Sessions

2022 Annual Conference & Expo

May 23-26, 2022 | Rancho Mirage, CA
Westin Mission Hills Resort

2022 KEYNOTE SESSIONS

TUESDAY, MAY 24, 2022 9:00 am - 10:00 am
DONNA HARTLEY Hartley International	K100 \| Fire Up Your Life! The Power of Inner Leadership Have you ever wondered about your life purpose? Donna shares insights gained from her own experiences and offers nine strategies to overcome daunting challenges, get you unstuck, and move to great fulfillment and transformation. Acquire the skills you need to take your inner and intention leadership expertise to the next level. You will be empowered to shift your attitude with this inspirational and uplifting presentation. As a master storyteller, Donna relates the lessons learned from three life-altering events … a plane crash, stage III melanoma, and open-heart surgery … all on March 1 of different years. K100 Handout
WEDNESDAY, MAY 25, 2022 9:00 am - 10:00 am
JERRY BRIDGE LifeWorks Education	K200 \| Heartfelt Acknowledgement; Recognition, Accomplishment & Renewal We all need to feel valued, recognized and appreciated. When we feel acknowledged for our work, energy and commitment, we feel complete, energized and looking forward. On the flipside, when we don't take the time to genuinely acknowledge people for their work, even more profoundly, for ‘who they are', they are often left incomplete, unsatisfied and at risk for resentment and burn out. This extraordinary program is a lively, engaging inquiry into: The nature and power of authentic, heartfelt acknowledgment and Principles and practices that allow healthcare workers to thrive, to feel genuinely valued for their contributions, dedication, energy, and passion. K200 Handout
THURSDAY, MAY 26, 2022 9:00 am - 10:00 am
BILL DOMBI NAHC	K300 \| Home Care and Hospice 2022: National Update from Washington Home health PDGM, Review Choice Demonstration, Unified PAC Payment Model, Medicare Advantage supplemental health benefits, Hospice Carve-In, and “Patients over Paperwork”, are just a few of the matters that remain part of our industry's Washington agenda. And there is more from Congress and other federal agencies that can impact home care in terms of workforce, minimum wage, and immigration. While the past couple of years have been "all COVID all the time," we have not forgotten all of these and other critical issues that remain at the top of our federal priority list. This program, presented by NAHC's President & CEO Bill Dombi, brings an up-to-the-minute report on what Washington has in store for home care and hospice in 2022 and beyond.

2022 HOSPICE SESSIONS 100-400

2022 HOSPICE SESSIONS 500-700

H100 | Tuesday, May 24 | 10:15am - 11:45am

Increasing Physician Office Relationships and Referrals
Melanie Stover, Home Care Sales

COVID shined the spotlight on Hospice, and now it's your time to SHINE! Dr's offices have "seen the light," and now it's time to leverage it into more referrals!

H100 Handout

H200 | Tuesday, May 24 | 1:45pm - 3:15pm

Working Your QAPI Program; It's a Team Effort to IMPROVE & SUSTAIN
Susan Mattera, Kaiser Permanente

Does it sometimes feel like it's an uphill battle to improve everywhere on everything? Join us in this interactive session as we share how we choose, implement, design, measure, implement/improve, and assess/analyze our QAPI Pi Projects in home health and hospice using all disciplines in our agencies. Everyone is valued, rewarded, and respected at the QAPI Table.

H200 Handout

H300 | Tuesday, May 24 | 3:30pm - 5:00pm

End-of-Life Option Act Update
Cindy Hatton, Hospice of the East Bay

This session will review the January 1, 2022, revisions to the End-of-Life Option Act (SB 380). You will learn how these changes will impact your program and current policies. Join this interactive session and discuss your current policy on supporting patients that make the choice to utilize the End-of Life Option Act, how to revise policies and processes, access CHPD online forms and portal, educate community physicians and your staff, and have a successful implementation. .

H300 Handout

H400 | Wednesday, May 25 | 10:45am - 12:15pm

Hospice Eligibility Documentation
Leslie Heagy, Healthcare Provider Solutions

Accurate hospice eligibility documentation is critical to fulfilling the CoPs and payment requirements. The lack of supporting documentation for a terminal prognosis is the number one reason for denial. Reviewers often look for a significant decline in patient condition. Although this is not a requirement of hospice care, terminal prognosis is. The webinar will help clinicians document the slightest changes in baseline measures. More importantly, you'll learn how to capture in documentation the occurring changes that support terminal prognosis – even without a decline in baseline measures. Go beyond the LCDs and common tools for documenting eligibility by drilling down to the details and characteristics that differentiate terminal and chronic patients with the same diagnosis.

H400 Handout

2022 MEDICARE CERTIFIED SESSIONS 100-700

2022 MEDICARE CERTIFIED SESSIONS 800-1400

M100 | Tuesday, May 24 | 10:15am - 11:45am

Home Health Case Conference 2.0: Transforming Performance and Culture
Cindy Campbell, WellSky
Yancey Bond, WellSky

Remnants of ritual hang on to the fabric of how many home health agencies manage case conferencing/IDT meetings. Entrenched team meeting practices, sadly, may miss the mark with respect to effective management of time, resource and best practice objectives for utilization, compliance and outcome improvement. The home health case conference/IDT meeting process holds the opportunity to stack clinical skills, advance QAPI initiatives, strengthen compliance and revitalize engagement when the approach evolves to using risk-informed, data driven best practices. Our home health clinicians, as well as their leaders, are braving a new world of performance challenges within workforce constraints, TPE resumption, PDGM pressure, the pandemic and HHVBP. Build strength in adopting new ways to approach these challenges with your teams! Join us as we explore the building of IDT and agency resilience and competence, fed by the Home Health Case Conference 2.0.

M100 Handout

M200 | Tuesday, May 24 | 1:45pm - 3:15pm

Using Analytics to Unlock Performance Value in Care at Home
Cindy Campbell, WellSky
Yancey Bond, WellSky

Care at home is accelerating as home health, hospice, and personal care providers support higher patient acuity and complex needs within an increasingly value-based market. For providers to improve their competitive status, they need to achieve the best outcomes at the lowest cost – and access to the right data is key in driving top performance status. The strategic use of analytics within your clinical modeling and business development builds positive positioning within a value-based healthcare environment. This discussion will dig into the power of predictive and performance analytics within home health, hospice, and personal care, focusing on key data levers to improve performance and accelerate growth. This session is not just for Medicare Certified, also covering personal care and hospice.

M200 Handout

M300 | Tuesday, May 24 | 3:30pm - 5:00pm

NGS Presents: What's New in Medicare Home Health
Shelly Dailey, National Government Services

This educational session has been designed to ensure home health providers have the most current and up-to-date information regarding federal Medicare regulations. Review of medical record documentation to support eligibility criteria will be discussed in detail. We will also discuss the Additional Documentation Request (ADR) and provide an overview of current NGS Medical Review focus areas and the TPE process. CMS and NGS references and resources will be provided, as well as NGS contact information for future questions regarding federal Medicare home health regulations.

M300 Handout

M400 | Wednesday, May 25 | 10:45am - 12:15pm

Value Based Purchasing - Potential Nationwide Rollout
Melinda Gaboury, Healthcare Provider Solutions

The Home Health Value-Based Purchasing (HHVBP) Model was a 5-year demonstration that ended in 2020. This demonstration was active in 9 states. CMS has announced that HHVBP will be implemented nationwide effective January 2022. There are some slight changes to the measures that will be utilized in the program moving forward. As a demonstration, HHVBP, was very effective at saving the Medicare system millions. This webinar will review the Home Health 2022 Proposed Rule regarding the HHVBP nationwide rollout and make suggestions for agencies to smoothly transition into this model. Statistics and experiences from the demonstration will be reviewed. HHVBP rewards HHAs that provide better quality care per outcomes, while agencies with poor outcomes could see reductions in payments.

M400 Handout

M500 | Wednesday, May 25 | 2:15pm - 3:45pm

PDGM Revenue Cycle & Update on NOA! – Past, Present & Future
Melinda Gaboury, Healthcare Provider Solutions

2022 has already brought about some significant concerns with the Notice of Admission and its proper processing. This session will take you through where we are today with the NOA and what agencies need to do to ensure they are timely in the future. The entire process of the submitting and requesting exceptions to penalties will be covered. In addition, this session will look at the entire process of the Home Health Revenue Cycle from Intake through the Collections of the payment. You need your revenue cycle team members involved. All of them, not just the billers.

M500 Handout

M600 | Wednesday, May 25 | 4:00pm - 5:30pm

How to Market When You Don't Have Enough Caregivers or Clinical Staff!
Melanie Stover, Home Care Sales

We have all been there! COVID, and when your marketers do their job "well," you don't have enough caregivers. How do you get off the marketing rollercoaster and market with ease during the transition periods of gaining more caregivers? Join me for a session on how to keep your referral sources happy even when you don't have enough staff!

M600 Handout

M700 | Thursday, May 26 | 10:15am - 11:45am

Rewiring HH Operations for PDGM and Future Reforms
Arnie Cisneros, Home Health Strategic Management
Kimberly McCormick, Home Health Strategic Management

Many HH Providers operate today with a PPS-based operational model adapted for PDGM structural changes. In many cases, most back-office and clinical staff haven't internalized PDGM changes to how we develop and deliver care. As a result, clinical and financial outcomes suffer when compared to expectations; future reforms will compromise results further. Learn how each HH department can be rewired for improved clinical and fiscal outcomes, today and in the future.

M700 Handout

M800 | Tuesday, May 24 | 10:15am - 11:45am

California Department of Public Health (CDPH) Home Health & Hospice Update

Handout not available for Session M800.

M900 | Tuesday, May 24 | 1:45pm – 3:15pm

Are You Getting A Headache Trying To Find A Clinical Service Director In Today's Marketplace? Are You Looking In The Right Direction?
Ginny Kenyon, Kenyon HomeCare Consulting
Sharon Fredrichs, S&S Home Care Consulting, LLC

Hiring the right staff is always difficult. The more the responsibility of the role the more critical and the more difficult to do. This is proving to be an even greater challenge during a Pandemic.

Attendees in this session will learn how to build a profile of the best candidates for the Director position, how to mentor train and how to establish a line of session for all critical positions in the agency, especially a Director position.

M900 Handout

M1000 | Tuesday, May 24 | 3:30pm – 5:00pm

Financial, Clinical and Quality Implications of Value Based Purchasing
Kimberly Skehan, SimiTree Healthcare Consulting, LLC

e Based Purchasing (HHVBP) has the potential to drastically alter the shape of the Home Health industry. This presentation will review the changes expected to financial, clinical and quality operations under the new model, including some unintended consequences that were seen in the initial demonstration. We will address measures agencies can take now to prepare for Value Based Purchasing and provide actionable steps you take in the very near future to prepare.

M1000 Handout

M1100 | Wednesday, May 25 | 10:45am – 12:15pm

Innovations in Technology to Relieve the Workforce Crisis and Meeting the Quadruple Aim Goal!!
Arlene Maxim, Axxess

While the Pandemic has exacerbated the challenge, there are other factors that has led to the critical state we now find ourselves. The Quadruple Aim goal includes providing work/life balance of clinical staff and technology just may be the silver bullet.

M1100 Handout

M1200 | Wednesday, May 25 | 2:15pm – 3:45pm

Home Health Survey Readiness
Sharon Fredrichs, S&S Home Care Consulting, LLC

Every-ready survey preparedness can actually be fun. Participate throughout this session in learning how to prepare and enjoy a survey. You will learn how actions, as well as words, documentation, data analytics, observations and celebrations support you through a survey. Being prepared allows you to show the accomplishments of your agency. Be prepared for a very interactive session as you take home ideas and action plans to demonstrate agency compliance, quality assurance and accelerated survey-ready confidence.

M1200 Handout

M1300 | Wednesday, May 25 | 4:00pm – 5:30pm

The ABC's of Compliance: Accountability, Best Practices, and Consistency
Kimberly Skehan, SimiTree Healthcare Consulting, LLC

This presentation will provide an overview of the components necessary for implementation of an effective Corporate Compliance Program and review top compliance risk issues for home health and hospice. We will discuss strategies to implement accountability measures, best practices, and consistency in compliance through a comprehensive oversight and risk monitoring program which reduces risk of financial penalties due to non-compliance with billing requirements.

M1300 Handout

M1400 | Thursday, May 26 | 10:15am – 11:45am

OASIS: Future Trends
Lisa Selman-Holman, McBee Associates

We have less than a year to get ready for OASIS E and the new Value Based Purchasing that is at least in part based on OASIS. If you are sitting on the sidelines waiting for VBP to begin, you will be behind. Learn what VBP is all about and you can start now on OASIS E and on VBP so your agency can hit the ground running on January 1.

M1400 Handout

2022 PRIVATE DUTY SESSIONS 100-400

2022 PRIVATE DUTY SESSIONS 500-700

P500| Wednesday, May 25 | 2:15pm - 3:45pm

Using Benchmarks to Assess your Private Duty Financial Performance
Mitch Opalski, SYNERGY HomeCare

You will learn an effective approach to take the pulse of the financial health of your private duty agency. This presentation will review the Private Duty Benchmarks in key performance areas that will assist you in determining the financial and operational performance of your agency. Key areas that will be addressed are: calculating your net profit margin, gross margin, lead conversion data, cash flow, efficient office staffing based on size, budgeting, accounts receivable management and many more. This is your opportunity to see what's going well and, more importantly, what you can improve in the areas of your financial and operational performance.

P500 Handout

P600| Wednesday, May 25 | 4:00pm – 5:30pm

Panel of Expert Providers - Success Strategies Operations
Dr. Lucy Andrews, At Your Service Home Care, Stacie Dollar, Around the Clock Care, Andy Howard, HomeCare Professionals, Lauren Reynolds, At Home Nursing Care

This panel of expert providers and CAHSAH leaders will provide Conference attendees with an open forum to explore a wide variety of questions and issues related to home health, home care, and hospice. The panel members collectively represent decades of experience operating agencies big and small providing care to those in need of home health, home care, and hospice services. Each of these expert panelists brings a unique perspective to the table in the areas of finance, budgeting, workforce, compliance, management, operations, clinical services, and best practices -- just to name a few. This is the perfect forum to which you can bring those tough questions that keep you up at night!

Handout not available for Session P600.

P700| Thursday, May 26 | 10:15am - 11:45am

Delivering Personalized Care at Scale Through Advanced Technology
Arlene Maxim, Axxess

We will share how offering personalized care dramatically improves the care experience for clients, their families, and those providing the care. There is an art to crafting a program based on one-to-one touch but how do you deliver high-touch at scale? In this session, we'll share best practices to leverage people and tech to create an even better human experience. The surge for care is coming—from 2019 to 2050, the number of people aged 65+ is projected to jump from 703 million to 1.5 billion. That's more than double in the span of just one generation. The only way to provide quality care for that many people is with the help of new technology. Obviously, there is no substitute for the human component of home care but technology can actually help us be more human.

P700 Handout

2022 LEADERSHIP 100-700

L100 | Tuesday, May 24 | 10:15am - 11:45am

Building Drama Free Teams In Healthcare: Less Dysfunction and Better
Nancy Benavides, Leadership Development Group

Imagine leading a team that is self-directed. One that requires minimal supervision while simultaneously providing top-of-the-line service. These teams achieve better outcomes with less stress. In this session, Dennis provides practical scripts to help any leader empower their people by eliminating excuses and victim mindsets and cultivating a sense of ownership in their place. These practices allow teams to learn to think for themselves, be creative, and be part of the solution. Discover 2 trust building skills to create more team buy-in. You will not only learn the questions to ask that raise accountability and the one question that should always be avoided but much more. This presentation is based on the best practices from 1135 healthcare organizations, and Dennis' lifework in research and fieldwork as he has helped leaders apply practical proven real-world solutions.

L100 Handout
Drama Free Communication Handout

L200 | Tuesday, May 24 | 1:45pm - 3:15pm

Be MY Guest: Culturally Curious
Lynn Gabriel, Kaiser Permanente Care at Home Hospice

The population of California is a quilted fabric of races, ethnicities and cultures. We are guests in these homes representing this multiplicity – guests of our patients and families. As home care providers, we often forget that each patient/family represents an opportunity for us to journey on a new cultural experience; one key to providing excellent care. Just as every care plan is unique to the individual; so is the cultural map for integrating approaches to their healing and/or end-of-life. Planning care through the lens of a guest can open doors, across the interdisciplinary team, for best practices that complement the patient/family culture, avoid stereotyping, and enhance scores.

L200 Handout

L300 | Tuesday, May 24 | 3:30 pm - 5:00 pm

Mergers & Acquisitions
Celeste Miller, Oracle

Mergers & Acquisitions are a given in the home health and hospice industry. In 2021 there was a spike in mergers and acquisitions within the industry. Learn strategic plans to integrate and improve processes and collaboration between the merged companies to make the company as a whole a positive synergy.

L300 Handout

L400 | Wednesday, May 25 | 10:45am - 12:15pm

Staff Communications: Control, Filters & Perception
Lori Hoffner, Supporting CommUnity

The way you communicate greatly influences the outcome of a conversation. What you say and when and how you say it determines the conversation's success or failure. Our communication is continually influenced by individual filters. Those filters are established by many different factors, one of the most prevalent these days is the generational filter, developed in the process of socialization and experiences. These filters crucially affect communication and interaction. We will discuss multiple communication models, helping you determine what will be the most successful approach for you and your staff.

L400 Handout

L500 | Wednesday, May 25 | 2:15pm - 3:45pm

Succession Planning
Brian Goodhart, Wipfli Financial Advisors

Business transitions are a fact of life. Every business will transition, but not every owner will have the chance to actively participate in the process. In order to effect a successful transition, a business owner should start by understanding if their business CAN be transitioned in its current state. Once a business owner understands the feasibility of transitioning the business, then he or she can start to explore the myriad steps involved in making a successful transition happen.

L500 Handout

L600 | Wednesday, May 25 | 4:00pm-5:30pm

Retirement Planning
Benjamin Hayes, Wipfli Financial Advisors

Life happens. Priorities change. And sometimes, the “what-ifs” you never thought were possible become a reality in the blink of an eye. Nobody knows what the future holds — but your best defense against uncertainty is a defined plan that can instill confidence in the future and provide answers to your most complex, pressing questions. Retirement planning is an ongoing process that requires your attention as change occurs; changes within investment markets, tax law, family expenses, and most importantly your personal goals.

L600 Handout

L700 | Thursday, May 26 | 10:15 am - 11:45 am

NAHC Q & A
Bill Dombi, National Association for Home Care and Hospice (NAHC)

Handout not available for Session L700.

2022 GENERAL INTEREST SESSIONS 100-700

G100 | Tuesday, May 24 | 10:15am - 11:45 m

The Secrets of Hiring: Find and Hire More Caregivers
Rachel Gartner, Carework

Join Home Care Hiring expert Rachel Gartner, founder and CEO of Carework, for a session dedicated to helping you find and hire more caregivers. Part data, part strategy, and part pep-talk, this talk will leave your team ready to improve your recruiting results and hire high-quality caregivers.

G100 Handout

G200 | Tuesday, May 24 | 1:45pm - 3:15pm

Mental Health Wellness Kicking the Stigma
Celeste Miller, Oracle

Mental health awareness month is May of each year. Each year millions of Americans face the reality of living with mental illness. In the home health and hospice industry we will be working with people with mental illness and caring for people with mental illness. Learn tools that can assist with removing the stigma regarding mental health and assisting with emotional health.

G200 Handout

G300 | Tuesday, May 24 | 3:30pm - 5:00pm

Opportunities in Medicare Advantage
Daniel Murphy, Health Align

An insider's look at how Medicare Advantage (MA) plans are designing in-home support benefits.

G300 Handout

G400 | Wednesday, May 25 | 10:45am - 12:15pm

Federal and California Legal Updates
Angelo Spinola, Polsinelli PC

This program will be a comprehensive and easy-to-digest review of everything your home-based care organization should be doing to be in compliance with California's employment laws and nuances. We will review the key wage and hour requirements in California – including those relating to overtime, meal periods, rest periods, wage statements, on-call time, split-shifts, drive time and expense reimbursement; California's leave requirements – including paid sick leave, COVID-19 related leaves, and the recently-amended California family Rights Act (“CFRA”); as well as a brief refresh on California's accommodation, anti-discrimination and anti-harassment laws and training requirements. We will get you up to speed on the latest court decisions and legislative updates in California and will discuss how they impact your policies and practices going forward. We will also discuss the current state of the law for California arbitration agreements, restrictive covenants and independent contractors, and best practices for protecting your business. Finally, we will discuss the latest trends in California employment and wage and hour litigation, including how to avoid a lawsuit and what to do if you're hit with one. This program aims to equip organizations with the best strategies for navigating the complex waters of California employment law.

G400 Handout

G500 | Wednesday, May 25 | 2:15pm - 3:45pm

Mr. Johnson-Telling His Story
Della Williams, Kaiser Permanente

The true feelings and critical needs of patients can be missed, if we do not take the time to observe, listen and document accurately. Each patient has a story, they have a life lived, and as clinicians we can often make the difference in improving their lives as we address their needs.

G500 Handout

G600 | Wednesday, May 25 | 4:00pm - 5:30pm

Watch Your Mouth: Three Problems of Language in Elder Care
Jennifer Ballentine, CSU Shiley Haynes Institute for Palliative Care

Words matter, especially in times surrounding serious illness and the end of life. They can cause harm and bring comfort; express disdain and respect; mislead and explain. Rich with real-life examples and research findings, this plenary talk will explore three “problems” of language in providing care for seriously ill patients and their caregivers: elderspeak, euphemisms, and gender-based expression of illness. The talk will also offer tactics to improve communication and, thereby, patient outcomes.

Handout not available for session G600.

G700 | Thursday, May 26 | 10:15am - 11:45am

Where Has My Efficiency Gone?
Sharon Fredrichs, S&S Home Care Consulting, LLC

Inconsistency with ever-changing procedures can leave you challenging yourself and asking ‘where has my 'efficiency" gone? This session will provide helpful strategies and provide tools that assist you in taking a different look at your priorities. We will work in interactive teams with the take-home tools. Come prepared to learn, discover, laugh and hit the refresh button.

G700 Handout