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THE PATHFINDER NEWSLETTER  

Hello!

Welcome to the January 2010 issue of THE PATHFINDER.

It's one of those quiet Saturday afternoons - just before winter's dusk - and I've been thinking about Change all afternoon.  Not just plain, old every day change - because all of us who have worked for years in healthcare are familiar, experienced with change - have made peace with the realization that change is inevitable, constant and most times, necessary.  No, what I have been thinking about today is the human reaction of an agency's leadership when the pace of Change comes faster than anything they have experienced before. 

"There is nothing more difficult to take in hand, more perilous to conduct, or more uncertain in its success than to take the lead in the introduction of a new order of things."  Niccolo Machiavelli

Change can cause leadership to feel confused and out of control.  They may feel a sense of loss and certainly Change will cause interpersonal conflict.

If leadership thinks that the organization is doing well, there will be no motivation for Change.  Successful Change only comes when leadership take an honest look at the organizations' competitive situation, market position, technological advantages and performance....and takes a frank and honest look at the competition.  When the resulting analysis show clearly the negative outcome from maintaining status quo, a strategic leader will create  a plan in response and develop a sense of urgency within the organization for implementing planned Changes. (Source: Strategic Leadership and Decision Making: Preparing Senior Executives for the 21st Century)

Is it that simple?  Is that all you have to do?  Well, frankly no.  But certainly necessary for first steps.  With Change a constant element in a leader's life, I'd like to spend some more time over the next few months highlighting this topic in the newsletter.

The first article this month is a link to a blog written by Martin Zwilling, CEO and Founder of Startup Professionals.  He addresses the Top Ten Traits of Great Managers.

Beth Carpenter and Associates often performs due diligence audits for potential purchasers of home health, hospice and private duty agencies.  Our role is examine, in depth, the operational, clinical and administrative aspects of the agency for an interested party in order to determine the potential advantages and risks to the contemplated purchase.  Our second link is to the CMS Instructions on Home Health Agency Ownership Changes.

The last link is the CMS Instructions on the New Medicare Home Health Outlier Policy.  I am sure that we will be hearing more about this issue in the coming months!

As we face the cold of winter and the early loss of light, I hope that you will feel warmth from your commitment to your patient's safety and care.  Seize the opportunity to share your bounty with someone less fortunate and celebrate your continuing opportunity make a difference in the lives of your patients and staff.

If we can provide you with any assistance, please do not hesitate to contact us.

Best wishes,  Beth Carpenter

“Let us realize that the privilege to work is a gift, that the power to work is a blessing, that the love of work is success.”  David O. McKay

TOP TEN TRAITS OF GREAT MANAGERS
A Blog Entry by Martin Swilling
CEO & Founder
Startup Professionals, Inc.

Everyone can recognize a great manager a mile away, so why is it so hard to find one?  We all remember a few that are "legends in their own mind", but that doesn't do it.

To read further...

CMS ISSUES INSTRUCTIONS ON HOME HEALTH AGENCY OWNERSHIP CHANGES
Medicare Updates through Michael Apolski JD

In the Final Rule updating the Medicare home health prospective payment system for calendar year 2010, the Centers for Medicare and Medicaid Services (CMS) modified the regulations regarding ownership changes.

To read the entire article...

CMS ISSUES INSTRUCTIONS ON NEW MEDICARE HOME HEALTH OUTLIER POLICY
Medicare Update through Michael Apolskis JD

In the Final Rule updating the Medicare home health prospective payment system (HH-PPS) for calendar year 2010, the Centers for Medicare & Medicaid Services (CMS) made a significant home health outlier policy change. 

To find the complete article...

WE ARE PLEASED TO ANNOUNCE A NEW SERVICE
Accreditation Commission for Health Care
Beth Carpenter and Associates is proud to announce the addition of a new service for its clients!  We are now able to support your efforts to achieve accreditation through Accreditation Commission for Health Care (ACHC) whether you are a new or existing agency - home health, hospice or private duty.  

To assist you in your efforts to reach and maintain deemed status for Home Health and Hospice agencies as well as accreditation as a Private Duty Nursing and/or Private Duty Aide organization, the following are a sample of potential services currently available through Beth Carpenter and Associates:
• Assistance in preparation of the ACHC Application and the Preliminary Evidence Report (PER).
• Review of  your Application and PER prior to submission to ACHC.
• Assistance with any revisions to the PER requested by ACHC following initial submission.
• Training and instruction to administration and staff to prepare for an on-site ACHC survey.
• Assistance in creating a Plan of Correction, if necessary, following an on-site ACHC survey.

Subsequent to successful accreditation, we are available to work with your agency to continue compliance with the ACHC standards.  For further information, call 847-382-1035 or e-mail bcarpenter@bethcarpenterandassociates.com.

Beth Carpenter
Beth Carpenter and Associates 847-382-1035
bcarpenter@bethcarpenterandassociates.com

Beth Carpenter and Associates has earned a reputation as a company with deep industry experience and one that works closely with its clients to identify solutions that meet their business goals and strategic objectives.  We do not simply advise.  We partner with our customers to implement the solution and ensure its success.

Sincerely, Beth Carpenter

ARE YOU ON THE RIGHT PATH?
Since 1995 Beth Carpenter and Associates has provided its real-world experience to the management of healthcare companies, especially those  organizations with a focus on home health, hospice and private duty, in the areas of operations, clinical services, sales and marketing.  We work with management to identify the strategic direction of the organization and implement the necessary changes that allow health care providers to move forward in today's environment.

We help you choose the right path to success and then we walk it with you.

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©Copyright 2007 to the present, Beth Carpenter and Associates, LLC.    www.bethcarpenterandassociates.com