Christina Andrews, Senior Manager, Growth Solutions, Simione Healthcare Consultants
Christina is a seasoned strategic leader in home-based care with nearly 20 years of experience in marketing and sales, business development, operations and team management. She focuses on supporting clients in home health, hospice and private duty with consulting and training in the areas of sales and marketing, operations and market analytics. After beginning her career in 2001 with HCR ManorCare, Christina held diverse corporate, field and management positions, developing a strong background in strategic planning, project management, quality, compliance, reimbursement and market analysis. Her progressive responsibilities included service as a business development manager, hospice administrator, and regional leader to support growth for multi-state operations. Christina’s accomplishments include the development of a marketing analytics platform, management of multi-state CON processes, and implementation and training for numerous growth initiatives for home health and hospice in the areas of sales, operations, and clinical and leadership development. Christina earned a bachelor’s degree in business administration with a concentration in marketing from the University of Toledo in Ohio. She also completed a certificate program at Villanova University, earning designation as a Six Sigma Green Belt.
Dawn Cheek, RN, BSN, Director, Clinical Consulting, McBee
Dawn Cheek is a Clinical Consulting Director at McBee. Sl1e is involved with home health, hospice, and hospital engagements and has been a healthcare consultant for 13 years. She has performed Medicare compliance reviews and related chart reviews for home health agencies, hospices, and hospitals. For home health, she provides extensive knowledge of clinical operations, ADR/Denials appeal services, and home care and hospice documentation regulations. Her nursing background, coupled with her leadership experience, allows her to effectively monitor operational process and agency compliance.
Tiffany Christensen, Vice President of Experience Innovation, The Beryl Institute
Tiffany Christensen approaches her work from the perspective of a life-long patient and a professional patient advocate. Christensen is a nationally recognized public speaker and the author of three books exploring advocacy, end of life planning and partnership strategies in healthcare. Tiffany is also a TeamSTEPPS Master Trainer, a Respecting Choices Advance Care Planning Instructor, an APPEAL certificate recipient, and the co-creator of her own workshop series for developing and advancing Patient Advisory Programs.
Tiffany served as a patient advocate at Duke Hospital working primarily in the area of Oncology. She also worked as the Program Coordinator for Duke Medicine’s Patient Advisory Council Expansion Program. After leaving Duke, Tiffany became a Patient and Family Engagement Specialist at the North Carolina Hospital Association focusing on advancing the role of the PFA, Experience Based Co-Design and TeamSTEPPS for Patients.
Today, Tiffany is the Vice President of Experience Innovation at The Beryl Institute. Tiffany specializes in dynamic, meaningful keynote presentations which serve as a bridge between the professional and patient experience. Tiffany possess a rare perspective—one that is deeply grounded in compassion for both sides of the bed—and uses that perspective to help audiences reshape their understanding of “the practice of experience.”
Nicole Clagett, Co-Founder, Guiding Lights Caregiver Support Center; Director, Caregiver Support, Transitions LifeCare; Co-Host, Edge of Aging Podcast
As a member of the long-term care community for over 20 years, Nicole has witnessed the impact (socially, emotionally, and economically) that caregiving has on families. Nicole is the Co-Founder of Guiding Lights Caregiver Support Center, a charity that focuses in providing information, referral, education and support to family caregivers. Guiding Lights has been proudly serving the community for 10 years. She is also the Director of Caregiver Support for Transitions LifeCare. In addition, Nicole works with various media outlets through broadcast journalism by using her voice and expertise to educate by raising the base knowledge of the community as a whole is a gift that Nicole is so grateful to have been given. The use of media empowers the community to know what options exist to support them in their caregiving roles. Nicole Co-Host’s the Edge of Aging podcast which served to be the impetus for the creation of SPRX Talks.
Nicole’s perspective on what it is like to be both a professional and personal caregiver (having cared for her grandfather and a friend) serves as a constant reminder of why she gets up every day to continue to do the work that she does to serve our community.
William “Bill” A. Dombi, President, National Association for Home Care & Hospice
Bill Dombi is the President of the National Association for Home Care & Hospice. He previously served as the Vice President for Law at NAHC. As a key part of his responsibilities, Bill specializes in legal, legislative, and regulatory advocacy on behalf of patients and providers of home health and hospice care. With nearly 40 years of experience in health care law and policy, Bill Dombi has been involved in virtually all legislative and regulatory efforts affecting home care and hospice since 1975, including the expansion of the Medicare home health benefit in 1980, the formation of the hospice benefit in 1983, the institution on Medicare PPS for home health in 2000, and the national health care reform legislation in 2010. With litigation, Dombi was lead counsel in the landmark lawsuit that reformed the Medicare home health services benefit, challenges to HMO home care cutbacks for high-tech home care patients, lawsuits against Medicaid programs for inadequate payment rates, along with current lawsuits challenging the Medicare home health face-to-face encounter rule and the Department of labor changes to the overtime rules under the Fair labor Standards Act.
In addition to litigation, Bill offers extensive 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 lectures 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 telehealth services.
Alissa Fleming, Of Counsel, Womble Bond Dickinson
Alissa is a Healthcare Attorney and Registered Nurse. She advises healthcare providers on a range of legal issues. Alissa’s clients include large hospital systems, long term care facilities, home health and hospice agencies, pharmacies, and healthcare professionals. Her counsel touches on almost every aspect of health care operations including regulatory compliance; litigation; Medicare and Medicaid reimbursement, audits, overpayment appeals, and voluntary repayments; risk management; investigations and disclosures under the CMS and OIG self-disclosure protocols involving potential violations of the Fraud and Abuse Anti-kickback Statute and Stark Law; HIPAA privacy and security; and clinical research compliance.
Ellen Fulp, PharmD, MSPC, BCGP, Director of Pharmacy Education, AvaCare, Inc.
Ellen Fulp earned her Bachelor’s Degree in Pharmaceutical Science and her Doctor of Pharmacy Degree from the University of North Carolina at Chapel Hill. She completed her Master’s Degree in Palliative Care at the University of Colorado Denver, as the only pharmacist member of the inaugural class. Ellen is Board Certified in Geriatric Pharmacy, specializing in safe, appropriate medication use in the elderly. Since 2013, she has been on staff at AvaCare, an independent hospice pharmacy benefits manager, providing clinical services to hospice and palliative care clinicians from across the nation. In 2019, Ellen accepted the role of Director of Pharmacy Education for AvaCare. She routinely provides consult regarding appropriate symptom management, regulatory issues, and medication appropriateness at end-of-life. Ellen is active in the American Academy of Hospice and Palliative Medicine pharmacotherapy special interest group and works closely with state hospice and palliative care organizations and the National Hospice and Palliative Care Organization to improve medication use for patients facing serious illness. Her interests include pain management in the geriatric patient population, medication appropriateness, and expanding access to community based palliative care.
Melinda Gaboury, CEO, Co-Founder, Healthcare Provider Solutions
Melinda A. Gaboury, with more than 29 years in home care, has over 18 years of executive speaking and educating experience, including extensive day-to-day interaction with home care and hospice professionals. She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare PPS training, billing, collections, case-mix calculations, chart reviews, and due diligence. UPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry. She is currently serving on the NAHC/HHFMA Advisory Board and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-D1.
Dee Geray, RN, Clinical Consulting Senior Manager, McBee
Ms. Geray specializes in the hospice industry as a Senior Clinical Consulting Manager for post-acute solutions at McBee Associates, Inc. Dee joined the firm in 2015 with more than 30 years of clinical and operational experience including 6 years of military and 20 years of hospice leadership experience. Her expertise includes operationalizing new CMS requirements, compliance and due diligence oversight, and evaluating and optimizing agencies for best operational and clinical practices. Since working with McBee, Dee works with hospice providers nationwide to perform Independent Reviews for Corporate Integrity Agreements for the Office of the Inspector General, Medicare compliance reviews, Due diligence reviews, successful state survey support, evaluates and assists in developing solid operational and clinical processes, and establish internal audit plans. She has presented for agencies and in both State and National conferences on hospice topics such as case management, long length of stay compliance, documentation, quality programs and pre-claim reviews.
J’non Griffin, President and Owner, Home Health Solutions
J’non Griffin is a 32 year veteran of home care as an RN. She received her Master’s Degree in Health Care Administration in 2005. She has experience as a field nurse, director and executive with home health and hospice agencies, both large and small. She has served as Director of Staff Development and Appeals for home health and hospice agencies. She has taken part in mock surveys for agencies, and prepared agencies for accreditation. She has been directly involved in accreditation surveys, acquisitions and many regulatory crises with state survey agencies and the intermediary. As Regional Director of Operations for a home care company, J’non was ultimately responsible for the operations of several branch agencies. She completed billing audits, supervised personnel, handled employment issues and trained managers. Part of her responsibilities have included risk management, acting as Compliance Officer, development of policies and forms, survey compliance, appeals of Medicare denials, writing Corrective Action Plans, start-ups of parent and branch agencies, consulting with agencies on a variety of subjects and education of staff. J’non is certified as a Homecare Coding Specialist-Diagnosis (HCS-D), Certified in OASIS competency, COS-C, Certified in Homecare Coding Specialist-Hospice (HCS-H), Home Care Specialist-Compliance (HCS-C) and is an AHIMA approved ICD-10-CM trainer/ambassador. J’non is an accredited ACHC and CHAP consultant. J’non is also on the board of Home Care Directions, and is a frequent contributor, along with an expert on HcPro’s Ask an Expert Panel. She has also been a frequent contributor to the Decision Health Publication, The Diagnosis Coding Pro, Published several manuals, and assisted with composition of several online modules for coding and OASIS instruction.. She has presented several webinars, and has been a nationally recognized speaker on a variety of subjects.
Terri Harris, Partner, Fox Rothschild LLP
With 30 decades of experience, Terri has worked with all types of health care providers in navigating the many risks and challenges of the rapidly changing health care industry. Terri has developed a deep understanding of health care laws and regulations to aid health care clients in their compliance efforts and to assist clients who are alleged to have failed to comply with health care laws or regulations. She has regularly advised clients regarding almost every aspect of health care operations, including Medicare and Medicaid reimbursement and voluntary overpayment refunds, certificate of need and licensure, confidentiality of medical information and HIPAA, medical staff and peer review, advance directives, professional discipline and licensure, risk management, operational policies and contracting. Terri has also worked with post-acute care and other provider clients who seek to provide new or expanded services to obtain approval through the North Carolina Certificate of Need process. In addition to her regulatory compliance practice, Terri has handled litigation at the trial and appellate levels, including jury and non-jury trials and arbitration in medical malpractice cases and commercial disputes in state and federal courts, as well as in the Office of Administrative Hearings, where she handles appeals of decisions by Certificate of Need, licensing and other administrative agencies. Terri has been a regular speaker and presenter on a variety of health care compliance and risk management topics and has spoken on the risks and challenges of opioids in long term care for the American Health Law Association and Leading Age North Carolina.
Doug Lang, Senior Director of Client Growth, Health Recovery Solutions
Mark Hendrix, CEO and Founder of nTakt, Inc.
Mark Hendrix is CEO and Founder of nTakt, Inc. (@nTakthealthcare). Founded in 2003, nTakt focuses on uncomplicating healthcare and understands that no matter how game-changing the technology, desired results can only be achieved through a combination of simplified processes, meaningful technology, and hands-on training. nTakt supports a variety of healthcare settings including hospitals, physician practices, clinics, billing offices, and administrative areas.
From 2014 through 2018, he served as Director of Palliative Care Operations for Four Seasons Compassion for Life and a Project Director for the CMMI palliative care grant. The grant focused on standardization of palliative care processes, improving patient outcomes, and developing alternative Medicare reimbursement models. In addition to staffing their model with Nurse Practitioners, Physicians, Nurses, Social Workers, Chaplains, and an entire administrative team, his team enrolled and monitored quality and cost data on over 5500 patients during the 3-year grant period. LEAN concepts such as value stream mapping were used to optimize processes, reduce patient wait time, and provide the right care at the right time and in the right place. The team also developed risk stratification techniques to plan patient care, utilized new billing codes to improve profitability, implemented telehealth to provide care to under-served patients in rural areas, and integrated these new processes into an EMR. The grant took center-stage in making palliative care a sustainable model that allows providers to care for an aging population.
Nick Knowlton, Vice President of Strategic Initiatives for ResMed, parent company of Brightree and MatrixCare
Nick Knowlton is the Vice President of Strategic Initiatives for ResMed, parent company of Brightree and MatrixCare. He leads the company’s interoperability initiatives, amongst other areas. Nick brings more than 20 years of business experience across sales, marketing, product and strategy roles for technology and health information technology businesses. Prior to joining ResMed, Nick ran strategic initiatives for Greenway Health, a market leader in the physician practice EHR space. Nick is extremely active in the post-acute industry -- he is the chair of the board of directors of CommonWell Health Alliance and is on the board of HCTAA and PDHCA, which are affiliates of NAHC. Nick has a Bachelor of Science degree with a major in Biochemistry from the University of Notre Dame.
Doug Lang, Senior Director of Client Growth, Health Recovery Solutions
Doug Lang is the Senior Director of Client Growth for Health Recovery Solutions. He is responsible for working with existing clients to identify use cases for remote patient monitoring and also deploy new solutions that can add value to their patients and providers. Doug has a long career in the healthcare industry that spans more than 10 years across digital health, revenue cycle management and medical devices. With a degree in finance and 10 years spent in the financial markets prior to transitioning to healthcare, Doug also brings an understanding of the importance of positive return on investment that is necessary for sustainable programs.
Bradley Lawton, Product Manager, MatrixCare
Bradley Lawton joined MatrixCare in 2017 and currently serves in the role of Product Manager for ReferralConnect. Bradley’s diverse background in Healthcare includes the Development and Implementation of Patient Portals, Integration of Bluetooth Technology Devices to Personal Health Records and Risk Analysis for Population Health Management. Bradley has a degree in Industrial Engineering Technology and is a Six Sigma Greenbelt. He holds certifications for Pragmatic Marketing, Continuous Improvement, Lean Manufacturing and various CRM Systems. He resides in Mobile, Alabama with his wife Krystal.
Melynda Lee, MBA, Director, Growth Solutions, Simione Healthcare Consultants
A member of the Simione team since 2016, Melynda Lee is a nationally recognized expert in home care and hospice sales, marketing and referral management, communications, public relations, administration and strategic planning. Melynda previously served as a home health and hospice leader in Florida and Georgia for 8 years, and is a former board member and education committee member for the Georgia Hospice and Palliative Organization. She is a co-founder of the Greater Atlanta Hospice-Veteran Partnership. She is an expert trainer of home care and hospice professionals, and speaker at state and national association conferences. Before making a career change to home care, Melynda served for 10 years as a marketing leader and publisher with the New York Times Company. The recipient of a Digital Marketing Certificate from Cornell University, Melynda excels in assessment of marketing and communications programs, brand and marketing communications, and client assistance to measure and improve competitive strategies for growth. She is also a True Colors® Certified Facilitator, helping individuals and teams identify their leadership styles to maximize performance, and holds a certificate in Instructional Design. Melynda earned a BFA in advertising design from University of North Florida, and an MBA from Webster University. She completed the Management Development Program at Northwestern University, Kellogg School of Management, and the Executive Development Program of the American College of Healthcare Executives.
Cooper Linton, MHA, MBA, Associate Vice President, Duke HomeCare & Hospice
Cooper Linton has worked in the healthcare industry for over 20 years with a passionate focus on home and community-based care. His professional background includes strategic planning, healthcare operations, certificate of need, marketing, business development, and healthcare construction. His current role is a the associate vice president for Duke HomeCare, Hospice, and Home Infusion.
Mr. Linton holds a Masters in Healthcare Administration and a Master’s in Business Administration from the University of Alabama at Birmingham where he also completed his Graduate Certificate in Gerontology. Cooper believes that his greatest “real world” education came through his role as a caregiver while he shared the care-journey of his parents. He co-founded Edge of Aging with Nicole Clagett. When not working, Cooper is happily busy as a husband, father, and an avid outdoorsman.
Stan Massey, BA, Partner/Lead Consultant, Transcend Strategy Group
Stan Massey, BA, offers nearly 40 years of brand improvement and marketing experience. For the past 18 years, Stan has been developing effective communication strategies, creative concepts and attention-grabbing campaigns to successfully build brands for providers of home-based care and senior care. Guided by research, Stan skillfully crafts strategic marketing plans and messages that speak to their target audiences and yield exceptional results – helping to increase referrals, elevate quality, improve the patient experience and ultimately boost revenue. Stan has worked on improving internal communications as well as crafting marketing strategies and campaigns for more than 40 home-based care organizations, coast to coast. He has been invited to serve as a keynote speaker or session speaker at more than 30 state home health and hospice conferences and at multiple national conferences.
Ryan Mattson, Director of Recruiting and Operations – Simione Healthcare Consultants
Ryan has been with Exact Recruiting, A Simione Talent Solution, since 2009. He started as a recruiter before managing key accounts, until he began taking more leadership and operational duties. As the Director of Recruiting and Operations for Exact Recruiting, Ryan helps clients fill key roles by managing the entire search process, acting as the point person for our clients, while working closely with the recruiting team helping home care and hospice professionals find positions that best suit their career goals. In addition, he manages internal operations and works collaboratively with fellow Director Jo Rodgers and Principle Eric Scharber to ensure success of Simone’s Talent business line to better serve the industry of Home Health, Hospice, and Community Based Services.
Tom Maxwell, cofounder and co-CEO, Maxwell Healthcare Associates (MHA)
Tom brings nearly 30 years of healthcare experience to his position as cofounder and co-CEO of Maxwell Healthcare Associates (MHA). Along with his day-to-day duties at MHA, Tom also serves as a strategic advisor and board member for St. Croix Hospice, Hospice Care of South Carolina, Trella Health, and is the co-founder and chairman at Muse Healthcare, Inc. Previously, Tom served as chief strategy officer and chief operating officer at Homecare Homebase, home health’s largest EMR. Tom was responsible for developing the organization’s interoperability strategy, sales and marketing teams, as well as the product strategy--all with the goal of helping thousands of home health and hospice users eliminate redundant processes and streamline their workflows, resulting in greater clinical and financial outcomes.
Prior to his time at HCHB, Tom held leadership positions in customer service and implementations at GE Healthcare part of the Millbrook Corporation acquisition. Additionally, Tom began his healthcare career as a Navy Hospital Corpsman, serving with the Fleet Marine Force (FMF). Tom is a proud supporter of all veteran programs and continues to volunteer his time and resources to serve those that have protected this country for years. Tom and Jennifer Maxwell are also the founders of a family foundation called BKND2ALL.
Lisa McClammy BSN, RN, COS-C, HCS-D, Senior Clinical Education Consultant, MAC Legacy
Lisa is a Registered Nurse with more than 22 years of nursing experience in various areas of healthcare. She received her Associate Degree from Tarleton State University in Stephenville and went on to obtain her Bachelor of Science in Nursing from the University of Texas at Arlington. Lisa has more than 7 years of experience in the home health arena, as the Director of Customer Success for a Healthcare Software company and as the Director of Patient Care and Alternate Administrator for a home health agency. Lisa is an active member of the Texas Association of Home Care & Hospice serving on both the Medicare/Medicaid and Clinical Practice committees. She also is an accredited ACHC consultant for home health, hospice and private duty.
Laura Page-Greifinger, BSN, RN, MSA, Consultant/Thought Leader/Co-Founder of Quality in Real Time
Laura Page-Greifinger, RN, BSN, MPA has more than 30 years of experience in senior-level healthcare management experience, including the development of multiple new programs and the provision of a variety of services and programs resulting in positive client outcomes. These services encompassed integrated health care services designed to mesh with individual operating entities’ missions and goals.
At times these programs were the first of their kind in a region, necessitating education at all levels of professionals and community organizations, as well the education of referral inlets. Laura’s focus is post-acute organizational structure, the education and support of staff needed to succeed in this structure, key indicator development, quality outcomes for patients within the structure, project management, financial analysis, and profitability. Laura, founder and principle of QIRT, has served on multiple boards of directors and has been faculty for community health programs at the baccalaureate and graduate level. The most current years of Laura’s career have been devoted to consulting with corporate entities to lay the foundation for industry success. Laura’s extensive experience in the post-acute health care field has given her expert perspective on processes and an understanding of the uniqueness of each agency, clinician, and patient.
David Rendall, Author, Speaker, Comedian, Athlete
During the last fifteen years, David Rendall has spoken to audiences on every inhabited continent. His clients include the US Air Force, Australian Government, and Fortune 50 companies such as Microsoft, AT&T, United Health Group, Fannie Mae, and State Farm. Prior to becoming a speaker, he was a leadership professor, stand-up comedian, and nonprofit executive. In between presentations, David competes in ultramarathons and Ironman triathlons. David has a doctor of management degree in organizational leadership, as well as a graduate degree in psychology. He is the author of four books: The Four Factors of Effective Leadership, The Freak Factor, The Freak Factor for Kids, Pink Goldfish.
Jessica Rockne, Senior Product Manager, Revenue Cycle, MatrixCare; Panelists - TBD
Jessica Rockne is a Senior Product Manager with MatrixCare, a Home Health, Hospice and Palliative Care EMR. She has been in the post-acute healthcare industry for over 13 years first as a Business Director of a home health and hospice organization and on the software side of the house as an Implementation Project Manager and Senior Product Manager. Jessica's experience working with hundreds of organizations all over the country gives her a unique perspective into the challenges organizations face with increased regulatory oversight, changes to the reimbursement landscape, and impact of the public health emergency. Over the past year, Jessica's focus has been on researching and implementing solutions for Palliative Care into the MatrixCare product.
Kathie Smith, BSN, RN, Vice President, State Relations, Home & Community-Based Care
South Carolina Home Care & Hospice Association
Kathie Smith, RN, has been with the Association for Home and Hospice Care of NC since 2004 and graduated May 12, 2018 with her BSN from Barton College. Prior to her employment at the Association, she worked with the NC DHHS Division of Medical Assistance, the state Medicaid agency, in the Home Care Policy section. Kathie has extensive experience working with the Division of Health Service Regulation on Home Care licensing rules, laws and regulations as well as NC Medicaid policy and billing requirements. She provides technical assistance on a number of regulatory and operational issues to AHHC members. Kathie is certified in integrated chronic disease management, is a master training in Coaching Supervision and served on the North Carolina management team for the Personal and Home Care Aide State Training (PHCAST) grant which has developed Home Care Specialty training for NC home care aides. She also served on the NC Better Jobs Better Care partner team that developed the NC New Organizational Vision Award (NC NOVA), a workforce development program for direct care workers. Kathie is a frequent state and national speaker on topics related to Home Care Licensing rules, regulations, laws, and payer source policies. She is the Editor of 4 member newsletters including the In-Home Aide Partners in Quality Care newsletter with a national viewership. She is a member of the American Nurses Association, the North Carolina Nurses Association, Sigma Theta Tau International Honor Society of Nursing, and Alpha Chi National College Honor Society.
Steven R. Smith, Brigadier General, United States Army, Retired;
Chief Human Resources Officer, Duke Medicine, Retired
Steve Smith was born in Denver, Colorado. He entered the Army in 1971 as an ROTC graduate of the University of Nebraska. He is a graduate of the National War College and holds a Bachelor of Science Degree in Zoology and a Master of Educational Administration from Colorado State University. Steve served 27 years in the Army, attaining the rank of Brigadier General. His last active duty assignments included Commander of the 18th Personnel Group (Airborne), XVIII Airborne Corps, Fort Bragg, North Carolina; Director of Personnel for Joint Task Force Operation Restore Democracy in Haiti; the 58th Adjutant General of the Army; Director of Enlisted Management; and Deputy Commanding General of the United States Army Recruiting Command. In August of 1998, Steve retired from the Army and joined Duke University and Duke University Health System as the Director of Recruitment and Employment. In February 2001 he was selected to be the Director of Human Resources for Duke University Hospital, and in April 2005 he was appointed Chief Human Resources Officer for Duke Medicine (including the Duke University Health System and Medical Center). He retired from Duke University Health System in January 2017. He and his wife Luci have two children and three grandchildren.