Volume 11, Number 22 ó January  19, 2022

Dear Healthcare at Home Colleague,

We are happy to welcome back AlayaCare as one of our sponsors. You can show your appreciation by clicking on their graphic below. While you're at it, click on the others too. These sponsors make it possible for us to offer this free service.

You spoke, we listened. Thank you for responding to our EVV Satisfaction Survey. We hope you are not disappointed in your results. We lay out the raw data and our analysis in two separate pieces this week. If I were to summarize, I would have to say that no one will be satisfied with our satisfaction survey. Not EVV vendors, not Medicaid providers, not state Medicaid officials, and, eventually, not Medicare providers, who will join the ranks of the EVV mandated next year. 

To be clear, we did not set out to criticize EVV, nor its software vendors, aggregators, users, or state Medicaid offices. But the survey results are difficult to ignore. Something is wrong out there, and it had better be fixed before 11,000 Medicare Home Health providers join the party one year from now.

Our presentation of the survey is in two parts. One is the raw data, showing who answered and what their specific complaints are. The other is our extended analysis, with written comments from survey respondents followed by my commentary and recommendations.



Clinician Burnout Exacerbates Retention

Staff writer Darcey Trescone, herself an RN, takes a deep dive into the problem of too many COVID patients and not enough nurses. As more and more nurses take ill, or become physically and emotionally exhausted, hospitals can afford to replace them by offering historic bonuses and salaries. Home Health cannot compete. Be sure to read Darcey's exploration of this timely issue in "Compassion Fatigue Leads to Retention Issues in Nursing."



CMS News: Lots of it

From the public health emergency to OASIS-E, CMS has had an active month. We pulled together the most important announcements for you, including the statement by CMS Administrator Chiquita Brooks-LaSure on the U.S. Supreme Court’s decision on vaccine requirements. Plus:



Worth the Trip

I hope to see you at Homecare 100, February 6-9, in Scottsdale. Click on their graphic ad for details. It is filling up this year; they had to engage a third hotel. We were sorry to hear NAHC had to convert its big Private Duty Leadership Summit to virtual instead of in-person. They plan to present much of the content as webinars free to NAHC members. Watch for more information at nahc.org as those plans are finalized.

Have a great week. Stay healthy, get vaccinated, wear a mask, and keep making a difference!

Editor signature
Tim Rowan

EVV Survey Exposes Industry-Wide Disappointment
Our EVV survey responses were both surprising and disapointing.

EVV Survey Results: Raw Data
With fewer than 100 responses, survey results cannot strictly be considered "scientific," but we believe they are representative of the Medicaid in-home provider community.

Compassion Fatigue Leads to Retention Issues in Nursing
The global nursing shortage has had a significant impact on patient care and an adverse impact on healthcare systems. The nursing shortage began well before the pandemic. But the stress on the system with COVID-19 raised the level of burnout and increased the number of nurses who left or are leaving the profession early.

CMS Releases OASIS Update; Withdraws Erroneous Announcement
— April refresh to add more assessment items.
— Oops! CMS withdraws Preview Report announcement
— OASIS - E set for 2023

CMS News: SCOTUS Approves Vaccine Mandate
Statement by CMS Administrator Chiquita Brooks-LaSure on the U.S. Supreme Courtís decision on vaccine requirements.

During the 4th Quarter of 2022, web sites of the above advertisers were visited by home care and hospice executives and staff 6586 times.

To inquire about placing your message here, contact:


As of this date, approximately 44,407,000 Baby Boomers have become Medicare eligible.


Last Week's Most-Read Stories:

Homecare Homebase to Acquire CellTrak
Longtime collaborators to unite. CellTrak to become wholly owned subsidiary.

Notice of Admission (NOA) Poses Industry Challenges
You have established new, NOA processes to replace your RAP procedures. But is your EMR helping or hindering your ability to meet the 5-day limit? Many HHAs are doing everything right and still getting it wrong. Why?

Upcoming Events

2022 Rocky Mountain Home Care, Home Health & Hospice Conference *Presented by: Home Care Association of Colorado

Dates: May 5-6
Venue: Keystone Resort & Conference Center, Keystone, CO

Information and Registration

FREE WEBINAR: Combat the Great Resignation and Reduce Employee Turnover by 40%

Presented by: National Minority Health Association

Date: Tuesday, May 24

Time: 10:00 AM Pacific; 1:00 PM Eastern 

Information and Registration


As organizations plan for the future, they must cultivate a happier, healthier workforce. Most CEOs, CFOs, HR professionals, and other business leaders are eager to know the true impact of financial wellness. We are gathering to discuss and explore how prioritizing employee financial wellness can help increase caregiver retention and productivity at no cost to your businesses.


Gulf Coast Regional Conference & Exposition

Presented by: Home Care Associations of Louisiana, Mississippi, and Alabama

Date: July 18-20

Venue: Grand Hotel Marriott Resort

Location: Point Clear, Alabama

Information and Registration

2022 NAHC Financial Management Conference & Exposition *

Date: July 24-26
Venue: Caesar's Palace, Las Vegas

Information and Registration


Register for the in-person conference - starting at $750 for NAHC members or $1,025 for non-members - or for the digital only content - $400 for members and $600 for non-members. If you register for the in-person conference, you'll get access to all of the digital content.

2022 ONC Virtual Tech Forum 

Sponsored by: Office of the National Coordinator for Health IT

Location: Online

Dates: September 9, 16, and 23

Information and Registration

ONC has posted the high-level agenda and opened up registration for the 2022 ONC Virtual Tech Forum on HealthIT.gov. This year's event takes place during three consecutive Fridays in September (9th, 16th, 23rd). As in years past, the Tech Forum will feature industry perspectives on the progress made in health IT over the past year, and highlight how we can continue to advance health technology to improve patient care, health equity, data exchange, and interoperability.


2022 Leadership Conference: Association for Home & Hospice Care of North Carolina

Dates: September 25-27

Venue: Hotel Ballast

City: Wilmington

Register: ahhcconferences.com

20 educational sessions led by top industry experts, 30+ high caliber speakers, and over 40 exhibitors, including NAHC's Bill Dombi; David Rendall, Author; NC DHHS's Debra C. Farrington, MSW, LCSW; AHHC of NC Staff and Lobbyists; experts from ACHC; CHAP; Axxess; Wellsky; FORVIS; KATANA Safety; Cone Health; Delta Care Rx; The Joint Commission; Well Care Health; SembraCare, Inc.; SimiTree; LTSS Consulting, Inc.; Healthcare Provider Solutions; CareXM; 3HC and more!

MHCA 52nd Annual Meeting & Expo

Sponsored by: Minnesota Home Care Association

Date: October 12-14
Venue: Breezy Point Resort
City: Breezy Point, MN

Information and Registration

2022 NAHC Annual Meeting & Exposition *

"Connection 4.0: Linkup"

Date: October 23-25
Venue: America's Center Convention Complex
Location: St. Louis, MO

Information and Registration

This year, we want to celebrate one of the most meaningful touchstones of our industry — connection. At the Home Care and Hospice Conference and Expo, we'll explore ideas around connection and community to help attendees reach their stakeholders in authentic and meaningful ways.

New technology, workforce developments, and the importance of high standards in quality care continue to push our community of clinicians and providers to revamp their strategies and skill sets. This event is the meeting point for you to uncover groundbreaking ideas, discover new interests, and network with industry pros.

Meet us in St. Louis, Missouri, once known as the "Gateway to the West." So, it is perfectly centered to make those connections even easier for members and attendees from all ends of the U.S. We look forward to linking up with you this October!

2022 Annual Conference
New Mexico Association for Home and Hospice Care

Date: November 3
Venue: CNM Workforce Training Center
City: Albuquerque

Information and Registration


20th Annual Northeast Home Health Leadership Summit

Sponsored by: State Associations of Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York (HCA), New York (HCP), Rhode Island, VNAs of Vermont

Dates: January 17-19

Venue: Revere Hotel, Boston


Information and Registration

FREE WEBINAR: NAHC President Bill Dombi Shares 2023 Industry Outlook

Hosted by Mike Dordick, Netsmart

Date: January 18
Time: 2:00 - 3:00 EST

Details and Registration

(Unable to attend? Register anyway to receive the recording.)

Discussion Topics:

Homecare 100 *

Presented by: Lincoln Healthcare Leadership

Date: January 22-25, 2023
Venue: Ritz-Carlton, Orlando, Grande Lakes, FL

Registration Information

Your state or national association meeting or webinar not listed? Send the details to Conferences@RowanResources.com using this format:

Conference Title
Sponsoring Association
Hotel or Conference Center, City, State

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