Shepherd Associates, Seattle WA

Martha Monzon, Oxnard CA

Meridian Health Care Providers, Inc., Chandler AZ

Patchan Enterprise, Inc., Ontario CA

Paul Vu, San Jose CA

Pinnacle Quality Insight, Salt Lake City UT

4 CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME

UPDATE CAHSAH to Implement Code of Ethics

P OL

I CY

All of CAHSAH’s advocacy efforts will require both a top down and bottom up strategy, with CAHSAH’s lobbyist

and staff providing the top down efforts and members of the home care industry providing the grassroots, bottom up efforts. There is no better place or time for you to get involved in

In our on-going efforts to fight fraud and abuse and keep our industry respected by the public, the Board of Directors adopted at its last board meeting a Code

of Ethics to govern the conduct of business by the association and its members. The standards set forth in the code serve as a statement to the general public and to governmental agencies that the association and its individual members stand for integrity and strive to maintain the highest ethical standards.

The Code of Ethics is intended to inform members and the general public of the acceptable guidelines of ethical conduct for home care agencies.

CAHSAH extends appreciation to the members who served on the subcommittee which established the standards set forth in the Code. We are very pleased to announce that we will be rolling out implementation of the Code in the next couple months.

L o b b y d a y

2009

<<continued from page 1: 2010 POLICY GOALS these efforts than attending CAHSAH’s Lobby Day. All who attend will receive up to date information on the policy issues as well as lobbying tips and strategies for your meetings with your legislators. All are highly encouraged to attend. Click here for more information.

5www.cahsah.org

WNU HeadlinesFebruary 1st: DDS Plans Closure of Lanterman Developmental Center

The Department of Developmental Services (DDS) is initiating the process to plan for the closure of Lanterman Developmental Center, a DDS-operated facility located in Ponoma that provides 24-hour care and treatment to individuals with developmental disabilities. Lanterman, one of the oldest facilities (104 years) with the smallest population (398 residents) has the highest consumer cost among the developmental centers with an annual budget of $116 million. The infrastructure of the facility needs major repairs and capital improvements. Click here for full article.

February 8th: The Breach Notification Rule Takes Effect on February 22, 2010

Interim final breach notification regulations, issued in August 2009, implemented section 13402 of the Health Information Technology for Economic and Clinical Health (HITECH) Act by requiring HIPAA covered entities and their business associates to provide notification following a breach of unsecured protected health information. Beginning February 22, 2010 - the Breach Notification Rule will be enforced, requiring all HIPAA covered entities to: Prepare a list of breaches; Adopt a breach notification policy; Take steps to protect information from breaches; Follow the standards and specifications of the HIPAA Security Rule; Negotiate new Business Associate Agreements. Click here for more information.

February 15th: Medi-Cal Issues Adjustments for Hospice Claims

Daily and hourly rates for the four basic levels of care covered under the hospice benefit (procedure codes Z7100, Z7102, Z7104 and Z7106) were revised retroactive to October 1, 2008, due to the American Recovery and Reinvestment Tax Act of 2009. This is the retroactive reimbursement hospice providers have been waiting for to align Medi-Cal rates with Medicare rates which were adjusted due to the freeze on the annual budget neutrality adjustment factor. The department will be releasing payments to providers the week of February 15, 2010. Click here , for complete details and a copy of the provider letter.

February 22nd: First Home Health Quality Campaign Best Practice Package Available Now

The Centers for Medicare & Medicaid Services (CMS) contracted with WVMI & Quality Insights to lead the HHQI Campaign. This new campaign is a grassroots movement designed to unite home health stakeholders and multiple health care settings under the shared vision of reducing avoidable hospitalizations and improving medication management. The National Asso-ciation for Home Care & Hospice is urging every home health agency in the country to register and take advantage of the free resources and tools available. Click here to learn more about the campaign.

Question: Can a Physician Assistant or a Nurse Practitioner sign the Physician Orders for Life Sustaining Treatment (POLST) form ?

Answer: No, a physician signature is required as stipulated in AB 3000 Chapter 266 of 2008. Frequently asked questions about POLST can be found here http://

www.capolst.org/_pdf/POLST_FAQ_Providers.pdf

Question: Are vitamin B-12 injections covered under Medicare?

Answer: Only under specified conditions as stated from the Medicare Benefit Coverage Manual, Section 40.1.2.4 The services of a nurse that are required to administer

medications safely and effectively may be covered if they are reasonable and necessary to the treatment of the illness or injury. Vitamin B-12 injections are considered specific therapy only for the following conditions:

Specified anemias: pernicious anemia, megaloblastic anemias, macrocytic anemias, fish tapeworm anemia;

Specified gastrointestinal disorders: gastrectomy, malabsorption syndromes such as sprue and idiopathic steatorrhea, surgical and mechanical disorders such as resection of the small intestine, strictures, anastomosis and blind loop syndrome and;

Certain neuropathies: posterolateral sclerosis, other neuropathies associated with pernicious anemia, during the acute phase or acute exacerbation of a neuropathy due to malnutrition and alcoholism.

Question: Can a long term care supplemental insurance policy prohibit coverage from non-licensed home care aid organizations?

Answer: Yes, California Insurance Code, Section 10235.2. (c) All providers of services, including, but not limited to, skilled nursing facilities, intermediate care facilities,

and home health agencies shall be defined in relation to the services and facilities required to be available and the licensure or degree status of those providing or supervising the services. The definition may require that the provider be appropriately licensed or certified.

Answering your legislative & compliance questions

Ask Mary

C A H S A H ’ s L e g i s l a t i v e S p e c i a l i s t

6

UPDATE

M E MB

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CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME

MORE SAVINGS THROUGH PROVISTA – OfficeMax

As you know, the California Association for Health Services at Home (CAHSAH) has a proud history of supporting home care and the communities in which they operate through advocacy, education and information. Most recently, through our group purchasing arm,

CAHSAH has endeavored to develop solutions around home care agencies that lower their operating costs, increase efficiencies and enhance patient care.

The CAHSAH group purchasing program with Provista is the most recent of these solutions, providing over 1600 contracts of products and services to meet these needs. One of these vendors is OfficeMax with a full range of products including office supplies, paper, toner/ink cartridges, business machines, furniture and janitorial supplies, etc. They have recently added OfficeMax ImPress, a digital printing contract, to the list of services available.

Through the Officemax program, you have the opportunity to enjoy:

Discounts: Saving home care agencies an average of up to 35 percent on office •supplies

One-stop Shopping: A full range of products including office supplies, paper, toner/•ink cartridges, business machines, furniture and janitorial supplies

Consolidation of printing needs to effectively reduce cost•

Free Delivery …and next-day•

Over the next several weeks, OfficeMax will be contacting you with Cost Saving Program Information. We encourage you to speak with this representative to learn more about how this CAHSAH group purchasing program may help your organization achieve its service and cost containment goals. The OfficeMax representative will be able to answer your questions and provide information specific to your organization.

SHARE THE WEALTH Looking for New ideas? New processes?

Best practices? Who better to provide the answers than your CAHSAH peers?

Through April, CAHSAH is sponsoring a ‘Share the Wealth Program’. We encourage you to submit your ideas and

allow others to benefit from your experience. Just jot down a couple of paragraphs describing the situation, a new process/procedure, and the outcome. What may seem like a simple idea to you may make a world of difference to someone else. Submit to [email protected].

TOP LEVELNewsletters and Analysis

CAHSAH is pleased to announce we have renewed our agreement with Eli Research, Inc. to provide CAHSAH Members with a substantial discount when you subscribe to Eli Research publications. For example, the popular Eli’s Home Care Week, normally $287.00 per year is available to CAHSAH MEMBERS for $ 197.00, a 31 percent discount. These discounts apply to all Eli Research publications:

Eli’s Home Care Week•

Eli’s Oasis Alert•

Eli’s Home Health ICD-9 Alert•

Health Information Compliance Alert•

Eli’s Hospice Insider•

Long Term Care Survey Alert•

For further information, please contact Robert Magrath

at (800) 508-1316, Option 1.

JUST FOR THE ASKING!

Another CAHSAH Membership BenefitThere are many resources available through the association, some of which you may not even be aware. Take a look at the list of the non-traditional CAHSAH membership benefits that are yours ‘Just for the Asking’.

7www.cahsah.org

CAHSAH Is Now Issuing a Call for Awards & Nominations! Home Care Awards and Scholarships DESCRIPTION & CRITERIA

S C H O L A R S H I P S A N D AW A R D S

Now is the time to nominate your staff members whose outstanding performance should be recognized. Remember, a nomination for a CAHSAH award requires

only a small outlay of time to complete the nominee profile - but has a big payoff with individual recognition of all nominees. CAHSAH’s Annual Conference in Sacramento, CA, will be held May 4 -7, 2010 with the Awards presentations scheduled for Thursday, May 6, 2010. All nominees will be individually recognized by Nominating Committee Chair, Shannon Kehoe.

Since the selection of award recipients will be based on the information submitted – and since no additional supporting materials will be accepted – it is very important to fill out the Nominee Profile form legibly and completely. To nominate an individual for an award or scholarship, please download the nominee profile form and mail to CAHSAH, 3780 Rosin Court, Suite 190, Sacramento, CA 95834 or FAX to 916-641-5881 by March 25, 2010. Nominating organizations must be current with their 2010 dues.

Y O U R C O N T R I B U T I O N S C O U N T ! M A K E A D I F F E R E N C E O N C A H S A H ’ S B O A R D O R N O M I N AT I N G C O M M I T T E E !

CAHSAH members should consider running for the CAHSAH Board of Directors or the Nominating Committee. Service on the CAHSAH Board or Nominating Committee is a way to contribute your expertise to the good of the association and the industry. Candidates for these positions should generally have served on a CAHSAH committee. Candidates should plan to attend the Annual Conference in order to campaign with their colleagues. Ballots will be sent out to members the week after the conference and the winners will be notified in mid July. New Board members will be invited to the Annual CAHSAH Planning Retreat August 8-10 and will assume office thereafter. This year, CAHSAH members will elect three (3) Board members: one (1) Medicare Certified seat, one (1) Home Care Aide seat, and one (1) Home Infusion Pharmacy seat. This year, CAHSAH members will elect four (4) Nominating Committee members: two (2) Medicare Certified seats, one (1) Home Care Aide seat, and one (1) Hospice seat. To be a candidate for the Board of Directors or the Nominating Committee, please download the Nominee Profile form, fill out legibly and completely, then mail to CAHSAH, 3780 Rosin Court, Suite 190, Sacramento, CA 95834 or FAX to 916-641-5881 by March 25, 2010. Candidates must be CAHSAH members and be current with their 2010 dues. Candidates for both the Board and the Nominating Committee will be notified of their selection immediately after the April Nominating Committee meeting in Sacramento. Questions related to nominations or awards may be directed to Michele Lander at (916) 641-5795, ext. 129 or [email protected].

Nominee Profile FORM Nominee Profile INSTRUCTIONS Qualifications & Responsibilities of ELECTED REPRESENTATIVES

Scholarships & Awards program consist of the following:

CAHSAH’s Home Care Aide Organization Certification Program allows home care aide organizations, or components of home care organizations which provide home care aide services, to

submit evidence that they meet CAHSAH’s Minimum Standards for Home Care Aide Organizations.

TO APPLY, OR FOR FURTHER DETAILS, click here or contact Michele Lander

at [email protected] or (916) 641-5795 x 129.

The Lois C. Lillick Award, honoring an individual who has made outstanding contributions to the continuing development of local, state, and national home care associations.

The Physician of the Year Award, recognizing a physician who consistently excels in providing and utilizing home care, and optimizing the role of home care in the health care system.

The Lillian H. O’Brien Home Care Supervisor Award, honoring a first-line home care clinical or office supervisor who has made outstanding contributions in motivating staff to achieve excellence in home care service.

The Home Care Service Award , honoring an individual directly involved in day-to-day home care, who has consistently provided outstanding service to patients in their homes. (http://www.cahsah.org/documents/459_home_care_service_award.pdf)

The Joan Baier-Garland Home Care Nursing Scholarship provides support to students in good standing in either an AA, BSN or Masters Nursing Program who have demonstrated a commitment to home care and to the community.

The Aide-to-RN Scholarship provides support to home health aides who would like to pursue a nursing degree.

8 CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME

UPDATE

Some of the worst mistakes in coding can come from what you don’t know. That’s why it’s critical to stay current with coding guidance. Admittedly you can do this on your own, but if you’d like to get the latest guidance from all official sources in one day and be able to get

immediate clarification of this information, you should have been at one of CAHSAH’s coding workshops in January.

There have been a lot of changes since the last time I presented these workshops for CAHSAH. I found myself saying many times, “If you were here last year you probably recognize that what I’m saying now is exactly the opposite of the information that I presented back then.”

As an example, the October 2009 Official Guidelines for Coding & Reporting were released and posted. These annual changes are critical to understand & integrate into your coding practice. Did you ever wonder how you should code a pressure ulcer of the coccyx? New guidance has clarified that the coccyx should be coded to the lower back - and that’s just one of these changes. Do you know which new codes added to the dataset are even relevant to home health? And do you know which six of these codes are case mix diagnoses? Three of the six are pediatric codes – go figure.

Speaking of CMS, who can forget about all the issues related to the implementation of OASIS-C? There are lots of new coding requirements in this new dataset. Are you up to speed on procedure codes? Do you know how to determine when to code inpatient procedure codes as well as when you shouldn’t report them on the OASIS? Because of the different requirements you may find yourself reporting a procedure code on the patient’s plan of care (485) but not on the OASIS.

Contrary to popular belief M1024 is not simply just a different number for M0246. CMS has made it clear that they expect us to rarely complete M1024 when a V code has been reported in M1020 or M1022. That’s not the way that most agencies were handling M0246 and that practice was compliant with the old guidance from CMS. However some of the guidance that allowed for more liberal M0246 completion practices has been rescinded. Do you know the new rules for M1024?

If any of this makes you nervous you should have been at the January workshops. But don’t worry CAHSAH will be repeating these within the next few months. Come find out what you missed.

2010 ICD-9 Coding Workshop Wrap-Upby Sparkle Sparks, PT, MPT, COS-C

Sponsored by Kinnser

E D UC

AT

ION

One part of the OASIS process that tends to be over looked when educating clinicians is the reimbursement impact of the questions, including the effect of diagnosis coding. CAHSAH’s OASIS-C: Don’t Just Survive - Thrive! workshop covers the reimbursement issues, as well as, the reporting aspect. This workshop will dedicate an entire session to the review of the NRS calculation, reimbursement, orders requirements, as well as all “M” Items that will impact reimbursement. It’s not too late to sign up! For more information or to register please visit our website.

Workshop Dates and Locations:March 1-2, 2010 – Sacramento, CA

March 3-4, 2010 – Ontario, CA

The COS-C Exam will be offered following the workshop. Please visit www.oasiscertificate.org for more information and/or to register.

Exam Dates and Locations:March 2, 2010 – Sacramento, CA

March 4, 2010 – Ontario, CA

Sponsored by: Kinnser

Don’t Overlookthe Reimbursement Aspect of OASIS!

9www.cahsah.org

Sponsored by: Care West Insurance Risk ManagementMarch 30-April 1, 2010 – Anaheim, CA

With the market tightening and resources dwindling, employers are forced to

seek out managers who can bring a competitive mix of skills to their organization. Whether you are looking to increase your visibility and value at your current agency, or anticipate entering the job market, certification is a sure-fire method to make you stand out from the crowd!

Now more then ever is the time to learn the latest techniques in effective Marketing, Organizational Management, and Financial Management. Contribute to your agency’s bottom-line by developing the skills necessary to be an effective leader. With two modules to choose from, you can either participate in the Private Duty or Medicare Certified break outs.

For a limited time, CAHSAH will pay for your certification fees if you register by the registration deadline. Be a part of the prestigious class and gain the unprecedented advantage of being a Certified Home Care Manager with the right to use the CHCM designation after your name!

Can’t make it in person? Take the online program. For more information on this program please visit our website.

Sponsored by: Care West Insurance Risk ManagementMarch 29-31, 2010 - Anaheim, CA

The Hospice Manager Certificate Program was designed to meet the training needs of front-line supervisors, middle managers, business owners, emerging managers

and supervisors, or any middle management personnel of a Medicare-certified hospice. The Hospice Manager Certificate Program will help you develop the skills to be not only a great manager, but a great LEADER.

Here’s just a glimpse at what will be covered:Your responsibilities as a Hospice Manager and Leader •Comprehending the Regulations: Standards of Quality •Hospice Care Hospice Nuts and Bolts, the New Medicare Hospice •CoPs Budgeting and Reimbursement Fundamentals •Operationalizing your Hospice Budget and Managing •Reimbursement Coaching for Success •Human Resource Practices and Employment Law•

For a limited time, CAHSAH will pay for your certification fees if you register by the registration deadline. Be a part of the Hospice graduating class and gain the unprecedented advantage of being a Certified Hospice Manager and earn the right to use the CHM designation after your name!

For more information or to register for this program please visit our website at www.cahsah.org.

Home Care Manager Certificate Program (HCMCP)

Hospice Manager Certificate Program (HMCP)

CAHSAH’s Virtual Education Line-UpCAHSAH education delivered right to your desktop! Enjoy the convenience and cost-efficiency of a telephone seminar, a webinar, or on-demand education. We are offering a variety of topics for every auspice. Take a look at the upcoming events listed below and visit our website for more information.

March 9th – Hospice Aide TeleSeminar: Caregiver Support

March 11th – Webinar: Medication Management & OASIS-C

March 16th – Webinar: Increasing Home Care Referrals

March 23rd – Finance Webinar: Strategies to Handle Payment Variances

March 25th – TeleSeminar: How to Get More Referrals from Physicians

ON DEMAND: Home Care Manager Certificate ProgramON DEMAND: Home Care Aide ONLINE Training

Hospice ADR’s: Behind the Magic Curtain

Sponsored by: Kinnser

CAHSAH is digging deep into our box of tricks and pulling out all the stops for this valuable Hospice program! Join us in May and let Medicare Magicians Annette Lee and Corrinne Ball take you behind the scenes to reveal top secrets about the Medicare Review process.

You will learn about Local Coverage Determinations (LCDs), RAC, claim denials, ADR’s, and the appeal process. Additionally, the program will review top medical review denials, and documentation tips on avoiding those denials. You don’t want to miss out on this truly “magical” workshop! Register today to get the best rates!

May 24, 2010 Sacramento, CA

May 25, 2010 Ontario, CA

For more information please visit our website.

10 CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME

Dear Friends and Colleagues,It’s our pleasure to invite you to the California Association for Health Services at Home’s Annual Conference taking place in the Capitol City – Sacramento, California from May 4-7, 2010 at the Sacramento Convention Center.

As we face these challenging fiscal times, we realize that “money matters” and there’s no better time than now to invest in the future. Whether your agency has been around for years or you are just starting out, you’ll definitely find that this conference is diverse enough to accommodate all levels of experience. Just look for the session level of difficulty indicated by symbols ( =Beginner, =Intermediate, =Advanced) in each of session descriptions in the brochure. To view the session descriptions, please view our brochure online at cahsah.org.

Additionally, as we carry our theme “Money Matters: Investing in the Future” throughout the conference, we encourage you to take advantage of the Early Bird registration opportunity, and maximize the significant savings off regular registration fees and ensure your place at all the conference activities.

This year, we made slight modifications to the conference tracks to accommodate the needs of our members. With over 40 concurrent sessions placed under six tracks; Hospice/End of Life Care, Private Duty, Leadership, Medicare Certified 1, Medicare Certified 2, and General Interest – this conference is one of the most comprehensive events available to home care and hospice professionals. For your convenience, we have listed all of the education sessions by track and by time.

As always, we extend a warm welcome to all of you whoare working hard to improve the quality of care in home care and hospice. Make one of the best investments in your career and attend what promises to be one of the most stimulating and enjoyable conferences ever!

K AY K ALLAS, CHAIR, C O N F E R E N C E P L A N N I N G

C O M M I T T E E

JOSEPH H. HAFKENSCHIEL, PRESIDENT,C A H S A H

2010Education & Conference Planning Committee

S H A R O N N I E D E R H A U SC o m p e t e n t C a r e H o m e H e a l t h N u r s i n g

M A R Y L O U C O N N O L L YM c C o y & C o n n o l l y C o n s u l t i n g , I n c .

T R I C I A R I T C H I EW i l s h i r e H e a l t h & C o m m u n i t y S e r v i c e s

B O N N I E S N O WA d d u s H e a l t h c a r e

B R E N D A S P I T Z E RP r o g r e s a H e a l t h S y s t e m s

S I E W P H E N G T U N GS u p p o r t F o r H o m e

J O E H A F K E N S C H I E LC A H S A H

S O U A V A N GC A H S A H

R I C H A R D S TA R K SC A H S A H

B R I T T N E I S A L E R N OL a J o l l a N u r s e s H o m e C a r e

K A Y K A L L A SM e r c y H o m e H e a l t h & H o s p i c e

L Y N A P H A M - C O A T E SC o m f o r t H a n d s H e a l t h c a r e , I n c .

K A T H Y A H E A R NA r k r a y U S A , I n c .

C A R E Y A M S H E LA l t e r n a t i v e H o m e C a r e

N O E L L C L A R KL a J o l l a N u r s e s H o m e C a r e

S A R A K A W A G U C H IH o m e C a r e N e t w o r k , I n c .

J E A N N E E M A R T I NT h e C o r r i d o r G r o u p , I n c .

M E L A N I E S T O V E RH o m e C a r e S a l e s

BRITTNEI SALERNO, CHAIR,B O A R D O F D I R E C T O R S

G R E E T I N G S !

CAHSAHA N N UA L C O N F ER EN C E

& H O M E CA R E E X P O

11www.cahsah.org

GENERAL INFORMATIONCONFERENCE

CONFERENCE TRACKSWe have six different tracks filled with 42 concurrent sessions:

Join CAHSAH’s officers and Board of Directors for an informational update on CAHSAH’s key issues.

Recognize outstanding individuals who contribute to home care. CAHSAH will present the following awards:

at this inspirational luncheon celebration at the Annual Conference.

Conference participants can earn up to 13.5 contact hours. Provider approved by the California Board of Registered Nursing, Provider Number CEP2463 for up to 13.5 contact hours. Provider approved by the California Board of Behavioral Sciences, Provider Number PCE588 for up to 13.5 contact hours.

CYBER CAFEWhether you want to browse the internet or simply check your email, CAHSAH has you covered. There will be computers available inside the CAHSAH Bookstore for your use while you browse the latest CAHSAH resource products.

Don’t miss this rare opportunity to get the resources you need! This year we have a larger selection and even bigger savings! This special pricing only comes once a year so be sure to drop by the CAHSAH Bookstore.

Once again, CAHSAH will be providing you with the luxury of downloading your handouts two weeks prior to the confer-ence. Your online access codes will be listed on your confirmation letter. PLEASE NOTE that CAHSAH will not be providing paper copies of the handouts onsite. It is recommended that you print your handouts and bring them with you to the conference.

Now you don’t have to choose! Whether you can’t decide what session to attend or have a conflict in your schedule - you’ll be able to download select audio recordings and session handouts with a click of a but-ton. This year, CAHSAH will put your mind at ease by allowing you to choose what session you want to attend in person and the sessions you will be able to listen to when you get back to the office! *Please note: Session recordings are not guaranteed.

12 CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME

KEYNOTEKEYNOTE SPEAKERS

9:00 AM - 10:00 AM

During this opening key-note session, NAHC Presi-dent, Val J. Halamandaris will examine the current state of the industry. He’ll review how healthcare re-form will affect our indus-try in terms of operations, reimbursement, clinical practice, technology, prof-itability, and growth.

Val J. Halamandaris is an attorney, author, editor, producer of documentary films and one of the nation’s foremost experts on health care and ag-ing. He is President of the National Association for Homecare and Hospice which represents some 6,000 home care agencies and hospices in an industry. Val is the Founder of the Center for Health Care Law, a public interest law firm, Founder of the Frederick Douglass Museum, The Caring Institute, the Hall of Fame for Caring Americans, and the World Hospice and Homecare Organization. Prior to joining NAHC he served five years as Coun-sel to Congressman Claude Pepper and the U.S. House Committee on Aging and fifteen years as Counsel to Senator Frank E. Moss (D-UT) and the U.S. Senate Committee on Aging. During his 20 years of working with the Congress he helped write legislation creating Medicare and Medicaid (including the Medicare home care and hospice benefits), Federal minimum standards for nursing homes, creating the Office of Inspector General in the Department of Health and Human Services and State Medicaid Fraud Units. He authored more than 25 Major Congressional Reports.

8:30 AM - 9:30 AM

Bob Losyk’s enlightening program will close the gap that exists between young workers and the seasoned workforce. It reveals the unique characteristics of this workforce, so that participants will immediately begin to understand them. Bob will map out the smartest way to manage and motivate them so that you can tap into their true potential. Filled with practical solutions, this program will get the young really working for you.

9:00 AM - 10:00 AM

Our healthcare industry is experienc-ing workforce shortages that promise to only get worse. Recent surveys report more than half of our employ-ees hate their jobs. The number one reason sited for both phenomenons is the stress associated with today’s healthcare environment. Having spent twelve years as CFO and CEO of Hos-pitals, Kent Rader has experienced this stress first hand. This keynote program takes participants on a journey they won’t want to end. It begins by show-ing participants the origins of stressful feelings and how humor is a proven tool in combating these feelings and improving your organization. Kent offers practical ways to include more humor in your life, along with stories that are guaranteed to make your audience laugh and your confer-ence a success.

13www.cahsah.org

SCHEDULETUESDAY, MAY 4

4:00 PM - 6:00 PM REGISTRATION DESK OPENSWelcome Reception: Relax and enjoy Hors d’oeuvers and a hosted bar while you check in.

WEDNESDAY, MAY 58:00 AM - 9:00 AM BREAKFAST9:00 AM - 10:00 AM KEYNOTE SPEAKER10:15 AM - 11:45 AM EDUCATION SESSIONS

THURSDAY, MAY 6

M1M8G1H1L1P1

Orientation Strategies: The Quick Start Guide

M9G2

L2P2

OBQI Case Conference - A New & Productive Twist on Multi-Disciplinary Case Conferences

12:00 PM - 1:30 AM BUSINESS LUNCHEON1:45 PM - 3:15 PM EDUCATION SESSIONS

3:30 PM - 5:00 PM EDUCATION SESSIONS

M3M10

G3H3L3P3

5:00 PM - 7:00 PM EXPO GRAND OPENING7:30 PM - 11:30 PM PAC SPECIAL EVENT

Advocacy in Action

Cracking the Referral Code

OASIS-C: Are You Just Surviving or Are You Thriving?

Leadership Lessons

Dealing with Difficult Family Members

Achieving Cost Efficiencies in Back Office Staffing & Structure

CAHSAH’s Home Care Aide Certificate Program

Business Continuity Management; Why Emergency Response Plans Fall

QAPI: Data...Data...Data

Decreasing Operating Cost, While Increasing Customer Satisfaction

Open Private Duty Forum

Diversification and Growth Strategies

Onward & Upward - Powerful Techniques for Creating Lasting Quality

Shelter in Place or Evacuation: What’s new in Personal Preparedness

Successful Clinical & Financial Episode Management Takes Teamwork!

THURSDAY, MAY 67:30 AM - 8:30 AM BREAKFAST8:30 AM - 9:30 AM KEYNOTE SPEAKER9:45 AM - 11:15 AM EDUCATION SESSIONS

M4M11

G4H4L4P4

Innovative PPS/P4P Strategies: An Interactive Demo

Navigating the Wage Orders: Personal Attendant Exemptions, Recordkeeping

Education: Put Your Money Where it Matters

Pulling It All Together - Hospice Documentation & the ADR Process

Mastering the Mix: Understanding & Managing Four Generations in the Workplace

Diabetes Disease Management in the Home

11:30 AM - 12:30 PM AWARDS LUNCHEON12:30 PM - 1:30 PM DESSERT IN EXHIBIT HALL1:45 PM - 3:15 PM EDUCATION SESSIONS

THURSDAY, MAY 6M5

G5H5L5P5

HHCAHPS Benchmarks & Best Practices?

How to Work with a Bank Trust Officer

Creating Social Media Success

Troubled Waters? Hospice & End of Life Care Heightened Compliance Concerns

Turning Around Turnover: How to Keep the Best Employees

Increase Field Staff Productivity, OASIS Accuracy & Resulting Case Weight Mix

3:30 PM - 5:00 PM EDUCATION SESSIONS

THURSDAY, MAY 6M6

G6H6L6P6

Write it Right- Documentation & the Medicare ADR Process for Home Health Providers

Legal Issues Facing Homecare Agencies: Protecting Your Business, Intellectual Property & Bottom Line

Keeping the Heroes and Losing the Zeros - Hiring & Firing Laws and Flaws

Using Cost Reports, CR5567 and Quality Reports to Enhance Hospice Operations

POLST is Here! Now What?

Homecare Management for Dummies- Learning the Basics of Managing a Medicare Certified, Accredited Home Care Agency

5:00 PM - 7:00 PM EXPO FINALE RECEPTION

FRIDAY, MAY 7

M7

G7H7L7

Decoding the New Treatment Authorization Code (or Claim Key Code)

(Almost) Everything You Need to Know About Workers Comp but Were Afraid to Ask

CDPH Licensing & Certification Program Overview & Hospice Survey Process

Preparing for the Changing Face of Home Care

Evaluating Your Marketing ROI

8:00 AM - 9:00 AM BREAKFAST9:00 AM - 10:00 AM KEYNOTE SPEAKER10:15 AM - 11:45 AM EDUCATION SESSIONS

Your Brand, What Brand? Easy Ways to Build Identity in a Crowded Marketplace

P7

Managing the Bumps in the Road: Strategies for Success with OASIS-C

M12

M13

M14

M2

H2

AT A GLANCE

CONFERENCE CONCURRENT SESSIONS

14 CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME

SESSION

S BY TRACKCONCURRENT SESSIONS

BY TRACK*H1 Cracking the Referral CodeH2 QAPI: Data...data...data…H3 Onward and Upward - Powerful Techniques for Creating Lasting QualityH4 Pulling It All Together - Hospice Documentation and the ADR ProcessH5 Troubled Waters? Hospice and Homecare Heightened Compliance ConcernsH6 Using Cost Reports, CR5567 and Quality Reports to Enhance Hospice OperationsH7 CDPH Licensing and Certi�cation Program Overview and Hospice Survey Process

G1 Advocacy in Action - Tools and Tips to Use When Advocating for Home Care through both Top Down Lobbying and Bottom Up Grassroots E�ortsG2 Decreasing Operating Cost, While Increasing Customer SatisfactionG3 Shelter in Place or Evacuations; What's New in Personal PreparednessG4 Mastering the Mix: Understanding & Managing Four Generations in the WorkplaceG5 Turning Around Turnover: How to Keep The Best EmployeesG6 (Almost) Everything You Need to know About Workers Comp but were Afraid to AskG7 POLST is Here! Now What?

L1 Leadership LessonsL2 Business Continuity Management: Why Emergency Response Plans Fall ShortL3 Diversi�cation and Growth Strategies: Private Duty Services and MoreL4 Education: Put Your Money Where it MattersL5 Creating Social Media SuccessL6 Keeping The Heros and Losing The Zeros - Hiring and Firing Laws and FlawsL7 Your Brand. What Brand? Easy Ways to Build Identity in a Crowded Marketplace

M1 Orientation Strategies - The Quick Start GuideM2 Managing The Bumps In The Road: Strategies for Success With OASIS-CM3 OBQI Case Conference - A new and producive twist on multi-disciplinary case conferencesM4 Innovative PPS/P4P Strategies: An Interactive DemoM5 HHCAHPS Benchmarks & Best PracticesM6 Decoding the New Treatment Authorization Code (or Claim Key Code)M7 Write it Right - Documentation & the Medicare ADR Process for Home Health Providers

M8 OASIS-C: Are You Just Surviving or Are You Thriving?M9 Achieving Cost E�ciencies in Back O�ce Sta�ng and StructureM10 Successful Clinical and Financial Episode Management Takes Teamwork!M11 Diabetes Disease Management in the HomeM12 Increase Field Sta� Productivity, OASIS Accuracy and Resulting Case Weight MixM13 Preparing for the Changing Face of Home CareM14 Homecare Management for Dummies - Learning the Basics of Managing a Medicare Certi�ed, Accredited Home Care Agency

P1 Dealing with Di�cult Family MembersP2 CAHSAH's Home Care Aide Certi�cation ProgramP3 Private Duty Open ForumP4 Navigating the Wage Orders: Personal Attendant Exemptions, Recordkeeping Requirements, and Pay stubs for Home Health Care EmployersP5 Legal Issues Facing Homecare Agencies: Protecting Your Business, Intellectual Property & Bottom LineP6 Evaluating Your Marketing ROIP7 How To Work with a Bank Trust O�cer

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*for more details on these sessions, please visit our website at cahsah.org

15www.cahsah.org

SACRAMENTOCaliforniaHOTEL & ATTRACTION INFORMATION

CAHSAH’s 2010 ANNUAL CONFERENCE and HOME CARE EXPO

will be HOSTED BYTHE SACRAMENTO CONVENTION CENTER

SACRAMENTO, CAHOTEL INFORMATIONHyatt Regency Sacramento1209 L StreetSacramento, CA 95814p: (916) 443-1234www.sacramento.hyatt.com

RESERVATIONS(916) 443-1234Ask for the CAHSAH rate of$178 Standard Room (single/double)$203 Standard Room (triple occupancy)$228 Standard Room(quadruple occupancy)RESERVATION DEADLINE: MARCH 12, 2010

Conference activities will take place at the Sacramento Conven-tion Center and the Hyatt Regency Hotel. The Sacramento Conven-tion Center is located at 1400 J Street, Sacramento, CA 95814. The Hyatt Regency Hotel is located at 1209 L Street, Sacramento, CA 95814. The Hyatt hotel is conveniently located adjacent to the Sac-ramento Convention Center.

The Hyatt Regency Sacramento is situated directly across from the State Capitol and adjacent to the Sacramento Convention Center and historic Old Town Sacramento. Mediterranean in architectural design, with arched windows and marble floors, the Hyatt Re-gency features a half million dollars in commissioned artwork and European antiques.ROOMS & AMENITIES

503 Guest Rooms 42’ Flat Screen TV’s Oversized Shower & Baths Spacious Work Areas Plush Grand Bed High Speed InternetErgonomic Chairs

24-Hour Stay Fit Gym Heated Outdoor Pool/Whirlpool Jogging Paths 24-Hour Self-Service Business

Center Vines Cafe Dawson’s Restaurant

GUEST SERVICES

PARKINGHyatt Regency Sacramento offers valet or self parking. Valet ParkingCost: $25 per daySelf-ParkingCost: $17 per dayPrices are subject to change

WHAT TO DO IN SACRAMENTOActivities & Local Attractions

CALIFORNIA STATE CAPITOL

WESTFIELD DOWNTOWN PLAZA

CALIFORNIA STATE RAILROAD MUSEUM

CROCKER ART MUSEUM

SUTTER’S FORT STATE HISTORIC PARK

Closely resembling a scale model of the U.S. Capitol in Washington, D.C., the beautiful, domed California state capitol was built in 1869 and renovated in 1976. Sacramento’s most distinctive landmark, the capitol has been the stage of many political dramas in California history. The 1-hour guided tours provide insight into the architecture and the workings of the government it houses.

The Downtown Plaza is conveniently located on K Street between 4th and 7th Streets. With spectacular outdoor views, there is no better op-tion than a short, leisurely walk or drive to Downtown Plaza. Extending from the K Street Mall to the walkway leading under Interstate 5 to Old Sacramento, this large open-air mall is a shopper’s paradise with over 110 stores. The second floor houses a food court, even more stores, and the Century movie theaters. For fun dining options, The River City Brewing Company and the Hard Rock Cafe are located on the lower level of the mall.

Well worth visiting, this museum is the highlight of Old Sacramento. You won’t miss much if you bypass the memorabilia displays and head straight for the museum’s 105 shiny locomotives and rail cars, beautiful antiques that are true works of art. This museum is not just for train buffs: Over half a million people visit each year, and even the hordes of schoolchildren that typically mob this place shouldn’t dissuade you from visiting one of the largest and best railroad museums in the country. Allow about 2 hours to see it all.

This museum houses an outstanding collection of California art, as well as changing exhibits from around the world. It’s in an imposing century-old Italianate building, with an ornate interior of carved and inlaid woods. The Crocker Mansion Wing, the museum’s most recent addition, is modeled after the Crocker family home and contains works by Northern California artists from 1945 to the present. Plan to spend about an hour here.

John Sutter established this outpost in 1839, and the park, restored to its 1846 appearance, aims to recapture the spirit of 19th-century California. Exhibits include a blacksmith’s forge, cooperage, bakery, and jail -- and a self-guided audio tour is available. Demonstrations and reenactments in costume are staged daily Memorial Day to Labor Day.

TRAVELThe Sacramento International Airport is located just 15 miles from the Convention Center and host hotels. It is served by major airlines and commuter carriers that offer over 150 direct or convenient connecting flights daily. Visit www.sacairports.org for more information.

AIR TRAVEL

SHUTTLE SERVICESuperShuttle is the exclusive provider of on-call van service at the Sacramento International Airport. Pickup areas for passengers are located in the ground transportation area adjacent to baggage claim in Terminal A and at the center island curb in front of Terminal B. Call (800) 258-3826 for more information.

16 CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME

SACRAMENTO CAHSAH provides three easy ways to register:1. Fax registration with credit card payment to CAHSAH at (916) 641-5881.

2. Mail registration along with payment to CAHSAH, 3780 Rosin Court, Suite 190, Sacramento, CA 95834.

3. Phone in registration with credit card payment to (916) 641-5795.

Name and Title for BadgePlease enter your name and title as you would like it to appear on your conference badge.

License Number for CEsContinuing Education credits are offered each day to registered nurses, licensed vocational nurses, coders , and social workers. If you would like to earn CEs, you must enter your license number in the space provided on the registration form and submit the CE request form at the conclusion of the conference.

Dietary RestrictionsPlease indicate if you have dietary restrictions on the registration form.

Americans wi th Disabi l i t ies Act (ADA) AccommodationsIf you have a disability and may require reasonable accommodation(s) to fully participate in conference activities, please check here. You will be contacted by CAHSAH staff to discuss your specic needs.

Registration FeesAll registrations must be prepaid. Fax, internet, and phone registrations must be made with credit card payment. Full three-day conference registration fees include the welcome and finale receptions, all concurrent and general sessions, a continental breakfast each morning, luncheons on Wednesday, Thursday and Friday, and access to the Home Care Expo.

Registration Fees - Complimentary RegistrationOne discounted registration per exhibiting company. Registration must be received by April 9, 2010.

Registration Fees - Group DiscountSave $85 when additional registrants from the same company register for a full three-day conference pass. This discount is given on full three-day passes only and cannot be combined with other discounts. Registrations must be submitted at the same time, with a single payment.

Photocopy and complete registration form as needed. Conference registrations cannot be shared among different individuals. Each person must sign up for their own sessions. To receive the group discount, must register two or more people from the same company and registrations must be submitted together at the same time with a single payment.

Liability StatementCAHSAH claims no liability for the acts of any suppliers or participants to this event nor for the safety of any attendee while in transit to or from this event. CAHSAH reserves the right to cancel this function. The total amount of CAHSAH’s liability is limited to a refund of the registration fee.

Membership Discounts: If your agency renewed early and qualify for the special deal. You must pay the full amount of $510 for the rst person. The second person will be receive 50% off ($255 off of $510).

Registration Fees - Special Offer for MembersFor each paid three-day conference registration, members can register one agency colleague for either Wednesday, Thursday or Friday conference events at a special rate of $99. Registrations must be submitted at the same time and by the advanced registration deadline.

Deadlines Registrations must be postmarked no later than April 9, 2010. Registrations postmarked after April 9, 2010 will be held for on-site processing. All registrations processed on-site will be charged a $65 per person processing fee.

Substitutions If, due to an emergency, a registered attendee is unable to come to the conference, a substitute attendee may be designated from within the same organization. This substitution must be made in writing by the original registrant or an agency representative.

Cancellations A refund (minus 20% per person administrative fee) will be issued if written notice of cancellation is received on or before April 9, 2010. No refund will be issued after April 9, 2010. No refunds will be issued to “no shows.” All cancellations must be submitted in writing. No credit for future programs will be extended to cancelled registrations. There can be no exceptions to these policies. A full refund will be issued should CAHSAH cancel the conference.

Each registrant will receive a written conrmation notice, sent via email to provided email address on the registration form prior to the conference. Your email address will not be shared nor used for any other purpose other than

CAHSAH 2010 Annual Conference & Home Care ExpoRegistration Instructions and Policies

www.cahsah.org 17

I BULLETIN I

Registration Form

Name Title

Agency

Address

City State Zip County

Phone Fax

Email (REQUIRED FOR CONFIRMATION)

Please review each fee that applies to you and enter total amount in last column.

(CAHSAH members only)

Valid for additional members after �rst member from same agency pays full fee.

Valid for additional registrants after �rst registrant from same agency pays full fee.

Includes registration for one day of sessions, meals and exhibits entrance.

Each paid registrant for the full conferencecan bring a colleague to either Wednesday,Thursday or Friday conference events for $99. Please complete accompanyingregistration form for:______________________ (insert name)

*Special Member O�er applies to CAHSAH Members only. Additional registration form needs to be completed for registrant participating in this o�er.

For those accompanied by paid registrantbut are not participating in conference

$

A�liate

Medicare Certi�ed

Home Care AideLicensed HomeHealth

HospiceHome Infusion PharmacyHome MedicalEquipmentInterdisciplinaryProfessional Services

Other:_______________________

Sr. Administrator (CEO/CFO/COO)

Mid-Level Manager/Front-line Supervisor

Clinician/Sta�

Other:_______________________

ADA Accommodations

Vegetarian Meals

Diabetic Meals

Other:_______________________

(Please indicate your choice for each session, one per time slot)

P1 H1 M1 M8 L1 G1

P2 H2 M2 M9 L2 G2

P3 H3 M3 M10 L3 G3

P4 H4 M4 M11 L4 G4

P5 H5 M5 M12 L5 G5

P6 H6 M6 M13 L6 G6

P7 H7 M7 M14 L7 G7

o VISA o MASTERCARD o AMERICAN EXPRESS o Check by Mail

Card Number Expiration Date CSC Number

Name as it appears on card Credit Card Billing Address & Zip Code (REQUIRED)

Signature

Attendee Signature

Because of varied settings and activites during the CAHSAH Annual Conference, an accidental injury beyond CAHSAH’s control could conceivably occur. In this regards, we will ask all attendeees to release CAHSAH from liability. I hearby release and discharge the California Association for Health Services at Home, and its a�liates and their respective o�cers, owners, and employees, representatives, and successors from, and I acknowledge and agree that none of the foregoing shall have any liability for, and any and all claims, suits, demands, costs, and expenses, including legal fees of every kind and nature, arising in connection with the CAHSAH Annual Conference, including personal injury of any kind sustained while participating in the conference.

ACCIDENTAL INJURY RELEASE - MUST BE SIGNED BY EACH ATTENDEE

on one form only. If paying by check, please make check payable to CAHSAH.

Date

Prepayment is required. If you are taking advantage of the group discount, complete this portion REGISTER FOUR EASY WAYS!1. Mail registration with payment to: CAHSAH, 3780 Rosin Ct.,Suite 190, Sacramento, CA 958342. Fax registration with credit card payment to: (916) 641-58813. Phone registration in to: (916) 641-5795 Ext. 1134. ONLINE at cahsah.org

**Please see Registration Brochure for Session Titles and Information.

I plan on attending:

18 CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME

Bill # Description Position StatusGeneral Business

AB 1735 (Harkey) Would allow a tax credit in an amount equal to 50 percent of the amount of costs paid or incurred in connection with additional education and training for purposes of career advancement or retention, as specified.

Support Revenue and Taxation Committee

AB 2334 (Salas)

Would prohibit a medical care provider, or health facility from charging, assessing, or collecting, directly or through a collection agency or other intermediary, or pursuant to any judgment, any interest on, or late fees or charges out of, any unpaid balance on a bill for medical services rendered. Also require those providers and facilities to include in a bill for medical services a notice to this effect, in at least 12-point type.

Oppose Not yet referred to a committee.

Health Care CoverageAB 2586 (Chesbro)

Would require a plan or an insurer that contracts with providers to obtain approval from its regulating dept. prior to implementing a network modification. Would require the plan or insurer, in order to obtain approval, to demonstrate that the modified network meets certain access requirements.

Support Not yet referred to a committee.

HospiceAB 950 (Hernandez)

Would allow in-patient beds as part of a hospice’s current license and not require the hospice to have a separate facility license.

Support Hearing canceled at the request of author.

LaborAB 179 (Portantino)

CAHSAH sponsored bill to remove the weekly pay requirement. Would permit employees of temporary services employers of health care services to be paid semimonthly.

Support Labor and Industrial Relations Committee

AB 1603 (Solorio)

Would require that an employee be deemed to be temporarily partially disabled during the period when the employee's disability is permanent and stationary, no more than 60 days have elapsed after the date the employee was informed that his or her disability is permanent and stationary, the employer has not offered the employee regular, modified, or alternative work, and the employer has not informed the employee that it will not offer the employee regular, modified, or alternative work.

Oppose Referred Insurance Committee

AB 1994 (Skinner)

Would provide, with respect to hospital employees, that the term "injury" includes a blood-borne infectious disease, neck or back impairment, methicillin-resistant Staphylococcus aureus (MRSA), or H1N1 influenza virus that develops or manifests itself during the period of the person's employment with the hospital. This bill could establish a precedent and open the door for home health to be included.

Oppose May be heard in committee March 20.

AB 2187 (Arambula)

Creates a separate prohibition against a person or an employer who, willfully fails to pay all wages due to an employee who has been discharged or who has quit within 90 days of the date of the wages becoming due and would impose additional criminal penalties for such conduct. Also requires those who violate these provisions to pay restitution equal to the amount of unpaid wages to the aggrieved employee and prosecution costs, upon conviction becoming final.

Oppose May be heard in committee March 21.

SBX8 64 (Hollingsworth)

Repeals the existing Labor Code Private Attorneys General Act of 2004 that provides aggrieved employees with a nonexclusive remedy acting as private attorneys general to seek civil penalties for violations of the Labor Code on their own behalf or on behalf of other employees, which penalties previously could be assessed and collected only by the Labor and Workforce Development Agency or its subordinate entities.

Support Rules Committee

SBX8 70 (Dutton)

Would specify conditions under which on-duty meal periods are permitted rather than meal periods in which the employee is relieved of all duty.

Support Failed passage in Labor and Industrial Relations Committee during the special session.

NursingSB 182 (Ashburn)

Would delete the limitation that temporary clinical nursing faculty be employed for not more than 4 semesters or 6 quarters.

Support Higher Education Committee

State Funded ProgramsAB 1260 (Huffman)

CAHSAH sponsored bill to achieve the budget objective of $5.3 million in savings associated with cuts to respite services without applying an arbitrary and excessively restrictive cap.

Support Re-referred to Rules Committee

AB 1506 (Anderson)

Would require a state agency to accept, from any person or entity, a registered warrant or other similar evidence of indebtedness issued by the Controller endorsed by that payee, at full face value, for the payment of any obligations owed by that payee to that state agency.

Support Governmental Organization Committee

AB 1864 (Strickland, Audra)

Would provide that Medi-Cal providers be paid even when the state has not passed a budget for the current fiscal year.

Support May be heard in committee March 18.

SB 886 (Florez)

Would authorize the providers of specified in-home services to use electronic timekeeping for verifying tasks completed and ensuring quality home care for in-home recipients, as defined.

Support Human Services Committee

CAHSAH State Bill Tracking Priority A Legislation

19www.cahsah.org

Federal Bill ListBill Number Description Position Location

AbuseS 795

(Hatch)Creates an Elder Justice Coordinating Council and an Advisory Board on elder abuse, neglect and exploitation which will be responsible for coordinating public and private activities and programs related to elder abuse

Watch Referred to Finance Committee

Health Care CoverageH.R. 3590(Rangel)

Senate version of health care reform. Watch Senate sent action to the House

H.R.3962 (Dingell) House version of health care reform. Watch Placed on Union CalendarHealth Care Workforce

H.R.468 (Schakowsky)

Companion Bill:S.245 (Kohl)

Expands training and support to all sectors of the health care workforce to care for the growing population of older individuals in the United States.

Watch Referred to House Education and Labor Committee

Home HealthHR 1094(Lewis)

Permits a home health agency to determine the most appropriate skilled service to make the initial assessment visit for an individual who is eligible for home health services under Medicare but does not require skilled nursing care as long as that skilled service is included as part of the plan of care for such services.

Watch Referred to House Energy & Commerce Committee

H.R.1765 (Matsui)

Amends Title XVIII of the Social Security Act for payment of furnishing intravenous immune globulin in a patient's home for the treatment of primary immune deficiency diseases and covers certain disposable pumps as durable medical equipment under the Medicare.

Watch Referred to House Ways & Means Committee

S. 1123(Collins)

Would restore the 5% add-on for Medicare home health services delivered in rural areas. The most recent iteration of the rural add-on expired at the end of 2006, and this bill seeks to reinstate the add-on payment for five years beginning Jan. 1, 2010.

Support Referred to Senate Finance Committee.

S. 1157(Conrad)

Would protect and preserve access for Medicare beneficiaries in rural areas to health care providers under the Medicare program and reinstate the 5% Medicare home health rural add-on for calendar year 2010.

Support Referred to Senate Finance Committee

H.R. 3030(Waltz)

Would set up pilot projects through the Department of Health and Human Services to provide incentives for home health agencies to use remote monitoring technologies and identifies various performance targets for participating home health agencies to meet and mandates that incentive payments be given to participating home health agencies based on having met performance targets.

Support Referred to House Energy and Commerce Committee

Home InfusionHR 574 (Engel)Companion Bill:S.254 (Lincoln)

Amends title XVIII of the Social Security Act to provide for the coverage of home infusion therapy under the Medicare Program.

Support Referred to House Ways & Means Committee

HospiceS.421

(Specter) Imposes a temporary moratorium on the phase out of the Medicare hospice budget neutrality adjustment factor.

Watch Referred to Senate Finance Committee

S.1150 (Rockefeller)

Would make hospice a required benefit under Medicaid and the Children's Health Insurance Program (CHIP), and for children, requiring concurrent coverage of both hospice and curative treatment.

Support Referred to Senate Finance Committee

Information Technology/TelemedicineS.264

(Stabenow)Amends title XIX of the Social Security Act to encourage the use of certified health information technology by providers in the Medicaid program and the Children's Health Insurance Program.

Watch Referred to Senate Finance Committee

S.457 (Thune)

Establishes pilot projects under the Medicare program to provide incentives for home health agencies to utilize home monitoring and communications technologies.

Support Referred to Senate Finance Committee

Long Term Care InsuranceHR 1721

(Kennedy)S 697 (Pallone)

Would create a new national insurance program to help adults who have severe functional impairments to remain independent, employed, and stay a part of their community. Financed through modest voluntary payroll deductions

Watch Referred to House Budget Committee

MedicareH.R.27 (Biggert) Amends title XVIII of the Social Security Act establishing additional provisions to

combat waste, fraud, and abuse within the Medicare Program.Watch Referred to House Judiciary

H.R.902 (Smith, A.)Companion Bill:S.712(Feingold)

Amends title XVIII of the Social Security Act to improve the provision of items and services provided to Medicare beneficiaries residing in rural areas.

Watch Referred to House Energy & Commerce Committee

H.R.1670 (Davis, D.)

Amends title XIX of the Social Security Act to provide individuals with disabilities and older Americans with equal access to community-based attendant services and supports.

Watch Referred to House Energy & Commerce Committee

UnionizationHR 1409 (Miller)Companion Bill:S. 560(Kennedy)

Amends the National Labor Relations Act to establish a check card system to enable employees to form, join, or assist labor organizations, to provide for mandatory injunctions for unfair labor practices during organizing efforts.

Oppose Referred to Subcommittee on Health, Employment, Labor and Pensions

20

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