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2024 Annual Conference Speaker Hub

Sunday, April 28, 2024:

Pre-Conference Workshop – Tense Times: The Past, Present and Future of Value Based Purchasing
Presented by Nick Seabrook & Christy Lang, SimiTree (Sacajawea + Clark Ballroom)

The first national Home Health Value Based Purchasing program performance year has concluded, and home health agencies will see payment adjustments in 2025 based on their performance in the past year. Now is a great time to look back on 2023 to identify lessons that have been learned so strategies can be developed for 2024. This session will review the HHVBP model and metrics included in the Total Performance Score, along with the changes coming in 2025. We will discuss trends that have been identified based on reports released from CMS and what they may mean for your agency. Lastly, we will outline how to determine which measures to focus on as you develop a plan for improvement in 2024. 

Learning Objectives: 

  • Identify which metrics will remain unchanged in 2025.
  • Recall lessons learned from the first HHVBP performance year. 
  • Understand how to prioritize metrics for improvement.

Speakers Include:

Nick Seabrook
BS, Accounting

Nick Seabrook is an EVP with SimiTree. He has worked in the home care industry for nearly 25 years, serving in a variety of financial and revenue cycle roles as a consultant. Nick was a co-founder of BlackTree Healthcare Consulting in 2011 and remained a Managing Principal until the company merged with Simione Healthcare Consultants to form SimiTree in 2021. SimiTree has grown to a company of over 600 full-time employees, providing revenue cycle and coding outsourcing, consulting, data analytics, compliance and talent management services to over 1,000 clients throughout the country.

 

Christine Lang
MBA, Director of Data Analytics for SimiTree

Christy brings more than 25 years of experience in healthcare data analysis, primarily focused on home health and hospice, to her role leading SimiTree’s efforts to increase and improve the use of data in the post-acute care industry through provider data applications and consulting projects. Christy is an active member of the healthcare professional community, serving on a number of NAHC workgroups and committees and frequently presenting on topics that include business intelligence, benchmarking, quality measurement, customer satisfaction and value-based purchasing. Christy earned a Master of Business Administration and a B.A. in political science and mathematics from the University of Washington.

Monday, April 29, 2024:

Breakout Session #1:

A. Beyond the Rates: The Impact of Medicare Advantage Penetration on Agency Operations
Presented by Molly McDonald & Nick Seabrook (Lewis Room)

The penetration of Medicare Advantage has been a disruptor in the home care world, impacting agencies both financially and operationally. This session will explore the effects of Medicare Advantage in all areas of agency operations including revenue cycle, quality, compliance and patient care. The session will also include recommendations for how to adapt to the MA shift and measures your agency should evaluate when considering the impact of the payor shift.

Learning Objectives:

  • Understand the impact of Medicare Advantage on revenue cycle operations (intake, authorizations, billing and collections).
  • Educate on the impact on quality and compliance.
  • Discuss the impact on care planning, patient satisfaction and overall patient care.

Speakers Include:

Molly McDonald
PT, DPT, COS-C

Molly has a 17-year history of working in the Home Care industry. A majority of that time has been leading work specifically in quality and regulatory compliance. Molly’s current role as the VP of Quality and Compliance for Frontpoint Health has a focus on building sound quality and compliance strategies in the growing Medicare Advantage landscape. Her goals are centered around ensuring that quality and compliance play a role in all strategic planning and decision making. Through her career in home health, she has held a variety of positions in leadership, project management and clinical care.

 

Nick Seabrook
BS, Accounting

Nick Seabrook is an EVP with SimiTree. He has worked in the home care industry for nearly 25 years, serving in a variety of financial and revenue cycle roles as a consultant. Nick was a co-founder of BlackTree Healthcare Consulting in 2011 and remained a Managing Principal until the company merged with Simione Healthcare Consultants to form SimiTree in 2021. SimiTree has grown to a company of over 600 full-time employees, providing revenue cycle and coding outsourcing, consulting, data analytics, compliance and talent management services to over 1,000 clients throughout the country.

 

B. Palliative Care: A “Standalone” Service, a Bridge Between Home Health and Hospice
Presented by Barb Hansen (Empire Room)

This presentation will discuss the current regulatory and reimbursement environment for palliative care providers in Washington State. We will discuss how providers can assist patients and families to navigate transitions between
acute care and the various types of “post-acute care” providers, including home health and hospice. We will also discuss how to create palliative care goals of care to meet the needs of those coping with a serious or life-threatening illness.

Learning Objectives:

  • Identify at least two state regulations that govern a provider’s ability to offer palliative care services.
  • Identify at least two federal/CMS regulations that govern a provider’s ability to offer palliative care services.
  • Discuss current methods for being reimbursed for providing palliative care.
  • Discuss differences in setting goals of care for patients receiving acute care, home health, palliative care and hospice.

Speakers Include:

Barb Hansen
MA, RN

Barb received her BS in Nursing from the Oregon Health Sciences University and an MA in Interdisciplinary Studies from Oregon State University with a focus on Gerontology, Community Health and Adult Health Education. She has worked in end-of-life care in many roles since 1986: Home Health/Hospice Nurse Case Manager, Clinical Coordinator, Home Care Surveyor for the Joint Commission, Wound, Ostomy, Continence RN, and Director of a Hospice, a Hospice Inpatient Unit and a Home Health program. Since July of 2015, Barb has served as the CEO of the Oregon Hospice and Palliative Care Association and Executive Director of the Washington State Hospice & Palliative Care Organization. Nationally, Barb serves on the NHPCO Regulatory and Council of States Committees and on the CMS Standing Technical Expert Panel for the Development, Evaluation, and Maintenance of Post-Acute Care and Hospice Quality Reporting Program Measurement Sets. Within Washington, Barb serves on the POLST Task Force and the Washington State Serious Illness Coalition.

Breakout Session #2:

A. Survey Savvy: Strategies for Home Health Survey Readiness and Survey Success
Presented by Molly McDonald & Keith Schlecht (Lewis Room)

Surveys do not need to be a stressful and chaotic time for your agency. See how agencies have successfully used the correct preparation, strategies, and attitude to take their survey experience from something to dread to a time to shine. This session will include simple ways to prepare and work with your surveyors to create a collaborative experience during the accreditation process.

Learning Objectives:

  • Understand the importance of continual survey readiness.
  • Discuss team-based approach to running a survey.
  • Explore several techniques or strategies to improve survey readiness.
  • Discuss best practices for a collaborative approach to survey readiness and survey success.

Speakers Include:

Molly McDonald
PT, DPT, COS-C

Molly has a 17-year history of working in the Home Care industry. A majority of that time has been leading work specifically in quality and regulatory compliance. Molly’s current role as the VP of Quality and Compliance for Frontpoint Health has a focus on building sound quality and compliance strategies in the growing Medicare Advantage landscape. Her goals are centered around ensuring that quality and compliance play a role in all strategic planning and decision making. Through her career in home health, she has held a variety of positions in leadership, project management and clinical care.

 

Keith Schlecht
DPT, ATC, COS-C

Keith Schlecht, DPT, ATC, COS-C is the Quality Program Manager at EvergreenHealth overseeing the quality program/metrics, regulatory and compliance.  Keith has worked for EvergreenHealth for 8 years in roles as a clinician, clinical quality analyst, to his current position.  Keith sits on the NAHC HHFMA Policy Committee and participates in the HCAW’s QAPI roundtables.

 

 

B. Empowering Safety: Designing a Lone Worker Program for Home Healthcare Professionals Presented by Ravinder Sangha (Empire Room)

This presentation will delve into the critical components of establishing a comprehensive lone worker safety program tailored specifically for home healthcare professionals. It will emphasize the pivotal role of regular check-ins as the backbone of a successful safety initiative. Addressing the myriad safety challenges encountered by lone workers in the home healthcare environment, highlighting the need for risk assessment, emergency communication protocols, and personalized safety measures. Additionally, it will offer insights into crafting strategies that safeguard the well-being of lone home health workers, focusing on mitigating environmental hazards, managing patient-related risks, and will cover the latest advancements in
safety-related technologies.

Learning Objectives:

  • Overcome myths and misconceptions regarding home healthcare safety.
  • Understanding the importance of regular check-ins.
  • Develop safety measures and strategies.
  • Implementing effective safety protocols.

Speakers Include:

Ravinder Sangha
BBA, Workplace Violence Prevention Program Certification

Currently collaborating with SafetyLine, Ravinder is at the forefront of initiatives aimed at elevating awareness and safety protocols for individuals working alone across various industries, including the crucial domain of home healthcare. His role involves leveraging his wealth of experience to tailor safety solutions that address the specific needs of home healthcare professionals, ensuring a secure and thriving work environment.

Join Ravinder Sangha in exploring the critical components of establishing a comprehensive lone worker safety program and discover how his insights can empower your organization to navigate safety challenges effectively.

Breakout Session #3:

A. PDGM: Year 4 in Review
Presented by Zeb Clayton (Lewis Room)

PDGM just finished four years as the new Medicare payment reimbursement. Join SHP to review the trends in PDGM components, case-mix weight, LUPA rates, and visits since the inception. The workshop will cover details of CMS’s approach to recalibrating and reveal new rates. This significant final rule has wide-reaching implications for home care. Discover how the CY 2024 final rule will affect payments as well.

Learning Objectives:
  • Evaluate trends across the last four years of PDGM
  • Share insights on how CMS recalibrates HHRG rates each year
  • Discuss potential changes we might see in 2024.

Speakers Include:

Zeb Clayton

Zeb Clayton has been part of the Strategic Healthcare Programs team since 2006, serving in the role of Vice President of Client Services for the last 9 years. Mr. Clayton has more than 20 years of customer support, statistical analysis, performance improvement, and education experience, primarily focused on the home health and hospice space. His focus has been helping post-acute care organizations improve performance through the utilization of real-time reporting and analytics. Mr. Clayton frequently leads national webinars for post-acute care providers on topics such as Improving Quality and Financial Outcomes under HHVBP, Understanding Home Health Risk-Adjustment, PDGM Trending, and other healthcare-related topics.

 

B. The Art & Science of Creating Cultures of Belonging
Presented by Jahmad Canley (Empire Room)

Speakers Include:

Jahmad Canley

Jahmad Canley is internationally known as a top-level culture transformation consultant, peak performance coach, author and masterful storyteller.

His passion for helping others unleash their potential has provided him the privilege of working with top organizations such as Microsoft, Amazon, Western Union, USA Swimming and many more.

 

Breakout Session #4:

A. Episode Management: KPIs and Best Practices to Ensure Financial and Operational Success
Presented by Maria Warren (Lewis Room)

As home health agencies work to master PDGM and adapt to a growing Medicare Advantage environment, agencies must identify all of the ways to deliver care that produce the best outcomes in the most financially efficient way possible. This session will review key utilization trends noted within CMS claims data and focus on best practices for managing utilization, while maintaining quality care delivery with a patient-centric approach. Best practice episode management is more critical than ever and using Key Performance Indicators (KPIs) and data analysis tied to clinical practice is critical to success. This session will delve into identifying KPIs for home health, using KPIs and data analysis to drive clinical success, and how successful implementation of data-driven strategies will lead you to financial success under PDGM and VBP.

Learning Objectives:

  • Identify episode management Key Performance Indicators (KPI) and common utilization trends in both initial and subsequent 30-day periods.
  • Explain the relationship between KPIs, financial success and clinical outcome improvement.
  • Discuss best practices for management of utilization across both 30-day billing periods.
  • Review use of ongoing data analysis and KPI monitoring to guide clinical optimization, best practice episode management, and drive financial health.

Speakers Include:

Maria Warren

Maria Warren, Vice President, joined McBee in 2010 and leads the Advisory and Clinical Consulting teams across the McBee care continuum. She brings a wealth of knowledge and expertise to the healthcare industry to guide our clients in improving clinical outcomes, increasing cash flow, and developing best practice operations. Her areas of expertise include M&A advisory, revenue cycle and operational re-design and strategy, EMR feature functionality reviews, and clinical compliance support.

 

 

B. HCAW 2024 Legislative and Policy Update
Presented by Leslie Emerick (Empire Room)

Leslie Emerick, HCAW Public Policy Director, will provide an overview of the 2024 WA State Legislative Session and current policy issues and agency rulemaking impacting home health and home care agencies.

Learning Objectives:

 

  • Learn about the legislative environment and how In-Home Services agencies fit into that environment.
  • Learn about the bills that HCAW tracked during the last legislative session and their impact on agencies.
  • Learn about state agency rule making impacting home health and home care.
  • Learn about how to engage with your local legislators and make your voice known about issues impacting your industry.

Speakers Include:

Leslie Emerick
Master of Public Administration (MPA)

Leslie Emerick, MPA has represented HCAW since 2006 as a lobbyist and public policy director. Prior to that she worked as a legislative liaison for two state agencies over a period of 5 years. The Department of Agriculture and the Department of Health. Prior to that she was an elected official as a Douglas County Commissioners for 4 years and on the Chelan-Douglas Board of Health for 4 years. Leslie also represents other health association clients such as hospice and private pay home care.

 

Tuesday, April 30, 2024:

Home Care and Hospice: A View from Washington
Presented by Bill Dombi – Sacajawea + Clark Ballroom

Health care is evolving constantly. The patient’s home is increasingly the site of care. This program presents the state of the union from the Washington perspective, covering all legislative, regulatory, and legal issues in play in 2024 along with a landscape review of health care at home. Your future success is directly tied to Congress and the Administration.

Learning Objectives:

  • Recognize the landscape of home care and hospice.
  • Identify federal legislative issues affecting home care and hospice.
  • Identify federal regulatory issues affecting home care and hospice.
  • Recognize potential legislative and regulatory actions in 2024 that affect home care and hospice.

Speakers Include:

Bill Dombi

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 over 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 1976, including the expansion of the Medicare home health benefit in 1980, the formation of the hospice benefit in 1983, the institution of 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 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 presently serves on the Board of Directors of the Research Institute for Home Care (formerly Alliance for Home Health Quality & Innovation) and the Hospice and Home Care Foundation of North Carolina. Bill also is a longstanding member of the American Health Lawyers Association and the American Bar Association.

Breakout Session #5:

A. Care Coordination in Home Health- Challenges and Best Practices Panel Discussion
Moderated by: Gira Shah | Panelists Include: Jason Darling, Amber Hahns-Keenan, Ryan Larsen, Jill Moynihan (Lewis Room)

The expert panel today will be sharing some challenges that agencies face in coordinating care in the home and share key areas on how their agencies have tackled reducing avoidable readmissions and improving care coordination.

Learning Objectives:

  • What is care coordination?
  • Understand the challenges that agencies face while coordinating care.
  • Learn some best practices to improve hospital readmissions and care coordination.
  • Learn from panelists how their agency structures Interdisciplinary team meetings/care conferences.

Panelists Include:

Gira Shah 
MBA-HM, PT

Gira Shah is the Performance improvement manager for Providence’s HH locations in AK and WA. She has her MBA in Healthcare management and a licensed PT. In her current role, Gira focuses on process improvement and QAPI initiatives. Gira has almost 11 years of experience in HH, but her previous experience includes outpatient setting, and as an educator in community college.

 

 

 

Jason Darling
MBA

Jason currently serves as a Clinical Manager at Sunshine Home Health. His career as a physical therapist began over twenty years ago in private practice orthopedics and sports medicine. In 2006 he discovered home health and worked as a field clinician for 10 years, earning a Geriatric Certified Specialist certification. He joined Sunshine Home Health in 2015 as a staff therapist and moved into his current role as clinical manager/director of patient care in 2016.  He earned an MBA with Healthcare Management emphasis in 2023. He has served on the Board of Directors for HCAW since 2021, where he co-chairs the Membership committee. He is happily married for over twenty years and has three children.

 

Amber Hahns-Keenan
MBA, CHPCA

With over 2 decades of progressive leadership in finance, quality improvement, education, regulatory compliance and operations, Amber has extensive experience in Home Health and Hospice. She holds an MBA and a Hospice & Palliative Care Administrator Certification. Amber has led teams through fourteen regulatory surveys, three electronic medical record transitions and three ownership changes.

Amber’s passion is in supporting clinical teams to provide specialized care to vulnerable patients in Yakima’s diverse community. She enjoys the challenge of the ever-changing healthcare climate and looks for opportunities to remove barriers to optimal patient outcomes and employee engagement.

Ryan Larsen
Master of Healthcare Administration

Ryan Larsen is a seasoned healthcare executive with 20 years of healthcare experience. Ryan attended Utah Valley University, graduating with a bachelor’s degree in Community Health, with an emphasis in Healthcare Administration, and a Minor in Business Management. Ryan also completed a master’s in healthcare administration from the University of Utah David Eccles School of Business.

Ryan’s professional journey, extending from his tenure as a Certified Nursing Assistant (CNA) to his current position as CEO of Harbors Home Health & Hospice, encompasses a wide array of healthcare settings—ranging from hospital environments to specialized care in hospice settings. He attributes the success he has achieved in enhancing patient outcomes directly to the valuable experiences gained across these diverse healthcare landscapes.

Beyond his role as CEO, Ryan serves as a Board Member for HCAW, contributing to the industry’s continuous improvement. His academic background, combined with two decades of practical experience, positions Ryan as a respected leader in healthcare administration.

Jill Moynihan

Jill Moynihan, OT/L, MBA has worked in health care for over 20 years.  She started her career as a field clinician before moving into a leadership position in 2006. Jill holds a Bachelor of Science in Occupational Therapy and obtained her MBA in Healthcare Management in 2020. She has worked for Providence Home Health since 2003 and has held her role as the Home Health Director for the Sound Homecare agency since 2017. Jill is passionate about serving our most vulnerable patients within our diverse communities in Western Washington.  She is experienced in clinical care coordination, care management, and effectively navigating teams through healthcare changes.    

B. Surfs Up: Rising the AI Wave in Home Care
Presented by Stacy Olinger (Empire Room)

Recognize the disruption created by AI and considerations for integrating AI into home care and gain insights into its applicability and broader impact on healthcare. Gain a comprehensive understanding of the potential of AI in healthcare, be equipped to assess organizational readiness, and successfully implement AI-driven innovations, resulting in sustainable improvements and a reduction in burnout among healthcare teams.

Learning Objectives:

  • AI Fundamentals and Demystifying AI: Introductory understanding of AI’s fundamentals and its application in both home care and broader healthcare contexts.
  • Readiness Assessment for AI: Learn to assess an organization’s readiness for AI implementation by evaluating current technology and digital health transformation initiatives.
  • Clinical Implementation Strategies: Learn strategies behind implementing AI-driven innovations in a clinical setting, including user-centered design, change management, and sustainable ROI strategy.
  • Addressing Challenges and Human Factors: Identify reasons for pilot failures and learn insights into managing the people aspect of technology implementation, including how to reduce burnout in healthcare teams.

Speakers Include:

Stacy Olinger
MSN

Stacy Olinger is a transformational healthcare leader with over two decades of multifaceted experience that melds a rare blend of clinical, operational, financial, and technical skillsets. Leveraging Six Sigma and Lean methodologies, she pioneers healthcare systems that cohesively integrate clinical strategies, business objectives, and ROI, resulting in a sustainable, long-term effect that extends beyond traditional hospital settings.

In her current role as a healthcare consultant, Stacy adopts a forward-thinking, human-centered strategy to combine clinical expertise, regulatory knowledge, and leadership development, with robust operational redesigns in both care at home and ambulatory settings. Through strategic AI and EHR implementations and economic modeling, she significantly boosts patient satisfaction and profit margins while reducing staff turnover.

Previously, Stacy served as the vice president of home care services at BJC Healthcare where she was instrumental in care at home and virtual care strategy. The launch of a system-wide palliative care program boosted patient accessibility by 40% and integrated telehealth services. Additionally, her strategic implementation of a machine learning program saved the company nearly $1M annually. Before transitioning to BJC, she had an impactful 13-year tenure at EvergreenHealth Home Care Services, culminating in her role as the executive director where she oversaw a team of 480 professionals and managed annual revenue of $120M.

Stacy maintains board leadership roles and possesses a robust educational foundation, holding a Master of Science degree in nursing from Western Governors University and a Bachelor of Science degree in nursing from the University of Alaska. Licensed in several states, she is also certified in Six Sigma and Lean methodologies.