Thank You

Thank you to everyone who attended the 51st HCAW Annual Conference at the Hotel 116 in Bellevue, April 30 - May 2, 2019! Another year of thought-provoking presentations and productive networking is behind us. We appreciate all of our speakers, sponsors, exhibitors, and attendees for participating.

Award Winners



This year's Awards Luncheon, emceed by Rob Krause, HCAW Past President, provided the opportunity to recognize our real life heroes of our community.....those who are impacting people's lives on a daily basis in the work they do. These awardees are representatives of the 100's of other silent heroes in the field; their stories remind us of the importance of home healthcare and the importance to continue our efforts to ensure access to this care for the residents of our state. Please join us in honoring this year's award winners!

PHYSICIAN OF THE YEAR
Dr. Tom Schaaf
Providence Senior and Community Services


Dr. Schaaf was recently named chief medical officer (CMO) for Providence Senior and Community Services throughout Washington. In this newly-created role, Dr. Schaaf will work with Providence hospitals and medical groups to improve care for patients with complex illnesses and for patients after they are discharged from the hospital. He will focus on simplifying ways for Prov’s health care partners to refer patients to its ministries. This includes problem-solving with those partners on communication and coordination of care and implementing EPIC tools to make the post-acute medical records more easily accessible to primary care providers and specialty groups.

Dr. Schaaf will also work with the various Providence Health & Services Institutes to integrate continuum services into the System’s care pathways. And, he will continue serving as the medical director for PSCS’s Home Health service line as part of his new CMO role.

A Spokane-based family physician, Dr. Schaaf has been on staff at Providence hospitals in Spokane since 1992. He joined Providence Medical Group in 2014 as medical director of Providence Saint Joseph Care Center in Spokane.

As if all this weren’t enough, Dr. Schaaf also serves as the second vice president of the Washington State Medical Association.

In her nomination of him, Rachel Manchester applauds Dr. Schaaf’s boundless energy and his passion for home health and hospice patients. Even in his CMO role, he values direct patient care and continues to take shifts at the Everett inpatient hospice care center. Dr. Schaaf oversees all care continuum doctors and works tirelessly to employ evidence-based practice to assure the best care possible for patients.

The Home Care Association of Washington is proud to recognize Dr. Tom Schaaf for his leadership, skill, and service, and we congratulate him for his new role.


HOME CARE AIDE OF THE YEAR
Amanda Grice
Community Home Health & Hospice


Amanda has been with Community Home Health & Hospice for more than five years. During her tenure with that agency, she has been one of the most consistent and dependable caregivers within its Home Care department. According to her nominator, Donna Wirkkala, Amanda is a self-starter; she’s extremely professional and always willing to go above and beyond what is requested of her. She always completes her tasks and never leaves her client’s homes until the job is done.

Amanda is ever willing to jump in and help out when needed. She has volunteered to work extra shifts when other caregivers have had emergencies, and never has she complained about it. Nor does she complain when the hours might be low, or when she has worked a 12-hour shift and has an extra shift assigned to her the following day. She just does her job with a smile.

Amanda has genuine concern for the people she cares for and they know it. This is clearly reflected in the feedback Community receives from her clients and their families. Here’s what one client had to say:

“Mandy takes her work very seriously. She knows what needs to be done and takes good care of me. She knows more about what needs to be done than I do. She is so helpful and can fix anything. She can show me how to fix a computer problem, fix an error on my cell phone, change a light bulb, change the filter on my heater. She gets my mail, cleans the house, does my laundry, and on and on. She is so conscientious, as well. Besides all that, she is very pleasant to talk to. We have good discussions about the Bible, old movies, and about life in general. She has good common sense about everything. I view her almost as a member of the family…I hope I never lose her as my caregiver.”

The feedback received from her coworkers within the company is equally positive. They see her as a joy to work with and a definite asset for the agency.


SUPPORT STAFF OF THE YEAR
Karen Major
Sunshine Home Health


Before moving to Spokane, Karen worked in a home health agency in Utah as a home health aide, so she was already familiar with home health when she joined Sunshine a couple of years ago. This time, however, she wanted to work in the office.

Karen was hired as receptionist and while she still carries that title, she has become so much more! She is the “go-to” person in the office for clinicians and administrative staff alike. They recognize her as the “face of Sunshine,” since she is the one who greets visitors and vendors as they come in, takes all incoming phone calls, and greets staff when they arrive. Regardless how Karen’s day may be going, she is pure smiles and sunshine to everyone she encounters.

In her nomination, Administrator Gretchen Anderson notes that Karen does a fantastic job of addressing patient concerns as they call in, recognizing when she can handle things on her own and when she may need assistance to address the caller’s needs. She knows how to calm a worried patient or family member, and to assure them that things will be taken care of. She also knows how and when to diplomatically defer unwanted sales calls that come in for the busy admin team! Karen is always professional on the phone and has acquired great knowledge about the inner workings of her agency. When she is in the office, everyone knows operations are in good hands.

Because she is so competent and displays such an eagerness to help, Karen has taken on many additional duties over the past two years. She faxes and tracks orders, communication notes, and summaries to physicians and facilities. She now manages the vacation schedules of all clinical and office staff. She keeps on top of staff birthdays and even goes the extra mile to hand-make cards for each staff birthday, circulate the card, and then see that it is mailed to the staff person’s home! If that weren’t enough, Karen has also been assisting to process new referrals and check insurance eligibility. She goes above-and-beyond, which sometimes means that she stays later than scheduled to get the job done.

Karen’s colleagues recognize her as an invaluable member of the team at Sunshine Home Health. HCAW agrees and is delighted to recognize Karen Major as Support Staff of the Year.


THERAPIST OF THE YEAR
Joanie Howe
EvergreenHealth Home Health


Joanie has 33 years’ experience as a physical therapist and has worked at EvergreenHealth Home Health for the past six years. She brought to Evergreen a level of expertise that not only provides outstanding care to her patients, but also positioned her as a mentor and resource for the Agency.

One unique aspect of Joanie’s time with Evergreen has been her devotion to treating dementia patients. Joanie has a passion for the vulnerable adult – and, specifically, those with dementia. As a result of this interest, in 2017, Joanie requested to attend a Dementia Care Specialist “train the trainer” course in order to become a certified instructor. Her vision was to be able to teach, educate, and train clinicians, using best practice methods, on successful approaches for dementia patients.

Her willingness to teach and share this information not only established a common baseline level of understanding for clinicians, but has also allowed Evergreen staff to all speak the same language when assessing dementia patients and developing appropriate care plans. This collaborative approach has been a benefit to patients and has further strengthened collaboration and teamwork among staff.

This led to Joanie teaching the Dementia Care Specialist class as EvergreenHealth Home Care’s clinical competency for 2018. All clinicians took this course and exam, becoming Certified Dementia Care Specialists – making EvergreenHealth Home Health the only home health agency in Washington to have all 200+ clinicians as Certified Dementia Care Specialists—a proud achievement, indeed, and one that will continue to offer far-reaching benefits for patients and staff.

As Ron Bettencourt noted in his nomination of her, Joanie is an excellent clinician, engaged instructor, mentor, and resource, as well as a tireless advocate for vulnerable adults.


VOLUNTEER OF THE YEAR
Rick Sievers
Community Home Health and Hospice


Sheryl Reeder, Volunteer Coordinator for Community Home Health and Hospice, got the judges’ attention right away with the opening comment that “Generally I do not consider ‘impatience’ a quality I want in a hospice volunteer. However, when we’re discussing Rick Sievers, it is one of many top-notch qualifications that make him an outstanding volunteer.”   

Sheryl goes on to explain that Rick was impressive right from the get-go. His volunteer application indicated he was a massage therapist, ordained minister, YMCA volunteer, journal writing group volunteer, published poet, and former hospice volunteer. He was well-acquainted with hospice care, bereavement, and grief: his partner died in hospice care in 2005.   

Sheryl set up an interview with Rick to discuss volunteer opportunities, and was blown away by his exuberance, thoughtful answers, and his clear desire to step in and help in any way he could. Rick wanted to spend his volunteer time in Community’s brand-new care center, since he lived nearby. With a new facility, it sometimes takes a while for the community to know of its existence, so there were days when there simply weren’t any patients for him to see. Before long, he was coming into Sheryl’s office asking: “What else can I do?” Impatient, this guy. 

A couple of years ago, Community’s home hospice team expressed the need for a volunteer—preferably a man—to spend time with an ALS patient who painstakingly communicated via eye movements and a computer. The patient was in his mid-50’s, highly educated and intelligent, with a wife and daughters in high school and college. Rick was eager to take on the assignment. For 18 months, he provided ongoing respite support for the patient’s wife and family, including neck and shoulder massage for all. As the patient’s ability to communicate declined, Rick sat with him providing compassionate touch, mindful and purposeful presence, reading scripture or favorite poems, often through tears. There’s no doubt that the length and condition of this patient assignment weighed heavily on Rick. And yet… 

…He always wanted to do more. He made it his mission to get the word out about Community’s in-patient facility, its grief support groups, and the need for additional volunteers. He helped promote Community’s Survivors of Suicide class, and went to the local school to talk to school counselors about the agency’s support groups for children and teens.

Rick began volunteering with the agency in March 2017, and, by the time of his nomination, he had already given Community 321 hours (he’s well beyond that now!). Sheryl concludes by noting that in addition to Rick’s welcome impatience, he has an infectious energy and zest for life.    


HOME CARE HERO
Margaret "Dicki" Franklin
Providence Home Health & Hospice


As Zaneta Billyzone notes in her nomination, "Dicki" Franklin is an extraordinary woman. She has been an RN for more than 40 years, and a home health nurse for more than 30 of those years. She is approaching a well-earned retirement at the end of this year. Even after so many years of serving the poorest and most vulnerable patients, Dicki still has the same love, compassion, and zeal for her work and her patients. She has been an amazing mentor and advocate for the nurses in Providence ministries. She has spearheaded new pilot programs, as well as trained numerous nurses as preceptors. All her fellow caregivers admire her wisdom and work ethic.

As a young manager, Zaneta notes that she is in awe of Dicki. Not only has Dicki taken the time to educate, encourage, mentor, and support her fellow caregivers, she has done the same for her manager, also offering words of support and warm hugs.

Zaneta recalled a time when the agency was making some changes to the existing workflow and quite a few team members were disgruntled. Dicki announced that she had something to say, and reminded everyone of why they were doing this work and the importance of the Providence mission. She said that with Home Health, change is inevitable, and ultimately in the best interest of patients. A hush fell over the room as several of her colleagues nodded in agreement. When she spoke, everyone listened; this is the type of respect Dicki warrants. She is a consistent example of love, hard work, compassion, and expert clinical skills. Her retirement will undoubtedly leave a void in many hearts. It’s as if a Superhero and Legend is leaving her post.

HCAW joins Dicki’s colleagues in saying “Well done, Dicki, well done.”


MANAGER OF THE YEAR
Kayla Rojas
Providence Home Health & Hospice


Kayla Rojas came to the Health Connections Program more than 2 years ago. She took a position as a Health Home Care Coordinator, which was a new role for the innovative program. She worked closely with the manager to establish procedures to make the program and its outcomes successful.

After only a year of working together, the manager of the program departed, leaving Kayla to work independently to make sure the fledgling program continued to grow. She boldly took initiative and stepped up as a leader-in-training, supervising new employees as the program continued to expand.

With the manager role vacant, Kayla began mentoring and coaching her Health Connections peers—not always an easy task, as you might imagine. She was able to establish trust and confidence quickly, and the staff knew they could go to her when they needed assistance or had questions. Kayla made home visits with Health Connections staff to coach on how to engage participants who are often resistant to help.

She quickly identified problems with program processes and procedures. The grant funding behind the Health Connections program requires metrics and outcomes to be tracked closely. After changes to the documentation system, Kayla realized that the databases and other systems were not tracking information accurately. She was able to create a fix and coach the staff on both the importance and the skills of tracking these metrics.

In addition to being a great leader for the team, Nominator Carolyn Bonner tells us that Kayla has been a compassionate advocate for the patients and participants enrolled in the Health Connections program. She views her job as eliminating barriers that stand in the way of participants achieving positive health outcomes, and she consistently goes above and beyond to do so. Recently, Kayla enrolled a couple in the program who were living in a hotel and were unable to work or afford medical care. Both individuals had extremely poor vision, but no money or insurance for glasses—this was an obstacle to their getting to doctors’ appointment and applying for work. Kayla diligently worked to find a solution for this couple and was able to secure funding for eyeglasses. With this major barrier removed, the couple continues to work toward overall positive health outcomes.

Health Connections is an innovative and unique program that relies on inventive thinking and problem-solving. Even without a manager in place, Kayla was able to present issues and solutions to the Director and others, thus assuring the program would continue to meet both participants’ needs and grant requirements. Kayla stepped up and demonstrated innovative, creative, and strong leadership.


PATTY MULHERN NURSE OF THE YEAR
Juliet Carreon
Evergreen Health


Since 2010, HCAW’s Nurse of the Year Award has been called the Patty Mulhern Nurse of the Year Award, recognizing the extraordinary contributions Patty Mulhern made to HCAW, to home health, and to the profession of nursing. Her gracious spirit, her infectious laugh, and generous mentorship stay in our hearts and memories. We lost Patty in 2009, yet her spirit lives on in the home health nurses who are passionate about their work and the patients they serve.

Juliet Carreon, RN, has been selected as this year’s recipient of the HCAW Patty Mulhern Nurse of the Year award.

Juliet is a Home Health nurse for EvergreenHealth. She has opted to train in a variety of diverse roles within the Agency. She is an Admission RN, an RN Case Manager, a Float RN and an Intake RN. She is always willing to go where help is needed with a smile on her face. Evergreen receives frequent feedback from her peers, patients and their families praising the quality of care she provides and her kind demeanor.

According to nominator Angie Dawkins, Juliet has had a very challenging year personally, yet she continues fully committed to her work, with a smile and utmost professionalism. She does whatever is needed to make sure patients are getting the care they require in a timely manner.

Patients and families regularly make the effort to call Evergreen’s service line to express their appreciation and gratitude for Juliet’s clinical and professional skills. One example in particular was the wife of a 72-year-old patient who had been in and out of the emergency department and hospital for ongoing abdominal pain and altering mental status. Juliet was the first clinician to see this patient after the Home Health referral. She performed a medication reconciliation and noted many alarming potential interactions. Juliet immediately tried to contact the patient’s physician to address the issue, and was stunningly persistent in her efforts to connect with the doctor. Those efforts resulted in immediate and much-needed medication alterations. As a result, the patient has gone from taking 18 medications to 10 medications and his ongoing issues with abdominal pain and altered mental status have been entirely resolved. The patient’s wife called into Home Health following discharge to express how much Juliet’s care and attention to detail had impacted her and her husband’s life. Quoting the spouse, Juliet “truly saved his life and, in turn, saved mine.”

It is indeed a pleasure to recognize Juliet Carreon as the Patty Mulhern Nurse of the Year for 2019.


WIZARD AWARD
Leslie Emerick
HCAW


Since 1991, it has been a tradition of the Home Care Association of Washington that each year the President recognizes one member for outstanding and remarkable service to the Association and to the home care industry in our State. The award is given to someone who of the word wizard is expert in their field and is extremely skilled in or knowledgeable about the industry. That individual is designated as the “Wizard,” and is given possession of the Wizard “traveling trophy” for the year that follows. At the end of every year this person relinquishes the award to the next winner.

This year the person that I have selected is someone that is known not only to our board but to our members as well and the state’s healthcare industry. It gives me great pleasure to announce that our Wizard Award recipient for 2019 is Leslie Emerick. Leslie if you could make your way here while we talk about you a bit.

Leslie serves as the conductor for the state as it relates to legislation, initiatives, studies and community discussions. This year she has spear headed the creation of Bill SB 5828 which as you are aware proposed to have Medicaid rates mirror Medicare rates. This is a testimony to her tenacity and innovation in looking for the next opportunity to move us forward.

While it is her job to be our lobbyist she continually goes above and beyond looking for places to form alliances and pulls us in sometimes in a moment notice for testimony or phone calls or whatever means she deems necessary to either support or fight against issues that are vital to the ability for us to care for our patients.


Thank You to Our Vendors

Exhibitors

 
 



Sponsors

 

 


Program:


7:00am Registration Opens
8:00 - 11:30am Home Health OASIS and Quality Measures and Reports
11:30am - 12:30pm Lunch
12:30 - 4:00pm OASIS D Review

7:30am Registration Opens
8:30 - 8:45am Opening Remarks
8:45 - 9:45am "Leading in Times of Change" with Scott Carbonara, Keynote Presenter
9:45 - 10:15am Break
10:15 - 11:15am "Sepsis" with Patricia Howell, RN, BSN, WCC, CFCS "Palliative Pilot" with Barbara Walker, MD and Julie Johnson, LicSW "ADR Process" with Ginny Kenyon, RN, MN and Shelly Barrett, MBA, BSN, RN, ET, CWCN, LMT
11:15 - 11:30am Break
11:30am - 12:30pm "OASIS Updates & Hot Topics" with Jane Hawk, DNP, RN "Quality Cycle Management: It’s the Journey Not the Destination" with Laura Page-Greifinger RN, BSN, MPA and Tom Cannon "Navigating Telehealth: Success & Pitfalls" with Rich Curry and Brent Korte
12:30 - 2:00pm Lunch with Exhibitors
2:00 - 3:00pm "Continuing to Ignite Employee Engagement in Times of Change" with Scott Carbonara "Item-Specific Coding in the Hospice Item Set" with Kathie Belsky, RN, BSN "Advance Care Plan" with Laurel Jackson
3:00 - 3:30pm Break
3:300 - 4:30pm "Bed Bug Basics for Homecare" with Becca Bartles "HHVBP – Deep Dive into the Data and CY 2019 Changes" with Christopher Attaya, MBA, FHFMA "VBP for Home Health and Legislative Policy Update: How state public policy impacts you!" with Leslie Emerick, MPA
4:30 - 6:00pm Silent Auction & Networking

7:30 - 8:30am Breakfast Business Meeting
8:30 - 10:00am "Home Care and Hospice: A View from Washington 2019" with William A. Dombi, Esq., Keynote Speaker
10:00 - 10:15am "Washington State Legislative & Regulatory Update" with Leslie Emerick, MPA
10:15 - 10:30am Break
10:30 - 11:30am "PDGM – The Who, What, Why, What Now, and How: Part I" with Nick Seabrook "Medicare Advantage Opportunities" with Ginny Kenyon, RN, MN and Nick Johnson
11:30 - 11:45am Break
11:45am - 12:45pm "The Who, What, Why, What Now, and How: Part II" with Nick Seabrook "Is Your Business Adapting To Change?" with John Marshall
12:45 - 2:30pm Awards Luncheon

Speakers:

Linda is a physical therapist with a Masters in Health Sciences. She has worked in the home health industry since 1988, is a nationally recognized expert on OASIS, the Hospice Item Set and quality measurement and improvement. She also serves the Centers for Medicare & Medicaid Services (CMS) and its contractors, assisting in home health and hospice quality measures development, data set refinement, and maintenance and updating of Guidance Manuals and other key provider education resources for the Hospice Item Set and OASIS. She provides oversight and subject matter expertise to manage contracts for CMS’s Home Health Quality Reporting Program, CMS’s Hospice Quality Reporting Program, and the CMS Home Health Value Based Purchasing Technical Assistance Contract. She served as the President and a Founding Member of the OASIS Certificate and Competency Board (OCCB) and continues to oversee the COS-C Exam as Chair of the Exam Review Task Force. Linda is President and Founder of OASIS Answers, Inc.

Tuesday, April 30th | 8:00am - 4:00pm
Home Health Quality Reporting and OASIS
2019 brings many changes to the Home Health Quality Reporting Program (HHQRP) and the OASIS. This workshop provides an overview of the new OASIS-D, including new guidance and resources to improve accuracy with new function and falls items. Gain a better understanding of recent changes to the One Clinician Convention, and consideration for implementation in your agency.

Learn how CMS uses your OASIS data to measure, report and compare the quality of your home health agency. Gain a better understanding of OASIS and Claims-based measures, the CASPER reporting resources, Home Health Compare and the Quality of Patient Care Star Ratings. Learn about critical changes to the Home Health Quality Reporting Program, and what to expect in 2019 and beyond.

Learning Objectives:
  • Understand the new OASIS-D changes
  • Describe CMS data collection guidance for OASIS “GG” and “J” items
  • Identify resources explaining the one clinician convention expansion
  • Describe types and calculation methods for OASIS-based and Claims-based quality measures
  • Understand how the Quality of Patient Care Star Rating is calculated and its role in the HHQRP
  • Recognize new 2019 quality measures and changes to Home Health Compare and CASPER Reports.

Marian is a registered nurse with over 25 years of experience in home health, hospice, and community-based services. Marian served as the Director for the Home Health Quality Improvement Organization Support Center (QIOSC) for Pennsylvania's Quality Improvement Organization (QIO), and served as Director for the 2007 Home Health Quality Improvement National Campaign to reduce avoidable hospitalizations. As a recognized expert in developing and supporting quality improvement activities at the local, state and national levels, Marian has served on numerous CMS technical expert panels and quality improvement committees. She currently supports OAI’s Post Acute Care initiatives, including providing subject matter expertise to OAI’s CMS contract work and OAI’s provider quality initiatives. Marian holds the Certificate for OASIS Specialist-Clinical (COS-C) designation and serves as Senior Director of Quality and Innovation with OASIS Answers, Inc.

Tuesday, April 30th | 8:00am - 4:00pm
Home Health Quality Reporting and OASIS
2019 brings many changes to the Home Health Quality Reporting Program (HHQRP) and the OASIS. This workshop provides an overview of the new OASIS-D, including new guidance and resources to improve accuracy with new function and falls items. Gain a better understanding of recent changes to the One Clinician Convention, and consideration for implementation in your agency.

Learn how CMS uses your OASIS data to measure, report and compare the quality of your home health agency. Gain a better understanding of OASIS and Claims-based measures, the CASPER reporting resources, Home Health Compare and the Quality of Patient Care Star Ratings. Learn about critical changes to the Home Health Quality Reporting Program, and what to expect in 2019 and beyond.

Learning Objectives:
  • Understand the new OASIS-D changes
  • Describe CMS data collection guidance for OASIS “GG” and “J” items
  • Identify resources explaining the one clinician convention expansion
  • Describe types and calculation methods for OASIS-based and Claims-based quality measures
  • Understand how the Quality of Patient Care Star Rating is calculated and its role in the HHQRP
  • Recognize new 2019 quality measures and changes to Home Health Compare and CASPER Reports.

Scott Carbonara is a keynote speaker, author, and consultant who is passionate about engaging a company’s greatest asset: its people. Known as “The Leadership Therapist” for his diverse background–from serving as an award-winning crisis counselor, to executive chief-of-staff of a multi-billion-dollar company—Scott has spoken for such esteemed groups as SAS, Wal-Mart, AT&T Global, multiple healthcare systems, and the federal government. He is the author of several leadership books including A Manager’s Guide to Employee Engagement (McGraw Hill). Scott breathes life into topics including employee engagement, culture, change management, communication, and customer service.

Wednesday, May 1st | 8:45 - 9:45am
Leading in Times of Change: Thriving in Uncertainty
Back when you learned to drive a car, you were taught to approach every green light with the awareness that the light could change at any moment. So then why are there so many accidents at intersections? It’s because even when we anticipate and expect change, we are often caught off guard by it. And that hold especially true of our emotions when the status quo changes to the “world of the unknown.”

Want to become more effective in your change efforts? Learn the researched-backed tips for navigating this process—learn how to connect, collaborate, and integrate lessons from the people-side of change. Participants will learn:
  • Why acceptance is not the desired end state during change
  • How to foster a culture that thrives through change
  • Five practical tools to staying resilient through change

Sponsored by:


Wednesday, May 1st | 2:00 - 3:00pm
Continuing to Ignite Employee Engagement in Times of Change
When an organization is going through times of change, leaders need to be more engaged then ever. But do you know who else has to step up? Every employee! After all, there are more employees than leaders. Besides, employees spend more time with each other than they do with leadership.

In this practical, interactive, and research-based session, participants will learn how to use the W.H.I.P. with each other. It’s not as violent as it sounds. It just means you have to use What you Have In your Possession: your ears, heart, compassion, encouragement, and positivity. Put positive psychology tool to use so you can help support one another regardless of what change is happening in front you and your organization! As a result of this session, participants will learn how to:
  • Actively listen using more than just their ears
  • Understand the body language of others as well as how to check their own behaviors
  • Offer constructive, positive perspectives in times of change to combat the “gloom-n-doom” mindset

Patricia Howell RN, BSN, WCC, CFCS is a Clinical Support Manager for McKesson Medical Surgical and has recently received her wound and foot care certification. She has been working in the post acute care market for the last 27 years with an emphasis in Regulatory Compliance, Infection Prevention and Quality Assurance Performance Improvement.

Wednesday, May 1st | 10:15 - 11:15am
Sepsis
What you do as a nurse matters. 80% of Sepsis cases occur in the community or individuals home. This program will give you the tools you need to change patient outcomes through early recognition of sepsis making sure the patient gets the tretament they when they need it.

I am a West Coast transplant from Kentucky. Over the past 29 years, I have worked in medical social work spanning the age range, the last 13 years in hospice. After my mother died of Alzheimer’s in 2010, I became committed to improving end of life care for people with dementia and their families.

Wednesday, May 1st | 10:15 - 11:15am
Palliative Pilot
Discussion about a model of palliative care for patients with advanced dementia in their home setting using a multi-disciplinary team. We will discuss the usual clinical progression of dementia, prognosis, end of life planning, the role of hospitalizations, and care planning for this vulnerable group of patients.

I was born and raised in Seattle, I graduated from Ballard High School. I first trained as a nurse and then went to Medical School at the University of Washington. I currently am a home hospice and palliative care physician for Kaiser Permanente Washington. I really enjoy taking care of patients with dementia and I hope we can create better care models to provide for these patients at the end of life.

Wednesday, May 1st | 10:15 - 11:15am
Palliative Pilot
Discussion about a model of palliative care for patients with advanced dementia in their home setting using a multi-disciplinary team. We will discuss the usual clinical progression of dementia, prognosis, end of life planning, the role of hospitalizations, and care planning for this vulnerable group of patients.

Ginny Kenyon is Founder and Principal of Kenyon HomeCare Consulting, LLC, a consultancy firm that helps home health care starts-ups and organizations in all stages of transition enjoy long-term, sustainable business success. Focusing on Medicare-certified home health, hospice, and private pay agencies Kenyon HomeCare Consulting services range from start- up services to interim management for agencies with administrative vacancies and or in need of “turn around” services, organizational assessments, and due diligence for potential purchase, ICD-10 Coding services and Nurse Expert witness for attorneys and chronic disease education to advance the practice of nurses and aides.

Wednesday, May 1st | 10:15 - 11:15am
ADR Process
Presenting with Shelly Barrett, MBA, BSN, RN, ET, CWCN, LMT
As Medicare and the entire health care industry focuses on value based purchasing, there is a drive to assure that Medicare in particular is getting the value for the dollars they are spending. Additional Data Requests [ADRs] is one way they are using to determine if they are achieving what the Medicare Home Health rule intended. This presentation will discuss the reasoning behind ADRs and what they are currently finding. We will discuss the step by step process for responding to and collecting the withheld money and how to avoid ADRs in the future.

Shelly has 28 years in the hospice and home health industry ranging from clinical hands on care to senior management of an agency of 10 home health/ hospice branches, 2 adult day facilities, 2 inpatient hospice centers, and private duty out of all branches/ sub-units. Functioning as Vice President of Operations, Shelly functioned as the highest clinical administrator of the agency. Shelly can assist with preparation for accreditation/ survey with CHAP. She can assist with clinical and regulatory issues as well as personnel management. She has experience adding additional branches/ sub-units. Shelly can assist agencies with completing ADR’s and other clinical audits successfully. Shelly functions as an expert nurse witness in legal matters. Shelly has functioned on behalf of both plaintiffs and defendants in cases involving malpractice and fraud to clinical documentation review, preparation of legal documents, depositions, and testimony on behalf of the clients

Wednesday, May 1st | 10:15 - 11:15am
ADR Process
Presenting with Ginny Kenyon, RN, MN
As Medicare and the entire health care industry focuses on value based purchasing, there is a drive to assure that Medicare in particular is getting the value for the dollars they are spending. Additional Data Requests [ADRs] is one way they are using to determine if they are achieving what the Medicare Home Health rule intended. This presentation will discuss the reasoning behind ADRs and what they are currently finding. We will discuss the step by step process for responding to and collecting the withheld money and how to avoid ADRs in the future.

Jane has worked at the Washington State Department of Health as the state’s OASIS Education/Automation Coordinator and as a health care facilities Surveyor since 2010. She received her BSN from DePauw University in Greencastle, IN, MSN from the University of New Mexico in Albuquerque, NM, and DNP from the University of Washington, Seattle, WA.

Wednesday, May 1st | 11:30am - 12:30pm
OASIS Updates & Hot Topics
This informative session will discuss recent OASIS updates and current OASIS hot topics that include:
  • Expansion of the one clinician rule for data collection
  • Timeliness of Care quality measure
  • Physician-ordered ROC date
  • M1311 and quality measure calculations
  • Section J: Health Conditions
  • GG items
  • Drug Regimen Review

Laura Page-Greifinger, RN, BSN, MPA has more than 30 years of experience in senior-level healthcare management experience, including the development of multiple new programs and the provision of a variety of services and programs resulting in positive client outcomes. These services encompassed integrated health care services designed to mesh with individual operating entities’ missions and goals. At times these programs were the first of their kind in a region, necessitating education at all levels of professionals and community organizations, as well the education of referral inlets. Laura’s focus is post-acute organizational structure, the education and support of staff needed to succeed in this structure, key indicator development, quality outcomes for patients within the structure, project management, financial analysis, and profitability. This is the basis for QIRT’s quality cycle management (QCM©) approach to post-acute organizational support: a reimagining of operations from end-to-end.

Laura, founder and principle of QIRT, has served on multiple boards of directors and has been faculty for Community Health Programs at the baccalaureate and graduate level. The most current years of Laura’s career have been devoted to consulting with corporate entities to lay the foundation for industry success.

Laura’s extensive experience in the post-acute health care field has given her expert perspective on processes and an understanding of the uniqueness of each agency, clinician, and patient.

Wednesday, May 1st | 11:30am - 12:30pm
Quality Cycle Management: It’s the Journey Not the Destination
Presenting with Tom Cannon
Agencies are being asked to do more with less: resources, time, people. With QCM in place, agencies can get to a place to always be able to proactively respond for change and be ready well before the change occurs. With best practice work flows in place through QCM, it becomes easier to target the work flows that need to be modified, changed or discarded with every new change that will come through for home health from insurers, patients, regulations, etc. Implementing workflows with appropriate tools and agency practice will allow the agency to maintain and sustain compliance and improvement as the journey continues.

Tom Cannon, MBA graduated from the University of Delaware with a BSBA in Finance and Economics in 1998 and received his MBA in Computer Information Systems from St. John’s University in 2011. Tom prides himself on his professional goal: to support the work of the company's chief executive officer focusing on the establishment and optimization of day-to-day operations in the company. He oversees IT, Sales, Marketing, and Customer Service.

Wednesday, May 1st | 11:30am - 12:30pm
Quality Cycle Management: It’s the Journey Not the Destination
Presenting with Laura Page-Greifinger, RN, BSN, MPA
Agencies are being asked to do more with less: resources, time, people. With QCM in place, agencies can get to a place to always be able to proactively respond for change and be ready well before the change occurs. With best practice work flows in place through QCM, it becomes easier to target the work flows that need to be modified, changed or discarded with every new change that will come through for home health from insurers, patients, regulations, etc. Implementing workflows with appropriate tools and agency practice will allow the agency to maintain and sustain compliance and improvement as the journey continues.

Rich Curry has 14+ years’ experience as a home health physical therapist and has been the VP of Business Development for 4 1/2 years with Health Recovery Solutions (HRS), a telehealth company that works with over 120+ home health agencies & hospitals in 36 states. Besides growing their customer base and developing business relations in the home health industry, he has also helped directly support agencies’ telehealth programs by developing research-based approaches for various post-acute programs.

Wednesday, May 1st | 11:30am - 12:30pm
Navigating Telehealth: Success & Pitfalls
Presenting with Brent Korte
Rich Curry, VP of Business Development at HRS and Brent Korte, Executive Director and HCAW Ex-Officio Board Member, will discuss trends in telehealth innovation and how to (and not to) implement a telehealth solution in your agency.

Brent Korte has been in the home care since 2001, overseeing home care operations for providers in Washington, Colorado, Idaho and Oregon. He has held leadership positions in multiple deliveries of home care, including geriatric care, pediatric nursing, home health, hospice, private duty, telehealth and community wellness. Brent started at EvergreenHealth in 2013 and has worked to build a foundation around quality while staying ahead of the home health industry’s ever-changing regulations. Currently, his strategic focus is around innovating to meet the needs of pay for performance standards, bundled payments and telehealth. Brent serves on the boards of the Northshore Senior Center, Home Care Association of WA and National Association for Home Care and Hospice.

Wednesday, May 1st | 11:30am - 12:30pm
Navigating Telehealth: Success & Pitfalls
Presenting with Rich Curry
Rich Curry, VP of Business Development at HRS and Brent Korte, Executive Director and HCAW Ex-Officio Board Member, will discuss trends in telehealth innovation and how to (and not to) implement a telehealth solution in your agency.

Kathleen “Kathie” is a registered nurse and has been practicing in hospice and home health since 1993. She has extensive hospice clinical, quality and leadership expertise. Kathie has been instrumental in developing, implementing, and improving clinical and operational processes for multiple community-based hospices. Her expertise includes providing guidance for hospice regulatory requirements, including licensure and accreditation. She is known as a champion for advancing quality of care for hospice patients and families and has been a leader in hospice initiatives within her local community, as well as at the state and national level. Kathie provides clinical and content expertise and management support to lead OAI’s CMS Hospice Quality Reporting Contract and HIS/HQRP Help Desk work.

Wednesday, May 1st | 2:00 - 3:00pm
Item-Specific Coding in the Hospice Item Set
HIS is one of the main data sources for quality measures that are reported on Hospice Compare. This session offers tips to help with HIS item specific coding, quality measure specification calculation using HIS item coding and ways to integrate Hospice Quality Reporting Program (HQR) resources into your hospice practice for Hospice Compare success Learning Objectives:
  • Accurately complete select HIS items from CMS FAQs
  • Define HIS completion deadline vs Quality Measure Credit
  • Describe quality measure specifications and their impact on Hospice Compare scores
  • Identify strategies for success and improvement of HIS data collection and HQRP resources that will help to improve patient assessment and quality reporting

Rebecca (Becca) Bartles is the system director of infection prevention for Providence St. Joseph Health System. Becca has practiced Infection Prevention for the last 14 years in a variety of healthcare settings. She received both her BS in Public Health, Health Education and her MPH in Epidemiology from East TN State University. She is currently working towards her Doctorate in Public Health while teaching courses for a Masters in Infection Prevention degree program at the University of Providence. Becca has been CIC certified since 2008 and is an APIC fellow. Most notably, though, Becca is the mother of four beautiful daughters, ages 4-20.

Wednesday, May 1st | 4:00 - 5:00pm
Bed Bug Basics for Homecare
This session is intended to provide home care employees with the tools needed to identify bedbugs and prevent transmission of bedbugs from infested homes. The objectives of this session include: Discuss the epidemiology of Cimex lectularius, the common bedbug, identify a bedbug infestataion, and demonstrate the necessary steps for protecting oneself in a bedbug infested home.

Chris Attaya joined SHP in 2014 after spending 28 years in executive and consulting positions within the Home Health and Hospice industry. In his role, he is responsible for product development and client relationships to help organizations achieve increased operational and financial performance through the use of SHP’s industry leading analytics platform and benchmark data. Prior to SHP, Chris was the CFO at the VNA of Boston and had worked at Partners Health Care at Home as CFO and CEO. He received a B.A. in Public Health from Tufts University and an M.B.A. from the Graduate School of Management at Boston University concentrating in Health Care Finance.

Wednesday, May 1st | 4:00 - 5:00pm
HHVBP – Deep Dive into the Data and CY 2019 Changes
In the CY 2019 Home Health Final Rule, CMS dramatically changed the scoring methodology for the Home Health Value-based Purchasing Program (HHVBP) pilot. The new Composite Measures have not been well defined and the reweighting changes the emphasis of which measures will impact your TPS scores. CMS has also recently provided some additional insights into the HHVBP first year performances. Join our presenter as he takes a deeper dive in the rule changes, insightful TPS analyses, and the trends over the past three years.

Leslie will be discussing the 2019 WA State Legislative Session and the Value Based Purchasing bill that HCAW ran this year to improve Medicine home health rates. She will also be discussing Home Health CON, increasing palliative care in home health, agency rules and how all the pieces of the legislative and public policy puzzle fit together!

Thursday, May 2nd | 8:30 - 10:00 am
Washington State Legislative & Regulatory Update
A WA State Legislative and Regulatory update on the legislation that we are running this session for Medicare Home Health reimbursement (SB 5828), the “Palliative Care Roadmap” budget proviso and a review of other high priority bills that passed during session that will impact home health, home care and hospice. On the state agency regulatory side an update on the Adult Palliative Care rulemaking, Bree Collaborative Palliative Care Workgroup, WA State Hospital Association Readmission Workgroup, Dementia Collaborative and more!

Bill Dombi is the President of the National Association for Home Care & Hospice. He previously served as the Vice President for Law at NAHC beginning in 1987. 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 2010. 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. 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 US 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.

Thursday, May 2nd | 8:30 - 10:00 am
Home Care and Hospice: A View from Washington 2019
One thing that never seems to change is that each year, home care and hospice face many changes. 2019 is no exception. Home health is preparing for a revolutionary new payment model in Medicare while dealing with Value-Based Purchasing, claims audits, and the administration of new Conditions of Participation. Hospice is facing possible “carve-in” of Medicare hospice into Medicare Advantage along with new data requirements, expanded oversight, and public reporting of quality data. On top of all those changes is increasing experimentation with innovative care and payment systems. This program brings the up-to-the-minute legislative, regulatory, and legal overview from DC to the State of Washington.

Sponsored by:

Leslie will be discussing the 2019 WA State Legislative Session and the Value Based Purchasing bill that HCAW ran this year to improve Medicine home health rates. She will also be discussing Home Health CON, increasing palliative care in home health, agency rules and how all the pieces of the legislative and public policy puzzle fit together!

Thursday, May 2nd | 10:15 - 10:30 am
Washington State Legislative & Regulatory Update
A WA State Legislative and Regulatory update on the legislation that we are running this session for Medicare Home Health reimbursement (SB 5828), the “Palliative Care Roadmap” budget proviso and a review of other high priority bills that passed during session that will impact home health, home care and hospice. On the state agency regulatory side an update on the Adult Palliative Care rulemaking, Bree Collaborative Palliative Care Workgroup, WA State Hospital Association Readmission Workgroup, Dementia Collaborative and more!

Nick Seabrook is a Managing Principal of BlackTree Healthcare Consulting, where he develops and implements the company’s strategic goals and initiatives. A Villanova University alumnus, Mr. Seabrook’s personal and professional life have been defined by passion. Whether cheering on the Wildcats, volunteering for a cause with his family, or advocating for home care and hospice agencies alongside industry leaders in Washington, he is consummately involved with his community.

Notably, he is a Member of NJ Homecare Association Billing Managers Group and an Advisory Board Member of HHFMA, where he also serves as Chair for Young Professionals Committee and Chair for Payment and Reimbursement Committee. He has presented at numerous state conferences and several national conferences including the National Association for Home Care & Hospice (NAHC) Financial Managers and Annual Conferences, the National Hospice and Palliative Care Organization (NHPCO), ElevatingHOME, and DecisionHealth.

Mr. Seabrook’s participation in these and many other industry forums and events over the past 18 years have garnered recognition as a leading authority on solutions to the latest operational, clinical, and regulatory challenges.

In 2011, after more than a decade of providing home health and hospice consulting services for a nationally recognized firm, he co-founded BlackTree Healthcare Consulting. In the seven years since its founding, BlackTree has served over 400 clients in all 50 states, including some of the largest agencies in the country. The company was recently listed on Inc. 5000’s Fastest Growing Private Companies for a third consecutive year.
Thursday, May 2nd | 8:30 - 10:00 am
PDGM – The Who, What, Why, What Now, and How: Part I
The home health industry now faces its largest and most expansive payment system overhaul in decades with new regulations poised to change the key indicators that drive Medicare reimbursement. Following the Home Health Groupings Model, the final rule on Patient-Driven Groupings Model (PDGM) will remove direct therapy reimbursement and replace the 60-day payment episode with 30 day periods beginning January 1, 2020. This presentation is designed to provide a full understanding of PDGM, its impact to home health operations, and how your agency can embrace the shift towards this new reimbursement structure. This session will feature content first presented as part of NAHC’s PDGM National Summit.

Thursday, May 2nd | 11:30am - 12:30 pm
The Who, What, Why, What Now, and How: Part II
The home health industry now faces its largest and most expansive payment system overhaul in decades with new regulations poised to change the key indicators that drive Medicare reimbursement. Following the Home Health Groupings Model, the final rule on Patient-Driven Groupings Model (PDGM) will remove direct therapy reimbursement and replace the 60-day payment episode with 30 day periods beginning January 1, 2020. This presentation is designed to provide a full understanding of PDGM, its impact to home health operations, and how your agency can embrace the shift towards this new reimbursement structure. This session will feature content first presented as part of NAHC’s PDGM National Summit.

Ginny Kenyon is Founder and Principal of Kenyon HomeCare Consulting, LLC, a consultancy firm that helps home health care starts-ups and organizations in all stages of transition enjoy long-term, sustainable business success. Focusing on Medicare-certified home health, hospice, and private pay agencies Kenyon HomeCare Consulting services range from start- up services to interim management for agencies with administrative vacancies and or in need of “turn around” services, organizational assessments, and due diligence for potential purchase, ICD-10 Coding services and Nurse Expert witness for attorneys and chronic disease education to advance the practice of nurses and aides.

Thursday, May 2nd | 11:30am - 12:30 pm
Medicare Advantage Opportunities
Presenting with Nick Johnson
Last year CMS announced that they would allow Medicare Advantage plans to expand their services to non- Medicare covered services. This includes what we traditionally call private pay home care and a number of other support services. This session will cover information on the Medicare A plans, how they work and how they get paid. A discussion of the potential types of services will be presented as well as what an agency will need to do to prepare for this and other opportunities.

Nick Johnson is a consulting actuary specializing in healthcare in Milliman’s Seattle office. He joined the firm in 2009. Nick’s primary expertise is in helping clients understand the financial implications of trends and changes in the healthcare delivery system, particularly in Medicare and dual-eligible populations. He has worked with a broad range of clients, including health plans, integrated delivery systems, provider groups, reinsurers, and the Veterans Health Administration. Nick’s primary focus areas are Medicare Advantage and Medicaid Long term Services and Supports and Medicare Advantage

Thursday, May 2nd | 11:30am - 12:30 pm
Medicare Advantage Opportunities
Presenting with Ginny Kenyon, RN, MN
Last year CMS announced that they would allow Medicare Advantage plans to expand their services to non- Medicare covered services. This includes what we traditionally call private pay home care and a number of other support services. This session will cover information on the Medicare A plans, how they work and how they get paid. A discussion of the potential types of services will be presented as well as what an agency will need to do to prepare for this and other opportunities.

Most business leaders are frustrated because they’re stuck doing day-2-day activities. Results Driven teaches a 5-part framework to help them stop feeling overwhelmed, so they can focus, plan and implement to achieve real results. John Marshall created Results Driven over 15 years ago and they’ve trained clients in over 30 industries – including health care. Clients tell Results Driven that they feel metaphorically, that our training feels like we have our arm around their shoulder, guiding them to greater success. They feel more confident. More focused. They have a plan. They also marvel at the transformation in themselves and their business.
Thursday, May 2nd | 11:30am - 12:30 pm
Is Your Business Adapting To Change?
The rate of change today is astronomic — and only increasing in speed. Some health care professionals welcome change and find ways to turn the unexpected into an opportunity for growth. Others simply react. In this interactive presentation, you’ll complete an exercise to rate your present comfort level with change, in 10 key areas. Once you complete this exercise, we’ll have an interactive and engaging small group discussion. Participants will share some of their insights and thoughts on how they view change, and how it’s impacting their business. We’ll also discuss, innovative and creative ideas to embrace change and how these changes can significantly improve your success.

Hotel:

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HCAW was held at the Hotel 116 in Bellevue, WA.

Hotel Address:
Hotel 116
625 116th Ave NE
Bellevue, WA 98004

Contact Us
2311 N 45th St, #337
Seattle, WA 98103
P: (425) 775-8120 | F: (206) 693-4367
info@hcaw.org | www.hcaw.org

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