DAY 1 Main Conference

7:30 – 8:30 a.m.

Main Conference registration

8:30 – 9:30 a.m.

State of home health quality and compliance and a look at 2012

Arlene Maxim

Get an update and analysis on the latest news from CMS, including how the additional G code, therapy documentation and face-to-face encounter requirements laid out in the PPS rule are impacting agency productivity. Plus, you’ll get a rundown of the challenges facing home health in 2012.

9:30 – 10:30 a.m.

New risk adjustment model and its impact on outcome scores and reimbursement

Trish Twombly

Prepare your agency to come out of CMS’ OASIS-C data blackout period ready to use outcomes scores to improve quality of care. You’ll understand the new risk-adjustment formula, including: how you can influence it, how to avoid common mistakes that could generate incorrect risk adjustment and how risk adjustment impacts payment.

Tool: Quick reference to interpret and apply new risk-adjustment model

10:30 – 10:45 a.m.

Refreshment break

10:45 a.m. –
12:15 p.m.

Master M2250 & M2400: Improve diabetic foot care, depression and pain outcomes

Ann Rambusch

Implement and track interventions over an episode using proven techniques for the following patient conditions listed in M2250 (plan of care synopsis) and M2400 (intervention synopsis): diabetic foot care, depression and pain. Also, learn how to get physician orders within the narrow OASIS-C window. Then, work through the most challenging patient scenarios to practice answering M2250 and M2400.

Tools: Request for physician orders template, LEAP protocol and teaching guide, pain and depression screening tools, M2250 decision tree

12:15 – 1:15 p.m.

Networking lunch

Bring your best outcome improvement idea.

1:15 – 2:15 p.m.

Implement care transition strategies to reduce ACH

Jeanne Ryan and Colleen Bayard

Improve communication with hospitals and physicians and learn how to change the “discharge” process to a “transfer” process. You’ll also get the details of the care-transition program that helped the VNA & Hospice of Cooley Dickinson achieve an acute care hospitalization score below the national average as well as improve its oral medication outcome by 40% in one year.

Tools: Care transition tools, including cross-setting medication and discharge forms

2:15 – 3:45 p.m.

Accurately assess functional status, including falls (M1910)

Diana (Dee) Kornetti

Learn how to correctly answer OASIS-C M1910 (fall risk assessment) and the ADL items. Learn how to conduct standardized assessments, select appropriate patient-specific interventions and reassess progress to prove the medical need for therapy and improve your patients’ ability to function independently.

Tool: List of tests and measures appropriate for home health

3:45 – 4:00 p.m.

Refreshment break

4:00 – 5:00 p.m.

Train clinical staff on documentation compliance

Arlene Maxim

Ensure proper payment by training your staff to document key information on each visit note. Learn how to teach them to assess for qualifying criteria, construct a billable visit note and use diagnosis coding, nursing and therapy documentation to determine the focus of care. Finally, discover how to use the assessment process as a guide to care planning.

Tools: Samples of appropriate, audit-proof documentation

5:15 – 6:15 p.m.

Networking reception