2020 OAHC Conference

Schedule of Events

[For session description, click on the session title]

Pre-Conference: May 13th  

10:00 AM - 3:30 PM    
Pre-Conference Patient-Driven Groupings Model: What We Know So Far!
                            - Melinda A. Gaboury, COS-C, Healthcare Provider Solutions, Inc. 

Day One: May 14th 

7:45 AM       Networking Breakfast with Exhibitors / Silent Auction Begins / Registration Open

8:30 AM       President's Welcome Address - Eric Weathersbee, Sky Lakes Home Health

8:45 AM       Keynote: Staying Ahead of the Changing Tides: Strategies for Patient Centered Conversations
                    - Dana Sturtevant, MS, RD, Be Nourished

10:15 AM     Exhibitor Power Break

11:00 AM     General Session: Avoiding a Wipeout: Revenue Cycle Management Changes!
                    - Melinda A. Gaboury, COS-C, Healthcare Provider Solutions, Inc. 

12:30 PM     Lunch 

1:45 PM       General Session: The Future of Home Care: Why Workforce Matters
                     - Dr. Robyn Stone, Leading Age

3:15 PM      Break with Exhibitors

3:30 PM      General Session: Riding the Big PDGM Wave: Coding, OASIS & Physician Records!
                    - Melinda A. Gaboury, COS-C, Healthcare Provider Solutions, Inc.                 

7:00 PM      Oregon Coast Aquarium*
                   (Included with registration. RSVP Required.)

Day Two - May 15th

8:00 AM      Business Meeting & Networking Breakfast w/Exhibitors

8:45 AM      General Session: In-Home Behavioral Health
                   
- Beth Epps & Katherine Moore, Cascadia Behavioral Healthcare

10:15 AM     General Session: Cowabunga, Dudes! Best Practices Professional Roundtable Exchange

11:30 AM    Awards Luncheon (Included with registration. RSVP Required)

12:30 PM     Closing Session: Hang 10 for Epic Gnarly National Waves Dudes!
                    - Sarah Myers CAE & Denis Fleming, LHC Group

2:00 PM       2020 Conference Adjourn


Session Descriptions

Pre-Conference

Patient-Driven Groupings Model: What We Know So Far!
The Patient Driven Groupings Model (PDGM) went into effect January 1, 2020. This is the most massive change to the home care industry reimbursement structure since the introduction of the Prospective Payment System (PPS) in October 2000. The new payment model dramatically impacts agency operations, processes and performance. Agencies must develop and implement plans to successfully transition to PDGM. This workshop will discuss key areas, strategies and processes in equipping an agency for PDGM.  This workshop will have a focus on best episode management and process improvement practices including the referral, intake and scheduling processes, timely documentation, physician and patient communication strategies, all of which are required to more tightly manage care within the shorter 30-day payment period. 

Objectives
Summarize key areas of agency operations affected by PDGM

  • Provide details with examples of the structure of PDGM
  • Provide guidance on evaluating an agency’s current status
  • Outline implementation actions in each key area
  • Discuss necessary modifications to the intake and referral process under PDGM
Review the complexity of determining LUPA thresholds under PDGM
  • Discuss relevance of front-loading, missed visits and refusals of care and services to LUPA prevention
  • Review clinical management responsibilities related to LUPA prevention
Review the Impact of ICD-10 coding under PDGM
  • Explain the relevance of timely OASIS review, coding completion and clinician documentation under PDGM
  • Evaluate the specificity requirements of coding under PDGM
  • Outline the Impact on case-mix weight with one code versus another 

General Sessions

Staying Ahead of the Changing Tides: Strategies for Patient Centered Conversations
In this keynote presentation, Dana Sturtevant, MS, RD will review the theories and principles of Motivational Interviewing, including clinician behaviors that move people towards change and those that move people away from change, and offer several key strategies for your clinical toolbox.

Avoiding a Wipeout: Revenue Cycle Management Changes!
The most significant change in Homecare Reimbursement in 20 years went into effect January 2020.  The Patient Driven Groupings Model - PDGM is complicated, confusing and overwhelming.  CMS has provided some data on the revenue impacts and new PDGM components, but there is more to be considered. Revenue Cycle, from beginning to end, will require changes to adapt.  Preparing now is essential in being prepared for the PDGM onslaught.

Objectives: 

  1. Outline how agencies will need to consider process changes in their revenue cycle as a result of PDGM
  2. Provide a Checklist RAP & Final billing and details of both
  3. Outline potential strategies for process revisions and adjustments to achieve a successful revenue cycle transition under PDGM
  4. Outline billing process changes required by PDGM

The Future of Home Care:  Why Workforce Matters 
This presentation is based on the premise that a competent, well-trained staff is key to successful operations and quality outcomes for home health and home care agencies in Oregon and across the country. Dr. Stone will provide an overview of the state and national home health/home care landscape, highlighting current and future projections of agency growth and the demand for and supply of staff, particularly nurses and home care aides.  This will be followed by a discussion of the key policy and workforce development challenges to this growing care sector, including the lack of quality education and training and barriers to recruitment and retention of staff at all levels.  The presentation concludes with examples of best practices—both evidence-based and promising—that can help agencies address the challenges and take advantage of the opportunities for growth and success.

Riding the Big PDGM Wave: Coding, OASIS & Physician Records!
At the forefront of the Patient Driven Groupings Model (PDGM) is the clinical assessment and ICD-10 coding of the patient chart.  Understanding the impact of coding and the OASIS-D1 Functional scoring is imperative.  This session will take you through the crucial aspects of the clinical assessment, coding and confirming the information needed is received from the physician. 

Objectives:

  1. Review of the key OASIS-D1 items that drive the Functional Scoring under PDGM
    1. Outline the ADL items and scoring
    2. Review the imperative nature of interdisciplinary collaboration in responding to these items
  2. Review the key elements of ICD-10 coding under PDGM
    1. Outline the needed elements from the physician record
    2. Detail the calculation of the coding calculation for PDGM
    3. Review changes of primary in subsequent 30-day periods
  3. Review the impact of physician involvement in the PDGM model
    1. Outline the timeliness of orders being signed and returned
    2. Detail the relationship between orders and medical review
    3. List the key elements of physician records in the home health chart

In-Home Behavioral Health
An overview of in-home behavioral health services and supports provided by a large community behavioral health center.  Learn what services can be provided in the home, especially for seniors, and hear about day-to-day practicalities of funding and regulatory barriers, staff safety, and workforce issues.  Examples of in-home services provided outside Oregon will be provided.

Cowabunga, Dudes! Best Practices Professional Roundtable Exchange
Stick around for our annual interactive roundtable discussion session, dude! We’ve designed tis session to promote and encourage networking amongst your peers and engage in lively informal discussion about topics that are keeping you up at night. Come share your frustrations, solve problems, and glean practical advice and best practices from those in your field. This is your opportunity to interact one-on-one with your peers to make sure you walk away with the answers that you are seeking.

Here’s how it works! Each table will have a sign indicating the roundtable topic being covered. Attendees will pick a topic of interest and sit down at the table. The table moderator will provide a quick introduction and overview of the topic, and then open the floor for Q&A. This is a “rapid fire” session and every 20 minutes we will ask attendees to move to another topic table while the moderator welcomes a new batch of attendees.

Don’t forget to bring your business cards! All attendees are encouraged to handout their business cards to others who they can call on for help.

Hang 10 for Epic Gnarly National Waves Dudes!
The past few years have seen big changes in Medicare post-acute care payment and program reform. On the heels of the biggest change in Medicare Home Health we will take a look at how the program has impacted providers to date, what new proposals CMS is planning for FY 2021 and the efforts on Capitol Hill to ensure evidence not assumptions are the basis for change going forward. In addition, Medicare hospice is now squarely under the microscope of oversight hawks which will result in major changes under program integrity in both legislative and regulatory spheres. With the 2020 election looming we’ll also take a look at the probability of entitlement reform changes and what they mean to home health and hospice providers.

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