turnovercahsah.org/documents/364_octc08.pdf · services at home send ad/resume to: 3780 rosin...

AUGUST2008 VOLUME 24, NUMBER 8Vol. 24, Number 04

COMPROMISE NEEDED TO SOLVE BUDGET DEADLOCK

FeaturesTHE NEW FACE OF CAHSAH: Positioning for the future.

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PolicyHow we Survive and Thrive, 2009 Chaptered Bills

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MembershipWelcome to CAHSAH’s Newest Members, GPO Programs.

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EducationAdvanced Certificate Programs, Updated Hospice Matrix, and more...PG. 8

November is National Home Care and Hospice Month and Home Care Aide Week (November 9-15th) and is celebrated to pay tribute to the thousands of quiet heroes that provide high quality home health, home care and hospice services across the nation.

Each year the National Association for Home Care & Hospice (NAHC) selects themes for Home Care and Hospice Month, and Home Care Aide Week. The Themes for 2008 Are:

Home Care: “Preserving Health Independence and Freedom” Home Care Aide: “Honoring Those Who Honor Others” Hospice: “Love In Action”

CAHSAH encourages your organization to local events during the month of Novembermonth of November, and to help we have posted several resources to our website that you may refer to, use or adapt to your agency’s own use. All providers will find celebration ideas to promote awareness, show appreciation for staff and volunteers, strengthen relationships with physicians and referral sources, and honor patients and their families here. Planning on doing something special for your employees, volunteers, patients or others for Home Care Month? Be sure to let us know so we can highlight your organization in our publications.

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The CAHSAH Bulletin is brought to you by McKesson Corporation. Learn more by going towww.mckesson.com

OCTOBER 2008Vol. 24, Number 10

THE CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME IS DEDICATED TO PROMOTING QUALIT Y HOME CARE AND ENHANCING THE EFFECTIVENESS OF ITS MEMBERS.

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BUSINESSCORNER

This last week the California Supreme Court agreed to accept a review of Brinker Restaurant Corporation v. Superior Court of San Diego County, affecting employers’ responsibility in meal and rest breaks.

In July the San Diego 4th District Court of Appeal concluded that state law requires only that employers cannot dissuade, discourage, or impede meal periods, but that employers need only to provide the meal period and are not required to ensure they are taken. Less than a month after the decision eased employer obligations on breaks, the California Labor Commissioner reinforced the decision by issuing a directive to all Division of Labor Standards Enforcement (DLSE) staff to handle pending and future DLSE complaints in accordance with the

California Court of Appeals decision.

Because the Supreme Court has decided to re-hear the case, the California Labor Commissioner released a new memo this week stating that all pending cases should not refer to the appellate court’s decision. The memo also cited, however, several other federal decisions which came to the same conclusion as the Brinker case. CAHSAH members are encouraged to conduct operations as they were before the appellate court’s decision and until the Supreme Court has offered their opinion, which may take months or years.

Medi-Cal rates are under attack and CAHSAH is fighting back with two lawsuits. On Monday, October 15th, CAHSAH filed a motion for injunctive relief to the 10% cuts to Medi-Cal home health providers. This case will be heard in mid-November. A second lawsuit has been ongoing since 2004 and is seeking a proper rate review to be conducted by the State for the years of 2001-2005. More than $200 million is at stakes for home care providers. Both cases are making good progress. CAHSAH is appealing to all providers to contribute to the Medi-Cal Legal Defense Fund so this critical fight can continue. GO TO WWW.CAHSAH.ORG FOR MORE INFORMATION ON THE MEDI-CAL LEGAL DEFENSE FUND.

CAHSAH Lawsuit #1Injunctive Relief for 10% Medi-Cal Cut• 10% cut causing irreparable harm to home health providers and limiting access to beneficiaries;• Home health providers are losing approximately $1.8 million each month due to the cut;• CAHSAH is seeking injunctive relief for all home health providers to halt the cut;• Legal costs = $150,000, Contributions = $0; CAHSAH Lawsuit #2Rate Review (Update)• Force the Department of Health Services to follow their own State Plan and conduct annual rate reviews; • If we are successful, current Medi-Cal rates could more than double, resulting in several hundred million dollars for California home health providers;• Legal costs thus far = $588,000, Contributions = $140,000;

MEAL/REST PERIOD CASE HEADS TO CALIFORNIA SUPREME COURT

CAHSAH FIGHTS FOR HOME HEALTH IN THE COURTS:

As always, if you have any questions about employment laws in the state of California CAHSAH recommends that you seek the advice of competent legal or human resources professionals to avoid potentially costly mistakes.

Join us for the 2009 PAC Event during CAHSAH’s Annual Conference and Expo on Wednesday, May 6, 2009 at the Hyatt Manchester in San Diego as we honor your family, friends, staff and clients who are currently serving in military service or those who have served in the past. This year’s theme for the PAC Event is “Show Your Patriotism.” We encourage those who wish to wear a costume to dress in military attire or any patriotic ensemble. We are accepting photos of those you wish to have included in a video presentation, “Honoring Our Heroes”, which will be featured the night of the event. Please submit photos which include the name, rank, place of service, home town, relationship to the CAHSAH member and any special honors to Mary Adorno at [email protected]

CAHSAH SETS THEME FOR2009PAC EVENT

CAHSAH does not necessarily endorse any of the products, services or meetings advertised in the bulletin. CAHSAH also does not endorse the opinions, products or services of guest authors in the bulletin.

The CAHSAH bulletin is published monthly by: CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 3780 Rosin Court, Sacramento, CA 95834Telephone: (916) 641-5795 Fax: (916) 641-5881Web site: www.cahsah.org

JOSEPH H. HAFKENSCHIEL

President

AccountantJOB OPPORTUNITY

Record and analyze the financial information of company. Budget, conduct performance evaluation, cost management, and asset management. Conduct financial analysis, planning, budgeting, and cost accounting. 40 hrs/wk. $25.96/hr. Must have B.S. in Accounting or equivalent, 5 yrs. Experience.

Job site: Long Beach, CA Send ad/resume to: Attn: Administrator Royal Majesty Home Care, Inc.3939 Atlantic Ave. Ste. 209Long Beach, CA 90807

Continued on page 7 >>


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As it is with most industries, the success of a home care agency largely depends on the abilities, training, and retention of quality employees. Unlike other industries, the actual lives of our patients can depend on the continuity of care and the intimate knowledge that staff develop with clients over time. As November is National Home Care and Hospice Month, there is no better time to emphasize employee retention as a critical factor in your agencies ability to survive and thrive.

Latest surveys from around the country show a turnover rate for nurses around 25%, and for home care staff as high as 38%. While these

individuals are doing “God’s work”, as California’s highest ranking Senator has stated, the ongoing rate freeze, recent 10% cut to Medi-Cal providers, other reimbursement issues, and the high cost of doing business in California can often make it extremely difficult to compensate these valuable employees appropriately. There are, however, several practices other than compensation that, if used consistently, can greatly increase an agency’s chances of retaining and adding value to its staff. Below are three suggestions for your consideration. The providers, employees, and patients/consumers depend on it!

IT’S NATIONAL HOME CARE AND HOSPICE MONTH:

Use It.Every year agencies and associations around the country take advantage of November to celebrate and recognize the importance of their staff. CAHSAH has provided a wide variety of information, form flyers, creative ideas, and other resources on its website that you can use. Go to www.cahsah.org and follow the link.

REWARDS:They May Not Be What You Think.Everyone likes to be recognized for good performance, but not everyone likes to be recognized the same way. You may like being awarded by a big framed certificate in front of a large crowd, but that type of scene could make others

feel uncomfortable. Rewards come in all shapes and sizes: a personal and quiet show of gratitude from management; an appeal to the employee’s intrinsic reward for improving people’s lives; peer recognition; etc. The important part is figuring out which style means most to the person.

WHY ARE YOU IN BUSINESS? Tell Your Staff.The lack of communication from leadership is consistently one of the top reasons for turnover. Employees want to know the agency’s vision and mission, how they fit into that mission, and if they are performing up to the standards of the mission.

Home Care’s Enemy at LargeTURNOVER

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How We Survive & Thrive SERIES


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BACKGROUNDAs all of us work through these challenging times, it has become increasingly important for CAHSAH to stay the course – to strengthen its position as the leader in the home care industry and to create an environment where CAHSAH is recognized for its proactive focus, political influence, and relevant educational offerings as well as being the number one source for home care information. In doing so, CAHSAH positions itself to shape the future of home care.

BENEFIT The cornerstone of these efforts is the development of a stronger brand for CAHSAH that is recognizable by the industry at large, including members and nonmembers. We have taken great care in creating a new logo and collateral materials as well as redesigning the CAHSAH website to meet this challenge.

FUTURE But we don’t want to stop here. There will be future releases to include things like CAHSAH Community, a social media feature with 24/7 online availability; ability to view and manage your organizational information; additional interactive features to provide the information you need; and more.

When viewing the NEW LOOK via the new website, you will find: EASIER NAVIGATIONGREATER ACCESS TO UPDATED RELEVANT INFORMATIONENHANCED RESOURCE GUIDE SEARCH FUNCTIONALITY PROMINENT PLACEMENT OF KEY PROGRAMSSEARCH FEATURE THROUGHOUTDYNAMIC GRAPHICSSITE MAP TO HELP YOU LOCATE SPECIFIC INFORMATION If you haven’t toured the new website, take the time to do so now.

Go to www.cahsah.org or

The New Face of CAHSAHFEATURE

CAHSAH’s new logo, collateral materials and website were unveiled October 30th!!! We would like to share with you how and why this came about.

http://www.cahsah.org


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Accreditation Commission for Health Care (ACHC)

®

ACHC is currently seeking a Full-Time Home Health Surveyor. Qualified candidates must be a Registered Nurse with BSN (Master’s Preferred) with appropriate home health management and/or accreditation experience. Competitive pay and benefits.

ACHC is also seeking Part-Time Home Health Surveyors.

Go to ACHC’s website at www.achc.org and click on “Careers” from the “About Us” tab for full details! Stop by our booth (#902) at the NAHC Annual Convention to meet management representatives!

www.achc.org

On August 1, 2008, CMS informed Medicare contractors including NGS, PBGA and CAHABA that

(Transmittal 362)

CMS goes on to state: “In reviewing the MCR data submitted by providers, it appears

that many are failing to completely fill out their MCR with valid data likely due to the misconception that the data submitted on the MCR do not impact their payments.

It is crucial that Medicare providers learn how CMS uses the MCR data and that they understand the importance of filling out these reports with complete and valid data. The MCRs play a central role in CMS’ development of the input price indexes (or market baskets) used to update PPS payments. Similarly, they are essential in evaluating Medicare payment adequacy in aggregate and for subclasses of providers.

CMS, as well as the Medicare Payment Advisory Commission (MedPAC), rely heavily on complete, valid, and up-to-date MCR data to evaluate the adequacy of PPS payments—i.e., determining whether Medicare is paying its ‘fair share’ to providers in aggregate and in a variety of subclasses ...”

In the transmittal CMS cited the same regulations that existed in the last century, an aspect that many Medicare providers overlook. If you are a Medicare-certified provider, you are still required to complete the MCR with valid data and in conformity with the regulations regarding allowable and non-allowable costs.

In addition the MCR and the CMS 339, provider cost report questionnaire, both require a signature that states that the report is true, correct and complete, in accordance with instructions, laws and regulations. “Misrepresentation or falsification of any of the information contained in this cost report may be punishable by criminal, civil, and administrative action, fine and/or imprisonment under federal law.”

CMS, in reminding or informing the Medicare contractors of their responsibility to educate the providers, also states that no

The Medicare Cost Report Is CrucialCMS reminds its Medicare contractors (and providers) that the Medicare Cost Report, or MCR, is crucial.They pass on the responsibility, but not the buck.

It is the responsibility of Medicare contractors to supply information to providers regarding how CMS uses the MCR data to update future Prospective Payment System (PPS) payments. It is crucial that Medicare providers fill out these reports with complete and valid data.

“

”

by: Tom Boyd | Boyd & Nicholas, Inc.

Continued on page 7 >>


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New Laws Effective January 1, 2009

ADMINISTRATIVE PENALTIESSB 541(Alquist) Chapter 605

An act relating to disclosure of medical informationExisting law provides for the licensure and regulation of clinics, health facilities, home health agencies, and hospices by the State Department of Public Health. This bill would increase the administrative penalty to be up to $100,000 for incidents occurring on and after January 1, 2009. This bill would set the administrative penalties, for incidents on and after January 1, 2009, at up to $50,000 for the first administrative penalty, up to $75,000 for the 2nd subsequent administrative penalty, and up to $100,000 for the 3rd and every subsequent violation.

EMPLOYMENT LAWSB 940(Yee) Chapter 169

An act realating to weekly payProvides that for employees of temporary services employers, as defined, wages shall be paid weekly, or daily if an employee is assigned to a client, as defined, on a day-to-day basis or to a client engaged in a trade dispute. This bill would not apply to employees who are assigned to a client for over 90 consecutive calendar days unless the employer pays the employee weekly in compliance with this bill. (CAHSAH is seeking an exemption for home care).

END OF LIFEAB 2747(Berg) Chapter 683

An act relating to end of life informationExisting law provides for the licensure and regulation of health facilities and hospices by the State Department of Public Health. Existing law provides for the regulation and licensing of physicians and surgeons by the Medical Board of California. This bill would provide that when a health care provider, as defined, makes a diagnosis that a patient has a terminal illness, the health care provider shall, upon the patient’s request, provide the patient with comprehensive information and counseling regarding legal end-of-life options, as specified, and provide for the referral or transfer of a patient, as provided, if the patient’s health care provider does not wish to comply with the patient’s request for information on end-of-life options.

AB 2248(Spitzer) Chapter 53

An act relating to willsExisting law requires, except as specified, that a will be in writing and be signed by the testator, or by another person in the testator’s presence in the testator’s name and at the testator’s direction, or by a conservator pursuant to a court order to make a will. Existing law also requires that a will be witnessed by being signed by at least 2 persons, each of whom being present at the same time witnessed either the signing of the will or the testator’s acknowledgment of the signature or of the will and understand that the instrument they sign is the testator’s will. This bill would require the witnesses to the will to sign the will during the testator’s lifetime. The bill would also require that a will that fails to meet the above-described requirements to be treated as if it has met those requirements if the proponent of the will establishes by clear and convincing evidence that the testator, at the time the testator signed the will, intended the will to constitute his or her will.

SB 1196(Runner) Chapter 45

An act relating to coroner’s responsibilityExisting law requires the coroner to inquire into, and determine the circumstances, manner, and cause of, among others, all deaths where the deceased has not been attended by a physician in the 20 days before death. This bill would instead require the coroner to inquire into, and determine the circumstances, manner, and cause of, among others, all deaths where the deceased has not been attended by either a physician or a registered nurse who is a member of a hospice care interdisciplinary team in the 20 days before death.

AB 3000(Wolk) Chapter 266

An act relating to POLSTRefines a request to forgo resuscitative measures as a “request regarding resuscitative measures,” which would be a written document, signed by an individual with capacity, or a legally recognized health care decisionmaker, and that individual’s physician, that directs a health care provider regarding resuscitative measures. Includes within this definition a Physician Orders for Life Sustaining Treatment (POLST) form, as specified. Authorizes a legally recognized health care decisionmaker to execute the POLST form only if the individual lacks capacity, or the individual has designated that the decisionmaker’s authority is effective, and would require a health care provider to explain the form. Allows an individual having capacity to revoke a POLST form, as specified. Requires a health care provider to treat an individual in accordance with a POLST form, except as specified, and would permit a physician to conduct an evaluation of the individual and issue a new order consistent with the most current information available about the individual’s health status and goals of care. Requires the legally recognized health care decisionmaker of an individual without capacity to consult with the individual’s treating physician prior to making a request to modify that individual’s POLST form, and would provide that an individual with capacity may at any time request alternative treatment to that treatment that was ordered on the form. Provides that if the orders in an individual’s request regarding resuscitative measures directly conflict with his or her individual health care instruction, the most recent order or instruction is effective.

HEALTH INSURANCE COVERAGEAB 2569(De Leon) Chapter 604

An act relating to insurance coverageRequires health plans and health insurers to offer new coverage, or continue existing coverage, for individuals covered in a contract or policy where the coverage was rescinded, as specified; and, establishes a duty for agents and brokers selling individual health coverage products to assist applicants in providing answers to health questions accurately and completely, as specified..

SB 1553(Lowenthal) Chapter 722

An act relating to mental health insurance requirementsProhibits health plans from basing decisions on provider claims or prior authorization for mental health services on either a) whether a patient was admitted on a voluntary or involuntary basis, or (b) based on the mode of the patient’s transportation to the health facility. Requires the Internet web sites of health plans that provide coverage for professional mental health services to include, but not be limited to, providing information for subscribers, enrollees, and providers on accessing mental health services.

IN HOME SUPPORTIVE SERVICESAB 1674(Jones) Chapter 319

An act relating to background checksEffective January 1, 2009, prohibits a fee from being charged to a provider, potential personnel, or service recipient to cover any costs of the investigation associated with the criminal background checks, or the cost to the Department of Justice or any law enforcement agency for processing the criminal background check for the In-Home Supportive Services program.

MEDI-CALAB 2527(Berg) Chapter 464

An act relating to contracting with targeted case mangamentExisting law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income persons receive health care services. This bill would, instead, authorize a LGA to contract with any private or public entity to provide TCM services on its behalf under the conditions specified by the department in regulations.

CAHSAH Position: OPPOSE

CAHSAH Position: WATCH

CAHSAH Position: OPPOSE

CAHSAH Position: WATCHCAHSAH Position:

WATCH





CAHSAH Position: SUPPORT


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New Laws Effective January 1, 2009C O N T I N U E D . . .

MEDI-CAL (continued...)SB 400(Corbett) Chapter 134

An act relating to written prescription requirementsExisting law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services and under which health care services are provided to qualified low-income persons. This bill would provide that the purchase of outpatient prescribed drugs executed in written, nonelectronic form, on or after April 1, 2008, be on tamper resistant prescription forms to the extent required by federal law.

NURSINGAB 994(Parra) Chapter 426

An act relating to nursing scholarshipsExisting law establishes the statewide Associate Degree Nursing (A.D.N.) Scholarship Pilot Program in the Office of Statewide Health Planning and Development to provide scholarships to students, in accordance with prescribed requirements, in counties determined to have the most need. Under existing law, the program will be repealed as of January 1, 2009. This bill would extend the operative date of the pilot program to January 1, 2014.

SB 1268(Denham) Chapter 397

An act relating to training requirementsPermits the Department of Public Health, upon the request of an applicant who is a member of a recognized church or religious denomination that operates a faith-based skilled nursing facility and historically prohibits the acquisition of the formal education that would otherwise be required for the applicant to take the licensing examination, to waive the licensing examination educational requirements for that applicant if they have completed a program-approved Administrator-in-Training Program. An applicant receiving this waiver would only be allowed to oversee a facility that is owned by the applicant’s church or religious denomination.

SB 1621(Ashburn) Chapter 183

An act relating to nursing loans for educationExisting law establishes the State Nursing Assumption Program of Loans for Education (SNAPLE), administered by the commission, under which any person enrolled in, or a graduate of, an institution of postsecondary education or who has earned a baccalaureate or graduate level degree, and who meets the other requirements of the program, is eligible to receive a conditional loan assumption agreement, to be redeemed upon becoming employed as a full-time nursing faculty member at a California college or university. Specifies that an otherwise qualified person who has obtained a baccalaureate or graduate degree from an institution of postsecondary education is eligible to receive a conditional loan assumption agreement. Limits participation in the SNAPLE program to those who, at a minimum, possess a baccalaureate degree in nursing or a field related to nursing. Prohibits a person who is currently teaching nursing at a regionally accredited California college or university from entering into an agreement for loan assumption.

PROTECTION OF MEDICAL INFORMATIONAB 2352(Fuentes) Chapter 700

Existing law prohibits a provider of health care, a health care service plan, contractor, or corporation and its subsidiaries and affiliates from intentionally sharing, selling, or otherwise using any medical information, as defined, for any purpose not necessary to provide health care services to a patient, except as expressly authorized by the patient, enrollee, or subscriber, as specified, or as otherwise required or authorized by law. Existing law permits disclosure of medical information to a county social worker, a probation officer, or any other person who is legally authorized to have custody or care of a minor, as defined, for the purpose of coordinating health care services and medical treatment provided to the minor.

RESIDENTIAL CARE FACILITIES & HOUSINGAB 949(Krekorian) Chapter 686

An act relating to the transfer of residentsRequires a licensed residential care facility for the elderly, prior to transferring a resident to another facility or to an independent living arrangement as a result of the forfeiture of a license, or a change of use of the facility pursuant to an eviction by the department, to take all reasonable steps to transfer affected residents safely, and minimize possible trauma by taking specified actions relating to resident notification and transfer and relocation planning, as prescribed. The bill would impose civil penalties of $100 per violation per day..

SB 1175(Steinberg) Chapter 617

An Act relating to Regional Center HousingPermits the State Department of Developmental Services to approve proposals for housing, not including adult residential facilities for persons with special health care needs, under these requirements from any regional center. The bill requires proposals, to be approved, to include a process for the regional center to review recent sales of comparable properties to ensure the purchase price is within the range of fair market value and, if significant renovations of a home, as defined, will be undertaken after the home is purchased, competing bids for that renovation work to ensure that the cost of the work is reasonable. Allows the department to limit the number of proposals they consider and requires an application fee for submitting proposals.

TELEMEDICINEAB 2120(Galgiani) Chapter 260

An act relating to background checksExisting law, the Medical Practice Act, regulates the practice of telemedicine, defined as the practice of health care delivery, diagnosis, consultation, treatment, transfer of medical data, and education using interactive audio, video, or data communications. Extends until January 1, 2013, the repeal of the above-described authorization.

CAHSAH Position: NEUTRAL








MEDICARE COST REPORT continued...

2009 CAHSAH PAC EVENT continued...

additional funding will be provided; activities are to be carried out within their operating budgets.

Look for provider education articles from your Medicare contractor or Medicare Administrative Contractor (MAC) to be on their Web sites in the coming weeks. Additionally, you can contact Boyd & Nicholas at www.boydandnicholas.com or 1-877-424-6527 and request a copy of their Whitepaper on the HHA Medicare cost report.

Be a part of Greatness | CAHSAH-PAC is dedicated to ensuring a strong voice for home care and hospice efforts right here in California and in our nation. The 2009 CAHSAH PAC Event is the biggest PAC fundraiser of the year and we need your help to make that voice as strong as it can be. Many opportunities are available to help support the PAC and even if you are unable to attend the event, you can help by donating a gift card or gift basket for our raffle prize drawing. Or perhaps you have an item you wish to donate for the silent auction; items with patriotic themes are welcomed. If you would like more information on this event, how to become a sponsor, or on the CAHSAH-PAC itself, please contact Mary Adorno at 916-641-5795 x 124 or [email protected].


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EDUCATION UPDATE

HOSPICE MATRIX UPDATED!

UPCOMING CERTIFICATE PROGRAMS

This NEWLY UPDATED resource compares the Medicare requirements for hospice with both the California State Hospice Standards and Title 22, the state home health agency licensure regulations. The matrix provides a quick reference tool so providers can easily compare all relevant regulations.

Pick up your copy today so your agency can be current on the new conditions of participation – effective December 2008!

Members: $70.04Non-Members: $134.69*All prices include shipping, handling and tax

You can purchase these online at our bookstore at www.cahsah.org or by calling (916) 641-5795 ext. 113 today!

HOME CARE MANAGER CERTIFICATE PROGRAM

NOVEMBER 11-13, 2008Hilton Financial District HotelSan Francisco, CA

Two modules to choose from! This is your opportunity to learn the latest techniques in effective Marketing, Organizational Management, and Financial Management. With individual breakout sessions for Private Duty and Medicare Certified, you will receive relevant information specific to your auspice agency. The two modules are broken out with the Private Duty breakout sessions to include topics on Financial Management, Marketing, and Regulations Overview, while the Medicare Certified agencies breakouts will cover Best Business Practices, Financial Management Under PPS, and Regulatory Guidelines. Both modules end with an overview on human resource and employment law.

HOSPICE MANAGER CERTIFICATE PROGRAM

NOVEMBER 11-13, 2008Hilton Financial District HotelSan Francisco, CA

This program is designed to meet the training needs of front-line supervisors, middle managers, business owners, emerging managers and supervisors, or any middle management personnel of a Medicare-certified hospice, the Hospice Manager Certificate Program will help you develop the skills to be not only a great manager, but a great leader!

When markets tighten and resources dwindle, employers are forced to seek out managers who can bring a competitive mix of skills to their agency. Whether you are looking to increase your visibility or add value to your career, certification is a sure-fire method to make you stand out from the rest in this competitive marketplace!

CAHSAH understand your concern about the future in this time of uncertainty. Therefore, CAHSAH is offering two specific certificate programs to help Home Care and Hospice managers excel. Sign up today – spaces are limited.

CAHSAH 2009 Annual conference will be held on May 6-8 in Sunny San Diego, CA at the Manchester Grand Hyatt Hotel. This year’s annual conference attracted over 390 attendees and over 80 exhibitors! If you missed this year’s annual conference you don’t want to miss 2009! With six different tracks and over 40 educational sessions this is the conference to attend.

SAVE THE DATEMAY 6-8 SAN DIEGO, CA

Mark your calendar today! More information coming soon!

For more information or to register today, contact Kairsee Tacher at (916) 641-5795 ext. 113, [email protected].

CAHSAHBookstoreSan Francisco, CA

UPDATED

Certificate Programs

San Francisco, CA


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Wrap Up Article Wrap Up Article

This year, over 44 attendees gathered in Ft. Lauderdale Florida for CAHSAH’s flagship three-day Advanced Home Care Administrator Certificate Program (AHCACP). The program consisted of three modules that were led by well-known industry speakers including Jeannee Parker Martin with The Corridor Group, Bill Dombi with National Association for Home Care and Hospice, and Lynda Laff and Pat Laff with Laff Associates. This three–day program focused on topics that provided experienced administrators with the insight to strategically position their organization for success. The first day began with Module I, focusing on understanding the relevant legal issues and corporate

compliance followed by real-life case scenarios. The second day covered Module II, which provided the framework for understanding and interpreting health care trends and how to transform an organization from Good to Great. The last day reviewed Module III, which covered operational strategies, essential elements of financial management, budgeting and cash flow and how to analyze key financial statements. Upon completing the program, attendees walked away with the knowledge to help integrate corporate compliance management with the clinical, financial and legal integrity of the organization.

This year’s Advanced Hospice Administrator Certificate Program (AHACP) was held in Ft. Lauderdale Florida and attracted over 27 attendees for the three-day intensive training held on October 8-10. The three–day program was designed to cover topics that provided experienced hospice administrators with the insights to strategically position their organizations for future success. Module I provided a framework for interpreting and understanding the key elements of legal issues, corporate compliance followed real life case studies. Module II focused on health care trends,

transforming your organization from Good to Great and strategic marketing. Module III identified key budget items, financial risks and strategies for financial growth. To close the program, a case study was presented to integrate strategic, financial and performance improvement issues during the program. Attendees who completed the course received a certificate of completion and 18 hours of Continuing Education Units. The AHACP program also provided attendees the opportunity to network during an evening reception sponsored by HospiScript.

Congratulations to the graduates of the Advanced Hospice Administrator Certificate Program course!

CAHSAH congratulates the graduates of the Advanced Home Care Administrator Certificate Program!

Advanced Home Care Administrator Certificate Program

Advanced Hospice Administrator Certificate ProgramCAHSAH

Bookstore

GWEN HILSABECKPassages Hospice, LLC

WILLY CHERRYMississippi Holistic Hospice Care, Inc

JOANNE KINGHospice of Volusia/Flager

SABINA DELROSARIOCharter Hospice

MARCIA LINDELIENApplegate Homecare & Hospice

VICKIE LYONSOptimal Health Services

DIANAFRANCHITTOHome & Hospice Care of Rhode Island

CHRIS BREDBENNERHernando Pasco Hospice

STEPHEN ADCOCKInfinity Hospice

GILBERT BROWNHospice by the Sea, Inc.

PAULA ALDERSONHospice by the Sea, Inc.

NANCY CAPOCYCNS Home Health & Hospice

BARBARA BEATYOptimal Health Services

GERALDINE CHERRYMississippi Holistic Hospice Care, Inc

CECIL BENTLEYSolaris Hospice

AFTAB HUSAINDivine Grace Home Health Inc.

JAVIER LAFFONTPrime Care Health Agency

JILL JOHNSONUniversity of Pitts-burg Medical Center/Jefferson Regional Home

CONSUELOMAVRIDISAAA Home Health Services, Inc.

RACHELFITZPATRICKAngels at Home Healthcare

HILLARYKASARJIANAscentia Home Health Care

JOELL MILLERSt. Martins in the Pines

AMY GARFINKLEPathways Home Health & Hospice - CorporateYANICK HENRY-EDWARDSRely-Able Home Health Care

MARILYN NGUYENMedicare Plus Home Health Providers, Inc.

TERI OLSENCommunity Nursing Services

CHARMAINERICHARDSNU-ERA Home Health Agency, Inc.

LAILA TAHASigma Health Care, Inc.TODD NGUYEN

Network Providers for Home Health Inc.

BENITA POPEBon Secours St. Francis Home Care

CHRISTIESCITURROAmerica’s Choice Home Care

SUE VERSLEYHernando Pasco Hospice

SANDRA MUMICHHazleton General Home Care

ROSEMARY NWANKPAAPICON Home Health Agency, Inc.

BARRINGTONRICHARDSNU-ERA Home Health Agency, Inc.

KYLE SINCLAIROrion Home Health

ERIC NELSONComprehensive Home Care of Hernando, LLC

LORINDACROWLEYRedi-Care Nursing Services, LLCREBECCA CRUZASI

THOMASBRACKMANNCaregivers Health Network

CLOVER DIXONCare Central Home Health Services

KIM BRADLEYSentara Home Care

JUDI DOUGHERTYAscentia Home Health Care

DELORES CROUCHAngels at Home Healthcare, Inc

MARY ALLENCaregivers Health NetworkANNETTE AUSTINHealth Care Options, Inc

SCOTT ACTONCommunity Nursing Services

DEBORAHBEAVERSFamily Home Health Agency, Inc

MARIA ALBAAll Care Medical Services

THOMAS E. BOYDBoyd & Nicholas, Inc.

ROSALENEALEXANDERHealth Care Options, Inc

ROBERT WINEBERGHaven Hospice

RICHARD YOUNGHernando Pasco Hospice

WAYNETTSINGLETONAlways Loving Care Hospice

ESTHER MONZON-AGUIRREHospiceCare of Southeast Florida, Inc.

JOY SWITLICKSt. Rose Dominican Hospital Home Health

LEANNE PETERSONSolaris Hospice

KAREN WILSONPassages Hospice, LLC

MARY ELLEN POETideWell Hospice and Palliative CareBEVERLY ROBINSONSolaris Hospice

CERTIFICATE PROGRAMS

UPDATED


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PROVIDERS

TO VIEW A FULL LIST of home care aide organizations who have received CERTIFICATION, please go to www.cahsah.org/membership/hcacpagency.asp

TO APPLY OR FOR FURTHER DETAILS go to www.cahsah.org or contact Michele Lander at [email protected] or (916) 641-5795 x 129.

CAHSAH’s Home Care Aide Organization Certif ication Program allows home care aide organizations or components of home care organizations which provide home care aide services to submit evidence that they meet CAHSAH’s Minimum Standards for Home Care Aide Organizations.

For many of us, it is 2009 budget process time. Remember to include your CAHSAH renewal dues to ensure that your agency continues to have access to the resources and information needed to assist you in meeting both your professional and personal goals for 2009!

Many thanks from CAHSAH for your continued support each year.

CAHSAH thanks you and looks forward to working on your behalf throughout the coming year. The following members joined between September 24, 2008 and October 20, 2008.

To date, 111 provider agencies

have joined! 27 Medicare Certified, 37 Licensed, 36 Private

Duty and 11 Hospice. In addition, we have added 13 individual members

as well as 24 affiliates.

Certified Home Care Aide Organizations

Welcometo CAHSAH’s

Newest Members

Congratulations! The following agencies have received their Home Care Aide Organization certification between September 24, 2008 and October 20, 2008.

AMBASSADORS PROVIDING AMAZING CARE, INC.Marina

A BETTER SOLUTION IN HOME CARE INC.Chula Vista

LIVING SPRING HOME CARE, INC.Newark

BRIGHTSTAR HEALTHCARELake Forest

SAN DIEGO HOME HEALTH CARE SERVICES, INC.Encinitas THE SENIOR’S

CHOICELodi

ELDER CARE GUIDESSan Diego

ARCADIA HEALTH CARESan Jose

ARCADIA HEALTH CARESan Francisco

BAY AREA HOME COMPANIONSOrinda

NEW HAVEN HOSPICE CARE, INC.Anaheim

CARE MORE HOSPICE, INC.Fullerton

ST. JOSEPH HOME HEALTHSan JoseVALLEY VIEW HOME HEALTH AGENCYPortervilleVISITING ANGELS HOLLYWOOD HILLSLos AngelesWESTWAYSHEALTHCARE, LLCLos Angeles

VISITING ANGELS, LIVING ASSISTANCE SERVICESSanta Cruz

COLONIAL HOME CARE SERVICES, INC.Orange

ARCADIA HEALTH CARESan Rafael

ARCADIA HEALTH CAREModesto

BONAFIDE HOME CAREGIVERS AGENCYMission Viejo

RC CC INC.Brea

CARELINE HOSPICE, INC.Claremont

VISITING ANGELS HOMECARE & RESPITESunnyvale

HILLENDALE HOME CAREWalnut Creek

ARCADIA HEALTH CAREStockton

ARCADIA HEALTH CARERedwood City

LIFEGUARD HOME HEALTHHayward

LA JOLLA NURSES HOME CARELa Jolla

ARCADIA HEALTH CARESanta Rosa

MEMBERSHIP UPDATE

2009 BUDGET REMINDER


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MEMBERSHIP UPDATE

GPO PROGRAMS Another Member Benefit

Not only did Diane and Denise each contact new members and welcome them to CAHSAH, but both ladies spent additional one on one time with each, sharing their home care experience and expertise and reaching out to the home care community – a terrific representation of what CAHSAH is all about.

We appreciate you, Diane and Denise!

CAHSAH’s primary purpose is to promote the common business interests of the home health industry and has therefore established itself as a group purchasing organization (“GPO”), authorized to act as a purchasing agent for home health agencies who furnish health care services. As a GPO, CAHSAH enters into agreements with vendors regarding the purchasing of products, supplies, and services, many of which are discounted, that will increase the efficiency and effectiveness of home health care providers and reduce home health care costs.

STRATEGIC HEALTHCAREPROGRAMS (SHP) (805) 963-9446Benchmarking and BusinessIntelligencewww.SHPdata.com HEFFERNAN INSURANCEBROKERS(800) 234-6787Workers’ Compensation & Liability Insurance www.heffgroup.com

MCKESSON CORPORATION(800) 328-8111, ext. 512Disposable Medical Supplieswww.mckesson.com

PHILIPS CONSUMERHEALTHCARE SERVICES(866) 554-4RPMTelehealth Equipmentwww.medical.philips.com/main/products/telemonitoring

KROLL, FORMERLY INFOLINK SCREENING SERVICES, INC.(800) 234-4473Background Screeningwww.krollbackgroundscreening.com

STRATEGIC HR SERVICES(800 789-5655Human Resources Serviceswww.strategichr.com

TAKE ADVANTAGE OF CAHSAH’S GPO PROGRAMS BY CONTACTING THE VENDORS DIRECTLY. . .TODAY!

A special thanks toDiane Brabetz

At Home Nursing Services, Santa RosaDenise Kennard

Competent Care, Costa Mesa

Member SpotlightHighlighting Success

NEW


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FIRST CLASS MAIL U.S. POSTAGE PAID SACRAMENTO, CA PERMIT NO. 19713780 Rosin Court, Suite 190

Sacramento, CA 95834

CALIFORNIA ASSOCIATION FORHEALTH SERVICES AT HOME

Come check out these great resources offeredin our bookstore!

HOSPICE MATRIX - UPDATED!This NEWLY UPDATED resource compares the Medicare requirements for hospice with both the California State Hospice Standards, Title 22 and thestate home health agency licensure regulations.

Members: $70.04 Non-Members: $134.69

“BOUNDARIES AND YOU” DVDVIDEO TRAINING FOR DIRECT CARE WORKER“Boundaries and You” is an effective DVD for new staff orientation and ongoing training with scenarios based on realistic situations faced by employees. It also provides guidelines for employees working in assisted living, homecare, residential, or other healthcare settings.


OASIS TRAINING VIDEO: “PATHWAYS TO SUCCESS” MAXIMIZING OASIS ACCURACYYou can have OASIS training at your fingertips! ThisOASIS training DVD is the ultimate resource to trainnew employees as well as refresh seasoned employees.It shows how to:-Improve outcomes (present a first class report card)-Enhance quality care, maximize reimbursement-Learn accuracy in answering OASIS questions-Learn techniques for assessment and improvement.


CAHSAH BOOKSTORE

*All prices include shipping, handling and taxFor more information on CAHSAH’s resources visit www.cahsah.org or call 916-641-5795 ext. 117

EDUCATION CALENDARFor more information regarding a specific program, visit www.cahsah.orgSpace is limited - so sign up now!

NOVEMBER - 2008

FEBRUARY - 2009

MARCH - 2009

4-610-1211-1323-2425-26

9-1012-13

ICD-9 Coding Basic, Intermediate and Adv - Sacramento, CAICD-9 Coding Basic, Intermediate and Adv - Buena Park, CAHospice Administrator Certificate Program - New Orleans, LAPPS Billing Basic and Advanced - Sacramento, CAPPS Billing Basic and Advanced - Buena Park, CA

Private Duty (2 day Workshop) - Sacramento, CAPrivate Duty (2 day Workshop) - Buena Park, CA

Education Sponsors

HCIN VIDEO STREAMING WEB SEMINARS - VIEW ANYTIME!

SAVE THE DATE: 2009 Annual Conference, May 6-8 - San Diego, CA

Home Care Manager Certificate Program2009 ICD-9 CodingThe New Keys to OASIS Success

4611-1312-14

Medicare Documentation - Rancho Cordova, CA Medicare Documentation - Buena Park, CAHospice Manager Certificate Program - San Francisco, CAHome Care Manager Certificate Program - San Francisco, CA

UPDATED

turnovercahsah.org/documents/364_octc08.pdf · services at home send ad/resume to: 3780 rosin...

Documents