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OHCA OCAL OCID

Live In Person Seminars


2013 Winter Conference

1/29/2013 - 1/30/2013

Columbus, Ohio , Columbus , Ohio
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2013 Winter Conference

January 29 - 30, 2013
Hilton Columbus Downtown

January 29, 2013

8:30 am Check In & Continental Breakfast

9:00 am Opening General Session
Today’s Quality Programs -- What Do They All Mean?
Presented by Shane Craycraft, RN, LNHA, Vice President of Operations, R&B Health Systems

Long-term care facilities have been bombarded with a variety of new initiatives, rules and programs this year, leaving providers with a myriad of questions on each. How do they interact? What do I need to do? Which one is the most important? How do we comply with all of them? Do we need to? Where to Start? Questions, questions, questions. This session will provide a brief overview of each of the various quality programs: AHCA Quality Initiatives, CMS Quality Measures, Five Star and Ohio’s Quality Incentive.

10:15 am Break

10:30 am Ohio’s Quality Point Payment System and other Medicaid System Changes

Presented by Linda Black-Kurek, CPA, MHA, President, LBK Health Care, Inc./Liberty Health Care Corporation

Medicaid payments for long term care facilities include a significant portion of the rate that is based on a quality incentive point system as developed by the administration in conjunction with stakeholders. Linda Black-Kurek, Immediate Past President of OHCA, served on the Nursing Facility Reimbursement Work Group that developed the point system. Ms. Black-Kurek will review the methodology for the quality incentive payment to be effective July 1, 2013. She will then review the changes to the quality points that will be accumulated during calendar year 2013. These points will be used for the Medicaid quality incentive payment effective July 1, 2014. Most facilities received the maximum incentive payment effective July 1, 2012. Let’s keep that trend going! Ms. Black-Kurek will also review other recommendations of the work group as it relates to the upcoming biennial budget process. The administration’s recommendations for changes will be reviewed as well.

11:30 am Lunch & Membership Meeting - Pete Van Runkle


1:15 pm Concurrent Sessions: pick one:

1. Behavioral Health and Ohio Skilled Nursing Facilities
panelists include Tracy Plouk, Director, Ohio Department of Mental Health
Beverly Laubert, State Long-Term Care Ombudsman & Vice President of Advancing Excellence
Matt Wayne, MD, Communicare Health Services and President of AMDA

State and federal officials recently have begun to increase scrutiny of behavioral health services in skilled nursing facilities, as the number of behavioral health patients has grown. The state of Ohio apparently intends to relocate individuals with severe and persistent mental illness from SNFs within 6 years, while the federal government has a high profile initiative to cut use of antipsychotic medications to control behaviors. In this extremely timely session, you will hear from experts on the front lines about these changes that affect all SNFs that have any behavioral health patients.

2. Top 10 Tips for Maximizing Reimbursement and Reducing Risk
presented by Robin L. Hillier, CPA, STNA, LNHA, RAC-MT, President, RLH Consulting & Owner, Lake Pointe Nursing & Rehab.

This session will offer operational strategies for maximizing your reimbursement and minimizing risk for provider liable days (uncompensated care.) Simple, easy to implement ideas to improve your bottom line.

2:15 pm Break

2:30 pm Concurrent Sessions: Pick One:

3. Abuse - Is Your Facility in Jeopardy?
presented by Michele Conroy, Esq., RN and Christopher Tost, Esq., Rolf Goffman Martin Lang Co., LPA
The number of deficiencies cited at the immediate jeopardy (IJ) level under the abuse/neglect regulation has increased at an alarming rate over the last two years. The number of cites nearly tripled from 2010 to 2011, and through the first three quarters of 2012, there have been 24 abuse/neglect deficiencies cited at the IJ level, resulting in an increase of over 70% from 2011. This talk will focus on the latest survey and enforcement trends related to incidents and allegations of abuse, neglect and misappropriation of resident property, with a specific emphasis on those issues that have been cited at the immediate jeopardy level. The speakers will identify where facilities have been found noncompliant and what specific actions or inactions resulted in immediate jeopardy finding and ongoing immediate jeopardy. The speakers will also identify the penalties that have been imposed for these findings, including daily civil monetary penalties, fast-track Medicare terminations and proposed licensure revocations. Finally, the speakers will discuss strategies for avoiding abuse-related citations and for responding to incidents when they arise to limit enforcement consequences.

4. “Game On!: Rehospitalizations and INTERACT (Interventions to Avoid Acute Care Transfer)”

presented by Lisa Hohlbein RN, B.S., RAC-MT, LeaderStat

The full-court pressure is alive and well. Every eye is on your rehospitalization rates and ready to deny your offensive efforts. Hospitals are carefully scoping out poor-performing nursing homes potentially squeezing the life out of your referral streams. Not only that, CMS promises the next Quality Measure to be one for rehospitalizations which can be easily tracked through the MDS 3.0 Discharge Assessment. Don’t wait for the group slap. INTERACT is a lifeboat that is current, evidenced-based and FREE! Join this session and see why it is so important for you to move your feet now.
3:30 pm Break

3:45 pm Closing General Session: National Legislative Update

4:30 pm Adjourn

6:30 pm Join us for an Evening Event to Support OHCA/PAC
There’s no place like Hollywood Casino Columbus
A new Hollywood star is now open in Columbus, Ohio. Join us for the area’s only Vegas-style casino with unparalleled amenities from fabulous dining to magnificent nightlife.
Enter a world of the hottest gaming action featuring over 3,000 blockbuster slots, over 70 big-time table games, and 30 tables of live poker. Discover non-stop entertainment and sporting action on our endless big screens in o.h., featuring the latest sounds, coolest cocktails and the hottest bands.
So what are you waiting for? Come win happily ever after with us!
Ticket price includes round trip transportation. Busses will begin boarding at 6:30 pm to transport you to the Hollywood Casino Columbus. We will begin our evening with cocktails and heavy appetizers. The event will also feature Hollywood Casino dealers providing instruction on some favorite table games including roulette, black jack and more! Get inside tips and then head to the floor.
Return transportation to the Hilton begins at 9 pm. The last shuttle will depart at 11 pm.
Ticket price: $25/per person
Since this event will support the OHCA/PAC we encourage everyone to participate via person check or credit card or payment from a partnership or limited liability corporation (LLC).

January 30, 2013

8:00 am Check In & Continental Breakfast

8:30 am Greg Moody, Director, Governor's Office of Health Transformation

9:30 am Break

9:45 am Integrated Care: A New Beginning or the Beginning of the End?
Bob Applebaum, Scripps gerontology Center, Miami University

Concerns about high costs and poor quality of care for individuals who rely on Medicaid and Medicare to support their acute and long-term needs have resulted in tremendous interest in integrated care programs. More than half of the states (including Ohio) have received or applied to the Center for Medicare and Medicaid Services for special waivers to develop integrated care demonstration programs. Despite this interest there is little evidence about how these changes will impact the provision of care from a quality or cost perspective. Using data from Ohio this presentation will identify the practice and policy issues that arise in efforts to develop an integrated care model.
11:00 am Break

11:15 am Update on Part A and Part B Therapy
Presented by Elise D. Smith, J.D. , Senior Vice President, Finance Policy and Legal Affairs, American Health Care Association

This program will look at proposed changes to Medicare Part A and Part B rehabilitation therapy, with both under siege at the national level. Under Part A, the regulatory focus is reducing the percentage of patients in the highest RUG categories, while CMS is simultaneously is trying to control what it considers to be overutilization through payment reform. Under Part B, the Manual review process has been a nightmare for many providers. Litigation is proceeding in both areas, and the outcomes will impact providers, residents and caregivers.

12:15 pm Adjourn

at the brand new
HILTON COLUMBUS DOWNTOWN
401 North High Street
Columbus, Ohio
USA 43215
Tel: +1-614-384-8600
Fax: +1-614-484-5219

columbusdowntown.hilton.com

The Hilton Columbus Downtown provides an amazing hospitality offering including a sleek, modern look (and technology to match), a location that accommodates and delights travelers and a commitment to sustainability that will be supported by the anticipated achievement of both LEED and Green Seal Certifications.

The combination brick and glass façade compliments the neighborhood surroundings. And speaking of the neighborhood, the Hilton Columbus Downtown can be found right in the center of all that is happening in Columbus. The hotel is connected to the Greater Columbus Convention Center and is surrounded by the Arena District, the Short North, the North Market, downtown Columbus and a short drive from Ohio State University and German Village.

Stay in the hotel and be delighted by the main lobby which will feature a large atrium together with skylights designed to provide an indoor/outdoor experience. The hotel offers both king bedded and two queen bedded accommodations including beautifully appointed suites. Hotel amenities include a full-service restaurant offering breakfast, lunch and dinner, a coffee bar and lobby lounge, fitness facilities, indoor pool and more.

The Hilton Columbus Downtown will be the place to be in Columbus!
A limited number of rooms have been blocked at the OHCA rate. The hotel may have additional rooms available once all of the OHCA rooms are gone, but they may not be at the special rate , even if you contact them prior to the cut off date. It is unlikely that they will be able to extend the cutoff date of December 29, 2012 due to the busy nature of their hotel and since rooms go quickly, there may not be any available rooms left at that point.
Rates from: $153.00/night
To make a reservation
http://www.hilton.com/en/hi/groups/personalized/C/CMHDWHH-OHCAWI-20130128/index.jhtml?WT.mc_id=POG

Rooms are also available at the Hampton Inn & Suites, 501 North High Street by calling 614-559-2000. Rates from $145/night.


Continuing Education Credit:

9 hours (January 29 = 6 hours, January 30 = 3 hours) of credit are available for:

Accountants: The Ohio Health Care Association is an approved provider of continuing education credit by the Accountancy Board of Ohio and has approved this program.

Nurses: Nurses please note any continuing education that has been approved by BENHA (or any other accredited body) can be accepted by the Ohio Board of Nursing in the State of Ohio. Nurses may use this continuing education to meet their licensure requirements. Please refer to OBN continuing education rules 4723-14-01 thru 4723-14-19.

Ohio Administrators: The Ohio Health Care Association is an approved provider of continuing education credit by the Ohio Board of Examiners of Nursing Home Administrators (BENHA) and has approved this program.


Registration Fees with Payment by mail or fax:
Registration Fees:

OHCA/OCAL/OCDD Members:

$130 prior to January 22
$165 January 22 and after

Non Members:

Prior to January 22 $310
January 22 and after $385

Save 10% by registering on line at www.efohca.org
*Register 4 or more people from the same organization on line and save an additional 15% off the fees above

Please indicate which concurrent sessions you are attending:

January 29
*Question: I can only attend one day, is there a one day rate? Can I send someone else in my place one day?
Answer: No, there is no one day rate available and sharing registrations is not available. Each person must register for the entire conference regardless of if they can attend both days or not.


2013 Winter Conference

January 29 - 30, 2013
Hilton Columbus Downtown

January 29, 2013

8:30 am Check In & Continental Breakfast

9:00 am Opening General Session
Today’s Quality Programs -- What Do They All Mean?
Presented by Shane Craycraft, RN, LNHA, Vice President of Operations, R&B Health Systems

Long-term care facilities have been bombarded with a variety of new initiatives, rules and programs this year, leaving providers with a myriad of questions on each. How do they interact? What do I need to do? Which one is the most important? How do we comply with all of them? Do we need to? Where to Start? Questions, questions, questions. This session will provide a brief overview of each of the various quality programs: AHCA Quality Initiatives, CMS Quality Measures, Five Star and Ohio’s Quality Incentive.

10:15 am Break

10:30 am Ohio’s Quality Point Payment System and other Medicaid System Changes

Presented by Linda Black-Kurek, CPA, MHA, President, LBK Health Care, Inc./Liberty Health Care Corporation

Medicaid payments for long term care facilities include a significant portion of the rate that is based on a quality incentive point system as developed by the administration in conjunction with stakeholders. Linda Black-Kurek, Immediate Past President of OHCA, served on the Nursing Facility Reimbursement Work Group that developed the point system. Ms. Black-Kurek will review the methodology for the quality incentive payment to be effective July 1, 2013. She will then review the changes to the quality points that will be accumulated during calendar year 2013. These points will be used for the Medicaid quality incentive payment effective July 1, 2014. Most facilities received the maximum incentive payment effective July 1, 2012. Let’s keep that trend going! Ms. Black-Kurek will also review other recommendations of the work group as it relates to the upcoming biennial budget process. The administration’s recommendations for changes will be reviewed as well.

11:30 am Lunch & Membership Meeting - Pete Van Runkle


1:15 pm Concurrent Sessions: pick one:

1. Behavioral Health and Ohio Skilled Nursing Facilities
panelists include Tracy Plouk, Director, Ohio Department of Mental Health
Beverly Laubert, State Long-Term Care Ombudsman & Vice President of Advancing Excellence
Matt Wayne, MD, Communicare Health Services and President of AMDA

State and federal officials recently have begun to increase scrutiny of behavioral health services in skilled nursing facilities, as the number of behavioral health patients has grown. The state of Ohio apparently intends to relocate individuals with severe and persistent mental illness from SNFs within 6 years, while the federal government has a high profile initiative to cut use of antipsychotic medications to control behaviors. In this extremely timely session, you will hear from experts on the front lines about these changes that affect all SNFs that have any behavioral health patients.

2. Top 10 Tips for Maximizing Reimbursement and Reducing Risk
presented by Robin L. Hillier, CPA, STNA, LNHA, RAC-MT, President, RLH Consulting & Owner, Lake Pointe Nursing & Rehab.

This session will offer operational strategies for maximizing your reimbursement and minimizing risk for provider liable days (uncompensated care.) Simple, easy to implement ideas to improve your bottom line.

2:15 pm Break

2:30 pm Concurrent Sessions: Pick One:

3. Abuse - Is Your Facility in Jeopardy?
presented by Michele Conroy, Esq., RN and Christopher Tost, Esq., Rolf Goffman Martin Lang LLP
The number of deficiencies cited at the immediate jeopardy (IJ) level under the abuse/neglect regulation has increased at an alarming rate over the last two years. The number of cites nearly tripled from 2010 to 2011, and through the first three quarters of 2012, there have been 24 abuse/neglect deficiencies cited at the IJ level, resulting in an increase of over 70% from 2011. This talk will focus on the latest survey and enforcement trends related to incidents and allegations of abuse, neglect and misappropriation of resident property, with a specific emphasis on those issues that have been cited at the immediate jeopardy level. The speakers will identify where facilities have been found noncompliant and what specific actions or inactions resulted in immediate jeopardy finding and ongoing immediate jeopardy. The speakers will also identify the penalties that have been imposed for these findings, including daily civil monetary penalties, fast-track Medicare terminations and proposed licensure revocations. Finally, the speakers will discuss strategies for avoiding abuse-related citations and for responding to incidents when they arise to limit enforcement consequences.

4. “Game On!: Rehospitalizations and INTERACT (Interventions to Avoid Acute Care Transfer)”

presented by Lisa Hohlbein RN, B.S., RAC-MT, LeaderStat

The full-court pressure is alive and well. Every eye is on your rehospitalization rates and ready to deny your offensive efforts. Hospitals are carefully scoping out poor-performing nursing homes potentially squeezing the life out of your referral streams. Not only that, CMS promises the next Quality Measure to be one for rehospitalizations which can be easily tracked through the MDS 3.0 Discharge Assessment. Don’t wait for the group slap. INTERACT is a lifeboat that is current, evidenced-based and FREE! Join this session and see why it is so important for you to move your feet now.
3:30 pm Break

3:45 pm Closing General Session: National Legislative Update

4:30 pm Adjourn

6:30 pm Join us for an Evening Event to Support OHCA/PAC
There’s no place like Hollywood Casino Columbus
A new Hollywood star is now open in Columbus, Ohio. Join us for the area’s only Vegas-style casino with unparalleled amenities from fabulous dining to magnificent nightlife.
Enter a world of the hottest gaming action featuring over 3,000 blockbuster slots, over 70 big-time table games, and 30 tables of live poker. Discover non-stop entertainment and sporting action on our endless big screens in o.h., featuring the latest sounds, coolest cocktails and the hottest bands.
So what are you waiting for? Come win happily ever after with us!
Ticket price includes round trip transportation. Busses will begin boarding at 6:30 pm to transport you to the Hollywood Casino Columbus. We will begin our evening with cocktails and heavy appetizers. The event will also feature Hollywood Casino dealers providing instruction on some favorite table games including roulette, black jack and more! Get inside tips and then head to the floor.
Return transportation to the Hilton begins at 9 pm. The last shuttle will depart at 11 pm.
Ticket price: $25/per person
Since this event will support the OHCA/PAC we encourage everyone to participate via person check or credit card or payment from a partnership or limited liability corporation (LLC).

January 30, 2013

8:00 am Check In & Continental Breakfast

8:30 am Greg Moody, Director, Governor's Office of Health Transformation

9:30 am Break

9:45 am Integrated Care: A New Beginning or the Beginning of the End?
Bob Applebaum, Scripps gerontology Center, Miami University

Concerns about high costs and poor quality of care for individuals who rely on Medicaid and Medicare to support their acute and long-term needs have resulted in tremendous interest in integrated care programs. More than half of the states (including Ohio) have received or applied to the Center for Medicare and Medicaid Services for special waivers to develop integrated care demonstration programs. Despite this interest there is little evidence about how these changes will impact the provision of care from a quality or cost perspective. Using data from Ohio this presentation will identify the practice and policy issues that arise in efforts to develop an integrated care model.
11:00 am Break

11:15 am Update on Part A and Part B Therapy
Presented by Elise D. Smith, J.D. , Senior Vice President, Finance Policy and Legal Affairs, American Health Care Association

This program will look at proposed changes to Medicare Part A and Part B rehabilitation therapy, with both under siege at the national level. Under Part A, the regulatory focus is reducing the percentage of patients in the highest RUG categories, while CMS is simultaneously is trying to control what it considers to be overutilization through payment reform. Under Part B, the Manual review process has been a nightmare for many providers. Litigation is proceeding in both areas, and the outcomes will impact providers, residents and caregivers.

12:15 pm Adjourn
Dr. Bob Applebaum, Scripps Gerontology Center, Miami University

Beverly Laubert, State Long-Term Care Ombudsman & Vice President of Advancing Excellence

Greg Moody, Director, Governor's Office of Health Transformation

Tracy Plouk, Director, Ohio Department of Mental Health

Elise D. Smith, J.D. , Senior Vice President, Finance Policy and Legal Affairs, American Health Care Association

Matt Wayne, MD, Communicare Health Services and President of AMDA

Linda Black-Kurek, CPA, MHA, President, LBK Health Care, Inc./Liberty Health Care Corporation

Michele Conroy, Esq., RN and Christopher Tost, Esq., Rolf Goffman Martin Lang LLP

Shane Craycraft, RN, LNHA, Vice President of Operations, R&B Health Systems

Robin L. Hillier, CPA, STNA, LNHA, RAC-MT, President, RLH Consulting & Owner, Lake Pointe Nursing & Rehab.

Lisa Hohlbein, RN, B.S., RAC-MT, LeaderStat
Continuing Education Credit:

9 hours (January 29 = 6 hours, January 30 = 3 hours) of credit are available for:

Accountants: The Ohio Health Care Association is an approved provider of continuing education
credit by the Accountancy Board of Ohio and has approved this program.

Nurses: Nurses please note any continuing education that has been approved by BENHA (or any other accredited body) can be accepted by the Ohio Board of Nursing in the State of Ohio. Nurses may use this continuing education to meet their licensure requirements. Please refer to OBN continuing education rules 4723-14-01 thru 4723-14-19.

Ohio Administrators: The Ohio Health Care Association is an approved provider of continuing education credit by the Ohio Board of Examiners of Nursing Home Administrators (BENHA) and has approved this program.

OHCA/OCAL/OCDD Members
Registration Fees with Payment by mail or fax:

Full Conference:
$130 prior to January 22
$165 January 22 and after


Non Members:
Registration Fees with Payment by mail or fax:

Full Conference
Prior to January 22 $310
January 22 and after $385

Save 10% by registering on line at www.efohca.org


Register Now