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HCAOA WEEKLY NEWSLETTER
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The HCAOA Weekly is a brief update that will be distributed to HCAOA members each week. This communication complements our quarterly newsletter, The Voice, and will provide a vehicle for ensuring a regular flow of information on a more frequent basis. With ever evolving information in the home care industry, we want to ensure the lines of communication remain open and members have a source for quick, valuable news at their fingertips.
Table of Contents

Member News

Chapter News

Congressional Update

Congressional Corne
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Member News

HCAOA Caregiver of the Year Award – Nominate a Caregiver Today!

Do you have a caregiver in your company who has consistently gone above and beyond the call of duty? Have they exhibited compassion, empathy, and respect in the delivery of care to your clients and their families? Have they improved the quality of life, exemplified extraordinary commitment, acknowledged and met the needs of your clients and families? If so, the HCAOA encourages you to nominate a member of your staff to be considered for the HCAOA Caregiver of the Year Award!

HCAOA will announce the Caregiver of the Year Award during the Annual Leadership Conference The award will be presented during the Annual Business Meeting on September 24. The winner will receive a cash prize of $1,000 as well as $500 towards their travel to the conference.
Please review the information below on eligibility and criteria for submitting nominations.
 
Purpose of the Award
The Caregiver of the Year Award recognizes the caregiver from a member company who demonstrates extraordinary commitment to the delivery of quality care to clients and their families.
 
Eligibility
Any caregiver from a member company may be nominated. However, there is a limit of one nomination per company. Both the award recipient and the nominator must be able to attend the Annual Leadership Conference in Washington, DC on September 22–25, 2018.

Criteria
Nominees should demonstrate the following characteristics:
  • Exemplifies extraordinary commitment to clients and families while following company policies and procedures
  • Shows compassion, empathy and respect in the delivery of quality care for clients and families
  • Acknowledges and meets the unique physical, emotional and practical needs of clients and families
  • Improved the quality of life for clients and families
  • Nominator must be a Voting/Gold member of HCAOA
Faces of Caregiving
Please note that while filling out this nomination form, you will also be able to nominate your caregiver for the HCAOA Faces of Caregiving campaign. Faces of Caregiving is a storytelling project focused on showing the incredible work professional caregivers do every day: their dedication, compassion, and the extraordinary value they bring to the jobs they fill and families they serve. In the event that your nominee isn’t selected for the Caregiver of the Year Award, that caregiver could still be featured in Faces of Caregiving, should you opt to enter him or her for consideration.

Nominations for the Caregiver of the Year Award must be submitted by July 27, 2018.

Click here to nominate a caregiver today!

Save New York Home Care Coalition Presents Testimony to Make Emergency Rule Permanent 

The New York Supreme Court, Appellate Division, previously issued decisions that could potentially produce devastating consequences within the home care industry. In the following cases, it was decided that non-residential 24-hour home care aides must be paid minimum wage for all hours spent at a patient’s home: Andryeyeva v. New York Health Care, Inc.; Moreno v. Future Care Health Services, Inc.; and Tokhtaman v. Human Care, LLC.
 
In accordance with the New York Department of Labor’s (NYDOL) policies, residential home care aides have traditionally been compensated for 13 hours of each 24-hour shift. Known as the “13-hour rule”, this method takes into account that the aide will receive 8 hours of sleep (5 of which are to be uninterrupted) and 3 uninterrupted hours for meals. However, the three aforementioned rulings have decreed that regardless of periods for sleep and meals, non-residential home care aides employed by a third-party agency must be compensated for each hour of a 24-hour shift.
 
In response to these court decisions and their impending impact on the home care industry, the NYDOL issued an amendment to its Minimum Wage Order for Miscellaneous Industries and Occupations (“Wage Order”) on October 6, 2017. The new amendment states that bona fide meal periods and sleep times may be excluded from hours worked by home care aides who work a shift of 24 hours or more in accordance with federal Fair Labor Standards Act regulations.
 
A hearing took place this morning, in an effort to make this temporary rule permanent, with testimony presented by the Save New York Home Care Coalition.
 
HCAOA is a member of the Save New York Home Care Coalition (“Coalition”), a membership organization comprised of over 600 employers in New York State collectively employing over 100,000 active home health care aids, which has taken several actions to advance these efforts.
 
As the law develops and more cases are heard, the Coalition will continue to work to ensure reasonable and practicable regulations are implemented. At this time, New York agencies should stay educated on developments and focus on compliance. For more information about the Coalition or any of the topics discussed in this article, please contact info@hcaoa.org.

Book Your Room for the 2018 HCAOA Annual Leadership Conference!

A must-attend event for the home care industry, the 2018 HCAOA Annual Leadership Conference is scheduled to take place in Washington, DC on September 22-25. We encourage home care providers to attend this year’s conference, which focuses on The Voice of Home Care for American Families: Advocating For Our Seniors.
 
During the event, conference participants will have the opportunity to learn about the latest home care innovations, business strategies, as well as best practices and methods.

The Conference will be held at the Wardman Park Marriott Hotel in Washington, DC. Washington, DC is one of the world’s leading destinations for travel and tourism. The city offers easy access and navigation through three airports, a world-class public transportation system, unique venues, award-winning hotels, and hundreds of free things to do.

During your visit, explore the iconic monuments along the beautiful National Mall as well as the city’s vibrant neighborhoods filled with character and charm. There’s no shortage of entertainment, from outstanding shopping to the wonders of free museums to can’t-miss theater to outdoor playgrounds like Rock Creek Park. DC’s renowned dining scene is filled with culinary talent and variety, a fact proven when the city recently received its first Michelin Guide. For more information, visit https://washington.org./

HCAOA has secured an outstanding rate of $225 plus tax per night from the Wardman Park Marriott. Reservations can be made by calling the Wardman Park Marriott at 1-800-228-9290 or click here.

Note: Please book accommodations by August 30, 2018 and mention that you are an attendee of the HCAOA Annual Leadership Conference to ensure you receive our discounted rate.

Please click here to learn more about our additional conference speakers, schedule and registration. 

Click here to register as an attendee today! 

We look forward to seeing you in Washington, DC this fall!

Promote Your Services to Nearly Every Attendee Via the Conference Mobile App!

Made up of over 2,700 business owners from communities across the country, HCAOA members represent millions of dollars in purchasing power each year. If you are a company that serves the home care market, you don't want to miss the opportunity to interact directly with company decision makers at an event that is guaranteed to attract top home care industry leaders!
 
Market your services to HCAOA members at the Annual Leadership Conference by sponsoring a promotion with the Annual Leadership Conference Mobile App! See more information about the sponsorship packages below.
 
Conference App Sponsorship Options
The custom designed HCAOA mobile event app will provide vendors the opportunity to connect with attendees in new and unique ways. The app will feature the Conference schedule, speaker information, hotel information, vendor information, and allow attendees to participate in surveys as well. It will also be integrated with social media platforms and allow different sponsorship opportunities for vendors to showcase their presence at the Conference. Please see the detailed sponsorship options below to see how you can participate in this unique opportunity and reach your target audience multiple times prior to the Conference and onsite as well!

Premier App Sponsorship – SOLD
The Premier App Sponsorship will include exclusive Splash Page branding along with one (1) Push Notification and one (1) Banner Ad.

Push Notification Sponsorship
A push notification is similar to a text message however it’s sent via the app. The notification is a real-time marketing tool with direct access to each attendee, used to encourage activity or traffic during the event. The notification is limited to 140 characters (no links or images can be displayed within this message) and content must be approved by HCAOA.

Banner Ad Sponsorship
A banner ad is a customizable ad that appears at the top of the screen on the home screen and social feed. When an attendee taps on the ad, it will take them to a desired page inside the app that features the sponsor profile or website.

*Please see images and pricing of these sponsorships on page nine in the Sponsorship Prospectus.

To learn more about exhibit and sponsorship opportunities, please see the 2018 Annual Leadership Conference Sponsorship Prospectus. Opportunities are going quickly, reserve your spot at the Annual Leadership Conference today!
 
Thank You to our current 2018 Annual Leadership Conference exhibitors and sponsors!

HCAOA Webinars


Winning at Big Data

     

Speakers:
  • Steven C. Fox, D.O., Medical Director, Wellspring Personal Care
  • Edwin Nunez, R.N., Director of Clinical Services, Wellspring Personal Care
  • Joseph Person, Consultant, Strategy and Analytics, Wellspring Personal Care
Date and Time: July 24 at 3:00pm EST 
 
Description: Home Care Metrics℠ is pleased to offer you the opportunity to be one of the first home care organizations to use our provider developed state of the art technology that produces and shares actionable client driven data. Participation in this limited Beta Test, gives you access to a platform that will advance your ability to generate timely health data reports, initiate collaborative interventions, and prevent client over-utilization of acute care services. With the movement toward technology-enabled care in the home, there is a growing awareness that private duty home care providers are uniquely positioned to harness data, often on a daily basis, that can improve outcomes for their clients. Sector by sector health care entities are being challenged to adhere to data standardization, accessibility, and accountability if they are to remain viable and competitive. The Centers for Medicare & Medicaid Services (CMS) recently approved the inclusion of non-skilled in-home care supports, as a supplemental benefit, available to Medicare Advantage plans effective in 2019. This change may expand options for older adults who need additional support to remain in their own homes. Referral sources and payers, both private and public, are increasingly expecting providers to speak the language of big data. 

What You'll Learn:
  • A brief history of the development of Home Care Metrics℠ and how its methodology and tools enable Wellspring Personal Care, a Chicago, IL based home care agency and developer of Home Care Metrics℠ to achieve an average client length of stay of 36 months.
  • Learn how to manage more medically complex clients through real time communication without increasing supervisory staff. Learn how built-in change in condition descriptors help caregivers, using tablets in the home, clearly articulate and share their observations. 
  • View Wellspring Personal Care data over the past 4 years since implementing Home Care Metrics℠, and learn how “Measure What Matters for the Management of Chronic Illness” is more than just a tagline.
  • View a live demonstration of the key features of Home Care Metrics℠
  • Learn how to use data to promote a better understanding of chronic conditions, facilitate
Requirements to participate in Home Care Metrics℠ Beta Testing and sign up procedures:

We are beginning enrollment for Home Care Metrics℠ in August 2018 and invite participation by private duty home care agencies that meet the following criteria:
  • Provider agrees to use Home Care Metrics℠ for a minimum of 5 clients who have one or more chronic health conditions.
  • Clients must be receiving at least 4-8 hours of shift care for a minimum of 20 hours per week in their place of residence.
  • Provider agrees to use Home Care Metrics℠ for no less than 6 consecutive months.
  • Provider’s clinical team must include a Registered Nurse who supervises care delivery.
  • Provider agrees to allow Home Care Metrics℠ to collect anonymous health care data, assessment scores, trackers, alerts, and outcomes.
  • Home Care Metrics℠ will be available to beta sites without charge for the first six months. At the end of the six-month period, Home Care Metrics℠ will be offered at a nominal daily charge.
Technology Requirements:
  • Tablet computers
  • Mobile data for each tablet
  • Wi-Fi connectivity in the field preferred
Click here to register for this webinar.


The Top Ten Tech To-Dos of the Highly Successful Home Care Agency

     

Speakers: 
  • Marissa Snook, Managing Director, corecubed
  • Amy Selle, Managing Director, corecubed 
  • Stacie Gillespie, SEO Manager, corecubed
Date and Time: September 5 at 3:00pm EST 
 
Description: Totally married to change, our healthcare at home landscape is evolving as demographics shift towards more people reaching the age where care might be needed, and as technology jumps ahead with social and business integration and solutions. What are the most important things to do that make the most impact for a successful home care agency? Attend this webinar to learn:
  • To emphasize the expanding role that technology plays in reaching and connecting with potential clients, referral sources and the public
  • To define the best practices in digital marketing, and how those practices integrate with agency operations for maximum success 
  • To present a clear diagram of a strategy for success using technology as a tool for reaching and securing new clients and referral sources.
Click here to register for this webinar.

Past HCAOA webinars are available in the online store.

2018 Home Care Benchmarking Study

Get the latest insights, trends, and analyses of the private duty home care industry. For the 9th year, Home Care Pulse has partnered with the HCAOA to produce the most comprehensive national study for the industry. The study includes reports on finance, sales & marketing, operations, recruiting & retention, and client experience aspects of home care businesses. It also includes articles from industry experts providing, their insight on successfully navigating through the challenges home care owners are facing and on positive trends impacting home care.
 
Click here to order your copy today!
Chapter News

HCAOA Florida


Annual Meeting

Please join us for the HCAOA Florida Annual meeting in Orlando!

Date: Thursday, August 16
Time: 10:00 am - 4:00 pm
Location: Hilton Garden Inn Orlando | 11400 Marbella Palm Court, Orlando

Agenda:
10:00-10:15 am Opening Remarks
10:15-11:00 am Electronic Visit Verification: Explanation of new state requirements and software programs approved by AHCA
11:00-11:45 am The Forgotten Financial Caregiver: Learn about working with Professional Financial Caregiver that would protect your company and clients from financial fraud
11:45 am - 12:30 pm Lunch
12:30-1:15 pm Using The Web For Client and Caregiver Recruitment
1:15-2:15 pm Worker's Comp: Understanding the financial impact on employers, claims management and accident investigations, along with other insurance tips
2:30-3:00 pm Business Meeting
 
If you have any questions, please contact Manager of Chapter Services, Nataly Schwartz at nataly@hcaoa.org or 202-508-3872.

Click here to register!

HCAOA Connecticut


Office of Legislative Research Issues Report on EVV

Last month, the Office of Legislative Research issued a report that discusses electronic visit verification (EVV) requirements in federal law, implementation in Connecticut, and related legislation.

Federal law requires states to begin requiring EVV in their Medicaid programs for personal care services beginning Jan. 1, 2019, and home health care services beginning Jan. 1, 2023.

In Connecticut, the Department of Social Services chose Sandata Technologies under its existing personal service agreement with HP Enterprise Services as the EVV system vendor for the state’s home care programs. The EVV requirement for personal care services became effective Jan. 1, 2017. DSS extended the effective date for EVV requirements for home health care from Feb. 1 to April 1, 2017.

Among other things, Public Act 17-135 temporarily prohibited the DSS commissioner from extrapolating overpayments caused by errors related to implementing the EVV system and required DSS to report to the Human Services Committee on EVV implementation.

HCAOA Illinois


July Monthly Meeting

HCAOA Illinois is hosting its regular meeting on Tuesday, July 17. Susan Stuart, the Executive Director of the IL Nurses Association, will be presenting on “Changes to IL Nurse Practice Act.” Come meet with fellow members and receive a legislative update, in addition to updates on chapter news and activities. For more information, please see the July Meeting Agenda.

Date: Tuesday, July 17
Time: 9:30 am - 11:00 am Central
Location: Wilder Mansion, 211 S. Prospect Avenue, Elmhurst, IL 60126
Cost: Free for chapter members
 
If you have any questions please contact Manager of Chapter Services, Nataly Schwartz at nataly@hcaoa.org or 202-508-3872.

Click here to register!
Congressional Update

The Newest Supreme Court Nominee


On July 9, President Trump had the opportunity to nominate a new supreme court justice for the second time, filling the vacancy that Justice Anthony M. Kennedy left behind. Judge Brett Michael Kavanaugh is not new to the political arena and was only 38 when he was first nominated to a federal appeals court. Before that he participated in the investigation of former President Bill Clinton and even helped draft his impeachment report. He has gained a reputation as a ‘conservative powerhouse’ in the courtroom, having already issued around 300 opinions so far. There have been rumors since the beginning, particularly prominent on the left side of the spectrum, that Judge Kavanaugh is too partisan. He has also been described as pro-business and a law-and-order judge. The President said his goal with Kavanaugh is to have a justice who embodies the tradition of Justice Kennedy.
 
Judge Kavanaugh in many of his opinions is not short of favoritism of businesses. Multiple opinions in his past indicate his views on how the business world should work and how employees fit into it. One of Judge Kavanaugh's decisions, Epic Systems v. Lewis, made it possible for employers to require, as a condition of employment, that workers waive their rights to participate in class-action lawsuits. Another case that demonstrates the Judge’s views on the role of unions comes from the case Midwest Division - MMC, LLC v. NLRB (2017) where Judge Kavanaugh wrote a concurrence to emphasize that there is no right to union representation in peer review interviews because the interviews are not investigatory or likely to result in discipline.
 
Overall, it is predicted that Judge Kavanaugh, if approved, will make the supreme court a strong conservative court over the coming decades. The path to get to this point is going to be a long one since Judge Kavanaugh has many opinions and previous experience to be reviewed. Additionally, some conservatives and liberals alike are concerned about Kavanaugh’s method and some of his partisan views. It is expected that Justice Kavanaugh will be confirmed by the Senate, but as the Senate is politically split, it is likely to be a close vote.

EVV Delay Is Headed to President Trump


On June 19, the House of Representatives passed H.R. 6042, which would delay for one year a scheduled reduction in federal Medicaid funding if states don’t require electronic visit verification systems for personal care services. The reductions are scheduled to start Jan. 1, 2019. The measure would exempt those services from the reduction if they are provided to inpatients or residents in hospitals, institutions for mental disease, assisted living facilities, and other settings. The Senate is expected to act swiftly this week to pass H.R.6042.
Congressional Corner

Rep. Neal Dunn (R-FL)

Neal Dunn is a retired urologist and veteran of the United States Army, in which he served for 11 years and in the reserves for six years. After leaving the military Rep. Dunn went on to accomplish many impressive feats. He founded Panama City Urology Center, Bay Regional Cancer Center and the Advanced Urology Institute. He served as president of the county medical society and was chairman of the Florida Medical Association’s Council on Legislation in 2013 and 2014, a position that took him to Tallahassee to testify before legislative committees on health issues.
Dunn retired from active practice around 2010, and assumed an administrative role as chief medical officer for Advanced Urology Institute, which has 45 practicing physicians, in April 2014 to serve on the Enterprise Florida board of directors. Moving into the political arena, Rep. Dunn was elected to represent the 2nd district of Florida. He supports Republican policies that favor a smaller role for government in regulating business and providing social services. Additionally, Rep. Dunn favors lowering taxes and reducing government regulations on small businesses, and he wants to eliminate the Department of Education.

Rep. Dunn favors a “full and immediate repeal” of the 2010 Affordable Care Act, and would replace it with a free market system that focuses on consumer choice and protecting the doctor-patient relationship. Speaking to the issue during his campaign he can be quoted saying, “I will proudly stand up and fight for the conservative values we share. I will work to repeal Obamacare, cut spending, stop illegal immigration, protect the 2nd Amendment and rebuild our economy.” Rep. Dunn, who is anti-abortion, wants to defund Planned Parenthood and believes that “traditional family values” have been under attack. On immigration, he favors strengthening border security, opposes granting undocumented immigrants legal status, and wants to remove incentives such as health care and public education that attract illegal immigrants to the United State. Overall, Rep. Dunn sees a need for the federal government to strengthen national security and provide support to service members, veterans and their families.
 
Dunn was born in Boston but lived the nomadic life of most military families as his father’s assignments shifted from base to base. Dunn graduated from Washington & Lee University, a private liberal arts school in Virginia, and later George Washington University Medical School.

Home Care Association of America
444 N. Capitol Street NW, Suite 397, Washington, DC 20001
Phone: 800-22-HCAOA Email: info@hcaoa.org  Website: www.hcaoa.org

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