Nebraska Home Care Association 2018 Legislative Day, Vendor Expo & Annual Conference

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1 Nebraska Home Care Association 2018 Legislative Day, Vendor Expo & Annual Conference Attendee Registration January 25-26, 2018 Cornhusker Marriott 333 S. 13th St. Lincoln, NE A request for nursing contact hours is pending with Iowa Western Community College Iowa Board of Nursing Provider #6

2 2018 Home Care Association Legislative Day January 25, 2018 from 11:00 a.m. - 1:00 p.m. CST State Capitol in Room 1023 s 1445 K Street s Lincoln, NE Join us for the 2018 Nebraska Home Care Association Legislative Day Building a relationship with your state senator and advocating on behalf of your clients is increasingly important, as the healthcare environment continues to change, and the ability to deliver home and community-based healthcare services becomes increasingly challenging. Please join us at the Capitol on Monday, January 25, 2018 at 10:30 a.m. in Room 1023 to meet with Senator Merv Riepe, he is a member of the Nebraska Legislature's Health and Human Services Committee, to discuss: expansion and reimbursement of telemonitoring technology (telehealth); ongoing challenges to help ensure that medically necessary home health and hospice services are authorized and then reimbursed through Medicaid fee for service and Heritage Health; and expansion of access of healthcare services for our state's citizens. Agenda: 9:30 a.m. - Go to the Norris Legislative Chamber Balcony to Watch Legislature in Session and Be recognized for the Nebraska Home Care Association s Legislative Day 10:00 a.m. - Deliver Handouts to Senators Offices 11:00 a.m. - 12:00 p.m. -Program in Room 1023 in the State Capitol Discussion with Senator Merv Riepe, Chair of the Nebraska Legislature s Health and Human Services Committee (invited) about issues that the Nebraska Legislature s Health and Human Services Committee will be addressing during the 2018 legislative session that impact home care services. We will also discuss the Heritage Health Program with Senator Riepe. Legislative Issues Review by Lana Wood, Nebraska Home Care Association Government Affairs/Reimbursement Committee Chair Meet Nebraska Home Care Association lobbyists Trent Nowka and Jon Edwards from Nowka & Edwards 12:00 1:00 p.m. - Luncheon with State Senators in Room 1023 at the Capitol Preparation Webinar for Legislative Day The Nebraska Home Care Association is hosting a free webinar on Wednesday, January 17, 2018 at 12:00 p.m. Central to help you prepare for Legislative Day. If you are unable to attend the live event, you can request a recording of the webinar. Please mark that option on the registration page in this brochure. Topics will include how the legislative process works, why advocacy is important and the impact it has on you and your clients, how to build an effective relationship with your state senator, and a review of the priority legislative issues the association is working on that we re asking you to discuss with your senator during the Legislative Day Luncheon. There will also be a Virtual Lobby Day option for those who are unable to be at the Capitol. Please register for this webinar if you are participating virtually, as we will review talking points when you contact your state senator by or phone that day.

3 Annual Conference Schedule Home Health Track Private Duty Track Therapy Track Thursday, January 25, Vendor Expo 1:00 pm - 2:00 pm Attendee Registration - Cornhusker Marriott 2:00 pm - 4:00 pm Booth set-up 2:00 pm - 4:00 pm Federal Legislative and Regulatory Update from the National Association for Home Care and Hospice (Part 1) presented by Bill Dombi from the National Association for Home Care & Hospice 4:00 pm - 6:00 pm Exhibitor Presentations/Networking Reception with Complimentary Hors d oeuvres and Cash Bar Friday, January 26, Annual Conference 7:00 am - 7:55 am Attendee Registration and Continental Breakfast 7:55 am - 8:00 am Welcome and Announcements 8:00 am - 9:00 am How Electronic Visit Verification Will Impact Your Organization presented by Tom Underwood from Sandata 8:00 am - 10:00 am Federal Legislative and Regulatory Update from the National Association for Home Care and Hospice (Part 2) presented by Bill Dombi from the National Association for Home Care & Hospice 9:00 am - 10:00 am Hot Topics in Private Duty Home Care presented by Emily Anderson from Home Instead 10:00 am - 10:45 am BREAK AND EXHIBITS 10:45 am - 12:15 pm High Impact Leadership presented by Jeanne Sexson 10:45 am - 12:15 pm Home Health Therapy Documentation presented by Sandy Decker from CGS 12:15 am - 1:15 pm Nebraska Home Care Association Annual Meeting and Luncheon 1:30 pm Prize Drawings 1:30 pm - 3:00 pm Medicare Clinical Updates from CGS presented by Sandy Decker 1:30 pm - 3:00 pm Home Health Therapy Assessments, Goals and Plans of Care presented by Cindy Krafft and Dee Kornetti from Kornetti & Krafft Healthcare Solutions 3:00 pm - 3:15 pm BREAK 3:15 pm - 4:45 pm Lighten Up and Live presented by Jeanne Sexson 4:45 pm Evaluation/Q&A/Adjourn Vendor Expo on January 25, 2018 from 4:00 p.m. - 6:00 p.m. Hear brief presentations from exhibitors about their products and services for the home care industry. Network with your peers while enjoying complimentary hors d oeuvres and purchase beverages from a cash bar. Annual Conference January 26, 2018 Time Reserved for Exhibits - 10:00 a.m. 10:45 a.m. Hotel Reservation Information A special discounted rate of $103 plus tax is available by calling (866) and requesting the Nebraska Home Care Association Individual Pay Block. Reservations must be made by January 2, 2018 in order to receive the special rate. Register at by January 15, 2018.

4 Pre-Conference Session Bill Dombi, President of the National Association for Home Care & Hospice, will present Part 1 of a Federal Legislative and Regulatory Update on Thursday, January 25, 2018 at the Cornhusker Marriott from 2:00 4:00 p.m. Bill will cover Medicare home health; Medicare hospice; Employment law including FLSA; Overall health reform; and Medicaid home care and hospice. Please be sure to attend this session because Bill will present Part 2 of the Federal Legislative and Regulatory Update on Friday, January 26, Purpose Statement This program is presented to raise the awareness and understanding of federal legislative, legal, and regulatory issues affecting home care and hospice so attendees to better manage the delivery of care. Objective for Pre-Conference Session Gain an understanding of the federal legislative landscape affecting home care and hospice. Conflict of Interest Statement Bill Dombi, J.D. has identified no actual, potential or perceived conflict of interest. The Nurse Planners have identified no actual, potential or perceived conflict of interest. Conference Objectives 1. Gain an understanding of the federal legislative landscape affecting home care and hospice. 2. Identify federal regulatory issues affecting home care and hospice. 3. Identify legal issues affecting home care and hospice. 4. Learn what the 21st Century Cures Act Mandate is. 5. Learn about EVV and the various technologies used to capture visit data. 6. Learn about the 4 types of EVV models that are currently utilized by other states. 7. Learn how your agency can benefit from using an EVV system. 8. Educate, Inform and Empower attendees with respect to Federal and State legislation related to the Home Care Industry; and arm attendees with strategies to become effective advocates. 9. Establish 10 specific high-impact leadership qualities. 10. Establish 5 levels of leadership. 11. Define coaching vs. bossing. 12. Establish how to create a common goal. 13. Determine 4 specific leadership questions to achieve results. 14. Determine 4 specific influences which affect positive or negative attitude. 15. Establish 4 ways to deflect negatives in the work place. 16. Determine 20 techniques for staying focused and productive. 17. Comprehend recent Medicare home health and hospice clinical updates. 18. Verbalize how to identify and respond to additional development requests (ADRs). 19. Showcase key areas for documentation improvement. 20. Identify areas of concern in documentation examples. 21. Discuss and identify concerns for Targeted Probe and Educate. 22. Troubleshoot potential areas of concern addressed by participants. 23. Define what skilled, reasonable and necessary means for coverage of therapy services under the Medicare Part A Home Health benefit. 24. Identify at least three (3) steps to integrate into clinical decision-making process that meets coverage criteria for therapy services for patients receiving strength and endurance interventions in the home health setting. 25. Describe two (2) evidence-based practice guidelines for each strengthening and endurance interventions in restorative and maintenance patients in the home health setting.

5 Bill Dombi, J.D. Bill Dombi is the President of the National Association for Home Care & Hospice. He previously served as the Vice President for Law at NAHC. As a key part of his responsibilities, Bill specializes in legal, legislative, and regulatory advocacy on behalf of patients and providers of home health and hospice care. With nearly 40 years of experience in health care law and policy, Bill Dombi has been involved in virtually all legislative and regulatory efforts affecting home care and hospice since 1975, including the expansion of the Medicare home health benefit in 1980, the formation of the hospice benefit in 1983, the institution on Medicare PPS for home health in 2000, and the national health care reform legislation in With litigation, Dombi was lead counsel in the landmark lawsuit that reformed the Medicare home health services benefit, challenges to HMO home care cutbacks for high-tech home care patients, lawsuits against Medicaid programs for inadequate payment rates, along with current lawsuits challenging the Medicare home health face-to-face encounter rule and the Department of Labor changes to the overtime rules under the Fair Labor Standards Act. In addition to litigation, Bill offers extensive community and professional educational services through lectures, publications, teleconferences, and videos. He is the Editor and lead author of Home Care & Hospice Law: A Handbook for Executives, the only comprehensive legal treatise on the topic. His lectures include market trends in home care, compliance, risk management, patient rights, fraud and abuse, health care reimbursement, legislative and regulatory reforms, and legal issues in telehealth services. Bill Dombi is admitted to practice in Connecticut and Washington, DC. He is also admitted to numerous federal courts including, the U.S. Supreme Court and several Court of Appeals. He has served on the Advisory Board for BNA s Health Law Report and Medicare Report. Bill also is a longstanding member of the American Health Lawyers Association and the American Bar Association. Federal Legislative and Regulatory Update Part 1 and Part 2 This program is presented to raise the awareness and understanding of federal legislative, legal, and regulatory issues affecting home care and hospice so attendees can better manage the delivery of care. Tom Underwood Tom Underwood is the Chief Executive Officer at Sandata Technologies. Mr. Underwood has over 22 years of healthcare software experience, and a successful track record of building growth-oriented, client-focused technology businesses for the healthcare industry. Over his career, he has led growth strategies for organizations Speakers ranging from early stage start-ups to large publicly traded companies. Previously, Mr. Underwood was the CEO of Alere Health, a national technology and healthcare services company providing Care Management solutions to large employers and health plans. Prior to becoming CEO, he held roles as President of the Technology Solutions Division and Chief Information Officer. Tom arrived at Alere through its merger with Matria Healthcare where he was President and COO. How Electronic Visit Verification Will Impact Your Organization The 21st Century Cures Act was signed into law last year, and it includes a mandate that all Medicaid reimbursed homecare services must use an Electronic Visit Verification (EVV) solution. While no one is fond of a mandate, perhaps the best approach is to embrace the requirement and let the mandate drive business value that goes beyond simple compliance with the legislation. Based on over 25 years of EVV experience, Tom will share the business value homecare providers have experienced by choosing to embed the technology into their business. Emily Anderson Emily Anderson is currently a Government Affairs Manager with Home Instead. She was also an Associate Attorney at Kutak Rock in Omaha. She collaborates with Home Instead s internal Government Affairs Team and external partners to provide effective advocacy utilizing both grassroots and grasstops advocacy on behalf of franchising, small business, caregivers, aging adults and their families to shape and influence home care policy on local, state, federal and global levels. Emily proactively tracks and monitors legislation in all 50 states and at a federal level in order to collaborate with and empower Home Instead franchisees (more than 650 located in North America) to become an effective advocate. She works cross-departmentally (with interactions ranging from associate level to C-Suite) on a daily basis in order to support Home Instead s network, to create pilot programs to strengthen their advocacy efforts, and works hand-inglove with strategic partners with respect to advocacy and thought leadership. Emily earned a Juris Doctorate from the Creighton University School of Law and a B.S. in Education from the University of Nebraska at Omaha. Government Affairs and Advocacy This presentation will provide an overview of Federal and State Specific Legislation with respect to the Home Care Industry (e.g. Seniors, Caregivers, and Labor/ Employment). This presentation will also provide tools for attendees and toolkits with respect to effective and impactful advocacy.

6 Speakers Jeanne Sexson Jeanne Sexson holds a Master s degree -- emphasis psychology and a Master s Certification in Education. For over thirty years, she has traveled in and out of the continental United States speaking at national, state and regional health industry conventions. She also facilitates leadership training for large corporations, individual facilities and colleges/ universities. Jeanne is an author/illustrator of several motivational books, including her double-award winning book about dealing with loss and change entitled Down But Not Out- -Living through your setbacks, major whacks, and brokenheart attacks and numerous healthcare magazine articles. She was recipient of both the EDIT IT Book Award for Commitment to Achieving Precision in Communication and Mid-America Publisher s Association Award for Illustrating. Her honors and recognitions include Outstanding Creative Woman of the Year and recipient of the National Mental Health Association s Outstanding Service Award. Jeanne is also an accomplished sculptor and photographer. High Impact Leadership Jeanne will present: How to develop a high-impact mindset. High-impact leadership qualities. Five levels of leadership. How to coach versus boss. Leadership vision principles. Creating a leadership vision. How to communicate for results. Lighten Up and Live Combining a mixture of serious thoughts and fun, Lighten Up and Live explores the influences which help us find the upside to a down situation. Learn how the role of humor affects health, productivity and our ability to break the power of the past to get a better grip on present challenges. Laugh and learn as you gain a more realistic balance and perspective for a more gratifying quality of life. Sandy Decker Sandy Decker is the Senior Provider education Consultant with the Provider Outreach and Education team at CGS. She has worked in the home health and hospice nursing fields the majority of her nursing career, including as a former Medical Reviewer with both Medical Review and Appeals at CGS. 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. Sandy has also been a paralegal and business analyst in both Iowa and North Carolina. Home Health Therapy Documentation Learn expectations for document requirements for home health therapy services. Medicare Clinical Updates from CGS Medicare Clinical Updates from CGS session. Cindy Krafft PT, MS, HCS-O Cindy Krafft PT, MS, HCS-O is the CEO of Kornetti & Krafft Health Care Solutions. She brings more than 20 years of home health expertise that ranges from direct patient care to operational/management issues as well as a passion for understanding regulations. For the past 15 years, Cindy has been a nationally recognized educator in the areas of documentation, regulation, therapy utilization and OASIS. She currently serves on multiple Technical Expert Panels with CMS Contractors working on clinical and payment reforms such as bundled payment care initiatives and alternatives to the current relationship between therapy visits and episodic payment. Cindy has been involved at the senior leadership level for the Home Health Section of the American Physical Therapy Association for more than 10 years and is the immediate past president of that organization. Diana (Dee) Kornetti, PT, MA, HCS-O Diana (Dee) Kornetti, PT, MA, HCS-D is the COO of Kornetti & Krafft Health Care Solutions. She has been a physical therapist for 30 years, and is a past administrator and co-owner of a Medicare-certified home health agency. Dee is nationally recognized as a speaker in the areas of home care, standardized tests and measures in the field of physical therapy, therapy training and staff development in the home health arena. Dee is the immediate past Editor of The Quarterly Report, a publication of the American Physical Therapy Association s (APTA) Home Health Section, as well as member of the Home Health Section s Practice and Education Committees. She currently serves the Home Health Section as its President. Dee also currently serves as the President of the Association of Homecare Coding and Compliance, and is a member of

7 Speakers the Association of Home Care Coders Advisory Board and Panel of Experts. Interdisciplinary Care Planning for Therapists in the Home Health Setting The Medicare Payment Advisory Commission (MedPAC) has suggested changes to the PPS system to rely on patient characteristics to set payment for therapy and non-therapy services and should no longer use the number of therapy visits as a payment factor. Industry best practices have consistently focused on the interdisciplinary team as an effective and efficient model for patient-centered care that emphasizes rehospitalization reduction with improved outcomes. However, practice pattern changes have not occurred as consistently as payment changes. Looking toward the future of therapy in the home health setting, there exists a huge opportunity to tap into the skill set of therapists to facilitate increased care management of the chronically compromised, medically complex Medicare population. There is much more than home exercise programs, bathing, swallowing and the ability to walk that comprises physical, occupational and speech therapy services! This session will provide attendees the opportunity to review current evidence-based practice strategies related to therapy use with chronic diseases including, CHF, COPD, diabetes and dementia. Attendees will apply critical thinking skills to case scenarios commonly seen in the home health setting to develop a care plan that demonstrates patient-centeredness reflective of an interdisciplinary approach. Hotel Reservation Information A special discounted rate of $103 plus tax is available by calling (866) and requesting the Nebraska Home Care Association Individual Pay Block. Reservations must be made by January 2, 2018 in order to receive the special rate. Register at or on the next page by January 15, S. 13th St. Lincoln, NE 68508

8 Thursday, January 25, 2018 c # (of representatives from your x $40 Annual Conference Member Registration Legislative Day Nebraska Home Care Association Legislative Day Preparation Live Webinar I am unable to attend the webinar, but would like to receive a recording. (# attending) Vendor Expo Friday, January 26, 2018 (# attending) Yes, I/we will attend the Annual Meeting/Luncheon (included in your registration fee). No, I/we are unable to attend the Annual Meeting Luncheon. c $170 (1st representative from your c $150 (each additional Annual Conference Nebraska Home Care Association Member c $90 (1st representative from your c $70 (each additional Half-Day Conference Option with Annual Business Meeting Luncheon Included c $90 (1st representative from your c $80 (each additional Online registration option for therapists for Sandy Decker s Home Health Therapy Documentation Session c $75 for each member agency representative (flat rate for unlimited number of representatives from you agency/company) Cindy Krafft and Dee Kornetti s live webinar of home health therapy assessments, goals and plans of care In order to receive contact hours for the conference sessions that you are attending, you will be asked to complete a sign-in sheet, evaluation form and a half sheet.

9 Annual Conference Prospective Member Registration Thursday, January 25, 2018 c # (of representatives from your x $40 Legislative Day Nebraska Home Care Association Legislative Day Preparation Live Webinar I am unable to attend the webinar, but would like to receive a recording. (# attending) Vendor Expo Friday, January 26, 2018 (# attending) Yes, I/we will attend the Annual Meeting/Luncheon (included in your registration fee). No, I/we are unable to attend the Annual Meeting Luncheon. c $210 (1st representative from your c $190 (each additional Annual Conference Nebraska Home Care Association Member c $110 (1st representative from your c $90 (each additional Half-Day Conference Option with Annual Business Meeting Luncheon Included c $140 (1st representative from your c $130 (each additional Online registration option for therapists for Sandy Decker s Home Health Therapy Documentation Session c $90 for each member agency representative (flat rate for unlimited number of representatives from you agency/company) Cindy Krafft and Dee Kornetti s live webinar of home health therapy assessments, goals and plans of care In order to receive contact hours for the conference sessions that you are attending, you will be asked to complete a sign-in sheet, evaluation form and a half sheet.

10 1. c Legislative Day c Vendor Expo c Full Conf. c Half-Day Conf. c Online Therapy Webinar w/krafft & Kornetti c Online Sandy Dekcer s Therapy Documentation Session 2. c Legislative Day c Vendor Expo c Full Conf. c Half-Day Conf. c Online Therapy Webinar w/krafft & Kornetti c Online Sandy Dekcer s Therapy Documentation Session 3. c Legislative Day c Vendor Expo c Full Conf. c Half-Day Conf. c Online Therapy Webinar w/krafft & Kornetti c Online Sandy Dekcer s Therapy Documentation Session 4. c Legislative Day c Vendor Expo c Full Conf. c Half-Day Conf. c Online Therapy Webinar w/krafft & Kornetti c Online Sandy Dekcer s Therapy Documentation Session 5. c Legislative Day c Vendor Expo c Full Conf. c Half-Day Conf. c Online Therapy Webinar w/krafft & Kornetti c Online Sandy Dekcer s Therapy Documentation Session Payment Method: c Visa c Mastercard c American Express c Discover c Check (Payable to Nebraska Home Care Association) Note: A $3 credit card processing fee will be assessed on all credit card transactions. When you provide a check as payment, you authorize us either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment, and you will not receive your check back from your financial institution. Registration Form January 25-26, 2018 Attire: Business casual attire is recommended. Event Registrations must be received no later than January 15, Cancellation policy: A 50% fee refund will be given on cancellations submitted to the Nebraska Home Care Association office by January 15, All refunds will be processed after accounts have been completed. Name(s) of Participant(s) and Credentials (if applicable) and please check appropriate box for EACH participant Agency: Address: City: State_: Zip: Phone: Special Dietary Needs: Make checks payable to and remit form to: Nebraska Home Care Association s 1633 Normandy Ct., Suite A s Lincoln, NE Name as it appears on credit card: Account #: Expiration Date: / Sec. Code: Signature: Credit Card Billing Address: Payment Receipt

11 Nebraska Home Care Association APP Download the app, customize your conference schedule, access speaker information and learn about products and services available to your agency or company through our exhibitors and sponsors. Nebraska Home Care Association Calendar of Events April 11, Quality Assurance Performance Improvement (QAPI) and the Home Health Conditions of Participation (CoPS) Webinar at 12:00 pm Central presented by Diane Link June 26, What it Takes to Be the Best Case Manager Webinar at 12:00 pm presented by Diane Link September 5, ICD-10 Coding Conference presented by Lisa Selman-Holman September 6, ICD-10 Home Health Clinicians Conference presented by Theresa Northcutt November 14, What Every Case Manager Needs to Know About Revenue Cycle in Home Health Webinar at 12:00 pm presented by Diane Link

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