December 7, 2021
Home Care Administrators and staff continue to serve as an example of perseverance, innovation and leadership in action. With no historical playbook to read, Home Care Administrators today face year three of the worst public health threat in more than a century.

This crisis has created severe staffing and supply shortages, suspension of services, conflicting and constantly changing regulatory directives and much more. Anyone who aspires to be a home care administrator has observed the skill set required to manage effectively in unprecedented times.

As observed after 911, some organizations survive and thrive in a crisis while others fail to survive existence. What's the difference between the successful and unsuccessful entity faced with identical calamity? How can we use successes and failures of the day for learning to build or sharpen the leadership skills that will inevitably be needed again? What would YOU write in a debriefing and reflecting memo today?

Employers - Owner/Operators
Home Care Industry Providers Continue to Transform and Pivot

Vaccine wisdom is omitted here since it's subject to change at any moment.

The home care provider industry will remain on watch for developing news in the coming weeks after officials announced on Wednesday the first U.S. case of COVID caused by the omicron variant. 

Care at home is possibly more relevant than ever before. As we approach year three of the pandemic, an exacerbated labor shortage will perhaps find agencies with staff who remain AND to be those who love caretaking and clinical care in the home. Workers who view their work solely as a path to a paycheck may have left for good. The result may be a workforce committed to providing quality care in a rapidly changing, highly regulated industry.

Daphne David worked her way up from executive assistant to CEO of HealthONE North Suburban Medical Center and has this advice for Leaders:

"There is no work-life balance.
You have to find your blend.
Some days you give more professionally than you do in your personal life. Don't allow yourself to feel guilty if you're not able to give 100% to every area of your life 100% of the time."

(Daphne David, CEO HealthONE North Suburban Medical Center, Denver Business Journal, 2021 Most Admired CEO guide)

Strong and steady growth is expected from the Home Care Provider Industry over the next five years (Ibisworld, 8/16/2021). Regulations will continue to disrupt industry members from the CDC and CMS at the federal level. Increasing demand for services will keep the industry competitive. Key drivers include
  • Number of adults aged 65 and older,
  • Federal funding from CMS Medicare and Medicaid,
  • Per capita disposable income and number of people with private health insurance,
  • Increasing chronic disease management will also drive growth
New Beginnings Everywhere

  • States, payers, and providers are looking for ways to expand access to telehealth services, where Medicare telehealth visits increased 63-fold in 2020, from 840,000 in 2019 to 52.7 million, according to a Dec. 3 HHS report.

  • Acute Care Hospital At Home program now has additional regulatory flexibility for hospitals to treat patients requiring acute inpatient admission in locations outside the hospital, including their homes.

  • Private equity in the home care provider industry hit record levels in 2020, increasing by 21%, according to Bain & Company data.

  • CHC is changing with the creation of a new company in Lee County, Florida, where its focus will remain on core administrator and manager training topics.

  • The CHC Virtual classroom-upgrade continues to be painful and we hope the new software is fully operational by year-end.

  • In 2022, we expect to have courses addressing the proposed changes in Chapter 26 regulations.

  • CHC is part of another industry, education and training providers. The industry members—including education institutions, employers, and state and federal governments—spend almost two trillion dollars annually to ensure people have the necessary skills to meet the country’s ever-changing workforce and societal demands. Read the report

  • The US Equal Employment Opportunity Commission on 12/6/2021 reports Denver-based Arthur J. Gallagher & Co. will pay $40,000 and provide other relief for violation of Title VII of the Civil Rights Act of 1964, which prohibits employment discrimination based on religion. In a “Termination Memo” the company issued, it cited “fasting” and “meditating” among reasons for firing an employee who fasted for Lent and was regarded as having a disability. The EEOC charged that the actions also violated the Americans with Disabilities Act (ADA), which prohibits employment decisions that are made because a company regards an employee as having a disability.
Policy, Procedure & Personnel, Part 1 of 2 with Connie McWilliams, CHC founder and president in a program about Policy, what it is, what it is not, how to write it with analysis and surveyor probes of the many regulations about staff job descriptions, competency, experience and training requirements.
Memorable Words and Sayings of 2021

The Oxford Languages named “vax” its word of the year, according to Grammarly blog. The word, with the “-ed” suffix, describes a person who’s inoculated with a coronavirus vaccine.
“Languishing,” came in as #3 and describes a state of dispirited or apathetic disposition...languishing doesn’t necessarily feel “good” or “bad”; instead, it’s a lack of focus and restlessness that can’t be placed. The word “cheugy” (pronounced chew-gee) was created and used to describe a style or experience that was once on-trend but is now considered outdated and uninspired. It can also describe a person or situation that’s trying too hard. 
Home Care leaders who want to further develop organization-wide, data/analytics strategies have a new tool to use from the Alliance for Home Health Quality and Innovation (AHHQI).
The Chartbook offers a glimpse of home health patients, the home health workforce, organizational trends, and the economic contribution of home health agencies. The Chartbook includes updated statistics from the Bureau of Labor Statistics, the U.S. Department of Commerce, Medicare Cost Reports, Home Health Compare, Medicare fee-for-service claims, the Medicare Current Beneficiary Survey, and other data from CMS. 
This year's Chartbook features data from 2020 and includes clinical profiles of patients, workforce trends, and more. The 2021 AHHQI Home Health Chartbook is available here
Virtual Classroom
in Progress
(yes, still).

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