Beth Carpenter and Associates
July 2009
THE PATHFINDER
In This Issue
Patient's Right to Freedom of Choice
Are Post-Acute Providers Vendors?
Preferred Provider Agreements
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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.
 

Hello!

Welcome to the July 2009 issue of THE PATHFINDER. 

I checked this morning on the status of H.R. 2068 - the Medicare Telehealth Enhancement Act of 2009.  It is still in committee.  Like many of you, I am following this bill because it recognizes the benefit of telehealth activities to the patient with a chronic disease.  Let's keep our fingers crossed that the bill makes it out of committee and on to the floor for a vote.  For those of you who have not thought about the potential of telehealth, we have an article on telehealth by Audrey Kinsella MA, MS on our web site at
http://www.bethcarpenterandassociates.com/assets/articles/Inroads_Made.pdf
 
One area of common concern for all agencies - regardless of product line or ownership status - is how to grow your business.  The expectation is that each year you will service more patients.  Hospitals are the source of many referrals for most providers based on the sheer volume of hospital discharges.  The relationship between agencies and the hospital can be stressed at times over the provider's role in serving patients, and different interpretations of patient's freedom in choice of providers.

We are passing along three articles by Elizabeth Hogue this month.  Two of the articles deal with specific aspects of your relationship with your hospitals: implementation of patient's right to freedom of choice of providers, and the status of post-acute providers designated as a vendor.  We hope that you will find these articles valuable as you develop a stronger relationship with your local hospital. 
 
The third article speaks to the use of preferred provider agreements by discharge planners/case managers.  The use of this type of agreement forges a preferred relationship between the hospital and a post-acute provider to the benefit of both.  We are sure that you will find it interesting reading.
 
On this bright, sunny July day, I can say that summer has finally arrived.  Time to go for a ride - push back the sun roof, turn up the radio and listen to the "oldies"!!  Take time to enjoy this wonderful time of the year.
 
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
DISCHARGE PLANNERS/CASE MANAGERS MUST MAKE NEUTRAL PRESENTATIONS OF PATIENT'S RIGHT TO FREEDOM OF CHOICE OF PROVIDERS
 
By Elizabeth Hogue, Esq. 
 
All patients have the right to freedom of choice of providers.  Discharge planners/case managers have legal and ethical obligations to honor this right.
 
STANDARDS OF THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO) UNLIKELY TO SUPPORT PRACTICES OF HOSPITALS THAT TREAT POST-ACUTE PROVIDERS AS "VENDORS"
 
By Elizabeth Hogue, Esq.
 
Post-acute providers continue to be "plagued" by hospitals that claim that post-acute providers cannot enter hospitals and/or gain access to patients to coordinate post-acute services because they are "vendors". 
 
 
 
USE OF PREFERRED PROVIDER AGREEMENTS BY DISCHARGE PLANNERS/CASE MANAGERS
 
By Elizabeth Hogue, Esq
 
Many hospitals refer patients on a regular basis to post-acute providers, such as home health agencies, private duty home care agencies, hospices, and home medical equipment (HME) companies.  Relationships with post-acute providers assist hospitals with controlling their length of stay (LOS), an essential 
 

Beth Carpenter
Beth Carpenter and Associates
847-382-1035
I would like to invite you to visit our website, www.bethcarpenterandassociates.com, to learn more about how we can help your organization move forward and find your path to success.
 
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