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Annual Meeting Educational Sessions
Sunday, October 3, 2010
100 Series: 11:30am–1:00pm
200 Series: 1:15pm–2:45pm
Monday, October 4, 2010
300 Series: 8:00am–9:30am
400 Series: 2:30pm–4:00pm
500 Series: 4:15pm–5:45pm
Tuesday, October 5, 2010
600 Series: 8:00am–9:30am
700 Series: 2:30pm–4:00pm
800 Series: 4:15pm–5:45pm
Sunday, October 03, 2010; 11:30am-1:00pm
Clinical & Disease Management, Quality
101–Dear Doc, No More Wet to Dry: How to Maintain Your Patient Census, Increase Your Bottom Line, and Heal Those Wounds!
Although it accounts for 42 percent of all wound care orders, wet to dry wound care seems to be a hot topic of debate. In this session you will learn the science behind wet to dry wound care, when it might be indicated and when it is not considered standard care. Learners will leave the session with evidence to take back to their agencies to support and reinforce no more wet to dry. Valuable take aways include a plan outline to help implement a no more wet to dry protocol in your agency and tips on gaining administrative, marketing, and staff buy-in and, most important of all, physician support.
Objectives:
- Explain the purpose, method, and cost effectiveness of wet to dry wound care.
- Identify the method and benefits of developing topical wound care protocols.
- Describe how to implement a “no more wet to dry” protocol at their facility.
Faculty: Barbara Dale, RN, BSN, BC, CHHN, CWOCN, Director of Wound Care, Quality Home Health, Livingston , TN; Denise Wright, RN, BSN, BC, COS-C, Assistant Administrator, Quality Home Health, Livingston, TN.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Clinical & Disease Management, Quality, Therapy
102–Optimal Patient Care: Don't Fall Short
This presentation will introduce steps to ensure a successful falls prevention program in home health and hospice. The focus is on the elimination of barriers, the team, assessment, intervention skills, physician awareness, and measuring the metrics for overall program effectiveness and success. Finally, the presentation is a call to action for the leaders in home health and hospice to position their operations and clinical staff at the front of this epidemiological crisis as advocates for community-dwelling seniors!
NOTES:
*Research by the American Geriatrics Society indicates 35-45 percent of community-dwelling adults over 65 years old experience a fall every year.
*According to a Yale University program on aging, two-thirds of the deaths due to falls are preventable if health professionals, caregivers, and older adults apply proven, evidence-based services to reduce fall risks.
Objectives:
- Discuss the playbook: fall prevention planning, implementation, and evidence-based practice outcomes.
- Describe plays that can result in a flag, such as potential cultural barriers.
- Identify the winning team including an MVP pick, the physician.
Faculty: Debra Wertzberger, CNP, MS, National Dir. of Strategic Clinical Development, AseraCare Home Health and Hospice, Fort Smith, AR; Cheryl Corey, ADN, BSHC, RN , AseraCare Home Health , Clearwater, FL; Ellen Strunk, PT, MS, GCS, CEEAA, Clinical Consultant , Aegis Therapy and AseraCare Home Health, Fort Smith, AR.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Finance, Leadership
103–Can this Agency Survive?
Changes in Medicare reimbursement, cuts due to case mix creep, and the general economic downturn have had a devastating effect on many smaller home health agencies. This is the case study of small, rural home health agency on the brink. Presenters will share their struggle to survive that included analysis of labor costs, overhead, and marketing strategies.
Objectives:
- Analyze the impact of labor costs and identify various staffing, productivity, and utilization models.
- Identify the regulatory, financial, and human resource issues involved in downsizing an office.
- Describe the process for examining an agency's viability.
Faculty: Terry Cichon, CPA, Sr. Mgr & Dir. of Healthcare Operations, FR&R Healthcare Consulting, Inc., Deerfield, IL; Linda Leone, RN, President/CEO, Prairieland Home Care, Spring Valley, IL.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/FIN). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Hospice & Palliative Care
104–Interdisciplinary Team (IDT): It's More than a Meeting!
Does your organizational culture reflect the value of interdisciplinary practice? How can a practice model optimize experiences for people we serve, our staff, and volunteers? This interactive session will reflect upon the experiences of those we serve and the value of hospice/palliative care interdisciplinary teams to support those experiences. Participants will complete a team and organizational assessment of an IDT model and discuss ways to create organizational systems and a culture that values and supports all members of the IDT.
Objectives:
- Define the optimal IDT structure for hospice and palliative care that reflects the experience of those we serve.
- Cite examples of how organizational culture can support or detract from optimal interdisciplinary practice.
- Complete a team/agency assessment of interdisciplinary practice.
- Discuss ways to create organizational culture and systems that value and support all members of the IDT.
Faculty: Susan Bruno, MSW, ACSW, LCSW, Director, Institute Outreach , Suncoast Insitute , Clearwater, FL.
Course Level: Intermediate; 1,5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Human Resources
105–Hiring Sales and Management Employees Who Deliver Results
Are you able to consistently hire sales and management candidates who perform and who stay? You want people who are self directed and who communicate well, perform under pressure, and deliver results. We will review how our organization modified the candidate evaluation process to include four levels of "fit" and the impact it has had on employee selection, retention, and performance.
Objectives:
- Identify tools and strategies that can improve the success of your employee selection process.
- Discuss the process and impact of evaluating candidates utilizing the four levels of fit.
- Discuss the benefits of utilizing candidate evaluation information to manage and mentor the new employee.
Faculty: Norma English, RN, BSN, MS, Chief Operations Officer, CareSouth Homecare Professionals, Inc., Augusta, GA; Ken Bell, BS, Senior Vice President Human Resources, CareSouth Homecare ProfessionalsSenior Vice President Human Resources, Augusta, GA.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/PHR). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Legal/Regulatory
106–Protecting the Healthcare Provider: A Risk Management Presentation
Learn risk management techniques that home health care agencies can use to minimize their risk through insurance. Techniques discussed include avoidance, transfer, and proper hiring, screening, and supervision. The presenter will share the most frequent and severe claims for the home care industry.
Objectives:
- Discuss new and emerging risks and potential liabilities for home healthcare providers.
- Identify tools and methods of managing these risks to reduce exposure of the home health care agency.
- Identify claims trends in the health care industry.
Faculty: Marie Gaudette, CIC, CPIW, Vice President, Smith, Bell & Thompson, Inc. a/k/a Willis Programs, Burlington, VT.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Marketing & Business Development
107–Stop Fighting for Market Share to Grow Your Business: Use a "Blue Ocean" Strategy Instead
Presenters will discuss the research of W. Chan Kim and Renee Mauborgne, authors of the award winning book, Blue Ocean Strategy. The presentation will show how and why to apply this strategy in home care to create uncontested market spaces in order to succeed. Various market segments could be a source of new patients: underserved demographics, chronic patients, alternative settings, etc.
Objectives:
- Determine techniques used that have been successful in other industries to look for uncontested market spaces.
- Explain an approach for identifying markets in greatest need.
- Discuss the difficulty developing uncontested space (Blue Ocean) in highly competitive markets.
Faculty: Richard Chesney, MBA, President, Healthcare Market Resources, Dresher, PA.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MKT). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Private Pay/Private Duty, Marketing & Business Development
108–Rebuilding Your Private Duty Agency: Competitive Crossroads
This presentation will offer the tools necessary to rebuild a private duty agency through focused branding, new program development, and volume growth. It will be particularly beneficial for established, hospital based, home health agency-based, or private duty national chains. Start-ups will also take away helpful hints.
Objectives:
- Describe key goals typically involved in building a business plan.
- Discuss key components within a customer service program.
- Cite methods used to grow volume.
Faculty: Arthur St. Germain, BS, MA, Vice President, Partners Private Care, Waltham, MA.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MKT). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Quality, Leadership
109–Transitional Care and the Hospital: Making It Work as a Community-Based Agency
This presentation provides the step-by-step process used by a community-based agency that successfully became part of a hospital and physician group (PHO) effort to improve transitions to home. Participants will learn the tools, process, and partnership required by a community agency to design and implement a transitional care "circle" from hospital discharge to PCP in a hospital with its own agency.
Objectives:
- Explain the meaning of transitional care to hospitals and physician groups in a post health care reform era.
- Discuss how a community-based hospital and physician group (PHO) came to interpret the meaning of transitional care for home care.
- Describe the processes that evolved from implementing the transitional care process, including success and failures.
Faculty: Barbara McCann, BSW, MA , Chief Clinical Officer, Interim HealthCare, Coral Springs, FL; Ann Olson, BSN, RN, Manager, Administrator, Inteirm HealthCare of CT, Farmington , CT.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Telehealth
111–A Road Less Traveled: A Practical Approach to Implementing Clinical Pathways
Presenters will describe the process of implementing a clinical pathways program; how using multi-disciplinary clinical guidelines can be successful; and how to leverage technology in the development and integration of electronic clinical pathways.
Objectives:
- Cite three benefits of using evidence-based clinical pathways in practice.
- Identify the process for implementing a successful pathways project.
- Describe six steps for integrating an electronic clinical pathway.
Faculty: Patricia Steele, RN, MSN, MBA/HC, RAC-CT, Sr. Solution Designer, Cerner Corporation, Belton, MO; Dave Davis, RN, ACRN, Corporate Director of Clinical Development , Guardian Home Care Holdings, Inc. / Texas HHA, Galveston, TX; Judith Labossiere, RN, BSN, Senior Vice President Operations TN/GA, Guardian Home Care Holdings, Inc, Brentwood, TN.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Hospice & Palliative Care, Therapy
112–Understanding the Medical Management of Pain by Non-Nurse Members of the Interdisciplinary Team
This interactive session will use case studies to acquaint the non-nurse and physician members of the home health and hospice interdisciplinary team (IDT) with information related to physical assessment and medical management of pain. A specific assessment, tips, and artful conversation applicable to the role of the physical therapist, occupational therapist, social worker, chaplain, and others will be taught. Attendees will take away a clear understanding of medications, terminology, and the unique role each team member plays in assessing and managing pain during interactions with patients and families and one another.
Objectives:
- Describe the differences in quality and management of somatic, visceral, and neuropathic pain.
- Verbalize barriers to effective pain relief.
- Identify basic principles for managing pain with medications.
Faculty: Bonnie Morgan, MA, RN, CHPN, Director of Education, Hospice of the Valley, Phoenix, AZ.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Leadership
113–Presidents' Forum: Predictions for Future Success
Come hear four nationally prominent presidents representing a hospital system, a freestanding VNA, a large, publicly traded company, and a leading consulting company predict what it will take to ensure your agency's success in the future. This provocative give and take is an updated version of the popular 2009 NAHC session. Topics covered will include: top diversification strategies; winners and losers under health care reform; creative cost reduction; best bet technologies; and much more.
Objectives:
- Identify common strategies that agencies are utilizing to ensure success.
- Verbalize the features of a successful agency in 2011.
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- Identify three major trends in the home care field.
Faculty: Jeannee Parker Martin, RN, MPH, President and Co-Owner, The Corridor Group, Inc., San Francisco, CA; Carol Raphael, MPA, President and CEO, Visiting Nurse Service of New York, New York , NY; Don Stelly, BSN , Executive Vice President , LHC Group Inc. , Lafayette, LA ; Marcia Reissig, RN, MSN, Chief Executive Officer, Sutter VNA and Hospice , Fairfield, CA; April Anthony , BA, Chief Executive Officer, Encompass Home Health, Dallas, TX .
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MAS). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Sunday, October 03, 2010; 1:15-2:45pm
Clinical & Disease Management, Hospice & Palliative Care, Quality
201–Home Care in the Medical Neighborhood: A Dedicated, Patient-Centered, Palliative Care Program Integrating Home Care, Hospice, Inpatient, Senior, and Community-Based Programs
Learn how one agency created an integrated chronic disease care continuum using palliative National Quality Forum (NQF) domains that linked inpatient, home care and hospice and reduced readmissions and expense while increasing patient satisfaction. Presenters will share the methodology, problems, and implementation support necessary to replicate the program.
Objectives:
- Identify the need for integrated home care programs using patient demographics and reimbursement trends to reduce readmission rates and patient costs.
- List program elements used to create an integrated continuum of care.
- Discuss cost savings, downstream value, investment, and return on investment.
Faculty: Dale Theobald, PhD, MD, Medical Director, Hospice, , Community Home Health Services, Community Health N, Fishers, IN; Jessie Westlund, RN, Chief Executive Officer, Program Director, Community Home Health Services, Fishers, IN; Lisa Collins, RN, CHPN, Chief Clinical Officer, Community Home Health Services, Fishers, IN.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Clinical & Disease Management, Quality
202–Best Practices for Assessing and Managing Wounds
Changes to the Integumentary section of OASIS-C have raised the bar for documenting wound assessment. Consistency is critical to accurate wound assessment and successful wound-related outcomes. Presenters will review skin anatomy, physiology of wound healing, wound assessment, and documentation, and explain how to apply this knowledge to the training of the general home care nurse. Participants will learn best practices for managing wounds and documenting care that consistently reflect improvement achieved at the bedside.
Objectives:
- Describe the structure and function of the layers of intact skin and the phases of normal wound healing.
- List the key components of a complete wound assessment.
- Describe best practices for wound management and related documentation.
Faculty: Benjamin Peirce, BA, RN CWOCN COS-C, AVP Clinical Practice, Gentiva, Plantation, FL.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Finance, Leadership
203–Measure What Matters: A Practical Guide to Operational and Financial Success
Home health care organizations have opportunities to manage their performance. Managers focused on realistic objectives are successful. Discover what to measure and how to realize and sustain success. Achieving business results is more than crafting strategies and action plans. Learn how to utilize financial, clinical, and operational views of performance; how to measure progress accurately and often; and how to communicate regularly with all stakeholders.
Objectives:
- Identify measures that matter to the overall success of the agency.
- Discuss practical initiatives and ways to implement them in your agency.
- Describe strategies to initiate and sustain accountability of clinical, operational, and financial staff.
Faculty: Lynne Hebert, RN, Chief Operating Officer, Senior Home Care, Clearwater, FL; Mitchel Morel, CPA, Chief Financial Officer, Senior Home Care, Clearwater, FL; Larry Peregrine, BS, RRT, MBA , Vice President Performance Advisors, Health Systems Solutions, Tampa, FL.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/FIN). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Finance, Legal/Regulatory
204–Decoding the Treatment Authorization Code
Learn where to go at the start of an episode of care to determine how reimbursements are affected by: (1) episode timing and/or (2) therapy changes made by the end of episodes when payments go from one equation to the next. The re-pricing lies in the Treatment Authorization Code (Claim Key Code). In order to have accurate AR numbers, agencies need to know what to do at the end of episode billing and how to do it, and this session will teach them!
Objectives:
- Identify the eight components that make up the Treatment Authorization Code.
- Explain the Treatment Authorization Code.
- Determine your HHRG and HIPPS codes for reimbursement using the Treatment Authorization Code.
Faculty: Petria McKelvey, CEO, PMB Precision Medical Billing, Inc., Houston, TX.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Hospice & Palliative Care
205–The Importance of Hospice Bereavement Programs in Family Satisfaction
When a person dies, those left behind feel helpless and alone. A robust bereavement program provides much-needed support as people go through phases of grief. Bereavement services are an important part of the hospice plan of care and contribute to the family's satisfaction with hospice services. Learn how one agency developed a stellar bereavement program.
Objectives:
- Identify three components of a bereavement program at a nonprofit agency.
- Describe two potential roles for volunteers in a bereavement program.
- Identify a potential community partner for providing bereavement services.
Faculty: Barbara Carnes, RN, PhD
, Bereavement Coordinator, VNS of Newport and Bristol Counties , Portsmouth, RI; Joy Benson, BA, M.Ed.
, Hospice Volunteer Coordinator , VNS of Newport and Bristol Counties, Portsmouth, RI.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Human Resources, Leadership
206–The Other Pay for Performance: Merit Pay
It is now more important than ever to reward home care and hospice staff for meeting quality and productivity outcomes. Participants will learn how to successfully drive accountability by using merit pay for home health and hospice staff. This session will provide examples of goals and measurements to drive success and make a positive impact on recruitment and retention of staff.
Objectives:
- Discuss merit pay methodology to drive accountability among home care and hospice staff.
- Develop an implementation plan for merit pay to include measurable goals, budget considerations, and staff communication.
- Describe successful implementation and measurement of merit pay results.
Faculty: Michele Scanlan, SPHR, BS, MA, HR Director, Home Nursing Agency, Altoona, PA.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/PHR). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Marketing & Business Development
207–Using Customer Focus Groups to Develop a Successful Marketing and Physician Referral Growth Plan: A Case Study
Using a case study example and proven methodology, this session will show how to create and facilitate productive customer focus groups to gain market research, gauge customer perceptions, meet business goals, and successfully drive increases in physician referrals.
Objectives:
- Discuss the value of customer focus groups and integration of results into a strategic plan.
- Explain the customer focus group's value in market development.
- Create a marketing/sales/service standard based on customer focus group findings.
Faculty: Michael Hamaker, BS , Vice President of Operations, Mercy Medical Home Care and Hospice, Daphne, AL; Fiona Libsack, MA , Manager of Marketing and Public Relations , Poudre Valley Health System , Fort Collins, CO.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MKT). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Private Pay/Private Duty, Marketing & Business Development
208–Three Options for Adding Private Pay: On Your Own, with a Consultant, or Buying a Franchise
As home health and hospice companies look to pursue private pay, they must consider all options. Starting private pay non-medical as a separate business could be beneficial. Participants will learn the pros and cons of their options and 10 essentials to help get off to the right start.
Objectives:
- List the pros and cons of opening a private duty agency independently, using a consultant, or buying a franchise.
- Explain the reasons why it could be beneficial to open the private pay piece as a separate business with a different name.
- Describe the process for opening a private duty operation using an internal checklist.
Faculty: Jeffrey Salter, AA, Founder and CEO, Caring Senior Service, San Antonio, TX.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MKT). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Quality, Human Resources, Therapy
209–Program Your GPS to Lead to the Most Successful Road for Staff Education
This session will take you on a journey using GPS for education programming, selecting the right route, and avoiding the potholes along your travels. We will assist agencies in planning how to reach your learners and what vehicle (technologies) to use to reach your goals, no matter what your educational budget. Learn how to get your staff to board the bus to quality care along the journey of education.
Objectives:
- Discover key components to quality education including evidence-based tools and resources.
- Identify the variety of effective methods to reach the learner, including technology.
- Discuss how to leverage and develop your clinical staff as subject matter experts.
Faculty: Misty Kevech, BS Ed, MS, COS-C, Director of Nursing Education and Program Developm, Celtic Healthcare, Mars, PA; Barbara Huston, BSN, COS-C, Performance Improvement Supervisor, Celtic Healthcare, Inc., Carlisle, PA; Tonya Miller, PT, DPT COS-C, Regional Director and Director of Rehab Education , Celtic Healthcare, Carlisle, PA.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/PHR). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Quality, Leadership
210–Home Health Trends: What Are Successful Agencies Doing Differently?
Presenters will discuss the trends among successful Medicare home health agencies based on the findings of a national home health performance analysis. The key performance indicators of high-margin, high-quality home health agencies will be compared and contrasted with the performance of other agencies.
Objectives:
- Identify key performance indicators for driving successful Medicare home health operations.
- Discuss performance achieved by high-margin, high-quality Medicare home health agencies.
- Identify performance trends necessary to continue successful Medicare home health operations after health care reform.
Faculty: Mark Sharp, CPA, Partner, BKD, LLP, Springfield, MO; Kurt Baumgartel, PT, Chief Operations Officer, Celtic Healthcare, Mars, PA.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Telehealth,
211–Using Telemedicine to Improve Geriatric Depression Treatment in Home Health Care
This program presents the development and piloting of a new, evidence-based telehealth disease management program for geriatric depression. Presenters will discuss the clinical program, implementation challenges, and preliminary outcome data.
Objectives:
- Describe a telehealth framework for providing depression care management in home care.
- Identify key implementation challenges for a telehealth program for depression.
- Discuss typical user and support challenges when implementing a telehealth program.
Faculty: Suzanne Brown, RN, Telehealth and Cardiac Program Manager, Visiting Nurse Services in Westchester, White Plains, NY; Pat Donehower, MSN, RN, VP for Clinical Services, VNA of Chittenden and Grand Isle Counties, Colchester, VT; Thomas Sheeran, PhD, ME, Assistant Professor, Weill Cornell Medical College, White Plains, NY.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Leadership
212–Hospital Home Care of America (HHCAA) Open Forum
The Hospital Home Care Association of America is a NAHC affiliate organization focused on the interests and concerns of home care programs that are integrated with hospitals and health systems. HHCAA is holding its second annual Open Forum meeting, which promises to be an exciting event! The most important issues of the day will be discussed by the HHCAA Advisory Board members and the audience/participants. This is not a lecture; it is an open dialogue with anyone interested in hospital-affiliated home care.
Objectives:
Faculty: Marcia Reissig, RN, MSN, Chief Executive Officer, Sutter VNA and Hospice , Fairfield, CA.
Course Level: CEs or CPEs are not available for this session. ;
Information Technology
213–Technology Remedy for Ailing Healthcare System: How You Can Make Better Use of IT to Prepare for Medicare and Healthcare Reform
This session explores current issues tied to Medicare and Healthcare Reform and what home healthcare and hospice providers can do right now from a technological perspective to prepare for potential changes. Using IT available and upgrading infrastructures and operating systems, agencies will experience immediate benefits, from faster claims processing and access to online applications such as patient insurance verification. Over time, these improvements can better position providers to add efficiencies, home monitoring and exchange of patient information.
Objectives:
- Identify drivers for increasing demand of electronic systems in todayÕs healthcare climate.
- Describe how home healthcare and hospice providers are making better use of technology available now to lower cost and improve quality of care.
- Explain how providers can use technology to reduce costs, improve cash flow and improve patient care.
Faculty: Tara Mondock, BS, VP Healthcare, IVANS, Inc., Stamford, CT; Bernice Kotlarz, RN, President, Loving Hands Hospice, Inc., Chicago , IL.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Monday, October 04, 2010; 8 to 9:30am
Clinical & Disease Management, Therapy
301–Lymphedema Treatment in the Home Health Setting
The homebound population is greatly affected by lymphedema, including chronic edema. Untreated, the condition can lead to more-serious health concerns. While there is no cure, this condition can be managed to improve quality of life and functional activity. Learn about one effective treatment provided by physical and occupational therapists in a variety of settings, including home care. The presenter will demonstrate the treatment and provide insights and tips for starting a lymphedema treatment program in a home health agency.
Objectives:
- Describe the anatomy and physiology of the lymphatic system.
- List four treatment steps involved with managing lymphedema.
- Discuss the challenges and benefits of initiating a lymphedema therapy program at your agency.
Faculty: Ann Leupold, PT, Director, Lymphedema Management Program, Mountainview Home Health, Yakima, WA.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Clinical & Disease Management, Quality
302–Medication Management Strategies to Improve Patient Outcomes
Having the right tools is the essential to successfully completing any project. This session will provide you with the essential tools your agency needs to build a solid framework for your medication safety program. Refresh your knowledge of the regulatory requirements and risks associated with medication mismanagement. Understand how medication safety is integrated into the CAHPS survey, and how it is a focus of the National Patient Safety Initiative. Leave the session with tools that can be immediately put to use in your agency to promote patient safety and improve patient outcomes related to medication management.
Objectives:
- Identify the risks related to mismanagement of patient medication.
- Identify tools for development of an effective home health medication management program.
- Identify current technology available to facilitate medication compliance and accuracy with administration.
Faculty: Kristi Wheeler, RN, HCS-D, COS-C, Director of Clinical Affairs and Training, Kinnser Software, Austin, TX; Melissa Kimble, RN, BSN, CWCN, CCM, Director of Program Development, Signature Health Services, Baytown, TX.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Finance
303–Home Health and Hospice Billing Issues and Solutions
In today's world, it is of utmost importance that agencies ensure they are collecting the full amount due, whether from Medicare, Medicaid, or private payers. This session will assist agencies in conducting a full evaluation of their current home health and hospice billing processes and procedures to help determine the effectiveness of the billing department. Learn how to get a grasp on just how effective a home health and hospice billing department can be.
Objectives:
- Identify current billing concerns.
- List cost indicators necessary for making operational decisions regarding the billing department.
- Develop performance measures for the billing department.
Faculty: Melinda Gaboury, COS-C, BBA - Accounting, , Chief Executive Officer, Healthcare Provider Solutions, Inc., Nashville, TN; Michael Horsley, BS, RPT, Owner/Administrator, All Coast Therapy Services, Inc., Lady Lake, FL.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/FIN). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Hospice & Palliative Care, Legal/Regulatory, Finance
304–Part I: What is the Future for Hospice? Ð A Financial Perspective
How will the Med Pac recommendations and Health Care Reform financially impact the hospice industry? This session will identify these issues and provide management with the essential tools to monitor the financial impact on their agency. The Medicare Cost report may be utilized to potentially rebase hospice reimbursement rates. Therefore in regard to the fairness of these rates, it is critical that data used to complete the cost report is accurate.
Objectives:
- Explain how the data accumulated by CMS may be used to reform the Medicare reimbursement system for hospice.
- Discuss the importance of filing an accurate hospice cost report.
- Describe tools necessary for hospicesÕ to monitor and manage the impact of the proposed changes.
- Identify financial and operational strategies to prepare for the future.
Faculty: William Dombi, Esq. , Vice President for Law , National Association for Home Care & Hospice, Washington, DC; Robert Simione, BS, Principal, Simione Consultants, LLC, Hamden, CT; Ted Cuppett, CPA, Managing Partner , The Health Group, Morgantown, WV.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Hospice & Palliative Care, Marketing & Business Development
305–The Art of Empathetic Marketing in Hospice
Marketing in hospice is unique and requires a specialized approach. In this session attendees will learn a specific hospice marketing approach grounded in principles of empathy. This approach ensures that hospice organizations are communicating to all of their audiences in a manner designed to reflect compassion and optimize opportunities for success. This practical yet motivational session includes detailed instructions on the art of empathetic marketing.
Objectives:
- Define empathetic marketing.
- Cite defining characteristics of empathetic marketing in hospice.
- Describe key techniques for using empathetic marketing to grow hospice census.
Faculty: Heather Rooney, BA, President and CEO, H2 Marketing, Seattle, WA; Ken Meyers, BS, Vice President of Business Development, Girling, Austin, TX.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MKT). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Human Resources, Leadership
306–Get RESULTS: An Innovative Process for Making New Hires Successful Sooner
Experience an innovative approach to maximize the resource investment in a new employee on-boarding process. Discover how to shorten time to productivity by 30 percent and reduce first year turnover by 50 percent. This reality requires the design of an on-boarding experience that is intended to ensure that new hires feel welcome and valued, and are fully prepared for what lies ahead in the first months of their home care employment.
Objectives:
- Explore how to obtain buy-in and commitment to the new on-boarding process from team leaders, supervisors, and managers.
- Examine key components and stages of the RESULTS On-boarding Process (per discipline).
- Identify methods for achieving sustainability and continuous improvement in the on-boarding process.
Faculty: Dawn Schalow, MS, Training & Development Specialist, ThedaCare At Home, Appleton, WI; Sarah Follen , BS, RN, MSN , Executive Director , ThedaCare At Home, Appleton, WI.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/PHR). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Information Technology
307–The Electronic Health Record: What It Means to Home Care and Why It Should Matter
Adoption of EHR systems in home care is high, but there is work to be done. This session will explore the journey to the EHR and how this technology can enable the clinician and your agency to work less and get more done! Improvements to the care process and documentation will be critical to the future success of home care in the provider community.
Objectives:
- Discuss the present status of the EHR in home care and hospice.
- Describe the future of the EHR in the home care and hospice industry.
- Relate the impact of the EHR in homecare and hospice care delivery and the data used to valuate and improve programs.
Faculty: Keren Diamond, BSN, MBA, Senior Vice President of Operations, VNA of Boston, Charlestown, MA; Karen Martin, RN, MSN, FAAN, Health Care Consultant, Martin Associates, Omaha, NE; Karen Utterback, RN, MSN, CNA, CHCE, Vice President of Clinical Strategies, McKesson, Springfield, MO.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/CS). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Human Resources, Finance
308–Busting Retirement Plan Myths: What's in Your Retirement Plan?
Changes in retirement laws have created many misunderstandings regarding employer-sponsored plans. This session will dispel those myths and provide a way to offer quality retirement plans. Specific examples from case studies will be shared to give agencies a basis for a decision to either improve the current plan or adopt one that meets their human resources and financial parameters.
Objectives:
- Cite misunderstandings (myths) among many agencies regarding the cost and complexities of offering a high-quality, employer sponsored retirement plan.
- Discuss how to provide a retirement plan at little or no employer expense.
- Explain how to dispel the myths through actual case studies.
Faculty: Harold J. Harrison, CLU, ARS, MCRP, Senior Vice President, Retirement Asset Management Group, Phoenix, AZ; Judy Bellome, RN, BSNEd, MSEd, Executive Director, Douglas County VNA, Lawrence, KS.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/FIN). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Leadership
309–The Four Imperatives of Leadership: Developing Leadership for the Decade Ahead
Leadership today requires a new mindset, skill set and tool set. Learn the Four Imperatives of Leadership and how to create and sustain a competency-based program to develop your leaders. People are physical, mental, emotional, and spiritual beings.
Objectives:
- Identify the Four Imperatives of Leadership.
- Explain why leadership must evolve from the command and control methods of the past.
- Discuss why workers in the Knowledge Age require a different style of leadership, and articulate the "whole person paradigm."
Faculty: Kevin R. Miller, MS, MA, M.Ed, President, VisionBound International, Inc., Springville, UT; Beau Sorensen, BA, Director of Finance, First Choice Home Health and Hospice, Orem, UT.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/PHR). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Legal/Regulatory, Quality
310–Circle the Wagons: An Internal Audit Model for Compliance Programs
This session will examine an internal audit model for compliance programs that provides proactive and defensive audit strategies. The presenter will provide tips, resources, and tools to develop a customized compliance audit model.
Objectives:
- Discuss tips for developing an internal audit model for a compliance program.
- Describe data collection that affects audit outcomes and interventions.
- List resources and tools for baseline, risk, fraud prevention, and monitoring audits.
Faculty: Sherry Cummings, RN, BSN, CPHQ, Director of Corporate Compliance, Outreach Health Services, Austin, TX; Sherry Ray, Senior Administrative Analyst , Outreach Health Services, Austin, TX.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Quality
311–A Research and Clinical Partnership to Improve Identification of Hospitalized Patients in Need of Post-Acute Care
Participants will learn the impact on home care for two evidence-based hospital discharge planning tools. The tools were designed to help discharge planners prioritize which patients to see, and to identify patients who need a post-acute care referral.
Objectives:
- Describe the development and use of evidence-based decision-support tools that improve hospital discharge planning.
- Explain the partnership between research and practice that led to the clinical project.
- Discuss how the evidence-based tools work and their impact on patient outcomes and post-acute care referral rates.
Faculty: Kathryn Bowles, PhD, RN, FAAN, Beatrice Renfield Visiting Scholar VNS of New York, University of Pennsylvania School of Nursing , Philadelphia, PA; Diane Holland, PhD, RN, Clinical Research Nurse, Mayo Clinic , Rochester, MN; Mary Ann O'Connor, RN, MBA, Account Manager of Business Development , Visiting Nurse Service of New York , New York , NY.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SEBUS). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Private Pay/Private Duty, Human Resources
312–Get the Best: Nine Steps to Hiring Quality Caregivers and Improving Your Bottom Line in Private Duty Home Care
What's keeping you from growing your private duty home care business? Perhaps it's the challenge of finding and hiring enough high-quality caregivers to meet the needs of your growing client base. Two leaders in private duty home care will share their recruiting and selection strategies and provide insights for growing your business.
Objectives:
- Discuss the importance of caregiver recruiting, selection, and retention in growing private duty home care.
- Describe the results of industry-leading research on the most effective methods to recruit caregivers.
- Apply the Nine-Step Process for Hiring Quality Caregivers.
Faculty: Stephen Tweed, BA, MS, CSP, CEO, Leading Home Care... a Tweed Jeffries company, Louisville, KY; Leigh Davis, BA, CEO, Marjent Private Duty Solutions, Fayetteville
, AR .
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/PHR). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Quality
313–Sustaining Standards Compliance
Achieving and sustaining standards compliance are two sides of the same coin. Learn techniques to effectively sustain standards compliance, mobilize staff commitment, and embed compliance into everyday standard work. Learn how to apply these processes in your agency for compliance in falls reduction, medication management, and staff competency.
Objectives:
- Describe challenges to sustaining standards compliance in complex situations as presented in this session.
- Explore the strategies and tactics used at all operational levels of the home care program to effectively sustain standards compliance.
- Apply these strategies and tactics to some of the most challenging areas of standards compliance.
Faculty: Margherita Labson , RN, Executive Director, The Joint Commission, Oakbrook Terrace, IL.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Quality, Clinical & Disease Management
314–Traditional Patient Education is Out; Health Coaching is In! A Fresh Approach to Enhancing Patient Self-Management and Improving Outcomes
Health coaching decreases costs and improves outcomes! Clinicians love this new approach. Presenters will reveal how health coaching achieves this success and why traditional patient teaching methods fall short.
Objectives:
- Explain why new strategies are emerging for improving outcomes.
- Describe the major differences between health coaching and traditional patient teaching methods.
- Describe one health coaching technique that you can use immediately on your next patient visit.
Faculty: Melinda Huffman, BSN, MSN, CCNS, CHC, Principal, Miller & Huffman Outcome Architects,LLC, Winchester, TN; Colleen Miller, RN, BS, CSBC, Principal, Miller & Huffman Outcome Architects, LLC , Ringgold, GA; Sherry Taylor, AD, CHCE, Director of Education, Community Health Systems Professional Services Corp., Franklin, TN.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Telehealth
315–Transformation Technology: Bridging the Gap Between POC Devices and Clinician End Users, or "We're Not in Kansas Anymore!"
This session panel will provide a useful discussion for those deploying or about to deploy point of care (POC) software. Presenters will report on results from a nationwide clinical survey of more than 500 home care clinicians who answered questions about technology user experience at the POC, clinician involvement, perceptions, barriers, reactions, and the impact of technology change on work satisfaction.
Objectives:
- Identify barriers to using POC devices.
- Review strategies for success for POC device implementation.
- Identify key areas to monitor before and after deployment.
Faculty: Sandra Bennis, RN, BSN, MBA, Assistant Vice President, Executive Director, Virtua Home Care, Mount Laurel, NJ; Jeneane Brian, BSN, MBA, PHN, Chief Clinical Officer, Allscripts Post Acute Solutions, Raleigh, NC; Jeff Young, Manager of Transformation Services Consulting, Allscripts, Raleigh, NC.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/CS). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Monday, October 04, 2010; 2:30-4pm
Clinical & Disease Management
401–Pressure Ulcer Palliative Care at Home
This session presents the new National Pressure Ulcer Advisory Panel guidelines for palliative care of pressure ulcers and pain management of pressure ulcers. Implementation of the guidelines for prevention and management of pressure ulcers in the home care environment, as well as specific strategies for pressure ulcer care at home, will be discussed.
Objectives:
- Identify appropriate goals of palliative pressure ulcer care in the home.
- Discuss pressure ulcer pain assessment and management.
- Explain key differences between palliative and curative pressure ulcer care.
- Outline pressure ulcer prevention strategies for pressure ulcer care. Describe two treatment principles for palliative pressure ulcer care.
Faculty: Barbara Bates-Jensen, PhD, RN, CWOCN, Associate Professor, University of California
School of Nursing & David Geffen School of Medicine, Division of Geriatri, , Los Angeles, CA .
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Clinical & Disease Management, Quality
402–Through Our Patients' Eyes: Utilizing Predictive Modeling to Design Effective Chronic Illness Care
Presenters will share how they transformed the traditional home health model into one that innovatively blends the full continuum of home care and hospice services to usher in palliative care programming; and how they combined a data-driven approach with the art of caring to address the true needs of the most fragile patients. By creating individualized care plans that target the true, holistic needs of chronically ill patients, their hope is to deliver a higher level of meaningful care and ultimately improve patient outcomes. How might Through Our Patients' Eyes better position your agency for the challenges of chronic illness care?
Objectives:
- Discuss how predictive modeling can optimize the design of effective chronic illness care services.
- Identify three benefits or outcomes that can be positively impacted by integrating predictive modeling with palliative, patient-centered care.
- Discuss how predictive modeling can be instrumental in helping a home care agency meet clinical outcomes, financial goals, and program growth.
Faculty: Linda Pekar, RN, BA, CLNC, CHPN, Director of Organizational Quality & Programming, Visiting Nurse Association of Southeast Michigan, Oak Park, MI; Sue Blockberger-Miller, MSN, RN, Director of Education, Outcome Concept Systems, Inc., Seattle, WA.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Hospice & Palliative Care, Legal/Regulatory, Quality
404–Part II: What is the Future for Hospice? Hospice Quality Measures Benchmarks: The Future of Public Reporting
This session will identify hospice measures and current benchmarks and explore measurements to be tested for public reporting. Understanding unique measures for hospice and how they integrate into post-acute care reform is essential to the future of hospice. The presenter will identify the opportunities, risks, and challenges associated with integrating common measures for hospice data collection, reporting, and benchmarking.
Objectives:
- Identify current hospice quality measures and benchmarks.
- Discuss domains of public reporting and hospice demonstration activities.
- Cite key drivers and timeframes for hospice in post-acute care reform.
Faculty: Roger Herr, MPA, PT, COS-C, Director Product Management, OCS HomeCare, Seattle, WA.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Hospice & Palliative Care, Leadership
405–Hospice and Palliative Care: Strategies for Future Success
Hospices have significant expertise in delivering palliative care, but this expertise has not been fully tapped. Learn how to develop a fully integrated service in partnership with a hospital system and physician network. Presenters will share how to increase your volume, reduce hospital costs, and improve quality and satisfaction.
Objectives:
- Identify integration opportunities among hospices, palliative care physicians, and hospitals.
- Describe a model with demonstrated success.
- Discuss ways to lower costs, improve efficiencies, and achieve better outcomes.
Faculty: Paula Shiner, MS, RN, CHCE, Director, Southcoast Hospitals Group, Inc., Fairhaven, MA; Lorrie Rezendes, BSN, RN, Hospice & Palliative Care Clinical Manager, Southcoast Hospitals Groups, Inc, Fairhaven, MA.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MAS). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Information Technology
407–Empowering Field Clinicians in a Social Network Environment
Wireless technology supports chronic care management, diagnostic device monitoring, wellness and fitness applications, medication management, and independent living.
Device and service connectivity is the model for future home health care applications. Mobile networks will link a growing number of monitoring products to health care providers. Industry leaders will explain how innovative technology and patient care are successfully merged into a business model enhancing quality and profitability.
Objectives:
- Identify smart tools to empower field clinicians in a home care social network environment.
- Discuss clinical, operational, and financial metrics within the social network environment using wireless technology.
- Relate guidelines for changing home care technology using innovative wireless technology for planning and coordinating patient care.
Faculty: Summer Knight
, MD, MBA, Chief Medical Officer & Executive Vice President, Sandata Technologies, LLC., Port Washington, NY; Wesley Perry, MSN, CEO, IntrepidUSA Healthcare Services, Dallas, TX.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Leadership, Quality, Finance
409–The Role of Leadership in Charting the Course to Excellence: Utilizing the "Quality Compass" to Achieve Outstanding Quality, Satisfaction, and Financial Health
A Quality Compass is an effective leadership tool to ensure that management and staff stay focused on achieving all the goals of home care. This presentation will focus on how one agency implemented the "Quality Compass" as a whole systems measure and in one year reached the 90th percentile in quality outcomes, achieved tier 1 status in employee satisfaction, significantly improved patient satisfaction, and increased the bottom line by more than $100,000.
Objectives:
- Describe the four points of the Quality Compass, patient satisfaction, staff satisfaction, finance, and growth.
- Discuss metrics to measure positive improvement to individual clinician level dashboards along compass points.
- Explain cascading goals and the importance of linking all staff behaviors to the points on the Quality Compass.
Faculty: Jeanne Ryan, MA, OTR, CHCE, COS-C, Executive Director, VNA & Hospice of Cooley Dickinson, Northampton, MA.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MAS). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Marketing & Business Development, Leadership
410–New Business Opportunities: Innovation, Evaluation, and Execution
A primary role of management is to identify, evaluate, and execute new business opportunities. Presenters will discuss specific strategies management can employ to accomplish these objectives.
Objectives:
- Explain how to create a culture of innovation that supports and facilitates new ideas.
- Discuss methods and approaches for identifying new business opportunities.
- Describe how to evaluate the viability and potential value of new business opportunities.
Faculty: Dexter Braff, MBA, MS, BS, President, The Braff Group, Pittsburgh, PA; Steve Braff, MBA, Managing Director, Home Health and Hospice, The Braff Group, Palm Springs, CA.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MKT). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Private Pay/Private Duty
411–Risky Business: Protecting Your Private Duty Business from Risk
The presenter will discuss a survey of risk trends and litigation in home care, how to select appropriate liability insurance coverage, and how to manage employees and customers to minimize liability, including transportation, workers comp, and security issues in the home. There are six sources of failure in managing risk and 10 best practices for private duty companies. Participants will be given the bonus of a take-home tool: Score your Private Duty Company's Risk with action guide.
Objectives:
- List the risks most common to the business of private duty home care.
- Cite sources of failure in managing risks.
- Describe methods to fortify your agency business to minimize significant risks.
Faculty: Patricia Drea, MPA, BSN, Chief Operating Officer, Visiting Angels, Teca City , SC.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Legal/Regulatory, Quality
412–Using HH-CAHPS to Improve Your Agency
The Home Health Consumer Assessment of Healthcare Providers and Systems (HH-CAHPS) survey is becoming a requirement for many agencies across the nation this year. This session will help participants understand how the HH-CAHPS process will impact their agency, discuss how results can be incorporated into current performance improvement efforts, and describe some strategies for sharing and using the results effectively.
Objectives:
- Describe the impact HH-CAHPS will have on home health agencies.
- Explain how HH-CAHPS fits into the context of an agency's overall quality improvement work.
- Cite specific strategies for using HH-CAHPS results to improve quality and service.
Faculty: Alan Jackson, BS, President / CEO, The Jackson Group Inc., Hickory, NC; Heather Jones, MPH, CHES, Director of Quality Initiatives & State Liaison, South Carolina Home Care & Hospice Association, Raleigh, NC; Janette Jones, BS, Director of Patient Surveying Services, The Jackson Group Inc., Hickory, NC.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Quality
413–Safe Landings: Transitioning Referral to Admissions with CARE!
This program defines the steps taken to develop and implement a model that utilizes a customer service approach to improve management of patient and related processes from time of referral to admission, thus assuring a Safe Landing.
Objectives:
- Describe development of a formalized referral to admission transition model.
- Identify the change management strategies to develop and implement the CARE Unit Model.
- Cite three lessons learned from Penn Care at Home' s implementation of the CARE Unit Model.
Faculty: Susan Quinn, EdD, MBA, RN, CNAA, Director , Penn Care at Home, Bala Cynwyd, PA; David Horowitz, MD, Senior Medical Director for Quality -University of PA Health System, Chief Medical Officer , Penn Care at Home , Bala Cynwyd, PA; Georgia Hockenjos, BSN , Vice President and Project Consultant, Aleckna and Associates, LLC, Princeton Jct, NJ; Marguerite Adelsberger, RN, BSN , Associate Director Quality, Education Regulatory , Penn Care at Home, Bala Cynwyd, PA.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Telehealth
414–The Two Sides of Telemonitoring: Acute Cardiac Post-Intervention vs. Chronic Cardiac Disease Management
Presenters will discuss and describe utilization of telemonitoring with two widely discrepant cardiac patient populations. The populations posed a challenge to the development of the telemonitoring skill set required for the home care case manager and the telemonitoring program in general. Participants will learn the elements of risk management, publically reported outcomes, and optimal disease management.
Objectives:
- List three specific interventions and goals leading to successful management of the acute cardiac post-intervention patient.
- Articulate three specific interventions and goals leading to successful management of the chronic cardiac disease management patient.
- State two reasons why acute and chronic cardiac patients are equally vulnerable with respect to home care outcomes and risk management objectives.
Faculty: Ann-Marie Peckham, RNC, MSN, MBA, Chief Clinical Officer, VNA of Cape Cod, Hyannis, MA; Kathleen Rowe, BSN, RN, MSN, Team Leader and Telemonitoring Program Manager, VNA of Cape Cod, Hyannis, MA.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Leadership, Legal/Regulatory
415–"It's All About Integrity..." Raising the Compliance Bar: The Commitment to Organization-Wide Integrity
Representatives of LHC Group, Inc., a national provider of home care, hospice and other health care services, and Deloitte & Touche, one of the nation's top healthcare consulting firms, will provide a panel discussion on how LHC Group resolved to be part of the solution regarding compliance issues from federally financed health care programs. The result was a redesign of its compliance program which is now viewed as a "best of class" compliance program and is a leading example within the health care industry. Panelists will share the steps they have taken within the last year and a half to achieve their goals of engaging the entire LHC Group "family" in their commitment to integrity, ethics and compliance.
Objectives:
- Describe the state of compliance in the health care industry at large.
- Outline steps to identify compliance risks within your organization.
- Describe actions to redesign an overall compliance program.
- List the steps required to ensure the organization meets the seven key elements of an effective compliance program.
Faculty: John Indest, RN, MHSA, Special Advisor to the CEO, Director and Former President and Chief Operating Officer, LHC Group, Inc., Lafayette, LA; Peter C. November, BS, Executive Vice President and General Counsel, LHC Group, Inc., Lafayette, LA ; Joshua L. Proffitt, BS, Senior Vice President and Chief Compliance Officer, LHC Group, Inc, Lafayette, LA ; Vickie M. Monteith, RN, MBA , Director, Health Sciences Healthcare Providers and Regulatory Risk and Compliance, Deloitte & Touche, Charlotte, NC; Cheryl J. Golden, CPA, MHA, CHC, CPC-A, MAcc, Senior Manager, Health Sciences and Regulatory Risk and Compliance, Deloitte & Touche, Tampa, FL .
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Quality, Leadership
416–Evaluating Innovation at VNSNY: Lessons Learned
The Visiting Nurse Service of New York (VNSNY) promotes the use of evaluation in program development and implementation. Presenters will share recent evaluation studies and examine lessons learned in carrying them to completion. Evaluation studies include: assessing the success of the role redesign for nurse managers; evaluating the impact of telemedicine on home care patients; measuring the success of a retention program for home health nurses; and developing an evaluation plan for a new pediatric palliative care program.
Objectives:
- Describe the vision and philosophy of evaluation research at VNSNY.
- Discuss recent evaluation projects at VNSNY.
- Relate the obstacles and challenges to conducting evaluation research in home health care and discuss some of the lessons learned.
Faculty: Robert Rosati, PhD, Director of Research, Evaluation, and Informatics, Visiting Nurse Service of New York, New York, NY; Peri Rosenfeld, PhD, Senior Evaluation Scientist, Visiting Nurse Service of New York, New York, NY; David Russell, PhD, Evaluation Scientist, Visiting Nurse Service of New York, New York, NY.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Legal/Regulatory
417–Current Federal Fraud and Abuse Efforts in Home Care
While you have been focused on the payments impacts of Health Reform, you may have missed the multiple fraud and abuse provisions in Health Reform which will impact the home care industry, as well as ome of the current government fruad and abuse activity focused on home care. This program will also furnish guidance on how to address these risks in you home health agency and hospice.
Objectives:
- Describe current fraud and abuse activity in home care.
- Discuss fraud and abuse provisions in Health Reform
- Identify actions for agencies to take to address these risks.
Faculty: Denise Bonn, Esq., Deputy Director, Center for Health Care Law, Washington , DC .
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Clinical & Disease Management, Quality
418–Initial Findings from The Delta National Excellence in Therapy Practice Project
This session will provide participants with the initial findings from the critically important Delta National Excellence in Therapy Practice Forum. The focus of the session will to assist Agency Leaders and Clinicians in building outstanding Therapy practices at their agency using the initial findings and guidelines from the Delta National Excellence in Therapy Forum.
Objectives:
- To describe the methodology used to create the findings from the Delta National Excellence in Therapy Forum.
- To present the initial findings from the Forum in order to assist Agency Leaders and Clinicians with building outstanding Therapy practices at their agencies.
- To describe future considerations and implications for Therapy practice in Home Health.
Faculty: Tim Ashe , BS, BSN, MS, MBA, Partner and Director of Operational Consulting , Fazzi Associates, Northampton, MA; Cindy Krafft , PT, MS COS-C, Assistant Director of Operational Consulting, Fazzi Associates, Peoria, IL.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Legal/Regulatory
419–Revised Home Health Agency Survey Protocols: What You Must Know
The Centers for Medicare & Medicaid Services (CMS) provides detailed guidance to surveyors for interpreting the Conditions of Participation in the document entitled "Guidance to Surveyors: Home Health Agencies." This guidance, which defines and explains relevant regulations, has had only minor revisions over the past several years. In an effort to focus the survey process on evaluation of the delivery of quality care, and respond to GAO and OIG recommendations for home health surveys, CMS undertook the task of updating and enhancing the survey protocols in its Guidance to Surveyors. The survey enhancements focus on identification of standard level, versus condition level, citations. During this program attendees will learn about these enhancements.
Objectives:
- Identify key landmarks in the evolution of survey protocols.
- Describe standard survey protocols.
- Understand triggers from partial to partial extended, and extended surveys.
- Describe revised surveyor guidance.
Faculty: Patricia Sevast, RN, BSN, Nurse Consultant, Survey and Certification Group,Center for Medicare & Medicaid Services, , Baltimore , MD.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE).
Monday, October 04, 2010; 4:15-5:45pm
Clinical & Disease Management
501–Providing Chronic Disease Management across the Continuum of Care: Partnering with a Multi-Institutional Health System
Hospitals struggle to reduce readmissions of patients with heart failure. Learn how one agency collaborated with its hospital system to improve service delivery across the continuum of care and established a Readmission Reduction Task Force. The goals: to reduce hospital readmissions by improving process, education, and communication, and by facilitating patient access to care across the continuum.
Objectives:
- Discuss the process of forming the Readmission Reduction Task Force.
- Identify components of the Heart Failure Disease Management Program.
- Describe program outcomes.
Faculty: Louise Newcombe, RN, BS, MA, VP for Certified Services, Visiting Nurse Association of Hudson Valley , Tarrytown, NY; Michele Quirolo, RN, MS CHCE, President/CEO, Visiting Nurse Association of Hudson Valley, Tarrytown, NY; Helen Turchioe, RN, BSN, MS, Executive Director , Pinnacle Healthcare, Valhalla, NY.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Clinical & Disease Management, Quality, Therapy
502–Optimize Occupational Therapy and Optimize Outcomes
Occupational therapy enables patients to engage in meaningful and purposeful daily activities. Learn when and how to use occupational therapy for effective plans of care and accurate data collection.
Objectives:
- Describe occupational therapy plans of care for two chronic conditions.
- Explain the myths underlying occupational therapy underutilization and facts to correct it.
- Identify time points and strategies for occupational therapy's contribution to data collection accuracy.
- Identify case studies of hospice organizations that demonstrated QAPI and CoP compliance.
Faculty: Karen Vance, OTR/L, Supervising Consultant, BKD, LLP, Colorado Springs, CO; Carol Siebert, MS, OTR/L, FAOTA, Principal, The Home Remedy, Chapel Hill, NC.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Finance
503–Two Years of 2008 PPS Reform: How an Agency Can Counteract the Constant Payment Cuts
Presenters will describe how an agency can deal with payment cuts by improving profitability. Participants will learn strategies to improve revenue from current Medicare episodes, and how to use key dashboards and metrics that need to be reviewed by agency management on a daily basis.
Objectives:
- Provide agency management with actionable objectives to improve profitability using key benchmarks to set up a strategic plan.
- Discuss how this agency implemented proven strategies to improve profitability.
- Describe reporting needed for success in counteracting payment cuts.
Faculty: Mike Dordick, BS, Senior Vice President/Principal , McBee Associates, Wayne, PA; Nick Seabrook, BS, Director, McBee Associates, Wayne, PA; Susan Freeman, RN, Chief Administrative Officer, Alacare Home Health and Hospice Services, Birmingham, AL.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MAS). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Hospice & Palliative Care, Quality
504–Part III: What is the Future for Hospice? Strategic Priorities Now
Meet the Challenges and Seize the Opportunities to Improve Quality and Access
This session will highlight key points from Parts I and II, along with other important factors in today's hospice environment, and identify success strategies for conquering the challenges and making the most of new opportunities. It is time to be diligent about managing operations and meeting regulatory requirements; creative in meeting customer needs; flexible in utilizing resources; and bold in promoting the quality and value of your program. Through an interactive discussion, the session will uncover common "low hanging fruit", as well as big new ideas, for strengthening your hospice to best serve your community.
Objectives:
- Identify most important challenges to address now.
- Identify significant opportunities to improve cost and quality, serve more patients and families, and contribute to improved end of life care in your community.
- Describe success strategies that can have a big impact in a short time frame.
Faculty: Martha Tecca, MBA, Founder and Principal Consultant, M&M Strategies, Lyme, NH.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Hospice & Palliative Care, Human Resources
505–Can They Really Do THAT? Using Volunteers in Bereavement Support
Learn how Pathways Volunteer Hospice uses a legendary group of volunteers to lead grief support groups and participate in school crisis intervention and other bereavement support programs.
Objectives:
- Discuss advantages and potential pitfalls of using volunteers in bereavement support.
- Describe essential attributes for effective volunteers, mentors, and supervisors in the bereavement program.
- Create your own agency strategy for volunteer recruitment and training using Pathways' Keys to Volunteer Success.
Faculty: Bill Hoy, DMin, FT, Director of Counseling Services, Pathways Volunteer Hospice, Lakewood, CA; Cindy Skovgard, BS, Executive Director, Pathways Volunteer Hospice, Lakewood, CA.
Course Level: Basic; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Human Resources, Finance
506–Clinical Compensation: Aligned Incentives Requires the Right Clinical and Case Conferencing Models
An agency's aligned incentives should include compensation, care management and the measures of both clinical and financial outcomes. This program provides discussion and analysis of creative solutions that address these issues and the advantages for recruitment and retention.
Objectives:
- Identify the goals of a clinical staff incentive compensation model, including productivity, case capacity, and timeliness of documentation.
- Describe a clinical staff incentive compensation model that can achieve overall desired clinical and financial outcomes.
- Discuss staff performance issues and approaches to improve productivity, case capacity, and clinical outcomes.
Faculty: Pat Laff, CPA, Managing Principal, Laff Associates, Hilton Head Island, SC; Kathleen Sgro, DNP, MBA, RN, President/CEO, Alternacare, Inc. , Springfield, IL.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/PHR). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Information Technology
507–Avoiding the Pitfalls of a Software Rollout
Participants will learn how to establish a comprehensive software rollout process that takes into consideration the operational, clinical, quality, and compliance impacts and how to best to mitigate them. This program will provide both the novice and experienced agency with a comprehensive plan to guide the implementation of a new computer system.
Objectives:
- Describe the importance of planning well in advance of software implementation.
- Describe the process of developing the roadmap for a project plan.
- Identify ways to anticipate and mitigate challenges inherent in system implementation.
Faculty: Kathleen Hernon, BSN, RN, Regional Director, Partners Home Care, Waltham, MA; Donna Fernandez, BS, Project Specialist, Partners HealthCare, Wellesley, MA.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/CS). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Leadership
508–Health Trends: Forces of Change Transforming the Industry
This presentation will focus on the social, political, economic, and technological trends that are reshaping the global economy and how they are impacting health care generally and home health specifically. Attendees will learn how to identify a trend, how to spot the difference between a trend and a fad, and how to use trend analysis to direct the development of a comprehensive strategic plan. They also will learn about the opportunities created by these trends, and how to be proactive rather than reactive.
Objectives:
- State the difference between a fad and a trend.
- Explain how trend analysis is used to construct a strategic business plan, and to adjust business development plans over time.
- Discuss how evolving trends are impacting health care generally and home health specifically.
Faculty: Corinne Kuypers-Denlinger, BA, Vice President, Home Health, DecisionHealth, Gaithersburg, MD.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SEBUS). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Leadership
509–Ethical Practice and Delivering Safe, Effective, Patient-Centered Care
Quality, patient-centered care is a universal goal; however, ethical conflicts arise with multiple stakeholders or points of view to consider. The overall goal of the session is to foster a better understanding of ethical practice for home health and hospice practitioners and how to recognize and address ethical challenges.
Objectives:
- Explain how to recognize ethical red flags that occur when there is more than one stakeholder or point of view involved.
- Internalize your inherent case management roles and responsibilities regardless of title or profession.
- Explain the importance of maintaining ethical practice standards and achieving desired outcomes that complement and are enhanced by self-care.
Faculty: Ellen Fink-Samnick, LCSW, CCM, CRC, Treasurer, Commission for Case Manager Certification , Mt. Laurel, NJ.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/PHR). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Private Pay/Private Duty, Marketing & Business Development
510–Capture Your Caller: Turn Inquiries into Clients
Success in private duty/private pay home care goes well beyond the mechanics of setting up an office and implementing concepts of relationship sales. This presentation will focus on practical steps and techniques to capture your caller on the very first call. It will show participants how they can be successful and how critical the FIRST call is to that success.
Objectives:
- Identify four steps essential for a successful inquiry call.
- Discuss the role the office environment plays in individual and organizational success.
- Articulate responses to road blocking questions and ways to identify each caller's needs.
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Faculty: Barbara Akst , MA, President, CEO, Training Unlimited of VA, LLC, Annandale, VA.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MKT). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Human Resources
511–More than Med-Surg in the Home: Orientation to Home Care
Experienced nurses who seek to make the transition from the acute care setting to home care may be overwhelmed by the complexity of the Medicare regulations and the scope of regulations and reimbursement rules to learn that are needed to effectively function in their new role. This session will describe elements of a successful, focused, orientation program for home health nursing that has resulted in high retention rates.
Objectives:
- Describe the components of home health care orientation for nurses.
- Discuss the challenges faced by experienced nurses making the transition to the home care setting.
- Evaluate the impact of a preceptor program in successful transition to home health care nursing practice.
Faculty: Joann Erb, PhD, RNC, Education and Research Coordinator, Abington Hospital Home Care and Hospice, Willow Grove, PA.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/PHR). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Quality, Leadership
512–Preventing Hospitalizations with a Partnership Approach: A Care Transitions Program
Learn how to reduce hospitalization rates and improve quality of life for patients by implementing a care transitions program. By partnering with payers, your agency can make a difference. The program will provide an overview of research-based evidence supporting the success of care transitions programs in reducing re-hospitalizations and promoting improved quality of life for patients with chronic disease. Takeaways for program development and supportive tools will be shared.
Objectives:
- Discuss research findings supporting the effectiveness of care transitions programs in reducing re-hospitalizations.
- Describe the components of the program implemented by this agency to reduce re-hospitalization rates in a vulnerable population.
- Identify opportunities for collaboration and implementation of a care transitions program in your organization.
Faculty: Deborah Costello, RN, BSN, MSM, Director of Quality & Safety, Caritas Home Care , Norwood, MA; Patricia Burke, RN, Director of Clinical Operations , Caritas Home Care , Norwood , MA.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MAS). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Clinical & Disease Management
514–Infection Control Update: Who, What, and Where
Infection control continues to be a paramount practice issue for home care and hospice, with a major impact on clinical outcomes. Presentation topics will include the 2009 pandemic, multi-drug-resistant organisms, health care acquired infections, and the most recent guidance tools. The presenter will discuss best practice issues in infection control and prevention to help providers update their infection control programs and prepare for the future.
Objectives:
- List multi-drug-resistant organisms.
- Discuss the home care community's response to the 2009 pandemic.
- Describe the most current best practices in infection control and prevention.
Faculty: Barbara Citarella, RN, MS, CHCE, CHS-V, President/ CEO, RBC Limited, Staatsburg, NY.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Marketing & Business Development
515–Magnetic Marketing: Six Surefire Ways to Supercharge Your Referrals in Sixty Days or Less
Are you ready to ignite your referrals? In this energized session, you will discover the secrets to instantly turn your agency into a referral-producing machine. The presenter will share breakthrough strategies that have helped agencies of all sizes. Learn how to maximize your marketing program, how to differentiate from competitors, how to tap into niche strategies to exponentially increase referrals and services. Take away from this session an insider shortcut guide to create a marketing program to supercharge your agency with referrals and revenue.
Objectives:
- Discover step-by-step how to set up a direct-to-consumer marketing /customer loyalty program.
- Explain the ten simple steps to developing a one-page bullet-proof marketing and sales plan.
- Discuss the little-known untapped areas to gain market share in the most competitive market.
Faculty: Adam D. Bishop, MBA, BBA, Co-Founder , TAG Home Care Marketing, Franklin, TN.
Course Level: Basic; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MKT). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Leadership
516–The Voluntary Nonprofit Home Care Association of America Presents: "Collaboration for Success"
Representatives from national voluntary home care agencies will provide this exciting panel presentation. Panelists will answer questions and share ideas on joint ventures for non-profits; acquisition; preferred provider relationships; and partnership opportunities.
Objectives:
- Identify opportunities to create growth, joint venture, and business opportunities through networking and planning.
- Describe the challenges that can prevent action from moving forward.
- Identify strategies used by successful agencies.
- Discuss ways to present opportunities to Boards to move action forward.
Faculty: David Berman, CPA, CVA, Principal , Simione Consultants , Hamden, CT ; Andrea L. Devoti, RN, MSN, MBA, CHCE , Vice President and Executive Director, Neighborhood Health Agencies, Inc., West Chester, PA ; Tricia Ritchie, BS, MSHA , President & CEO, Wilshire Health & Community Services, Inc. , San Luis Obispo, CA; Thomas
Ricciardelli, AB, MBA, JD, Vice President, General Counsel , The Visiting Nurse Association of Texas, Dallas, TX.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MKT). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
517–Meet your Medicare Claim Contractor: NHIC
NHIC is the primary contractor for Jurisdiction 14 (J14) for Home Health and Hospice providers in Maine, Massachusetts, Vermont, New Hampshire, Connecticut and Rhode Island, NHIC will host an informative session to provide education on top Medical Review denials and coverage information relating to these denials for Home Health and Hospice. Our staff is committed to educating the providers we serve and will be hosting an open Q & A session with our Medical Director, and clinical staff for Home Health and Hospice Providers.
Objectives:
- Identify top reasons for Medical Review denials for Home Health claims
- Identify top reasons for Medical Review denials for Hospice claims
- Identify coverage criteria for top medical review denials for Home Health and Hospice
Faculty: George Costantino, MD, FACS , Medical Director , National Goverment Services, Harrisburg, PA; Corrinne Ball , RN, CPC, Provider Outreach and Clinical Education consultant , National Government Services , Cincinnati
, OH ; Sally Rosiello, BSN, CPC, National Government Services, Cincinnati.
Course Level: not applicable. No CEs or CPEs for this session. ;
Tuesday, October 05, 2010; 8 to 9:30am
Clinical & Disease Management
601–Psychiatric Home Care Really Works: A Look at the Outcomes
Psychiatric home care is a specialty program that provides a bridge for patients transferring from a more acute level of care to their home. Once in the home, psychiatric home care provides an anchor for patients to remain there. Psychiatric home care services for the homebound elderly result in significant and measurable clinical outcomes as well as a healthy financial return. It is a specialty program worth having.
Objectives:
- Define psychiatric home care, including goals and services offered.
- Discuss the importance of tracking clinical and financial data at regular intervals.
- Describe the strategy for implementing a psychiatric home care program and cite the outcomes.
Faculty: Dr. Verna Benner Carson, PhD, PMH/CNS, BC, President, C&V Senior Care Specialists, Inc, Fallston, MD; Sandra Parshall, RN, MSN, Executive Vice President, First Choice Home Health , Cleveland
, OH.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Finance
602–HHA Medicare Cost Report
This session provides instructions on completing all cost report worksheets, as well as the CMS 339 questionnaire. Participants will learn what information can be developed from an accurate and completed cost report, gain understanding of the rules, and learn how to use this valuable information for management and benchmarking.
Objectives:
- Describe the process of preparing the cost report worksheets and related documents.
- Articulate the rules as they apply to the preparation of your cost report.
- Discuss different ways in which the Medicare cost report can be used for management decisions.
Faculty: Thomas Boyd, MBA, BA, Principal, Boyd & Nicholas, Inc., Rohnert Park, CA; Barry Gold, BBA, CPA, FHFMA, Chief Financial Officer, Mays Home Care, Paris , TX; Dave Macke, FHFMA, MBA , Director of Reimbursement Services, VonLehman and Company Inc., Fort Mitchell, KY.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Finance
603–Financial Statements 101: Preparation and Analysis of Financial Statements for Mergers and Acquisitions Decision Making
This presentation explains in non-technical terms how to prepare and analyze financial statements for the purpose of making decisions in a mergers and acquisitions context. This process can be understood and put into practice by any owner or operator of any homecare agency. Discussion will include the importance of generally accepted accounting principles (GAAP), accrual basis vs. cash basis accounting, and industry-specific concerns such as revenue recognition and aging of accounts receivable, and how these issues impact the value of a home care agency.
Objectives:
- Explain how financial statements record data so managers can determine if they have enough margin to fulfill their mission.
- Describe GAAP and accrual basis accounting as they pertain to home care agencies.
- Relate the application of financial statement analysis through case studies of merger and acquisition transactions.
Faculty: Jack Eskenazi, BA, Managing Director, Healthcare Advisory Partners, Los Angeles, CA; Steven Guenthner, CPA, Chief Financial Officer , Almost Family, Inc. , Louisville, KY; Katherine Jones , CPA, CFE, CHC , Manager, HC Healthcare Consulting, LLC, Boise, ID.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/BMO). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Finance
604–Home Health Finance: Understand the Impact and Dance with Operations
It's all about the numbers. This session provides the essential finance "nuts and bolts" for agency operations. Presenters will review the relationship between revenue and expense and fixed and variable costs, and the impact of cash flow. Learn how the financial dashboard is related to financial and operational performance and how all operational decisions, from staffing to patient assessment to coding, directly impact the bottom line.
Objectives:
- Describe the basics of financial statements to determine whether the organization is doing well or not.
- Communicate the numbers to an operational level.
- Discuss how operations can digest the numbers for better performance.
Faculty: Kelly Jalowiec, BSN, President , Girling Home Health, Austin, TX; Robert Steel, III, BS, MBA , SVP of Operations and Finance, Girling Home Health, Austin,, TX .
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/FIN). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Hospice & Palliative Care, Marketing & Business Development
605–Transforming a Not-for-Profit Hospice to a Sales Organization
The premise for this workshop is that the average not-for-profit hospice has a nonprofit mentality, when in actuality, it needs revenue and profit to remain a viable resource to the community. This presentation and workshop will help participants understand that quality care starts with a focus on revenue and referral sources.
Objectives:
- Determine your true source of revenue and referrals.
- Discuss strategies to remain on the minds of your revenue and referral sources.
- Describe flawless execution to achieve sales targets.
Faculty: Mary Sheehan, MSN, MBA, RN , Partner, QPC Hospice Program
, Downers Grove, IL; Stuart Friedman, MBA, SPHR, President, Progressive Management Associates, Chicago, IL.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MAS). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Human Resources
606–Develop a Peer Mentor Home Health Aide Career Ladder and Retention Will Skyrocket
Home health aides are a workforce that is often under-recognized and underappreciated. They are a crucial component of the spectrum of care that allows seniors to age in place. Jewish Home Lifecare, Home Assistance Personnel, Inc. (JHL HAPI) developed a peer mentor home health aide career ladder in order to provide a career path to higher-paying work. This agency has an 87 percent retention rate among peer mentors and 69 percent retention among home assistance personnel.
Objectives:
- Discuss how to develop a peer mentor home health aide career ladder and training curriculum.
- Explain how to work with the opportunities and challenges that may arise in developing a career ladder for home health aides.
- Cite the benefits of developing a career ladder for home health aides.
Faculty: Bridget Gallagher, MSN, GNP, Senior Vice President, Jewish Home Lifecare, New York, NY; Athena Kreiser, MHA, Senior Project Manager, Jewish Home Lifecare, New York, NY.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/PHR). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Information Technology, Finance
607–Beyond the Medical Home: Key Components Required for Clinical, Operational and Financial Success
Presenters will examine emerging business models and upcoming applications for home care, and how agencies can prepare themselves to take advantage of them.
Objectives:
- Discuss alternate funding sources that could defray the cost of investment in health information technology.
- Identify internal value propositions that support home care in combination with telehealth.
- Determine ways to tap into new financial incentives created through pay-for-performance models for patient care.
- Reduce acute care hospitalization and emergency care costs for chronically ill older adults through telemonitoring and teletriage.
Faculty: Bill Dunstan, MHRA, MSW, Vice President, Home Care, Lancaster General Health VNA Community Care Services, Lancaster, PA; Randy Moore, MD, MBA, Chairman and Chief Executive Officer, American Telecare, Inc., Eden, MN.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MAS). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Leadership
608–Change Is Constant: Creating Organizational Flexibility for Success in Changing Times
Is your agency structured for the future? Do you have the necessary functions and personnel aligned to succeed in unsettled times? Learn how one agency responded and is now prepared for future changes and challenges.
Objectives:
- Describe the rationale for changes to organization structure and operations in a home care agency.
- Discuss the impact of outside forces on an organization.
- Identify the organizational and operational changes required to successfully prepare for the future.
Faculty: Betty Gordon, RN, BSN, MPH, Principal, Simione Consultants, Westborough, MA; Kristy Wright, BSN, RN, MBA, FAAN , President/CEO, VNA of Western Pennsylvania, Butler, PA.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MAS). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Leadership
609–Home Care's Iceberg Is Rapidly Melting
In a health care environment of accelerating change, the traditional business model of home care is quickly becoming outdated. Our familiar paradigms for service provision and business structure are disappearing as our iceberg melts. Home care leaders must prepare now for a very different and exciting future. The situation is accurately depicted in the book, Our Iceberg Is Melting (Kotter and Rathgeber, 2005), which forms the basis of this presentation.
Objectives:
- Compare the current state of the home care industry to Our Iceberg Is Melting.
- Examine the evidence that home care's iceberg is irreversibly melting.
- Describe the eight-step process of change within our industry and challenge other home care agencies to embark on the journey of change.
Faculty: Greg Harrison, BMin, Business Development Manager, Baptist HomeHealth Network/2020 Health Solutions, Little Rock, AR; Martha Fagan, MBA, CPA, Director of Business Operations, Baptist Home Health Network/2020 Health Solutions, Little Rock, AR.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/BMO). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Legal/Regulatory
610–Key Compliance Issues Facing Officers, Directors, and Trustees of Home Care and Hospice Entities
Evolving duties of health care compliance and the significant risks and consequences of violations pose heightened governance challenges for officers and boards. This program will examine key compliance issues and discuss how officers, directors, and trustees can oversee the implementation of effective compliance programs.
Objectives:
- Identify and describe the legal duties of officers, directors, and trustees for oversight of corporate compliance.
- Discuss effective steps to establish and demonstrate a reasonable compliance oversight process.
- Examine key health care compliance issues facing officers and boards.
Faculty: Kerry Parker, Esq., Partner, Epstein, Becker & Green, Newark, NJ; Carol Saul, JD, CHC, Esq. , Partners , Arnall Golden Gregory, LLP , Atlanta, GA.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Marketing & Business Development, Private Pay/Private Duty
611–Swim with the Current in the Social Media Tidal Wave: Part I -- Strategy
Marketing today is more about interacting and responding than targeting and selling. Social media is an effective tool for home care agencies and can be incorporated at little cost for great ROI. To be effective, social media must be integrated into an agency's overall ongoing marketing strategy.
Objectives:
- Describe the characteristics, various platforms, and overall process of social media marketing as an integrated component of marketing strategy.
- Demonstrate the importance of effective social media marketing strategies to the home care industry for agency growth.
- Identify the best methods for implementing ongoing social media marketing efforts.
Faculty: Merrily Orsini, MSSW, Managing Director, corecubed, Louisville, KY.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MKT). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Private Pay/Private Duty, Marketing & Business Development
612–Why Should I Do Business with You?
This session helps answer the question all referral sources are asking, sometimes out loud and sometimes in their heads. Learn how to make your organization the agency of choice by highlighting what makes you unique. You must give them a valid business reason to choose your agency!
Objectives:
- Identify three things to do differently that will set the agency apart.
- Discuss how to approach the referral source.
- Create a call pattern with action items for marketing calls.
Faculty: Melanie Stover, OTR/L, MBA, MS/ISM, Sales Manager, Home Care Sales / Trainer , San Diego, CA.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MKT). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Quality, Therapy
613–Therapy, Outcomes, and Documentation: The Impact of OASIS C
OASIS C represents a significant change in how home health agencies document and plan care. "Interdisciplinary" has to be more than a word. This session will focus on the interdisciplinary impact of OASIS C and empower agencies to move ahead with meaningful care management, even with contract therapy staff.
Objectives:
- Discuss the impact of OASIS C on interdisciplinary care management.
- Explain interdisciplinary care management strategies.
- Explore strategies for therapy management using hourly, salaried, or contract staff.
Faculty: Cindy Krafft, PT, MS, COS-C, Assistant Director of Operational Consulting, Fazzi Associates, Peoria, IL; Lisa Sholts, OTR, Rehabilitation Manager, OSF Home Care, Rockford, IL.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Quality, Therapy
614–OASIS Study: Predictors of Re-hospitalization of Home Health Patients and Home Health Care Planning to Prevent Re-hospitalization
Preventing re-hospitalizations is a priority focus for home health agencies. This presentation includes research on predictors of re-hospitalization in home health patients and care plans aimed at preventing hospitalization and improving outcomes. This regressive research study was conducted in 2009 using OASIS data from three managed care, hospital-based home health agencies to determine factors associated with re-hospitalizations among Kaiser Permanente's home health patients.
Objectives:
- Describe the research study conducted to identify predictors of re-hospitalization for patients receiving home health services.
- Discuss the predictors of re-hospitalization identified from the research study and their significance in the home health population.
- Explain how the predictors of re-hospitalization are used in home health plans of care to assist in preventing re-hospitalization.
Faculty: Kristine Hillary, RN, NP, MSN, Southern Californian Regional Home Care Director, Kaiser Permanente, Pasadena, CA; Renee Haynes, RN, MSN, Regional Continuing Care Program Quality Director, Kaiser Permanente, Pasadena, CA; Mary Machado, BSN, PHN, MSN, Regional Program Mgr Nursing and Clinical Services, Kaiser Permanente, Pasadena, CA.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Telehealth
615–Best Practices for Making Point of Care (POC) Systems "Really" POC: Documenting in the Home
This session will present different perspectives about how to address the intersection of clinician, patient, and POC device. Presenters will not only discuss challenges and solutions, but also will model best practices through role play. This presentation should be helpful to anyone whose organization has, or plans to have, a POC documentation system.
Objectives:
- Describe the challenges clinicians experience when incorporating POC documentation into a patient visit.
- Identify best practice techniques for incorporating a POC device into a patient visit.
- Discuss strategies for teaching clinicians how to best incorporate POC device during a patient visit.
Faculty: Mary Narayan, MSN, RN, HHCNS-BC, COS-C, Clinical Education Specialist, Professional Healthcare Resources, Inc, Annandale, VA; Wanda Strickland , BSN, VP of Clinical Program Development, Professional Healthcare Resources , Annandale, VA.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Tuesday, October 05, 2010; 2:30-4pm
Clinical & Disease Management
701–Home Infusion Therapy Update: Central Venous Access Device Occlusion, a Common Complication
Catheter occlusion is the most common complication encountered among home care patients with central venous access devices. Early identification and intervention are critical to ensure catheter patency. Learn about types of occlusions including risk factors, signs, symptoms, preventative actions and interventions, and the importance of patient education. The presenter will use case studies to demonstrate critical thinking and problem-solving skills.
Objectives:
- Describe vascular anatomy and physiology in relation to catheter-related occlusion.
- Describe causes and mechanisms of thrombotic and non-thrombotic occlusion.
- Describe at least three evidence-based interventions to prevent and manage CVAD-associated occlusions.
Faculty: Lisa Gorski, MS, RN, HHCNS, BC, CRNI, FAAN, Clinical Nurse Specialist, Wheaton Franciscan Home Health, Milwaukee, WI.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Finance
702–Truths the Balance Sheet Tells
Balance sheets contain important information about the health and viability of a company. Non-financial managers will gain a basic understanding of balance sheet balances and how they are used to analyze future capital needs. More than ever, capital preservation and efficient cash flows are key to the sustainable future of a company.
Objectives:
- Interpret the data in balance sheet balances.
- Discuss how investors use balance sheet analysis to understand and make predictions about the future health and viability of the company.
- Apply balance sheet data and analysis to effect management decisions
Faculty: Beth DaSilva, BS, President, Fleetridge Pacific, San Diego, CA; Fritz Luz, BS, BA, Administrator, Quality Home Health, Morris, IL.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/FIN). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Finance
703–Building the Value of a Home Care Agency
The presenters will explain how buyers determine the price they are willing to pay for an agency. Then, using this information, they will show how that price can be increased and, perhaps more importantly, highlight mistakes to avoid. Learn how adjusted EBITDA (earnings before interest, taxes, depreciation and amortization) is arrived at for valuing agencies and how to use knowledge of risk factors to increase the value of the agency.
Objectives:
- Describe the formulas buyers utilize to calculate the price they are willing to pay to purchase an agency.
- Cite various structures and financing that buyers utilize to purchase home care agencies.
- Discuss how to increase the value of an agency by understanding the risk factors.
Faculty: Donald Cummins, BP, Merger & Acquisition Master Intermediary (M&AMI), President, Stoneridge Partners, Fort Myers, FL.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MAS). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Hospice & Palliative Care, Marketing & Business Development
704–Developing and Operating a Hospice Inpatient Unit: Rural and Urban Setting Perspectives
This session will take you through the entire process of creating your hospice inpatient unit, from evaluating its feasibility to planning and implementing the care to be provided to your patients. This session is a personal and unique look back, presented as an organized panel discussion among members from two different hospice agencies: one rural and one urban. While the dream of operating our own inpatient units, funding needs, and hospice regulations were the same, our settings and many of the operational challenges were vastly different. Participants in this session will gain a clear understanding of how to present and sell their inpatient unit dreams to their board, in addition to knowledge of how to build a clear path to its first day of operation: rural or urban.
Objectives:
- Identify the key components in determining the potential demand for an inpatient unit within your hospice agency.
- Describe the necessary steps and data needed to complete a financial projection for your inpatient unit proposal.
- Discuss the details of a comprehensive implementation plan for the operation of your inpatient unit.
- Identify the successes and challenges you may encounter in the operation of your inpatient unit.
Faculty: Walter Borginis III, CPA, MBA, Executive VP- Finance and Administration/CFO, Visiting Nurse Association of Greater Philadelphia, Philadelphia , PA; Jane Feinman, MSN, RN, Senior VP for Hospice , Visiting Nurse Association of Greater Philadelphia, Philadelphia, PA; Cindy Ohms, RN, BSN, CHPN, Director of Hospice and Palliative Care, Bridge Home Health and Hospice, Findlay, OH; Rachel Butler, RN, BSN, CHPN, Hospice Care Center Manager, Bridge HomeHealth andHospice, Findlay, OH.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MKT). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Hospice & Palliative Care
705–Medication Use in End-Stage Dementia: What Is Appropriate?
Clinical assessment tools and appropriate medication use for patients with end-stage dementia will be discussed, with a focus on the correlation between medication use and functional status/cognition.
Note: The presenters for this presentation are clinical consultant pharmacists working with hospice providers across the United States. All information will be presented without bias or commercial intent.
Objectives:
- Describe clinical assessment tools for patients with dementia.
- Discuss medication appropriateness in end-stage dementia.
- Discuss the correlation between patient assessments, medication use, and hospice length of stay (LOS).
Faculty: Bridget McCrate Protus, RPh, PharmD, CGP, MLIS, Clinical Pharmacist/Drug Information Specialist, HospiScript Services, Dublin, OH; Maureen Jones, RPh, PharmD, Clinical Pharmacist, HospiScript Services, Dublin, OH.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Human Resources, Quality
706–Great Expectations! The Benefits of Measuring and Utilizing the Interrelationship of Patient and Employee Satisfaction
Hiring and retaining patient service-focused employees are critical factors in the success of home care agencies. This presentation provides insight into how you can improve patient satisfaction by improving your employees' satisfaction. Panelists will provide data and best practices to use in developing an employee satisfaction culture, with tools and instructions to assess current employee and patient satisfaction programs.
Objectives:
- Identify the relationship between employee satisfaction and patient satisfaction.
- Develop a successful employee recruitment program.
- Identify successful strategies for creating a culture of engagement.
Faculty: Mary Newberry, RN, BSN, Director, Riverside HealthCare, Kankakee, IL ; Jane Pike Benton , MS, RN, Executive Director, MetroWest HomeCare & Hospice, Framingham, MA; Tiffany Phillips , RN, BSN, Manager, Improvement Services, Press Ganey Associates, South Bend, IN.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/PHR). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Legal/Regulatory
707–Using Widespread Edits and Edit Probes to Help Your Agency Avoid Denied Claims
Payer environment changes in home health and hospice raise concerns for agencies striving to provide quality care while maintaining regulatory compliance. Learn which diagnoses and other criteria put your agency at risk of increased ADRs and claim denials. Find out why CMS requires MACs and RACs to use previously established widespread edits and probes.
Objectives:
- Discuss CMS's criteria for widespread edits and how they have been used by payers, and their effects on home health and hospice providers.
- Reference specific, widespread edits and probes published by intermediaries, and the most common reasons why such claims were denied.
- Identify methods to ensure both regulatory compliance and clinical excellence while avoiding excessive scrutiny due to widespread edits and probes.
Faculty: Beth Noyce, RN, BSJMC, HCS-D, COS-C, Director of Professional Services, Applegate HomeCare & Hospice, Taylorsville, UT.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Leadership, Human Resources
708–Fire, Flood, Hurricane, Pandemic, Terrorist Attack, or Tornado: Are You Prepared?
A written, comprehensive emergency management plan is essential to any organization's well being. Testing and updating the plan help to ensure experienced staff and client and staff safety. Participants will learn how to write a plan for potential emergencies in their communities.
Objectives:
- Identify the emergencies/disasters that are a possibility in your own community.
- Determine your current capabilities and plans to increase your preparedness.
- Prepare a mock plan using the ideas and knowledge of the audience.
Faculty: Patricia Byrnes, Director of Administration/Safety Officer, HospiceCare of Southeast Florida, Inc. , Fort Lauderdale, FL.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/PHR). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Leadership
709–A Practical Toolbox for Meeting Complex, Numerous Requirements (What You Don't Know Can Hurt You!)
Outstanding leadership transcends the COPs. This session will help new and emerging leaders as they link the operational, clinical, service, and financial aspects needed for organizational and personal success. Presenters will focus on providing a toolbox that links these aspects, including laws and regulations inherent in the operation of a home health agency.
Objectives:
- Identify the various federal and state laws, regulations, and authorities affecting the operation of a home health agency.
- Describe learning opportunities available to people employed in the home health industry.
- Discuss the necessity of a strategic and balanced approach when focusing on the critical aspects of operations.
Faculty: Frances Baby, MPA, Principal, Frances L Baby Strategy and Consulting LLC, Columbus, OH; Tina Marrelli, MS, MA, RN, FAAN, President , Marrelli and Associates, Inc., Saint Henry, OH ; Mary Narayan, MSN, RN, HHCNS-BC, COS-C, Clinical Education Specialist, Professional Healthcare Resources Inc., Annadale, VA.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Legal/Regulatory
710–Building a Risk Management Plan for Home Care
Learn the basics of a solid risk management program for the home care setting aimed at reducing liability risk and improving publicly reported outcome measures. Using case studies, this session will look at common risks associated with providing patient care in the home care setting, including patient falls, skin integrity problems, medication diversion, breaches in patient confidentiality, and employee dishonesty.
Objectives:
- Identify five common risk exposures in the home care environment.
- Discuss the essential components of a home care risk management plan.
- Demonstrate the positive outcomes of an effective risk management program using case studies.
Faculty: Debra Healey, MSN, RN, CPHRM, Executive Director, Middlesex Hospital, Middletown , CT; Pauline Barry, MA, RN, CPHRM, FPHRM, Vice President of Claims, Darwin Insurance, Farmington, CT.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Marketing & Business Development, Private Pay/Private Duty
711–Swim with the Current in the Social Media Tidal Wave: Part II -- Tactics
Social media may be used for recruitment, business development, and strategic marketing of your brand. Use multiple platforms and tactics to promote your company beyond traditional media. The benefits you will reap are invaluable, especially as consumers move away from traditional media and rely on the Internet for trusted resources.
Objectives:
- Define social media and cite ways potential clients find you.
- Describe six social media tools you can use in your agency to promote your brand.
- Discuss social media strategies and tactics, time commitment, and most effective usage.
Faculty: Bob Roth, BS, Managing Partner, Cypress HomeCare Solutions, Phoenix, AZ.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/MKT). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Private Pay/Private Duty, Clinical & Disease Management, Quality
712–Integrating the Care Transitions Interventionª into Private Duty Home Care
Approximately 18-25 percent of hospitalized elders with chronic health conditions are re-hospitalized within 30 days. The Care Transitions Intervention developed by Eric Coleman, MD, is an evidence-based intervention shown to reduce re-hospitalizations for many chronic illnesses by 50 percent. Use of Eric Coleman's Care Transition Intervention in private duty home care can create evidence-based home care as well as support the client's ability to self-manage chronic illness. To date, non-medical home care has not been studied in regards to expected outcomes. Presenters will share the value of this program to referral sources, hospitals, caregivers, and clients.
Objectives:
- Identify the four pillars of the Care Transition Intervention.
- Describe how the intervention may be used in reducing re-hospitalizations for older adults.
- Describe the characteristics of home care aides and nursing/MSW staff who are able to coach clients.
- Discuss the strategies for marketing this program to referral sources and the public.
Faculty: Susan Miller, RN, MN, ARNP, BC, Vice President of Clinical Services, CareForce, Lynnwood, WA; Sabina Kane, RN, BA, Clinical Associate, Care Force, Lynnwood, WA.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/PHR). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Quality, Clinical & Disease Management, Therapy
713–Integration of Evidence-Based Care into Clinical Practice: One Agency's Experience with Development of Standards of Care for Patients with Heart Failure and Joint Replacement
This presentation describes the use of transformational leadership to engage and empower a multi-disciplinary team of clinicians in ways that elevate the practice of caring for patients with heart failure and joint replacement. A standard of care was created for each area using a framework of shared governance and decision making. With the advent of pay for performance and other quality improvement initiatives among payers, the necessity for basing home health practice on best evidence is more imperative that ever before.
Objectives:
- Describe how to incorporate (best) evidence-based practice into the design of care plans and care processes.
- Identify transformational leadership styles that inspire commitment from clinicians to development of best practices.
- Describe successful strategies to teach best practices and translate them into everyday practice.
Faculty: Michael Johnson, PT, PhD, OCS, Director of Clinical Leadership, Bayada Nurses, Merion Station, PA; Ann Painter, RN, MSN, COS-C, Manager of Clinical Leadership, Bayada Nurses, Toms River, NJ; Deborah Perian, RN, MS, Manager of Clinical Leadership, Bayada Nurses, Moorestown, NJ.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Quality
714–The Home Health Quality Improvement National Campaign: an Evolution of Care
This session will review the evolution of the Home Health Quality Improvement National Campaign from 2007 to the 2010-11 National Campaign. The presenters will review the evolution of the Home Health Quality Improvement National Campaign from 2007 to 2010-11. Best practices identified for the current campaign will be discussed with strategies for implementation and best practices success stories. The session will conclude with a ÒbrainstormingÓ session with audience participation for upcoming tools and resources and strategies for making data more meaningful to staff.
Objectives:
- Describe the impact of participating in the Home Health Quality Improvement National Campaign.
- Discuss the impact of campaign best practices on reducing avoidable hospitalizations and improving management of oral medications.
- Identify strategies to improve patient care coordination and work with other provider settings.
Faculty: Eve Esslinger, RN, BSN, MS, COS-C, Project Coordinator, WVMI/Quality Insights, Bloomsburg, PA; Shanen Wright, BA, HHQI National Campaign Director, WVMI/Quality Insights, Charleston, WV.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Telehealth
715–Remote Monitoring and Home-Based Telehealth
This session will consider telehealth policy issues, liability, contractual and business issues, and medical device regulations as they affect telehealth and telehomecare. Presenters will also note particular challenges for people with diminishing capacity and terminal illness when utilizing telehealth and remote monitoring devices and services and potentially participating in research studies.
Objectives:
- Describe telehealth funding, reimbursement structure, and legislative developments.
- Identify technical, legal, and clinical arrangements necessary for telehealth systems to advance.
- Discuss promising research in the United States and Western Europe.
Faculty: Deborah Randall, Esq., JD, BA, Consultant and Counsel, Health Services and Telehealth Consulting, Chevy Chase, MD; Kathy Duckett, RN, Director, Telehealth, Partners Homecare, Waltham, MA.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Tuesday, October 05, 2010; 4:15-5:45pm
Clinical & Disease Management, Quality, Therapy
801–Improve Bladder Control: Good for Patients and Home Care Compare Indicators
It is apparent that the CMS considers continence a condition that home health agencies should address, as improvement in bladder control is included among the Home Care Compare quality outcome indicators. This presentation describes a unique home health continence program that enables nurses and therapists to help patients increase bladder control to improve Home Care Compare indicators. The presenters will discuss a home health program that helps patients achieve this outcome and has helped the agency gain market share.
Objectives:
- Discuss the incidence and causes of urinary incontinence.
- Describe interventions for improving or eliminating bladder incontinence in home health patients.
- List strategies to improve the Home Care Compare quality indicators for bladder control.
Faculty: Kendra Harrington, PT, DPT, MS, WCS, BCIA-C, PMDB, Associate Director; Department of Residency & Fell, American Physical Therapy Association, Alexandria, VA; Wanda Strickland , BSN, VP of Clinical Program Development , Professional Healthcare Resources, Roanoke, VA.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Clinical & Disease Management, Therapy
802–Hospital at Home: A New Frontier for Home Health, Year Two
Hospital at Home is an innovative model that provides acute hospital-level care in the home in lieu of hospitalization. Presenters will discuss barriers and how they overcame them; processes used to identify where and how to achieve and maintain growth to ensure sustainability of the program; and how a modified, episodic payment methodology was developed that is unique for the care model.
Objectives:
- Explain the rationale, features, and clinical outcomes associated with the Hospital at Home model of care.
- Describe the experience of Hospital at Home in year two regarding achievement and maintenance of growth needed for program sustainability.
- Discuss the development and deployment of a modified, episodic payment methodology unique to Hospital at Home.
Faculty: Karen Thompson, BS, OTR, CCM, Director of Hospital at Home/Special Programs, Presbyterian Home Healthcare, Albuquerque, NM; Lesley Cryer, BS, RN, Executive Director of Home Healthcare Services, Presbyterian Home Healthcare , Albuqueque, NM; Bruce Leff, MD, Associate Professor of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD; Scott Shannon , BA, MBA, Director of Finance , Presbyterian Home Healthcare Services, Albuquerque, NM.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Finance
803–Financial Managers' Open Forum
The NAHC Annual Meeting closes the final day of workshops with the Open Forum of the Home Care & Hospice Financial Managers Association (HHFMA). The Open Forum allows CFOs, CEOs, consultants, and anyone else interested in financial management issues of home care and hospice to get updates from the nation's leading experts, raise questions on matters of concern, and comment on the direction they believe is needed for home care and hospice.
Objectives:
- Identify current issues and trends in home care and financial management.
- Explain policy positions and strategies of HHFMA and NAHC regarding financial management issues.
- Identify anticipated changes in Medicare and Medicaid rules that would impact financial management.
Faculty: William Dombi, Esq. , Vice President for Law , National Assoicaiton for Home Care & Hopsice, Washington, DC .
Course Level: Not applicable. CEs or CPEs not available for this session.;
Hospice & Palliative Care
804–The Hospice/Nursing Home Partnership in Caring for the Terminally Ill
Presenters will discuss comparison of requirements under the new hospice conditions of participation governing hospice/skilled nursing facility relationships, contract requirements, reimbursement pitfalls, competing roles of the medical directors, and differences in patient goals and admission and election criteria.
Objectives:
- Identify barriers and collaboration issues between hospices and skilled nursing facilities.
- Explain the requirements under the new hospice CoPs for nursing facility/hospice and inpatient hospice.
- Identify OIG and compliance issues.
Faculty: Connie Raffa, JD, LLM, Partner, Arent, Fox, LLP, NY
, NY; Rachel Hold-Weiss, BS, JD, Attorney , Arent Fox, LLP, New York, NY.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Human Resources
806–Cause Recruiting: Creating a Niche to Recruit and Retain Your Employees
The world is changing and with it there is a new mindset about companies and what attracts the new generation. The "Nexters" number 80 million and will change the world as much as the Boomers have. This program will discuss new recruitment and retention tools to attract this generation.
Objectives:
- Describe tools to recruit and retain the new generation.
- Describe different cause recruiting tools.
- Explain ways to apply this business model in your agency.
Faculty: Marcylle Combs, RN, BS, CHCE, President, Foundation Management Services, inc, Denton, TX; Brenda Beggs, RN, CHCE, VP Clinical Operations, FMS, Denton, TX; Michelle Livesay, RN, BSN, CHCE, Regional Director TeleHealth, FMS, Denton, TX.
Course Level: Basic; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/PHR). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).
Legal/Regulatory
808–Home Health and Hospice: They're A Changin'" Presented by Cahaba GBA
This program will address recent changes in Medicare that have/will impact home health and hospice agencies. In addition, the most common billing errors and medical review denials among home health and hospice agencies who bill Cahaba GBA will be presented, as well as, strategies for avoiding lost revenue and cash flow interruptions. Bring your Medicare questions; time is allotted during the session for Q & A's.
Objectives:
- Cite the most common reasons for Medicare denial of claims for home health and hospice services and appropriate corrective actions.
- Describe ways to avoid errors causing Medicare rejection and provider correction/resubmission of home health and claims.
- Discuss approaching Medicare changes that impact HHAs and hospices.
Faculty: Deanna Whitlatch, BS, RN , Manager, Home Health & Hospice Provider Customer Service Program, Cahaba GBA, Des Moines , IA; Janna Arndt, BS, MPA, Provider Outreach and Education, Cahaba GBA, Des Moines , IA.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Legal/Regulatory
809–Write it Right - Documentation and the Medicare ADR Process for Home Health Providers
This session will lay out the process CMS mandates for MAC contractors to use when reviewing and paying home health claims. Practical suggestions and insight from a former RHHI educator will be shared on how to document for success and how to identify key risk areas clinicians must address.
Objectives:
- Describe how CMS selects records for the ADR process.
- Identify strategies to decrease the potential of having a record selected for further review.
- Differentiate the roles of the various Medicare contractors overseeing proper claim payment.
Faculty: Debra Sellers, RN, MS, Director Home Care Services, St. John's Health System, Springfield, MO.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Legal/Regulatory
810–Palmetto GBA Medicare Updates
Please join Ombudsmen from the education department at Palmetto GBA as well as the Kim Campbell, EDI Manager as they present your latest Medicare updates. This is your opportunity to meet your FI face to face and ask all your questions concerning billing, coverage and EDI.
Objectives:
Faculty: Palmetto GBA Ombudsmen ; Kim Campbell , BS, MA, MHP, Manager, EDI Operations, Palmetto GBA, Columbia, SC.
Course Level: not applicable. No CEs or CPEs for this session. ;
Private Pay/Private Duty, Human Resources
811–Creating an Elite Team of Private Pay Caregivers
Participants will learn how to identify components of an elite caregiver profile and take away tools to develop a comprehensive orientation program. Presenters will discuss the support systems required to maintain and enhance a continuously evolving elite team of caregivers who meet the expectations and demands of the Baby Boomer generation.
Objectives:
- Identify 10 key attributes of an elite aide that contribute to the profile of a superior caregiver.
- Describe a comprehensive orientation program that supports and develops an elite team member.
- Cite elements of a supportive environment for continued excellence, growth, and loyalty to the company and clients.
Faculty: Ginny Kenyon, RN, MN, Principal, Kenyon HomeCare Consulting, LLC, Seattle, WA; Antoinnette Williams, MHA , Director of Care Management , Sound Options, Inc., Tacoma, WA.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/PHR). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Quality, Leadership
812–Connecting the Dots of Quality Measures for Front Line Home Health and Hospice Staff
Although leadership and management understand the dynamics of quality measures and outcomes, the staff caring for patients often may not fully understand how their practice impacts the indicators. This session will discuss strategies that leaders, managers, and front line staff can utilize to improve outcomes in patient care. Common barriers and creative solutions will also be discussed.
Objectives:
- Discuss the impact of mandated quality measures for home health and hospice.
- Identify barriers to connecting quality measures with improved patient outcomes.
- Implement strategies to help front line staff incorporate quality measures to improve patient outcomes.
Faculty: Linda O'Boyle, EdD, MS, BS, RN-BC, Manager, WilMed Home Care and Hospice , Wilson Medical Center, Wilson, NC.
Course Level: Basic; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Quality
813–Creating a Culture of Safety: Improving Patient Outcomes
The complexity of the health care system causes workers to practice daily in high-risk situations. Discover how one home care agency applied the recommendations of The Institute of Medicine's landmark report, "To Err is Human: Building a Safer Health Care System" to enhance care delivery to a post-acute home care population and improve outcomes. The presentation will provide home care agencies with skills to replicate this patient safety model or portions of it in their practice. Outcome data will substantiate the utilization of this patient safety method.
Objectives:
- Identify key drivers and specific interventions to reduce events of patient harm.
- Describe the use of standardized communication as a tool to create a culture of safety.
- Explain how situational awareness guides the clinician to identify deterioration in at-risk or post-acute home care patients.
Faculty: Susan Wade Murphy, RN, BSN, Senior Clinical Director, Home Care Services, Cincinnati Children’s Hospital Medical Center , Cincinnati, OH; Jennifer Gold, RN, BSN, Clinical Director, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH; Martha A. Goodfriend, RN, BSN, MEd. , Director, Patient Safety, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH.
Course Level: Advanced; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/SKA). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Legal/Regulatory
814–Meet Your Medicare Claims Processing Contractor: National Government Services
National Government Services (NGS) is the title 18 Medicare contractor for Home Health and Hospice providers in Alaska, Arizona, California, Hawaii, Idaho, Oregon, Nevada, Washington, Northern Mariana Islands, Guam and American Samoa, Michigan, Minnesota, New Jersey, New York, Puerto Rico, the Virgin Islands, and Wisconsin. NGS will host an informative session to provide education on top Medical Review denials and coverage information relating to these denials for Home Health and Hospice. Our staff is committed to educating the providers we serve and will be hosting an open Q & A session with our Medical Director, and clinical staff for Home Health and Hospice Providers.
Objectives:
- Identify top reasons for Medical Review denials for Home Health claims.
- Identify top reasons for Medical Review denials for Hospice claims.
- Discuss coverage criteria for top medical review denials for Home Health and Hospice.
Faculty: George Costantino, MD, FACS , Medical Director, National Government Services, Harrisburg, PA; Corrinne Ball, RN, CPC, Provider Outreach and Clinical Education , National Government Services
, Cincinnati, OH; Sally Rosiello, BSN, CPC, Provider Outreach and Clinical Education Consultant, National Government Services, Cincinnati, OH.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE). Approved for 1.5 CEs for physical therapists by the Texas Physical Therapy Association (course approval number 47716A).

Wednesday, October 06, 2010; 8 to 9:30am
904–The 2011 Home Health Final Rule: How to Prepare
The Centers for Medicare & Medicaid Services (CMS) published its proposal for update to the home health payment rates for 2011 in the July 23rd Federal Register. In addition to payment cuts mandated by Congress and case-mix adjustment reduction, this notice included details for CMS' plans for implementing new requirements such as physician face-to-face encounters, reduced outlier spending, added coverage and documentation requirements for therapy services, new claim codes, and fraud and abuse deterrents. The comment period on CMS' proposal ended on September 14th. Publication of the final rule is expected by November. This program will provide attendees with an overview of the provisions of the proposed rule and offer guidance to home health agencies on steps to take to ensure compliance with expected final rule requirements.
Objectives:
- List CMS' proposed changes to home health payment.
- Understand anticipated changes to regulatory requirements.
- Describe steps to be taken to prepare to meet new requirements
Faculty: William A. Dombi, Esq. , Vice President for Law, National Association for Home Care & Hospice
, Washington, DC; Mary St. Pierre , BSN, MGA, Vice President for Regulatory Affairs, National Association for Home Care & Hospice, Washington, DC.
Course Level: Intermediate; 1.5 nursing CEs; accounting 1.0 CPEs (NASBA/RE).
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