Agenda

SUNDAY, OCTOBER 15

7:00am Jasmine Foyer North

NASL Registration Open

7:30am – 12:30pm Oceanside D

NASL/AHCA Rehabilitation Therapy Symposium Interdisciplinary Rehabilitation of Complex Patients in a Value-Based Payment Environment This is a separate, ticketed event.

Back for a fourth year, NASL and AHCA bring you this important half-day session featuring the most current information on achieving outcomes and managing costs for patients with cognitive impairments. This targeted event will focus on interdisciplinary approaches to assess the rehabilitation potential of patients with cognition issues. This will include discussion of strategies to more effectively restore function for those with restoration potential, and strategies to transition to skilled and non-skilled maintenance programs for individuals when functional improvement is no longer a realistic outcome. Approval for 4.50 CEUs has been requested.

1:00 – 1:30pm Banyan ABC

Welcome to Vegas Social

Sponsored by Accelerated Care Plus

1:30 – 3:30pm Banyan ABC

The Changing SNF Part A Payment Model - An Afternoon with RCS-1

This session will feature a slide presentation to educate on the Resident Classification System, Version 1 (RCS-1) model under consideration by CMS, followed by a facilitated discussion on patient and provider concerns and key aspects of the model with a panel of NASL therapy and health IT members who have studied the RCS-1 model.

Presented by

Sherill Mason Principal, Mason Advisors LLC Sherill Mason is a Principal of Mason Advisors, where she provides strategic planning, program development and operations analysis for post-acute care providers including senior living and nursing

home facilities, home health, hospice, long term acute care hospitals, in-patient rehabilitation facilities, and long term care pharmacy. Previously, Sherill served as a Vice President to the Marwood Group, a healthcare industry consultant, as Senior Vice President at Sunrise Senior Living and as a Director at KPMG. Among other current professional activities, Sherill currently is a Guest Lecturer at the University of Pennsylvania School of Nursing. She received her RN diploma and training at the Englewood Hospital School Nursing and a BA in American Studies from Eckerd College.

Panelists

Sheryl Buchholtz-Rosenfeld Director of Clinical Operations, Zimmet Healthcare Services Group, LLC

Sheryl joined Zimmet Healthcare in 1996, and has been the partner in charge of the firm’s growing clinical consulting team for nearly 20 years. As a

Board Certified Registered Nurse, Sheryl has devoted her career to serving the post-acute care community, remaining at the forefront of regulatory and payment changes for over 40 years. She has been a trainer of the MDS since 1990 and is among the nation’s leading resident-assessment experts. Sheryl has longstanding relationships with many State and Federal agencies, having worked with CMS and various Medicaid agencies on multiple projects. She was appointed to the Technical Expert Panel established to evaluate the impact of the Medicare Prospective Payment System on provider operations and finances. She was a member of the clinical standards and training team for the Federal DAVE project and a Data Monitor for the Federal STRIVE initiative. She also served as an MDS 2.0/3.0 Manual reviewer, and remains

highly engaged in improving the resident assessment process and empowering post-acute nurse managers.

Robert L. Choi Chief Strategy Officer and Founding Partner, Collain Healthcare, LG CNS Healthcare Solutions Robert Choi has founded and managed several population health management and technology

companies. He is a co-founder and Chief Strategy Officer for Collain Healthcare, an LG CNS Company, and exclusive commercialization and innovation partner for LG CNS Healthcare Solutions. His focus includes development and commercialization of next-generation health information platforms and connectivity solutions for the long term post-acute care industry and digital health apps for consumer-connected care, including the LG Interactive Virtual CareTM framework. He has extensive experience in healthcare provider operations across long term, post-acute, community-based care and population health initiatives. He previously served as a Vice President at Harden Healthcare, a provider to 34,000 patients daily. He is an active investor and advisor of several healthcare provider organizations, technology startups and investment groups involved in population health, long term post-acute care, concierge medicine and senior housing real estate. He is a graduate of Emory University in Atlanta.

Leigh Ann Frick President, Care Navigation Consulting Leigh Ann Frick has spent her entire 24-year career in the post-acute space, working to ensure clinical integration with compassionate care and compliance at the core of the delivery of rehabilitative services to

support operational initiatives. She started as a treating therapist splitting her time between acute care and skilled nursing facilities. She quickly realized her passion was teaching and training clinicians about best practices, regulatory compliance, documentation and billing. She moved through various operational and clinical positions, eventually becoming the Executive Vice President of Rehabilitative Services and then the Chief Clinical Officer for a large therapy provider. Seeing the opportunity to help a variety of providers handle the need for clinical integration in the changing world of healthcare reform initiatives, she decided to start a consulting practice, with a goal of helping providers along the continuum be successful in this

everchanging landscape.

Peggy Gourgues Chief Operating Officer, Reliant Rehabilitation Peggy Gourgues is Chief Operating Officer of Reliant

Post-Acute Care Solutions, where she manages operations for the company’s growing PACN, Reliant Rehabilitation and Reliant Medical Management divisions. Peggy holds an M.A. in Speech Pathology, a Certificate of Clinical Competency in Speech Language Pathology, and has practiced in home health, private practice, skilled nursing and acute care hospital settings. She is a certified member of the American Speech-Language-Hearing Association, a member of the Healthcare Compliance Association, and a Board Member of the National Association for the Support of Long Term Care since 2014. Peggy has worked in healthcare management for the past 11 years and joined Reliant in 2004.

Joanne Wisely Vice President – Legislative Advocacy, Genesis Rehab Services/Respiratory Health Services Joanne serves as Vice President-Legislative Advocacy for Genesis Rehab Services/Respiratory Health Services following six years as GRS Vice

President-Regulation and Compliance. As a speech-language pathologist who has worked in all post-acute settings, as a clinical and operational manager and a health care administrator, Joanne has been actively engaged in clinical service improvements, financial stewardship, statutory compliance and legislation development for over 40 years. Joanne was inducted as 2017 Public Policy Distinguished Fellow for the National Academies of Practice, is a Life Member of the American-Speech-Language-Hearing Association and currently serves as the State Advocate for Medicare Policy on behalf of the Pennsylvania Speech-Language Hearing Association. Through participation on CMS Technical Expert Panels (TEPs), CMS Focus Groups and industry work groups, her areas of expertise include the Development of Outpatient Therapy Payment Alternative (DOTPA) Project, the Short Term Alternative Therapy Payment System (STATS) Project, CARE Tool Development, Medicare Spending Per Beneficiary in Post-Acute Care, IMPACT Act of 2014, Post- Acute Standardized Assessment, Rehabilitation Therapy Cap Legislation and Skilled Nursing Facility Payment Models. Joanne was an invited member of the MedPAC Technical Expert Panel addressing Medicare Part B Payment and has represented stakeholder interests through Congressional work groups and committee member collaboration.

3:30 – 4:00pm Networking Break Sponsored by Life Care Centers of America

4:00 – 5:00pm Banyan ABC

Data Breaches, Hackers & Ransomware: Cybersecurity Concerns for LTPAC As care coordination gains in importance, so does the need for connected health. Providers need speedy access to patient data, and share an increasing responsibility for securing their systems, medical devices and patient data. Healthcare cybersecurity is an immediate concern that needs aggressive attention. Get the latest information on best practices to safeguard against the modern threats of data breaches, hackers and ransomware. Presented by

John DiMaggio Chief Executive Officer Blue Orange Compliance John is the co-founder and CEO of Blue Orange Compliance, which provides privacy and security solutions, assessments, remediation, training and

guidance that simplifies the complexities around HIPAA and focuses on practical, scalable solutions. A commissioner with LeadingAge’s Center for Aging Services Technologies (CAST), he has worked as CIO at NCS Healthcare and Omnicare. DiMaggio holds an MBA in Finance from Katz Graduate School of Business and a BS in Computer Science from the University of Pittsburgh.

5:00 – 6:00pm Banyan ABC

Policy Update

Presented by

Michaela Sims NASL Policy Counsel President, Sims Strategies, LLC For over 20 years, Michaela Sims has developed and implemented successful strategies that achieve desired policy and political results. Though she has

worked in numerous policy areas, Michaela’s main area of expertise is working on health and tax policies overseen by the powerful Senate Finance and Health, Education, Labor and Pensions (HELP) Committees, and related federal agencies. Named one of The Hill’s Top Lobbyists in 2016, Sims has provided critical insight and strategic advice during the development, implementation, and now the dismantling of the Affordable Care Act to many health care industry clients, including hospitals, physicians, long-term care providers, and pharmaceutical and insurance companies. Drawing on her strong ties to Senate centrists, she has developed a reputation as an honest broker with credibility on both sides of the aisle.

Cynthia Morton Executive Vice President National Association for the Support of Long Term Care (NASL) Cynthia Morton is a national expert on Medicaid, Medicare and other public policy affecting the long

term and post-acute care sector. Currently, she serves as the Executive Vice President of NASL, where she advocates for her members’ interests. Prior to joining NASL, Cynthia served as the Vice President for Political Affairs for the American Health Care Association/National Center for Assisted Living (AHCA/NCAL). In more than a decade with AHCA/NCAL, she represented the long term care profession before Congress, the Washington health care community, and the media.

In 2005 and 2006, Roll Call magazine named Cynthia as one of the

leading long term care lobbyists.

6:30-8:00pm Palm Foyer

NASL Cocktails and Connections Opening Night Reception Sponsored by NASL Platinum Sponsors: Aegis Therapies AFFIRMA Rehabilitation CEU360 Consonus Rehabilitation Genesis Rehab Services ONR, Inc. Optima Healthcare Solutions RehabCare Reliant Rehabilitation Therapy Management Corporation

MONDAY, OCTOBER 16

7:00am Jasmine Foyer North

NASL Registration Open

7:30 – 8:00am Banyan ABC

NASL President’s Breakfast Featuring “Exchange with the NASL Staff,” an open forum to ask questions, get to know the NASL staff, and provide suggestions on how to improve NASL.

Sponsored by MatrixCare

8:00-9:00am Banyan ABC

NASL Annual Business Meeting

Introduction of NASL 2017-18 Board of Directors Presentation of NASL 2017 Member of the Year

9:00-11:30am Banyan ABC

NASL Medical Services Committee Meeting Presenter

Scott A. Wandstrat, Esq. Partner, Arnall Golden Gregory LLP Scott Wandstrat is a partner in AGG’s Litigation, Healthcare, and Governmental Investigations and Special Matters Practices, Chair of the firm’s Electronic Discovery Practice, and serves as the

firm’s Technology Partner. Scott focuses his practice on handling complex business disputes and governmental investigations. An unapologetic nerd, Scott enjoys a well-earned, national reputation as a “go-to” lawyer for electronic discovery issues. His clients and colleagues praise his practical, cost-effective guidance on even the most frustrating aspects of e-discovery. When asked, Scott has attributed his success, in part, to his fluency in Techspeak, Legalese, and (thankfully) plain English. In addition to his work on e-discovery matters, Scott maintains an active government investigation and business litigation practice. He has particular experience in handling commercial disputes, insurance coverage matters, and defending healthcare companies involved in False Claims Act and Anti-Kickback Statute investigations.

9:30 – 11:30am AHCA Opening General Session and Keynote

Jim Collins, Author of the best-selling Good to Great and Built to Last

11:30am – 3:00pm

AHCA Expo Hall Open Visit NASL in booth number 263.

3:00pm Refreshments Sponsored by Arnall Golden Gregory

3:00 – 4:30pm Banyan ABC

LTPAC’s Value in Bundled Care Learn from two experts what accountable care organizations (ACOs) and other value-based arrangements value in their post-acute care partners such as nursing facilities and home health providers, and how what is valued differs per program. Speakers Dr. David Muhlestein, who conducts research on what the marketplace prioritizes in partnerships with PAC providers, and Michelle Templin, will provide more specific insight on what ACOs value with post-acute care providers and their rehab therapy partners. Presented by

David Muhlestein, PhD, JD Chief Research Officer Leavitt Partners Dr. Muhlestein directs the study of accountable care organizations through the LP Center for Accountable Care Intelligence and leads the firm’s quantitative

evaluation of health care markets. He is an expert in using policy analysis, predictive modeling, and applied analytics to understand the evolving health care landscape. David also serves as Adjunct Assistant Professor of The Dartmouth Institute (TDI) at the Geisel School of Medicine at Dartmouth College and is a visiting fellow at the Accountable Care Learning Collaborative. In both of these roles he conducts research to translate learnings of high-performing organizations for the benefit of

the broader health care system.

Michelle L. Templin Vice President of Legislative Affairs and

Business Development Managed Health Care Associates, Inc. In her capacity as VP of Legislative Affairs and Business Development, Michelle Templin oversees all the legislative and grass roots advocacy work that touches MHA’s diverse post-acute care (PAC) membership including: long term care (LTC), home infusion and specialty pharmacies, DME and respiratory providers, and skilled nursing, assisted living and rehabilitation facilities. Her team helps PAC providers navigate the legislative landscape to identify, analyze and advocate on the issues that matter most to their business. Additionally, Michelle has led the strategy and management of the MHA ACO Network since its formation in 2013. Working with ACOs, Medicare Advantage Plans and other payers, the MHA ACO Network assists in defining local Payer/PAC engagement strategies and analyzes the value of appropriate PAC utilization across the care continuum.

4:30 – 6:00pm Banyan ABC

NASL IT Committee Meeting

TUESDAY, OCTOBER 17

7:00am Jasmine Foyer North

NASL Registration Open

7:00 – 8:00am Banyan ABC

NASL Breakfast

8:00 – 9:00am Banyan ABC

Quantifying the IMPACT of Clinical Interventions with the CARE Item Set The goals of the Improving Medicare Post-Acute Care Transitions (IMPACT) Act of 2014 were to improve care, promote health, and support smarter spending. It is important for clinicians and service provider to be able to articulate the value of their care in these terms. The CARE Item Set is a standardized patient assessment of functional status developed for use at acute hospital discharge and at post-acute care admission and discharge. This session will overview a company-wide initiative to implement the CARE Item Set for all patients receiving services in the post-acute care setting. The speakers will share the results of a study that assessed the value of rehabilitation services in general and the value of biophysical agent use, specifically. Presented by

Tracy Fritts, PT, MSPT Vice President Quality and Outcomes Consonus Rehabilitation Tracy Fritts came to Consonus in 1995 as Rehab Director at Marquis Vermont Hills. She’s since served in Area Director positions for Oregon and

Washington, and as Director of Staffing. She’s was Regional Vice President of Operations for 5 years, overseeing 51 rehab programs in Oregon, Washington, and Idaho. She has now moved into her latest position as Vice President of Quality and Outcomes. Strategic initiatives, financial objectives and clinical outcomes are just some of her responsibilities. After falling in love with physical therapy while working as a rehab aide, Tracy earned a Master of Science in Physical Therapy from Pacific University. She recently completed a fellowship with the Aging Services of Washington Leadership Institute, where in turn she now mentors other candidates.

Amy Hobbs, PT, GCS, CEEAA Director of Clinical Education Accelerated Care Plus Amy Hobbs has worked in a variety of clinical settings over her 20-year career as a physical therapist. Her professional passion for older adult

rehabilitation led her to become a Certified Expert of Exercise for Aging Adults in 2010 and an American Board of Physical Therapy Specialties Certified Geriatric Clinical Specialist in 2013. Amy has a extensive experience as a clinical mentor and lecturer. She is currently the Director of Clinical Services for Accelerated Care Plus (ACP). In her role, she works to ensure excellence in ACP's clinical education, training, and patient outcomes. Amy is a member of the APTA and a member of both the Academy of Geriatric Physical Therapy and the Academy of Clinical Electrophysiology and Wound Management.

Ellen Strunk, PT, MS, GCS, CEEAA, CHC Owner and Principal Rehab Resources & Consulting Ellen Strunk received her Master’s degree in physical therapy from the University of Alabama at Birmingham, and earned her APTA Board Certification in Geriatric Physical Therapy in 1999.

Since that time, she has worked in various roles & settings as both clinician & manager/director: hospital; transitional care; Director of rehab for a hospital home health agency; Clinical Consultant, Director of a HH staffing division, and Director of Governmental Affairs for a company providing rehab services in long term care, home health & outpatient settings.

Presently, Ellen is owner of Rehab Resources & Consulting, Inc., a company providing continuing education and consulting services for post-acute care settings. She specializes in helping customers understand the CMS prospective payment systems in skilled nursing facilities and home health settings, and especially how to deliver medically necessary therapy services in these settings. Her experience includes utilizing medical record reviews and data systems to help both inpatient and outpatient therapy providers meet regulatory guidelines. She lectures nationally on the topics of pharmacology for rehabilitation professionals, exercise and wellness for older adults, and coding/billing/documentation for therapy.

9:00 – 10:30am Banyan ABC

The Managed Care Payor’s Perspective Recent former Deputy Executive Commissioner for Medical and Social Services in Texas, Gary Jessee, facilitates a panel of managed care executives and nursing facility providers. This panel will delve into the value proposition that nursing facilities can bring to managed care plans and what they value in their partnerships with nursing facilities and home health. Moderated by

Gary Jessee, Managing Director, Sellers Dorsey Former Deputy Executive Commissioner for Medical and Social Services in Texas Gary Jessee leads Sellers Dorsey’s efforts to build a sustainable and growing practice in the State of Texas by overseeing the firms’ service delivery and

outreach, particularly in the area of managed long term services and supports. Gary is the recent former Deputy Executive Commissioner for Medical and Social Services in Texas, the largest division in the Health and Human Services System. In that position Gary oversaw four departments and a $50 billion budget, bringing together client services, including eligibility services, Medicaid/CHIP services and functions, and community programs under one coordinated division. Prior to this, Gary served as the State Medicaid Director where he was responsible for overseeing services and supports for more than four million Texans across the state. He also previously served as the Chief Deputy Director for Program Operations in the Medicaid/CHIP Division. Panelists

Francis P. Kirley President and Chief Executive Officer, Nexion Health Fran Kirley has more than 32 years of acute and long-term healthcare management experience and is actively involved in all levels of the profession. He

oversees skilled nursing facilities in Louisiana, Texas and Colorado. Currently, he serves as the AHCA-PAC Chairman and is a Board member of the Louisiana Nursing Home Association, Elms College and the Warfield Development Center in Sykesville, Maryland. Mr. Kirley is a former AHCA Board and Executive Committee member and former Board member of the Texas Health Care Association.

Anne Rote President, Molina Healthcare of Texas, Inc. Anne Rote is a senior managed care executive with over 25 years of experience in the development and ongoing operation of health care programs to support individuals covered by Medicaid and

Medicare. In her current role as Plan President of Molina Healthcare of Texas, Ms. Rote is responsible for the daily operations of Molina’s Texas business, serving over 480,000 members enrolled in government programs including Medicaid, Medicare, MMP, and Marketplace. Anne earned an undergraduate degree in economics, political science and policy studies from Rice University and an MBA from Southern Methodist University.

Greg Thompson, Regional Vice President & Chief Operating Officer, Texas Plan Amerigroup Corporation

Greg Thompson currently holds the position of Regional Vice President & Chief Operating Officer, TX Health Plan, serving approximately 800,000

members (Medicaid, CHIP, ABD/LTSS/IDD populations) in 11 of the 13 service delivery areas across Texas. Prior to his current position, Greg has served Amerigroup Texas as the SVP of Medicaid Strategy & Initiatives responsible for execution of critical initiatives and strategy development. Greg has also served as the Regional Vice President & Chief Operating Officer of the Lubbock Health Plan for Amerigroup where he was responsible for strategic leadership, provider relations, operations, marketing, and finance activities. As a Six Sigma Black Belt, Greg is seasoned in process improvement initiatives. With more than 16 years of healthcare experience, Greg has served in several leadership positions for a variety of managed care and healthcare organizations such as FirstCare Health Plans, Covenant Health System, and UTSouthwestern Medical Center.

11:00am – 2:00pm

AHCA Expo Hall Open Visit NASL in booth number 263.

2:30 – 5:00PM Banyan D

NASL Board of Directors Meeting Refreshments sponsored by Functional Pathways

WEDNESDAY, OCTOBER 18

8:30 – 10:30am AHCA Closing General Session and Keynote Mike Rayburn, award-winning speaker, entertainer and guitar virtuoso