Athena Forum Institute Home Health Workforce Performance 21 st Century Training for Healthcare Professionals
The Journey of Workforce Performance Begins on Athena Forum. Dear Care Director in Home Health, Our philosophy is that a care director can achieve goals at a faster rate with a better educated staff. Our thanks to all the care directors who contributed to this presentation. Welcome! TOM RASMUSSEN Thomas A. Rasmussen CEO & Publisher Senior Fellow, Jefferson School of Population Health tom@athenaforum.com Home Health Workforce Performance 2
Human Capital Knowledge workers need knowledge. Knowledge workers are different from factory workers. Knowledge workers can advance the strategic direction of your business. Peter Drucker The Essential Drucker Valuing workforce members is one of our essential criteria for winning the Baldrige National Quality Award for health care companies. Spokesperson Baldrige National Quality Award Office National Institutes for Standards & Technology U.S. Dept of Commerce 2015 Home Health Workforce Performance 3
Athena Forum Training Supports CMS.gov Goals CMS.gov goals: Making Americans healthier by preventing illness Coordinating better care Lowering costs of care Home Health Workforce Performance 4
Athena Forum Supports Your Triple Aim Goals Institute of Healthcare Improvement (IHI) Triple Aim: 1. Improving the patient experience of care (including quality and satisfaction);; 2. Improving the health of populations;; and 3. Reducing the per capita cost of health care. Home Health Workforce Performance 5
Athena Forum Design Athena Forum Institute was designed in 2008 by 400 care executives from population health companies including: Aetna, Allina Health, Anthem, CIGNA, Humana, Intermountain Healthcare, Dartmouth-Hitchcock, SutterHealth and others. Athena Forum has 3 features to improve organizational performance: 1. Management Tool: Care directors assign courses to steer the team to company priorities. 2. CE Machine for Staff: Staff love Athena Forum for 700 CE accessible from any computer. 3. Clinical Reference Tool: 7,000 page curriculum is searchable ( 21 st Century PDR ) Home Health Workforce Performance 6
Athena Forum Course Catalog 7,000 Pages Care Management Series Behavioral Health Series Care Management Express - Abuse: Child Abuse, Elder Abuse, Domestic Violence Discharge Planning - Depression Ethics in Case Management - Harm Risk Behaviors & Suicide Prevention Hospital Revenue Cycle Palliative & EOL Care Patient Advocacy Population Health Management Professional Identity UM Clinical Care Series Asthma - Heart Failure COPD - Obesity Management CV Risk: Stroke & MI - Pain Management Diabetes - Sepsis Care & Resource Management Ebola Care - Wound Care & Payments GI Disorders Home Health Workforce Performance 7
Define Management! Management is getting work done through others. Home Health Nurses & RN Care Coordinators Care Director Social Workers Care Coordinators Pharmacist Care Coordinators Home Health Workforce Performance 8
The Education Multiplier Effect When ONE nurse completes ONE CE course = advancing one s practice. When the ENTIRE team completes the same course = improving organizational performance. Company directed training is the tide that lifts all boats. Care Director Shreveport, LA Home Health Workforce Performance 9
Workforce Performance Home Health Workforce Performance 10
Athena Forum Provides 80% of Staff Educational Requirements to Comply with CMS Measures in Home Health Care CMS.gov Measures What is Measured Athena Forum Courses Addressing Heart Failure symptoms How often the home health team treated HF symptoms. Improving Outcomes in HF Care Diabetes: implementing How often the home health team got doctors orders, Improving Outcomes in Diabetes Foot care & diabetic pt ed. gave foot care, and taught patients about foot care. Pain Assessment How often the home health team checked pts for pain. Improving Outcomes in Pain Mgmt Depression Assessment How often the home health team checked pts for dep. Improving Outcomes in Depression Care Planning for Risk of How often the home health team checked pts for the Improving Outcomes in Wound Care Pressure Ulcers risk of developing pressure ulcers. [end partial listing] Home Health Workforce Performance 11
Pricing Athena Forum Tuitions: Enroll 1 to 19 care coordinators $125.00 per person, per year Enroll 20 to 49 $ 95.00 Enroll 50 to 99 $ 75.00 Enroll 100 to 499 $ 65.00 Enroll 500 + $ 35.00 Features: 1. All tuitions are paid by the company, 2. The company can add or delete personnel at any time;; we pro-rate tuitions on a monthly schedule, 3. Each tuition is a flat rate with no other charges;; all CE certificates are included, 4. Each enrollee has 24/7 access to all 7,000 pages, all 700 CE certs, from any computer, 5. All CCM CE are pre-approved and pre-paid;; 160 CCM CE volume equals 200% of the 5 year CCM credential renewal, 6. RN and Social Work CE represents a 100% volume of license renewals in all 50 states, 7. ACO management personnel (up to 5 managers) can be enrolled on a complimentary account. Home Health Workforce Performance 12
ROI Discussion We forecast a 100 X ROI for one $65 Athena tuition. The ROI is expressed as forecasting ~ $6,500 in reduced hospitalizations in a year. Assume one nurse gains better health coaching skills from the education. Assume that same nurse helps only ONE senior to asthma-proof her home and avoid one asthma hospitalization in that year. The ROI of avoiding one hospital admit at $6,500 is then 100 X the Athena tuition of $65.00. Scale it to 100 nurses and we re saving about $650,000 a year. And this could be conservative. Medical Director Home Health ME Our nurses are accessing Athena Forum courses all over town from their ipads at Starbucks -- or from home computers in the evening. This is 21 st Century convenient and saving us training dollars. Plus morale is way up. Care Director Allina Health, MN Our ROI is to train people so we can protect our $200Million contract with Medicare. Our front line people are assigned courses on Athena to support our compliance with CMS.gov. Vice President Finance PeaceBridge Health, WA Home Health Workforce Performance 13
Sample Implementation Memo MEMO TO: Home Health Nurses FROM: Care Director DATE: January 1, 2015 SUBJECT: Staff Performance Program with Athena Forum As mentioned, we re launching a new staff development program on Athena Forum.com. This is a mandatory program for all staff and will improve our patient care. This is also a new and free employee benefit giving you plenty of RN CE for your license. We ll discuss each monthly topic at our WED conference calls. Please email your CE certs from Athena Forum to Tiffany before calls. 2015 Athena Forum Course Advancing our Home Health Practices JAN Diabetes We have a great opportunity to improve our diabetes assessments and reduce complications. Mod B: Assessments We ll discuss at our WED call JAN 28 th. Print pages 7 & 8 on diabetes diagnostic criteria. FEB Professional Identity Improving our emotional intelligence is an important skill set when working with some of our Mod C: Emotional Intelligences difficult patients and families. EI helps us manage our own emotions in the care setting and also helps us provide emotional support for pts and families. Discuss: WED FEB 28 th. MAR Heart Failure Management 1 HF care is complex and expensive. The better we assess our HF pts the better care we Mod B: HF Assessment provide. Print the page of Family History Pertinent to HF. Discuss at WED MAR 25 th. Home Health Workforce Performance 14
Benefits of workforce development Care directors report these benefits: 1. Higher core competencies of front line nurses 2. Improved morale 3. Improved focus on priorities 4. Better sense of teamwork 5. Leveraged time of leadership and clinical educators Home Health Workforce Performance 15
Athena Forum Care Management Series Slide 1 of 2 CM Express [for new hires] Mod A: Essentials of Case Management Mod B: Importance of Claims Mod C: Resource Management Mod D: Transitions of Care / Patient Experience Discharge Planning Mod A: Philosophy & Standards Mod B: Patient Centered Approach to DP Mod C: External Forces in DP Ethics in Case Management Mod A: Ethical Standards of Practice Mod B: CM Ethics in the Hospital Setting Mod C: Ethics in the Telecare Era Mod D: Ethics in Large Corporate Cultures Mod E: Ethics in the Community Health Setting Establishing Your Professional Identity Mod A: Essentials Mod B: Critical Thinking Mod C: Emotional Intelligence Mod D: Conflict Resolution Mod E: Leadership Mod F: Difficult People Hospital Revenue Cycle Mod A: Industry Cash Flow Mod B: Hospital Cash Flow: Claims, RAC, Avoidable Days Patient Advocacy Mod A: Advocacy & Care Management Mod B: Right Care Guidelines for our Patients Mod C: Key Components to Care Success Home Health Workforce Performance 16
Athena Forum Care Management Series Part 2 of 2 Population Healthcare Mod A: Prior Authorizations Mod B: Concurrent Review Mod C: Transitions of Care Principles of Case Management Mod A: Principles Mod B: Access Management & UM Mod C: ED Care Management CM Power [for advanced care coordinators] Mod A: Achieving the 6 Attributes of a High Performance Case Manager Mod B: Improving the Financial Performance of our Hospital thro CM Mod C: Optimizing Stakeholder Collaboration in the CM Sphere Mod D: Mastering Our Hospital s Strategy in Patient Engagement UM Mod A: Standards & Regulations in UM Mod B: Payers, Contracting & UM Mod C: Quality of Care & UM Home Health Workforce Performance 17
Athena Forum Clinical Care Series Slide 1 of 3 Asthma Mod A: Prevalence & Pathophysiology Mod B: Assessment Mod C: Treatment Mod D: Care Manager s Role in Asthma Colorectal Cancer Mod A: Prevalence & Pathophysiology Mod B: Symptoms & Management Mod C: Treatments & Interventions COPD Mod A: Prevalence & Pathophysiology Mod B: Assessments & Complications Mod C: Pharmacologics in COPD Mod D: Care Manger s Role Mod E: Pneumonia CV Risk: Stroke & MI Mod A: Prevalence & Pathophysiology Mod B: Stroke & The Care Manager s Role Mod C: MI & The Care Manager s Role Diabetes Mod A: Therapies Mod B: Assessments & Complications Mod C: Pharmacologic in Diabetes Care Mod D: Standards of Medical Care EOL & Palliative Care Modules A-E Symptom Management & CM Role EOL Care Ebola Care Management Modules A B & C: Assess, Manage & CM Role Ebola Care COPD rates are rising in women. Home Health Workforce Performance 18
Athena Forum Clinical Care Series Slide 2 of 3 GI Disorders Mod A: Ulcerative Colitis Mod B: Crohn s Disease Mod C: Diverticulitis Heart Failure Mod A: Prevalence & Pathophysiology Mod B: Assessment & Complications Mod C: Treatments & Interventions HF Care Mod D: CM Role in HF Care Multiple Sclerosis Mod A: Prevalence & Pathophysiology Mod B: Symptom Management & Rehab Mod C: Disease & Relapse Management Mod D: Care Manager s Role in MS Obesity Management Mod A: Prevalence & Pathophysiology Mod B: Assessments & Complications Mod C: Treatments & Interventions Mod D: Care Manager s Role in Obesity Management Pain Management Mod A: Pathophysiology of Pain Mod B: Acute Pain Mod C: Chronic Pain Mod D: Types of Chronic Pain Mod E: Cancer Pain Home Health Workforce Performance 19
Athena Forum Clinical Care Series Slide 3 of 3 Rheumatoid Arthritis Mod A: Prevalence & Pathophysiology Mod B: Assessments & Complications Mod C: Treatments & Interventions Mod D: Care Manger s Role Women s Health Mod A: The Perimenopausal Years Mod B: Complications in Menopause Care Mod C: Sexuality in Maturity Mod D: Care Manager s Role Sepsis Care Mod A: Prevalence & Economics Mod B: Pathophysiology & Assessment Mod C: Sources & Predispositions Mod D: Prevention & Treatment Mod E: Care Manager s Role in Sepsis Wound Care Mod A: Prevalence & Pathophysiology Mod B: Assessments & Complications Mod C: Treatments & Interventions Mod D: Prevention Strategies Mod E: Care Manager s Role in Wound Care Home Health Workforce Performance 20
Athena Forum Behavioral Health Series Improving Outcomes in Abuse Management Modules A & B: Domestic Violence Modules C & D Child Abuse Mod E: Elder Abuse Mod F: CM Role in Abuse Management Improving Outcomes in Depression Care Mod A: Prevalence & Impact Mod B: Pathophysiology of Depression Mod C: Non-pharmacological Treatments Mod D: Pharmacology in Depression Care Mod E: CM Role in Depression Care Harm Risk Behaviors & Suicide Prevention Mod A: Prevalence & Societal Impact Mod B: Pathophysiology & Associated Mental Disorders Mod C: Assessment & Prevention Mod D: Treatment Management Mod E: CM Role in Suicide Prevention Home Health Workforce Performance 21
Accreditations: 100% Volume for RN, SW, ACM, CCM Athena Forum offers 700 CE contact hours for RN, Social Work, ACM and CCM professionals. RN: Co-Provider with SutterHealth University by American Nurses Credentialing Center [ANCC] RN California: Approved Provider with California Board of Nursing RN Florida: Approved Provider with the Florida Board of Health in Nursing. Social Work: Approved CE Provider by the NASW, Michigan and California (soon New York). ACM: Approved Provider by the ACMA (American Case Management Association) CCM: Approved Provider of CCM CE by the CCMC (Certified Case Managers Commission) Home Health Workforce Performance 22
What does excellence sound like? Thank you for the training. This is exactly what we needed. CM Director VA Our team is ecstatic to have such an amazing tool at their fingertips. CM Director WY Athena has exceeded our expectations. Keep up the good work! CM Director TX The Athena Forum format is very user friendly. CM Director CA Conversations are getting more professional. Social Workers love this. CM Director IL Athena is our workforce strategy resource. Staff love it. CM Director WA Starbucks is the new Learning Café for our younger gen case managers. CM Director TX Athena is the tide that lifts all boats. CM Director LA Home Health Workforce Performance 23
Contact us: Healthcare Sales Sarah Hill National Director, Healthcare Sales Sarah.Hill@AthenaForum.com Home Health Workforce Performance 24