Maryland-National Capital Homecare Association

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Since 2018, Sydney Palinkas has served as the Community Educator at the ElderSAFE Center, an award-winning program of Charles E. Smith Life Communities. In her role, she builds awareness around the issue of elder abuse through outreach, interactive trainings and coalition building. In addition to training around the DC-metro area, Sydney has presented for the National Domestic Violence Hotline, the National Adult Protective Services Association, and AARP Maryland. Previously, she worked at the National Network to End Domestic Violence as the Transitional Housing / Positively Safe Coordinator. Along with her focus on violence prevention work, Sydney has been focused on serving and advocating for older adults through volunteer work. She has experience working and leading activities in senior centers, long-term care facilities, and independent living homes for older adults. She currently volunteers with Heartland Hospice, Meals on Wheels of Central Maryland, and the Jewish Council on Aging. Sydney is a Licensed Graduate Social Worker in the District of Columbia, with a Bachelor of Arts in Human Services and Sociology from Northeastern University and a Masters in Social Work from Boston University.

David Chandler is the Director of Payer Relations for American Association for Homecare.  David has worked to build relationships with payers across the country and assist HME providers in ensuring their patients have access to quality equipment and care.  He continues to work with state and regional associations throughout the nation to find solutions and fight for regulatory and legislative change.

David has worked in the industry since 2003, most recently with Liberty Medical Specialties as Director of Reimbursement & Government Affairs.  He has considerable experience in sales, operations, reimbursement, payer, & government relations. 

Chandler’s service to the HME community also includes a term as President of the Atlantic Coast Medical Equipment Services Association.  He served as Chairman of the Medicare Jurisdiction C Advisory Council and was a member of AAHomecare’s Regulatory Council and State Leaders Council.  Chandler was elected to the North Carolina Board of Pharmacy/ DME Subcommittee in 2016.

With over 25 years of experience, Barbara Citarella  RN, BSN, MS, CHCE, NHDP-BC, is internationally known for her expertise in the areas of disaster preparedness and leadership. She specializes in emergency disaster planning, bioterrorism, health care development and operations. She provides education to law enforcement and government agencies, health care providers, private sector, first responders, national and state associations in all aspects of disaster preparedness. Barbara serves as  a subject matter expert to ASPR TRACIE which stands for  Health and Human Services  Assistant Secretary of Preparedness and Response  Technical Resources, Assistance Center, and Information Exchange. This exchange was created to meet the information and technical assistance needs of  healthcare coalitions, healthcare entities, healthcare providers, emergency managers, public health practitioners, and others working in disaster medicine, healthcare system preparedness, and public health emergency preparedness. .

Barbara was appointed to the National Quality Framework's Healthcare Readiness Committee to create a national framework for response which will be out shortly. She has also been invited to MIT to attend the June meeting on Building Health Equity through Resilient Power.

Jennifer Gibson Osburn is a Registered Nurse with over 26 years of combined staff nurse, clinical management, administrator, and technology experience. She is a certified OASIS specialist and Home Health coder and uses this diverse background to engage attendees across the nation.  Past seminar experience includes presentations for The Joint Commission, CHAP, NAHC, and numerous state home health associations.

As a seasoned Medicare regulatory thought leader, Jennifer regularly trains on PDGM, Conditions of Participation, Emergency Preparedness, Infection Control, QAPI, Documentation, Coding, OASIS, agency operations and management.  Her heart for teaching and supporting home health professionals is the foundation on which she has launched a private home health education practice, Home Centered Insights. She is committed to the success of the home care industry and currently serves TAHCH’s Clinical Practice, Medicare, and Government Affairs committees.

John Kelly has been with U.S. Small Business Administration (SBA) for eleven years.  First at the SBA’s Washington, DC Metropolitan Area District Office, serving as a Business Opportunity Specialist for the 8(a) Program.  Where I had approximately 90, 8(a) Certified Firms in my portfolio, that I assisted with their business development needs. Then moving into my current position at SBA’s Headquarters, Office of the National Ombudsman, where I work with small business owners resolve issues with federal government agencies and promote the Office of the National Ombudsman’s mission.  Prior to that, I spent 15 years as a Business Development and Finance Director for the Corporate Office of a national franchisor where I assisted small business owners in the capitalization of their start up or expansion of their small businesses.

John E. Gallagher is Vice President of Government Relations for the VGM Group, Inc. where he is responsible for advocating on behalf of VGM members/DME providers to Congress, the Administration, and federal agencies. Gallagher has also amassed thousands of miles, traveling across the country to educate both the state associations and independent providers on regulatory and government issues. Additionally, Gallagher has worked tenaciously to promote upstanding service within the home medical equipment industry.  He is a board member of both the Healthcare Quality Association for Accreditation (HQAA) and the Fraud Eradication Advisory Team (FEAT).  John received his undergraduate degree from the University of Northern Iowa and a master’s degree in management from the State University of New York – Binghamton.  Prior to his 2002 employment with VGM, John served as a U.S. Army Signal Corp. Officer from 1983 to 1989.  He also held a number of executive positions in the medical equipment industry. 

Bill Dombi, Esq. is the CEO of the National Association for Home Care and Hospice.  Bill specializes in legal, legislative, and regulatory advocacy on behalf of patients and providers of home health and hospice care. With over 37 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, a nationwide class action against then-HCFA for its failure to enforce the federal HMO Act, litigation directed against the "Interim Payment System" for the Medicare home health benefit, and a lawsuit addressing the so-called Medicare “case mix creep adjustments” in 2008-2010.

Margie Hackett is a Transition Guide Nurse Manager at Suburban Hospital, a member of Johns Hopkins Medicine.  In the 34 years she has been employed there, Margie has had several roles in helping patients manage their chronic health issues at home, navigate the health system, understand their medications, and learn self-management. The last 10 years she has been specifically working on transitions of care from the hospital to home setting or skilled nursing facility to prevent readmissions through patient education, enhancement of discharge instructions, improved understanding of Palliative Care/Advanced Care Planning, and improvement of communication with various community resources and services available to patients.  Margie is a member of the hospital’s patient education workgroup, Montgomery County’s Primary Care Coalition HEALTH Partnership, and is actively involved with Nexus Montgomery, a collaborative created by all 6 Montgomery County Hospitals. She has a Bachelor’s Degree in Nursing from University of Maryland, is a certificate holder as a Guided Care Nurse from Johns Hopkins Nursing, and is Board Certified in Gerontology by the American Nurses Credentialing Center.

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