Download pdf - Wons Mike compliance - cdn.ymaws.com€¦ · WONS,&MICHAEL&&3& ©&2012&CellTrak&Technologies,&Inc.&All&rights&reserved.&This& presentaDon&is&for&informaDonal&purposes&only.&CellTrak&makes&no&

WONS,&MICHAEL&&1&

©&2012&CellTrak&Technologies,&Inc.&All&rights&reserved.&This&presentaDon&is&for&informaDonal&purposes&only.&CellTrak&makes&no&warranDes,&express&or&implied,&in&this&summary&

Managing&Compliance&Requirements&while&Pro7ac8vely&Leveraging&Technology&&

Speaker&Bio&

Michael(K.(Wons(is(an(experienced(senior(execu4ve(who(is(leading(all(aspects(of(CellTrak�s(strategy(and(execu4on(of(its(business(plan.(With(more(than(30(years(of(experience(with(leading(healthcare(and(advanced(technology(companies(Mr.(Wons(brings(a(unique(�customer(focused(technology�(perspec4ve(to(lead(CellTrak.(Mr.(Wons(is(the(Chairman(of(the(Board(at(CellTrak(and(ac4vely(serves(and(par4cipates(in(the(Na4onal(Associa4on(of(Homecare(and(Hospice((NAHC),(Canadian(Homecare(and(Hospice(Associa4on((CHCA)(and(the(Na4onal(Hospice(and(Pallia4ve(Care(Organiza4on((NHPCO)(and(the(Wireless(Life(Sciences(Associa4on((WLSA).(Mr.(Wons(also(serves(in(advisory(board(roles(for(HealthCare(and(Capital(Council((HCap),(the(Electronic(Visit(Verifica4on((EVV)(work(group(and(the(Service(Oriented(Architecture(Consor4um((SOARC).(Mr.(Wons(is(a(noted(industry(visionary(who(regularly(speaks(at(events(on(behalf(of(the(industry,(is(an(author(of(over(25(published(white(papers(and(technical(journals(focused(on(security,(privacy(and(industry(plaVorms(and(is(coRauthor(of(the(Complete(IT(Framework(for(Success(Book.((

Michael(K.(Wons(President(&(CEO(

CellTrak(Technologies(

WONS,&MICHAEL&&2&


Speaker&Bio&

Jason Banks leads all aspects of CellTrak’s direct and indirect sales channel. Jason’s responsibilities include working with clients, partners and the CellTrak sales team to deliver a strong and immediate value proposition from the leading mobile solution for home and community care. Jason joined CellTrak from Cerner Corporation where he was the lead sales executive responsible for Home Health, Hospice, Private Duty, Palliative Care, Physician Home Visits, Managed Care, Long-Term Care, Assisted Living and Durable Medical Equipment solution sales. Jason brings 10+ years of healthcare sales experience to CellTrak and possess a Bachelor’s Degree in Business Administration and International Marketing from North Central College in Naperville, IL(

Jason(Banks(Vice(President,(Sales((CellTrak(Technologies(

Why&are&we&here?&

Home&and&Community&Care’s&distributed&delivery&environment&makes&accountability&of&visits&and&services&more&challenging&than&in&centralized,&facilityPbased&care&models.&The&benefits&of&homePbased&care&delivery&are&extreme,&from&both&a&cost&savings&and&a&paDent&results&perspecDve.&Electronic&Visit&VerificaDon&(EVV),&when&

combined&with&manageable&policies&and&procedures&can&significantly&improve&accountability&to&assure&that&services&are&being&delivered&to&care&recipients&when&and&where&

providers&claim&they&are&and&providers&are&able&to&manage&this&service&delivery&with&reasonable,&sustainable&expense.&

WONS,&MICHAEL&&3&


How&will&you&manage&&compliance&requirements?&

•  RENEWING&ability&to&become&proacDvely&ready&for&a&&compliance&audit.&&

•  ADAPTING&to&the&latest&technology&to&streamline&workflow&and&point&of&care&documentaDon&

•  TRANSFORMING&your&overall&operaDonal&outcomes&with&Mobile&technologies&&

FORWARD.

ObjecDves&

•  Understand&how&technology&can&assist&in&proPacDvely&managing&compliance&and&risk&

•  Understanding&strategies&required&to&manage&compliance&through&indicators&to&ensure&a&successful&compliant&audit&

•  Learn&how&an&agency&is&embracing&technology&now&and&what&other&added&benefits&they&found&

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•  Mobile&technology&is&now,&and&will&conDnue&to&become&more&relevant&in&every&day&acDviDes&in&the&healthcare&conDnuum.&&

•  InformaDon&explosion&has&occurred&and&will&conDnue&•  �Source&of&Truth�&is&limiDng&factor&to&Success&•  Providers&looking&for&ways&to&become&more&efficient&and&

effecDve&•  Compliance,&Efficiency,&ProducDvity&&&Safety&via&a&Mobile&

Device&is&a&reality&•  Care&convergence&is&occurring&in&the&home;&homecare,&

telehomecare&and&medical&home&Social&Networks&will&Improve&Healthcare&

•  �Care&anywhere�&is&what&people&want…&

Technology&in&Healthcare&&

Self&Service&

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Educated&PaDents&

Compliance&Challenge&

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•  More&Responsibility&with&Less&Resources&

•  Improve&Compliance&

•  Increase&ProducDvity&•  Improve&CommunicaDons&and&Provide&Field&Staff&

Safety&

•  Reduced&OperaDng&Expenses&(Proven&ROI)&

Healthcare&Delivery&Challenges&

99%&of&non7compliant&visits&can&be&avoided&

5%&of&all&homecare&visits&are&not&in&compliance&

Fraud&mi8ga8on&can&improve&accountability&

10%&of&all&healthcare&transacDons&are&

fraudulent&

Industry&Challenges&

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State&of&the&Industry&

•  Fraud&and&abuse&costs&payers&and&taxpayers&billions&of&dollars&annually.&&

•  The&benefits&of&homePbased&care&delivery&are&extreme,&from&both&a&cost&savings&and&a&paDent&results&perspecDves.&

•  Fraud&miDgaDon&can&significantly&improve&accountability&to&assure&that&services&are&being&delivered&to&care&recipients&when&and&where&providers&claim&they&are.&

•  Fraud&miDgaDon&can&set&the&foundaDon&for&improved&outcomes&across&the&healthcare&conDnuum.&

Fraud&and&Compliance&Challenges&

Process&

Care&Delivery&

Staff&Management&

Reimbursement&

InformaDon&

HIPAA&Compliance&

Interoperability&

EMR&and&HIE&

Technology&

PHI&

BYOD&

Privacy&and&Security&

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A&Pill&that&TreatsPnPTells&

•  Pill&is&swallowed.&•  When&pill&gets&wet&it&triggers&a&

circuit&between&coaDngs&of&copper&and&magnesium&generaDng&a&Dny&electric&voltage&for&a&few&minutes.&

•  Skin&patch&records&the&digital&message&along&with&paDents&heart&rate,&body&angle&and&acDvity&and&sends&the&data&to&a&bluePtooth&enabled&device.&

•  Data&is&available&for&viewing&by&paDents,&caregivers&and&physicians.&&&

•  Users&can&set&alarms&to&remind&them&to&take&medicines&or&issue&an&alert&if&a&paDent&is&inacDve&for&a&period&of&Dme.

Proteus&Digital&Health&SoluDon&

Typical&Challenges&in&Homecare&

•  Bloated&Mileage&and&Travel&Costs&•  High&Scheduling&Overhead&•  High&Payroll&Overhead&•  Backend&Billing&Adjustments&•  Missed&Visits&•  Late&Visits&•  No&Visit&VerificaDon&

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Technology&to&Manage&&Compliance&Challenges&

Telephony&based&solu8ons&

Cell&phones&or&mobile&devices&employing&GPS&technology&

Tablet&based&digital&signature&capture&devices&

Biometric&recogni8on&technologies&&

Electronic&random&number&match&devices&

ConnecDvity&is&the&�Key�&to&&the&Future&of&Healthcare&

2.  This&will&likely&include&greater&connecDvity&and&collaboraDon&among&providers,&payers&and&other&healthcare&parDcipants.&&

3.  More&expansive&use&of&social&networking,&and&improvements&in&homePbased&services&and&health&monitoring&using&mobile&technology&are&expected…&

1.  With&the&rapid&evoluDon&of&technology,&healthcare&providers&will&conDnue&to&look&to&somware&and&devices&to&connect&to&paDents,&families&and&other&providers.&&

WONS,&MICHAEL&&10&


Mobile&

Point&of&Care&

EMR&

Paper&

1.  Automated&schedules&

2.  Care&Plans&sent&from&EMR&

3.  Time&Sheets&automated&

4.  Paper&based&visit&verificaDon&

5.  Electronic&Billing&to&payers&(send/receive)&

1.  Electronic&DocumentaDon&at&point&of&care&

2.  GPS&visit&verificaDon&3.  InteracDve&Tasks&and&

notes&&

4.  Intelligent&acDonable&alerts&

5.  Team&collaboraDon&for&paDents&/&condiDons&

6.  RealPDme&access&to&your&data&

STAGE:&1& STAGE:&2& STAGE:&3& STAGE:&4&

1.  Referrals&via&phone/fax/eMail&

2.  Manual&Schedules&

3.  Paper&Visit&VerificaDon&

4.  Paper&Timesheets&

5.  Paper&or&manual&paDent&records&

1.  Electronic&paDent&records&

2.  Electronic&billing&to&payer&(send&only)&

3.  Payroll&System&in&place&and&integrated&with&EMR&

4.  Manual&Schedules&

5.  Referrals&via&phone/fax/eMail&

Where&are&you&today?&

©CellTrak&Technologies,&Inc.&Mobile&Maturity&Model&(M3)&for&Provider&Self&Assessment.

1& Care&Team&

CollaboraDve&cross&funcDonal&care&team&focused&on&the&

paDent&/condiDons.&

2& Agency&Opera8ons&

RealPDme&acDonable&point&of&care&delivery&and&

management.&

3& Pa8ents&

PaDent&saDsfacDon,&selfPservice&and&family&engagement.&

What&Comes&Next?&

WONS,&MICHAEL&&11&


Healthcare&is&changing&

Compliance&SoluDons&Requirements&Process&

•  Electronically&record&the&exact&date&services&are&delivered&•  Electronically&record&the&exact&Dme&the&services&begin&and&

exact&Dme&the&services&end&•  Electronically&verify&the&locaDon&from&which&the&services&are&

provided&•  Electronically&verify&the&services&provided&via&paDent&specific&

care&plan&•  Include&a&mechanism&to&verify&whether&their&employees&are&

present&at&the&locaDon&and&Dme&where&services&are&to&be&provided&for&recipient&

•  Require&a&personal&idenDficaDon&number&unique&to&each&caregiver&and,&if&appropriate,&a&unique&password&established&by&said&caregiver&

•  The&system&must&be&HIPAA&compliant;&•  The&system&must&insure&daily&backPup&of&all&data&collected&

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Compliance&SoluDons&Requirements&InformaDon&

•  InformaDon&includes&photo,&video,&and&voice&in&addiDon&to&electronic&text&based&informaDon&

•  Published&policies&for&use&of&paDent&informaDon&•  ConDnuous&HIPAA&educaDon&•  HITech&policy&alignment&•  SeparaDon&of&duDes&•  256&Bit&encrypDon&•  Secured&pipes&•  Intrusion&detecDon&•  Breach&management&policies&•  SAS&70&Type&II&data&center&cerDficaDon&for&cloud&services&•  PreparaDon&for&personal&health&records&

Compliance&SoluDons&Requirements&Technology&

•  Published&informaDon&policies&&•  Independent&security&review&of&processing&and&hosDng&

environments&•  256&Bit&encrypDon&of&informaDon&•  Virus&/&Intrusion&detecDon&and&miDgaDon&tools&•  Bring&your&own&device&(BYOD)&

•  Usage&policy&&•  Mobile&device&management&soluDon&•  Remote&wiping&of&device&•  Loss&/&Leave&policy&

•  SeparaDon&of&duDes&&

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Homecare&

Tele7HomeCare&

Medical&Home&

Care&Team&

•  Currently&18&million&paDents&and&more&than&500&million&paDent&visits&each&year&

•  Total&Field&Staff&of&5.2&million&(including&long&term&care)&

•  Home&Healthcare&providers&drove&more&than&5&billion&miles&in&2012&

•  By&2014,&50%&growth&among&employees&is&expected&&

•  The&Technology&Needs&are&evolving&

Care&Convergence&in&the&Home&

AddiDonal&Agency&benefits&of&&Compliance&SoluDons&

•  Electronic&documentaDon&tools&enforce&required&informaDon&and&provide&feedback&ensuring&the&record&is&complete.&

•  Accuracy&of&the&informaDon&is&increased&reducing&the&amount&of&rejected&submissions&due&to&incorrect&informaDon.&&

•  Reduced&Travel&Dme&and&Mileage&Reimbursement&&•  Reduced&Missed&and&Late&Visits&•  Streamlined&communicaDon&•  Document&and&sign&at&the&point&of&care&•  Quicken&reimbursement&by&payor&network&•  See&where&your&care&staff&is&&•  Quicker&Referral&Servicing&and&Increased&Census&&•  Paperless&Timesheets&

26

WONS,&MICHAEL&&14&


Faculty&Contact&Info&

Michael&K.&Wons&President&&&CEO&&

CellTrak&Technologies,&Inc.&&1051&Perimeter&Drive,&Suite&950&

Schaumburg,&IL&60173&847P240P0400&

[email protected]&&www.celltrak.com&&