CHAPcast by Community Health Accreditation Partner

What The CMS Moratorium Means For Home Health And Hospice Providers

Sun, 31 May 2026 20:00:00 -0400

CMS Hospice & Home Health Moratorium: What CHAP Knows So Far – CHAP is updating this page as frequently as possible based on official CMS guidance and publicly available information.

We break down the May 13, 2026 National Home Health and Hospice Enrollment Moratorium and what it means for Medicare-certified providers trying to enroll, expand, or change ownership. We also share what we expect CMS and state agencies to scrutinize next and how strong compliance and quality programs keep you ready.
• why the moratorium timing feels sudden but predictable amid fraud and abuse enforcement
• what “received before May 13” means for CMS-855A applications, branches, and practice locations
• how nationwide coverage prevents providers from relocating to bypass restrictions
• what still moves forward, including certain address changes and ownership changes that do not trigger initial enrollment
• why the 36-month rule and CMS denial authority still create risk even for pre-May 13 submissions
• how long the moratorium lasts, how extensions happen, and why history suggests planning for renewals
• what CMS says about beneficiary access and how that may shape next steps
• how states may respond on Medicaid and CHIP, including early state-level action
• why licensure is separate from Medicare certification and what market-entry alternatives may exist
• how existing providers can use the pause to strengthen compliance, quality metrics, and differentiation
We will at CHAP will be keeping you updated via our new webpage that's dedicated to the Home Health and Hospice Moratoria. Make sure that you stay tuned not only to special email blasts and information that's posted on the page, but to our compliance monitor.

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DMEPOS's Top Deficiencies of 2025

Tue, 03 Feb 2026 17:00:00 -0500

We break down the top 10 DME survey deficiencies for 2025 and why annual CMS oversight raises the bar for safety, compliance, and documentation. Practical steps show how to turn policies into proof, strengthen QuAPI, and align multi‑site operations.

• CMS’s increased oversight and annual DME surveys
• the role of survey readiness and mock surveys
• building an effective compliance program using OIG’s seven elements
• quality assurance and performance improvement as a monitoring engine
• safety program gaps including tank storage, transport, cleaning and PPE
• TB screening requirements and aligning policy with state and CDC
• documentation errors that mask compliant practice
• training versus competency and observed skill assessment
• leadership accountability and consistency across multiple locations

After you listen to this podcast, click on some of the links to our resources: our top 10 DME survey deficiency list, which includes our three-year comparison.

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Hospice's Top 10 Deficiencies of 2025

Tue, 03 Feb 2026 17:00:00 -0500

We break down the top 10 hospice deficiencies for 2025, why citations shifted toward aide compliance and volunteers, and how to align care plans with assessments to satisfy CMS and improve patient care. We also share new CHAP tools and practical steps to tighten supervision, documentation, and QuAPI.

• plan of care as the central compliance document
• comprehensive assessment driving timely care plan updates
• documentation beyond point and click to show necessity
• hospice aide scope, competency, and 14‑day supervision
• reporting status changes from aide to RN promptly
• state rules shaping permitted aide tasks
• volunteer 5% utilization tracking and recruitment evidence
• root cause analysis and data‑driven QuAPI
• RN case management and IDG accountability between meetings
• continuous survey readiness through mock surveys and policy reviews

After you listen to this podcast, click on some of the links to our resources: our top 10 hospice survey deficiency list, which includes our three-year comparison, and the medication reconciliation blog.

Check out our course: Charting the Course: A Guide to Effective Care Planning in Home Health & Hospice

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Home Health’s Top 10 Deficiencies of 2025

Tue, 03 Feb 2026 17:00:00 -0500

We share the most-cited CHAP home health deficiencies and turn them into practical fixes you can implement now. From individualized care plans to med reconciliation, aide supervision, infection control, and transition timelines, we outline simple workflows that hold up on survey day.

• why care plan content remains the top citation
• how to individualize documentation beyond point and click
• full medication reconciliation on every primary visit
• written visit schedules and real patient notification
• patient rights forms and proof of delivery
• infection control habits, bag technique, and equipment cleaning
• aide supervision every 14 days and virtual limits
• transfer and discharge timelines with proof of sending
• using CHAP’s new tools, and three-year trends
• building QAPI projects from deficiency data

After you listen to this podcast, click on some of the links to our resources: our top 10 home health survey deficiency list, which includes our three-year comparison, and the medication reconciliation blog.

Check out our course: Charting the Course: A Guide to Effective Care Planning in Home Health & Hospice

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2026 DME Final Rule Explained

Tue, 16 Dec 2025 20:00:00 -0500

We unpack the 2026 CMS DME final rule with an eye on what changes first, what it costs, and how suppliers can adapt without disrupting patient care. Annual surveys, stricter accreditation oversight, and targeted incentives reshape strategy, budgets, and daily operations.

• Annual surveys begin at next initial or reaccreditation after 1 January 2026
• Elimination of temporary accreditation before surveying new service locations
• CHOW events may trigger initial surveys and start annual cadence
• Prior authorization exemption for suppliers maintaining 90% approval
• Added products and remote item delivery in competitive bidding
• Increased CMS validation, AO reapproval, and continued sampling
• Faster complaint reporting and more granular data submission
• Clear rationale required when accepting corrective action plans
• Address changes and warehouse functions require survey planning
• Practical steps for budgeting, staffing, and strategic footprint decisions

Read the final rule. Listen to industry webinars and review our resources to understand the key elements and direct impact on suppliers.

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2026 Home Health Final Rule Explained

Tue, 16 Dec 2025 20:00:00 -0500

We break down the 2026 home health final rule, from the 1.3 percent cut and sequestration impact to face-to-face, OASIS, HHCAHPS, and value-based purchasing changes. We share concrete steps to shore up documentation, data, and budgets before January 1, 2026.

• Why the final rule timing compresses preparation
• Payment impact of the 1.3 percent cut plus sequestration
• What changes in face-to-face encounter responsibility and proof
• Aligning COPs with the all-payer OASIS requirement
• How HHCAHPS and OASIS items are being revised
• What new and removed VBP measures mean operationally
• Anti-fraud signals in enrollment and oversight
• Practical actions to update policies, analytics, and training
• Resources to read and where to find deeper summaries

We did present and post two very detailed summaries with the highlights of the home health content as well as the DME content on our website

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From Polypharmacy To Clarity: Building A Culture Of Ongoing Med Rec

Tue, 28 Oct 2025 18:00:00 -0400

A single, accurate medication list can prevent harm, yet it’s often the messiest part of home visits. We unpack how to turn a kitchen-table pile of bottles into a clear, living record that protects patients, reduces polypharmacy, and keeps agencies compliant. Drawing on decades at the bedside and in surveys, we walk through the moments where discrepancies hide—transitions between providers, “as needed” meds, herbals and supplements, dose tweaks after a clinic visit—and show how to bring everything into alignment with orders and what’s actually in the home.

View CHAP's new resource: Medication Reconciliation in Home-Based Care

We get specific about what good medication reconciliation looks like in home health and hospice: verify at every visit, include non-covered and OTC products, and escalate discrepancies to the prescriber right away. You’ll hear why misalignment across the home list, the medication profile, and facility records is a top CMS deficiency and how it can escalate to immediate jeopardy when safety is at risk. We also dig into the April 2024 Home Health CoP interpretive update that lets agencies define who performs medication reviews based on scope and policy, while underscoring the nonnegotiable goal: a timely, accurate, and complete list.

Education and tools make the difference. We share practical strategies for teach-back, multilingual materials, and adapting for hearing or vision limits. We cover the Beers Criteria for older adults, ISMP resources, safe storage and disposal, and tech that improves adherence—delivery services, synchronized refills, pre-filled packs, and smart dispensers. Expect actionable checklists, questions to ask on every visit, and a reminder to have patients carry a current list to appointments and during any transition of care.

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The Hospice Final Rule 2026 - What Hospice Providers Need to Know

Wed, 10 Sep 2025 20:00:00 -0400

The FY2026 Hospice Final Rule brings positive changes with a 2.6% payment increase and significant regulatory clarifications that reduce administrative burden for providers nationwide. Jennifer Kennedy and Kim Skehan discuss critical updates affecting hospice operations, with special focus on the imminent HOPE assessment implementation.

• 2.6% national payment increase for hospices with cap amount set at $34,465.34
• Regulatory clarification allowing any physician member of the IDG to complete certification of terminal illness
• Face-to-face attestation requirements simplified, eliminating need for separate documentation
• HOPE implementation confirmed for October 1st with data submission through iQIEs system
• 90% compliance threshold remains in effect with potential 4% payment reduction for non-compliance
• Final date for HIS corrections is February 5, 2026
• CMS holding on decisions regarding interoperability and deregulation requests

Providers should evaluate the financial impact of wage index changes, update policies to align with regulatory modifications, and ensure readiness for HOPE implementation through comprehensive staff training.

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2026 DME Proposed Rule: What Providers Need to Know

Tue, 05 Aug 2025 12:00:00 -0400

CMS has proposed significant DME regulation changes in the 2026 Home Health Payment Update Rule that focus on combating fraud, improving supplier compliance, and enhancing efficiency through increased oversight and expanded requirements. The proposed changes would dramatically impact DME operations through annual accreditation surveys, expanded competitive bidding, and enhanced data reporting requirements.

• Annual accreditation surveys instead of the current three-year cycle would increase costs and operational burden
• Expanded competitive bidding to include continuous glucose monitors, insulin pumps, and certain medical supplies
• Prior authorization exemption process for providers with 90% or higher claim approval rates
• Enhanced oversight requirements and increased data submission for both providers and accrediting organizations
• Significant financial impact through decreased reimbursement rates paired with increased costs
• Comments are due by August 29, 11:59 PM

We strongly encourage DME providers to review the proposed rule and submit comments with data, beneficiary stories, and constructive suggestions. Visit the CHAP website for a summary of DME provisions or contact your state and national associations for guidance in developing your comment letter.

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2026 Home Health Proposed Rule + Payment Changes

Tue, 15 Jul 2025 20:00:00 -0400

A massive regulatory overhaul looms on the horizon for home health agencies. The proposed Calendar Year 2026 Home Health Payment Update rule spans nearly 600 pages, packed with changes that extend far beyond payment adjustments.

Proposed expansion of face-to-face encounter policy to allow not just physicians but also NPs, CNSs, and PAs to perform encounters regardless of prior patient relationship
CMS plans to remove COVID-19 vaccine reporting measure and four social determinants of health assessment items from OASIS data collection
Proposed shorter HHCAHPS survey implementation beginning April 2026 with fewer questions
Potential reduction in data submission timeframes from 4.5 months to 45 days to improve measure timeliness
Updates to Home Health Value-Based Purchasing including measurement changes and reweighting of components
Technical updates to Conditions of Participation text to accommodate all-payer OASIS data submission
Multiple requests for information on interoperability, wellness measures, and falls reporting

Comments on these proposed changes must be submitted to CMS by August 29th. The final rule is expected to be published in late October or early November.

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Case Management: The Backbone of Home Health and Hospice

Tue, 10 Jun 2025 20:00:00 -0400

Case management represents the invisible thread that weaves together all aspects of patient care in home health and hospice settings—yet many clinicians receive minimal training in this critical skill.

The conversation between Jennifer Kennedy and Kim Skehan dives deep into what effective case management looks like and why it matters so profoundly for both patient outcomes and regulatory compliance. As Kim notes, "Case management is a next level skill" that requires dedicated training and support beyond what most clinicians receive in their professional education. Organizations must invest in developing these capabilities, recognizing that quality case management takes months—not days—to cultivate.

Beyond simply making visits, case management involves comprehensive assessment, holistic care planning, and coordination across disciplines to address all patient needs. When done well, it improves patient outcomes, prevents complications, and creates seamless care transitions. When it falters, the consequences can be severe, with many survey findings at the condition level or immediate jeopardy stemming directly from coordination failures. This reality highlights the intersection where compliance meets quality—where doing right by patients simultaneously protects organizations from regulatory challenges.

With increasing patient acuity in home-based care, case management has become more complex and demanding. Today's case managers must effectively coordinate multidisciplinary teams, manage high-complexity patients, and ensure comprehensive documentation of all care activities. While technology and AI provide increasingly valuable support tools, the human elements of assessment, coordination, and communication remain irreplaceable. The most successful organizations combine robust training programs with clear processes and adequate time allowances for this vital function.

Ready to strengthen your organization's case management practices? Explore CHAP's Center for Excellence for resources, educational offerings, and disease program certifications that can enhance your team's ability to deliver truly coordinated, patient-centered care.

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Decoding the 2026 Proposed Hospice Rule

Tue, 06 May 2025 19:00:00 -0400

The fiscal year 2026 proposed hospice rule brings cautious optimism to providers with a projected 2.4% payment increase, though experienced hospices know to factor in the ongoing 2% sequestration when calculating their bottom line. For those who've long struggled with regulatory inconsistencies, this rule delivers welcome clarification on who can certify hospice eligibility, aligning payment regulations with Conditions of Participation after years of confusion.

Most significantly, CMS confirms the HOPE assessment tool will launch on October 1, 2025, as scheduled. Despite earlier speculation about potential delays, hospices should maintain implementation momentum, with CMS planning one final training session this summer. Face-to-face attestation requirements also receive much-needed clarification, potentially reducing one of the top reasons for claim denials.

Beyond operational updates, CMS seeks provider input through several Requests for Information. They're exploring digital quality measurement using FHIR-based reporting, considering new quality measures around well-being and nutrition, and looking for opportunities to streamline regulations and reduce administrative burden. This represents a genuine opportunity for hospice providers to shape future requirements.

The relatively slim 62-page rule contains consequential changes that demand attention. Providers should thoroughly review the complete document, evaluate potential financial impacts, coordinate with state and national associations on comments, and ensure staff education aligns with the clarified regulations. With the comment period closing June 10 and the final rule expected in early August, the time to prepare is now. Let your voice be heard on these important changes that will influence hospice care delivery and reimbursement for years to come.

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Top 10 Home Health Deficiencies for 2024

Tue, 25 Feb 2025 17:00:00 -0500

The episode examines the top 10 home health survey deficiencies of 2024, underscoring the importance of compliance and effective care planning. Jennifer and Kim provide actionable strategies for home health agencies to enhance their survey readiness and improve quality care.
• Identifying and understanding the top 10 deficiencies for compliance
• Importance of comprehensive assessments in care planning
• Challenges faced in interdisciplinary care coordination
• Significance of infection prevention during home health visits
• Technical requirements regarding patient rights documentation
• Strategies for ongoing survey readiness and case management best practices
• Utilizing CHAP resources for enhanced compliance strategies
• Importance of ongoing education and staff training in home health settings

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Top 10 Hospice Deficiencies for 2024

Tue, 25 Feb 2025 17:00:00 -0500

Understanding the top 10 hospice deficiencies for 2024 is crucial for providers committed to compliance and quality care. This episode explores key themes like survey readiness, comprehensive assessments, case management roles, and the importance of continuous improvement strategies.

• Importance of recognizing key hospice deficiencies
• Challenges in today's survey environment
• Trends focusing on care planning and assessments
• Case management as an essential component of patient care
• Emphasis on interdisciplinary teamwork and communication
• Necessity of mock surveys for ongoing readiness
• Strategies for maintaining compliance and enhancing care quality

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New Season, New Voices!

Wed, 22 Jan 2025 13:00:00 -0500

For over 60 years, CHAP has been leading the way in home and community-based care, and now CHAPcast is leveling up! With a dynamic new format, co-hosts Jennifer Kennedy and Kim Skehan bring their expertise, passion, and a touch of personality to every episode.

Get ready for deeper dives into the issues that matter—breaking down policy updates, exploring cutting-edge trends, and sharing practical tools to help you thrive. Fresh perspectives and actionable insights you can use right away.

Whether on a commute, in the office, or just catching a moment to yourself, CHAPcast is here to keep you informed, inspired, and ahead of the curve.

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Managed Care Contracting and Value-Based Models with Joe Russell

Tue, 22 Oct 2024 23:00:00 -0400

Joe Russell, Vice President of Network Management and Contracting at Strategic Healthcare shares his invaluable perspective on how community-based providers can thrive despite the dominance of managed care plans and the ever-present issues of fraud, waste, and abuse.

Our conversation uncovers the influence of pivotal regulatory shifts, such as the Affordable Care Act and CMS initiatives, on managed care. We navigate the delicate balance between cost containment and quality care, addressing critical challenges like authorization limits and the impact of timely payments on providers.

As we look to the horizon, our dialogue transitions into the evolving dynamics of provider-payer relationships, where data-driven quality metrics take center stage. The burgeoning landscape of managed Medicare Advantage plans demands a new level of collaboration between payers and providers, with an emphasis on trust and innovative cost-containment solutions.

We explore the significance of aligning with metrics like star ratings and rehospitalization rates to enhance opportunities and reimbursement. Value-based care in post-acute settings is poised for growth, and providers must lead the charge by understanding their costs and crafting compelling value propositions for managed care plans.

Join us as we chart the course for the future of healthcare, where collaboration and strategic partnerships will redefine success.

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Communicate and Deliver Value your Health Systems Need

Tue, 24 Sep 2024 20:00:00 -0400

Unlock the strategies that can transform your approach to healthcare communication! Join Jennifer Kennedy, CHAP's lead for compliance and quality, and Pat Driscoll, a professor in healthcare administration and chair of CHAP's board, as they reveal how to effectively communicate value and quality in today's fiercely competitive healthcare landscape. This episode is packed with actionable insights on overcoming the challenges faced by post-acute care providers, ensuring continuity of care, and fostering proactive collaboration between hospital systems and community-based providers.

Discover how to elevate your post-acute care value by engaging with key decision-makers early and designing robust programs for managing chronic diseases and high-acuity patients. Pat Driscoll offers expert advice on becoming indispensable partners in the continuum of care, emphasizing the importance of delivering on promises and embracing value-based care models. The episode concludes with a compelling discussion on fostering dynamic partnerships and integrating learnings back into your organization for continuous quality improvement. Don't miss this opportunity to elevate your healthcare practice and improve patient outcomes through effective communication and collaboration.

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Transforming Hospice Care: The Evolving Role of Medical Directors

Tue, 20 Aug 2024 20:00:00 -0400

How have federal regulatory changes reshaped the role of hospice medical directors from mere formalities to key players in patient care and organizational leadership? Join Jennifer Kennedy and our esteemed guest, Dr. Daniel Maison, as we unpack the historical "three S's" and explore the significant transformations driven by CMS regulations. You'll gain valuable insights into the evolving responsibilities of hospice medical directors, highlighting their integral contributions to both operational and clinical aspects within hospice organizations.

Tune in to discover practical strategies for engaging medical directors in leadership roles and optimizing interdisciplinary group (IDG) meetings. Dr. Maison shares his expert advice on creating a collaborative environment that values physicians' contributions, prevents burnout, and fosters continuous education. Learn how to leverage physicians' expertise for educational opportunities and involve them in decision-making processes to enhance patient care and drive organizational growth. This episode promises a comprehensive look at the enhanced recognition and vital role of hospice medical directors in today's healthcare landscape.

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Hospice: Top 10 Deficiencies for 2023

Tue, 02 Jul 2024 20:00:00 -0400

Join us as we dissect the top 10 hospice deficiencies for 2023 with Keri Culhane, CHAP's Clinical Nurse Educator. Expect to learn about the intricacies of individualized care plans, the critical nature of accurate medication profiles, and the emerging challenges of standard precautions and timely bereavement assessments. We don’t just highlight problems; we also provide actionable strategies to enhance compliance and elevate patient care quality every single day. We also discuss the pivotal role of initial bereavement assessments and an interdisciplinary approach, even when patients opt out of certain disciplines among other essential items. Tune in to find out.

Click below for:

Be sure to listen for details on our upcoming micro-learning sessions dedicated to individualized care plan development, designed to help you meet and exceed CHAP standards.

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Home Health: Top 10 Deficiencies for 2023

Tue, 02 Jul 2024 20:00:00 -0400

Join us for an insightful episode as we dissect the top 10 home health deficiencies for 2023 with CHAP's esteemed Clinical Nurse Educator, Keri Culhane. With decades of expertise in post-acute healthcare, Keri sheds light on persistent issues and emerging trends in care planning, emphasizing the critical elements of the plan of care and the necessity for individualized care plans. Understand why "cookie cutter" approaches often driven by electronic medical records (EMRs) are falling short and discover new deficiencies around maintaining complete records and conducting timely initial assessments. Keri also offers practical strategies like using SMART goals and customizing EMR processes to enhance compliance and improve care quality. Our conversation also covers critical infection control practices, with an emphasis on hand hygiene and bag technique during field visits among other essential information. Listen to find out.

Click below for:

Be sure to listen for details on our upcoming micro-learning sessions dedicated to individualized care plan development, designed to help you meet and exceed CHAP standards.

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Discharge for Non-Compliance? The Shift to Patient Adherence

Tue, 11 Jun 2024 20:00:00 -0400

Ever wondered why patients miss their medication schedules despite clear instructions? Our enlightening conversation with Dr. Kate Jones reveals the critical shift from simply labeling patients as "non-compliant" to understanding the complexities behind "patient adherence." Discover how patient-centered care and shared decision-making can transform healthcare outcomes and why addressing social determinants of health (SDOH) is paramount for effective and realistic care plans.

Through a real-world case involving medication refills, we underscore the importance of thorough patient questioning. You'll hear how a nurse's persistence uncovered the true reasons behind missed refills and how practical solutions like pharmacy delivery services or mail-order options can prevent hospital readmissions. This segment highlights the value of taking extra time to identify and solve underlying issues, ultimately improving patient care.

Communication is the cornerstone of healthcare, and in our final segment, we discuss strategies to enhance patient interactions. Learn how using phrases like "tell me more" can foster a non-punitive, supportive environment and explore organizational techniques to encourage a culture of empathy and understanding. We also touch on the upcoming health equity standards from CHAP, emphasizing the need for continuous advancement in quality care. Join us for a thought-provoking episode that advocates for a more holistic and empathetic approach to healthcare.

Guide for Reducing Disparities in Readmissions
How Using the Term "Non-Compliant" Keeps Providers From Partnering With Patients

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Health Equity: Insights on the CMS Framework and Leadership in Healthcare

Wed, 22 May 2024 20:00:00 -0400

As a nurse, witnessing the pervasive disparities in healthcare access was a profound wake-up call. Our conversation with Marisette Hassan takes us on a journey through the challenges and aspirations of achieving health equity, a mission that has never been more critical than in the shadow of the COVID-19 pandemic. When systems fail to serve everyone equally, the consequences are dire, and our discussion underlines the urgency of this issue. With Marisette's insights on the CMS health equity framework, we unpack the layers of this complex issue, from the importance of data collection to the necessity of culturally tailored services.

With the pandemic spotlighting the stark inequities impacting Black and Brown communities, the episode with Marisette Hassan navigates the intricate paths of the CMS framework designed to bridge these alarming gaps. As we dissect the five priorities of this framework, it becomes clear that understanding and addressing the social determinants of health goes beyond mere demographics. It's a call to action for inclusive imagery, language accessibility, and a healthcare system that welcomes diversity in all forms, including provision for those with disabilities and hearing challenges. This comprehensive strategy reflects a commitment to not just heal but to include, resonating deeply with us as healthcare professionals seeking to serve all communities effectively.

Our final reflections circle back to the role of leadership in championing health equity. Sharing the excitement of developing CHAP's health equity standards, we highlight the incremental steps taken towards this monumental goal. Acknowledging Marisette's invaluable contributions, we invite our listeners to become part of a movement towards a healthcare landscape that's not only quality-driven but also equitable. Join us as we explore the nuances of health equity and take away insights that will empower you to partake in the transformation of healthcare into a system that truly caters to everyone.

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The FY 2025 Hospice Wage Index Rule: Insights From NAHC and NHPCO

Tue, 09 Apr 2024 18:00:00 -0400

Take a first look at the Fiscal Year 2025 Hospice Wage Index Rule with the unparalleled insights of industry authorities Katie Wehri (NAHC) and Patrick Harrison (NHPCO). Our conversation slices through the complexity to deliver a focused commentary on what this proposed rule signifies for hospice care providers, highlighting the rule's unexpected early release and the notable absence of anticipated program integrity proposals. We delve into the ramifications of the missing measures and the adaptability required in the wake of this development. The advent of the HOPE assessment tool is scrutinized as it transitions from a patient-centric assessment to a pivotal data collection asset, with an eye on the nuances of its rollout.

The hospice community stands at the precipice of change with the Medicare Advantage hospice component sunset within the VBID model by CMS. We dissect the repercussions of this pivot from earlier value-based system inclinations and emphasize the balance between cautious optimism and the realities of the evolving healthcare system. The episode also honors the dedication of hospice workers amid workforce tribulations and increased CMS scrutiny, championing a dual focus on patient care and compliance. We invite our listeners to deepen their engagement with this critical dialogue by leveraging resources such as NHPCO and NAHC, and by partaking in informative webinars that illuminate the path ahead. Your involvement and feedback are the heartbeat of our community, and we're thankful for every clinician's commitment to excellence in hospice care.

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NHPCO's Focusing on Opportunities and Challenges on the Front Lines - click here to register

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The Art of Coaching: A New Perspective on Leadership

Tue, 05 Dec 2023 20:00:00 -0500

Ever wondered how some managers consistently lead their teams to achieve unprecedented success? Keith Rosen, CEO of Profit Builders, joins us to share the secret: mastering the language of coaching. You'll learn how coaching transcends traditional problem-solving, fostering new possibilities and cultivating accountability within your team. Whether you're leading a sales team or running clinical operations, this session gives you tools to aid your employees in developing critical thinking skills, enabling them to become self-reliant problem solvers.

But not all coaching is created equal. The one-size-fits-all approach is a trap that many managers fall into, leading to inefficiencies and disconnection within the team. Keith helps us navigate around this pitfall, discussing the importance of understanding each individual’s unique coaching style, motivation, and accountability methods. Moreover, we delve into the role of confidence in leadership and its direct correlation to sales performance. If you've ever been in a sales slump, this information is a game-changer that will help you intentionally cultivate confidence.

Through this conversation, we hope to have provided insights that will guide you in transforming your leadership style and, ultimately, your team's performance. Join us on the CHAPcast for more empowering conversations like this.

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Decoding Mergers and Acquisitions with The Braff Group's Kristopher Novak

Tue, 21 Nov 2023 19:00:00 -0500

Crack the code of Mergers and Acquisitions in the healthcare-at-home industry with our guest, Kristopher Novak, Managing Director at The Braff Group. In this dynamic episode, we dive into the current landscape of healthcare M&A, exploring the latest trends and challenges shaping this sector.

Kristopher leads us through the crucial timing aspects of M&A - how to perfectly align your business growth, market dynamics, and personal objectives for optimal results. He shares invaluable insights on strategic and tactical preparation, guiding you through the process with clarity and expertise.

But that's not all! We tackle the critical topic of avoiding pitfalls and building premium value in your healthcare business. Kristopher reveals vital strategies to survive and thrive in the M&A space. He also sheds light on identifying the best types of buyers to meet your specific objectives, a crucial step in the journey.

As we approach the end of our enlightening conversation, we delve into the general timeline of M&A processes, setting realistic expectations for what lies ahead. From the early stages of considering a sale to the final steps of closing a deal, this episode is packed with practical advice and real-world insights.

If you're looking to understand the healthcare M&A landscape or contemplating a sale, this episode offers practical advice and expert insights tailored for healthcare providers and entrepreneurs alike.

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From Outreach to Impact: WellStar Health System's Quality Outside the Scores

Tue, 17 Oct 2023 20:00:00 -0400

Get ready to be enlightened with our insightful conversation with Natalie McNeal, the driving force behind Hospice at WellStar Health System. Natalie is here to share how medium-sized home-based care providers can prove their quality beyond Medicare Care Compare scores. She shares the secret sauce to her organization's successful outreach - building relationships within the community, spreading impactful patient stories, and leveraging an innovative advisory committee that brings fresh community outreach ideas to the table. You'll get a glimpse of how their governing board plays a crucial role in certifying the quality of their hospice.

We go a step further to discuss how you can ignite the spark in your staff to become ambassadors of quality in your organization. Natalie shares her experience in creating connections within the community for support and how a community needs analysis can help identify underserved populations. She sheds light on her organization's strategic investment in promotional materials and community events to reach these populations. Natalie also opens up about how they've developed a unique training program to equip their staff and volunteers with the ability to interact with patients and navigate through grief. This episode is a treasure trove of insights for anyone looking to enhance their home-based healthcare services. Don't miss out!

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The Game-Changing GUIDE to Dementia Care with NHPCO's Rory Farrand

Tue, 03 Oct 2023 15:00:00 -0400

What if there was a way to drastically shift the field of dementia care towards more efficient care coordination and equitable health access? This episode features a conversation with Rory Farrand, Vice President for Palliative and Advanced Care at NHPCO, who unpacks the recently released Dementia GUIDE Model by CMS. Listen in as Rory explains the potential this model holds for not just caregivers but also for healthcare-at-home providers.

In an engaging and enlightening discussion, Rory highlights the model's focus on reducing fragmentation, building health equity, and the unique incentive it offers for programs to ensure full community representation. She emphasizes how organizations, even those lacking all the model's components, can still participate, fostering partnerships within their communities to provide required services. If your practice revolves around dementia care or if you're simply a caregiver seeking to enhance the quality of life for your loved ones, this episode offers valuable insights into a game-changing approach that could significantly benefit you. Tune in and consider how you can apply it to your unique circumstances.

𝐂𝐇𝐀𝐏 𝐃𝐞𝐦𝐞𝐧𝐭𝐢𝐚 𝐃𝐢𝐬𝐞𝐚𝐬𝐞 𝐏𝐫𝐨𝐠𝐫𝐚𝐦 𝐂𝐞𝐫𝐭𝐢𝐟𝐢𝐜𝐚𝐭𝐢𝐨𝐧 is a beacon for providers to ensure optimal care. Experience the 𝐬𝐲𝐧𝐞𝐫𝐠𝐲 𝐨𝐟 𝐛𝐨𝐭𝐡 𝐭𝐡𝐞 𝐆𝐔𝐈𝐃𝐄 𝐌𝐨𝐝𝐞𝐥 𝐚𝐧𝐝 𝐂𝐇𝐀𝐏 𝐏𝐫𝐨𝐠𝐫𝐚𝐦, collaboratively framing a comprehensive care strategy. ⁣

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American Dementia: A Discussion with Dr. Daniel R George and Dr. Peter J Whitehouse

Tue, 12 Sep 2023 20:00:00 -0400

Join us for an enlightening conversation with Dr. Daniel R. George and Dr. Peter J. Whitehouse, authors of the groundbreaking book "American Dementia: Brain Health in an Unhealthy Society". We’ll delve into the surprising revelation that dementia rates in the US are declining, thanks to a series of public health interventions. From vascular health to access to higher education, we’ll journey through the spectrum of factors that contribute to brain health.

Be prepared to rethink your perspective on dementia as we explore transformative concepts of dementia-friendly communities, the role of memory products, and the harmful effects of labeling older people with terms like Alzheimer's. Our discussion with Dr. George and Dr. Whitehouse will shed light on the need for a more personalized and community-centered approach to dealing with these multifaceted issues. We'll also discuss the new payment model released by CMS to enhance dementia care and its potential to foster better-coordinated care and access for underserved populations.

Our conversation doesn't end there. We’ll tap into the power of arts, nature, and relationships to enhance the lives of those living with dementia. We'll highlight the importance of staying engaged with the American Dementia community and how purpose, play, and relationships can make a significant difference. Get ready to be inspired and informed as we delve into this complex and essential topic.

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Homecare Homebase: The Role of Software and Age-Friendly Approaches in Personalizing Healthcare

Tue, 01 Aug 2023 20:00:00 -0400

What if patient care stepped away from mere box-checking and became truly patient-focused? This episode is an eye-opener as we welcome Donnette Threats from Homecare Homebase, whose 30 years of hospice experience bring a profound understanding of software's role in building comprehensive care plans. With Donnette, we shift the focus back to what truly matters - the patient and their family, and how clinicians can utilize software to ask the right questions, thereby making care more personalized.

We discuss person-centric care, dual verification, guidebooks, and the role of EMRs in capturing the four Ms. Tune in to find out how investing in age-friendly care can be a game-changer in delivering quality healthcare.

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The Numbers that Matter with Trella Health

Wed, 05 Jul 2023 11:00:00 -0400

Ready to unlock the secrets behind data trends in home health and hospice? This insightful episode, featuring Kara Justis from Trella Health, guarantees to reshape your understanding of data's evolving role in healthcare.

We explore an intriguing paradox as we discuss the 5.2% decline in home health admissions juxtaposed with a rise in Medicare Advantage enrollments. This episode is more than just a casual discussion; it explores how data steers quality and growth in the healthcare sector. Together with Kara, we discuss leveraging data to pinpoint opportunities, ramp up referral volumes, and escalate admissions. We also delve into articulating value in a saturated market, where data scores often mirror one another.

Click here to DOWNLOAD Trella Health's Post-Acute Care Industry Trend Report

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Age-Friendly Care Implementation

Tue, 06 Jun 2023 17:00:00 -0400

In this episode, Jennifer Kennedy from CHAP talks with Jennifer Hale, VP of Clinical Standards and Quality at Compassus, about the application of Age-Friendly Care in hospice. They explore the key factors that define the quality of life for patients and what holds significance for them.

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Differentiate with Disease Programs

Tue, 16 May 2023 17:00:00 -0400

In this episode, Denise Stanford and Bobbie Warner from CHAP talk with Shelley Cartwright, CEO at Apex Health Services, and Irina Gorovaya from Amity Healthcare Group about differentiating your organization with CHAP Disease Program Certification. Learn about the process, value, quality outcomes, and standards of Disease Program Certification.

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Ending the covid PHE: a discussion with NAHC & NHPCO

Mon, 08 May 2023 13:00:00 -0400

Join us for a thought-provoking episode of the CHAPcast, where our host Jennifer Kennedy sits down with Katie Wehri of the National Association for Home Care & Hospice (NAHC) and Judi Lund Person of the National Hospice and Palliative Care Organization (NHPCO). Together, they dive deep into the topic of the Public Health Emergency (PHE) coming to an end and discuss the implications for providers of care in the home.

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Leadership

Wed, 03 May 2023 07:00:00 -0400

In this episode, Jennifer Kennedy and Melinda Gaboury, Co-Owner & Chief Executive Officer of Healthcare Provider Solutions, Inc. discuss "good" leadership and the value of a solid gap analysis.

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How to Get Involved in Advocacy

Tue, 04 Apr 2023 17:00:00 -0400

Jennifer Kennedy talks with Deborah Hoyt from Axxess about how you can get involved in advocacy, the most critical areas to boost provider advocacy, and why it’s more important than ever.

Join Axxess, April 17-19 in Dallas for the Axxess Growth, Innovation, and Leadership Experience — AGILE. This will be more than a user conference. We’re assembling influential thought leaders like Dallas Mavericks CEO Cynt Marshall, Principal at Simovative Solutions Dr. Dan Weberg, and our very own Founder and CEO John Olajide as they cast a vision for innovation, transformation, and the future of care at home. Network and learn from influential thought leaders, policymakers, technology innovators, and other care teams aiming to drive the future of the care-at-home industry.

To register, go here.

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Hospice Top 10 Deficiencies for 2022

Wed, 01 Mar 2023 17:00:00 -0500

In this episode, Bobbie Warner and Jennifer Kennedy walk through the top 10 deficiencies found during Hospice surveys in 2022.

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Home Health Top 10 Deficiencies for 2022

Wed, 01 Mar 2023 17:00:00 -0500

In this episode, Bobbie Warner and Jennifer Kennedy walk through the top 10 deficiencies found during Home Health surveys in 2022.

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2023 Plan using NAHC's Hospice and Palliative Care Report

Tue, 07 Feb 2023 17:00:00 -0500

In this Episode, Jennifer Kennedy talks to Katie Wehri as they walk through NAHC's Hospice and Palliative Care Report from December, giving everyone a list of what needs to be on providers' radar in 2023. From VBID, Hospice Cap and MedPAC recommendation, Telehealth recertification through 2024, and Hospice fraud.

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How Age-Friendly Care Can Grow Your Business

Thu, 12 Jan 2023 11:00:00 -0500

In this episode, we explore the business case, value proposition, how to improve the patient care experience, improve CAHPS scores, the importance of collaborative decision making, and the impact to agencies providing Age-Friendly Care at Home.

More than ever before, patients want individualized care, more say in their care, being involved in decision making, and ensuring what matters to them is heard so they have positive experiences.

Link to Age-Friendly Care resources

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Why Age-Friendly Care Certification is Critical

Thu, 12 Jan 2023 11:00:00 -0500

What is CHAP building? How does it benefit healthcare providers and agencies? How does this help the patient? Why asking "What Matters" is the most critical question when speaking to a patient.

CHAP is creating an Age-Friendly Care at Home certification process through our partnership with The John A. Hartford Foundation and the Institute for Healthcare Improvement.

When healthcare workers implement the 4Ms Framework into care giving, they are providing evidence-based practices to achieve the most optimal outcomes.

Link to Age-Friendly Care resources

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What is Age-Friendly Care?

Thu, 12 Jan 2023 11:00:00 -0500

An introduction to Age-Friendly Care at Home.

According to the US Census Bureau, the US population aged 65+ years is expected to nearly double over the next 30 years, from 43.1 million in 2012 to an estimated 83.7 million in 2050. We have an aging population with a growing demand for healthcare and not enough healthcare workers to meet this demand.

We'll examine the demand, 4Ms framework, ageism, principles, along with an introduction and benefits of the application into community-based care settings.

Link to Age-Friendly Care resources

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Staffing, recruiting and retention in Healthcare

Tue, 10 Jan 2023 01:00:00 -0500

Knee deep in one of the most tumultuous job markets that anyone can remember and healthcare workers quitting at unprecedented numbers, what are providers to do?

Jennifer Kennedy sat down with Stephanie Johnston from Transcend Strategy Group to discuss staff recruitment and retention, including the number one solution to burnout that a care-in-the-home provider has to offer clinicians.

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The Value of Home Care with CEO Tim Hanold of Care Advantage

Tue, 06 Dec 2022 17:00:00 -0500

Home Care has tremendous value for the people and families receiving care. In This episode, Jennifer Kennedy and CEO Tim Hanold from Care Advantage shares insights on what quality indicators payors look for in network partners and what metrics matter most in value-based purchasing and risk relationships.

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Building a Hospital at Home Program

Tue, 01 Nov 2022 00:00:00 -0400

Running a hospital-at-home program at the agency level may sound out of reach for some. Summer Napier, President & CEO of Healing Hands Healthcare, talks to Jennifer Kennedy about her program and gives insights they learned while building.

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Advance Care Planning and Shared Decision-Making

Wed, 05 Oct 2022 08:00:00 -0400

Advance Care Planning is a process, not a one-time event that includes an individual and their loved ones. People’s goals change over time. As we saw with COVID-19, many patients changed their minds regarding ventilators and life support.

Stephanie Anderson from Respecting Choices says it’s not just enough to educate about advance care planning but about introducing “shared decision-making.” Learn more about these conversations and what you need to focus on when implementing.

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Palliative Care in Rural New Mexico - Innovation Spotlight

Tue, 06 Sep 2022 17:00:00 -0400

Starting palliative care in rural New Mexico has its challenges. Education, billing, adding clinicians from other care settings, and referral source alignment, to name a few. Jacob Martinez from Mountain Home Health and Hospice talks about their steps to build a thriving program that has improved their quality and gives patients the care they need.

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Palliative Care in the Community

Tue, 02 Aug 2022 20:00:00 -0400

Kathleen Kerr from Transforming Care Partners joins Jennifer Kennedy to talk about how Palliative Care providers and payers address the questions/uncertainties regarding what to provide, to whom, by whom, how to assess, and a lot of variation in those elements.

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Home Health Episode

Tue, 05 Jul 2022 00:00:00 -0400

Jennifer Kennedy talks to Maria Warren, VP of Clinical Consulting Services from McBee about what's involved in optimally managing an episode of care for a patient, episode management in value-based purchasing, and its impact on quality.

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Health Equity CMS Strategy and Provider Gaps

Tue, 31 May 2022 11:00:00 -0400

We know that health disparities have existed in various ways, but it took a pandemic to shine a light on a critical topic. How do we increase access to quality care and serve the underserved? Jennifer Kennedy and Nicole M. Davis tackle the newly posted CMS Framework for Health Equity and talk about what this means for providers. Check out our Health Equity blog for more information.

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Hospice Physician Dictation and Engagement with Dr Amy Moss and Jason Banks

Tue, 03 May 2022 09:00:00 -0400

In this episode, Jennifer Kennedy talks with Dr. Amy Moss from Amedisys, and Jason Banks from nVoq about what it's like to be a medical director in 2022. They discuss the ever-evolving role of the physician in hospice, and how to use technology to help your hospice physician deliver on the expectation of documentation while weaving a beautiful patient story and narrative.

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Contractor Can of Worms with Sharon Litwin

Tue, 05 Apr 2022 09:00:00 -0400

“Contractor Can of Worms” - the new vaccine mandate has put a new layer of inspection on records kept about contract employees. Jennifer Kennedy talks with Sharon Litwin about what else to be mindful about when bringing on a staffing agency.

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Physician Perspectives with Dr. Khai Nguyen

Wed, 02 Mar 2022 08:00:00 -0500

,Jennifer Kennedy speaks to our National Medical Director, Dr. Khai Nguyen. Hear answers to important questions like, what does a physician look for in an in-home care provider, how providers can gain or lose a physician's trust, and learn about what he sees is needed today in the geriatric population.

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Introducing CHAPcast

Mon, 31 Jan 2022 12:00:00 -0500

Welcome and thanks for listening to our first episode. Subscribe to hear all the new episodes the day they are published.

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Hospice Survey Updates and Enforcement - What You Need to Know

Mon, 31 Jan 2022 12:00:00 -0500

Dr. Jennifer Kennedy and Kim Skehan from Simitree Consulting sit down to discuss updates to the hospice survey and enforcement changes.

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