Mid-January 2022
From the Executive Director
I’m don’t usually make New Year resolutions, largely because I’m not a big fan of resolutions. The growth and change I’ve seen in myself has always come from taking a small step in the right direction, and then another, and then another. If I do anything in January, I’ll choose one habit to work on —something that I feel ready and willing to do.

This year, the thing I’m trying to change is my attitude. It’s probably a bigger challenge than I usually attempt.

This year, I’m no longer waiting for this pandemic to be over.

I don’t mean I’m pretending we aren’t having a pandemic. I got my booster. I’ve upgraded to KN95 masks in public. For now, I’m avoiding large gatherings and testing before occasional small ones.

What I mean is that I’m trying to accept what’s happening, because “white-knuckling” isn’t working anymore.

Here’s what’s looking a little different: I’m starting to make jokes at work again. Yes, this surge is serious, and I work in health care. But we need moments of levity and I miss laughing. I’m trying to emotionally separate my concern for what’s happening in my community (and the world) from what’s happening in my life. On a day when the people I care the most about are doing OK, I’m trying to notice and be grateful. On the weekends, I’m making time to bundle up and have fun outdoors on the trails. Heck, I’m writing a VNAs of Vermont newsletter with my personal take on things—something I’ve barely done in two years.

I’m still working really hard to support my members. I’m still trying to be of service in my community.

Does this mean I’ve reached the “new normal” we keep seeing in the media? I have no idea, and already the concept sounds a bit like a trope. But this is my only life, and I don’t want to spend it waiting for something to be over.
State Update
This year’s Budget Adjustment Act (BAA) is more important to home health and hospice agencies than usual. Every year, the Administration brings a proposal to legislators in January to make adjustments to the state budget based on actual spending and any unexpected needs that have come up. January is just after the half-way mark in the state fiscal year.

Last Friday afternoon, the House finalized the BAA for consideration by the Senate this week.

The following items are of interest to home health and hospice agencies:
  1. The proposal leaves intact the Administration’s request to match the Choices for Care moderate needs homemaker services reimbursement rate to the Choices for Care personal care services rate. The services have similar costs, but very different reimbursement rates. While both personal care services and homemaker services will still be paid at well below cost and continue to be subsidized by home health agencies, this increase is a welcome change. As we understand it at this writing, the increase is funded by unspent funds in the moderate needs program. 

In the News
Educational Opportunities
Materials Available Online

Available On Demand

Join NAHC executives and other industry leaders, as well as legal experts from Polsinelli, for an open conversation about vaccine mandates and the impact they could have and are already having on our industry.

until April 6, 2022

Recording available for purchase
Hosted by National Association for Home Care and Hospice

Aide/LNA/Direct Care Resources
In conjunction with the Home Care Hospice & Palliative Care Alliance of New Hampshire, we offer resources for Aides, LNAs and Direct Care professionals. They include a newsletter, sent on the second Thursday of each month, along with a post-test to help readers assess their understanding of the material. Here are the December resources as examples. Past newsletters, quizzes and certificates (organized by topic) appear on this webpage.If you would like to receive these as part of your member benefit thoughout 2021, please register here.

On demand 4-part, 
nine hour series.