Session Key Codes: (HH) Home Health, (HOS)- Hospice, (PSA)- Personal Service Agency. May 9 th. Keynote Presentation: 9:00am 10:30am

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1 Session Key Codes: (HH) Home Health, (HOS)- Hospice, (PSA)- Personal Service Agency May 9 th Keynote Presentation: 9:00am 10:30am 101- The Cost of Caring: Finding Meaning and Resilience in a Climate of Burnout; Dr. Carrie Adair (HH HOS PSA) Healthcare workers often report going into healthcare to help people. However, with increasing demands and stagnant (or even reduced) resources to meet those demands, healthcare workers are suffering from critically high rates of burnout. In this interactive keynote session, Dr. Adair will discuss the prevalence and severity of burnout, the psychology of how burnout develops, and the research linking burnout to several consequential outcomes for both patients and providers. The session will also focus on ways to combat burnout through finding meaning and enhancing positive experiences. This includes an experiential section on several evidence-based tools specifically developed by the Duke Patient Safety Center to increase healthcare worker resilience. Sponsor: BKD CPAs and Advisors Day 1- Concurrent Sessions: 10:45am - 12:15pm 102- Legal & Regulatory Update 2017: Change is the New Normal; Robert Markette (HH HOS PSA) The legal landscape for homecare is constantly changing and you need to keep up. This presentation will provide an overview of changes in laws and regulations impacting home health, hospice and private duty providers from the previous year. Amongst other topics, we will review the impact of the changes to the salary basis of payment, life after the employer mandate, changes resulting from the Trump administration, progress on Indiana Medicaid Home Health reimbursement, recent Federal Court cases that impact compliance, including Escobar and U.S. ex. rel. Prather v. Brookdale, survey and certification trends, enforcement trends, recent EEOC decision, NLRB decisions, the OIG work plan and other key updates. Sponsor: Hall, Render, Killian, Heath & Lyman, P.C Hospice: The Future Unfolding; Melinda Gaboury (HOS) Review Notice of Election details including: Form Locators Required and content Timeliness Requirements Dealing with the billing aspect of an untimely NOE Review steps for dealing with the following: ADR Reviews Internal Quality Audits HIS Necessity Review the following parts of Hospice Payment Reform:

2 Routine Home Care HIGH Rate Routine Home Care LOW Rate Service Intensity Add-On (SIA) Sponsor: Healthcare Provider Solutions, Inc Conquer the Crisis; Stephen Tweed (HH HOS PSA) Research shows that the biggest challenge facing leaders in home care and hospice today is The Caregiver Recruiting and Retention Crisis. There simply are not enough nurses, therapists, and home health aides to meet the growing demands of an aging population Please watch this short video to learn more! Sponsor: Leading Home Care a Tweed Jeffries company 105- Care Redesign- Value Beyond the Visit; Cindy Krafft (Therapy) Health care reform has been discussed and debated for many years and often appears to not put an intentional focus on the delivery of home based services. This lack of clarity has lulled many home health providers into a sense of security that real change will be years down the road. In 2016, agencies faced the realities of Comprehensive Care for Joint Replacement (CJR), Pre Claim Reviews and Home Health Value Based Purchasing. Even if not directly impacted, the entire home health industry must pay close attention and begin preparations for the impact of programs such as these on the care delivery model. Therapy services have been impacted by the relationship between the number of visits provided and reimbursement. For the last several years, entities such as MedPac have called for that relationship to end and a revised payment model be created. In late 2016, a proposed new model was discussed on a CMS Open Door Forum call and the need for change by 2018 reinforced in the PPS 2017 regulations. Therapists must re-evaluate how care in being provided to ensure clincian decision making and documentation support services as absolutely skilled, reasonable and necessary. This seminar will provide a solid foundation, real life examples and practical strategies for therapists and their agencies to immediately employ. The content will be addressed as follows: Regulatory Context IMPACT Act Bundled Payment Clinical Implications CJR Exercise Dosing Management of Chronic Conditions Interdisciplinary Care Management Outcome Management

3 HH Compare STARS Re-hospitalization Documentation Implications Restorative Therapy Maintenance Therapy Functional Reassessment Sponsor: Kornetti & Krafft Health Care Solutions Day 1- Concurrent Sessions: 1:45pm - 3:15pm 106- Home Health CoP Overview; Sharon Litwin (HH) CoP Overview - Find out the Philosophy of the new CoPs, the Key Changes, all about the New QAPI and Infection Control Conditions Sponsor: 5 Star Consultants, LLC 107- QAPI 101; Cindy Sun and Misty Kevech (HH) During this introductory session, RN Project Coordinators from the Home Health Quality Improvement (HHQI) National Campaign team will provide information on the framework for developing a Quality Assurance & Performance Improvement (QAPI) program at a home health agency. The focus is on the framework s 5 standards: Executive Responsibility, Program Scope, Program Data, Program Activities, and Performance Improvement Projects. This session is approved for 1.5 hours of Nursing CEs. Objectives: Distinguish the differences between Quality Assurance and Performance Improvement Identify all employees responsible for QAPI at agency Identify at least 2 functions for each of the 5 Standards of Home Health QAPI Sponsor: Home Health Quality Improvement (HHQI) 108- Hospice Update: The FY2018 Hospice Proposed Rule; Katie Wehri (HOS) The FY2018 proposed rule for hospices is expected to include potential payment reforms and potential significant updates to the hospice quality reporting program. This session will review the recently released rule and its implications on hospices. Sponsor: IAHHC

4 109- "Look at Me, I am the Decision maker Now! Who Can Act for Someone-The Confusing World of Powers of Attorney, Guardians, Health Care Representatives, Spouses, Children, and Other Characters - Oh My!; Sean Fahey (HH HOS PSA) "I am in charge" "I make the call" "I have the power" Often individuals are no longer able to capably handle their own financial and health care decisions. This impacts their personal well-being and their financial well-being. Care givers are frequently placed in the middle of identifying who can act and assessing what powers certain legal documents grant and fail to grant to family members. Who can act? What are your options if a bad actor is in place? What are your options if a bad actor refuses to act? Presentation devoted to understanding who can act, what they are required to do, and what providers can do when they are nonresponsive or acting outside of an individual's interests. Sponsor: Hall, Render, Killian, Heath & Lyman, P.C Care Redesign- Value Beyond the Visit Part 2; Cindy Krafft (Therapy) Health care reform has been discussed and debated for many years and often appears to not put an intentional focus on the delivery of home based services. This lack of clarity has lulled many home health providers into a sense of security that real change will be years down the road. In 2016, agencies faced the realities of Comprehensive Care for Joint Replacement (CJR), Pre Claim Reviews and Home Health Value Based Purchasing. Even if not directly impacted, the entire home health industry must pay close attention and begin preparations for the impact of programs such as these on the care delivery model. Therapy services have been impacted by the relationship between the number of visits provided and reimbursement. For the last several years, entities such as MedPac have called for that relationship to end and a revised payment model be created. In late 2016, a proposed new model was discussed on a CMS Open Door Forum call and the need for change by 2018 reinforced in the PPS 2017 regulations. Therapists must re-evaluate how care in being provided to ensure clincian decision making and documentation support services as absolutely skilled, reasonable and necessary. This seminar will provide a solid foundation, real life examples and practical strategies for therapists and their agencies to immediately employ. The content will be addressed as follows: Regulatory Context IMPACT Act Bundled Payment Clinical Implications CJR Exercise Dosing Management of Chronic Conditions Interdisciplinary Care Management Outcome Management HH Compare STARS Re-hospitalization

5 Documentation Implications Restorative Therapy Maintenance Therapy Functional Reassessment Sponsor: Kornetti & Krafft Health Care Solutions Day 1- Concurrent Sessions: 3:30pm 5:00pm 111- PPACA Section 1557: What have we learned about compliance? Robert Markette (HH HOS PSA) Section 1557 of the Affordable Care Act (ACA) requires healthcare providers to take additional steps in nondiscrimination efforts. In July 2016 Section 1557 of the ACA became effective, with the portion of the rule dealing with nondiscrimination of individuals with limited English proficiency (LEP) effective Octrober 16, Among other requirements, providers must post nondiscirmination notices, have certain grievance procedures, and providers with more than 50 employees must designate an individual to coordinate compliance with Section As part of the requirements surrounding the LEP provision, providers must post "taglines" notifying LEP patients/potential patients of their right to and the availability of an interpreter. Sponsor: Hall, Render, Killian, Heath & Lyman, P.C Medication Management Performance Improvement Projection; Cindy Sun and Misty Kevech (HH) During this advanced interactive session, RN Project Coordinators from the Home Health Quality Improvement (HHQI) National Campaign team will build off of the QAPI 101 session and provide information on developing a Medication Management Performance Improvement Project (PIP) on one or more of the specific best practice measures. This will include analyzing various data sources; prioritizing problems; selecting possible interventions/resources from the HH PIP Tool: Medication Management; and creating rapid cycles of testing of potential interventions. This session is approved for 1.5 hours of Nursing CEs. Objectives: Select and analyze data measure(s) for Medication Management PIP Develop Medication Management PIP intervention strategy Use best practice tools/resources for Medication Management PIP development Sponsor: Home Health Quality Improvement (HHQI) 113- Hospice Reimbursement Explained; Joshua Banach and Scott Manson (HOS) Many hospice team members analyze reimbursement rates for revenue analysis, management of accounts receivable, or budgeting without knowing how they are devised. This session will describe the components of the Medicare reimbursement rates, how they fit into rate calculation, and explain how CMS develops reimbursement rates for the 4 care levels. It will also discuss the future of hospice reimbursement going forward from dual-rate routine home care reimbursement, SIA payments, and the new cost report. Sponsor: Marcum LLP

6 114- Leading from the Outside In; Stephen Tweed (HH HOS PSA) One of the most importance competencies of leaders in home health care, hospice, and private duty home care today is Seeing the Bigger Picture. We need to understand the forces and trends shaping our industry, and the leadership skills needed to navigate these troubled waters. Please watch this short video to learn more! Sponsor: Leading Home Care a Tweed Jeffries company 115- Happy Patients Improve Agency HHCAHPs Scores; Melinda Gaboury (HH) Review listing of specific measures included in the star ratings Review Linear Scoring Review Star Rating Distribution Review guidance from CMS regarding communicating HHCAHP requirements with patients List behaviors that are not acceptable for agency staff to carry out Review Survey Questions content Review Considerations for how agency actions affect patient responses Review HHCAHP Reporting Review Questions Agencies should ask in analyzing current results Review items to consider in whether or not the current HHCAHP Vendor and Method is best for your agency. Sponsor: Healthcare Provider Solutions, Inc. Day 1- Welcome Reception: 5:00-6:30pm Special Guest- Rupert Boneham, four-time Survivor participant and the creator of the nonprofit organization Rupert s Kids. May 10 th Keynote Presentation: 8:30am 10:00am 201- Home Care and Hospice A Washington Update Keynote Presentation- William Dombi (HH HOS PSA) Washington is focused on health care policy in 2017 with a new Administration and new Congress. What is the future of health care for the uninsured? Is significant Medicare and Medicare reform in play? Aside from megareforms, what is the landscape for health care policy in 2017? We have a new President, new command at federal health care agencies, likely bringing a new agenda and new philosophy into the health care policy debates. The Medicare and Medicaid programs are in their usual spotlight along with efforts to repeal and replace the Affordable Care Act.. This opening session brings Washington to the stage with up-to-the-minute details on the legislative, regulatory, and legal landscape along with a forecast of the impact of national politics on health care. Objectives: Identify the crucial health care issues pending before Congress and the Administration. Detail the innovations underway in Medicare and Medicaid that create opportunities for home care. Discuss what the new balance of power means to home care and hospice. Sponsor: BKD CPAs and Advisors

7 Day 2- Concurrent Sessions: 10:15am 11:45am 202- HQRP: A Hospice Quality Update and Look Into The Future; Katie Wehri (HOS) Two years after its implementation, Hospices have seen significant change to the HQRP. Public reporting will begin Summer 2017 and CMS is considering a standardized comprehensive patient assessment instrument for hospices that would replace the HIS and tie quality and payment. This session provides a review of recent changes to the HIS, a view of the upcoming Hospice Compare and a glimpse into HQRP with a comprehensive patient assessment instrument. Sponsor: IAHHC 203- Lessons Learned from Pre-Claim Review; Aaron Little and Karen Vance (HH) The Centers for Medicare & Medicaid Services (CMS) is moving away from pay and chase to a more proactive strategy of preventing illegitimate payments. One step in this move is the Medicare home health pre-claim review (PCR) process. Applying lessons learned from this initiative offers insights into common payment threats. This session will focus on strategies for mitigating such threats by leveraging technology to more effectively monitor documentation processes, along with tactics for conducting efficient compliance audits. Sponsor: BKD, LLP 204- " The Best Defense Is A Good Offense: Preparing for a Home Health Medicare Recertification Survey"; Lisa Meadows (HH) This presentation will assist agencies in how to prepare for a Medicare recertification survey as well as maintain a state of survey readiness in order to avoid Condition Level deficiencies to prevent the imposition of alternative sanctions as well as the need for an additional on-site survey. By understanding and utilizing the tools the surveyors use, agencies will be able to identify their individual risk for a Condition level deficiency and develop strategies to avoid such deficiencies. Sponsor: ACHC 205- Developing an Effective Social Media Strategy; Anthony Juliano (HH HOS PSA) The content of this presentation will be designed to inspire IAHHC members to develop a customized strategy for using social media. Attendees will learn about the importance of establishing goals, defining priority audiences, and setting a budget, along with a framework for evaluating which platforms and tactics are most likely to yield results. Attendees will leave with a clear pathway for developing a strategy that s right for their organization, regardless of resources, and ready to put into action. Sponsor: Point Six Four 206- "Innovative Approaches to Improve Coordination and Communication Between Staff and Families ; Stephen Sutter (PSA) Developing a plan that coordinates and communicates all of the services and supports required for helping your client and their families achieve their health-related goals can be complex. The stakeholders frequently include the individual,, family and volunteer caregivers. Adding a structure that addresses each of these stakeholders perspective can be overwhelming. New approaches are discussed that defines stakeholder responsibility, coordinates schedules, and simplifies communication. Live demonstrations from evidence-based research will be presented. Sponsor: CreateAbility Concepts, Inc.

8 Day 2- Concurrent Sessions: 1:15pm 2:45pm 207- Prepare Now for the New Homecare CoPs!; Sharon Litwin (HH) Prepare Now for the New Homecare CoPs! Take a detailed look at the Conditions- Find out the Philosophy of the new CoPs, the Key Changes, all about the New QAPI and Infection Control Conditions. Deep dive into Pt Rights and Care planning/coordination of Care/Quality of Care Conditions and More This session will run 2.5 hours Sponsor: 5 Star Consultants, LLC 208- How YOUR Agency is Decreasing Medicaid Reimbursement; Pauline True (HH) If you provide Medicaid services then you need to understand the complexities of how Medicaid rates are computed and how your agency could impact the calculation. This is the time to prepare, DON T wait, be proactive in assisting with making sure that the data being filed is as complete and accurate as possible. Let s review the cost report, the instructions and the administrative rules associated with the requirement to file an annual Medicaid cost report and the resulting computations. Regardless of the percentage of business your agency provides Medicaid services compared to other payor types you could impact the rates being paid to each and every home health agency in the State of Indiana. Your agency is important. PROGRAM HIGHLIGHTS How do we report: Visits compared to salaries Visits ONLY billable visits Hours NOT visits Field Staff versus all other staff Expenses Nonallowable Expenses Related Party RECOMMENDED FOR ATTENDANCE Owners, Administrator, Management, Accountant This session will run 2.5 hours Sponsor: IAHHC 209- PSA 101 Legal; Robert Markette (PSA) Sponsor: Hall, Render, Killian, Heath & Lyman, P.C Clinician Recruitment, Retention & Satisfaction: Does Technology Help or Hinder?; Panelists: Melissa Polly, Kim Weddle, Stephanie Davis-Mulcahy (HOS HH) This panel will explore the pros and cons of technology adoption in home health and hospice, as it relates to clinician recruitment, retention, on-boarding, job satisfaction, as well as quality and operational efficiency. Attendees will learn: Best practices related to the use of technology and the best way to engage clinicians in a model that provides the most value the organization, including recruitment, retention and satisfaction; From colleagues, how to get the most value from the use of technology from clinical documentation and nurse satisfaction to operational efficiencies; and, How changes in the post-acute environment, from regulatory drivers to value-based care, drive effective utilization of technology. Sponsor: Brightree

5D QAPI from an Operational Approach. Christine M. Osterberg RN BSN Senior Nursing Consultant Pathway Health Pathway Health 2013

5D QAPI from an Operational Approach Christine M. Osterberg RN BSN Senior Nursing Consultant Pathway Health Objectives Review the post-acute care data agenda. Explain QAPI principles Describe leadership