2018 Summer Quarterly Education Conference

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1 2018 Summer Quarterly Education Conference June 20, 2018 Iowa Events Center Hy-Vee Hall 730 Third St. For Iowa Nursing Facilities, Assisted Living and Residential Care Facilities Education tracks for Nurses, Social Workers, Department Heads, N.F. Administrators, A.L. Managers, and Home Health Care Professionals Iowa Health Care Association th St., West

2 Morning Schedule 8:00 a.m. Registration Continental Breakfast 9:00 a.m. EDUCATION SESSION Summer Quarterly Education Conference June 20, 2018 Iowa Events Center - Hy-Vee Hall 730 Third St. Why Do I Need the Quality Initiative and LTC Trend Tracker? - CEUs: N, DH, ADM Speaker: Mary Jane Carothers Customer Service is Worthless Customer Loyalty is Priceless - CEUs: ALL Speaker: Andy O Brien Assisted Living Dietary Services Regulations Review - CEUs: N, DH, ADM, ALMC Speaker: Lynn Verry Home Health Financial Intensive: Preparing for a New Financial Landscape - CEUs: N, ADM Speaker: Jhonna DeMarcky 10:30 a.m. Break 10:45 a.m. EDUCATION SESSION 2 Respecting Different Generations in Healthcare Settings - CEUs: ALL Speaker: Brenda Clark-Hamilton Potholes of Life: 8-Leadership Habits to Break Now - CEUs: All Speaker: Andy O Brien Navigating and Making Sense of so Many SNF Quality Measures CEUs: SS, N, ADM Speaker: Deb Freeland MCO Best Practices for Home Health - Sharing Session CEUs: SS, N, ADM Speakers: Julie Adair, Brandon Hagen 12:00 p.m. Lunch (Provided)

3 2018 Summer Quarterly Education Conference Afternoon Schedule June 20, 2018 Iowa Events Center - Hy-Vee Hall 730 Third St. 12:45 p.m. EDUCATION SESSION 3 Holding Accountable the Difficult or Underperforming Employee - N, DH, ADM, ALMC Speaker: Brenda Clark-Hamilton Using Data to Understand the Iowa Skilled Nursing Landscape - SS, DH, N, ADM Speaker: Deb Freeland Effective Strategies for Thriving in a Rural Healthcare Market CEUs: ALL Speaker: Craig Abbott Improving Quality in Home Health Care - CEUs: SS, N, ADM Speaker: Fran Otte 2:15 p.m. Break 2:30 p.m. EDUCATION SESSION 4 3:45 p.m. Adjourn Self-Care for the Caregiver - CEU: ALL Speaker: Brenda Clark-Hamilton A.L. Service Plans and 90 Day Reviews - CEUs: N, ADM, ALMC Speaker: Stacy Hejda Top Trends in Long-Term and Post Acute Care - CEUs: ALL Speaker: Craig Abbott CGS, Billing and Face-to-Face Updates for Home Health - CEUs: SS, N, ADM Speaker: Sandy Decker DISCIPLINE KEY ADM: Nursing Home Administrators and Owners; N: Nurses; DH: Department Heads; SS: Social Services; ALMC: Assisted Living Management; ALL: All Disciplines (ADM, N, DH, SS, ALMC)

4 2018 Summer Quarterly Education Conference TOPIC DESCRIPTIONS Why Do I Need the Quality Initiative and LTC Trend Tracker? Today s families and seniors shopping for long term care services expect the delivery of quality care. Any provider can claim that they deliver quality services to their customers, but do you have quality improvement systems and data tracking in place to prove that you do? This session will help you understand the recently retooled Quality Initiative goals and how to track and trend important operational data. Bring your laptop computer so you can log into LTC Trend Tracker to see how you can bench mark your program against others in Iowa and across the nation on quality measures. Customer Service is Worthless Customer Loyalty is Priceless In healthcare, we re in the relationship business and the product we re selling is our service. It s every healthcare consumer s right to receive safe, quality services that are delivered by competent professionals. The true key to success is establishing a formal customer service program that consists of standards and expectations that all employees must follow. This session will show you how to shift your staffs paradigm on how they see and serve your customers. Assisted Living Dietary Services Regulations Review When food service is provided by an Assisted Living facility, the administrator, or an individual designated in writing by the administrator, must be responsible for total food services and the day-to-day supervision of food services staff. This session will review assisted living dietary standards, food hygiene, food storage/temperatures, contracted food services, staff training, documentation requirements, and what to expect from DIAs health food inspections. Home Health Financial Intensive The financial landscape in home health care is ever changing, so it s important to stay informed about all the financial changes that impact home health care agencies. This session will identify some of the key drivers of financial performance in Home Health. Explore how changes in performance today impact future financial viability. Discussion will focus on federal impacts anticipated to home health finances and innovations in agency operations to improve cost efficiency and quality of care. Respecting Different Generations in Healthcare Settings Radio Babies, Baby Boomers, Gen X ers, Millennials We ve all heard the terms, and chances are that your healthcare setting contains a sampling of each of these generations working side by side. This engaging, interactive program is designed to increase understanding of the different points of view that each generation brings to the workplace, based upon their shared life experiences. Participants will leave armed with practical strategies for respecting generational differences and maximizing the benefits of working on, or leading, a multi-generational healthcare team. Potholes of Life: 8- Leadership Habits to Break Now You ve heard it before: people don t leave companies, they leave bad managers. Research has shown that there are several key leadership behaviors that managers can learn and develop. These behaviors are grounded in managing our social-emotional reactions to our surroundings, and by cultivating them, leaders can build a team around them that is accountable, trusting, resilient, proactive, and passionate about their work and company mission. This session will provide insight on the behaviors and habits that leaders should have and should break so they can become more successful in their role as a leader. Navigating and Making Sense of so Many SNF Quality Measures The CMS Quality Measures are tools that help quantify healthcare processes, outcomes, patient perceptions, and organizational systems that are associated with the ability to provide high-quality health care. These goals include: effective, safe, efficient, patient-centered, equitable, and timely care. This session will discuss the differences between the quality metrics tracked by various public agencies, how referral sources and consumers view these quality scores, and how these metrics have a revenue impact on providers. MCO Best Practices for Home Health Care Home Health Agencies continue struggling with the transition to managed care. This session will focus on the prior authorization submission and approval process, clean claim billing and Accounts Receivable management, as well as other miscellaneous MCO related topics. Participants are encouraged to come with questions and will be encouraged to share their best practices.

5 2018 Summer Quarterly Education Conference TOPIC DESCRIPTIONS Holding Accountable the Difficult or Underperforming Employee How do you, as a healthcare supervisor, hold accountable an employee who is performing below standards and/or who is just plain difficult to work with? We will start this meaty, practical program with strategies for setting clear expectations for team members, and for giving regular, ongoing performance feedback. We ll then work into a step-by-step framework for having a corrective feedback conference and for following through when an employee is not performing up to those standards. Using Data to Understand the Iowa Skilled Nursing Landscape This session will detail the operating environment of Iowa skilled nursing providers, both in terms of financial performance and quality metrics. By recognizing how your business compares to other Iowa facilities, providers can pinpoint gaps in financial performance and identify specific areas of improvement. This session is intended to move beyond the numbers to explore improvement opportunities by interpreting the right data to guide business decisions. Effective Strategies for Thriving in a Rural Healthcare Market Rural skilled nursing facilities (SNF) face challenges that are unique or exacerbated by their size and location. These include census, labor, and expense management. This session will focus on specific solutions for rural SNFs, including new strategies that innovative providers are implementing to address these challenges. There will also be a discussion on value-proposition development, value-based purchasing involvement, and guidance on developing formal partnership with other community care providers. Improving Quality in Home Health Care This session will help you rev up your quality improvement initiatives, including how to identify data sources to monitor trends and determine where improvements are needed. You will learn how to involve staff and to use current activities to meet Quality Assurance and Performance Improvement (QAPI) requirements. QI tools and resources will be identified. Lastly, we will talk about involving patients and families in your improvement efforts to enhance the care experience.. Self-Care for the Caregiver Almost all caregivers have times when their personal battery is running on a dangerously low charge. They might feel physically drained, emotionally exhausted, overwhelmed, or just plain burnt out. This upbeat, practical program is about ways to care for yourself and recharge your battery--so that you have the energy, patience, and strength to do your extremely important caregiving work every day. You will leave armed with several take-home strategies for rejuvenating yourself, so that you regain your can-do spirit and those you care for are able to benefit from the best you have to offer. A.L. Service Plans and 90 Day Reviews The core of assisted living care is individual support. Developing an assisted living tenant s plan of care is a crucial part of meeting an individual s interests, needs and desires. This session will focus on best practices for customizing care plans and will include a discussion on the 90-day review process of the care plan to insure you are meeting all the needs of each assisted living tenant you serve. Top Trends in Long-Term and Post-Acute Care This session will outline the top trends in post-acute and senior care and their impact. Top trends to be discussed include: continued investment and ownership changes, a renewed focus on rewarding value over volume, rural health challenges, rapid development of senior living properties, declines in occupancy and length of stay, increase in government oversight, increases in managed care, medicalization of housing models and the expansion of acute and postacute partnerships. CGS Billing and Face-to-Face Updates for Home Health Care Sandy Decker from CGS (the Medicare Administrative Contactor) will address recent and future changes in Medicare that have or will impact processing and payment of Medicare claims to home health agencies. We will also discuss common billing errors and resources for preventing and resolving these mistakes. There will also be a discussion on the requirements for successful face-to-face encounters and documentation to support the need for skilled care for both nurses and therapists. Attendees will be provided with information and resources to complete documentation accurately.

6 2018 Summer Quarterly Education Conference Speaker Bios Craig Abbott has more than 25 years of health care management and consulting experience, and as president for Health Dimensions Group, he provides leadership and direction setting for the organization. Prior to his appointment as president, Mr. Abbott was the chief operating officer. He has provided leadership for communities ranging from small, rural nursing facilities to large, metropolitan continuing care retirement communities. His experience includes work with nonprofit and for-profit organizations throughout the country, including national director of assisted living operations and special projects for a nonprofit provider. Julie Adair, RN, is Iowa Health Care Association's Vice President, Home Care & Workforce. Julie works directly with all the IHCA allied member groups and is also responsible for overseeing our Home Health division. She is responsible for monitoring issues that affect home care and also each workforce group including regulatory concerns, licensure and certification issues, and professional development. She staffs the IHCA ICAL Iowa Council of Activity Professionals, Iowa Council of Health Care Assistants, Iowa Council of Nurse Leaders, Iowa Council of Social Service, Iowa Council of Dietary Professionals and Workforce Committee. Mary Jane Carothers, RN, BA, LNHA is the Vice President, Quality & Clinical Services for Iowa Health Care Association. Her previous work experience includes work as a home care clinical manager, long term care administrator and an assisted living manager. MJ works closely with the IHCA and ICAL Quality Improvement and Medicare Committees and is knowledgeable regarding issues related to quality improvement, regulatory compliance and clinical practice in post-acute care settings. Brenda Clark Hamilton is a dynamic speaker who provides fresh perspectives in leadership, communication, team-building, and offering one's personal best to life, relationships, and career. Brenda launched her speaking business in 2005, by offering training to businesses in her northern Iowa community. Since that time, she has become a nationallyrecognized conference speaker and audience favorite, keynoting at hundreds of events in eighteen states. Her career experience includes coordinating professional development for 1200 Iowa teachers; she holds a Master s degree in education. Sandy Decker, BSN, RN is the Senior Provider Education Consultant with CGS. She has worked in the home health and hospice nursing fields the majority of her nursing career, including as Medical Reviewer with both Medical Review and Appeals at CGS. Her primary focus is training Medicare-certified home health and hospice providers. Sandy has presented at national conferences for both hospice and home health, in addition to many state conferences. She received her Associate and Bachelor's Degrees in Nursing from Mercy College of Health Sciences and Bachelor's in Business Management from Upper Iowa University. Jhonna DeMarcky is a Reimbursement Director with the health care group of CliftonLarsonAllen. She has deep knowledge of Iowa Medicaid rate setting, compliance reviews of nursing facilities and specializes in reimbursement services for nursing facilities and home health agencies. Jhonna was a senior manager for 11 years for the State of Iowa accounting contractor Myers & Stauffer (M&S) known as the Provider Cost Audit (PCA) department. Jhonna has also been a program manager for nursing facilities, intermediate care facilities with intellectual disabilities, residential care facilities and home health agencies. Deb Freeland is a principal with the health care group of CliftonLarson- Allen LLP specializing in reimbursement services for senior living facilities and hospitals. She has extensive experience handling the distinctive issues facing health care organizations in today s challenging environment. Deb has experience with Medicare and Medicaid reimbursement for hospitals and senior living facilities, including cost report preparation, analysis of internal controls and assessments and risk assessments. Brandon Hagen, MHA is the Vice President of Managed Care Programs & Reimbursement for IHCA and ICAL. He is a member of the Medicare Committee and the Payment for Services and Legislative Committee. He is responsible for issues regarding the switch to managed care and reimbursement as well as ongoing support to members in these areas. Brandon formerly worked for a large, long-term care provider in Iowa, where he oversaw the functions of the business office for as many as 26 nursing facilities, assisted livings and hospice locations. Stacy Hejda is Owner/Vice President of Regulatory Compliance with Assisted Living Partners. She has over 16 years of experience working with assisted living programs in Iowa. Stacy currently serves as the President to the ICAL Board of Directors and is a member of the ICAL Payment for Services Committee and is Chairperson of the ICAL Quality Committee. Andy O Brien is highly motivated professionally speaker and executive coach who has worked with multiple clients throughout the United States in many industries including healthcare. Andy s need to help people blossomed into a career in sales and management and as a small business owner, National Sales Manager, Vice President of Sales and Business Development. He uses his experiences to coach his clients and give a varied perspective. He has been an executive coach since 2011 and has helped his clients gain an average of 37% growth in revenue and an astounding 69% more profit year over year. Frann Otte, BSN,MHA, has worked in the QIO at Telligen for six years, currently as a Program Specialist. She provides quality improvement assistance to provider offices and home health agencies, especially in the area of cardiac health. Prior to coming to Telligen, Frann worked over 14 years with electronic health records implementation in physician practices. Her clinical experiences include medical/surgical and operating room nursing. Frann received her Bachelor of Science in Nursing from Coe College in Cedar Rapids and her Master of Hospital and Health Administration from the University of Iowa. Frann has her green belt in Lean Six Sigma and completed training in TeamSTEPPS, Patient Centered Medical Home, and HRO. Lynn Verry, RDN LD has been working as a registered and licensed dietitian for almost 30 years. She has worked in an acute setting, clinical setting, food distribution, marketing, sales and for the past 16 years as the Corporate Dietitian for Healthcare of Iowa and Assisted Living Partners. Her goals with the residents and tenants she serves is to have an enhanced dining experience; Providing top notch hospitality and outstanding customer service.

7 2018 Summer Quarterly Education Conference Continuing Education Information A total of 5.5 hours of continuing education credit are available. Each education session offered at the Summer Quarterly Conference has been approved for contact hours. Check approved contact hour amounts and disciplines for each topic. ADM DH N ALMC SS ADMINISTRATORS: This continuing education activity meets the Iowa Board of Examiners for nursing home Administrator s established criteria for continuing education credit. DEPARTMENT HEADS: This continuing education activity meets the Iowa Department of Inspections and Appeals, Health Facilities Division s established criteria for continuing education credit for nursing home Department Heads. NURSES: This continuing education meets the Iowa Board of Nursing s established criteria for continuing education credit. (IBON provider #166) ASSISTED LIVING MANAGEMENT CERTIFICATE: This continuing education program has been approved for continuing education credit for maintaining the Assisted Living Management Certificate sponsored by ICAL. SOCIAL SERVICES: This continuing education activity meets the Iowa Board of Social Work Examiners established criteria for continuing education credit for Social Workers. Registration Information MEMBER FEE: $130 pp NON-MEMBER FEES: $260 pp Fee includes CEUs for the sessions you attend, handouts, refreshment breaks, continental breakfast and lunch HOW TO REGISTER FOR THE CONFERENCE To register you need to access our website: and then click on the Summer Quarterly Education Conference under the EDUCATION section of the website. Select Register online. Complete the online registration and click Submit. A registration confirmation will be ed to you. To register another person, click on LOGOUT and repeat this process. CANCELLATIONS/REFUNDS: Refunds will only be granted to those who cancel their registration for the program in writing by 4:00 p.m. on June 15, Cancellations after this time/date, no-shows due to weather, acts of God or illness, will be charged the full registration fee. IHCA ICAL reserves the right to cancel any educational program; in the event of such a cancellation, all fees will be refunded.

8 2018 Summer Quarterly Education Conference June 20, 2018 Iowa Events Center Hy-Vee Hall 730 Third St. Sleeping Room Information IHCA has secured a block of sleeping rooms at hotels near the Iowa Events Center. To receive the special room rate you must request the Iowa Health Care Association rate when you make your reservation. Hilton Hotel (NEW HOTEL) Comfort Inn and Suites 435 Park St rd St. (515) (515) Room rate: $149 plus tax Single/Double Room rate: $120 plus tax Single/Double The cut-off date for the room block is May 30, 2018 or until the block sells out th St., West (800)

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