Volume 12, Number 13 April  19, 2023

Dear Healthcare at Home Colleague,

As the workforce shortage continues unabated, the need for new ideas to recruit, hire, and retain staff grow more urgent. We have pledged to make it a priority to seek out these new ideas, especially new technology solutions, vet them for you, and present them in our pages. Too often, what we find is the traditional wisdom — pay more, offer rewards for dependability and customer satisfaction, provide career advancement training, throw employee-of-the-month parties, etc. — but we rarely if ever see the core issue addressed.

Desperation hiring, the practice of offering a position to every applicant regardless of qualifications in hopes of ending up with a couple good, long-term employees, is a major financial money pit. But many of you continue the practice, often without calculating the waste. The wise HR executive calculates a company's total cost of hire. Knowing the total investment in salaries, support systems, training sessions and other overhead enables a company to know how many hours a caregiver must work or visits a clinician must complete before they have covered their own hiring costs as well as the costs of all those "bad hires" who do not stay long enough to cover their own costs.

I created a detailed exploration of this issue for a LinkedIn post, as it is a little too long and involved for this publication. If you would like to hear how to calculate your Total Cost of Hire and learn some technology solutions that you may not have heard of before, try this link. It should take you to the article if you have a LinkedIn account. 




If you are getting this issue Wednesday morning, take note of our CMS News column. An Open Door Forum call is scheduled for 2:00 EDT today.

With the way CMS is dedicated to reducing Home Health reimbursement rates year after year, the need for Congress to hear directly from every provider is more important than ever. NAHC has an excellent resource on its web site, detailing five ways to join the advocacy effort. Click on the headline below.




State and national conference season is approaching. We do our best to post every announcement sent to us. Scroll down to see our current list of upcoming events. There are some where we hope to see you. Let me point out a couple. 

Home Care Innovation Forum is a new conference from "The Influence Group," set for June 4-6 in Carlsbad, California. Not to be confused with Home Care Innovation and Investment Conference, a production of Lincoln Healthcare Leadership, the organizers of Home Care 100. It will take place in Chicago, June 12-14. Detailed below in our Upcoming Events column are state conferences in Utah, Colorado, and the first joint meeting of North and South Carolina. Looking to May, CAHSAH is scheduled for the 22nd to 25th at the The Westin Rancho Mirage Golf Resort & Spa. We hope to see you at one or more of these.


Editor signature
Tim Rowan

CMS News: Open Door Forum
Wednesday at 2:00 EDT. Call-in only.

NAHC Renews Reminder of the Need to Join Advocacy Effort
Dombi says the advocacy effort never ends.

ONC Announces Public Comment Period, New Grants
Office of the National Coordinator released several important news items at HIMSS this week.

During the 1st Quarter of 2023, web sites of the above advertisers were visited by home care and hospice executives and staff 4163 times.

To inquire about placing your message here, contact:


As of this date, approximately 49,412,000 Baby Boomers have become Medicare eligible.


Last Week's Most-Read Stories:

Home Health, Home Care Must Be Familiar With Rare Diseases
Our eyes were opened at last week's National Ataxia Foundation annual conference. If Ataxia is a new term to you, and if you are a nurse, physical therapist, speech therapist, or personal care attendant, you may find this information will make you a better one.

Medicare Advantage Is Neither Medicare Nor an Advantage
Former insurance executive who used to sell Medicare Advantage explains why it is stealing from taxpayers and seniors.

Upcoming Events


First Joint Conference of the Carolinas

Association for Home & Hospice Care of North Carolina & South Carolina Home Care & Hospice Association

Dates: April 23-26

Venue: Westin

City: Charlotte

Information and Registration 

Rise Above!

Michigan Home Care & Hospice Association Annual Conference

Dates: May 3-5
Venue: Grand Traverse Resort & Spa

Registration and Information

The theme for the Conference is “RISE ABOVE” a fitting recognition of the challenges our industry and each of you overcame in your personal lives and professional careers to navigate the challenges of the past three years.

The MHHA conference presents an opportunity to meet new friends and reacquaint with peers. What better place to rise above, than at the spacious and beautiful Grand Traverse Resort & Spa? This conference has a little bit for every service line and discipline. Wednesday offers a track for Volunteer Managers and Thursday offers a track for Palliative Care as well as many other sessions for Certified Home Health, Hospice, DME and Private Duty Home Care.

2023 Annual Home Health & Hospice Conference
Homecare and Hospice Association of Utah

Date: May 10-11

City: Sandy

Attendee Registration

Exhibitor/Sponsor Registration

2023 Rocky Mountain Home Care, Home Health & Hospice Conference *Presented by: Home Care and Hospice Association of Colorado

Dates: May 18-19
Venue: Beaver Creek

Information and Registration for Attendees and Exhibitors

Home Care Innovation Forum*Presented by: The Influence Group

Dates: June 4-6
Venue: Park Hyatt Aviara 
Carlsbad, CA

Information and Registration

Featured Speakers:

Partial list of topics:

HI2: Home Care Innovation and Investment Conference *Presented by: Lincoln Healthcare Leadership

Dates: June 12-14
Venue: Swissotel 

Information and Registration

Featured Speakers:

leading ONE vision

Homecare Homebase User Group Meeting

Dates: June 12-14
Venue: Sheraton Dallas Hotel

Information and Registration

Clinical Education Credits
Nationally recognized speakers, eight clinical sessions. Clinicians are encouraged to sign up for the clinical sessions, but are free to jump between clinical and non-clinical topics. Clinical topics include a homecare focus on Wound Care, Value Based Purchasing, Clinical Leadership, conflict resolution, Quality Report, Oasis and more.

Featured Speakers:

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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