CAHSAH ANNUAL CONFERENCE | 2009cahsah.org/documents/420_cahsah_prereg_web.pdfCAHSAH ANNUAL CONFERENCE | 2009 3 SAN DIEGO, CALIFORNIA CONFERENCE GENERAL INFORMATION We have six tracks

CAHSAH ANNUAL CONFERENCE | 2009 1

CAHSAH ANNUAL CONFERENCE | 20092

WELCOME,et on deck for one of the largest home care conferences in the west being held May 6-8, 2009 at the Manchester Grand Hyatt in

sunny San Diego, California. CAHSAH’s Annual Conference is the premiere event providing endless networking opportunities,

educational training, and updates on the latest information for achieving success in the home care and hospice industry.

Don’t spend more time in the dark than you have to. In this time of economic

uncertainty, trust CAHSAH to light your path to success. With top industry

experts in Medicare, Hospice, and Private Duty on board, 40 plus concurrent

sessions, three dynamic speakers, and a newly added Leadership Track, no tide

or reef will get in the way of CAHSAH safely guiding your agency to shore.

The time invested at the conference with colleagues will allow you to reap

benefits far beyond the three days you’ll spend in San Diego. With multiple

hosted receptions, a special PAC event with dinner and dancing and dynamic

education sessions, you’ll have plenty of opportunity to relax, socialize, and

have fun while you learn. You'll even have time to cruise through the Home

Care Expo at the end of the day to collect information on the latest products

available.

DEAR HOME CARE and HOSPICE PROVIDERS,

BRITTNEI SALERNO, CHAIR,B O A R D O F D I R E C T O R S

K AY K ALLAS, CHAIR, C O N F E R E N C E P L A N N I N G C O M M I T T E E

JOSEPH H. HAFKENSCHIEL, PRESIDENT,C A H S A H

G

SAN DIEGO, CALIFORNIA

K AY K ALLASM e r c y H o m e H e a l t h & H o s p i c e

K ATHY AHEARNA r k r a y U S A

SANDR A ALLINGERA d d u s H e a l t h c a r e

HEDY AREFI n c r e m e n t u m

MARYLOU CONNOLLYM c C o y & C o n n o l l y C o n s u l t i n g , I n c .

SAR A K AWAGUCHIH o m e C a r e N e t w o r k , I n c .

SHANNON KEHOEL a J o l l a N u r s e s H o m e c a r e

JEANNEE PARKER MARTINT h e C o r r i d o r G r o u p , I n c .

SHARON NIEDERHAUSS o u t h C o a s t M e d . C t r . H o m e C a r e

LY NA PHAM-COATESC o m f o r t H a n d s H e a l t h c a r e , I n c .

MONICA SEAYU C S F H o m e H e a l t h C a r e

BONNIE SNOWA d d u s H e a l t h c a r e

MELANIE STOVERH o m e C a r e S a l e s

DARCEY TRESCONEP r o c u r a , L L C

JOE HAFKENSCHIELC A H S A H

SOUA VANGC A H S A H

RICHARD STARKSC A H S A H

2009EDUCATION and CONFERENCE

PLANNING COMMIT TEE


SAN DIEGO, CALIFORNIA CONFERENCEGENER AL INFORMATION

We have six tracks filled

with 42 concurrent

sessions.

CONFERENCE TR ACKS

POWER BREAKFAST

HOSPICE

PRIVATE DUTY

MEDICARE CERTIFIED BASIC

PLEASE NOTE that although we make every effort to identify the individual sessions under the

specified track, there will be certain sessions that may apply to more than one track. For more

information on individual sessions, look inside the brochure.

CAHASHBookstoreDon’t miss this rare opportunity to get

the resources you need! This year we

will have a larger selection and even

bigger savings! This special pricing only

comes once a year so be sure to drop

by the CAHSAH Bookstore.

Electronic Conference HandoutsOnce again CAHSAH will be providing

you with the luxury of downloading

your handouts two weeks prior to the

conference. Your online access codes

will be listed on your confirmation

letter. PLEASE NOTE that CAHSAH will

not be providing paper copies of the

handouts onsite. It is recommended

that you print your handouts and bring

them with you to the conference.

Cyber CafeWhether you want to browse the

Internet or simply check your email,

CAHSAH has you covered. There will

be computers available inside the

CAHSAH Bookstore for your use while

you browse the latest CAHSAH resource

products.

Start your morning off feeling refreshed with an extra boost of protein and be

ready to learn great strategies to assist your agency’s success.

LUNCHEONSB U S I N E S S L U N C H E O N :Join CAHSAH’s officers and Board of Directors for an informational update on

CAHSAH’s key issues.

A W A R D S L U N C H E O N : Recognize outstanding individuals who contribute to home care. CAHSAH will present the

following awards at this inspirational luncheon celebration at the Annual Conference: Home

Care Service Award, Lillian O’Brien Home Care Supervisor Award, Physician of the Year

Award, Lois C. Lillick Award, Home Care Nursing, Scholarship, and Aide to RN Nursing

Scholarship.

Session Audio Recordings Avai lable to AttendeesNow you don’t have to choose! Whether you can’t decide what session to attend or have a conflict in your schedule – you’ll be able to download select audio recordings and session handouts with a click of a button. This year, CAHSAH will put your mind at ease by allowing you to choose what session you want to attend in person and the sessions you will be able to listen to when you get back to the office.

MEDICARE CERTIFIED INTERMEDIATE/ADVANCED

LEADERSHIP (new!)

ALL(Misc. track for everyone)

AttireBusiness

casual and

resort wear is

recommended.

Please dress in

layers as room

temperature

may fluctuate.


KEYNOTE SPEAKERS

WEDNESDAY, MAY 6, 2009, 9:00AM - 10:00AMAttend this keynote session to learn about the current status of Home Care Reform. Find out how the major players in the new Obama administration will affect home care and what the prospects are for something substantive to occur and what the major priorities will be for home care in the coming year.

B I L L D O M B I , N A H CWith over 26 years of experience in health care law, Bill Dombi has been involved in virtually all legislative and regulatory efforts affecting home care and hospice since 1978 including the expansion of the Medicare home health benefit in 1980, the formation of the hospice benefit in 1983, and the institution on Medicare PPS for home health in 2000. With litigation, Dombi was lead counsel in the landmark “Staggers” lawsuit which reformed the Medicare home health services benefit, challenges to HMO home care cutbacks for high-tech patients, lawsuits against Medicaid programs for inadequate payment rates, a nationwide class action against HCFA for its failure to enforce the federal HMO Act, and litigation directed against the “Interim Payment System” for the Medicare home health benefit.

In addition to litigation, Bill offers significant community and professional educational services through lectures, publications, teleconferences, and videos. He is the Editor and lead author of “Home Care & Hospice Law: A Handbook for Executives,” the only comprehensive legal treatise on the topic. His recent presentations include market trends in home care, compliance risk management, patient rights, fraud and abuse, health care reimbursement, legislative and regulatory reforms, and legal issues in Tele-health services.

[K1] HOME CARE, HEALTH CARE REFOR M and the OBAMA ADMINISTR ATION

THURSDAY, MAY 7, 2009, 8:30AM - 9:30AMToday’s leaders must be able to build and lead a successful team. This program explains the dynamics of teamwork and teamplay, reveals teambuilding roadblocks and how to get around them, and shows how to successfully implement motivated teams in a diverse organization.

BOB LOSY K, INNOVATIV E TR A INING SOLU TIONSBob Losyk is an international employee motivational speaker, trainer, facilitator and author, expert in employee screening, employee recruiting, employee retention and reducing employee turnover. He is a nationally recognized expert on workplace stress management, immigrant workforce, workforce diversity issues and trends, and is the author of the best selling book, “Managing A Changing Workforce: Achieving Outstanding Service With Today’s Employees.” His latest book, “Get a Grip: Overcoming Stress and Thriving in the Workplace” is available wherever books are sold.

Bob addresses the critical issues of employee recruiting, managing today’s workforce, and the everyday challenges of surviving and thriving in today’s workplace such as managing stress in the workplace. He provides real strategic solutions to the road blocks for success that plague so many of today’s agencies. Bob enables both profit and non-profit organizations to solve their most vital performance and productivity challenges.

[K 2] BUILDING and MOTIVATING a HIGH IMPACT TEAM

FRIDAY, MAY 8, 2009, 9:00AM - 10:00AMLaugh and Learn as comedian Jan McInnis helps you deal successfully with change. Through examples from her life, interspersed with humor taken from her hilarious comedy show, Jan’s interactive program gives practical, immediately usable tips attendees can apply to their life now for dealing with change!

JA N MCI N N I S , T H E WOR K L A DYJan McInnis has been a full-time, professional comedian and speaker for 13 years. She was featured in the Wall Street Journal as one of the top convention speakers in the article “Comedy Comes Clean”. She is currently appearing on Verizon, V-Cast Entertainment & Sprint TV cell phone entertainment. Jan has free-lance

jokes for the Tonight Show monologue and sold thousands of jokes to hundreds of radio stations. She is also the D.C. winner, of HBO’s “Stand Up, Stand Off ” comedy contest.

[K 3] FINDING THE FUNNY in CHANGE

2009 Keynote Speakers


DR I V I NG C US TOM ER SERV ICE:Creat ing A Customer Centr ic Company Through A Systematic Program!W EDNESDAY, M AY 6 , 10 :15A M - 11:45A M

Everyone says they promote customer service and know that it can be a competitive differentiator. How are you supporting your team to think customer service with every action? Reward it! Learn how to create a systematic method of recognizing your employees’ great customer service actions.MELANIE STOVER, HOMECARESALES

ACCOU N T I NG & F I N A NCE for NON-F I N A NCI A L M A N AGER SW EDNESDAY, M AY 6 , 1:45PM - 3:15PM

During this session Renee will highlight 1) Understanding financial information, 2) Analyzing financial information, 3) Decision making using financial information. As the President and CEO of Korb Consulting, Inc., Renee provides accounting, financial, reimbursement and operational assistance to health care providers nationally.RENEE KORB, KORB CONSULTING, INC.

S T R AT EGIC PA RT N ER SHIPSW EDNESDAY, M AY 6 , 3:30PM - 5:0 0PM

By co-marketing with other reputable companies in your same space with similar call points you will grow your business more quickly while minimizing your marketing costs. Learn how to identify and “partner” with other representatives to help you grow your business!MELANIE STOVER, HOMECARESALES

T H E C U R R EN T S TAT E of PR I VAT E DU T Y M ERGER S and ACQU ISI T IONST H U R SDAY, M AY 7, 9 :45A M - 11:15A M

Acquisition interest in the private duty homecare sector has increased substantially in the recent past. It is incumbent upon buyers and sellers to understand the intricacies of private duty home care, and what sets them apart in terms of size, service and customer relationships.DEXTER BRAFF, THE BRAFF GROUP

USI NG the AGENC Y W EB SI T E to I NCR E A SE V ISIBILI T Y and GEN ER AT E R EF ER R A LST H U R SDAY, M AY 7, 1:45PM - 3:15PM

From the standpoint of visibility, marketing messaging, and branding, a well designed, well written, informative, and interactive Web site is crucial for generating admissions and serving as a 24/7 open customer service center. This session will demonstrate the best tools and methods for utilizing the Internet to grow business.MERRILY ORSINI, CORECUBED

H U M A N R ESOU RCE PR AC T ICES and E M PLOY M EN T L AW for HOM E C A R ET H U R SDAY, M AY 7, 3:30PM - 5:0 0PM

Attendees will learn about hiring, firing, workplace investigations, and will have the opportunity to participate in mock workplace situations, to help hone their skills to better handle actual challenges when they arise.ELIZABETH MURPHY, HOLME ROBERTS & OWEN

B ACKGROU N D SCR EEN I NG and T H E L AWFR IDAY, M AY 8 , 10 :15A M - 11:45A M

Background Screening, a strategic step organizations take, ensures workplace security, reduces turnover and minimizes liability for negligent hiring. Many companies are unaware of current regulations and business practices of background screening. Learn best practices of employment screening so your organization is legally compliant and accessing all information available to make informed hiring decisions.JOSEPH MAHFET, KROLL

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PRIVATE DUTYPRIVATE DUTY BASIC TR ACK

Concurrent Sessions


Heffernan Insurance Brokers

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HOSPICEPU LLI NG I T A LL TOGE T H ER :Documentat ion for Hospice Prov iders and the ADR ProcessW EDNESDAY, M AY 6 , 10 :15A M - 11:45A MThis session will address how the new CoPs affect hospice documentation and RHHI/MAC claim review. Insight from a former RHHI educator will be shared including common edits and what to do to prepare a record for ADR submission. This session will also touch on how an effective QA/PI program can decrease the risk of being placed on Focused Medical Review.DEBRA A. SELLERS, THE CORRIDOR GROUP / ST. JOHN’S HEALTH SYSTEM

I M PROV I NG ACCESS T HROUGH A PER FOR M A NCE I M PROV E M EN T PROJ EC TW EDNESDAY, M AY 6 , 1:45PM - 3:15PMThis session will provide a brief review of regulations impacting access. Quality assessment and performance improvement will be discussed focusing on performance improvement projects (PIPs). Potential quality measures and PIPs related to increasing referrals and admissions will be identified. Session will conclude with a case study on how a PIP can improve access.ROSEANNE BERRY, RBC CONSULTING, LLCCHARLENE ROSS, RBC CONSULTING, LLC

POLS T:Translat ing Pat ients ’ Wishes into Medica l OrdersW EDNESDAY, M AY 6 , 3:30PM - 5:0 0PMPhysicians Orders for Life-Sustaining Treatment (POLST) help ensure that patient wishes regarding specific medical treatments are respected near end of life. The POLST form is a standardized set of medical orders that move with patients as they move throughout the healthcare system. Learn how POLST is being implemented in California.JAMES MITTELBERGER, OVATIONS, WESTERN REGION

R ESPON DI NG to SER IOUS ILLN ESS and GR IEF in T H E WOR K PL ACE:A Luxury or Good Business Sense?T H U R SDAY, M AY 7, 9 :45A M - 11:15A MA life threatening illness or death is one of the most difficult situations faced by employees and employers. Health care employees are not immune to having to deal with serious illness, death, or loss. In addition to the well-known financial impact of absenteeism due to caregiving, an employee’s serious illness or death can be traumatic for workplace retention and establishing a truly family friendly workplace. Learn how your organization can improve retention, morale, and productivity by implementing supportive programs.LIZABETH SUMNER, THE ELIZABETH HOSPICE

THE FORGOING/ W ITHDR AWAL of ARTIFICIAL NUTR ITION and HY DR ATION FROM PATIENTS in a PER MANENT VEGETATIVE STATET H U R SDAY, M AY 7, 1:45PM - 3:15PMHome care professional sometimes care for patients who are in a permanent vegetative state, and according either to these patient’s prior wishes or to the wishes of the family there is the request to remove the feeding tube. There is a great deal of controversy about the removal of feeding tubes since the Terri Schiavo case in Florida. This presentation will focus on both the legal and ethical issues connected with the forgoing or withdrawal of artificial nutrition and hydration from patients in a permanent unconscious state.JAMES J. WALTER, LOYOLA MARYMOUNT UNIVERSITY

INTERGENER ATIONAL CARE: Focusing On The Chi ldren When A Parent Has A Life Threatening I l lnessT H U R SDAY, M AY 7, 3:30PM - 5:0 0PMThere is much we can do as health care providers and organizations to respond to our patients who have children in the family. Learn about the essential strategies that hospice and palliative care programs could offer to support the many children in our programs who are impacted by a parent’s (or grandparent’s) illness and possible death. This session provides insights into needs of children during the illness, ways to involve parents in guiding their children through this difficult life experience and preparing them for their absence.LIZABETH SUMNER, THE ELIZABETH HOSPICE

THE NEW COP: The Rea l ImpactFR IDAY, M AY 8 , 10 :15A M - 11:45A MThis educational session will work through the details of the new Quality Assessment and Performance Improvement Condition of Participation and define the steps hospices need to take to embrace the data-driven management requirements.ROGER HERR, OCS INC.

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Concurrent Sessions


Concurrent Sessions

T H E N EW HOM E H E A LT H PPS: Bil l ing Issues and Solut ionsW EDNESDAY, M AY 6 , 10 :15A M - 11:45A M

During this presentation, Melinda will provide: 1) Ways to identify your billing concerns from the pre-billing audit process to supply issues, 2) Proven solutions to provider-related billing issues, 3) Survival techniques to address intermediary-related billing challenges, and 4) The financial indicators required for making operational decisions.MELINDA GABOURY, HEALTHCARE PROVIDER SOLUTIONS

W R I T E I T R I GH T: Documentat ion and the ADR Process for Home Hea lth Prov idersW EDNESDAY, M AY 6 , 1:45PM - 3:15PM

This session will lay out the process CMS charges their RHHI’S/MAC’S to use when reviewing and paying Home Health Claims. Insight from a former RHHI educator will be shared with the participants including the more common edits and how to avoid, as well as what to do when a claim is identified for medical review. How LCD’s and other tools the RHHI/MAC contractors develop for providers can be accessed and used will be included. The process to determine if a record is selected for review will also be outlined, as well as practical advice on preparing a record to be sent in for review, as well as the appeal process.DEBRA A. SELLERS, THE CORRIDOR GROUP

PR AC T IC A L SOLU T IONS to H H A’s COM MON PROBLE MSW EDNESDAY, M AY 6 , 3:30PM - 5:0 0PM

Three experienced home health operations professionals, currently consultants to the home care industry, will guide participants through discussion about common HHA operational issues and facilitate sharing of solutions/tool. Areas to be discussed include the intake and scheduling processes, supervision, patient care practice model and case conferences. Other topics will be discussed as time allows. Forms/tools/process changes will be shared---NO sales!MARY LOU CONNOLLY, MCCOY & CONNOLLY CONSULTINGNANCY MCCOY, MCCOY & CONNOLLY CONSULTINGCONNIE LITTLE, CFL CONSULTING

NON-ROU T I N E M E DIC A L SU PPLIES 101: Track ing/Bi l l ing & Repor t ing on Cost Repor tT H U R SDAY, M AY 7, 9 :45A M - 11:15A M

Do you know how to track and bill for NonRoutine Supplies (NRS)? This session will teach you how to identify NRS included in consolidated billing, complete the NRS portion on a Home Health Medicare Final Claim & Annual Cost Report, and use OASIS M0 items to review calculation of NRS Add-on. We will also cover a generous Q&A section to answer the tough questions you have about NRS!MELINDA GABOURY, HEALTHCARE PROVIDER SOLUTIONS

U PDAT E on LEG A L ISSU ES in HOM E C A R ET H U R SDAY, M AY 7, 1:45PM - 3:15PM

This presentation is an update on those home care practices that most often result in liability risk exposures for the caregiver. You’ll learn how to define home care malpractice, understand duty and breach of duty, and apply the principles of records, attitudes, training & standards of practice to the home care setting.LINDA SUE KENNEDY (MANGELS), BARNEY AND BARNEY, LLC

FIELD STAFF PERFOR M ANCE BENCHM ARKS:How Does Your Agency Compare with the Cl inic ian Scorecards?T H U R SDAY, M AY 7, 3:30PM - 5:0 0PM

Since your field staff hold the strings to your agency’s revenue, public outcome scores, and soon your pay-for-performance bonus, accountability has never been more crucial. This session shows you discipline-specific performance benchmarks from 1,800 home health agencies in 2008. See what you can realistically expect from skilled nursing and therapy. National statistics for average case load, case weights, outcomes, unplanned hospitalizations, and more are presented.BARBARA ROSENBLUM, STRATEGIC HEALTHCARE PROGRAMS, LLC

F U N DA M EN TA LS of H E A LT H C A R E F I N A NCI A L M A N AGE M EN TFR IDAY, M AY 8 , 10 :15A M - 11:45A M

This program provides an introduction to the basics of financial management for Medicare certified agencies. Whether a rookie or a veteran, this program will establish or refresh your financial management foundation. Attendees will gain an understanding of the health care industry, and home health from the prospective of providers and payers.VERN PETERSCHMIDT, FAMILY HHC / PETERSCHMIDT & ASSOCIATES

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MEDICAREConcurrent Sessions

SCOR ES YOU N EE D to SUCCEE D in HOM E H E A LT H P4PW EDNESDAY, M AY 6 , 10 :15A M - 11:45A MAttend this session and walk away with a new understanding of not only what the new CMS P4P models are and how your agency might look under the different models, but also discover how to position your agency. By looking at P4P methodology with real numbers, we get a look at how the proposed models could affect your agency’s numbers and monetary reimbursement.CHRISTINE LANG, OCS, INC.

HOM E C A R E VA LU E B A SE D PU RCH A SI NG ( P4P) is J US T A ROU N D T H E COR N ERW EDNESDAY, M AY 6 , 1:45PM - 3:15PMThis program will describe Value Based Purchasing initiatives that CMS has already put into place and the new demonstration projects. Current home care PPS incentives that are directly linked to existing VBP hospital quality measures will be reviewed. Prepare your organization for the next major payment and outcomes management directives by recognizing the changes needed to your current performance levels and learn how to strategize and implement best practices that will produce the desired clinical and financial outcomes.LYNDA LAFF, LAFF ASSOCIATES

CMS and T H E 111th CONGR E SS:What to Expect, Welcome, and FearW EDNESDAY, M AY 6 , 3:30PM - 5:0 0PMThis presentation will examine the relationship between CMS and the 111th Congress, with particular attention to the key legislative, administration, and lobbying figures that populate the health care landscape with regards to home health care.JEFF NELLIGAN, US DEPT. OF HEALTH & HUMAN SERVICES

TA LE of T WO AGENCIES: Blending Cl inica l and Financia l Models for SuccessT H U R SDAY, M AY 7, 9 :45A M - 11:15A MThe presentation will be a panel discussion on instituting either a Team Model and/or Case Management Model at your home health agency. Using the Team Model, we will demonstrate how we effectively addressed issues related to continuity of care, patient satisfaction, mileage expenses, potential for “poor hand-off ”, coordination of care, high turn over rate among clinical staff and difficulty training and monitoring clinical staff. Using the Case Management Model, we will share our experiences in building clinical case management strategies with episodic reimbursement in mind; moving away from visits per day as the primary driver for

staffing, productivity management and budget development while maintaining a focus on patient outcomes and staff satisfaction. This presentation is specifically designed for agencies utilizing hourly staff as primary caregivers.KAREN SALBATO, CHW - MERCY HOME HEALTH - SACRAMENTOSTEVE BELL, CHW - MERCY HOME HEALTHSTEVE ESTIPONA, ST. MARY'S HOME CARE SERVICESBONNIE CASEY, ST. MARY'S HOME CARE SERVICES

DEF ICIENC Y PAT T ER NS of C A LIFOR N I A HOM E H E A LT H AGENCIEST H U R SDAY, M AY 7, 1:45PM - 3:15PMConsider new ways to think about a home health agency’s State survey history. Past performance by an agency may offer some insight into future survey outcomes. Join the Office of Inspector General of the U.S. Department of Health & Human Services for a review of work related to home health deficiencies and repeated citations nationally and within California.CHINA TANTAMENG, US DEPT. OF HEALTH & HUMAN SERVICES

CON T I N U I NG F I N A NCI A L & OPER AT ION A L SUCCESS U N DER HOM E H E A LT H PPS R EF I N E M EN TT H U R SDAY, M AY 7, 3:30PM - 5:0 0PMJanuary 1, 2008 marked only the beginning of HHPPS Refinement. Agencies that have focused so heavily on preparing for the regulatory changes must now focus on operational efficiencies and improvements to offset the next three to four years of rate reductions. We will discuss key financial and operational issues agencies must address to ensure continued success.FRAN SMITH, MCBEE ASSOCIATES, INC.

I M PROV I NG PAT IEN T OU TCOM ES by I N T ER PR E T I NG and A N A LY Z I NG OU TCOM E R EPORT SFR IDAY, M AY 8 , 10 :15A M - 11:45A MIn today’s challenging financial climate and increasingly competitive health care environment, success for Home Health Agencies means understanding and utilizing your OASIS generated outcome reports to uncover underlying clinical factors that contribute to patient outcomes. Learn to use these reports to improve your patient clinical outcomes.KATHLEEN CHURCHILL, THE ONDINA GROUP, LLC

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1) SIGN UP TO ATTEND CAHSAH’S ANNUAL CONFERENCE2) BRING THIS GAME PIECE ONSITE AND PLAY THE GAME3) SOLVE THE FINAL CLUE

THE OBJECT OF THIS GAME IS TO IDENTIFY ALL THE FISHES, OBTAIN ALL THE CLUES TO SOLVE THE FINAL PUZZLE.

BASIC RULESWhile onsite at the conference, look for a submarine with all members of the sea. Once you have identified the members, find them and talk to them. When you find them, give them three numbers (1-10). Each time you give a number, you’ll receive the clue that correlates with that number. After receiving three clues, you must guess what they are. If you are unable to do so, or if you guess incorrectly, you must wait at least 30 minutes before you can approach the same member again for additional clues. You may continue to do this until you are able to guess what they are. Once you correctly guess what they are, the member will give you a sticker which will be a piece of the puzzle for the game. Once you have filled the portholes to the left with all the stickers, you must unscramble the puzzle using only the colored stickers to get the final clue.

For more information on how to play this game, visit CAHSAH’s website at www.cahsah.org

WIN A CRUISE FOR TWO!


10 DOS and DON ’ T S on R EF ER R A LS and T H E A N T I-K ICK B ACK L AWW E D N E S DAY, M AY 6 , 10 :1 5A M - 11 : 4 5A M

BILL DOMBI, NAHC

BUSI N ESS OW N ER to BUSI N ESS LE A DER : Tak ing Your Business to the Next LevelW E D N E S DAY, M AY 6 , 1 : 4 5 P M - 3 :1 5 P M

This presentation is directly for the business owner and/or senior administrator. Now that your business is successful, how do you position yourself strategically in your community? Strategies to develop and enhance your role as a homecare expert are critical to getting and keeping referrals.LUCY ANDREWS, AT YOUR SERVICE HOME CARE

M A N AGI NG the V IRT UA L HOM EC A R E WOR K FORCEW E D N E S DAY, M AY 6 , 3 : 3 0 P M - 5 : 0 0 P M

Virtual workers are said to have fewer ties to their work place, their peers and their bosses than those in traditional office settings. Issues of management, motivation, coaching, team building, and communication can arise when these ties must be built through technology rather than proximity. This interactive session will address the myths and realities of leading the virtual homecare workforce, establishing and maintaining culture, building trust, creating virtual teams, and fostering positive workforce dynamics in this evolving and emerging discipline.YVONNE J. KOCHANOWSKI, CAPELLA UNIVERSITYSUZANNE HOLMES, CAPELLA UNIVERSITY

M A N AGI NG the R E A L WOR L D of HOM EC A R E - T ECH N IQU ES in M A N AGE M EN T to AVOI D PU T T I NG OU T F IR EST H U R S DAY, M AY 7, 9 : 4 5A M - 11 :1 5A M

A participatory class – techniques of management taught by lecture and played out with role playing scenarios with the participants. The emphasis of the class will be on: 1) Walking the fine line between upper management and field staff, 2) Spending PRODUCTIVE work days reaching GOALS, 3) Communicating with staff in an effective manner, and 4) Prioritizing activities to relieve stress during the work day.SHARON M. LITWIN, 5 STAR CONSULTANTS

GE T A GR IP!:Overcoming Stress & Thriv ing in the WorkplaceT H U R S DAY, M AY 7, 1 : 4 5 P M - 3 :1 5 P M

This practical, fast-paced, and humorous presentation will give you tips, tools, and techniques to get a grip on stress. It will show you how to prevent burnout, improve your health, put your life back in balance, stay calm when times are rocky, and thrive in and out of the workplace.BOB LOSYK, INNOVATIVE TRAINING SOLUTIONS

HOW to M ANAGE YOUR TIME W HEN YOU WE AR TOO M AN Y H ATST H U R S DAY, M AY 7, 3 : 3 0 P M - 5 : 0 0 P M

Time is your most precious resource, one that is often overlooked and mismanaged. Do you know where your time goes each day? Do you feel you never have enough time to do all the necessary “things”? Are you concerned that you’re not doing the right “things”? Do you suffer from paralysis of analysis and can’t decide what to do next? These are just some of the reasons why you may not be achieving your true potential!BOB LOSYK, INNOVATIVE TRAINING SOLUTIONS

T R A NSFOR M AT ION: L eaders, Tea ms a nd S el fF R I DAY, M AY 8 , 10 :1 5A M - 11 : 4 5A M

This interactive presentation will invite home care senior leadership to test their skills and expand their horizons in three primary areas: 1) Solving the leader vs. manager dilemma, 2) Restructuring senior management teams, and 3) Rejuvenating personal commitment, desire to serve and joy in the day to day efforts.YVONNE J. KOCHANOWSKI, CAPELLA UNIVERSITYLONNIE WEDERSKI, CAPELLA UNIVERSITY

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LEADERSHIP TR ACK

Concurrent Sessions


MISCELLA-T R A NSFOR MI NG HOM E C A R E OPER AT IONS T HROUGH PROCESS OP T I MI Z AT IONW E D N E S DAY, M AY 6 , 10 :1 5A M - 11 : 4 5A MProcess Optimization – How agencies can drive measurable and sustainable improvements in operational process consistency and efficiency, financial results, and quality of care using continuous improvement methodologies. Learn how business process re-engineering and Six Sigma methodologies are leveraged to transform inefficient Home Care operations into highly profitable organizations.JEFF YOUNG, MISYS HEALTHCARE

M A R K E T I NG M A K EOV ER Be The Best That You Can Be!W E D N E S DAY, M AY 6 , 2 0 0 9, 1 : 4 5 P M - 3 :1 5 P MTired of the same old look and style? If so, it is time to give your marketing a new image, a new direction, a new boost of confidence to achieve home care growth. Find out how at this session!NEIL ROTTER, ACCREDITED NURSING CARE

WOU N D/OA SIS A SSESSM EN T & DOC U M EN TAT ION Intermediate LevelW E D N E S DAY, M AY 6 , 2 0 0 9, 3 : 3 0 P M - 5 : 0 0 P MIdentify how wounds are classified according to wound depth and etiology, understand evidence-based protocols of care for prevention and management of different wounds based on etiology describe appropriate ConvaTec procedures that can be used based on wound characteristics, depth, and etiology. Will also include WOCN guidance on OASIS skin and wound status and clarification on documentation of wound types OASIS is presently tracking.DEBBIE MYERS, CONVA TEC

TA P DA NCI NG W I T H TOX IC PEOPLE T H U R S DAY, M AY 7, 9 : 4 5A M - 11 :1 5A MLearn how to “Survive and Thrive” when working with impossible people! Gain skills for resolving conflict, diffusing anger, and navigating a hostile environment. This session will cover all the tips you need to effectively deal with upset clients, patients and co-workers.LINDA SUE KENNEDY (MANGELS), BARNEY AND BARNEY, LLC

LIES , DA M N LIES , A N D F I N A NCI A L S TAT E M EN T ST H U R S DAY, M AY 7, 1 : 4 5 P M - 3 :1 5 P MWhy do so many owners have to tap lines of credit to finance day-to-day operations? Rather than being black and white, Financial Statements actually exist in a “gray” world, where accounting decisions, opinions, and policies can significantly impact, and frequently distort, “true” performance. This can lead to inappropriate management decisions regarding investment, resource allocation and operations.DEXTER BRAFF, THE BRAFF GROUP

ICD-9 CODI NG: Keeping up with the ChangesT H U R S DAY, M AY 7, 3 : 3 0 P M - 5 : 0 0 P MKnowing the latest ICD-9 coding guidelines is crucial to the success of every home care agency. This session will cover the 2008 PPS reforms, 2009 coding changes and highlight important coding principles of common disease processes and conditions. It will also provide attendees with an opportunity to practice through sample coding scenarios.JENNIFER WARFIELD, PPS PLUS SOFTWARE

TOP T EN WAY S to V IOL AT E C A LIFOR N I A’ S WAGE-HOU R L AWSF R I DAY, M AY 8 , 10 :1 5A M - 11 : 4 5A MThis session will provide attendees with a better understanding of California’s wage-hour laws and how they apply to the home health industry. We will discuss key “problem areas” and trends in this difficult area, such as rest break/meal period rules, standards for determining who is “exempt”, employee expense reimbursement, rules regarding vacation and other paid time off laws, and how to determine if a worker may be properly classified as an independent contractor. We will discuss strategies for ensuring wage-hour compliance, including how to conduct an effective wage-hour audit.JENNIFER BROWN SHAW, SHAW VALENZA LLP

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MISCELLANEOUS TR ACK(For Everyone)

Concurrent Sessions



SCHEDULE AT A GLANCECONFERENCESAN DIEGO, CALIFORNIA

T U ESDAY, MAY 5

T H U R SDAY, M AY 7

W EDNESDAY, MAY 6

4:00 PM - 6:00 PM REGISTRATION DESK OPENS Welcome Reception: Relax and enjoy Hors d’oeuvres and a hosted bar while you check in.

8:00 AM – 9:00 AM BREAKFAST 9:00 AM – 10:00 AM KEYNOTE SPEAKER 10:15 AM – 11:45 AM EDUCATION SESSIONS[P1] - Driving Customer Service: Creating a Customer Centric

Company Through a Systematic Program![H1] - Pulling It All Together: Documentation for Hospice Providers

and the ADR Process[B1] - The New Home Health PPS: Billing Issues and Solutions[A1] - Scores You Need to Succeed in Home Health P4P[L1] - 10 Dos and Don’ts on Referrals and the Anti-kickback Law[E1] - Transforming Home Care Operations through Process

Optimization12:00 PM – 1:30 PM BUSINESS LUNCHEON1:45 PM – 3:15 PM EDUCATION SESSIONS[P2] - Accounting & Finance for Non-Financial Managers[H2] - Improving Access Through a Performance Improvement

Project[B2] - Write it Right: Documentation and the ADR Process for Home

Health Providers[A2] - Home Care Value Based Purchasing (P4P) Is Just Around The

Corner[L2] - Business Owner to Business Leader: Taking Your Business to the

Next Level[E2] - Marketing Makeover - Be the Best That You Can Be!3:30 PM – 5:00 PM EDUCATION SESSIONS[P3] - Strategic Partnerships[H3] - POLST: Translating Patients’ Wishes into Medical Orders[B3] - Practical Solutions to HHAs Common Problems[A3] - CMS and the 111th Congress: What to Expect, Welcome, and

Fear[L3] - Managing the Virtual Homecare Workforce[E3] - Wound/OASIS Assessment & Documentation

5:00 PM – 7:00 PM EXPO GRAND OPENING7:30 PM – 11:30 PM PAC SPECIAL EVENT

7:30 AM – 8:30 AM BREAKFAST 8:30 AM – 9:30 AM KEYNOTE SPEAKER 9:45 AM – 11:15 AM EDUCATION SESSIONS

[P4] - The Current State of Private Duty Mergers and Acquisitions[H4] - Responding to Serious Illness and Grief in the Workplace: A

Luxury or Good Business Sense?[B4] - Non-Routine Medical Supplies 101: Tracking/Billing & Reporting

on Cost Report[A4] - Tale of Two Agencies: Blending Clinical and Financial Models

for Success[L4] - Managing the Real World of Homecare - Techniques in

Management to Avoid Putting Out Fires[E4] - Tap Dancing With Toxic People11:30 AM – 12:30 PM AWARDS LUNCHEON12:30 PM – 1:30 PM DESSERT IN EXHIBIT HALL 1:45 PM – 3:15 PM EDUCATION SESSIONS[P5] - Using the Agency Web Site to Increase Visibility and Generate

Referrals[H5] - The Forgoing/Withdrawal of Artificial Nutrition and Hydration

From Patients in a Permanent Vegetative State[B5] - Update on Legal Issues in Home Care[A5] - Deficiency Patterns of California Home Health Agencies[L5] - Get a Grip!: Overcoming Stress & Thriving in the Workplace[E5] - Lies, Damn Lies, and Financial Statements3:30 PM – 5:00 PM EDUCATION SESSIONS[P6] - Human Resource Practices and Employment Law for Home

Care[H6] - Intergenerational Care: Focusing on the Children When a

Parent has a Life Threatening Illness[B6] - Field Staff Performance Benchmarks: How Does Your Agency

Compare with the Clinician Scorecards?[A6] - Continuing Financial & Operational Success Under Home

Health PPS Refinement[L6] - How to Manage Your Time When You Wear Too Many Hats[E6] - ICD-9 Coding: Keeping up with the Changes5:00 PM – 7:00 PM EXPO FINALE RECEPTION

8:00 AM – 9:00 AM BREAKFAST 9:00 AM – 10:00 AM KEYNOTE SPEAKER 10:15 AM – 11:45 AM EDUCATION SESSIONS[P7] - Background Screening and The Law[H7] - The New CoP: The Real Impact[B7] - Fundamentals of Health Care Financial Management[A7] - Improving Patient Outcomes by Interpreting and Analyzing

Outcome Reports[L7] - Transformation: Leaders, Teams and Self[E7] - Top Ten Ways to Violate California’s Wage-Hour Laws

FR IDAY, M AY 8

DAILY EVENTS SESSION TRACK NUMBER


HOTEL INFORMATIONManchester Grand Hyatt1 Market PlaceSan Diego, CA 92101p: 619-358-6635www.manchestergrand.hyatt.com

RESERVATIONS: (800) 233-1234 or (619) 232-1234 - Ask for the CAHSAH rate of $239 Single/Double (plus tax). Reservation Deadline: April 6, 2009.

Experience the best of the city at Manchester Grand Hyatt San Diego. Boasting a spectacular waterfront location and lavish amenities, this unique urban resort offers a retreat the whole family will enjoy. Take in stunning views from our inviting pool area, play tennis, or be pampered in our sumptuous spa. The luxury hotel in downtown San Diego is ideally placed to let you explore all this area offers. Step outside our doors to Seaport Village and cruises on the Bay, walk to the Gaslamp Quarter, visit the zoo and SeaWorld, browse museums, even wander in Tijuana. Discover the advantages of this San Diego resort, distinctively heralded among downtown San Diego hotels.

A C T I V I T I E S & LOC A L A T T R AC T IONS

SAN DIEGO ZOOKnown for its animal conservation and education, San Diego Zoo is a world-renowned facility and is visited by millions each year. Arrange for a behind-the-scenes tour, soar above the treetops on the Skyfari Aerial Tram, or explore the rainforest aviary.

SEAWORLD SAN DIEGO Get up close and personal with whales and dolphins and other marine species at SeaWorld San Diego. Recognized worldwide for its premier attractions, SeaWorld is equally committed to the conservation of marine life as well. Look on as Shamu darts, dives and shoots through the air and water. Be prepared to get wet too, since he loves splashing visitors. Sign up the kids for an animal adventure camp.

BALBOA PARKBalboa Park is a 1,200-acre jewel in the middle of San Diego. It offers diverse and seemingly limitless activities. Begin a whirlwind tour of one or all of 15 museums on the premises. Marvel at the detail of a four-acre miniature railroad. Try your hand at lawn bowling or hit the Activity Center, complete with volleyball, table tennis, badminton and more. Listen to the largest outdoor pipe organ known at the Spreckels Organ.

GASLAMP QUARTERThis waterfront area was developed by Alonzo Horton in the late 19th century. It is a vibrant center of shopping, dining and entertainment. Add to your fine art collection with a watercolor from a gallery. Stay on the cutting edge of fashion, with styles from a couture shop. When shopping is done, plan a night out at one of the area’s urban chic lounges, or partake in some of the delicacies offered at Taste of Gaslamp. http://www.gaslamp.org.

SEAPORT VILLAGEWith its location on the water, it’s not surprising that San Diego would have a seaport village. Pick up the latest styles or accessories at some of the 50 shops, just steps from our hotel. Stop along your travels to enjoy a magician or musical group performing throughout the village. http://www.spvillage.com.

WESTFIELD MISSION VALLEY CENTERShop to your heart’s content at this mall, featuring 151 stores. Satisfy your shoe fetish at an upscale designer store. Sample international cuisine at one of 22 dining spots. Quell the kids’ boredom at Inflatable World. http://www.westfiled.com/missionvalley/.

BIRCH AQUARIUMAffiliated with the Scripps Institution of Oceanography, Birch Aquarium promotes marine life conservation through education and research. Feel the hypnotic quality of The Hall of Fishes. Explore three tide pool displays containing such marine animals as sea cucumbers and hermit crabs.

HORNBLOWER CRUISES & EVENTSJoin a Hornblower Cruise to see some of the 28,000 gray whales that traverse these waters on their way to Baja California during Hornblower’s whale watch. Cap off a great vacation with a gourmet dinner on board.

LEGOLANDA classic toy has become a top attraction in San Diego. The park offers visitors more than 50 rides and attractions. Cool off at Pirate Shores. Spin around in Bionicle Blaster. Become part of the action during a 4-D racing movie. Travel back in time on Coastersaurus.

For Detailed Information on Area Attractions Visit Sandiego.org

THE MANCHESTER GRAND HYATT HOTEL SAN DIEGO, CALIFORNIA

TRAVELHOTEL & ATTR ACTION INFOR MATION

CAHSAH’s 2009 ANNUAL CONFERENCE and HOME CARE EXPO

will be HOSTED BY

CAHSAH has negotiated special guest room rates at this hotel.

ROOMS & AMENITIES 1,625 Beautifully Appointed, →Spacious Guestrooms Plush Grand Bed, with →Luxurious Sheeting and Pillow-Top Mattress Generous Work Desk, with →High-Speed Internet Access Windows that Open, to let in →Fresh Sea Breezes

GUEST SERVICES Salon / Boutiques/ Gift Shop → Easy Trolley Access to →Attractions/Downtown Hyatt Fast Board™ / PDA Check- →in / Business Center Babysitting / Knowledgeable →Concierge

DINING & ENTERTAINMENT

Sally’s Seafood on the Water →Lael’s Restaurant →Top of the Hyatt →Redfield’s Lounge and Deli →

PARKING Manchester Grand Hyatt San Diego offers valet or self parking options for our guests:Valet ParkingCost: $28.00 per night with in / out privileges Self-ParkingCost: $20.00 per night with in / out privileges

The parking garage is attached to our downtown San Diego Grand Hyatt hotel and has 1160 spaces. For additional information regarding parking, please call the hotel at (619) 358.6658. Prices are subject to change.

SAN DIEGO, CALIFORNIA

WHAT TO DO IN SAN DIEGOJust footsteps away from the Manchester Grand Hyatt, you will f ind f ine dining and shopping at Seaport Village and the Gas Lamp District’s 65

restaurants and nightclubs. Explore more of “America’s Finest City” as you visit some of the following:


Address City State Zip Code

Register three easy ways!1. Mail registration with payment to: CAHSAH, 3780 Rosin Ct., Suite 190, Sacramento, CA 958342. Fax registration with credit card payment to (916) 641-5881.3. Phone registration in to (916) 641-5795 Ext. 113

o Checko Visa o Mastercard o American Express

Card Number Expiration Date CSC Number

Name as it appears on card Signature CC Billing Address and Zip Code

Date Rcvd: System Date: Payment Date: Confirmation Sent:For CAHSAH use only.

Prepayment is required. If you are taking advantage of the group discount, complete this portionon one form only. If paying by check, please make check payable to CAHSAH.

Which category best describes theposition you hold within yourorganization? (Check only one)

Sr. Administrator (CEO/CFO/COO) Mid-level Manager/Front-line Supervisor Clinician Other:

Please indicate if you require:

ADA Accommodations Vegetarian meals Diabetic meals Other: ______

CAHSAH 2009 Annual Conference & Home Care ExpoProvider Registration Form

Agency Name

Total ______________

Agency

Attendee(s)Each attendee must select their schedule of concurrent sessions. Select education sessions for each attendee below. If you do not choose a session - you will notbe guaranteed a spot in that session. Refer to the pre-registration brochure for session descriptions and corresponding codes or go to www.cahsah.org for schedule.

Telephone FAX or EMAIL (**where confirmations and handout codes will be sent)

Attendee #1 Name Title

o **Special Member Offer: I am a paid registrant for the full conference and will be bringing a colleague to either Wednesday, Thursdayor Friday conference events for $99. Please see accompanying registration form for _________________________ (insert name).

Early Registration Pre-Registration Onsite Registration SubtotalBy 3/20 Between 3/21-4/10 After 4/10Member Non-member Member Non-member Member Non-member

REGISTRATION FEES

*All prices are per person.




May 6:P1, H1, B1, A1, L1, E1P2, H2, B2, A2, L2, E2P3, H3, B3, A3, L3, E3


May 8:P7, H7, B7, A7, L7, E7Circle session choicesfor Attendee #1

Full three-day Conference Registration1 person $510 $1000 $560 $1095 $625 $1160 _____________2 people* $460 $900 $510 $985 $575 $1050 _____________3 people* $440 $855 $490 $935 $555 $1000 _____________4+ people* $415 $805 $465 $875 $530 $940 _____________*qualifies as group discount. Prices are per person from same agency. Payment & registration must be submitted at same time.

Single day Conference RegistrationWednesday Only $270 $520 $320 $615 $385 $680 _____________Thursday Only $270 $520 $320 $615 $385 $680 _____________Friday Only $170 $320 $200 $375 $265 $440 _____________**Special Offer $99 n/a $99 n/a n/a n/a _____________










Attendee #1 Email** RN#





Liability StatementCAHSAH claims no liability for the acts of any suppliersor participants to this event nor for the safety of anyattendee while in transit to or from this event. CAHSAHreserves the right to cancel this function. The totalamount of CAHSAH’s liability is limited to a refund ofthe registration fee.

Dietary RestrictionsPlease indicate if you have dietary restrictions on theregistration form.

Americans with Disabilities Act (ADA)AccommodationsIf you have a disability and may require reasonableaccommodation(s) to fully participate in conferenceactivities, please check here. You will be contactedby CAHSAH staff to discuss your specific needs.

DeadlinesRegistrations must be postmarked no later than April10, 2009. Registrations postmarked after April 10,2009 will be held for on-site processing. Allregistrations processed on-site will be charged a $65per person processing fee.

SubstitutionsIf, due to an emergency, a registered attendee isunable to come to the conference, a substituteattendee may be designated from within the sameorganization. This substitution must be made in writingby the original registrant or an agency representative.

CancellationsA refund (minus 20% per person administrative fee)will be issued if written notice of cancellation isreceived on or before April 10, 2009. No refund willbe issued after April 10, 2009. No refunds will beissued to “no shows.” All cancellations must besubmitted in writing. No credit for future programs willbe extended to cancelled registrations. There can beno exceptions to these policies. A full refund will beissued should CAHSAH cancel the conference.

Confirmation NoticeEach registrant will receive a written confirmationnotice, sent via email to provided email address onthe registration form prior to the conference. Youremail address will not be shared nor used for anyother purpose other than receiving the conferenceconfirmation.

Photocopy and complete registration form as needed. Conference registrations cannot be shared among differentindividuals. Each person must sign up for their own sessions. To receive the group discount, must register two ormore people from the same company and registrations must be submitted together at the same time with a singlepayment.

CAHSAH provides three easy ways to register:1. Fax registration with credit card payment to CAHSAH

at (916) 641-5881.

2. Mail registration along with payment to CAHSAH,3780 Rosin Court, Suite 190, Sacramento, CA 95834.

3. Phone in registration with credit card payment to(916) 641-5795 Ext. 113

Name and Title for BadgePlease enter your name and title as you would like it toappear on your conference badge.

License Number for CEsContinuing Education credits are offered each day toregistered nurses, licensed vocational nurses, coders ,and social workers. If you would like to earn CEs, youmust enter your license number in the space provided onthe registration form and submit the CE request form atthe conclusion of the conference.

Registration FeesAll registrations must be prepaid. Fax, internet, and phoneregistrations must be made with credit card payment. Fullthree-day conference registration fees include thewelcome and finale receptions, all concurrent and generalsessions, a continental breakfast each morning, luncheonson Wednesday, Thursday and Friday, and access to theHome Care Expo.

Registration Fees - Group DiscountSave up to $95 per person when four or more people fromthe same company register for a full three-day conferencepass. This discount is given on full three-day passesonly and cannot be combined with other discounts.Registrations must be submitted at the same time, with asingle payment.

Registration Fees - Special Offer for MembersFor each paid three-day conference registration, memberscan register one agency colleague for either Wednesday,Thursday or Friday conference events at a special rate of$99. Registrations must be submitted at the same timeand by the advanced registration deadline.

Membership Discounts: If your agency renewed earlyand qualify for the special deal. You must pay the fullamount of $510 for the first person. The second personwill be receive 50% off ($255 off of $510).

CAHSAH 2008 Annual Conference & Home Care ExpoRegistration Instructions and Policies


A S P E C I A L T H A N K S to O U R S P O N S O R S

CATHOLIC HEALTHCARE WEST CARE WEST INSURANCEHEALTHCARE SYNERGY

HEFFERNAN INSURANCE BROKERS

FIRST CLASS MAIL U.S. POSTAGE PAID SACRAMENTO, CA PERMIT NO. 1971 3780 Rosin Court, Suite 190

Sacramento, CA 95834

CALIFORNIA ASSOCIATION FORHEALTH SERVICES AT HOME

Documents

CAHSAH ANNUAL CONFERENCE | 2009cahsah.org/documents/420_cahsah_prereg_web.pdfCAHSAH ANNUAL CONFERENCE | 2009 3 SAN DIEGO, CALIFORNIA CONFERENCE GENERAL INFORMATION We have six tracks