5 Next Steps & Questions. SHIP Grant May 30, Financial Stability Program. SHIP Grant Overview: Consortium vs. Direct Award 5/30/2018

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1 SHIP Grant Putting the Pieces Together: Financial Stability & Population Health May 30, 2018 Presented by: SHIP GRANT PROGRAM KICKOFF WEBINAR AGENDA 5 Next Steps & Questions 4 Consortium Project Options 3 Population Health Program 2 Financial Stability Program 1 SHIP Grant Overview: Consortium vs. Direct Award 1

2 SHIP GRANT PROGRAM KICKOFF WEBINAR SHIP FUNDING TEAM Federal Grant Funding Source State SHIP Coordinator/ Funding Grantee & Fiscal Intermediary Contractor: Grant Management & Oversight/ Coordination of Activities & Services Funding Recipients: (Consortium or Direct Award) SHIP GRANT PROGRAM KICKOFF WEBINAR SHIP FUNDING TEAM HomeTown Health, LLC (HTH) is an organization founded 19 years ago in the SE to pursue ways to help rural and small hospitals survive in this environment of tremendous budget cuts from the state and federal level. HTH works hospitals through grant work and education programs nationwide. HTHU is the education arm of HomeTown Health started 12 years ago offering accredited continuing education, online courses & certifications, and live training. As Project Manager, HomeTown Health's responsibility is to provide comprehensive management and oversight of the State of Iowa s SHIP Program, such as reporting, budgeting and managing other grant requirements with HRSA. HTH is also charged with the coordination of group purchases of goods and services that align with the participating hospitals designated activities. 2

3 SHIP Grant Overview: Consortium vs. Direct Award 5 Next Steps & Questions 4 Consortium Project Options Overview 3 Population Health Program Overview 2 Financial Stability Program 1 SHIP Grant Overview: Consortium vs. Direct Award SHIP GRANT PROGRAM KICKOFF WEBINAR SHIP FUNDING Federal Grant Funding Source The purpose of this program is to help small rural hospitals of less than 50 beds implement quality and operational improvement efforts: enable the purchase of equipment and/or training to help hospitals attain value based purchasing provision in the Patient Protection and Affordable Care Act (ACA); aid small rural hospitals in joining or becoming accountable care organizations, or create shared savings programs; & enable small rural hospitals to purchase health information technology, equipment, and/or training to comply with meaningful use, ICD 10 standards, and payment bundling. 3

4 SHIP GRANT PROGRAM KICKOFF WEBINAR SHIP FUNDING OPTIONS 1. Fully implemented HCAHPS & ICD Select a different investment listed on the SHIP Menu 3. Identify an alternative that will promote SHIP categories SHIP GRANT PROGRAM KICKOFF WEBINAR SHIP FUNDING OPTIONS Direct Award Consortium 4

5 SHIP GRANT PROGRAM KICKOFF WEBINAR DIRECT AWARD vs. CONSORTIUM Direct Award Hospital is the (ultimate) grantee. Hospital is responsible for: Project development (Workplan & Budget) Project fulfillment Reporting accountability (Mid Year and End of Year) Submit Invoice (Proof of expenses/receipts) Payment to hospital made by Proj. Mgr/HTH once approved Flexibility with IDPH/HTH approval changes in project may be allowable *Must submit subcontract agreement Consortium Hospital Consortium is the grantee. Project already developed Your role is to engage hospital in project offerings for fulfillment HTH has Reporting accountability HTH manages Invoices HTH manages Payment to consortium vendors/ subcontractors Changes are not allowed after grant execution The HomeTown Health Hospital Transformation Consortium (HTC) is built around the Triple Aim areas of pursuit for improving the health care system: improving the experience of care, reducing per capita costs of health care, and improving the health of populations. The two focus areas for the Iowa HTC FY18 will look at putting together the pieces of population health for small or rural hospitals, while maintaining a focus on Financial Stability. Hospital Transformation Consortium 2018 HomeTown Health, LLC 5

6 : Putting the Pieces Together Population Health Program Training, resources and support on rural population health across the hospital team, and to promote collaboration through the gathering and sharing of best practices and case studies of successful population health initiatives and innovations in rural hospitals. Financial Stability Program Training, resources and support in order to maximize reimbursement in the current system while also preparing for new value based systems. Consortium Projects A menu of Financial, Telehealth, or Quality Improvement Projects to complete the picture for your hospital. Hospital Transformation Consortium 2018 HomeTown Health, LLC Financial Stability Program Overview Sandy Sage, RN Revenue Analyst HomeTown Health 4 5 Next Steps & Questions Consortium Project Options 3 Population Health Program 2 Financial Stability Program 1 SHIP Grant Overview: Consortium vs. Direct Award 6

7 Financial Stability Program Overview In the midst of transformation, rural hospitals face the challenge of being successful in our current payment system, while also preparing for new value based payment systems that are being rolled out. In this environment, we have to: maintain a strong financial foundation, look for further efficiencies in our revenue cycle, and continue to prepare our financial teams and our clinical teams to better understand one another. The goal of the Financial Stability Program is to provide training, resources and support in order to maximize reimbursement in the current system while also preparing for new value based systems. Each consortium hospital has access to all of the training below: Financial Stability Program Overview Monthly Medicare Reimbursement Update Webinars HomeTown Health offers this monthly Medicare Update to help hospitals stay on top of the latest changes in state and federal policy. The experts in the field come together to share their knowledge and expertise in the world of Medicare. This live webinar includes a reimbursement update on the most current Medicare policies and procedures. Dale Gibson, Medicare Expert, reviews the most current changes in Federal policy and procedures as it relates to filing claims to Medicare. Intended Audience: Medicare Billers, Business Office Managers and CFO's. Webinars held at 10 am EST/ 9 am CST on the second Wednesday of each month. Presented by: Dale Gibson and the reimbursement update team. 7

8 Financial Stability Program Overview Quarterly Iowa CMO Update The Quarterly Iowa State specific series will provide payor updates, as well as education related the top needs requested from Consortium participants. Ask questions of reimbursement consultants, payors, as well as other hospitals in the consortium to share best practices and common issues in reimbursement. The webinar is intended for Medicaid Billers, Business Office Managers and CFO's. Webinars will be held at 10:00am Central on the following dates: 7/24/2018 How to Find Lost revenue with a Charge Audit 10/23/2018 Anatomy of an Appeal 1/22/2019 Topic TBD from your feedback 4/23/2019 Documentation's Impact on Revenue Presented by: Sandy Sage, HTH, Becky Tarr MedPerformance, and the reimbursement update team. Financial Stability Program Overview Quarterly Coding Updates The Quarterly Coding Webinar Series is offered by HTH and HCCS in order to help hospitals stay on top of the latest changes and ongoing challenges in coding requirements, experts in the field come together to share their knowledge in the world of coding and ICD 10. It is intended for HIM, Coding, and other Hospital Financial Leaders (CFOs, Revenue Cycle Directors, Business Office leaders. Webinars are held at 11am Eastern/ 10am Central on the following dates: 6/20/2018 Take the Pain out of Coding Pain Clinics 9/25/2018 ICD 10 CM Annual Updates 1/29/2019 CPT 2019 Annual Updates 6/26/2019 Topic TBD based on feedback 8

9 Financial Stability Program Overview New! Quarterly Physician CDI Series Clinical Documentation Improvement programs are critical to rural hospitals in providing complete and accurate patient documentation. The purpose of the Physician Clinical Documentation Improvement Series is to provide physician to physician training in common areas of clinical documentation improvement (CDI) in order to support physicians in improving their documentation, identifying the value of their role in CDI programs, and identifying opportunities for improvement. Led by a doctor, for doctors: join Dr. James Dunnick and the HTH team at 12:30pm Eastern/ 11:30am Central on the following dates: 8/28/2018 The Rules of Provider Note Construction Physician E&M Services 11/27/2018 The Rules of Medical Necessity" 2/26/2019 Watch an Auditor Audit Vulnerabilities & Opportunities in the Medical Record 5/29/2019 Physician Coding: Opportunities for Return in Rural Hospitals Financial Stability Program Overview NEW! Quarterly Rural Health Clinic Billing & Compliance Series In this series, billing and regulatory updates specific to hospital based RHCs will be provided by our team of experts, and participants will be able to bring billing and reimbursement questions to the attention of other RHCs on the call. In addition, updates on other issues, changes, and areas of compliance will be provided. The series is recommended for Rural Health Clinic Managers/Administrators, Billers, and Compliance. Webinars are held at 2:00pm Eastern/ 1:00pm Central on the following dates: 6/20/2018, 9/19/2018, 12/19/2018, and 3/20/2019. Presented by: HTH Team, Helen Williams Azalea Health, and Angie Charlet, ICAHN (Board member of the National Association of Rural Health Clinics) 9

10 Financial Stability Program Overview Pricing Transparency Training What's next for Pricing Transparency? What training or resources would you like to see? Series topics and dates to be determined based on participating hospital feedback and needs. SHIP Menu requirements: Category Payment Bundling / Prospective Payment System Investment Activities = Activities that improve hospital financial processes. Menu item: Pricing Transparency Training "Training and analysis to improve revenue cycle management processes that provide clear information about charges and cost to Medicare beneficiaries." Population Health Program Overview Jennie Price, Director of Business Development & Evelyn Leadbetter, Network Services Manager HomeTown Health 5 Next Steps & Questions 4 Consortium Project Options 3 Population Health Program 2 Financial Stability Program 1 SHIP Grant Overview: Consortium vs. Direct Award 10

11 Why Population Health? Population Health Program Overview Rural hospitals face unique challenges in implementing Population Health initiatives but also have inherent advantages for program success. Many hospitals have already been pursuing population health to some degree; however, whether an organization is just beginning a program or there is a broad, integrated population health focus, the HTC will focus on building out new focus areas, leadership and staff training, and putting the pieces together in order to make the transformation to population health successful in each unique rural community. The goal of the Population Health Program is to provide training, resources and support on rural population health across the hospital team, and to promote collaboration through the gathering and sharing of best practices and case studies of successful population health initiatives and innovations in rural hospitals. 11

12 Population Health Program Overview Leadership & Strategy Series Angie Charlet, DBA, MHA, RN; Director of Quality, Educational Services, and Compliance ICAHN The purpose of the quarterly webinar series is to provide training, education, and resources on leading organizational change, building collaboration, leadership skills and community engagement strategies for rural hospital leaders. In addition to the training, each webinar will include Case Studies/Peer Best Practices as well as Toolkits and resources to utilize between sessions. The intended audience for the series includes: C Suite/organization leaders, Board Members, and Managers, Department Heads, and key stakeholders involved in Population Health management and strategy. Webinars will be held at 11:00am 12:00pm Eastern/ 10:00am 11:00am Central on: Tuesday, June 19, 2018: Leading Organizational Change Tuesday, September 11, 2018: Building Collaboration Tuesday, December 11, 2018: Building Leadership Skills Tuesday, March 12, 2019: The Keys to Building Community Engagement Population Health Program Overview Finance & Operations Series The purpose of Part I & 2 of this quarterly webinar series is to provide models and examples for rural hospitals regarding making the financial and business case for a focus on population health strategies. The purpose of the second half of this quarterly webinar series is to provide training, education, and resources related to CHNAs. Webinars will include Case Studies/Peer Best Practices as well as Toolkits and resources to utilize between sessions. The intended audience for Part I/II of the series includes Financial Executives/leaders population health leaders, hands on staff engaged in the population health roadmap. The audience for Part III/IV The intended audience for the series includes Financial Executives, COOs, and other Financial Leaders, Community Outreach/Marketing, and Compliance. Each webinar will be held at 11:00am 12:00pmEastern/ 10:00am 11:00am Central on: July 10, 2018 Population Health: The Financial Considerations October 9, 2018 Population Health Finance: Program Design for Cost Savings January 8, 2019 Creating Meaningful and Compliant Community Health Needs Assessments April 9, 2019 We Completed Our CHNA Now What? Developing Your Hospital s Implementation Strategy Series Trainers: Angie Charlet, DBA, MHA, RN, ICAHN and Heather Jamison, MHA Consultant Draffin & Tucker, LLP 12

13 Population Health Program Overview Wellness & Disease Management Series Mary Jane Clark, MS, RN, CHES(r), CHWC, Grant and Wellness Coordinator, ICAHN Wellness and Chronic Disease Management programs are the hands of a Population Health Program. For many hospitals developing population health initiatives, beginning a program with your own hospital staff first has been successful, before rolling out a community program. By leveraging data analytics, health plan data, and other resources, we are able to identify health trends within our employee population, build impactful wellness initiatives around these trends, and improve employee health. By building a culture of health and engaging employees in wellness, healthcare costs can be better continued and employee s report changed lives. Outside of just hospital staff, a community based wellness program can help lead sustainable and impactful change, improving the quality of life of the population, as well as the economic standing of the community and community pride. Unlike other series, the Wellness and Disease Management series content will not be finalized until the submission of the Readiness Assessment, so that we can help participating hospitals in the areas of most need. However, the general outline for training and for training dates is below: August 7, 2018 Staff Wellness Programs November 13, 2018 Managing Chronic Diseases for Staff February 12, 2019 Community Wellness Programs May 7, 2019 Managing Chronic Disease in your Community Population Health Program Overview Care Management & the Patient Experience Series Kerry Dunning, MHA, MSH,CPAR, RAC CT and Series Trainer The purpose of the quarterly webinar series is to provide training, education, and resources to promote care integration and coordination (specifically during discharges, medical care transitions, and medication reconciliation) that facilitate patient centered care, improved patient experience, improved clinical outcomes, compliance, and efficient resource use. In addition to the training, each webinar will include Case Studies/Peer Best Practices as well as Toolkits and resources to utilize between sessions. The intended audience for the series varies by topic, but includes Case Managers, Community Liaisons, Discharge Planners, Swing Bed Managers, Home Health, Case Managers, Hospitalists, COOs, CQOs, and Pharmacists. Each webinar will be held at 2:00pm 3:00pm Eastern/ 1:00 2:00pm Central. June 28, 2018 Introduction to Care Management and Population Health Sept 20, 2018 Population Health & Discharges Dec 20, 2018 Population Health & Medical Care Transitions March 14, 2019 Population Health and Medication Reconciliation 13

14 Population Health Program Overview Provider Quality Series Michele Madison, Partner Morris, Manning & Martin, LLP The purpose of the quarterly webinar series is to provide training, education, and resources to facilitate rural hospital and provider collaboration to pool technical expertise in quality improvement strategies and respond to required physician reporting. In addition to the training, each webinar will include Case Studies/Peer Best Practices as well as Toolkits and resources to utilize between sessions. The intended audience for the series includes: Hospital Administration, Medical Staff Leadership, Physicians, and Practice Management. Each webinar will be held at 2:00pm 3:00pm Eastern/ 1:00pm 2:00pm Central. July 12, 2018 The Providers Role in Population Health October 11, 2018: Coordination of Quality Efforts: Physicians and Hospitals January 17, 2019: Advanced Alternative Payment Models April 18, 2019: Physician Quality Initiative Update MACRA/MIPS Population Health Program Overview HIT Infrastructure and Data Series The purpose of the quarterly webinar series is to provide training and resources to identify relevant population health IT tools and metrics for rural hospitals and provide support for collecting, analyzing and using data to support monitoring and evaluation of population health goals and strategies. In addition to the training, each webinar will include Case Studies/Peer Best Practices as well as Toolkits and resources to utilize between sessions. The intended audience for the series includes anyone involved in identifying relevant population health IT tools and metrics for rural hospitals and supporting collection, analysis and utilization of data for population health goals. Each webinar will be held at 2:00pm 3:00pm Eastern/ 1:00pm 2:00pm Central on: August 16, 2018 Data & Population Health: CHNAs and other Internal Sources of Data HTH & Guests November 15, 2018 Population Health IT Infrastructure Considerations Angie Charlet, ICAHN February 21, 2019 Social Determinants of Health and Other External Sources of Data HTH & Guests May 16, 2019 Measuring Performance Improvement and Success of Population Health Initiatives Angie Charlet, ICAHN 14

15 Population Health Program Overview Putting the Pieces Together Quarterly Meeting We recommend that each participating "Population Health Puzzle" leader assigned at your hospital meets together as a group to share provide a report of training and projects on a quarterly basis at a minimum. The following dates are recommended ranges to schedule your internal Quarterly Population Health Meetings. Quarter 1: Recommended between Aug Quarter 2: Recommended between Nov 17 Dec Quarter 3: Recommended between Feb 25 Mar 5 Quarter 4 : (Recommended between May A recommended Meeting Agenda and discussion topics will be provided and posted on your Program Dashboards in advance of the recommended dates each quarter. Other Population Health Program Training & Resources Quarterly Compliance Officer Training & Updates Previously, the OIG updated its public-facing Work Plan to reflect adjustments once or twice each year. However, the Office of Inspector General's (OIG) make adjustments throughout the year to meet priorities and to anticipate and respond to emerging issues. In order to enhance transparency around the continuous work planning efforts, effective June 15, 2017, OIG began to update its Work Plan website monthly. To meet the need for Compliance Officers and hospitals teams to keep up with these updates, this new program from HomeTown Health and healthcare Attorney, Michele Madison, partner at Morris, Manning & Martin will be offered. It will include ongoing quarterly compliance updates on regulations, updates from OIG, case studies, examples of self-audits to perform, and Q&A. These updates will also be important training for executives and board members. Intended Audience: Rural Hospital Compliance Officers, C-Suite, Board Members. Foundation Courses: The Roles & Responsibilities of a Rural Hospital Compliance Officer The ABCs of Regulatory Agencies Managing Hospital Compliance & Annual Compliance Plans Quarterly Compliance Update Webinars: Held at 10:00am EST/ 9:00am CST on the dates below. July 17, 2018: Quarterly Compliance Officer Update: July, 2018 October 16, 2018: Quarterly Compliance Officer Update: October, 2018 January 1, 2019: Quarterly Compliance Officer Update: January, 2019 April 16, 2019: Quarterly Compliance Officer Update: April,

16 Other Population Health Program Training & Resources Rural Case Management Virtual Book Club There is no doubt that case management plays an increasingly important role in the management of quality outcomes of care. Case managers, and others responsible for helping patients to coordinate the complex environment, help to ensure that patients get the best care and can help contribute to their hospital s bottom line. In addition to these opportunities for Case Management, there are also numerous challenges- many of which are heightened in the rural setting. Case managers find themselves at the forefront of collaborating with multiple providers, managing discharges and transitions of care, and increased scrutiny in areas of compliance and financial audits. The day-to-day case management struggles alone can be overwhelming. The objective of the Case Management Virtual Book Club is to provide ongoing training, support, and an opportunity for collaboration and sharing of best practices among those involved in case management in a small or rural hospital. Utilizing the Book Club Resource, CMSA Core Curriculum for Case Management (3rd Edition), the case manager book club will include a discussion and review of a set of book chapters each month, moderated by Dr. Angie Charlet. Participants will be provided with a textbook, and will be asked to come to the Book Club ready to discuss the chapter homework each month. For more information, contact Susannah.cowart@hometownhealthonline.com. Case Management Book Club Webinar Series held at 11 am EST / 12 pm CST on the dates below. September 7, 2018: Case Manager Book Club 1: Chapters 1-4 October 5, 2018: Case Manager Book Club 2: Chapters 5, 6, 9 & 10 November 2, 2018: Case Manager Book Club 3: Chapters December 7, 2018: Case Manager Book Club 4: Chapters 18, January 4, 2019: Case Manager Book Club 5: Chapters February 1, 2019: Case Manager Book Club 6: Chapters Other Population Health Program Training & Resources Motivational Interviewing Training Resource Consortium Hospitals have access to shared set of training DVDs from pyschotherapy.net which teaches Motivational Interviewing skills. Demonstrations and interviews illuminate the underlying principles, tools, techniques, and strategies that will enhance your skills in leading clients/patients through the change process. The 4 DVD set with instructor Cathy Cole, LCSW is divided into the following topics of training: Core Concepts, Building Confidence, Resolving Ambivalence, & Increasing Importance. Online Support Courses in TCM & CCM Development and Billing A 6-part series of training recordings will be posted on your program dashboard on setting up Care Management processes, including: Transitional Care Management: Part I - Models of TCM Transitional Care Management: Part II - TCM Billing Chronic Care Management: Part I - CCM Requirements & Strategies Chronic Care Management: Part II - CCM Billing Chronic Care Management: Part III - CCM Implementation Chronic Care Management: Part IV - CCM Compliance and Processes 16

17 Other Population Health Program Training & Resources Staff Wellness Support Courses: Hospital Caregiver Trauma Stewardship Staff wellness support courses will be provided by a licensed professional counselor, based upon the theories of Trauma Stewardship. Often in hospitals, much of the work our staff do in the service of others takes a personal toll on them, their coworkers, families, and community. Staff morale may be low, they are tired, may be constantly feeling like they can t do enough, or cynical. These support courses are meant to help staff personally in their pursuit of wellness, as well as help to identify how to help others. Wellness Support Courses: Caregiver Stress and Personal Mental Health Management Caregiver Trauma Stewardship Other Population Health Program Training & Resources Professional Coach Advocate Training Designed for clinicians or those working with wellness programs. It teaches coachability and is a great starting point for coaching tools within a wellness program. This is the next step in helping individuals set goals and considering the goals within their environment. This trainthe-trainer class will be offered live at a conference during the grant period, and would benefit a hospital s nurse educator, clinic manager, care coordinator, or a wellness committee member. Consumer Wellness Advocate (CWA) Training The CWA training is CPR for wellness, and designed to help caregivers focus on their own needs. Covering the 10-Dimensional Prevention through Wellness model, this Train-the- Trainer content is a great segway into helping and teaching individuals in the community about taking care of themselves. Live four hour workshop training will be offered for those interested in wellness or taking programs out to the community. Participants will receive live training and materials during a live conference throughout the grant year. 17

18 Other Population Health Program Training & Resources Population Health & Telehealth Training This series of training from Global Partnership for Telehealth will provide evidence that telehealth promotes and supports collaborative care, self-monitoring, chronic disease management, population screening which produces improved care and outcomes, as well as cost efficiency in targeted populations. Intended Audience: Telehealth Program Leaders, nurse leaders, care coordinators, nurse educators, HR, wellness committee members, community workers, and leadership. Pop Health & Telehealth Webinar Series Held at 11 am EST / 10 am CST on the dates below: July 6, 2018: Telemedicine and Population Health August 3, 2018: Remote Monitoring and Population Health Support Courses: Leveraging Telehealth Technologies for Behavioral Health & Addictive Diseases: A Case Study Creating a Healthier Generation: How School Based Telehealth Centers Promote Population Health Employee Population Health: Leveraging Telehealth Technologies to Promote Employee Health & Wellness Other Population Health Program Training & Resources Cybersecurity Training The purpose of the Cybersecurity Series is to provide security awareness training and industry updates for rural hospital leaders and rural hospital staff on the latest best practices for compliance and for the reduction of risk related to HIPAA and other security risks. This two part webinar series will be offered by Michele Madison, healthcare attorney and partner at Morris, Manning & Martin. Beginning with an update and training or leaders on managing cybersecurity risks, a follow-up training will be offered for all hospital staff on their role. Webinar Series will be held at 11 am EST / 12 pm CST on: March 1, 2019: Managing Cybersecurity for Hospital Leaders April 5, 2019: Cybersecurity Awareness Training for Hospital Staff 18

19 Consortium Project Options Hospital Transformation Consortium Project Leads 5 Next Steps & Questions 4 Consortium Project Options 3 Population Health Program 2 Financial Stability Program 1 SHIP Grant Overview: Consortium vs. Direct Award Consortium Project Options Iowa Consortium Hospitals can select up to: ONE Financial Stability/Telehealth Project + ONE Quality Improvement/Pop Health Project OR TWO Quality Improvement/Pop Health Projects Financial Stability/Telehealth Projects: Returning: Retrospective Coding Audits HCCS NEW! Chargemaster Evaluation and Training HomeTown Health NEW! Using Cost Report to Estimate Service Line Profitability Draffin & Tucker Returning: Telemedicine Project: Direct to Hospital Quality Improvement/Pop Health Projects: Returning: Chronic Care Management Implementation Training and Support ICAHN NEW! Crisis Prevention Intervention (CPI) Training ICAHN NEW! Sepsis Certification training ICAHN NEW! CPHQ Prep Virtual Book Club ICAHN / NAHQ Materials NEW! Transferring Care: Nursing Home Communication Consortium 19

20 Financial Stability/Telehealth Projects: Returning: Retrospective Coding Audits HCCS Individual hospital retrospective coding audits will be provided to give you an accurate picture of where your facility stands in coding accuracy compared to industry standards and peer hospitals. Individual hospital and coder results will be provided and reviewed in a report and comparative dashboard through an exit interview with each hospital. James Cronin, COO Healthcare Coding and Consulting Services PERFORMANCE Financial Stability/Telehealth Projects: NEW! Chargemaster Evaluation and Training HomeTown Health A chargemaster evaluation and recommendation report will be provided for each participating hospital. Follow up Training for hospital department managers to assist them in understanding their chargemaster and to give them the tools, education, and resources needed to it so that it remains compliant and up to date. Each training will be a full day and will include a review of each department's chargemaster and one on one feedback for managers and chargemaster staff. 20

21 Financial Stability/Telehealth Projects: NEW! Using Cost Report to Estimate Service Line Profitability Draffin & Tucker The goal of this project is to equip hospital leadership with an enhanced understanding of where the hospital is winning and losing financially on the services that are currently being offered using information contained in the most recently filed Medicare hospital cost report in conjunction with patient level detail information obtained from the hospital s information system. With this fundamental understanding, the hospital will be able to develop strategies to improve financial performance. Financial Stability/Telehealth Projects: Returning: Telemedicine/Paramedicine Project: Direct to Hospital Funding for the individual hospital purchase of equipment installation/use or training related to mobile health equipment and or Community paramedicine. Allowable expenses include any training and/or equipment installation that supports the application and implementation of telehealth and/or telemedicine. Technology/hardware investments are allowed if they are used by staff to improve operational efficiencies and telehealth services. Also allowable for expenses related to Community Paramedic Program (CPP) development. If the hospital and/or hospital owned ambulance units has a formal CPP, then equipment can be purchased to support the CPP to reduce emergency medical services (EMS) and emergency department misuse and readmissions. However, use of SHIP funding for general EMS equipment is not allowable. Please note that other unallowable expenses under the SHIP grant include, but are not limited to, travel costs, hospital services, hospital staff salaries, or general supplies. Amount of funding depends on whether your hospital selects another Quality related project, or if this is your sole project selection. 21

22 Quality Improvement/Population Health Projects: Returning: Chronic Care Management Implementation Training and Support - ICAHN The regulatory world surrounding Chronic Care Management has evolved over the last two years for the rural community. With this it has become increasingly difficult to navigate through all the changing opprtunities, and to figure out how to get your CCM program moving forward. Led by a Care Management Specialist, the goal of the program is to provide healthcare facilities with the most up to date information, and to help them identify how to implement a successful CCM program within their current processes. The program will provide education on regulatory requirements, common hurdles and barriers to implementation, care coordination workflows, data and quality improvement impacts, and reimbursement processes and opportunities. At the end of this support and training, facilities will be equipped with the knowledge and the tools to implement a compliant and billable CCM Program. Lesa Schlatman, RN, BSN Care Coordinator Specialist ICAHN Quality Improvement/Population Health Projects: NEW! Crisis Prevention Intervention (CPI) Training- ICAHN In healthcare, we might deal with angry, hostile, or noncompliant behavior every day. Our responses to defensive behavior is often the key to avoiding a physical confrontation with someone who has lost control of their behavior. Through CPI Training, at least one person should be trained at your organization who can then train others in the de-escalation of violent patients or family members in the safest, most effective way possible. For small & rural, hospitals, it can be difficult to maintain this standard, so hospitals may also want to consider collaborating with others regionally or within systems to participate in this specific train the trainer program. Training will be held over a 4 day class on September 25-28, 2018 in Princeton, IL. (Selection of this project allows for a $1,500 scholarship towards the individual certification if another project option is also section: cost to hospitals will be $1,700 out of pocket. Or, select only this project for no out of pocket cost to hospital.) 22

23 Quality Improvement/Population Health Projects: NEW! Sepsis Certification training - ICAHN With a focus on Sepsis from Joint Commission, as a part of VBP investment activities, ICAHN will be offering an online learning collaborative to share best practices and train on disease specific survey standards. The audience who would benefit from this training include Infection control practitioners and middle management. It will also include one face-to-face or small group meeting throughout the year. (If your hospital is accredited by The Joint Commission, this it is a part of the process for earning The Joint Commission's Gold Seal of Approval for Sepsis Certification. For hospitals not a part of TJC, this training help your hospital to build your own sepsis program.) Quality Improvement/Population Health Projects: NEW- CPHQ Prep Virtual Book Club ICAHN / NAHQ Materials Many participating Quality Directors over this past year have expressed interest in working together in a CPHQ group prep "virtual book club." Participants will be provided with NAHQ Prep Package, including the CPHQ Practice Exam, CPHQ Review Course Online, and book 'HQ Solutions: Resource for the Healthcare Quality Professional. ICAHN will moderate a series of "Book Club" style webinars will be led to work through the content and help prepare for certification with other quality leaders. 23

24 Quality Improvement/Population Health Projects: NEW - Transferring Care: Nursing Home Communication Consortium In seeking to improve transitions, communication between rural hospitals and their community nursing homes is critical. In this group, ICAHN and Kerry Dunning will provide a foundation of training around improving transferring care communication. It will also offer an onsite moderator for your hospital to host a luncheon or event with area nursing homes to facilitate conversation, perform strategic planning/swots, and set goals for improvement and tracking. Other Consortium Resources Project Workshop Meeting For related trainings for some of the projects (Details to come in July) September 19, 2018 at the Hilton Garden Inn in Johnston, IA 3 rd Annual Iowa Rural Hospital Conference The heart of Community Rural Population Heath Artistry Conference and Hospital Showcase March, 2019 near Des Moines (TBD) Annual Subscription to HTHU.net Unlimited staff access to: School of Revenue Cycle Management PFS/BO Certifications School of Coding & Documentation School of Quality and Compliance School of Physician Office Education School of Long Term Care School of HIT & Transformation NEW! School of Behavioral Health NEW! Board Training Courses 24

25 Next Steps & Questions Jennie Price, Director of Business Development HomeTown Health 5 Next Steps & Questions 4 Consortium Project Options 3 Population Health Program 2 Financial Stability Program 1 SHIP Grant Overview: Consortium vs. Direct Award What's the value of the Consortium? 25

26 Step Up to the Smorgasbord. 1. Remember this is not all meant for one person.. (and your hospital may not need or want to participate in everything!) 2. Break it up: assign one person to coordinate or lead the Pop Health group, one to lead the Financial Stability program group, and one to lead each Project. 3. Invite other staff to the table! Everyone at your hospital is invited to participate in the program offerings. Make sure they are at least aware of options and resources. Next Steps: Financial Stability Financial Stability Program 1. Financial Lead visits ASAP. 2. Financial Lead downloads Overview of Financial Stability Program and Assessment. 3. Program lead submits Financial Pre-Assessment survey online at by June 14. HTH sends next steps! 26

27 Next Steps: Population Health Population Health Program 1. Program/Grant Lead visits ASAP. 2. Program Lead downloads Getting Started Resource Guide, and schedule a meeting with recommended leaders. 3. Leadership meets to assign pieces, completes readiness assessments, and sets quarterly follow up meeting dates. (Also discuss project options.) 4. Program lead submits assessments completed by team online at by June 14. HTH sends next steps! Next Steps: Project Selection Consortium Projects 1. Program/Grant Lead visits ASAP to download list of projects available. 2. Leadership discusses Project Options that best help their hospital and assigns a Project Leader committed to participation. 3. Program lead submits Project Selection online at by July 13. HTH sends next steps! 27

28 Questions? Financial Stability: Sandy Sage Population Health: Evelyn Leadbetter Project Options/Direct Award: Jennie Price 28