Home Health Revealed (+Palliative and Hospice)
By Michael Greenlee and Hannah Vale
Home Health Revealed (+Palliative and Hospice)Aug 25, 2023
Unveiling the Merger and Acquisition Journey with Sonnie Linebarger
Join us on this insightful episode where we embark on a journey into the world of post-acquisition integration within the post-acute space. Our expert guest, Sonnie Linebarger, a seasoned professional in the field of mergers and acquisitions, shares invaluable insights into the intricacies of merging people, technology, and processes for a seamless transition and maximized benefits.
In this episode, your hosts, Michael Greenlee and Hannah Vale, engage in a dynamic Q&A session. They delve into the core elements of successful post-acquisition integration, exploring the challenges and strategies involved in blending diverse organizational cultures, preserving patient-centric care, and harmonizing technology systems.
Learn how cultural alignment plays a pivotal role in fostering a collaborative environment and discover the importance of transparent communication in creating a unified culture. Discover strategies to ensure that patient care remains a top priority throughout the integration process, and gain insights into how technology integration is managed to streamline operations and safeguard data security.
Whether you're a healthcare professional, a business enthusiast, or simply curious about the inner workings of healthcare mergers and acquisitions, this episode provides a comprehensive exploration of the art and science of seamless integration. Tune in for actionable insights and practical takeaways that can shape the future of post acute services.
Don't miss this engaging episode filled with expert advice, real-world examples, and in-depth discussions on the critical aspects of post-acquisition integration.
Infusion Insider: Home Health Infusion Services with Brandon Lang of Haggai Healthcare and The Drip IV Infusion
Join Michael Greenlee and Hannah Vale as they talk with Brandon Lang of Haggai Healthcare and The Drip IV Infusion as they talk about Brandon's entrepreneurial journey.
Brandon Lang began his healthcare journey as an EMT at 19, working his way through nursing school and eventually becoming a flight nurse, with over 17 years in the air medical industry. After realizing the toll corporate healthcare was taking on his life, he purchased Haggai Healthcare Corp in 2020, transitioning from emergency medicine to home health. In 2022, he founded The Drip IV Infusion, a concierge healthcare business centered on wellness, driven by his faith, family, and a dedicated team's commitment to patient care.
Home health infusion therapy is a specialized area of healthcare that involves the administration of medications, fluids, or other treatments directly into a patient's bloodstream or tissues in the comfort of their home, particularly beneficial for patients who require long-term treatments or have difficulty accessing healthcare facilities.
Home Health Revealed is brought to you by HealthRev Partners.
Bringing Together People and Technology | Kristen Duell Returns to Her Roots
Join Michael Greenlee and Hannah Vale as they talk with Kristen Duell, new EV of Experience and Innovation of FirstLight Home Care, about bringing together the people and technology within the post-acute care industry as she returns to her roots of care delivery.
She is founder of the non-profit, IDEAL for Healthcare, catalyzing upward mobility and increasing access for women in healthcare.
Kristen talks about her personal career change, a story of resilience, and the changes within the overall industry, highlighting the KEY to retention of employees.
Home Health Revealed is brought to you by HealthRev Partners.
The Consulting Chronicles: Unlocking Efficiency and Maximizing Revenue with Maxwell Healthcare Associates
In this podcast episode, we delve into the world of agency operations and uncover the secrets to achieving efficiency and maximizing revenue. We talk with Eddie Vetter of Maxwell Healthcare Associates to provide valuable insights to help healthcare professionals navigate the complex landscape of consulting projects and process optimization.
Join us as we uncover the different types of consulting projects for intake and SOC processes. Discover how agencies are centralizing various functions to a shared services team and the impact it has on streamlining operations.
We tackle one of the biggest challenges faced by healthcare agencies: achieving a quick and efficient intake process. Learn about the hurdles that can arise, including the need for outsourced authorization and eligibility processes. We'll discuss strategies to overcome these obstacles and improve overall efficiency.
RCM (Revenue Cycle Management) takes center stage as we dive into process optimization and team staffing assessments. Explore effective workflow and task assignments that can transform RCM processes, leading to improved outcomes and revenue optimization. We'll also address common client inefficiencies and identify areas for improvement.
No system is perfect, and healthcare agencies face their fair share of system issues. Discover common system challenges and gain valuable insights into mitigating these issues to enhance operational performance.
DSO (Days Sales Outstanding) can significantly impact the financial health of healthcare agencies. We analyze the factors that contribute to higher DSO. Learn how to identify and address these issues to achieve a more favorable financial position.
Effective reporting and data capture are crucial for informed decision-making. We explore the RCM reporting needs of healthcare agencies and the importance of capturing accurate and comprehensive data. Discover the benefits of robust reporting capabilities and how they can drive velocity and success.
Adjustments and write-off reasons play a vital role in revenue management. We analyze the most common types of adjustments and write-offs encountered in healthcare agencies. Managing these processes effectively optimizes revenue and financial stability.
Finally, we address the reporting requirements and expectations of healthcare agencies. Uncover the types of reporting agencies need and explore the capabilities of velocity reporting. Discover how these reporting tools can empower agencies to make data-driven decisions and achieve operational excellence.
Unlock the secrets to transforming your agency's operations, streamlining processes, and maximizing revenue. Get ready to revolutionize your healthcare consulting journey!
Unleashing Leadership Potential: Navigating Stress, Focus, and Energy for Optimal Performance with Vicki Landers
Join us as Michael Greenlee and Hannah Vale talk with Vicki Landers of In Progress Coaching. Vicki combines her background in healthcare, coaching, and energy leadership to help leaders overcome challenges, gain mastery over invisible influences, and enhance their performance while creating a positive impact on their teams and patients.
Vicki discusses the invisible influences that contribute to leadership stress, which include external factors like physical well-being, environmental surroundings, and social interactions, as well as internal factors like spiritual alignment, emotional expression, and mental engagement. These influences can either support or hinder a leader's performance.
She emphasizes the importance of focus in leadership, which involves being fully present and accepting the current situation. By reframing stress and embracing the present moment, leaders can enhance their performance and move forward with solutions.
Regarding personal development, Vicki acknowledges that leaders may feel uncomfortable taking the time for introspection and change. However, she encourages leaders to embrace the opportunity to make conscious choices about their career and seek coaching as a means to gain clarity and navigate the middle of their careers.
Vicki introduces the concept of energy leadership, which involves viewing the world through different energy lenses. There are seven levels of energy, ranging from victimhood to self-mastery. Each level has a core thought, emotion, and action associated with it. Leaders can use the Energy Leadership Index (ELI) assessment to understand their default energy lens and make conscious choices about how they want to show up as leaders. This shared language can be used to create awareness and foster growth within teams.
Home Health Revealed is brought to you by HealthRev Partners, inspiring possibilities to touch more lives.
Quality Vs. Compliance | How to get the results you want!
Michael Greenlee and Hannah Vale are joined by Shirley Gamble. She is a Division Director at BAYADA Home Health, which offers Skilled Nursing, Home Health, Hospice, Assistive Care, Habilitation, Behavioral Health and more to patients in 24 states. She started her career in the freelancing market as an editor and proofreader. Her journey within home care began with a non-profit offering home care services in a dozen counties within Missouri. She then moved to a larger organization where she was a Director of Branch Operations for a single-site.
Shirley dispels the assumption that compliance equals quality, which is not the only component to true quality. Quality also includes financial performance, client and employee surveys, and communication with clients and employees.
Shirley gives useful advice on how to assess and improve processes within a home health agency: care, reimbursement, outcomes, and reporting systems. To tackle service-related problems, administrators must first know there is a problem and use reporting systems to filter results. Training is usually the expected course of action for a service-related concern but there are other important ways to make data meaningful.
Perhaps most important is that activities should be communicated in writing or via a webcast (and that the response should be formatted and look pleasant to the eye!) It is also important to share the numbers to show the volume of responses and to show those whose input wasn't chosen why.
Shirley gives simple steps an agency can use to improve employee engagement and gain feedback to help an agency increase in QUALITY!
Leaders who are in the trenches! On the ROAD at Missouri Alliance with Home Health Revealed!
This Home Health Revealed episode takes place ON THE ROAD! Michael Greenlee and Hannah Vale set up the recording booth in the middle of the Missouri Alliance for Home Care Annual Conference to hear from home health leaders and committee members who are in the trenches of home health. Hear their challenges and some of the creative solutions they are using to meet those challenges.
Brooke Kendrick with NorthEast Independent Living of Hannibal Missouri is on the task force at the Missouri Alliance for HomeCare. She discusses leadership challenges that come with staffing and how her agency is taking advantage of state regs that have lowered initial training requirements. She is working to meet increasing demands and get workers in homes quicker.
Her agency has also been able to raise wages to attract and retain staff. Her commitment to the industry is making a difference in the care offered in Missouri.
Carol Hudspeth from MAHC (Missouri Alliance for Home Care) gives insight into the consideration and prep it takes to create the experience for the annual conference. MAHC members have access to educational opportunities and advocacy. Check out information about membership and resources at Homecaremissouri.org. And plan ahead for the 2024 gathering at Margaritaville.
Stephanie Truex from Johnson County Community Health Services is working hard to overcome the discrepancy between reimbursement and staffing wages. She has particular interest in data and the home health value based purchasing model that is impacting her agency.
In the effort to hire and keep talent, when hiring, she looks for some particular attributes that might be surprising.
Peggy Bone with Elara Caring, (who also happened to be our “home room mother” for our conference presentation) has a drive to help her team be the best PEOPLE they can be by proving flexibility within home health. Elara Caring has put talent acquisition and referral programs in place that are helping their agencies across the US. And if that isn’t enough, she is also star of the “Peggy Road Show!” to check in on clinicians in a more personal manner and give them shouts on the FOND board!
She is on the MAHC board and in charge of membership. If you’re interested in learning more about the benefits of membership, she’s the one you want to talk to!
Home Health Revealed is published by HealthRev Partners. Grow your agency and expand your mission with a high power revenue cycle management partner.
Barbara Karnes on Dementia and the End of Life | Neutralizing the Fear of Dying
“People don’t understand that there’s a normal, natural way of dying. My materials are written to guide and support anyone who finds themselves addressing end of life situations. The goal is to help people have a positive experience so everyone involved will have a sacred memory to carry with them.” - Barbara Karnes, RN
In this episode, Hannah Vale and Barbara Karnes talk about dementia and the end of life. Hospice doulas are playing a very important role in end of life care. Learn the signs to look for to know when a patient should call an end of life or dementia doula.
Barbara also talks about how interdisciplinary care teams can reduce the fear of dying by educating their patients and families and doing some things that are practical.
Learn about her resource and an exciting new project that will be released in 2024!
Barbara Karnes, RN, is an internationally recognized author, speaker, thought leader and expert on end of life care and the dynamics of dying. Barbara was recognized in 2018 as a Hospice Innovator by the National Hospice and Palliative Care Organization and was named the 2015 International Humanitarian Woman of the Year by the World Humanitarian Awards.
If it has to do with death and dying, Barbara Karnes, RN is talking about it. Her articles have been featured in The NY Times, USA Today, The Huffington Post, Thrive Global, & The Washington Post, among others. Awarded the NHPCO Innovator award for her decades as an end-of-life educator and for her iconic booklet, GONE FROM MY SIGHT: The Dying Experience (aka: "the little blue hospice book").
Barbara’s career spans four decades and began as an early hospice pioneer during the AIDS crisis. In addition to the many years she has spent at the bedside caring for patients and their families as a nurse, Barbara has also served as executive director of hospice and various home-health agencies. She has also worked through the hospice ranks as patient care manager, clinical director, staff, nurse, and volunteer. Barbara is a dedicated end of life educator, training professionals, authoring resource materials, booklets, movies, and her fabulous blog.
You may find Barbara’s end of life resources for patients, families, and caregivers on her website: www.bkbooks.com
Barbara’s Social Media Platforms:
Family Support Bundle and other resources we talked about on this podcast can be found on Barbara’s website.
Website: bkbooks.com
Office #: 360.828.7132
Barbara’s email address: barbara@bkbooks.com
Barbara’s experience as a hospice care provider at the bedside of hundreds of people, and as an administrator overseeing the care of thousands, led to the 1985 publication of Gone from My Sight: The Dying Experience. Affectionately referred to in the industry as the “little blue hospice book,” Gone from My Sight has sold over 30 million copies worldwide, is published in 12 languages, and remains the leading resource on the market today educating families on the signs of approaching death.
In 2015, Barbara’s film New Rules for End of Life Care was featured in film festivals around the world and was the recipient of 10 prestigious film awards.
Barbara’s other award-winning publications and films include:
The Eleventh Hour: A Caring Guideline to the Hours to Minutes Before Death
A Time to Live: Living with a Life-Threatening Illness
My Friend, I Care: The Grief Experience,
You Need Care Too: Self Care for the Professional Caregiver
How Do I Know You? Dementia at End of Life
A Place in My Heart: When Our Pets Die
Pain at End of Life: What You Need to Know About End of Life Pain and Comfort Management,
BY YOUR SIDE: A Guide for Caring for the Dying at Home
The Final Act of Living: Reflections of a Long-Time Hospice Nurse.
Care for the Caregiver, DVD
This is How People Die, DVD
2023 Q & A - Answers to Home Health Agency Questions with Michael Greenlee
On this episode, Hannah Vale asks questions sent from agencies just like YOU! And Michael Greenlee gives answers you can use!
Topics include: What are the most common challenges that kill revenue? How do we staff appropriately? What are some strategies around compensation?
What is the best way to track productivity?
How to position an agency to sell?
This episode also includes instructions on calculating and managing Days Sales Outstanding. You can access that resource HERE: https://healthrevpartners.com/days-sales-outstanding-calculator/
Home Health Revealed is brought to you by Velocity, the most advanced coding and billing software on the market for transparency, analytics, and clinical intelligence.
Clinician Safety | Empowering Field Clinicians
In light of recent events, we felt a need to talk about clinicians safety and the need to agency administration to hold open, powerful conversations.
In this episode, Anna Powers sits down to share some of her very real (and sometimes funny) experiences in the field and the seriousness of being prepared to take necessary steps to protect clinicians.
Home Health Revealed is brought to you by HealthRev Partners. Grow your agency and expand your mission with a high power revenue cycle management partner. Powered by Velocity, the most advanced coding and billing software in the market for transparency, analytics and clinical intelligence.
Advocating for Rate Change | Lisa Von Lehmden and Ohio Council for Home Care and Hospice
In this very heartfelt and genuine episode, Michael Greenlee and Hannah Vale talk with Lisa Von Lehmden about her personal story of buying and selling an agency while navigating industry changes.
Lisa Von Lehmden has been working within Home and Community Based Services since 2004. She started her career as a Community Education Liaison and has watched the industry transform itself by way of acuity levels, technical innovations, and most recently a shift towards the demand of homecare agencies to negotiate payment models that allow them to sustain and continue providing care to the most frail, sick and disabled. After purchasing her agency in 2014 while pregnant with her son Bradley, Lisa discovered firsthand the operational barriers agencies face on a daily basis. As the chair of the Ohio Council for Home Health Care and Hospice, Lisa spends a large amount of her time advocating for rate change, better care delivery models, and therefore greater access for Ohio based patients and the agencies that serve them.
As a leading industry voice, the Ohio Council for Home Health Care and Hospice is advancing industry standards by providing home and community-based organizations with the advocacy, education, and regulatory support they need to help ensure that individuals receive the highest level of dignity, care, and respect.
This podcast is brought to you by HealthRev Partners. Grow your agency and expand your mission with a high power revenue cycle management partner. Powered by Velocity, the mst advanced coding and billing software in the market, for transparency, analytics and clinical intelligence.
Palliative Care: Developing a Continuum of Care
This podcast is brought to you by HealthRev Partners. Grow your agency and expand your mission with a high powered revenue cycle management partner. Powered by Velocity, the most advanced coding and billing software in the market, for transparency, analytics and clinical intelligence.
Join Amy Rose from Axxess as she talks with Michael Greenlee and Hannah Vale :
Amy Rose is the director of the palliative care solutions for Axxess, responsible for providing strategic direction and delivery of Axxess Palliative Care, the first standalone palliative software solution. She previously served as chief operating officer for Sangre de Cristo Community Care, overseeing the acquisition of three home health organizations and creating urban and rural palliative practices in inpatient, home care and clinical settings.
What is palliative care?
· Palliative care is not hospice care
· There is no one "right way" to do palliative care
· Differentiating inpatient palliative care from community-based palliative care
· Palliative care can increase referrals to other service lines.
Who benefits from receiving palliative care?
How do patients typically pay for palliative care?
How can palliative care be a profitable service line to add to your agency?
What are some operational indicators to know if palliative care is the right service line to add?
What are the professional benefits of working in palliative care?
How is palliative care an effective conduit to an agency being agile?
Why is Axxess leaning heavily on the idea of being agile right now?
Links:
AGILE: https://bit.ly/3GSTiHS
Axxess: https://www.axxess.com/
Automating Documentation Management in the Home Health, Hospice and Palliative Care Industry with Worldview Ltd.
What is document management and how does it apply to the post acute setting?
What processes are impacted and what are the typical results of an investment in this kind of technology?
Join your hosts, Michael Greenlee and Hannah Vale as they talk with Jared Robey from Worldview Ltd. about how automation is creating more efficient work flows in the home health, hospice and palliative spaces.
Learn more about Worldview Ltd. :
Website - www.worldviewltd.com
LinkedIn - https://www.linkedin.com/company/worldviewltd
Twitter - https://twitter.com/WorldViewLtd
Facebook - https://www.facebook.com/WorldViewLTD
Home Health Revealed is sponsored by HealthRev Partners, Grow your agency and expand your mission with a high power revenue cycle management partner.
Preparing for OASIS-E with Team Select Home Care
With OASIS E changes and Value Based Purchasing coming in January 2023, what are agencies doing to prepare?
Join Michael Greenlee and Hannah Vale as they talk with Jeanne Coy, Clinical Concierge at Team Select Home Care, about what they are doing to prepare their agency for upcoming changes.
What types of trainings are they providing to their clinicians and other staff members?
How are expectations for weekly/monthly productivity being adjusted as they account for the learning curve?
What benchmarks are being used to analyze effectiveness or deficiencies?
What on-going supports or resources will be provided to clinicians?
And maybe most importantly to Team Select- how is the morale of the clinicians being protected?
Access FREE OASIS-E Trainings HERE
Learn more about Velocity- the analytic platform that is providing agencies the data they need to make informed decisions.
This podcast is hosted by HealthRev Partners. The high-powered revenue cycle management partner you can trust.
Choosing the Right Gateway | How Waystar Has Transformed the Post-acute Market
In this podcast, Michael Greenlee and Hannah Vale talk with Tim Dawson of Waystar to learn more about Waystar’s industry leading healthcare payments analytics and business intelligence tools that can really transform the way an agency can do business by boosting efficiency and driving performance.
Get answers to questions:
What is a clearinghouse or gateway and how does it work with an EMR?
What are the benefits of choosing a clearinghouse separate from your medical records system?
What are some of the challenges with payor set-ups and how are agencies meeting those challenges?
When Waystar acquired esolutions, it became the first technology to unite government and commercial payments onto a single payment platform, bringing immense value to providers. How is this system optimizing the revenue cycle?
Bio: Tim Dawson is responsible for driving new business development at Waystar. With multiple years of experience selling cloud-based revenue cycle technology, he specializes in the post-acute market, helping skilled nursing and home health and hospice facilities realize their financial goals.
Ready or Not! OASIS-E is Coming!
Ready or Not! OASIS-E is Coming! This is a short bonus episode to give you some resources and tools for the upcoming changes to OASIS-E.
Find up to date information at our website:
https://healthrevpartners.com/oasis-e/
Looking for an easy to use cheat sheet? Here is our easy to use Crosswalk:
https://healthrevpartners.com/wp-content/uploads/2022/09/OE-Crosswalk.pdf
FREE Trainings can be found at this link:
https://healthrevpartners.com/oasis-e/
Facebook Forum to interact with our VP of Education and Development, Anna Powers and our VP of Coding and OASIS Review, Jessica Cook as well as others in the Home Health industry:
https://www.facebook.com/groups/1527350537702362
The following trainings can be purchased at:
https://healthrevpartners.com/shop/
Webinar 1. Cognitive and Mood Assessment Presentation
Gain an understanding of the official guidance related to the following new/modified OASIS items:
1. Brief Interview of Mental Status (BIMS) C0100-C0500
2. Signs and Symptoms of Delirium C1310
3. Mood Interview (PHQ-2 to9) D0150-D0160
4. Notable Change to Existing Item M2102F
Webinar 2. Social Determinants of Health and Transfer of Health Information
Gain an understanding of the official guidance related to the following new/updated OASIS items:
1. Administrative Items A1005-A1250
2. Transfer of Health Information A2120-A2124
3. Health Literacy, Vision and Hearing B0200-B1300
4. Social Isolation D0700
5. Notable Change to Existing OASIS Item M2401
Webinar 3. Health Conditions, Standard Assessment, and Special Treatments
Gain an understanding of the official guidance related to the following new/modified OASIS items:
1. Pain assessment J0510-J0530
2. Nutrition K0520
3. High Risk Drug Classes and Indications N0415
4. Special Treatment, Programs and Procedures O0110
5. Notable change to Existing OASIS Item GG items
Velocity is our analytic platform. Learn more about Velocity:
https://healthrevpartners.com/velocity/
You can reach our team by emailing connect@healthrevpartners.com
Debunking Sales Myths | What's true and what's not?
In this podcast episode, Michael Greenlee and Hannah Vale take on the top 10 sales myths:
Myth #1- Sales are all about the money
Myth #2- The best products always win
Myth #3- Bigger is better
Myth #4- Pricing timelines "I can get you this price if you sign today"
Myth #5- Sharing competitors
Myth #6- The agreement can't be changed
Myth #7- Data showing results
Myth #8- References tell the story
Myth #9- Using your software vendor for billing and coding is the best option
Myth #10- They are all the same
Home Health Revealed is sponsored by HealthRev Partners
Diversifying Service Lines with Rich Berner of Complia Health
This podcast is brought to you by HealthRev Partners-- Grow and expand your agency with a high powered revenue cycle management partner.
Join hosts, Michael Greenlee and Hannah Vale as they sit down with Rich Berner to answer questions about the future of home health and hospice.
What type of growth strategies should be considered?
How do agencies need to incorporate technology strategies?
If putting a growth and technology strategy in place, should agencies consider a RCM partner?
What is the number one criteria agency buyers are seeking?
Rich Berner serves as a board member and Chief Executive Officer of Complia Health - a leading provider of EMR solutions, technology, and services for pre- and post-acute care agencies. As CEO, he guides the company’s direction to help their clients improve the quality of life and healthcare experience of the populations they manage, while fulfilling the company’s purpose of connecting administrators, caregivers, consumers, and their families on the consumers’ terms.
With over 25 years across business-to-business and business-to-consumer industries in established and emerging markets, Rich previously served as CEO of MDLive; President for Allscripts’ International & Acute division including Allscripts’ Sunrise EMR; and in various leadership roles with Caradigm, a Microsoft/GE joint venture; Cerner Corporation; FreeDrive; Tellabs; the U.S. Army Corps of Engineers; and others.
Rich graduated as an Evans Scholar from the University of Illinois with a Bachelor of Science in Teaching of Computer Science.
"It's Always Too Early Until It's Too Late" | How to Have Meaningful Conversations About Advance Care Directives
Wow! What a powerful quote from Carla Sutter, Director, Advance Directives Registry for Contexture. Ms. Sutter holds her master’s degree in social work and has spent her 30-year career working with organizations who are dedicated to helping clients and families care for themselves and others whose needs are changing due to age or illness. Ms. Sutter is specialized in advance care planning conversations and advance directives.
Ms. Sutter’s previous work as a hospice social worker, counseling patients and families at end-of-life, has been a guiding point for her work and a reminder of who is at the core of any program on advance care planning and end of life decision making in which she is involved. Additionally, the research and writing of her master’s thesis entitled “Developing ethnic competence in social work practice” has directed the way she approaches a community centered program.
Ms. Sutter is the author of Where Do We Begin: A Guide to Elder Caregiving.
In this episode of Home Health Revealed, Michael Greenlee and Hannah Vale sit down with Carla to discuss how to have those meaningful conversations about end of life directives.
What keeps people from having these important conversations?
How can home health and hospice professionals be prepared to talk about these plans?
How can you write your own end of life directive?
How will you know that your wishes will be honored?
Whether it's through a state organization, place of faith or other resource, Carla encourages us to create a plan for the end of life earlier than later.
Some additional resources:
Arizona Resources on Advance Care Planning
You can access advance directives forms at no cost in several locations.
· Arizona Healthcare Directives Registry | azhdr.org
· Arizona Attorney General Life Care Planning (Arizona)| azag.gov/seniors/life-care-planning
· Five Wishes | fivewishes.org
· PREPARE | prepareforyourcare.org
Many resources provide tools to start a conversation about advance care planning with loved ones and help guide your own decision-making.
· Arizona Healthcare Directives Registry | azhdr.org
· Arizona End of Life Care Partnership | azendoflifecare.org
· The Conversation Project | theconversationproject.org
· PREPARE | prepareforyourcare.org
· SAGE – LGBT Elders Resources | sageusa.org
· Go Wish Game | gowish.org
· Death Over Dinner | deathoverdinner.org
· Veterans Advance Care Planning | caregiver.va.gov
For more information, visit AZHDR.org.
Home Health Revealed is hosted by HealthRev Partners.
Changing Your Mindset on Time | Choosing the Right Coding Company | Regaining Control of Collections
Plan to join us for the upcoming webinar on the Home Health Proposed Rule 2023 by registering at https://healthrevpartners.com/webinar-the-2023-proposed-rule-for-home-health/
What if time was created to protect you? How can we use it to. better our lives and how to serve others? Lack of time management causes anxiety and stress, sleep issues and even anger or depression. In the work place, it can cause burnout. As leaders, our employees have lives outside of work. Most people are fighting a battle against time before they even grab their favorite cup of coffee.
Michael gives his personal example of how he sets his daily schedule to renew his mind and be prepared for life's challenges and serve others through what he calls, "Me Inc."
When is comes to finding a coding company, never make decision on price alone. Use the given steps to find the right partnership. As consumers, we are in pursuit of value that fits the price. What you are really looking for is quality, compliance, data and a brand that fits your company.
To regain control of collections, there are some common problems we have identified. From Payor set-up and intake to posting payments and claim adjustments, Home Health Revealed lists the steps to take back the process and jump start your collections.
Automation Revolution: How Home Health is being Impacted by Robots and AI?
While automation is not new, the surge in technology and the use of additional AI features are greatly impacting the home health industry.
Automation is really just the use of machines with process automation capabilities to help with processes.
Many menial and repetitive tasks are being replaced with robots. With the staff shortage, the use of automation is becoming even more important. AI or Artificial intelligence is also being used. Speech recognition, image recognition, and censors are being used to create processes and make decisions.
Machines or bots are programmed to perform tasks as a human would based on a set of parameters. Built using algorithms or mathematical functions. We use is all the time in social media, Alexa, smart phones, vehicles. It’s a series of inputs and outputs. It can only respond based on its programming.
We have really identified three major parts of the home health process that have been impacted by automation: those are the intake process, the patient care portion, and then the revenue cycle.
Listen to learn more about each of those aspect.
AND....
We're taking this show on the road! Home Health Revealed is going "on tour" so to speak. We will be recording live at conferences and trade shows this summer.
Staffing: Generational Trends in the Workplace and The Great Resignation
Have you wondered why so many people are leaving the healthcare industry? Everyone seems to be struggling with staffing.
What is the Great Resignation? In this episode, Michael Greenlee and Hannah Vale take a look at the generational trends in the workforce and talk about how to attract employees from the different generations.
The statistics may surprise you.
Is there such thing as loyalty to employers?
Be sure to let us know what your Commandments of Employment are!
This episode is powered by Velocity.
Author the Best Plan of Care and Clinical Documentation in 2022
The clinical documentation, OASIS and plan of care are critical pieces of patient care.
Are you appropriately using clinician collaboration? Who is considered a collaborating clinician?
How do you know if you are writing a good plan of care? Where do you confirm what needs to be on the POC?
Is it a good idea to create cookie cutter POCs? Can a POC be too long? How does the clinician determine what interventions the patient needs on their POC?
What does it mean to assess a "paper patient"?
Join Michael Greenlee, Hannah Vale, and Anna Powers as they discuss how to author the best documentation.
Home Health Revealed is sponsored by HealthRev Partners
Use Analytics to Drive Growth in 2022 | Industry Trends and Processes
Let's get set for success!
Learn about industry trends heading in to 2022 that are affecting cashflow and operations in home health and hospice. Michael Greenlee and Hannah Vale give specific insights into the analytics that matter, what agencies should be tracking to make good business decisions and how to build a team with fresh vision.
Increase efficiency by setting goals and automating processes. What is your company DSO and how does that impact your agency?
What is "the TOOTHPASTE analogy"?
How do you know if something is a trend? When you're looking at your billing processes for the end-to-end revenue cycle, do these things:
1. Implement a remit forecast per payer for billing.
2. Track your days to pay and create a root cause analysis.
3. Set achievable numbers and create benchmarks.
4. Perfect the process: from NOAs to posting, analyzing AR, then claims and denial management.
Be sure to hare your WHY with your team to promote your mission and create a back up plan through RIGHT SOURCING.
Analytics is the vehicle to help you achieve all your goals in 2022.
Home Health Revealed is sponsored by HealthRev Partners. Their home health solutions and hospice solutions combine technology, service, and analytics to uncover opportunities for improvement and drive peak financial performance.
Hot Topics for Home Health Agencies in 2022 | And How State Associations Can Help
Join Home Health Revealed as we tackle the hot topics home health agencies are facing RIGHT NOW.
Patti Heid, Director of Clinical and Regulatory Affairs at the Home Care Association of Florida, talks with us about how associations are helping providers maintain compliance while navigating the rapid changes coming in 2022. From advocacy to education and on-going support.
How should agencies prepare for the pending vaccine mandates?
What does the transition from the No-Pay RAP to the NOA look like for agencies?
What are staffing shortages really costing agencies?
Patti, Michael and Hannah discusses and give practical information on these topics and how associations can provide support as we head into 2022.
Home Health Revealed is sponsored by HealthRev Partners. Grow your agency and expand your mission with a high power revenue cycle management partner.
Are You Leaving Money on the Table? | Coding and OASIS Review for Home Health
Coding for home health is extremely complex. It not only affects a home health agency's reimbursements, but also the ratings, referrals and overall brand. How can an agency know if they are leaving money on the table?
In this episode of Home Health Revealed, Jessica Cook, Director of Coding and OASIS Review with HealthRev Partners answers our questions.
When it comes to OASIS, CMS wants to see improvement. Scoring an OASIS correctly is crucial to ensure proper payment and outcomes. Outcomes and star ratings go hand in hand because the OASIS items that are considered 5 Star items also impact the agency's overall ratings.
Every patient must have a specific plan of care. The interventions and goals must be specific to the patient. And the primary diagnosis or primary focus of care should always be on the plan of care.
Analytics are also essential to helping agencies improve their documentation and provide education.
Whether an agency is looking to outsource or they are coding and reviewing in-house, there are three things Jessica says to look for when considering OASIS documentation:
1. Is the clinician's OASIS a true reflection of the care the patient needs and is receiving?
2. Is the agency potentially leaving more on the table and do they know?
3. What impact are they having on outcomes and star ratings?
When a patient is looking for care, they are depending on the ratings of an agency as an indication of whether they will also receive quality care. Documentation affects reimbursement, ratings, and ultimately the brand of the home health agency.
Successful Wound Care Program for Home Health with Corstrata
Wound care is a problem in home health that costs the industry $40 billion per year! Join us as we hear from industry leaders, Katherine Piette and Alicia Jenkins on how to tackle the wound care problem.
Katherine Piette is the CEO and Co-Founder of Corstrata. As a 20+ year post-acute, healthcare executive, Katherine has served in quality, marketing, and operational roles. She brings extensive experience in Telehealth, continuous process improvement, project planning, and organizational redesign for care management and high-opportunity, high-cost populations including wounds and ostomies.
Alicia Jenkins, RN, BS, CWCN, serves as Corstrata's Clinical Director of Provider Services. Alicia is a recognized, experienced Wound Consultant and leader in Home Health, Hospice, and post-acute settings. With more than 20 years of experience in post-acute care, she has extensive knowledge of virtual wound management and a proven history of improving patient and business outcomes. She offers a deep perspective on the opportunities for post-acute providers with wound and ostomy patients.
Wounds are respected in post acute as high utilizers of clinical time and wound supply resources. There is lack of access to wound experts to help improve treatment plans and financial and clinical outcomes associated with wound patients.
In this episode we talk about:
1. How big of a problem is wound care in the home health industry and what does it mean if a wound isn't treated properly?
2. What should be included in a successful home health wound care program?
3. What are biggest gaps seen within wound care, industry-wide?
4. Why is identification and staging of wounds so critical for documentation?
5. How can agencies reduce face to face visits and increase healing time?
7. What new trends are being seen in care delivery? And how does partnering with a wound care expert benefit a home health agency?
6. What are the benefits of tech-enabled wound care?
How big of a problem is wound care?
There is a lack of knowledge regarding wounds and how to address them and take care of them. Wounds are seen across all diagnoses. Frequently patients come out of the hospital with a wound(s) that linger. It's a challenge for the patient because it's painful, maybe odorous and takes time to heal. An average of about 30% of the patient population in home health has a wound. The knowledge to care for that patient need is very important.
Not only does it affect the patient, it has financial implications within the home health agency, including high supply costs.
What are the components of a successful wound care program? Katherine and Alicia give us the 6 key ingredients to building a comprehensive wound and skin integrity policy and treatment plan. One of those is the access to certified wound care specialists.
Home health wound care documentation effects treatment plan, outcomes, and reimbursement. How should pressure injuries be staged according to the National Pressure Injury Advisory Panel? Reimbursement is dependent on appropriate and thorough documentation, coding, and OASIS outcomes. It is important for agencies to have access to wound experts; Tech can enable clinicians to analyze information at the bedside.
Corstrata is a specialized Telehealth services company that offers virtual access to certified wound and ostomy specialists to improve patient outcomes and lower costs. Call 800-566-1307 for more information.
Home Care Software Solution: What You Need to Know to Choose the Right EMR with Kristen Duell
Hannah Vale and Michael Greenlee as they talk with Kristen Duell, the EVP at Kantime. She has over 17 years of experience and is a wealth of knowledge in the health care/tech space. She loves helping people grow, learn and accomplish their goals.
Home health agencies have to find the right EMR (Electronic Medical Record) software system. Kristen talks about the real questions agencies should consider when choosing an EMR solution that works best for them.
She discusses topics like how user friendly a solution is, if it's able to grow and scale with you, considering payer diversification and the ability to flow all the way through to billing.
Kristen defines the most common functionalities that agencies should look for when making a decision about implementing an EMR solution.
One of the most important aspects is the implementation process. Kristen talks candidly about her experiences with implementation.
What should agencies look for from a clinical documentation standpoint?
Online training has become an essential piece of continuing to hire and expand your organization.
Other resources for agencies includes reports, analytics and data.
The decision-making process is complex. Kristin gives the top 3 questions agencies should ask when making the decision to adopt an EMR solution.
Kantime is the #1 home health and hospice EMR Solution. They offer a web-based management system in the post-acute care space: private duty, home health, pediatric, hospice and palliative care and self-direction.
Request a Demo from Kantime to learn more!
Home Health Revealed is sponsored by HealthRev Partners. Grow your agency and expand your mission with a high power revenue cycle management partner.
Mention this podcast and receive up to $500 off your first three invoices with a coding or billing 12-month service agreement. Request a Quote.
Marketing Your Agency with SEO Marketing Leader, Josh Lenz
Hannah Vale and Michael Greenlee talk with Josh Lenz, a SEO marketing leader specializing in authority marketing about how home health agencies can better market their businesses to grow and scale their businesses.
Josh shares his raw, personal story about going from the corporate world to woodworking to mastering SEO. He talks about the basic of marketing, types of content, and how to create a marketing plan.
Learn more abut the basics of marketing: traffic and conversions. Marketing strategy is so simple but it requires a routine. Learn how you can achieve success with any platform. Do one thing consistently for an extended amount of time.
The places you can publish and the types of content you can create are limitless.
There are three types of content:
1. Spoken word
2. Video
3. Written
Begin with one content form to produce content consistently on a particular platform and become the authority.
When choosing your content, picture the person you are serving. Taking care of a person is how you get your page to be seen. Write or create to a specific person to answer their question or solve their problem.
Josh talks about how to create a marketing plan that can be done in-house through his system: Explore. Analyze. Adapt.
SEO (Search Engine Optimization) means getting your website ranked for key phrases that people are searching for. Josh explains how Google is ranking content.
What is the difference in marketing and advertising? One is "free"
In the home health and hospice field, as agencies are trying to grow and scale, they must create a plan that is consistent.
What is the difference in working with a marketing agency versus an individual?
Incorporating culture and portraying the heart of the company is so important to send in your marketing message.
Resources mentioned in this podcast:
Create, Verify, and Optimize My Business
Looking for information on home health and hospice coding or home health and hospice billing? Mention this podcast and get up to $500 off your first three months of service with a 12-month agreement.
Kick Off Episode with Michael Greenlee, Founder and CEO of HealthRev Partners
Hannah Vale and Michael Greenlee bring you the first episode of the Home Health Revealed Podcast as they bring real stories from real industry leaders about issues related to home health.
The Home Health Revealed Podcast is sponsored by HealthRev Partners. So, for the kick off episode, we wanted to hear from Michael Greenlee, Founder and CEO of HealthRev Partners. He talks about why and how he decided to start his RCM (revenue cycle management) management. Find out how he models his business to build a team. He gives advice on hiring using profiling the strengths and skills of his employees, creating performance matrices to pay salespeople and service providers so that they are committed to the vision of the company.
Within his company, everyone has a voice. He believes that within his company people can disagree and be candid so long as it comes from a place of passion.
Coding and Billing can be a commodity; What makes HealthRev Partners different is that they view their role as a partner to home health and hospice agencies.
What makes the company great is the people behind the services that are provided. You can't run a company without great people and a great solution.
He tells some heartwarming stories from his childhood that helped shaped his philosophies of life and who he is today. "Always be a man of your word."
What differentiates HealthRev Partners from other coding and billing services is their dedication to analytics. Velocity gives you all the analytics you need to make wise decisions and find any gaps in productivity.
You can reach out to Michael or HealthRev Partners for more information on Velocity or to learn more about their services.
Join us in the next episode as we hear from a leader in SEO marketing and learn how you can grow your agency from an SEO perspective.