Payer-Provider Partnerships in Palliative Care: A Look at Advanced Illness Services at Highmark

Posted on December 2, 2014

Date/Time: 12/02/2014, 1:30 pm - 2:30 pm

Provider: CAPC

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This web conference is the third in a series related to payer-provider partnerships. Highmark, which received the Gold Fine Award in 2013 for its Advanced Illness Services, has implemented several successful strategies for improving access to palliative care and supporting members, their families and caregivers in dealing with serious or chronic medical conditions. The web conference will focus on two of these strategies: the Quality Blue Hospital Pay for Value Programs and the Advanced Illness Services Program. Participants will learn how these programs developed, the key milestones achieved and some of the challenges encountered along the way.

You will learn to:

Describe Highmark’s Quality Blue Hospital Pay for Value Programs and Advanced Illness Services Program
Identify key milestones in the development of a palliative care pay-for-performance program and an advanced illness program
Recognize the key measures utilized in the pay-for-performance programs
Describe several challenges in implementing these programs

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Corporate Patron Member Spotlight

Florida Hospice and Palliative Care Association thanks our NEW Corporate Patron members as of May 2023! Thanks for supporting the mission of FHPCA and hospice programs in Florida! To learn more on how to become a Corporate Patron member click…

Upcoming Events

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12:00 PM - Mock Surveys & Continued Readiness Part 1 for Home Health & Hospice

12:00 PM - Critical Skills for Volunteers: Boundaries, Suicide Intervention, Grief & Loss

12:00 PM - Looking Under the Hood: Fine Tuning Your Operating Model

12:00 PM - Compliance for the Hospice Bereavement Team

12:00 PM - Record Retention Rules for Hospice & Home Care Providers

12:00 PM - How to Operate a Hospice Inpatient Unit & Remain Financially Sound

12:00 PM - Hospice by the Numbers: Public Reporting & the Pursuit of Quality

12:00 PM - Mock Surveys & Continued Readiness Part 2 for Home Health & Hospice

12:00 PM - Beyond Hearing: How Active Listening Drives Success (Complimentary)

Mock Surveys & Continued Readiness Part 1 for Home Health & Hospice

04/03/2024

12:00 pm

Webinars

Part 1 of the series will focus on understanding the regulations, the types of deficiencies, including condition level deficiencies and immediate jeopardy, and how to avoid them. It will also drill down on regulatory compliance, including how to prioritize noncompliant areas, assess your agency, write action plans, involve and educate staff, and develop an effective QAPI program. There will be a brief review of the data-driven information on Care Compare, CAHPS, etc. to explain how to tie those into your QAPI program to ensure compliance and enhance quality and efficiency of care.

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Critical Skills for Volunteers: Boundaries, Suicide Intervention, Grief & Loss

04/04/2024

12:00 pm

Webinars

After completing training, your volunteers should be fully prepared for the work they face. Most programs utilize a standardized curriculum that meets Medicare guidelines, yet those topics are meant to be “minimum standards” and miss some very important issues and necessary skills. This webinar will explore several critical skills, including setting and maintaining personal and professional boundaries, the critical importance of supervising volunteer boundaries, volunteers’ part in suicidal ideation intervention, their role in assessing and providing grief and loss support and guidance, and other important dynamics.

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Looking Under the Hood: Fine Tuning Your Operating Model

04/09/2024

12:00 pm

Webinars

Your operating model is a three-legged stool: providing care, business development (patient acquisition), and financial performance. Each leg is comprised of many systems and procedures. How well these systems and procedures function drives performance throughout the organization. With this webinar, you’ll learn the essential elements of each leg. More importantly, you’ll be able to identify the means and methods to improve the systems and procedures that support these critical elements. You’ll walk away with practical approaches to strengthen your operating model, serve more people, and grow.

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Compliance for the Hospice Bereavement Team

04/10/2024

12:00 pm

Webinars

Part 5 of this five-part compliance series will review the CoP requirement for bereavement counseling as a core hospice service. It will cover key regulations for bereavement care and provide recommendations for best and preferred practices and program structure. Who is qualified to provide these services? Who will receive these services? Setting up a bereavement plan of care as well as how to implement and measure your bereavement program for effectiveness will be addressed. Bereavement care is not just something a hospice agency implements upon death. It requires ongoing assessments, and many agencies fall short. This webinar will identify all areas where bereavement risk can be identified, discussed, and addressed.

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Record Retention Rules for Hospice & Home Care Providers

04/11/2024

12:00 pm

Webinars

Mismanaged, misplaced, or missing medical and business records are more than a nuisance. They are a liability. You are required to preserve, protect, produce, and purge records, including PHI, EPHI, personally identifiable information (PII), and other business-critical information in compliance with HIPAA, federal legislation, state data breach notification laws, and e-discovery guidelines. Best practices call for strategic records management programs, complete with comprehensive records retention policy and procedures. Failure to safeguard PHI and EPHI could lead to HIPAA investigations, financial penalties, and disgruntled patients. Mismanagement of business records, including PII and electronically stored information (ESI), could trigger costly lawsuits, damaged reputations, and decreased revenues. Attend this program to learn best practices-based strategies for effective records management. You’ll leave with a package of valuable tools, including a sample records retention policy, record retention guidelines, and an informative whitepaper to help your organization manage records, minimize risks, and maximize compliance.

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How to Operate a Hospice Inpatient Unit & Remain Financially Sound

04/16/2024

12:00 pm

Webinars

This webinar will provide an understanding of the fundamental principles for operating hospice inpatient units and delve into the core elements that form the bedrock of operational success, emphasizing the significance of strict discipline and focus. It will explore the operational strategy for a general inpatient unit, dissecting key components such as staffing, training, patient-centered care, and integration with other care levels. Real-world case studies will provide insights into successful implementation.

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Hospice by the Numbers: Public Reporting & the Pursuit of Quality

04/23/2024

12:00 pm

Webinars

If you work in a hospice environment long enough, you will hear a bunch of acronyms related to quality scores. Ones like HQRP, HIS, CAHPS, and SHP, for example. For those who are not quality improvement professionals but who work in this area every day, retaining and understanding all this information can seem daunting. This webinar will break down and explain the components of quality scores and explore how access to and understanding of this data can lead to quality improvement that is patient and family centered and effective.

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Mock Surveys & Continued Readiness Part 2 for Home Health & Hospice

04/24/2024

12:00 pm

Webinars

You’ll learn how to survey the EP program and QAPI, including how to tie information from the QAPI program to what is found on home visits and in records. Discover what to look for in staff education, competency, and personnel files, how to interview staff and managers, and the specifics on how to include a home visit in a survey. This program will address how to review clinical records with particular attention to common deficiencies.

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Beyond Hearing: How Active Listening Drives Success (Complimentary)

04/25/2024

12:00 pm

Webinars

In this engaging webinar on active listening, participants will explore the profound impact of this crucial communication skill in the workplace. Through examples and practical techniques, the session will highlight how active listening fosters better understanding, strengthens team dynamics, and enhances overall collaboration. Attendees will gain valuable insights into how mastering active listening can lead to improved problem-solving, increased productivity, and a more positive and inclusive work environment.

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Events on 04/03/2024

Mock Surveys & Continued Readiness Part 1 for Home Health & Hospice

3 Apr 24

Events on 04/04/2024

Critical Skills for Volunteers: Boundaries, Suicide Intervention, Grief & Loss

4 Apr 24

Events on 04/09/2024

Looking Under the Hood: Fine Tuning Your Operating Model

9 Apr 24

Events on 04/10/2024

Compliance for the Hospice Bereavement Team