Volume 10, Number 44 September  22, 2021

Dear Healthcare at Home Colleague,

There is so much going on with COVID ever since the mandate that healthcare workers must be vaccinated, half of this week's issue touches on one aspect of the pandemic or another. It is not all bad news though. One of our advertisers told us they have portioned off a staff vaccine tracking and reporting system that was previously sold only as a module within their full package. CareConnect is now offering two mobile apps especially designed for in-home caregivers who work for more than one home care agency. (From what we have heard, that could be most of them.) SafeCare Screener records their daily answers to a handful of questions about any COVID-type symptoms; POV Tracker lets them upload an image of their proof-of-vaccination card. Click on their graphic ad to see how it works. Here is how President and CEO Michael Gelman describes the decision to make his company's apps available for a dollar per month:

"We are excited to provide tools to help Agencies and Caregivers manage their COVID safety and compliance requirements. Along with our current suite of COVID daily assessments and training courses, caregivers only have to upload their proof of vaccination card one time, so each agency they work with can track compliance with the latest mandates. Our mission is to provide tools that create efficiencies for agencies while helping caregivers to more easily and comfortably provide the selfless assistance they give to our most vulnerable loved ones every day."



"Flex for Checks" HRSA grant has new partner, new superstar

Read our lead story about the Association for Home & Hospice Care of North Carolina joining forces with NAHC, HCAOA, and others to promote the federal grant program that pays cash rewards to home care agencies and their employees for every vaccine shot they help arrange. 

As an example of how well this program, "Flex for Checks" is working, be sure to read this week's top news story. A Florida woman is taking the grant program seriously. So far, she has helped 500 people get their first or second COVID shot and pocketed over $12,000 in grant rewards. You will be inspired by our conversation with Thelma Washington. Be sure to scroll down and click on "Florida Woman Earns Record-Setting Vaccination Grant Rewards."

Sticking with our COVID theme, guest author Elizabeth Hogue brings us a report on the court case about vaccine mandates at Indiana University. The longtime home care attorney weighs in on the meaning of the court's proclamation for healthcare workers.



Staff shortage, recruiting, retention

Where are the home care nurses, aides, and non-medical caregivers? How do you find them and attract them into your agency? Staff writer Darcey Trescone did a deep dive into the most recent analysis by PHI, the nation's leading expert on the direct care workforce, and then studied reports from "RegisteredNurses.org" and three other government and other sources that have analyzed RN hiring and job migration patterns. Everyone struggling with staff shortages will want to learn from Darcey's findings in "Direct Care Workers in the United States: Key Facts" and "Nursing Sign-On Bonuses Reaching $30,000."



Worth the Trip

Speaking of staff shortages, I hope my friends in Ohio and Colorado will join me when I share the research I have been conducting into technology tools that have been helping your colleagues cope with recruiting and retention of critical workers, both clinical and non-medical. The Ohio Council for Home Care and Hospice invited me to present at their virtual annual conference on September 29. The Colorado Association for Home Care's conference will be live and in person on October 11-12. I hope to see my Colorado friends there. I will be laying out the nature of the staffing problem, the impact of COVID-19, and introduce five tech companies that say they can help.

Be sure to scroll down for details on other upcoming conferences and webinars, including the South Carolina association's meeting in October and North Carolina in November.

My friends, have a great week. Keep making a difference!



Editor signature
Tim Rowan

AHHC of North Carolina Teams Up with Flex for Checks
Partnership with National Minority Health Association will mobilize Home Care, Home Health, Hospice & Palliative Care staff in fight against COVID-19.

Florida Woman Earns Record-Setting Vaccination Grant Rewards
Thelma Washington has arranged 500 COVID vaccinations of friends and neighbors, earns $12,500 (so far) from the HRSA "Flex for Checks" grant.

Vaccine Mandates: Recent Court Decisions
Indiana University vaccination mandate upheld. Implications for similar healthcare provider mandates.

Direct Care Workers in the United States: Key Facts
PHI's most recent study of the in-home, direct care profession does not bode well for agency recruiting hopes.

Nursing Sign-On Bonuses Reaching $30,000
Desperate healthcare systems are offering record sign-on bonuses to lure COVID-weary nurses back to work.

Vendor Watch
— Axxess online training adds certification;
— CareVoyant offers help dealing with Consumer Directed Services

During the 4th Quarter of 2021, web sites of the above advertisers were visited by home care and hospice executives and staff 7631 times.

To inquire about placing your message here, contact:


As of this date, approximately 43,098,000 Baby Boomers have become Medicare eligible.


Last Week's Most-Read Stories:

Bayada Settles Civil Qui Tam Lawsuit; Avoids Expensive Defense
Qui tam whistleblower to receive $3 million.

CMS News: Get Vaccinated, or Else!
HHS & CMS to expand vaccination requirements for health care settings.

Upcoming Events

2021 Home Care and Hospice Conference and Expo *

National Association for Home Care and Hospice

Date: October 3-5
Venue: New Orleans

Sadly, this conference has had to be postponed, due to the hurricane in New Orleans and COVID situation in Louisiana.

FREE WEBINAR: Vaccine Hesitancy: How Training Can Help

Presented by: Nevvon, Flex For Checks, & Dr. Ian Smith

Date: Monday, October 11

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

Information and Registration


Who should attend? Caregiver agencies looking for creative ways to alleviate vaccine hesitancy and get more workers and patients protected from the COVID-19 virus.

Learn how training caregivers on vaccines can ensure better compliance, reduce hesitancy and lead to better outcomes. We will share first-hand experience of how the Flex For Checks program has been leading the way in vaccinating caregivers through an amazing and potentially lucrative incentive program.

FREE WEBINAR: Targeted Probe & Educate: Where Do You Stand?

Presented by: Healthcare Synergy
Michael Tidd, COS-C, HCS-D, HealthCare Synergy Clinical Manager

Date: Wednesday, November 3
Time: 11:00 am PDT / 2:00 pm EDT


Targeted Probe and Educate is a CMS initiative to seek a better understanding of agencies practices in order to protect the Medicare funds. Agencies self-identify themselves and request reviews by their actions and the data they provide to CMS. Are you aware of the signals you might be sending and how to protect yourself?
Michael Tidd has over 19 years of experience in the Home Care Industry and is a frequent speaker at HealthCare Synergy Workshops and Webinars. He is a Software Developer, LVN and Certified in ICD-9/10 Coding and OASIS (COS-C, HCS-D). As the Clinical Manager for HealthCare Synergy, he directs the Outsourced Management Services, assists in directing the development of the Healthcare Assistant Web Edition, oversees the Clinical Documentation Auditing provided to clients and directs the Clinical Form Development for the Healthcare Assistant Web Edition. Michael continues to educate agencies in the ongoing regulations that CMS produces, the proper application of the Medicare Conditions of Participation and completing timely, accurate and defendable clinical documentation to survive in the current Medicare Reimbursement Model.

AHHC 2021 Leadership Conference

Presented by: Association for Home & Hospice Care of North Carolina

Date: November 8-9

Location: Holiday Inn Resort, Wrightsville Beach, NC

Information and Registration

FREE WEBINAR: Admit more Patients & Stop Nursing Burnout!

Presented by: OperaCare

Date: November 10

Time: 1:00 pm EST; 10:00 PST

Information and Registration

The nursing shortage is getting much worse and will most likely impact your business if it has not already.
During this event we will demonstrate how to complete an entire OASIS in approx. 60 minutes or less. This includes ICD-10 coding, entry and revision of medication’s, all the OASIS items, and Quality Assurance while the nurse is with the patient in the home.

The result: Eliminating 100% of after-hours documentation, increasing clinical productivity, and reducing your labor costs.

The Benefit: The ability to significantly increase your recruitment and retention efforts by providing your clinicians with a sane and humane work life balance.

Important Final Rule Discoveries Every Agency Needs to Know: Examining HH PPS for CY2022

Presented by: HealthRevPartners

Featuring: John Reisinger, CPA

DATE: November 18

TIME: 2:00 - 3:00 EST

VENUE: Online


Register Here

One of the major changes in CMS’ final rule for the Home Health Prospective Payment System announced is this — ???2022 will be a "pre-implementation year for the HHVBP, which was originally scheduled to begin in January.

Learn exactly what you need to do in 2022 for HHVBP.

Additionally, we will cover these final rule changes and more:

And, do you know how much your Medicare revenues are projected to change?

There will be a 3.2% increase ($570 million) in home health spending for CY2022.


*The Rowan Report will see you there.

FREE WEBINARS: "Best of Home Care Heroes" Series 

Sponsored by: Ankota

Featuring: Steve "The Hurricane" Weiss, Ophelia Cole, Barbara Gaines, Cheryl Hammons, others

Dates: Ongoing


Contact Ankota directly about two special offers: a free trial of a staffed, live-chat solution for your website, and a discount to Steve Weiss' "Mililonaire Bootcamp."


FREE WEBINAR: New, Science-Based Methodology Reduces Cost of Recruitment and Retention

Presented by: The Rowan Report

Featuring: Eric Becker, CEO, MiliMatch

Date: Thursday, March 18

Time: 3:00 pm EST; Noon PST

Recorded version available.



Every time a home care agency hires and trains a new caregiver, it invests about $4,500, which is wasted if that new hire does not work out, often before working a first shift. MiliMatch CEO Eric Becker will explain the company's patented product/service, based on the science of Applied Cognitive Linguistics, which has been proven to help home care agencies avoid those costly bad hires.

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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