Volume 11, Number 10 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 1st Quarter of 2022, web sites of the above advertisers were visited by home care and hospice executives and staff 5167 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 24-25
Venue: Caesar's Palace, Las Vegas

Information and Registration

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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