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Home Health Workforce Performance 1

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Page 1: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance 1

Page 2: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

The Journey of Workforce Performance Begins on Athena Forum

Dear Care Director in Home Health,

Our philosophy is that a care director can achieve goals at a fasterrate with a better educated staff.

Our thanks to all the care directors who contributed to this presentation.

Welcome!

Barbara Leach, RN

Barbara Leach, MS, BSN, RNDirector, Nursing EducationAthena Forum Institute, [email protected]

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Page 3: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

Human Capital

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§ “Knowledge workers need knowledge. Knowledge workers are different from factory workers.Knowledge workers can advance the strategic direction of your business.”

Peter DruckerThe Essential Drucker®

§ “Valuing workforce members is one of our essential criteria for winning the Baldrige National Quality Award for health care companies.”

SpokespersonBaldrige National Quality Award OfficeNational Institutes for Standards & TechnologyU.S. Dept of Commerce 2015

Page 4: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

Athena Forum Training Supports CMS.gov Goals

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CMS.gov goals:

§ Making Americans healthier by preventing illness

§ Coordinating better care

§ Lowering costs of care

Page 5: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

Athena Forum Supports Your Triple Aim Goals

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Institute of Healthcare Improvement (IHI) Triple Aim:

§ Improving the patient experience of care (including quality and satisfaction)

§ Improving the health of populations

§ Reducing the per capita cost of health care

Page 6: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

Athena Forum Design

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Athena Forum Institute® was designed in 2008 by 400 care executives from population health companies including: Aetna, Allina Health, Anthem, CIGNA, Humana, Intermountain Healthcare, Dartmouth-Hitchcock, Sutter Health and others.

Athena Forum has 3 features to improve organizational performance:

1. Management Tool: Care directors assign courses to steer the team to company priorities

2. CE Machine for Staff: Staff love Athena Forum for 700 CE accessible from any computer

3. Clinical Reference Tool: 7,000 page curriculum is searchable (“21st Century PDR”)

Page 7: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

Athena Forum Course Catalog 7,000 Pages

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Care Management Series® § Care Management Express§ Discharge Planning§ Ethics in Case Management§ Hospital Revenue Cycle§ Palliative & EOL Care§ Patient Advocacy§ Population Health Management§ Professional Identity§ Utilization Management

Clinical Care Series® § Asthma§ COPD§ CV Risk: Stroke & MI§ Diabetes§ Ebola Care§ Inflammatory Bowel Diseases

Behavioral Health Series® § Abuse: Child Abuse, Elder Abuse, Domestic Violence§ Depression§ Harm Risk Behaviors & Suicide Prevention

§ Heart Failure§ Obesity Management§ Pain Management § Sepsis Care§ Wound Care

Page 8: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

Defined Management!

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“Management is getting work done through others.”

Care Director

Home Health Nurses &RN Care Coordinators

Social WorkersCare Coordinators

Pharmacist CareCoordinators

Page 9: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

The Education Multiplier Effect

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§ When ONE nurse completes ONE CE course = “advancing one’s practice”

§ When the ENTIRE team completes the same course = “improving organizational performance”

“Company directed training is the tide that lifts all boats.”

Care DirectorShreveport, LA

Page 10: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

Workforce Performance

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Page 11: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

Athena Forum Provides 80% of Staff Educational Requirements to Comply with CMS Measures in Home Health Care

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CMS.gov Measures What Is Measured Athena Forum Courses Addressing

Heart Failure Symptoms How often the home health team treated HF symptoms. “Improving Outcomes in HF Care”

Diabetes: Implementing foot care & diabetic pt ed.

How often the home health team got doctors’ orders, gave foot care, and taught patients about foot care. “Improving Outcomes in Diabetes”

Pain Assessment How often the home health team checked pts for pain. “Improving Outcomes in Pain Mgmt”

Depression Assessment How often the home health team checked pts for dep. “Improving Outcomes in Depression”

Care planning for risk of pressure ulcers

How often the home health team check pts for the risk of developing pressure ulcers. “Improving Outcomes in Wound Care”

Page 12: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

Pricing

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Athena Forum Tuitions:Enroll 1 to 19 care coordinators $125.00 per person, per year

Enroll 20 to 49 $ 95.00

Enroll 50 to 99 $ 75.00

Enroll 100 to 499 $ 65.00

Enroll 500+ $ 35.00

Features:§ All tuitions are paid by the company§ The company can add or delete personnel at any time; we pro-rate tuitions on a monthly schedule§ Each tuition is a flat rate with no other charges; all CE certificates are included§ Each enrollee has 24/7 access to all 7,000 pages, all 700 CE certs, from any computer§ All CCM CE are pre-approved and pre-paid; 160 CCM CE volume equals 200% of the 5 year CCM credential renewal§ RN and Social Work CE represents a 100% volume of license renewals in all 50 states§ ACO management personnel (up to 5 managers) can be enrolled on a complimentary account

Page 13: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

ROI Discussion

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“We forecast a 100 X ROI for one $65 Athena tuition. The ROI is expressed as forecasting ~ $6,500 in reducedhospitalizations in a year. Assume one nurse gains better health coaching skills from the education. Assume that samenurse helps only ONE senior to asthma-proof her home and avoid one asthma hospitalization in that year. The ROI ofavoiding one hospital admit at $6,500 is then 100 X the Athena tuition of $65.00. Scale it to 100 nurses and we’resaving about $650,000 a year. And this could be conservative.”

Medical DirectorHome Health ME

“Our nurses are accessing Athena Forum courses all over town from their iPads at Starbucks -- or from homecomputers in the evening. This is 21st Century convenient and saving us training dollars. Plus morale is way up.”

Care DirectorAllina Health, MN

“Our ROI is to train people so we can protect our $200Million contract with Medicare. Our front line people areassigned courses on Athena to support our compliance with CMS.gov.“

Vice President FinancePeaceBridge Health, WA

Page 14: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

Sample Implementation Memo

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2016 Athena Forum Course Advancing our Home Health PracticesJAN Diabetes

Mod B: AssessmentsWe have a great opportunity to improve our diabetes assessments and reduce complications.We’ll discuss at our WED call JAN 28th. Print pages 7 & 8 on diabetes diagnostic criteria.

FEB Professional IdentityMod C: Emotional Intelligences

Improving our emotional intelligence is an important skill set when working with some of ourMod C: Emotional Intelligences difficult patients and families. EI helps us manage our own emotions in the care setting and also helps us provide emotional support for pts and families. Discuss: WED FEB 28th.

MAR Heart Failure Management 1Mod B: HF Assessment

HF care is complex and expensive. The better we assess our HF pts the better care we provide. Print the page of Family History Pertinent to HF. Discuss at WED MAR 25th.

MEMO TO: Home Health NursesFROM: Care DirectorDATE: January 1, 2016SUBJECT: Staff Performance Program with Athena Forum

As mentioned, we’re launching a new staff development program on Athena Forum.com. This is a mandatory program for all staff and will improve our patient care. This is also a new and free employee benefit giving you plenty of RN CE for your license. We’ll discuss each monthly topic at our WED conference calls. Please email your CE certs from Athena Forum to Tiffany before calls.

Page 15: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

Benefits of Workforce Development

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Care directors report these benefits:

1. Higher core competencies of front line nurses

2. Improved morale

3. Improved focus on priorities

4. Better sense of teamwork

5. Leveraged time of leadership and clinical educators

Page 16: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

Athena Forum Care Management Series® Slide 1 of 2

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CM Express [for new hires]

Mod A: Essentials of Case Management

Mod B: Importance of Claims

Mod C: Resource Management

Mod D: Transitions of Care / Patient Experience

Discharge PlanningMod A: Philosophy & Standards

Mod B: Patient Centered Approach to DP

Mod C: External Forces in DP

Ethics in Case ManagementMod A: Ethical Standards of Practice

Mod B: CM Ethics in the Hospital Setting

Mod C: Ethics in the Telecare Era

Mod D: Ethics in Large Corporate Cultures

Mod E: Ethics in the Community Health Setting

Establishing Your Professional IdentityMod A: Essentials of Professional Identity

Mod B: Critical Thinking

Mod C: Emotional Intelligence

Mod D: Conflict Resolution

Mod E: Leadership

Mod F: Difficult People

Hospital Revenue CycleMod A: Industry Cash Flow

Mod B: Hospital Cash Flow: Claims, RAC, Avoidable Days

Patient AdvocacyMod A: Advocacy & Care Management

Mod B: Right Care Guidelines for our Patients

Mod C: Key Components to Care Success

Page 17: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

Athena Forum Care Management Series® Slide 2 of 2

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Improving Outcomes in Palliative & EOL CareMod A: Advancing Palliative & EOL Care

Mod B: Economics, Regulations & Reimbursement

Mod C: Transdisciplinary Team Care

Mod D: Effective Communication

Mod E: Patient Goals & Expectations

Mod F: Physical Symptom Management

Mod G: Advance Planning, Grief & Bereavement

Utilization ManagementMod A: Dynamics & Structure

Mod B: External Forces

Mod C: Electronic Info Tech

Mod D: Transdisciplinary Care

Mod E: Key Quality Measurements

CM Power – COMING SOON[for advanced care coordinators]Mod A: Achieving the 6 Attributes of a High Performance Case Manager

Mod B: Improving the Financial Performance of our Hospital thro CM

Mod C: Optimizing Stakeholder Collaboration in the CM Sphere

Mod D: Mastering Our Hospital’s Strategy in Patient Engagement

Page 18: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

Athena Forum Clinical Care Series® Slide 1 of 3

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AsthmaMod A: Prevalence & PathophysiologyMod B: AssessmentMod C: TreatmentMod D: Care Manager’s Role in Asthma

CV Risk: Stroke & MIMod A: Prevalence & PathophysiologyMod B: Stroke & The Care Manager’s RoleMod C: MI & The Care Manager’s Role

DiabetesMod A: PathophysiologyMod B: Assessments & DiagnoseMod C: Non-Pharmacological Mod D: PharmacologicalMod E: CM Role

Ebola Care ManagementModules A B & C: Assess, Manage & CM Role Ebola Care

Page 19: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

Athena Forum Clinical Care Series® Slide 2 of 3

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Inflammatory Bowel Diseases Obesity ManagementMod A: Pathophysiology Mod A: Prevalence & PathophysiologyMod B: Assessments Mod B: Assessments & ComplicationsMod C: Patient Engagement Mod C: Treatments & InterventionsMod D: Pharmacologics Mod D: Care Manager’s Role in Obesity ManagementMod E: Non-Pharmacologic Treatments

Heart Failure Pain ManagementMod A: Prevalence & Pathophysiology Mod A: Pathophysiology of PainMod B: Assessment & Complications Mod B: Acute PainMod C: Treatments & Interventions HF Care Mod C: Chronic PainMod D: CM Role in HF Care Mod D: Types of Chronic PainMod E: Patient Engagement Mod E: Cancer PainMod F: Self-Care StrategiesMod G: Transdisciplinary Team

Page 20: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

Athena Forum Clinical Care Series® Slide 3 of 3

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COPD Wound CareMod A: Pathophysiology Mod A: Prevalence & PathophysiologyMod B: Assess & Manage Mod B: Assessments & ComplicationsMod C: Pharmacologics Mod C: Treatments & InterventionsMod D: Non-Pharmacologics Mod D: Prevention StrategiesMod E: Care Manager’s Role Mod E: Care Manager’s Role in Wound Care

Sepsis CareMod A: Prevalence & EconomicsMod B: Pathophysiology & AssessmentMod C: Sources & PredispositionsMod D: Prevention & TreatmentMod E: Care Manager’s Role in Sepsis

Page 21: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

Athena Forum Behavioral Health Series®

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Improving Outcomes in Abuse Management Modules A & B: Domestic ViolenceModules C & D: Child AbuseMod E: Elder AbuseMod F: CM Role in Abuse Management

Improving Outcomes in Depression CareMod A: Prevalence & ImpactMod B: Pathophysiology of DepressionMod C: Non-pharmacological TreatmentsMod D: Pharmacology in Depression CareMod E: CM Role in Depression Care

Harm Risk Behaviors & Suicide Prevention Mod A: Prevalence & Societal ImpactMod B: Pathophysiology & Associated Mental DisordersMod C: Assessment & PreventionMod D: Treatment ManagementMod E: CM Role in Suicide Prevention

Page 22: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

Accreditations: 100% Volume for RN, SW, ACM, CCM

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n Athena Forum offers 700 CE contact hours for RN, Social Work, ACM, ANCC and CCM professionals.

n RN: Athena Forum Institute is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

n RN California: Approved Provider with California Board of Nursing

n RN Florida: Approved Provider with the Florida Board of Health in Nursing.

n Social Work: Approved CE Provider by the NASW, Michigan and California (soon New York).

n CCM: Approved Provider of CCM CE by the CCMC (Certified Case Managers Commission)

Page 23: Athena Forum Home Health Presentation

HomeHealthWorkforcePerformance

What does excellence sound like?

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n “Thank you for the training. This is exactly what we needed.” CM Director VA

n “Our team is ecstatic to have such an amazing tool at their fingertips.” CM Director WY

n “Athena has exceeded our expectations. Keep up the good work!” CM Director TX

n “The Athena Forum format is very user friendly.” CM Director CA

n “Conversations are getting more professional. Social Workers love this.” CM Director IL

n “Athena is our workforce strategy resource. Staff love it.” CM Director WA

n “Starbucks is the new Learning Café for our younger gen case managers.” CM Director TX

n “Athena is the tide that lifts all boats.” CM Director LA

Page 24: Athena Forum Home Health Presentation

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Contact us:

Sarah HillNational Director, Healthcare [email protected]

Healthcare Sales