CAHSAH Bulletin
Transcription
CAHSAH Bulletin
CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME MAY 2012 M CAHSAH Bulletin Volume 28, Issue 5 2012 Conference: A Big Victory ore than 390 Home Care and Hospice professionals gathered in Pasadena from May 8-10 for CAHSAH’s Annual Conference & Home Care Expo. Breaking tradition, CAHSAH kicked off the event with pre-conference clinical sessions on the first day. As CAHSAH made its next play, the ball was passed to Deborah Randall for the opening keynote session which consisted of straight talk for demanding times. The session addressed how all providers can fare under the evolutionary health care environment which includes ACO and bundled care models. “I’m leaving the event feeling inspired and recharged. Thank you for all of the hard work that went into such a great week! We’re looking forward to Monterey in 2013.” The keynote session was followed by two sets of breakout sessions before attendees were able to take a break and head out to Joe Hafkenschiel’s retirement party at the Hilton Hotel. Honored as the MVP, Joe received many plaques highlighting some of his accomplishments while leading CAHSAH at the helm the past 26 years. Additionally, he was presented with the United States flag which was flown over the U.S. Capitol just days before the conference. It was truly a memorable night filled with great food, company, and lots of laughter. The early risers attended the Technology Demo Breakfast on Wednesday morning which featured several technology companies that included Kinnser Software, HealthCare Synergy and HealthTrust Software. 2012 Conference, continued on page 2 Hafkenschiel Awards Ceremony IN THIS ISSUE P. 4,5,12: 2012 Conference & Expo Wrap Up The CAHSAH Bulletin is brought to you by McKesson Corporation. Learn more by going to www.mckesson.com O n May 6th at CAHSAH’s 2012 Annual Conference and Home Care Expo, six people were recognized for their outstanding achievements during the Awards Ceremony. The awards were presented by Nominating Committee Chair, Craig Falk with Craig Cares in Roseville. chance of rehabilitation. Lloyd’s skills as an acute RN are above reproach; he is well respected by his patients and families, and is first and foremost a gentleman. The CAHSAH Joan Baier Garland Nursing Scholarship was presented to Lesley Aurellio of John Muir Home Health in Concord. CAHSAH awards a $2,500 scholarship The Home Care Service to provide support Award was presented to students in good to Lloyd Giles, Medical standing in an AA, BS, Home Care Professionals or MS Nursing Program in Redding. This award was established to honor Joe Hafkenschiel and Lesley Aurellio at the awards who have demonstrated an individual, directly ceremony in Pasadena, California. a commitment to home care and to the involved in day-to-day community. Ruby Long care, who has consistently with John Muir Home Health wrote - Lesley is provided outstanding service to patients in currently studying for her bachelor’s degree in their homes. Patty Shackleton with Medical nursing at the Samuel Merritt University. She Home Care Professionals provided testimony balances her work responsibilities, studies, and of Lloyd’s commitment to home care which allows him to give his patients an improved Awards, continued on page 3 “I am very happy and proud to have CAHSAH as my state association. I am extremely pleased with CAHSAH’s offerings to its membership and the way in which it delivers these services. Many thanks for your hard work.” Conference, continued from page 1 Bill Dombi of the National Association for Home Care & Hospice (NAHC) reviewed the expert analysis and forecast of the election year and its effect on Home Care and Hospice straight from Washington. Dombi carried out his presentation on to the breakout session where he addressed the state of the nation in private duty home care. As private pay home care continues to grow, the fate of the overtime exemption for companionship services and many other private duty concerns were addressed in this session. Attendees divided into six breakout rooms for the first set of concurrent sessions, then broke out for the annual business luncheon. After lunch, the attendees reconvened in the break out rooms for the rest of the day. On Thursday, leaders convened for the closing keynote session on World Class Leadership. In Chris Alexander’s keynote address, he took the group on a whirlwind tour of balancing and mastering both management and leadership abilities. Attendees participated in breakout sessions mid-morning then gathered around lunch time to honor award recipients who were recognized for their contribution to the home care industry. Dessert was served inside the exhibit hall, giving attendees some one-on-one time with vendors. From the education sessions, to the games, to the announcements inside the exhibit hall, it was all very cohesive in keeping everyone on their toes. With even more breakout sessions than in the past, it was a sure-fire way to keep all things in the know. From clinical sessions to leadership sessions – this conference by far had the most variety. The California Association for Health Services at Home would like to thank all those involved with the conference, from the speakers to the vendors and sponsors to the attendees - your support and participation is what makes this event such a success. See you next year on April 30-May 2 in Monterey, California for CAHSAH’s 2013 Annual Conference & Home Care Expo. CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 2 Awards, continued from page 1 in the community. He assists patients and families in clarifying goals at the most crucial times in a person’s life. The impact Dr. Boyd has is far-reaching and expansive across care settings to care for patients in his medical practice as well as in the community setting as the Medical Director of St. Joseph Health System Home Care. family while consistently presenting as a cheerful, enthusiastic, efficient colleague. She is loved and respected by all who work with her. She represents promise for the future of community nursing and home health care. The CAHSAH Ambassador Award was presented to Chris Hardeman of DialMed Home Care in Whittier. This award was established to honor an individual who has made special contributions to home care, serves as an Ambassador for CAHSAH and its programs, and has made outstanding contributions while serving on a home care association committee or related work group. Trevor O’Neil with Colonial Home Care Services in Orange wrote - On January 19, at CAHSAH’s Town Hall meeting in Anaheim, Chris stood up among a crowd of over 100 home care providers and gave an impassioned plea to everyone to give to the CAHSAH PAC. His articulate appeal successfully communicated the value of the PAC and the need for all to contribute, and raised the bar on a once weak vehicle for political influence, setting the goal to raise $100,000. Chris’ efforts have paid off with our PAC receiving $49,692 so far this year. Chris is a well-respected member of the Home Care Aide Committee which he currently serves on, attends CAHSAH events regularly, and contributes to discussions. The Lillian O’Brien Home Care Supervisor Award was presented to Kim Brown of Medical Home Care Professionals in Redding. This award was established to honor a first-line home care clinical or office supervisor who has made outstanding contributions in motivating staff to achieve excellence in home care service. Patty Shackleton with Medical Home Care Professionals provided testimony of Kim’s supervisory skills and how she inspires her caregivers, juggles schedules, and is tireless in her ability to treat people with respect and cheerfulness. Kim is dynamic in her work and believes in the vision of promoting quality of life by maintaining people in their home. The Lois C. Lillick Award Nominated by Barry Berger with Accredited Home Health Services in Woodland Hills, Joseph Hafkenschiel, President of CAHSAH was awarded The Lois C. Lillick Award which honors an individual who has made outstanding contributions to the continuing development of local, state, and national home care associations. Barry said, “This award is long overdue for Joe Hafkenschiel. Joe started with CAHSAH over 26 years ago, when the Association was a shell of what it is today. CAHSAH had about 250-300 members, all Medicare Certified Agencies. In 1986 CAHSAH had an administrative staff of five and a budget a fraction of what it is now. Today, CAHSAH represents over 700 members in all sections of home care including Medicare Certified, Hospice, Non-Medical Home Care, Infusion and DME, has a staff of 14, and has a budget that exceeds $2.5 million. When Joe gave his speech accepting the Lois Lillick Award he mentioned the highlights of the accomplishments and challenges CAHSAH faced over the last 26 years. To listen to this abbreviated list was overwhelming, and confirmed the Nominating Committee’s decision to award Joe Hafkenschiel the Lois Lillick Award. What we did find out about Joe over the three days is that he is a mentor to other home care state executives Above: Craig Falk presents the Lillian O’Brien Home Care throughout the country. We learned Supervisor Award to Kim Brown. Below: Dr. Brian Boyd about his love and his devotion celebrates his Physican of the Year Award. to his wife Cynthia and his two children along with his passion for traveling around the world, and his love of wine. We also learned that Joe will be nominated for inclusion into the National Association for Home Care’s (NAHC) Hall of Fame. CAHSAH Chair Barry Berger said he was honored to present this award to Joe Hafkenschiel. “What better way to honor our leader, mentor, and friend for the last 26 years. Joe, on behalf of all the members, staff, and board of directors of CAHSAH we are grateful and appreciative of all the hard work, dedication, and compassion that you have exhibited to our industry. We wish you all the luck in the future.” The Home Care Physician of the Year Award was presented to Dr. Brian Boyd with St. Joseph Health System Home Care in Orange. This award honors a physician who excels in providing and utilizing home care and optimizing the role of home care in the health care system. Liz Wessel with St. Joseph Health System Home Care shared that Dr. Boyd is an advocate for some of the most vulnerable home care patients 3 Chair’s Message Barry Berger A New Chapter Unfolds at the 2012 Conference T his month CAHSAH presented its annual conference in Pasadena. The three days were filled with plenty of activities that allowed our members the opportunities to network with peers, attend educational seminars, and learn about new products and services at the Expo. The conference kicked off with an emotional video produced by Mark Wilson and Tricia Ritchie from the Wilshire Foundation. The video did a great depiction of what we do and what Home Care is all about. Thank you Mark and Tricia for the time and energy you put into this project. The conference included three inspiring keynote speakers along with 42 breakout sessions. These sessions included subjects for all CAHSAH members from each section to learn new and additional ideas to better their services. One of the highlights of the conference was three discharge planners from Cedars Sinai, Huntington Memorial and UCLA agreeing to give a designation to all Non-Medical CAHSAH Certified members on their hospital referral lists. Given the theme of the conference was football, the exhibit hall was decorated as a football field and the food served depicted a “tailgate” party with hot dogs, hamburgers, and other refreshments. As if this was not enough activity, an hour later CAHSAH hosted its annual PAC event that continued with the football theme with more food, games, dancing and prizes. The PAC Committee Chair Tiffany Karlin, and Legislative Specialist Mary Adorno proved to be successful once again with CAHSAH raising over $20,000 for the PAC fund. A special thanks to Ben and Sara Kawaguchi, for their involvement in this event. On Tuesday evening the CAHSAH Board of Directors hosted a retirement dinner for Joe Hafkenschiel. Joe will be officially retiring on July 13, 2012. The evening included tributes from Warren Hebert CEO of the Louisiana Home Care Association, NAHC President Val Halamandaris and Vice President Bill Dombi, Kathleen Sullivan from Dignity Home Care, and Denise Altomare, CAHSAH’s Chair-elect. In attendance at the dinner were Joe’s Thursday morning opened up with an inspiring keynote address father, brother, wife, daughter and son-in-law and his sister-in- regarding leadership from Chris Alexander. After the morning law and brother-in-law. breakout sessions CAHSAH presented its annual awards. I was privileged in awarding Joe Hafkenschiel the Lois Lillick award for Throughout the evening we heard stories of Joe that made us outstanding service. This was a true lifetime achievement award laugh and cry. What we found out about Joe, was that he was a for Joe. The awards ceremony ended with an announcement leader and mentor to the rest of the home care executives around that the CAHSAH awards presentation will be re-named The Joe the country. We also learned about Joe’s love and devotion to Hafkenschiel Awards Ceremony. The conference ended at 5:00 his wife and children. with the last of the breakout sessions. The evening ended with Joe being given an iPad on behalf of the Board of Directors, CAHSAH staff, and members; and all the past chairs of CAHSAH joining me on the stage for a final tribute to Joe Hafkenschiel. We had arranged an American Flag to be flown over the U.S. Capitol in Joe’s honor. We presented this flag to Joe, and I do not think there was a dry eye in the crowd. I was proud to be part of this event. The planning and execution went off almost flawlessly, and I feel CAHSAH accomplished its goals in providing members an opportunity to network, get educated, learn about new products and services, along with having a lot of fun. Wednesday started with Bill Dombi giving the keynote address along with the breakout sessions throughout the day. Joe and I gave an update at the Business Luncheon on CAHSAH issues at the state and federal levels. Craig Falk, chair of the Nominating Committee introduced the nominees for the Board of Directors and Nominating Committee. Lastly, we formally introduced Dean Chalios, CAHSAH’s next president to the membership and gave him the opportunity to address the crowd. Lastly, I want to wish Joe good luck on his retirement and good luck to Dean Chalios as he starts a new chapter in CAHSAH. Thank you to Soua Vang, Richard Starks, Sandy Bertoux, Michele Lander, Tricia Ritchie, along with the CAHSAH staff that made the conference a success. Respectfully, Wednesday afternoon the CAHSAH expo opened with 84 Barry Berger exhibitors and sponsors promoting their products and services. CAHSAH Board Chair CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 4 POLICY UPDATE $100K Special Thanks to PAC Contributors CAHSAH is sincerely grateful to those agencies and individuals who have made contributions to our Political Action Committee (PAC) this year. Through your contributions to the PAC, CAHSAH continues to keep home care relevant in political discussions with lawmakers and candidates running for office. Thank you for your generosity in helping us reach our goal of raising $100,000 this year. PAC Contributors 24Hr HomeCare (Torrance) AALL Care in Home Services (San Diego) Accredited Nursing Care (Woodland Hills) A Circle of Care (Escondido) Addus HealthCare (Palatine) Agility Health (Belmont) Kathy Ahearn (Arkray USA) Alta Home Care, Inc. (Corona) Always Home Nursing Services (Fair Oaks) Around the Clock Home Care (Bakersfield) Alternative Home Care (Sherman Oaks) Sandy Beck (Sierra Nevada Home Care) Benchmark Home Care Services (Arcadia) Best Care (Carlsbad) Braewood Home Health (Camarillo) Cindy Campbell (Fazzi & Associates) CarenetLA (Los Angeles) Caring Companions at Home (Newport Beach) Caring Hands Caregivers (Mountain View) ComForcare Senior Services (Pasadena) Comfort Keepers (Thousand Oaks) Continuity Care Staffing (North Hollywood) Steve Davidson (Accredited Nursing Care) Delta Health Technologies (Altoona) DialMed Home Care (Whittier) Foothill HomeCare Partners (Sierra Madre) LaVonda Fox (The Corridor Group) Sharon Fredrichs (St. Josephs Health System) GFK Home Health Care (Buena Park) Grace Home Health Care (Long Beach) Mary Jane Hartman (Santa Clarita) Healthcare Management & Billing (Santa Rosa) Healthcare Synergy (Cypress) Heartland Home Health & Hospice (Santa Clara) Heritage Senior Care (Carlsbad) Home Instead Senior Care (Costa Mesa) HomeCare Professionals, Inc. (Daly City) HomeCarez, LLC (Laguna Hills) Home Instead Senior Care (Fresno) Home Instead Senior Care (Orange) Home Instead Senior Care (La Habra) Home Instead Senior Care (La Mesa) Home Instead Senior Care (Pasadena) Home Instead Senior Care (Rancho Cucamonga) Home Instead Senior Care (Riverside) Home Instead Senior Care (Torrance) Homewell Senior Care (Campbell) Hospice of the East Bay (Pleasant Hill) In Home Care Solutions (Newport Beach) In Touch at Home (Solana Beach) Kay Kallas (Sacramento) Tiffany Karlin (Accurate Business Results) Law Office of Gould & Hahn Company (Berkeley) LifeCare Solutions (San Diego) Deborah Mahoney (Alternative Home Care) Emmie Malazgirt (Nursing Resources) LivHOME Inc (Pasadena) Maxim HealthCare Services (West Covina) CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 5 $49,692 PAC, continued on page 6 PAC, continued from page 5 McCoy & Connolly Consulting (Ramona) Mission Hospice Services of San Diego MJP Consulting (El Cerrito) Todd Montigney (Blacktree Healthcare Consulting) National Private Duty Association (So. CA Chapter) Sharon Niederhaus (Salus Homecare) Pegasus Home Health Care, Inc. (Glendale) Stephanie Phillips (CareSouth Homecare) Palomar Pomerado Health (Escondido) PPS Plus Software (Biloxi) Professional Home Care Associates (Fremont) Reliant In-Home Care (Oceanside) Renaissance Home Health (San Diego) ResCare HomeCare (Costa Mesa) Right At Home (Glendale) Right at Home (La Jolla) Right at Home (Pasadena) Right at Home of the Desert (Rancho Mirage) Right at Home (San Diego) Right at Home (West Orange County) RX Staffing (Sacramento) Sandata Technologies (Port Washington) Senior Helpers, Fountain Valley (A. George Miller) Senior Solutions Team, Inc. (Long Beach) Silver Crown Home Care (Newbury Park) Special Care Nursing Services (Toluca Lake) Gary Stanley (Santa Monica) Kathleen Sullivan (Marian Home Care Services) Supercare (City of Industry) Shield Healthcare (Valencia) Shea Family at Home (El Cajon) William Stephens (Upland) The Corridor Group (San Francisco) The Golden Years in-Home Care (Oakdale) Unlimited Caregivers (Poway) Visiting Angels (Glendora) Visiting Angels (San Jose) Pat West (Pioneer Home Health) Ron Widick (Oso Home Care) Your Home Services, Inc. (San Diego) PAC Event Sponsors Accredited Home Health Services (Woodland Hills) Accurate Business Results (Long Beach) At Home Nursing (Santa Rosa) Carenet LA (Los Angeles) Comfort Keepers (Orange County) Comfort Keepers (San Diego) Joe Hafkenschiel (CAHSAH) Heartland Home Health & Hospice (Santa Clara) Home Health Council of Los Angeles County HomeCare Homebase (Dallas, TX) La Jolla Nurses Homecare (La Jolla) Medical Home Care Professionals (Redding) National Private Duty Association (So. Ca. Chapter) Orange County Home Care Council Premier Healthcare Services (Pasadena) Ramona VNA & Hospice (Hemet) Ron Widick (Oso Homecare) San Diego Regional Home Care Council Sanders, Collins & Rehaste (Orange) Shea Family at Home (El Cajon) CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 6 Three Tips to Fill Those Tough Positions A recent Talent Shortage Survey from Manpower Group found that 52% of US employers today are having difficulty filling jobs. Here are the top 3 ways to access highly qualified talent to fill your hard-to-fill positions. Big picture perspective. Masterful results. The Corridor Group, Inc. (TCG) has provided business advice and solutions to over 2,000 clients in its more than 20 years of operation. Our services bring clarity and perspective to complex home care and hospice challenges. s/PERATIONSAND&INANCIAL0ERFORMANCE)MPROVEMENT s3TRATEGIC0OSITIONING s-ERGERS!CQUISITIONS$UE$ILIGENCEAND6ALUATIONS s2EGULATORY#OMPLIANCE s4RANSITIONAL-ANAGEMENT s%XECUTIVE3EARCH s4#'#(%8E,EARNING s%DUCATION2ESOURCES00-ANUALS4OOLKITSAND-ORE 1. Post open positions on niche job boards like California Association for Health Services at Home (CAHSAH) that cater specifically to the qualified talent you need. Click here. 2. Search for qualified talent in the resume databases of niche job boards. Contact us to learn how we can provide leadership, vision and focus to achieve masterful results. 3. Take advantage of upgrades that make your job stand out on the job board or that get you added exposure off the job board like making it a “featured job” on other web pages. California Association for Health Services at Home (CAHSAH) Your source for those hard-to-fill positions www.corridorgroup.com | 866-263-3795 CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 7 WNU H ea d lin es Ask Mary MAY 7 Answering your legislative & compliance questions CMS Ordering and Referring Physician Final Rule Released In May 2010, the Centers for Medicare & Medicaid Services (CMS) published an interim final rule with comment period, requiring submission of a National Provider Identifier (NPI) by physicians and eligible professionals who order and refer covered items and services for Medicare and Medicaid beneficiaries. This rule required enrollment of physicians ordering home health and other services to be enrolled in the Provider Enrollment, Chain, and Ownership System (PECOS). The ordering and referring physician provisions became effective July 1, 2010 in accordance with statutory requirements. Click here for the full article. Q uestion: Can you tell me under what circumstances may we bill Hospice Medical Director Services? A nswer: From the Hospice Billing Manual. Effective January 1, 2005, Medicare allows payment to a hospice for specified hospice pre-election evaluation and counseling services when furnished by a physician who is either the medical director of or employee of the hospice. Medicare covers a one- time only payment on behalf of a beneficiary who is terminally ill, (defined as having a prognosis of 6 months or less if the disease follows its normal course), has no previous hospice elections, and has not previously received hospice pre-election evaluation and counseling services. MAY 14 New Occurrence Code for Reporting Date of Death The Centers for Medicare and Medicaid Services recently issued a transmittal creating a new occurrence code to report date of death. The National Uniform Billing Committee (NUBC) approved a new occurrence code to report date of death with an effective/implementation date of October 1, 2012. Medicare systems shall accept and process new occurrence code 55 used to report date of death. Click here for the transmittal (#1079). HCPCS code G0337 “Hospice Pre-Election Evaluation and Counseling Services” is used to designate that these services have been provided by the medical director or a physician employed by the hospice. Hospice agencies bill their Medicare contractor with home health and hospice jurisdiction directly using HCPCS G0337 with Revenue Code 0657. No other revenue codes may appear on the claim. MAY 21 Major Changes Proposed to the Dual Eligibles Coordinated Care Initiative The Department of Health Care Services (DHCS) has heard stakeholder concerns about the scope and timing of the Dual Eligibles Coordinated Care Initiative. The Governor’s May Budget Revision includes major changes to this program proposal including the following: Implementation date: The May Revision proposes to move the implementation date from January 1, 2013 to March 1, 2013 to prepare for enrollment. Enrollment will be phased in throughout the remainder of 2013. Click here for the full article. MAY 28 Medi-Cal Provider Webinars Beginning June 5, 2012, and continuing throughout the month of June, Affiliated Computer Services (ACS), the Department of Health Care Services (DHCS) Fiscal Intermediary for Medi-Cal, will conduct Medi-Cal provider training webinars. The webinars will be held Tuesdays through Thursdays at 10 a.m. and 2 p.m., will be hosted in real-time by one of the provider regional representatives, and will offer basic, advanced and specialty classes similar to those offered in the past. For details and access to the seminars, click here. CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 8 CAHSAH State Bill Tracking Bill No. Second Year Bills Description Position Abuse Reporting SB 558 (Simitian [D] ) Elder and dependent adults: abuse or neglect: damages. Existing law provides for the award of Oppose attorney's fees and costs to, and the recovery of damages by a plaintiff when it is proven by clear and convincing Two Year Bill Held in evidence that a defendant is liable for physical abuse or neglect of an elder or dependent adult and the defendant has Assembly also been guilty of recklessness, oppression, fraud, or malice in the commission of the abuse. This bill would revise Appropriations these provisions to change the standard of proof to a preponderance of the evidence. Committee on Suspense File Health Care Coverage AB 1453 (Monning) Essential health benefits. Would require an individual or small group health care service plan contract or Support health insurance policy issued, amended, or renewed on or after January 1, 2014, to cover essential health benefits Pending hearing which would be defined to include the benefits and services covered by particular plans. The bill would specify that in the Assembly this provision applies regardless of whether the contract or policy is offered inside or outside the Exchange but would Health provide that it does not apply to grandfathered plans or plans that offer excepted benefits, as specified. The bill would Committee prohibit a health care service plan or health insurer, when offering, issuing, selling, or marketing a plan contract or policy, from indicating or implying that the contract or policy covers essential health benefits unless the contract or policy covers essential health benefits as provided in the bill. Labor AB 889 (Ammiano [D] ) Domestic work employees. Would regulate the wages, hours, and working conditions of domestic Oppose work employees and provide a private right of action for a domestic work employee when those regulations are Two Year Bill violated by his or her employer and provide an overtime compensation rate for domestic work employees. Would Held in Senate state that the provisions of Wage Order Number 15 of the Industrial Welfare Commission, with specified exceptions, Appropriations apply to a domestic work employee, but would provide that these new domestic work provisions shall prevail over Committee on protections in that order or any other law that affords less protection to a domestic work employee. Suspense File Licensure SB 411 (Price [D] ) Home Care Services Act of 2011. Would enact the Home Care Services Act of 2011, which would Oppose Unless provide, on and after July 1, 2012, for the licensure and regulation of home care organizations by the State Amended Department of Social Services, and the certification of home care aides. Requires a home care organization to Two Year Bill Held on provide a client with specified information before arranging for the provision of home care services, as defined, to that Assembly client, including, but not limited to, the types and hours of available home care services, and the extent to which Inactive File payment may be expected from specified sources. Requires a home care organization to distribute to the client its advance directive policy and provide a written notice to the client of certain rights. Prohibits a home care organization from hiring an individual as a home care aide unless that individual meets certain requirements, including, but not limited to, demonstrating specified language skills and completing a minimum of 5 hours of training as specified. SB 135 (Hernandez [D] ) Hospice Facility Licensure. Would create a new health facility licensing category for, and would Support require the department to develop regulations governing licensure of, hospice facilities, as defined. It would impose Two Year Bill various requirements on these facilities. This bill contains other related provisions and other existing laws. Pending Hearing in Assembly Health Committee AB 1698 (Portantino [D] ) Continuing Care Home Services. Would exempt a care at-home program, as defined, from the Position Pending licensing provisions applicable to residential care facilities for the elderly, if certain conditions are met. The bill would Pulled from define a continuing care at-home program as a care at-home program operated by a continuing care provider that Aging and Long meets prescribed requirements provided for in the bill. Would authorize providers of continuing care at-home Term Care programs to furnish services to an elderly person in his or her own private residence, including remote monitoring, Committee and assistance with bathing, dressing, or grooming, assistance with medication, meals, housekeeping, laundry, home failed deadline to maintenance, companionship, social and recreational activities and allow referrals to other providers. be heard Medi-Cal AB 2266 (Mitchell [D]) Medi-Cal: Health Homes for Enrollees with Chronic Conditions. Would require the department, Support upon approval of a state plan amendment, to establish a program in at least 5 counties to provide health home Pending services to frequent users of health services, as defined. Committee Assignment by the Rules Committee Wages AB 197 (Monning [D] ) Recovery of wages: liquidated damages. Would increase the amount of liquidated damages that Oppose may be awarded to an employee to twice the amount of the wages unlawfully unpaid, plus interest. Held on Assembly Inactive File Workers’ Compensation AB 375 (Skinner [D] ) Workers' compensation: hospital employees: presumption. Would provide, with respect to Oppose hospital employees who provide direct patient care in an acute care hospital, as defined, that the term "injury" Failed passage includes a bloodborne infectious disease, as defined, or methicillin-resistant Staphylococcus aureus (MRSA) that on the Senate develops or manifests itself during the period of the person's employment with the hospital. Floor AB 808 (Skinner [D] ) Workers' compensation: hospital employers: presumption. This bill is a reintroduction of AB 375 Position pending which failed passage. The bill would provide, with respect to hospital employees who provide direct patient care in an review by acute care hospital that the term "injury" includes methicillin-resistant Staphylococcus aureus (MRSA) that develops CAHSAH’s PAPA or manifests itself during the period of the person's employment with the hospital. This bill would create a presumption Committee that MRSA arises out of and in the course of the person's employment if MRSA develops or manifests as specified. This bill would prohibit attributing MRSA that develops or manifests in those cases to any disease or skin infection existing prior to that development or manifestation. CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 9 1 CAHSAH Federal Bill Tracking Bill Number Priority A Legislation Description Position Location Watch Pending hearing in Senate Finance Committee S.659 (Collins) The Home Health Care Access Protection Act of 2011 would reform process for evaluating home health case mix changes HR 2267 (Schwartz) S.227 (Collins) Home Health Care Planning Improvement Act would allow NPs/PAs to sign home health plans of care Support Pending hearing House, Energy and Commerce Committee, Subcommittee on Health S.501 (Thune) Fostering Independence Through Technology Act would establish pilot projects under the Medicare program to provide incentives for home health agencies to utilize home monitoring and communications technologies Support Pending hearing in Senate Finance Committee S.722 (Wyden) HR 3506 (Reed) Support Pending hearing in Senate Finance Committee H.R. 3831 (Lee) Hospice Evaluation and Legitimate Payment Act modifies the hospice faceto-face requirements, establishes a hospice payment demonstration program and requires hospice programs to be surveyed every 36 months Medicare Hospice Care Access Act of 2012: allows physician assistants to serve Medicare hospice patients as attending physicians. H.R.3859 (McMorris) Rural Hospital and Provider Equity Act of 2012: Home health rural add on; allows NPs/PAs to sign home health plans of care S. 891 (Grassley) Medicare Hospice Care Access Act of 2011: allows physician assistants to serve Medicare hospice patients as attending physicians Support Pending hearing in Senate Finance Committee H.R.4 (Lungren) Small Business Paperwork Mandate Elimination Act repealed the 1099 filing provision in the Patient Protection and Affordable Care Act Support Passed into law H.R.452 (Roe) S.668 (Cornyn) Medicare Decisions Accountability Act of 2011 and Health Care Bureaucrats Elimination Act would eliminate the Independent Payment Advisory Board Watch Pending hearing House, Energy and Commerce, Subcommittee on Health Fairness in Medicare Billing Act would repeal Medicare Competitive Bidding Watch Pending hearing House, Energy and Commerce, Subcommittee on Health Repeals the CLASS Act and eliminates the voluntary federal long term care insurance program under the Patient Protection and Affordable Care Act Watch Pending hearing in the House Watch Pending hearing House, Energy and Commerce Committee, Subcommittee on Health Pending hearing in the Subcommittee on Workforce Protections H.R.1041 Support Support (G. Thompson) H.R.1173 (Boustany) S.720 HR 1546 (Gerlach) S 829 (Cardin) Repeals Outpatient Rehabilitation therapy Caps HR 2341 (Sanchez) S 1273 (Casey) Removes Companionship Services Exemption HR 2468 (Boustany) HR 3066 (Lee) S.20 (Hatch) S.454 (Grassley) S 1680 (Kent) Oppose Pending hearing in House Committee on Ways and Means, and, in addition, the Committee on Energy and Commerce Referred to the Committee on Energy and Commerce, and, in addition, the Committee on Ways and Means Medicare Home Health Flexibility Act of 2011: allows occupational therapists to conduct initial home health assessments Support Pending hearing House, Energy and Commerce Committee, Subcommittee on Health Companionship Exemption Protection Act: preserves the current companionship services exemption. Support Pending hearing in House Education and the Workforce American Job Protection Act would repeal the employer mandate provision of the Patient Protection and Affordable Care Act Support Pending hearing in Senate Finance Committee Watch Pending hearing in Senate Finance Committee Support Pending hearing in Senate Finance Committee Strengthening Program Integrity and Accountability in Health Care Act of 2011 would prevent fraud, waste, and abuse under Medicare, Medicaid, and CHIP Craig Thomas Rural Hospital and Provider Equity Act (home health rural add on; allows NPs/PAs to sign home health plans of care; allows PAs to serve Medicare hospice patients as attending physicians CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 10 MEMBERSHIP UPDATE Brought to you by Philips Telehealth Solutions Te l e h e a l t h : O Defining Program Goals nce you’ve selected a vendor and are ready to implement a telehealth program, you must first define your program model, as well as your goals and objectives. This update was authored by Jordan Lindsey, director of policy for California Association for Health Services at Home. Your business model and demographic will drive your program model. The duration for which patients are monitored will either be a short-term (post-acute discharge) or long-term (chronic disease management) model. The conditions for which telehealth is often used include congestive heart failure (CHF), diabetes, hypertension and chronic obstructive pulmonary disease. If, for example, your agency focuses on patients diagnosed with CHF who have been discharged from the hospital and referred for home health, then the duration of monitoring would be a single episode of care (1 cert. period). Once your model is defined, the next step is to define goals and objectives for your telehealth program. Developing a telehealth program based on clear goals and objectives allows for the highest level of success in meeting the organization’s and patients’ needs. Homecare agencies continuously focus on improving the clinical and financial outcomes of their organization. Telehealth can help. Common goals of a telehealth program may include: • Improving clinical outcomes by decreasing the number of readmissions • Decreasing the average cost per episode by decreasing the number of unnecessary nursing visits • Identifying quantifiable goals is critical. Document where you are now and where you want to be in the next three, six, and nine months. For example, if your readmission rate is currently 41 percent, identify a realistic goal rate following implementation of telehealth on all high-risk patients for six months. Questions to consider: • How will you measure progress toward your goals? • Who will document the necessary data points? • Who will generate and review the reports to determine if your goals are met? Consider these questions for each of your goals. With these details defined, document them in your organization’s standard policies and procedures. It’s critical to the success of your telehealth program to communicate the goals of your program to your entire staff. Be sure to outline how each staff member will be asked to contribute toward the goals and how they will be measured against them. Clearly communicate any new expectations, as well as changes in responsibilities and processes. Be sure to highlight the positive impact on the patients, staff, and overall organization. Our collective goal is to improve the lives of those we serve; telehealth can help us do that! If you have any questions, please call Philips Telehealth Solutions at (800) 422-0768 or visit www.philips.com/telehealth. Increasing the number of referral sources by marketing your program to area hospitals, insurance providers, and physicians M E M S B E P O T R L T I G H T hanks to Sharon Niederhaus of Salus Homecare for ‘pinch hitting’ for CAHSAH’s Concierge Program this month – welcoming new members and helping them get connected. CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 11 Expo Hall A Big Winner T he fact that the exhibit hall was again SOLD OUT speaks volumes about the confidence in the future of the industry and the importance placed on the industry by those who provide home care products and services. Seventy-seven exhibitors (85 booths) participated in this year’s expo, 18 of which were first time exhibitors. What a great show of support for the home care industry! We look to our affiliates as providers of solutions and educators helping agencies to be more competitive and successful. They are a vital component of the association. This year’s opening reception was different than anything previously done. In keeping with the football theme, there was a Tailgate Party, complete with goalposts, pickup truck and stadium backdrop. There were plenty of hot dogs, sliders and ice cream bars. 24Hr HomeCare A Family Home Care CarenetLA Chase Home Health, Inc. Comfort Keepers #374 Hello! Home Care New Life Home Health Services QualCare Hospice, Inc. Right at Home Sequoia Home Health St. James Home Health, Inc. Summit Home Health Inc. Synergy HomeCare Inland Empire CAHSAH offers a special thanks to our Affiliate Advisory Committee for their contribution of ideas, time and guidance in preparation for the 2012 Expo: John Shinn, PPS Plus Software Michael Tidd, Healthcare Synergy Tami Unsworth, Heffernan Insurance Brokers Jennifer Jackson, ADT Keri Lamont, CellTrak Our exhibitors were very generous with raffle prizes, donating 40 prizes, from Gift Cards to a Kindle Fire, Coach Handbags, and a Smartphone. CAHSAH’s grand prize, a complimentary 2013 Conference registration was awarded to Carmelia Abesamis of Holy Family Hospice Care, Covina, California. CONGRATULATIONS! These new member providers were invited to stop by CAHSAH’s booth for a small welcome gift: Cindy Hatton of Hospice of the East Bay, Neil Rotter of Accredited Home Health Services, and Tiffany Karlin of Accurate Business Results provided invaluable onsite assistance as well. And, of course, we extend our appreciation to the 2012 exhibitors, many of which were also sponsors of various conference events. YOU ARE THE EXPO! THANKS TO ALL!!!! 5 Star Consultants, LLC Accreditation Commission for Health Care, Inc. Accredited Medical Equipment & Supply Accurate Business Results, LLC ADLware Software by Benesan ADT Home Health Security Services Advanced Diabetes Supply AgeTech California Allscripts Arkray USA, Inc. Authentidate Axxess Healthcare Consult. Barney & Barney, LLC Bosch Healthcare Boyd & Nicholas, Inc. Cardinal Health Cardiocom, LLC CareAnyware, Inc. CareScout CareWatch, Inc. CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 12 CellTrak Technologies, Inc. Cerner Extended Care CHOW Consulting Services, LLC ClearCare Community Health Accreditation Program, Inc. (CHAP, Inc.) Continuity Care Staffing Services, Inc. ContinuLink, LLC Coral Canyon Insurance Services, Inc. Data Soft Logic Corporation Delta Health Technologies Deyta, LLC Entech Medical, Inc. eSolutions Eventium Focal Point Systems Healthcare Provider Solutions, Inc. HealthCare Synergy, Inc. HEALTHCAREfirst, Inc. HealthMEDX HealthTrust Software HealthWyse, LLC Heffernan Insurance Brokers / CAHSAH GPO VENDOR Home Health Gold Home Healthcare Solutions, Inc. HPSI Purchasing Services Independa, Inc. JSA Search, Inc. Kaiser Permanente KanTime Kinnser Software, Inc. Livermore & Associates, Inc. McKesson Provider Technologies MD LAB & MD X-RAY Medline Industries, Inc. Murphy Law Group NotifyMD OCS HomeCare Philips Home Monitoring / CAHSAH GPO VENDOR PPS Plus Software Procura Provista / CAHSAH GPO VENDOR Sandata Technologies, Inc. Sanders, Collins & Rehaste, LLP Select Data Shield HealthCare Simione Healthcare Consultants Southwest Technologies Sprint StatStaff, LLC Strategic Healthcare Programs, LLC Stratis Business Systems, Inc. Suncoast Solutions SuperCare, Inc. The Compliance Team, Inc. The Corridor Group, Inc. The Joint Commission Veterans Home Care VITAS Innovative Hospice Care CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 13 Co m m u n i c a t i o n i s k e y t o a ny b u s i n e s s , and home care is no exception. Whether you are using mobile devices or in house communication systems, Provista has contracts with the premiere telecom providers, Verizon, Sprint (mobile and landline), AT&T, which include voice and data plans, mobile broadband, wireless equipment and Blackberry solutions. • • • Verizon ~ Corporate Discounts 23%; 35% off accessories ~ Employee Discounts 22%; 25% off accessories Sprint ~ Corporate Discounts 27%; Employee Discounts 23% ~ 20% off accessories ~ Telehealth, point of care systems AT&T ~ Corporate and Employee Discounts 24% ~ 45% on equipment for new services including PDA’s. If you currently have a discounted plan with one of these providers, ask us to provide a comparison for you. It’s an easy transition to Provista’s plan. View “PROVISTA 101” For more information about the organization and its contract portfolio. VIEW PROVISTA OFFICE PRODUCTS & SERVICES For a list of leading manufacturers. Please contact Matt Hoffman at 972-910-6404 or email [email protected] (NOTE: your employees may also participate in these programs for their personal phones and equipment. See Employee Savings Program) CAHSAH Recognizes Outgoing Board Members! On May 5th at CAHSAH’s Annual Conference & Home Care Expo, four outgoing board members were recognized for their dedicated service on the Board of Directors during the Business Luncheon. Belinda Condit, Administrator with Providence Home Care in Burbank is completing six years of service on the CAHSAH Board representing the Medicare Certified Section. Sharon Fredrichs, Director of Home Health with St. Joseph Health System – Home in Orange is completing three years of service on the CAHSAH Board representing the Medicare Certified Section. Romelia Garcia, Administrator with Heartland Home Health Care & Hospice in Santa Clara is completing one year of service as an At Large member on the CAHSAH Board. Alex Saldana, CFO/COO with Oxford HealthCare in Long Beach is completing four years of service on the CAHSAH Board representing the Licensed Home Health Section. Alex is currently serving as Treasurer on the Board, Chair of the Finance Committee, Vice Chair of the Medi-Cal Committee and is a member of the Licensed Home Health and Medicare Committees. CAHSAH Welcomes New Members! CAHSAH Bulletin Please help us extend a warm welcome to those new members who have recently joined CAHSAH between April 21, 2012 and May 19, 2012. Published by CAHSAH and supported by Heffernan Insurance Brokers. Providers Joseph H. Hafkenschiel, President City of Angels Home Health, Torrance California Association for Health Services at Home Domus Home Health Services, LLC, Redding Serenity Hospice Care, Inc., Encino 3780 Rosin Court, Suite 190 Sacramento, CA 95834 Telephone: (916) 641-5795 Fax: (916) 641-5881 www.cahsah.org Affiliates For advertising, please contact: Ashik Popat, Toluca Lake Ranesh Maharaj, Bulletin Editor E-mail: [email protected] (916) 641-5795 ext. 120 LA Health Services Inc., Glendale Bih-Shang Shen, Daly City Law Office of Gould & Hahn, Berkeley 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. Renata Smith, Rancho Santa Margarita CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 14 EDUCATION UPDATE Home Care and Hospice Viva Las Vegas Administrator Certificate Programs C Gold Sponsor: HospiScript Services Supported by: TCG and NAHC an you say, “Viva Las Vegas”? Join us July 17-19 at Caesars Palace to get the education you need while perusing around the expo to see the latest technology advances, products, and services. Take the journey to gain more insight on strategic positioning, financial management, legal compliance issues, and more! Use this opportunity to network with other professionals and gain that competitive edge! The program sold out last year - space is limited, so sign up today! Upon completing the program, you’ll walk away with the following: • Having a keen insight on the trends in health care • Building onto your strong leadership skills • Better understanding of strategic planning and positioning • Solid understanding, interpretation and ability to modify essential elements of financial management • Gain understanding of necessary tools to manage financial performance • Understanding the elements and guidelines to manage compliance risk Save an extra $25 when registering two or more people from the same agency online. For more information or to register, please click here or contact CAHSAH at (916) 641-5795, Ext 117 or [email protected]. IT’S A WRAP! Hospice Billing Workshop L ast month, CAHSAH offered a highly rated hospice billing workshop led by renowned speaker Melinda Gaboury with Healthcare Provider Solutions. The comprehensive workshop was split up into four sessions. The first session covered hospice eligibility requirements and benefit periods. The second session covered topics of billing notice of elections and claims. It went into depth on regulations for routine home care, continuous home care, impatient respite care, and general inpatient care. The third session began with billing regulations, face-to-face requirements, and home health’s effect on hospice billing. Hospice and nursing services were deliberated and the 2012 payment rate charts were highlighted. The fourth session concluded with discussions on special billing situations, late charges, and room and board. The interactive program ended with Q&A’s where attendees got some much needed answers. If you missed this program and need more information on hospice billing, sign up for Melinda Gaboury’s Hospice Billing Webinar! Click here for more information about the webinar. I Blueprint for OASIS Accuracy: Two Day OASIS-C Program n April, CAHSAH held the Blueprint for OASIS Accuracy workshops and COS-C exam administrations in Sacramento and Ontario. We had lots of great questions, feedback and interaction from the highly spirited groups at both sessions. OASIS data collection continues to be a critical skill that agencies must ensure their field staff possess in order to minimize the financial, compliance and quality reporting risks that come from inaccurate data. CAHSAH is committed to continually updating and improving the educational programs we deliver to give you the most valuable, effective, and upto-date OASIS learning experience available. Consider the opportunity to refine and validate your knowledge of CMS OASIS data collection guidelines by attending a future Blueprint for OASIS Accuracy workshop, and then sit for the Certificate for OASIS Specialist - Clinical (COS-C) exam. Special thanks to Kinnser Software for sponsoring these workshops! CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 15 Raising Standards with the Executive Certificate Programs On-Demand Courses at Your Finger Tips E nrolling into CAHSAH’s On-Demand classes online is a popular way for working professionals to have the chance to further their career at their own speed. This is a convenient way of learning for those who can’t get away. You can access over a dozen programs available through CAHSAH’s On-Demand Training portal. This newage technology allows participants to receive the benefits of an in person training without the travel costs. The video streaming technology provides a visual of the presentation alongside the PowerPoint handouts. This e-course format will allow provider agency staff to participate from the comfort of their office/home at their own pace. The e-course is accessible 24 hours a day, 7 days a week, anywhere there is internet connection. Gold Sponsor: HospiScript Services R Supported by: TCG and NAHC aising standards is one of the key reasons that certification exists. It was developed to protect the public by ensuring that they receive preeminent care. The single greatest thing you can do is give yourself the quality education you need in order to successfully lead your organization into the future. Home Care and Hospice Executive Certificate Programs September 11-13, 2012 Imperial Palace – Las Vegas, NV Featured On-Demand Courses: Save an extra $25 when registering two or more people from the same agency online. New Home Health Nurse Training Series Medicare Home Health PPS Billing Start Up Conferences: Home Health, Private Duty or Hospice For more information or to register, please click here or contact CAHSAH at (916) 641-5795, Ext 117 or [email protected]. To see a full listing of On-Demand courses, click here. click here CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 16 CAHSAH BOOKSTORE Can You Afford Not to Be Certified? Tools for your Agency! OASIS Competency Toolkit This comprehensive program utilizes thoughtfully developed and scenariobased questions that will help your staff improve the accuracy of your OASIS data, the consistency of their responses and, most importantly, your patients’ and financial outcomes. The testing tool is divided into three parts: Technical Knowledge, Clinical Domain and Functional & Service Domain Knowledge. Produced by The Corridor Group, Inc. V oluntary certification can provide additional professional recognition and personal rewards. It attests that you have met industry gold standards through assessment of your knowledge and experience. Here are the key steps to getting certified: • The Benefits of Getting Certified • Determining If You Are Ready • Preparing for the Certification Exam • Applying for the Certification Exam • Maintaining Your Certification Features: • • • Why Get Certified? • MEMBERS $508.94 Personal recognition and reward of knowledge and experience • Demonstrates leadership and administrates proficiency • Adds value to an agency and generally is more highly compensated with greater advancement opportunities Answer Keys include rationale as well as references 30 Question Post-test and Answer Key 100 Question Pre-test and Answer Key NON-MEMBERS $582.89 Medicare Conditions of Participation & Interpretive Guidelines This side-by-side comparison of the CoPs and the interpretive guidelines has been updated with the new survey guidelines that went into effect May 1. Changes also include the new Level 1 and Level 2 priority standard tags and “probe” questions will assist you in understanding what surveyors use when eliciting information about all areas of provider compliance with the Medicare conditions. An added appendix of the survey protocols will be invaluable when preparing for a survey and for addressing questions that inevitably arise during the survey visit. Where Can I Take The Exam? There are two ways you can take the exam. The first is a paper and pencil exam proctored onsite at one of CAHSAH’s certificate programs. For more information on dates and locations, visit the Certificate Programs Calendar. The second is computer based testing (CBT) which is offered through Pearson VUE, the global leader in technology-enable testing and assessment services to administer and deliver the examinations. Pearson VUE has over 4,400 Pearson VUE® Authorized Test Centers throughout the country, allowing you the ability to take the exam at a local testing center during the testing windows. MEMBERS $59.81 NON-MEMBERS $114.19 *prices include shipping, handling & tax Call (916) 641-5795 ext. 113 or visit www.cahsah.org to order these essential resources! For more information on exam dates and times, please visit: www.nbhhc.org. Connect with CAHSAH Community! By joining the CAHSAH ListServe, you can network with your home care industry peers on topics such as PPS, OASIS, workers’ compensation, staffing shortages, and much more! Ask for feedback from others in the industry, or provide your own feedback on issues of importance to others. Join the CAHSAH ListServe! Click Here. CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 17 H R CORN E R Brought to you by Strategic HR A Strategic Goal Setting braham Lincoln wrote, “A goal properly set is halfway reached.” His quote implied that without setting a goal the road toward achievement is longer and perhaps more challenging. It is true that setting goals is important to keeping employees motivated, but it can also be invaluable for an organization when achieving and sustaining success. Success cannot be attained unless it can be measured. Goal setting is part of an organization’s strategic plan and vision. Vision, as defined by Jim Collins in his Good to Great Book, is a big, hairy, audacious goal – known in most business circles as a BHAG. While vision is a philosophical ideal that creates the motivation for employees to collectively strive for at a level that is something far greater than themselves - the “sum of the parts is greater than the whole” theory, strategy comprises the general ideas of how to reach the vision. Goal setting specifically aligns with these general ideas to essentially put philosophy into action. The purpose of vision is to set a strategic BHAG, ensuring the organization can migrate from what it does right now (mission) to what it wants to do someday. There are three levels of goal setting: organizational goals – known also as strategic goals, team goals – which can be the same as departmental goals, and individual goals. Individual goals should roll up and align into departmental goals, and those should roll up and align with the organization’s goals. It is most important when achieving any of these levels to keep a clear line of sight to the vision. Setting goals comprises five steps. Many use the SMART method or some variation of it. The key to goal setting is breaking up the goal into manageable parts (called mini-goals) and refer to the process often to stay on track. Under the SMART goal process, the first step is SPECIFIC. Make sure the goal has specific details so that misunderstandings can be kept to a minimum. Goals should also be MEASURABLE. For example, this can be done by using a percentage, a finite number, or a ratio. The goal must be ATTAINABLE and within the control and reach of the person who is attempting to reach the goal. If it is not, the person may not continue to be motivated towards goal achievement. There are two terms for the next step – some use RELEVANT and others use RESPONSIBLE. For relevant, the goal must be tied to the vision with specific outcomes that help the organization achieve the vision. For responsible, the goal must be assigned to a responsible party and followed up to ensure goal completion. Either (R) works, and sometimes, some people use both. The last step stands for Time Bound or Time Measured. The point of “T” is to ensure results. If a goal is set but no deadline assigned, the goal is usually never accomplished. Once all five steps have been followed, it is wise to complete a matrix to ensure progress is being made collectively toward goal achievement. After the goals are established, it is critical that periodic meetings are held to clarify any misconceptions, to provide additional resources and support, to check on progress, and to ensure that everyone is still aligned with the vision. Even when high performing employees are working together to accomplish strategic objectives, periodic validation may be needed. Strategic HR has templates that clients may use to assist them with strategic goal setting. We also have seasoned consultants who can assist your company in assembling its team or departmental goals that align with your company’s vision. Happy goal setting! Disclaimer: This document is designed to provide general information and guidance concerning employment-related issues. It is presented with the understanding that Strategic HR (SHR) is not engaged in rendering any legal opinions. If a legal opinion is needed, please contact the services of your own legal advisor, or ask SHR for a referral. CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME 18