Are You Utilizing CMS COVID 19 Flexibility Or Is It Business As Usual And Tough To Maintain?

Kenyon HomeCare Consulting • March 3, 2021
On September 20, 2020, CMS updated the COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers that dates back to its initiation in March of this year. The waivers add flexibility for agencies as we deal with the health emergency in our states. Our individual states have seen downswings and upswings in infection rates and it affects our ability to provide care to our patients. Making sure you know and understand the waivers can make the difference in providing care to your patients and keeping your staff at work.

What’s Happening With Your Staff?
Just like the rest of the world, your staff is dealing with the effects of virtual learning and quarantines that affect the needs of them to stay home with children. Staff has also dealt with their own COVID illnesses and family members affected. So, let’s say you currently have 3 nurses in your agency who now (and suddenly) have to stay home to home school kids and can’t leave to make visits. In a small agency, 3 nurses out of commission is huge. So, the waivers allowed by CMS keeps you in compliance with caring for your patients while utilizing virtual visits and supervision. Let’s look at some of the waivers.

Extending Oasis Timeframes: The 5 day completion is extended to 30 days while the 30-day submission is currently waived during the pandemic.
HHA On-Site Supervision Waived: While virtual supervision is encouraged during this time, an RN doesn’t have to go on site to complete the every 2-week supervision requirement for home health or hospice.

Therapy Disciplines Can Complete Initial/ Comprehensive Assessments: This allows agencies to utilize these disciplines to do these assessments even when nursing is involved/ordered. They are not able to complete initial or comprehensive in nursing only cases, but this gives some flexibility to nursing staff.

12-Hour Annual HHA In-service Training: This allows your training to be postponed until the end of the first full quarter after the end of the pandemic. Ultimately, this is so your RNs who teach are allowed to focus on direct patient care.

Annual On-Site Evaluations Of HHA: These now do not have to be completed until 60 days after the expiration of the pandemic health emergency.

Hospice Aide Competency Testing: The requirement waived is that competency must be completed on an actual patient in the home. Now, it can be done on a pseudo-patient. The speed in which competency testing improves under this waiver allows aides to begin seeing patients sooner.

Now, we’ve only discussed a portion of the waivers, but if you are that agency with 3 nurses out of the picture due to COVID or your patient census has greatly increased, it is a game changer. Many agencies have continued most operations as usual, but waivers helps to decrease exposure and cost. If you are unsure of all the waivers that may help alleviate the pressure on your agency, then make sure to review them on the CMS site.

At Kenyon Homecare Consulting, we want to help agencies provide high-quality care to patients. Call us today at 206-721-5091 or contact us online to see how we can help you be the best at what you do!from a different source.

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controlling chronic diseases
By Ginny Kenyon April 25, 2026
In the rapidly evolving landscape of healthcare, the burden of care is increasingly shifting from clinical facilities to the home. As the population ages, the prevalence of chronic conditions—such as heart disease, diabetes, and respiratory disorders—has reached unprecedented levels. For home care agencies, the quality of service is no longer just about assistance with daily living; it is more and more defined by the clinical competencies and disease-specific knowledge of your field staff. Chronic disease education for home care staff is not a luxury, is a strategic necessity that directly impacts patient outcomes, caregiver confidence, and the business’s bottom line. 1. Enhancing Clinical Outcomes and Safety Home care staff are the "eyes and ears" of the healthcare system. When aides and clinicians are highly educated on chronic disease processes, they can identify subtle shifts in a patient's condition before they escalate into emergencies. · Early Intervention: An educated caregiver can recognize the early signs of fluid retention in a Congestive Heart Failure (CHF) patient or skin changes in a diabetic patient, allowing for proactive adjustments rather than reactive ER visits. · Medication Adherence: Understanding why a medication is prescribed for a specific chronic condition helps staff reinforce the importance of adherence to the patient, reducing the risk of complications. 2. Reducing Hospital Readmissions Hospital readmission rates are a primary metric for home health success. Chronic diseases are the leading cause of "revolving door" hospitalizations. By providing specialized education, agencies empower their staff to implement Evidence-Based Practices at the bedside. When staff can effectively manage symptoms and educate patients on self-care, the likelihood of a patient staying stable at home increases dramatically. This not only benefits the patient but also strengthens the agency’s reputation with referral sources like hospitals and physician groups. 3. Boosting Staff Confidence and Retention The home care industry faces significant challenges with staff turnover. Often, burnout is fueled by the stress of feeling unprepared for complex patient needs. Knowledge is Empowerment: When staff members receive robust training, they feel more confident in their roles. This professional growth fosters a sense of value and belonging within the organization, leading to higher job satisfaction and lower turnover rates. 4. Improving Documentation Accuracy In an era of increased regulatory scrutiny, clinical documentation must be precise. Education on chronic diseases ensures that staff members use the correct terminology and focus on the most relevant clinical indicators during their assessments. · OASIS Accuracy: For Medicare-certified agencies, a deep understanding of chronic conditions leads to more accurate OASIS scoring, which directly influences reimbursement and quality ratings. · Audit Readiness: Well-educated staff produce notes that clearly reflect the necessity of care, making the agency much more resilient during regulatory surveys or audits. 5. Bridging the Communication Gap Effective chronic disease management requires a multidisciplinary approach. A caregiver who understands the nuances of a disease can communicate more effectively with: · Physicians: Providing clear, clinical updates that help doctors make informed decisions. · Family Members: Offering clear explanations and peace of mind to stressed family caregivers. · The Internal Team: Ensuring a seamless transition of care and consistent messaging across all disciplines. Conclusion Investing in chronic disease education is an investment in the agency’s future. By elevating the knowledge of the frontline workforce, home care providers can transform from basic service agencies into high-value clinical partners. In the end, the goal is simple: providing the highest quality of life for patients in the comfort of their own homes, a goal that can only be met through a highly trained and knowledgeable staff. If you do not know where to get comprehensive education for Chronic diseases, contact Kenyon Homecare Consulting at gkenyon@kenyonhcc.com or call 206-721-5091. We are here to help
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