Presentation from California Homecare Association 2013 Annual event. Technology brings additional resources to the fingertips of nurses and homecare professionals at the frontline to support their clinical decision-making and contribute to improved client outcomes. With day to day changing patient needs, there is increasing evidence that technology and applications will transform the industry and facilitate faster and better communications, prevent fraud, and proactively manage compliance requirements.

1. Managing Compliance
Requirements while Pro-Actively
Leveraging Technology
Michael K. Wons
President & CEO
CellTrak Technologies, Inc.

2. Speaker Bio
Michael K. Wons is an experienced senior executive who is leading all
aspects of CellTrak’s strategy and execution of its business plan. With
more than 30 years of experience with leading healthcare and
advanced technology companies Mr. Wons brings a unique “customer
focused technology” perspective to lead CellTrak. Mr. Wons is the
Chairman of the Board at CellTrak and actively serves and
participates in the National Association of Homecare and Hospice
(NAHC), Canadian Homecare and Hospice Association (CHCA) and the
National Hospice and Palliative Care Organization (NHPCO) and the
Wireless Life Sciences Association (WLSA). Mr. Wons also serves in
advisory board roles for HealthCare and Capital Council (HCap), the
Electronic Visit Verification (EVV) work group and the Service Oriented
Architecture Consortium (SOA-C). Mr. Wons is a noted industry
visionary who regularly speaks at events on behalf of the industry, is
an author of over 25 published white papers and technical journals
focused on security, privacy and industry platforms and is co-author
of the Complete IT Framework for Success Book.
Michael K. Wons
President & CEO
CellTrak Technologies

3. Why are we here?
Technology brings additional resources to the fingertips
of nurses and homecare professionals at the frontline
to support their clinical decision-making and contribute
to improved client outcomes. With day to day changing
patient needs, there is increasing evidence that
technology and applications will transform the industry
and facilitate faster and better communications,
prevent fraud, and proactively manage compliance
requirements.

4. Compliance Super Heroes
• Can any agency become a Super Hero when it comes to
compliance?
• Do you need radioactive strength to be proactively ready for
an audit?
Answer:
All you need is to learn
from our 3 objectives…
An industry super hero empowering agencies.

5. Objectives
• Understand how technology can assist in pro-actively
managing compliance and risk
• Understanding strategies required to manage compliance
through indicators to ensure a successful compliant audit
• Learn how an agency is embracing technology now and what
other added benefits they found

6. Macro Industry Trends
• Healthcare costs are increasing faster than the GDP
• Who owns the patient is still the battle
• Move away from fee-for-service to more focus on integrated care
• There will be fewer homecare companies in the future as the providers
continue to consolidate…same expected for software vendors
• The home is the center…it is where people want to be and where they
want to stay…technology and improved care models will improve results
• Insurance companies are buying homecare providers
• Government(s) are focused on reducing reimbursements
• Healthcare moving from “population” to “individual”
• Explosion in homecare staff
• Technology Leaders are emerging…

7. Self Service

8. Educated Patients

9. • Mobile technology is now, and will continue to become more
relevant in every day activities in the healthcare continuum.
• Information explosion has occurred and will continue
• “Source of Truth” is limiting factor to Success
• Providers looking for ways to become more efficient and
effective
• Compliance, Efficiency, Productivity & Safety via a Mobile
Device is a reality
• Care convergence is occurring in the home; homecare,
telehomecare and medical home Social Networks will
Improve Healthcare
• “Care anywhere” is what people want…
Technology in Healthcare

10. 99% of non-compliant
visits can be avoided
5% of all homecare visits
are not in compliance
Fraud mitigation can
improve accountability
10% of all healthcare
transactions are
fraudulent
Industry Challenges

11. Fraud and Compliance Challenges
Process
Care Delivery
Staff
Management
Reimbursement
Information
HIPAA
Compliance
Interoperability
EMR and HIE
Technology
PHI
BYOD
Privacy and
Security

12. Compliance Challenge

13. A Pill that Treats-n-Tells
• Pill is swallowed.
• When pill gets wet it triggers a
circuit between coatings of
copper and magnesium
generating a tiny electric voltage
for a few minutes.
• Skin patch records the digital
message along with patients
heart rate, body angle and
activity and sends the data to a
blue-tooth enabled device.
• Data is available for viewing by
patients, caregivers and
physicians.
• Users can set alarms to remind
them to take medicines or issue
an alert if a patient is inactive for
a period of time.
Proteus Digital Health Solution

14. State of the Industry
• Fraud and abuse costs payers and taxpayers billions of dollars
annually.
• The benefits of home-based care delivery are extreme, from
both a cost savings and a patient results perspectives.
• Fraud mitigation can significantly improve accountability to
assure that services are being delivered to care recipients
when and where providers claim they are.
• Fraud mitigation can set the foundation for improved
outcomes across the healthcare continuum.

15. • More Responsibility with Less Resources
• Improve Compliance
• Increase Productivity
• Improve Communications and Provide Field Staff
Safety
• Reduced Operating Expenses (Proven ROI)
Healthcare Delivery Challenges

16. Typical Challenges in Homecare
• Bloated Mileage and Travel Costs
• High Scheduling Overhead
• High Payroll Overhead
• Backend Billing Adjustments
• Missed Visits
• Late Visits
• No Visit Verification

17. Technology to Manage
Compliance Challenges
Telephony based solutions
Cell phones or mobile devices
employing GPS technology
Tablet based digital signature
capture devices
Biometric recognition
technologies
Electronic random number
match devices

18. Connectivity is the “Key” to
the Future of Healthcare
2. This will likely include greater
connectivity and collaboration
among providers, payers and other
healthcare participants.
3. More expansive use of social
networking, and improvements in
home-based services and health
monitoring using mobile technology
are expected…
1. With the rapid evolution of technology, healthcare
providers will continue to look to software and devices to
connect to patients, families and other providers.

19. Healthcare is changing

20. Homecare
Tele-HomeCare
Medical
Home
Care
Team
• Currently 18 million patients
and more than 500 million
patient visits each year
• Total Field Staff of 5.2 million
(including long term care)
• Home Healthcare providers
drove more than 5 billion miles
in 2012
• By 2014, 50% growth among
employees is expected
• The Technology Needs are
evolving
Care Convergence in the Home

21. Compliance Solutions Requirements
Process
• Electronically record the exact date services are delivered
• Electronically record the exact time the services begin and
exact time the services end
• Electronically verify the location from which the services are
provided
• Electronically verify the services provided via patient specific
care plan
• Include a mechanism to verify whether their employees are
present at the location and time where services are to be
provided for recipient
• Require a personal identification number unique to each
caregiver and, if appropriate, a unique password established
by said caregiver
• The system must be HIPAA compliant;
• The system must insure daily back-up of all data collected

22. Compliance Solutions Requirements
Information
• Information includes photo, video, and voice in addition to
electronic text based information
• Published policies for use of patient information
• Continuous HIPAA education
• HITech policy alignment
• Separation of duties
• 256 Bit encryption
• Secured pipes
• Intrusion detection
• Breach management policies
• SAS 70 Type II data center certification for cloud services
• Preparation for personal health records

23. Compliance Solutions Requirements
Technology
• Published information policies
• Independent security review of processing and hosting
environments
• 256 Bit encryption of information
• Virus / Intrusion detection and mitigation tools
• Bring your own device (BYOD)
• Usage policy
• Mobile device management solution
• Remote wiping of device
• Loss / Leave policy
• Separation of duties

24. Additional Agency benefits of
Compliance Solutions
• Electronic documentation tools enforce required information
and provide feedback ensuring the record is complete.
• Accuracy of the information is increased reducing the amount
of rejected submissions due to incorrect information.
• Reduced Travel time and Mileage Reimbursement
• Reduced Missed and Late Visits
• Streamlined communication
• Document and sign at the point of care
• Quicken reimbursement by payor network
• See where your care staff is
• Quicker Referral Servicing and Increased Census
• Paperless Timesheets
24

25. Faculty Contact Info
Michael K. Wons
President & CEO
CellTrak Technologies, Inc.
1051 Perimeter Drive, Suite 950
Schaumburg, IL 60173
847-240-0400
mwons@celltrak.com
www.celltrak.com