Volume 12, Number 25 August  2, 2023

Dear Healthcare at Home Colleague,

With the announcement this week that Epic will incorporate Microsoft's AI-powered clinical application, Nuance Communications, into its physician notes system, the question we have been following becomes a little closer to home. "Is AI a net positive or negative for healthcare?" We assigned Heather Thompson, our resident AI expert, to run some tests. She presented a rare condition with which she is familiar to three different conversational AI programs and had them diagnose her hypothetical patient, recommend a care plan, and then critique each other's solutions.

Two revelations came to light, both of which we consider critical. First and foremost, not all AI tools are alike, nor will they produce the same results. Secondly, instructions given by the human, so-called AI prompting, must be 100 percent complete, specific, and accurate. It is no wonder the new job title, "AI Prompt Engineer," is commanding salaries in the mid-six figures. (Keep that in mind if you have a high school senior looking for career ideas.)

Resist the temptation to take this movement lightly. Artificial Intelligence is already in healthcare and rapidly moving to in-home care, with consequences both exciting and grave. We devote two articles to it this week, one describing Heather's experiment, the other my reflections on what it means.



Florida Judge Changes Home Care

Guest author and home care attorney Elizabeth Hogue watches important court cases for us. The one she reports on this week is a big one. A judge has ordered Florida Medicaid to provide in-home care to disabled children to keep them out of institutions. Will Florida agencies be able to staff the additional shifts? Will such court orders start appearing in other states? Wait and see.


CMS News

Be sure to check our update on Medicare's expanded HHVBP Model and a new Dementia Care Model, aimed at enhancing care coordination and increasing support for family caregivers.



Home Care Technology Report is one of many services from Rowan Consulting Associates. Click on RowanResources.com and RowanReputationResources.com to explore how we can help your Home Health, Home Care, or Hospice organization, or your state association, with

Have a great week. Keep making a difference!

Editor signature
Tim Rowan

MidWest Investment Group Acquires More HHAs
PurposeCare continues to focus on building its home care census in Indiana and Ohio through both acquisitions and the opening of de novo branches.

Navigating the Promise and Peril of AI in Healthcare: A Case Study on Adrenal Insufficiency and Bias
Using a case study of a patient with a rare condition, staff writer Heather Thompson urges caution, as she demonstrates why some suggest that healthcare isn't ready for AI implementation, given the potential for hallucination and bias.

AI in Healthcare is Moving Fast; Maybe Too Fast?
Editor Tim Rowan summarizes the latest, often frightening, literature on the pros and cons of using AI in healthcare.

Judge Orders State to Provide Private Duty Nursing Care
Florida Medicaid must provide private duty nursing to keep children from being institutionalized. Other states likely to follow.

CMS News: HHVBS & New Dementia Care Model
— Expanded HHVBP Model: Revised Preliminary July 2023 IPRs Available in iQIES
— New Medicare Dementia Care Model Enhances Care Coordination and Increases Support for Caregivers

During the 2nd Quarter of 2023, web sites of the above advertisers were visited by home care and hospice executives and staff 4976 times.

To inquire about placing your message here, contact:


As of this date, approximately 50,567,000 Baby Boomers have become Medicare eligible.


Last Week's Most-Read Stories:

BREAKING NEWS: Axxess Acquires Complia Health
Monday's announcement comes after months of negotiations between CEOs John Olajide and Rich Berner, who will continue to run Complia Health during expected months of integration.

Analysis: Complia Health's Circuitous Route to Axxess
We have been tracking the company now known as Complia Health since its birth in 2009. Here is what we have written about them over the years.

Upcoming Events

54th Annual Meeting: "Bring Care Home"Presented by: Texas Association for Home Care & Hospice

Dates: August 28-31
Venue: Grand Hyatt Riverwalk
City: San Antonio

Information and Registration

FREE Webinar: "The Role of the Hospice Physician in Organizational Compliance"Presented by: FEMA

Date: September 6

Time: 10:30 AM - 12:00 PM, EDT

Register here 

Collaborating with the Administration for Community Living, the Substance Abuse and Mental Health Services Administration (SAMHSA) Office of Policy, Planning, and Innovation, and the Schoharie County, NY, Area Agency on Aging, the webinar is designed to equip organizations with strategies to ensure seamless service continuity during an emergency. 


2023 NAHC Annual Meeting & Exposition *

"One Voice, Many Stories"

Date: October 15-17
Venue: Gaylord 
Location: National Harbor, MD

Information and Registration

Keynote Speakers:


Vision – Plan – Succeed: 2023 Leadership Conference

Association for Home & Hospice Care of North Carolina

Dates: October 29-31
Venue: Renaissance Hotel
City: Ashville

Information and Registration 

Featured speakers:

Bill Dombi, Melinda Gaboury, Tim Rogers, Nick Seabrook, Mark Sharp, Robert Markette, Mark Kulik, and more.



Call for Speaker Proposals

Association for Home & Hospice Care of North Carolina (AHHC) Annual Convention and Expo

Dates: April 7-10, 2024
Venue: Raleigh Convention Center


Click this link to learn more and to submit your proposal: https://www.surveymonkey.com/r/6RRNNY3
The deadline to submit a proposal is November 15, 2023.

Conference Title:                                                   2023 Annual Hybrid Hospice & Palliative Care Conference

Sponsoring Association:                                       Hospice & Palliative Care Association of New York State
Date(s):                                                                    November 13-14, 2023
Hotel or Conference Center, City, State:            Albany Marriott Hotel, Albany, NY
URL:                                                                          www.hpcanys.org




Kimberly Ryan ?

Education & Membership 

Hospice & Palliative Care Association of NYS (HPCANYS)

Advance Care Planning Center for Excellence
119 Washington Ave, Suite 302 

Albany NY 12210 

518.446.1483 x 224 |www.hpcanys.org 


2023 Virtual Annual Conference
Virginia Association for Homecare and Hospice

Opening Date: November 15

More Information


*The Rowan Report will see you there.

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

Conference Title
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Hotel or Conference Center, City, State

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