Annual Conference
The virtual conference will be hosted in Remo, an interactive online space! You’ll have the opportunity to connect face-to-face with other attendees, like in real life. You can customize your profile with as much personal information as you’d like, including your LinkedIn and Calendly.
There is also a chat feature for conversations 1:1, by table, and for the whole conference. Plus, add and upvote questions in the Q&A feature to have them answered live.

Join us for this fantastic networking and learning opportunity!
April 28, 2021
8:30am- 4:30pm
Group Member (3 or more) : $75
Member: $95
Non Member: $115
Conference Sponsor Registration

We have some great sponsorship packages to offer this year that will give your company maximum exposure! Highlight your company through one of our unique opportunities!
Upcoming Events
Home Health Revenue Cycle 2021 & Beyond

March 24th
8:30am-10:00am (PST)
Cost: $50 for members, $60 for non-members
What defines the Revenue Cycle in Home Health? Whether we are trying to get a Medicare claim paid or a Private Insurance claim, Revenue Cycle begins at INTAKE. For those who believe that Revenue Cycle begins with Billing please be the first to register for this webinar.
This webinar will review best practices from Intake through the billing/claims processing cycle to aide you in determining that you have all things in place to adequately be able to collect payment for all payers.
Palliative Care & Hospice Nursing Assistant Review: CHPNA Exam Preparation

March 25th
6:00am-2:00pm (PST)
Cost: $55 for members, $65 for non-members
Program Objectives:
  • Describe methods of establishing care goals for hospice and palliative care settings.
  • Define the components of treatment decisions.
  • State the principles of effective pain management.
  • Identify the components of a thorough pain assessment.
  • Define common symptoms present at the end of life.
  • Describe pharmacological and non-pharmacological interventions for common symptoms that can be included in the plan of care at the end of life.
  • Discuss the management of dying, grief and bereavement in any care setting.
  • Describe examples of self-determined needs in end of life care.
Hospice Documentation – The Evidence of a Hospice’s Daily Work

April 7th
8:30am-10:00am (PST)
Cost: $35 for members, $45 for non-members
This discussion will focus on how the entire hospice admission is built on details, dates, facts, research, patient history, subjective and objective findings from all disciplines, the patient and family, and the patient’s attending physician. Medical and legal implications and ethical issues will be included in this discussion. A comparison of paper vs electronic documentation will include standards of care and how interdisciplinary documentation collectively supports the hospice plan of care.
In The News
Click on the topics below for more information
Covid-19 Updates
The anecdotal claims from home health insiders were true: Across the country, home health agencies gained a greater share of discharges from short-term acute care hospitals during the public health emergency.
Specifically, the percentage of patients discharged into home health care rose 1.8% from March to May of 2020, from 17% to 18.8%. That would mean, theoretically, that over 10,000 more patients went to home health agencies in May than they would have otherwise.

Read the full article here:

Diversity, Equity, and Inclusion Discussion Corner
HCAW is dedicated to being a resource and leader in improving Diversity, Equity and Inclusion (DEI) in Home Care. We have some great podcasts below to open up discussion surrounding DEI. Please take some time to listen!

Survey Readiness
Routine surveys are still in suspension mode due to the Public Health Emergency. Complaint investigations may be conducted depending on level of the complaint. But one day regular re-licensure and re-certification surveys will be back on schedule.
Be sure to be mindful of the Washington State In-Home Services licensure rules which forms the basis of the surveys.
Are your background checks up to date? Does your staff know how to access agency policies?

For more details find the In Home Services WAC here:
A Message from DOH:

In order to provide ongoing regulatory oversight of Home Care agencies consistent with chapter 246-335 WAC, and without introduction of additional risk of exposure to Covid-19 to the regulated community (clients or survey staff) the survey team will, in most cases, conduct compliance surveys remotely, using email and teleconferencing. There will still be an entrance and exit conference, but the surveyors will not conduct direct observations, and will conduct client and staff interviews over the phone or with videoconferencing. During survey, agencies will still be expected to provide policy documents, client records, as well as staff personnel files for review.

DOH anticipates that this modified survey practice will continue until the Governor declares the public health emergency has ended.

In light of the higher acuity services provided by Home Health and Hospice agencies, DOH will conduct on-site inspections of these agencies with surveyors using a range of PPE to minimize exposure risks.
Compliance Corner
Medication reconciliation – requirement for Medicare certified home health agencies:

The requirement at §484.55(c)(5) - A review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug therapy. is part of the comprehensive assessment so must be completed no later than 5 calendar days after the start of care and when the comprehensive assessment must be updated, which is as frequently as the patient’s condition warrants due to a major decline or improvement in the patient’s health status, but not less frequently than the last 5 days of every 60 days beginning with the start-of-care date, unless there is a (i) Beneficiary elected transfer; (ii) Significant change in condition; or (iii) Discharge and return to the same HHA during the 60-day episode (see §484.55(d)(1)); Within 48 hours of the patient’s return to the home from a hospital admission of 24 hours or more for any reason other than diagnostic tests, or on physician-ordered resumption date (See§484.55(d)(2)). The patient’s clinical record should identify all medications the patient is taking (both prescription and non-prescription) as well as times of administration and route. As part of the comprehensive assessment, the agency nurse should consider each medication the patient is currently taking and this should be documented in the record. The nurse should document any reported side effects to the medications and note possible drug interactions. The agency should have written policies in place regarding medication reconciliation and when the MD will be notified. In the case of “therapy only” cases, the therapist must submit a list of patient medications collected during the visit to an agency nurse for review.
Pulse Oximetry Inaccuracies
NAHC recently referenced an article about Pulse Ox inaccuracies. Pulse oximeters, which measure blood oxygen levels, have been widely used during the COVID-19 public health emergency to track a patient’s oxygen saturation, but they may not always be accurate, according to new guidance released by the Food and Drug Administration last Friday. The agency’s safety notice comes after increasing concern about racial disparities in the accuracy of pulse oximeter data, driven in part by increased consumer use of the devices during the pandemic.

See new guidance link above to FDA recommendations and NAHC article here:
HCAW Membership
We want you to join our community of members! Here's why.....

  • We offer a community, resources, and strong voice for professionals providing care in the home.
  • Our membership is for your entire team! Members include managers, directors, aides, nurses, dietitians, finance managers, c-suite executives, and all other professionals who support care in the home. 
  • Free and reduced cost premium education that impacts your work.
  • Tools and resources to improve your agency.
  • HCAW advocates for our members and industry both here in Washington state and throughout the nation.
  • Up to date news that impacts you.
HCAW Website and Social Media
We have been working hard to update our website and refresh our social media platforms! If you have visited our website previously, please make sure that you clear your cache to ensure that you get the must updated version! And remember to follow us on social media!