As the fall season begins to creep into San Juan County, it can only

October 2014
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As the fall season begins to creep into San Juan County, it can only mean one thing- the
county will Get Pinked.
I feel it is important to mention this campaign in our monthly newsletter because it is such
an important effort within the community.
The Get Pinked campaign is a month long fundraising effort that encourages the
community to paint the county pink and raise awareness for breast cancer and the Cathy
Lincoln Memorial Cancer Fund throughout October.
The fund benefits local women in the county who are uninsured or underinsured and
cannot afford cancer-related tests, treatments, or prescriptions.
Cathy Lincoln was a nurse at San Juan Regional Medical Center and cared for many
patients and impacted many lives. Lincoln died from breast cancer when she was 39-years
old.
The Get Pinked campaign was spearheaded in Lincoln’s honor. The money raised during
the campaign will be donated to the Cathy Lincoln Memorial Cancer Fund.
There are many opportunities to be a part of the Get Pinked campaign. A calendar of the
Get Pinked events will be available in the Oct. 1 Daily Times newspaper.
There will be pink ribbons available at the Basin Coordinated and Basin Home
Health front desks. Please feel free to take a ribbon, pin it onto your scrub/shirt and
wear it to show your support for the survivors and the women and men currently
battling breast cancer.
Industry News Round-Up
Study Finds 18 Million Americans Need Home Care
By Jason Oliva on September 18, 2014 in Data, Home Care, Medicare, News
Approximately 18 million adults age 65 and older in the U.S. require some assistance with activities
of daily living, however, but as several recent studies continue to show, the number of available
caregivers needed to accommodate this demand will be in short supply.
Nearly one-half of older adults—or 18 million people—had difficulty or received help with activities
of daily living within a single month, according to a report from University of Michigan researchers
based on 2011 National Health and Aging Trends Study of more than 8,000 Medicare enrollees.
Of these individuals, nearly three million received assistance with three or more self-care or
mobility activities in settings other than nursing homes.
Nearly all older adults in settings other than nursing homes had at least one informal care network
member, which the study defined as a family member or close friend.
Costs largely played a significant impact for these individuals, with about 3 in 10 receiving paid
care and a disproportionate share of persons having low incomes.
Of those who had difficulty or received help in settings other than nursing homes, 32% had an
adverse consequence in the last month related to an unmet need, whereas for community
residents with a paid caregiver, the figure was nearly 60%.
“The older population—especially those with few economic resources—has substantial late-life
care needs,” concludes the study’s authors. “Policies that improve long-term services and supports
and reduce unmet need could benefit both older adults and those who care for them.”
Baby Boomers To Put More Pressure on Home Health
Demand
By Cassandra Dowell on September 4, 2014 in Home Care, Long Term Care, News
Two out of three older adults with disabilities who receive long-term care services at home get their
care exclusively from family members; yet, a significant share of the youngest baby boomers, aged
50 to 59, do not have children who might take care of them as they age, according to a new report
released Tuesday by the Harvard Joint Center for Housing Studies and the AARP Foundation.
Currently, just 9% of older adults with disabilities who receive long-term care services at home rely
solely on paid help, and that may be attributed to cost, said Chris Herbert, acting managing director
with the Harvard Joint Center for Housing Studies. The median monthly cost for a home health
aide is $2,568 — or $30,810 annually, data show.
Despite the reasons why family caregivers are more common, the ratio of potential family
caregivers to those over 80 will decrease from 7- to-1 today to 4-to-1 by 2030, and to less than 3to-1 by 2050, AARP estimates.
“The family care ratio is going the wrong direction, and is going to put more pressure on other
resources of care,” Herbert said.
Those other resources of care, including personal care and home health aides, are projected to
see a surge in demand in the coming years, with those professions topping the list of the top 10
fastest growing jobs in America, according to a recent article by 24/7 Wall St.
The growth in employment for home health aides is projected to grow by 48.5% between 2012 and
2022, just .3% less than the projected growth for personal care aides.
CMS Updates Hospice Coding Requirements
By Cassandra Dowell on September 2, 2014 in CMS, Hospice, Medicare
The Centers for Medicare & Medicaid Services (CMS) has updated its Medicare hospice manual,
which includes instructions for diagnosis reporting, filling hospice notice of election (NOE) and
termination or revocation of election.
The updates go into effect Oct. 1.
The new editing instructions for hospice primary diagnoses and newly required timeframes
for submitting information to Home Health & Hospice Medicare Administrative Contractors
(MACs) might impact providers’ reimbursement, a Medicare Learning Network (MLN) memo
states.
“The principal diagnosis reported on the claim should be the diagnosis most contributory to
the terminal prognosis,” the MLN says. “The coding guidelines state that when the provider has
established, or confirmed, a related definitive diagnosis, codes listed under the classification of
Symptoms, Signs, and Ill-defined Conditions are not to be used as principal diagnoses.”
Additionally, there are several dementia diagnosis codes that cannot be used as the
principal diagnosis.
Hospice NOEs must be filed within five calendar days after the effective date of hospice election,
otherwise Medicare will not cover and pay for the days of hospice care from the effective date of
election to the date of NOE filing. However, the update does provide for exceptions to this rule,
including natural disasters.
The updated manual also provides a clarification of the differences between Healthcare Common
Procedure Coding System (HCPCS) site of service codes Q5003 and Q5004.
Read the MLN memo here, or click here to read the official instructions regarding manual
changes.
Employee Spotlight
Dr. David Greenberg
Many of you may have seen a new face around the office before the weekly hospice meetings. His
name is Dr. David Greenberg, and he is Basin Home Health & Hospice’s new medical director.
Growing up in Chicago, Dr. Greenberg later attended Brown University in Rhode Island and
completed his residency in Utah before moving to the Four Corners area.
He became interested in the medical field after being involved in public health. “Instead of
planning and talking about health as an abstract issue, I wanted to provide the care” to people, Dr.
Greenberg explained.
Dr. Greenberg is a local family physician, but also specializes in hospice and palliative care. At
Basin, his responsibilities include overseeing the plans of care for patients and to help develop a
treatment plan that focuses on patient comfort.
“I believe the hospice philosophy is important and I want to help people understand that. We can
make the dying process something more accepted in society,” he explained.
A resident of Durango, Colo. for ten years, Dr. Greenberg’s hobbies include anything involving the
outdoors. “I love skiing, backpacking, really anything the Four Corners has to offer.”
When he is not working, Dr. Greenberg and his wife, a kindergarten teacher in Durango, enjoy
watching their two children compete in cross-country skiing races.
Welcome to the Basin Family, Dr. Greenberg!
Healthy EATS | Hearty Sirloin Chili
Recipe Courtesy of Food Network Kitchen
Ingredients

2 tablespoons vegetable oil

1/2 cup flour

Salt and pepper

2 pounds sirloin, bite size chunks

2 large onions, chopped

1 green bell pepper, seeded and
chopped

1 red bell pepper, seeded and chopped

2 jalapenos, seeded and chopped

3 cloves garlic, chopped

2 tablespoons chili powder

1 tablespoon cumin

1 teaspoon oregano
Directions

12 -ounce bottle ale
Heat oil in large heavy pot over medium high

2 cups low sodium beef stock

4 cups crushed tomatoes

2 cups canned black beans, drained and
heat. In a pie plate combine salt, pepper and flour
with a fork. Toss sirloin cubes with flour to coat.
rinsed

sides and remove meat to a plate. If necessary
add more oil to pan and add onions. Cook onions
2 cups canned kidney beans, drained
and rinsed

Shake off excess flour. Brown sirloin in pot on all
over medium heat until they begin to soften. Stir
in green, red and jalapeno peppers and cook for
Garnish: Shredded cheddar, red onion,
3 to 5 minutes. Add chili powder, cumin and
scallions, sour cream
oregano. Return browned meat to pan and pour
in beer and beef stock. Bring to a boil and cover
and reduce heat to a simmer. Cook for 45
minutes or until meat is tender. Add crushed
tomatoes and cook for 20 minutes. Stir in black
and kidney beans and gently simmer for 10
minutes. Serve with cheddar, onion, scallions and
sour cream.
October Events
OCTOBER 2-5
103 ANNUAL NORTHERN NAVAJO NATION FAIR
The Annual Northern Navajo Nation Fair is held in Shiprock, New Mexico. Come out and enjoy the
fair and celebrate the harvest, culture and traditions of the Navajo Nation. The parade will take
place Saturday morning, October 4. Visit the Shiprock Fairgrounds to see the animal and
agricultural exhibits, pageants, arts and crafts, the carnival, rodeos, live concerts, Pow-Wow and
Indian Market vending. Fair festivities include the traditional Yei’Bi’Chai Ceremony, Youth Day
activities and Elder Fest.
Information: 505-918-7624 or www.nnnfair.com
OCTOBER 3
HARVEST PARTY
The Sycamore Park Community Center, 1051 Sycamore St., will host this free party from 5 p.m. to
7 p.m. Join us for games and fun to include bobbing for apples, hay bale hop, musical chairs, ring
toss, a corn dig, and more.
Information: 505-566-2480
OCTOBER 4
CHILE IN OCTOBER
Taste and vote for the best salsa and chile in town! Join us at Berg Park to help decide who has
the best red chile, green chile and salsa. Enjoy the best in local chile, great music by Alex Paul and
the Firewall and beverages from Three Rivers Brewery and Wines of the San Juan! Chile and salsa
contest sponsored by the Farmington Chamber of Commerce. Admission is $5 and includes a
spoon and 2 cups, after entry $1 for 2 cups.
Information: 505-325-0279
OCTOBER 4
ROAD APPLE RALLY
Annual Mountain Bike Race and tour offers pro/experts, veterans and beginners a test of skill on a
30-mile single and double-loop course through canyons and arroyos near San Juan College in
Farmington, NM. Race registration deadline is Wednesday, October 1st, with late registration on
Thursday, October 2nd.
Information: 505-599-1140 or www.roadapplerally.com
OCTOBER 4 - 5
AZTEC HIGHLAND GAMES AND CELTIC MUSIC FESTIVAL
Celebrate the culture of the Scottish Highlands with an American Southwest twist at riverside Park
in Aztec, NM. Enjoy live Celtic music and physical competitions by professional athletes (Caber
Toss, Hammer Throw, Braemar Stone, etc.) There will be Scottish and Irish dance exhibitions,
bagpipe band exhibitions, clan tents, ruby exhibitions, traditional food and more!
Information: 505-334-7646 or www.aztechighlandgames.com
OCTOBER 10
MASQUERADE FASHION SHOW
Come and support 'Get Pinked' at San Juan College Henderson Fine Arts Building at 6pm! Enjoy
an evening of beautiful fashion, silent auctions and support a great cause. All proceeds go to the
Cathy Lincoln Fund. Clothing Revival and Jae Geo's are the fashion designers and The Head Shop
Salon and Day Spa will provide hair and makeup.
Information: 505-326-3311
OCTOBER 10
FALL ART WALK & FUN RAISER
Come walk through Historic Downtown Farmington, from 5 to 9pm and enjoy a beautiful fall
evening with art receptions and open houses. A wide variety of art from regional artists will be
showcased throughout many of the downtown shops, galleries and restaurants. Purchase Dia de
los Muertos inspired art playing cards (Dia Deck) at Studio 116. Art Walk maps will be available at
participating locations. The Art Walk is coordinated by the Farmington Downtown Association, and
sponsored by Parks, Recreation, and Cultural Affairs.
Information: 505-599-1419
OCTOBER 10 – 11
FOUR CORNERS STORYTELLING FESTIVAL
National and local storytellers of all ages will be featured in the two-day celebration of an almost
lost art - Storytelling. Slow down the pace, kick back and listen to traditional tales told by some of
the very best national and local storytellers. The festival will feature stories of all varieties…scary
ghost stories, family stories, folklore and myths! Festival events are held at Berg Park and The
Totah Theater.
Information: 505-599-1270 or www.infoway.org
OCTOBER 11
RACE 2 EDUCATE - HALF-MARATHON, 10K AND 5K
Join us for the annual Race 2 Educate Half - Marathon, 10K and 5K! Register before September 15
to ensure you get a t-shirt. Students in the Farmington Municipal School district can race for
FREE! Organized by the Foundation For Educational Excellence as a fund-raiser, the race will
open with the Half-Marathon at 8:00 a.m., 10K at 8:15 a.m. and 5K at 8:30 a.m. Register or find
maps and more information online at http://race2educate2014.eventbrite.com/
Information: 505-324-9840
OCTOBER 31
BOO-PALOOZA
Join us on Main Street from 4 p.m. to 7 p.m., for safe trick or treating, carnival games, a Monster
Mash Dance in Orchard Park, costume contest for children, pet costume contest and more!
Information: 505- 599-1419
Get Pinked 2014 Kick-Off!
Basin Home Health, Inc. and Partners
Assisted Living Services will attend the
Get Pinked Kick-Off Rally from 2-5
p.m. on Saturday, Oct. 4th at the
McGee Park Convention Center. Make
sure to stop by our booth and say hi if
you attend!
Happy Birthday!
Beth Anne O'Keefe- 10/9
Amelia Nicholson- 10/10
Linlea Ahkeah- 10/12
Amanda Ibarra- 10/20
Welcome to the Basin Family!
Candace Gorman (BHH CNA)
Gwen Lovato (BCH Coordinator)
Beth Anne O'Keefe (Lead Accountant)
Caylin McKeen (Part-Time Assistant)
Congratulations on your new positions!
Evelina Charley- Staff Supervisor
Travis Donalson- Administrator
Theresa Stires- Assistant Administrator
Angie Hampton- Medical Records
Jacque Justice- Medical Supplies
Michelle Salas- BHH Receptionist
Have an idea for the next employee e-newsletter? Email it to [email protected]!
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Basin Home Health, Inc. · 200 N. Orchard · Farmington, Nm 87401 · USA

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