Transcending Home Care
29 episodes - English - Latest episode: about 1 month ago - ★★★★★ - 4 ratingsTranscending Home Care is your source for ideas, insights, advice and implications surrounding the ever-changing landscape of home-based care. Seasoned healthcare consultant Stan Massey brings you compelling discussions with experts from the field to help you successfully evaluate and navigate today’s challenges and opportunities … and give you resources to improve every day.
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Episodes
Improving Care Through Predictive Modeling and Other Data Solutions
March 24, 2024 21:00 - 26 minutes - 36.1 MBHow can home health and hospice organizations apply data to provide better patient care? What if data-driven predictive modeling could define with a high degree of certainty that a patient was on the verge of hospitalization … or pinpoint when a patient would die? What do future opportunities look like as artificial intelligence and machine learning make predictive modeling even more accurate and able to adjust predictions in real time as risk factors change? In this episode, Elliott Wood ...
Talkin’ Shop: Transcend Staff Chats About the State of Home-Based Care
January 24, 2024 22:00 - 28 minutes - 39.4 MBSometimes it’s good to put two “like minds” in a room and get them talking. You don’t have to ask us twice! Transcend’s Stan Massey and Tony Kudner sit down for a free-flowing conversation about the biggest trends in home-based care over the last 10 to 15 years, and discuss what skills might serve providers well in the years to come. With much of Transcend’s research, we aim to have a discrete point of view and easily digestible takeaways. We want to ensure our insights and thoughts align w...
Keeping Humanity in Healthcare When Data Reigns
November 19, 2023 15:00 - 27 minutes - 37.8 MBData is becoming increasingly engrained and revered in the world of healthcare. And, indeed, data is vitally important in improving medical science, measuring outcomes and proving the value of specific processes. Yet, as data continues to grow in priority, that emphasis can cause patients to feel like a number in an ever-expanding sea of numbers. Going back to Hippocrates, medicine was designed to treat people, not just diseases. In fact, one of the main principles of the Hippocratic Oath c...
Building a Solid Value Proposition for a Value-Based World
October 03, 2023 18:00 - 25 minutes - 34.7 MBValue is more than a buzzword in home-based care these days. Agencies know that payers, policymakers and consumers are all expecting it in the care they provide. But where should a hospice or home care agency start when thinking about how to demonstrate that value? How do you create a value proposition when there isn’t yet a roadmap for doing so? It all begins with taking a step back and defining exactly who you’re trying to prove value to: Is it the payer? Is it a health system? Perhaps a ...
Building a Sustainable Palliative Care Program (Part 2)
July 19, 2023 13:00 - 23 minutes - 32.3 MBA financially viable home-based palliative care model is driven by appropriate practices, processes and logistics. A big part of establishing successful parameters comes from starting with a sensible staffing model. What are the right roles in a palliative care start-up? How should a provider schedule patient visits? What’s the proper mix of in-person visits versus support by phone or virtual video visits? How does the right level of patient care translate into manageable caseloads for clin...
Growing a Smart Continuum of Care
May 15, 2023 18:00 - 19 minutes - 26.3 MBMost healthcare providers – especially providers of care at patients’ homes – started their organizations offering one particular service line. Whether that original service was home health, hospice, private duty nursing or something else, many organizations felt the need to expand their services and engage with patients for more needs over longer periods of time. When these organizations added even one more service, they often began to talk about their “continuum of care.” But how expansiv...
Building a Viable Palliative Care Program (Part 1)
March 21, 2023 13:00 - 22 minutes - 31.1 MBDue to the historically weak reimbursement stream from CMS for palliative care, providers often have been conflicted with providing this undeniably helpful service and staying out of the red while doing so. Some hospice providers started their palliative care service line with the mindset that it would be a “loss leader” – they expected to lose money on the service but hoped to build relationships with patients and families sooner, convert them to their hospice care as early as appropriate,...
Building a Sustainable Palliative Care Program (Part 1)
March 21, 2023 13:00 - 22 minutes - 31.1 MBDue to the historically weak reimbursement stream from CMS for palliative care, providers often have been conflicted with providing this undeniably helpful service and staying out of the red while doing so. Some hospice providers started their palliative care service line with the mindset that it would be a “loss leader” – they expected to lose money on the service but hoped to build relationships with patients and families sooner, convert them to their hospice care as early as appropriate,...
Boosting the Appeal of Careers in Home Care
November 18, 2022 13:00 - 34 minutes - 47.3 MBMost providers of home care are struggling with major staffing shortages – especially among nurses, CNAs and social workers. The COVID-19 pandemic ushered in a new era of professionals reevaluating their careers, resulting in massive job changes and even “the Great Resignation.” Turnover among many healthcare providers is at record levels. Recently, Transcend Strategy Group and MAC Legacy partnered in a national research project to explore what healthcare workers look for in their careers s...
The Unfolding Impact of Remote Patient Monitoring
May 26, 2021 18:00 - 26 minutes - 36.4 MBIt’s no secret that most seniors in America want to maintain their independence for as long as possible. In fact, according to the Disabled Living Foundation, the majority of seniors say they fear losing their independence more than they fear death. For many, a main hallmark of independence is being able to age in place. A survey by AARP revealed that 90% of Americans age 65 and over want to stay in their home and 80% believe their current residence is where they will live until they die. ...
Is the Healthcare System Ready for Hospital-at-Home?
April 05, 2021 16:00 - 26 minutes - 35.9 MBCOVID-19 magnified the need and desire for patients to stay out of hospitals if possible. A national survey conducted by Transcend Strategy Group revealed that more than 60% of family caregivers had greater confidence in the quality of care provided at home during the pandemic versus care in a facility. Plus, the repeating surges in COVID cases across the country pushed many hospitals to the brink – and sometimes beyond – when it came to inpatient beds available. Cooper Linton – associate V...
Leading Change in Home-Based Care
February 26, 2021 14:00 - 23 minutes - 32.9 MBCOVID-19 ushered in an overwhelmingly stronger preference for patients to receive care at home rather than in a facility. A national survey by Transcend Strategy Group revealed that 60 percent of family healthcare decision makers are now more confident that quality care can be provided at home versus 33 percent feeling more confident in the quality of care at a facility. This preference, along with the growing demand for care as the huge demographic of Baby Boomers continues to age, is ope...
Should nonclinical home care be serving a bigger role?
January 28, 2021 16:00 - 23 minutes - 32.9 MBWhen most people think of “home care” or “home health,” they think of clinical or skilled therapy services at home. However, as the “Silver Tsunami” of Baby Boomers continue to age, there’s an exponential need for nonclinical home care. By helping with activities of daily living, providing personal monitoring and supervision, serving as a companion, running errands and much more, nonclinical caregivers help seniors age in place with greater independence. Jeff Salter – founder and CEO of Car...
Helping physicians embrace palliative care
January 04, 2021 15:00 - 21 minutes - 29.1 MBMany physicians view palliative care and hospice care as the same service – pain and symptom management for the very end of life. By not referring patients to palliative care early in a disease progression, the patients and their families may be missing out on valuable relief from physical, emotional and spiritual suffering. Annette Collier, MD, FACP – and a medical director for palliative care – has invested more than a decade in educating her physician peers about the many advantages of e...
Can we build hospice for true equality of care?
November 02, 2020 19:00 - 27 minutes - 37.9 MBWhatever your opinion of the BLM movement, it has thrust the topic of true equality into a searing national spotlight – and has prompted many of us to reflect more deeply on the issue. In addition to risk factors regarding COVID-19 and minority populations, equality considerations have sparked renewed discussions on glaring disparities in healthcare across key demographics. Hospice and palliative care professionals have recognized for decades that minority populations greatly underutilize t...
How can palliative care gain the respect it deserves?
October 05, 2020 13:00 - 18 minutes - 25.8 MBPalliative care may be the Rodney Dangerfield of healthcare. More accurately, palliative care does get major respect from those who know its value when properly applied – but too few truly understand the power of this specialty. In this conversation with host Stan Massey of Transcend, Melanie Marien, RPA-C – a nationally certified Physician Assistant and palliative care specialist – discusses how we may overcome challenges to make palliative care a routine part of treatment regimens. Melan...
Breaking Down Barriers to Earlier Referrals
August 31, 2020 17:00 - 34 minutes - 32.1 MBProviders of home health services, palliative care and hospice care often express disappointment and confusion regarding referral patterns by physicians. Many providers feel physicians don’t refer to them as early as they should or may be missing the full benefits they can provide to patients and families alike. What are common key barriers that get in the way of physicians making referrals to home-based care providers? How can providers better educate and communicate with physicians to bre...
What innovation is needed for in-home care?
August 03, 2020 14:00 - 26 minutes - 36.5 MBIf there are any upsides to COVID-19, catapulting necessary change is one of them. Healthcare already needed innovation before COVID-19 if providers are going to indeed achieve value-based care – and COVID-19 gave a kick in the pants to make some of these changes gain traction. In this conversation with host Stan Massey of Transcend, Devin Griffith, MPA, MSW – vice president of development and innovation for AuthoraCare Collective – talks about innovations he’s seeing in home health, hospic...
The growing value of adult day care
July 02, 2020 17:00 - 19 minutes - 26.2 MBCOVID-19’s lockdowns and quarantines magnified America’s awareness of social isolation – especially among our seriously ill and elderly populations. Yet social isolation has been a challenge for many seniors long before this pandemic. One valuable tool in overcoming isolation among seniors is adult day care – if it’s available and affordable. In this conversation with host Stan Massey of Transcend, Kara Harvey, co-founder and CEO of Elder-Well® Adult Day Program, talks about the positive i...
How is PDGM working for home health providers?
June 01, 2020 12:00 - 20 minutes - 28.6 MBMonths and months of preparation, training and concern went into preparing home health agencies for the change to PDGM. Now that providers have been using PDGM for more than a full quarter, how are they adapting to the new system? In this conversation with host Stan Massey of Transcend, Jess Stover, principal, and Erin Masterson, consulting director, at BlackTree Healthcare Consulting dive into what the first quarter of data is reporting – even though some of the numbers admittedly have b...
Elevating the patient experience
May 04, 2020 16:00 - 28 minutes - 39.3 MBWith the no-contact demands of COVID-19, telehealth and other remote care tools were thrust into the national spotlight. CMS started to relax certain restrictions regarding telehealth, and the use of video conferences skyrocketed for remote care and communications among clinical teams, patients and their families. A common perception, however, is that telehealth mostly consists of video chats – and remote care technology has the existing performance and future potential to offer many more f...
How to lead difficult conversations with families
April 13, 2020 13:00 - 22 minutes - 20.7 MBPhysicians are trained to cure, or at least treat illnesses to stabilize patients and help them enjoy the highest quality of life possible. Perhaps that’s why many physicians struggle with difficult conversations when the prognosis isn’t good … especially a terminal condition. Timothy Short, MD, has been a practicing physician for 33 years – 21 years as a family doctor and a palliative/hospice specialist for the past 12 years. During that time, Dr. Short has developed a deep passion – and ...
Improving prognosis for better care
March 05, 2020 14:00 - 23 minutes - 21.7 MBAccurate diagnosis and prognosis are crucial in determining a patient’s plan of care. Many look at a prognosis as an “event” – a moment in time when a prediction about a patient’s illness trajectory is made – when it’s really an ongoing process that typically changes over time. Especially because of these changing dynamics, how can clinicians be more accurate about prognoses? Christian Sinclair, MD, AAHPM, provides intriguing information and considerations about the impact of prognoses – pa...
Caring for Family Caregivers
February 04, 2020 14:00 - 23 minutes - 21.8 MBWhen a loved one is afflicted with a serious illness or a debilitating chronic condition, the family is often thrust into a new role of caregiver at their loved one’s home. Although a labor of love, the job can be very demanding, emotionally draining and physically exhausting. And many family members begin without the knowledge of where to turn for help. According to Nicole Clagett, founder of Transitions GuidingLights – a nonprofit agency dedicated solely to supporting family and professio...
Building your strongest Board of Directors
January 07, 2020 18:00 - 18 minutes - 17.3 MBA basic requirement for any organization granted 501(c)3 not-for-profit status by the government is having an active Board of Directors. Traditionally, many organizations have built their boards by going down a checklist of desirable skills board members will have based on their careers. An attorney? Check. Financial guru? Check. Marketing professional? Check. But is this the best way to build a Board? Bill Musick, founder of Integriti3D – a company focused on improving hospice care across ...
Shaping Positive Impact for PDGM
October 31, 2019 16:00 - 20 minutes - 28.1 MBMost providers of home health are worried about the impact PDGM will have on their operations, staffing and reimbursement. There’s been a lot of discussion about the challenges … but not so much about the opportunities PDGM may bring. Mark Hunt – vice president of the home health division of Covenant Care and a veteran of some of the biggest national brands in home health – explores the upside of PDGM, including better outcomes for patients. In this conversation with host Stan Massey of Tr...
Thriving in a Highly Competitive Market
September 06, 2019 19:00 - 21 minutes - 20.1 MBTranscend Strategy Group’s surveys of over 18,000 family healthcare decision makers have shown that the public has a highly generic view of hospice providers. Many believe hospice care is a government service and don’t know there may be multiple providers in their community – so they don’t think about having a choice. And even if they do know multiple providers exist, fewer than 10 percent can typically name a single brand name correctly when answering unaided recall questions. Imagine the...
Building Better Relationships with Referrers and Payers
August 01, 2019 11:00 - 16 minutes - 22.7 MBMedicare continues to change and tighten reimbursement structures. Managed care plans are emerging, controlling access to only preferred providers. Healthcare systems and other providers are expanding services and referring only or mostly within their own ranks. So how do you build better relationships with a broader range of referrers and payers to combat these limitations – or be included as a preferred provider within their networks? Special guest Liz Fowler, president & CEO of Bluegrass...
Improving the Patient Experience on Their Terms
July 12, 2019 00:00 - 22 minutes - 30.8 MBWith surveys from patients and families impacting ratings, reputations and reimbursements, providers of home-based care are more motivated than ever to deliver an experience that’s both effective and elevating. Which is not to say healthcare teams aren’t already passionate about working in the patient’s best interest. However, providers frequently overlook a crucial aspect of the patient experience – evaluating it from the patient’s perspective. Special guest Cooper Linton, associate vice ...