Mass Home Care Network Conference Oct. 13th. Registration

Mass Home Care’s

2016 Network Conference

Post Acute Care Discovered!

New World Beyond Hospitals and Doctors

Thursday, Oct. 13, 2016

Holiday Inn, Boxborough

To register for this conference go to this link:


                                  Conference Agenda

9:30 AM Welcome: Greg Giuliano, Mass Home Care.



Dennis Heaphy, Disability Advocates Advancing Our Health Care Rights.

Block 1: AM Workshops 10:20 –11:10

  1. Engaging Adults in Health Care Planning: How To Start a Discussion. You can help adults to start a discussion to make their own personal care plan that reflects their care goals, values and choices, at any age or any phase of health.  Learn about the 5 MA care planning documents, the “Getting Started” & “Next Steps” Tool Kits with handy discussion guides to help you open the door to planning discussions and connect adults to person-centered care. Ellen M. DiPaola, Esq., President & CEO, Honoring Choices MA.
  2. Journal Notes: Best Practices for ASAP Records. This session is designed for ASAP nurses and care managers. We will examine examples of good casework documentation practices, and some practices to avoid. Will look at the CDS tool and issues in creating a case narrative and journal entries into the record. Mary DeRoo, Director of Home & Communithy Programs, & Susan Thompkins Hunt, Assistant Director of Home Care Programs, Executive Office of Elder Affairs.
  3. The Massachusetts Dementia Friendly Initiative: This session introduces the Massachusetts Dementia Friendly Initiative, including its history, goals and objectives, leadership structure, relationship to other initiatives, and how other communities can become involved with, and benefit from, this Initiative. Emily Kearns, Planning & Engagement Coordinator, Dementia Friendly Massachusetts Initiative, Jewish Family & Children’s Services.
  1. Learning From Care Transitions: ASAPS in several Massachusetts regions led federal “Care Transitions” demonstrations that are now leading to other business opportunities. This session explains the CT model, looks at the outcomes it achieved, and discusses how CT is evolving as a future ASAP service. Maureen Siergie, Executive Director, Elder Services of Worcester Area.
  1. Resolving Tenant/Landlord Issues facing elders. This session willcover the basics of an eviction; the steps of the legal process from the Notice to Quit stage through the court process; hoarding, non-payment, mental health issues; elder abuse/self neglect; problems with adult kids and grandkids); how to develop a legal defense using reasonable accommodation, which involves using ASAPs. Presented by Betsey Crimmins, Senior Attorney, Greater Boston Legal Services.

Block 2: AM The Tech Block 11:20–12:10

Elder Care Technology  Comes  Home. These sessions present new technology services designed for elders and their families. You will visit 3 of these  15 minute presentations, then vote on the applications you think would be most useful for your elderly clients.

  1. Philips: From Lifeline to New Age Technologies and Solutions to Support Aging in Place: There is enormous change occurring and home care needs to prepare for how best to work in this changing world: Medical Alert Services (Lifeline), Medication Management, In-home Activity Monitoring Solutions, and a Predictive Analytics Tool (a way to predict an incident before it occurs). Deb Citrin, Business Lead, Elder Care Services, Emerging Businesses, Philips HealthTech, with Paul Liberatore, Product Manager, and Darlene Messier, Territory Manager, Philips Home Monitoring.
  1. Intel-GE: Care Innovations: Care Innovations® Health Harmony simplifies planning and deploying remote care management by providing intuitive and easy-to-use technology and a device agnostic platform for the clinician, patient, and family caregiver. Consumer friendly technology, actionable insight for clinicians, and support for the active involvement of the family caregiver. Reduce Costs, Improve Outcomes, Bring Health Home: Intel Care Innovations®. Julie Cheitlin Cherry, RN, MSN ,  Chief Clinical Officer, Care Innovations®.
  1. Emerald: Modern Fall Detection for Seniors from MIT: Emerald is based on an award-winning technology from MIT CSAIL called WiTrack©.  Emerald tracks the 3D motion of a person from the radio signals reflected off her body.  Similar to a Wi-Fi router, Emerald works even if the person is in a different room than the device.  There’s no need for the individual to wear any sensor or modify their behavior in any way.  Emerald exists in the background of the home. Dina Katabi, MacArthur Fellow, Andrew and Erna Viterbi Professor, Department of Electrical Engineering and Computer Science, MIT.
  1. VisitrY Mobile Technology: VisitrY’s mobile technology facilitates in-person meetings between isolated elders and community members, helping elders and volunteers build local community ties. VisitrY strengthens agencies that serve our elders, attract more volunteers, and enable more social visits.  Making the volunteer visiting process an on-demand service caters to the busy schedules of the volunteers while satisfying the changing social needs of seniors. VisitrY brings people together. Sarah Coletti, Co-Founder, Software Engineer.
  1. WatchRX: The need for a simple solution to help elders manage their medications led to the creation of WatchRx, which uses a phone & GPS to help seniors take meds on time and live independently. The medication reminder displays the medicine name, image and dosage with voice instructions, and alerts caregivers via mobile app in case of missed medications. The watch supports fall detection, emergency calling, real-time GPS tracking. WatchRx, Inc. Jayanthi Narasimhan, Founder.

12:40 pm. LUNCH PANEL: “What Will Your Post Acute    Care World Look in 5 years? Elder Affairs Secretary

Alice Bonner, Moderator

This panel will include an Accountable Care Organization, Ruth Beckerman-Rodau, Springwell; Bernadette DiRe, United Health Care; an ACO representative,  and a Technology leader, predicting how your work and your agency will change in the next 5 years.

Block 3: PM Workshops 1:45—2:35 pm

  1. The Elder/Disabled Waivers in Massachusetts – Putting the Pieces Together: The Commonwealth has a total of 10 Home and Community Based Services (HCBS) waivers for elders and persons with disabilities. This session will provide an overview of the eligibility rules and services available in each waiver, and an update on changes in the waivers and federal requirements. Presented by Amy Bernstein, Director, Community Based Waivers, MassHealth. 


  1. Hoarding: The Peer Support Model. The Peer Support Program at North Shore Center for Hoarding and Cluttering utilizes trained and supervised individuals who have already participated in treatment sessions and pairs them with those who are contemplating change. Group Sessions and in person/ phone support, offers safe and non-judgmental support.   Presented by Marnie Matthews McDonald, MSW, LCSW, Clinical Specialist / Program Director, North Shore Center for Hoarding & Cluttering. 
  1. ​MassHealth Planning: This session will review the programs available to assist with the cost of care at home, including the frail elder waiver, community choices, personal care attendant, program for all-inclusive care for the elderly (“PACE”), and senior care options (“SCO”).  Learn about the different clinical and financial eligibility rules for the various programs.  Discuss options available to create eligibility for individuals over the financial income/asset limits. Atty. Patricia C. D’​Agostino, Senior Associate, Margolis & Bloom.
  2. Opioid and Alcohol: Misuse and Abuse Among Elders.This workshop will review available epidemiology describing known extent of opioid and alcohol misuse and abuse, provide screening tools and discuss available treatments. Barbara Herbert, MD, FASAM, Medical Director of Substance Abuse Services, Commonwealth Care Alliance.
  3. SHINE University Mini Course. SHINE (Serving the Health Information Needs of Everyone) counselors go through a grueling training on health insurance options. This session presents an overview of the Medicare and MassHealth options for seniors and adults with disabilities, including changes due to the Affordable Care Act, the Senior Care Options Program, and One Care. Cynthia Philips, SHINE Director, Executive Office of Elder Affairs.


Block 4: PM Workshops 2:45- 3:35 pm

  1. MassHealth 101: This workshop will explain the basics of financial and programmatic eligibility for the MassHealth program, the state’s largest health care program; how income & asset rules for the elderly affect eligibility for MassHealth in the community & in nursing facilities. Presented by Atty. Jan Stiefel, Community Legal Aid.     
  2. A Partnership To Improve Member Health: Senior Whole Health, a Senior Care Organization (SCO), and The Healthy Living Center of Excellence, a provider of evidence-based healthy aging programs, have formed a partnership to help their members become active, engaged patients. Melissa Donegan, Elder Services of Merrimack Valley, and Allison Goucher, Senior Whole Health.
  3. Best practices for Elders with Vision Loss:  This session will cover the common causes of vision loss, the functional impacts on daily living, how you can best help those clients and what resources MCB can provide your clients who are legally blind. Tips, techniques, equipment and approaches, including Orientation and Mobility skills, and low vision evaluation. Casey Hall, Director of Training, Mass. Commission for the Blind.
  4. Evidence-based Alzheimer’s Family Caregivers: This session will explore a program managed by the Alzheimer’s Family Caregiver Support Center in Brewster, for families caring for those with Alzheimer’s and related dementias. This is an evidence-based intervention recognized by NIH that had its genesis from research conducted by New York University. Molly Perdue, Executive Director Alzheimer’s Family Support Center of Cape Cod, and Cheryl Gayle, Director of Community Services, Elder Services of Cape & the Islands.
  5. Basic Income Support Programs: SSI, Food Stamps, Fuel Aid: This workshop will review the eligibility criteria for programs such as SSI, fuel assistance, and SNAP/Food Stamps.  The session will provide pointers on: how to maximize these benefits and comply with reporting requirements to avoid overpayment determinations; appeal rights following denials, reductions and terminations; and when referral to legal aid might be appropriate. Wendy Kane, Community Legal Aid.