Kenyon HomeCare ConsultingGinny Kenyon, Author at Kenyon HomeCare Consulting - Page 2 of 63 (206) 721-5091

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So, You Lost Your Administrator. Now, You Are Struggling To Keep It All Together. Use Interim Management To Jump The Hurdle Between Day-To Day Operations And Getting The New Person On Board!

interim managerLosing an administrator can change the dynamic in your agency quickly. Not only is it expensive to recruit someone new, it also takes time to train. Consider using an interim manager. Let’s look at why an interim manager can keep things going without missing a beat.

5 Reasons To Consider An Interim Manager:

Many agencies aren’t clear about the role of an interim manager. Some think it’s an expensive way to bring someone in who knows nothing about the agency or how to run it.  This could not be further from the truth. Here are 5 reasons an interim manager is just the opposite.

  • Regulatory Expertise: These are individuals who are versed on regulations for Medicare and accrediting bodies.
  • Operations Management: These are seasoned admins with decades of experience with day-to-day operations.
  • Recruitment: The interim manager has far reaching contacts and can potentially connect you with the perfect replacement.
  • Training: This is very time-consuming. Having someone to do it allows for a quicker process and one that flows smoothly.
  • Organizational Change: The interim manager can be a great change agent where necessary. Never discount the ability for an outside person to effectively institute organizational shifts.

Where Do You Most Need The Help?

You may need help with one or all of these categories. If you are unsure, then talk to an experienced interim. They help devise the game plan you need. If organizational change is necessary, then make it happen before the arrival of your new administrator. Set them up for success. No new administrator wants to walk into a mine field. So, making the investment ahead of time can be much more cost-effective in the long run.

Kenyon Homecare Consulting:

At Kenyon Homecare Consulting, we have experienced interim managers who thrive as change agents and in operations management. Regardless the needs you have, we can help from the beginning to the end of the process. Call us at 206-721-5091 or contact us online for your free 30-minute consultation. See how our experienced interim managers can be key to getting through the hurdles!

Employee Retention In Homecare: What Is The Next Step When You Feel Like You Have Done Everything But Still Can’t Keep Staff?

Employee RetetnionThis is the million dollar question, right? Homecare struggles to have the sheer volume of employees to service the clients. On top of it all, employee retention is an issue. Is there a homecare agency out there who isn’t struggling to recruit and retain quality staff? It is a real issue for long-term sustainability for the industry.

Why Do Your Employees Leave?

The first thing people normally say is money. If it was all about the money, then no one would be in homecare. The mismatch between reimbursement of inpatient versus in-home care has always been there. If money was the main factor, there would never have been an applicant there in the first place. Maybe you need to consider what you ask when they leave. Now, we are talking about the form itself. Does it look the same as it did 20 years ago? If so, then you get information from exit paperwork that doesn’t help retain employees. If you are long-term in homecare, consider what would make someone leave 20 years ago or 10 years ago versus now.

Challenged Versus Overwhelmed:

You hear employees talk about being overwhelmed. It becomes important for employers to distinguish between the two concepts of challenged versus overwhelmed. Employees need to be challenged to find the job fulfilling. It is the nature of work. Without the work being fulfilling, employees will find a reason to leave. Now, the question needs to be: How do we keep employees fulfilled in the job they do. By pushing the employee past challenging into overwhelming, you change job satisfaction. It is a balance for employees with different thresholds for each.

What Does Your Training Do To Keep Employees?

Exit interviews often communicate a lack of job training to provide the employee a comfort level doing their jobs. Because homecare employees are on their own in the home, making sure the comfort level is attained is huge for retention. Often times, we don’t consider the additional stress an employee may have who hasn’t worked in homecare in the past. Dealing with complex cases of co-morbidities may be scary for employees or make them feel unprepared. This is definitely applicable for home health aides.

Work For Advancement:

Training and education needs to result in a potential for advancement in the field. Setting up advancement ladders provide the employee with incentives that can lead to improved job performance and improved engagement along with financial incentives. Make sure education and applying it to processes within the patient homes. This leads to visible improvement in employee status and advancement of the employee as a valued member of the team. The right training and right incentives make all the difference in employee retention.

Kenyon Homecare Consulting:

At Kenyon Homecare Consulting, we offer training specifically to home care aides and we also focus on retention strategies for your aides. Our training helps to empower the home health aide to a more integral part of the home care team. Call us at 206-721-5091 or contact us online to see how we can help your retention.


Learn more about home care aide retention strategies.  Register for our upcoming webinar, “Retaining Your Home Care Aides By Developing High Quality Career Ladders”. Webinar scheduled for Thursday, April 25, 2019 at 10:00am (PST). Register NOW until Thursday, April 18, 2019 for only $75. Registration after April 18th for $89.99.  CLICK HERE TO REGISTER.

You Give Chronic Disease Education To Your Home Care Staff, But Things Don’t To Improve. Is The Training The Problem? Make Sure Your Training Hits It Out Of The Park Every Time!

hit it out of the parkIt is not new information that chronic disease education is important. Chronic Disease Management is so expensive for the healthcare system and for providers of care as well. Sometimes, you may provide chronic disease education and not get the outcomes you want. It may be the approach of the program you use. Let’s look at why an integrated program is so important. 

You Are A Team: 

The clinicians in the field are members of one team. It often doesn’t present this way. Many times, the aides do their thing as do the therapists and nurses. When each discipline completes “their part”, the patient is discharged. One month later, you receive another referral for the patient who exacerbated the same disease you worked to stabilize. The revolving door of chronic disease begins with a chronic disease program that looks at your care plan differently. 

Chronic Disease Education: 

Teaching on Chronic Disease is not just about teaching each discipline about signs and symptoms. Chronic Disease Education needs to be facility-based and not just on discipline. It needs to pull together a collective management program addressing care planning as well as employee intervention. Many programs are just specifically to teach the aide or nurse what the signs and symptoms of the diseases are and that is it. If you teach something that only deals with memorization, then how do you expect for clinical staff to critically work with facility processes and patients? The two items need to go hand-in-hand. 

Kenyon Homecare Consulting’s Chronic Disease Program: 

This is where Kenyon Homecare Consulting comes into help. We have the facility and clinician-based trainings to move disciplines into a more focused outcome-based model of care. It involves interdisciplinary care and all members of the clinical team provide a vital piece of making a true difference in keeping the patient home. The medical home models need this kind of comprehensive chronic care management. Are you ready? Call us today at 206-721-5091 or contact us online for questions regarding our chronic disease online education. 

Interim Management: Looking Forward To The Future Of Home Care Administration. Do You Have 20/20 Vision Or Need An Adjustment?

interim managementYou have overseen your agency for years. So, maybe the idea of interim management has never crossed your mind. Maybe it is time to think about it. This includes seeing the interim manager functioning on a different level for your agency. 

20/20 Vision: 

No one has a crystal ball. We can’t say what the Medicare benefit will look like in ten years. If you haven’t anticipated well in the previous years, then you may continue to struggle. Based upon the transition of more home and community based care as opposed to institutional services, the medical home model will continue to progress. In order to have a successful agency, you need to look ahead effectively. 

Enter Interim Management: 

Sometimes, it is difficult to make changes in the world you live in daily. In other words, it becomes difficult to see the forest for the trees. If you are involved in so many pieces of the puzzle, you may not see the collective puzzle. Interim Management will enter the agency and work side-by-side to see the flow and evolution of your business. Have you tried to implement processes unsuccessfully? Do you need to step back and see why you aren’t functioning the way you want? Maybe, the vision isn’t there the way it normally is. These are all reasons an interim can work with you to help your agency improve and prosper. It isn’t a judgment on your ability. It is more an ability for objectivity with leaders in the industry who work throughout different states.

If you send staff to training to keep skills fresh, then why would you not consider the same for yourself? Now, you may counter and say you attend seminars or conferences, but those don’t work directly with you from an internal level.  You meet with your leadership and work directly on operational changes and vision internally, but no one works directly with you. 

Be The Change: 

At Kenyon Homecare Consulting, interim management has seasoned consultants who work all over the US to help businesses advance to future success. Let us help see if you are pointed in the right direction to succeed in a PDGM world and beyond.  Call us today at 206-721-5091 or contact us online to see if short term interim management is right for you. 

Editing A Policy And Procedure Manual: It Should Connect Like All Parts Of The Body Instead Of Being A Disjointed Tool!

Policy and Procedure ManualIf you follow this particular blog, then you know there is a big focus lately on your policy and procedure manual. There is a reason. Surveyors really look at whether you follow your policy and procedure manual. Do you follow it? If this is the first question, then the next is whether you know how to properly edit it. Let’s look at how to make your manual functional.

Ask Yourself This:

There are a few important questions you have to think about when talking about your policy and procedure manual.

  • How Often Do You Complete A Full Review?
  • How Often Are Policies Updated?
  • Do You Reference Your Manual For Decision-Making?
  • Who Is Responsible To Add New Regulations Or Labor Guidelines?
  • What Is Your Check-And-Balance System To Make Sure Your Changes Are Right?

Editing Your Policy And Procedure Manual:

Make sure you are up-to-date. That may sound silly and obvious, but it isn’t. Sometimes, agencies miss new state or federal regs. Or, your operations change while your manual didn’t. You may have addressed items with one employee differently than another. These are all things that set you up for deficiencies at survey time. This is especially important in smaller agencies. Large agencies normally have the staff to assign to specific portions of editing a policy manual. But, smaller agencies often don’t have multiple people in charge of different sections of a manual. This is an important thing to do regardless of your agency size.

How Specific Do I Get?

Some things in your manual are very black and white. Background checks must be present according to state and federal regulations. Period. There is not a debate as to how you can complete it. There are other things that allow you to determine how you show compliance. This is where your editing is so important. If there are five different ways you can prove compliance to a regulation, make sure you don’t make policy that only allows you one way for your agency to complete it. You may have complied with the federal regulation, but still get cited because you didn’t follow your manual. Ultimately, your manual needs to guide your business practices. If it doesn’t, then you need to start over with a new one.

We Have Manuals:

At Kenyon Homecare Consulting, we have manuals ready for online download. They can be customized. We have all service lines and have accreditation-ready manuals. Please call us at 206-721-5091 or contact us online for your free 30 minute consultation with a senior consultant.

Are You Looking To Buy A Home Care Agency? Complete A Due Diligence First! You May Find It Is A Great Idea Or A Really Bad One!

buyer bewareWe live in a world where agency consolidation happens a whole lot. An agency that was present last year may be part of a large integrated system now. Or, some agencies decide to no longer do business due to regulation constraints. If you want to purchase an agency as opposed to starting from scratch, then here is why you need a due diligence first.

What Is A Due Diligence?

A due diligence is an independent person(s) who evaluate the agency from A-Z. If you attempt to complete it yourself, then you may miss crucial items in the evaluation process. Most administrators are skilled in several portions of the agency. It may be finance and clinical. Or, you may be great in operations, but have no clue in deciphering the clinical competency of the agency. Therefore, the objective look at an agency is so critical. Hiring someone to complete the due diligence will accomplish all you need to make an informed decision. It isn’t just about financials. You will have the operations including efficiencies, regulation compliance, finance, and personnel records evaluated. The reporting will compare the fiscal and clinical with that of state and national averages for performance. 

It’s A Deeper Dive: 

If you don’t complete a deep dive into accounting, then you don’t know how accurate the financials are. How is revenue recorded? Does that comply with Medicare on how it should be done for cost reporting? How far out is AR? Do write-offs come from an incompetence from within? What costs are going to overhead? Are they legitimate costs? How does administration track clinical productivity? How are referrals tracked? Who are the referral sources and how many are there? If the agency just shows you financials, then how will you know details? You also want to make sure you aren’t paying more for the agency than its fair market value.  

What About Clinical Due Diligence?

You can’t just look at number of admissions and average payment per episode. You must dig deep here. If you aren’t sure, then a due diligence will complete that. The objective reviewer will look at clinical competence. Does documentation support the care plan and diagnoses billed? Are the number of skilled visits justified? What is the agency flow from referral to submission of RAP? If you don’t know, then operations can really be a problem.  It may be that the agency thinks they are doing everything correctly, but the reviewer sees some big compliance problems.This could lead to financial loss for you after purchase if you don’t know it. 

Let Us Help!

At Kenyon Homecare Consulting, we have senior consultants who work across the country completing due diligence evalutions prior to purchase. Call us at 206-721-5091 or contact us online to talk about what specific things can be determined from the investment in a due diligence. If you aren’t sure, then let us help walk you through the process!

You Have A License For A Home Health Agency. Get Your Policy Manual Next To Start With One Foot Ahead Of The Rest!

start off on the right footSome believe that getting people hired and working is the logical next step after getting a home care license. It isn’t. Knowing the regulations is key to doing things properly. Having a policy manual is your next step. If you haven’t spent years in home care regulations, then it can be difficult to interpret them. A policy manual you can download and edit will save you time and money.  

Starting From Scratch: 

Regulation-speak is a language of its own. Interpretive guidelines from the state or federal government can still leave new agencies frustrated. A policy manual may seem simple to do on your own from scratch, but it isn’t. There are so many regulations that build on previous regulations. If you haven’t been in the home care world for a long time, then you may error in how you comply with a regulation. In addition, starting from scratch is very time-consuming. In addition to everything else, do you want to spend time in manual preparation? 

Customizable Policy Manuals: 

The nice thing about a policy manual purchase is the ability to download and customize it to fit how you plan to run your business. The operational flow will come from you. The regulation will be directly in the manual in a way that allows for easy additions. It also allows you to bring in state-specific regulations. In the same breath, some agencies will have manuals that are ready with your specific state and federal regulations added. The bottom line is that it’s unnecessary to reinvent the wheel here. The work has already been done. If you think the money is better spent elsewhere, then you may pay when it comes to survey. State and accrediting bodies can cite based upon just one incorrect or missing policy.  

Let Us Be Your Guide To Policy Manuals: 

At Kenyon Homecare Consulting, we have all home care service lines and those ready for accreditation. We have policy manuals that include certain state guidelines as well. Please call us today at 206-721-5091 or contact us online to see why a Kenyon policy manual starts you out on the right foot for success!

Thank You For Being A Part Of The Homecare And Hospice Mission!

Thank youWhether we have provided direct services or you are a newsletter subscriber, Kenyon wants to wish you a prosperous 2019. Our consultants appreciate all the time and effort you put in to be a part of the homecare industry. Let us know if we can be of any additional support for you moving forward! Here are some newer services we have available:
Coding Supreme: Billing Services With Coding For Small Agencies
Education And Training: For Clinicians As Well As Operations
Chronic Disease University: For Clinicians And Agencies To Improve Care

Thank you!

Having Trouble Keeping Up With Regulation Changes And Day-To-Day Business? See Why A Mock Survey Can Help You Get On Track Before The Real Thing!

Regulation ChangesToday, home health regulations change more than ever. Yes, the basics of regulation are still there, but showing compliance looks a lot different than it used to be. It may seem tough just running the day-to-day operations without trying to prepare for PDGM and any changes within your state. Let’s look at how to keep up with regulation changes in a meaningful way. 

Common Regulation Mistake: 

Most agencies work for the mission that is homecare. This is absolutely the number one reason any of us are here. However, you can’t forget about putting new regulations into place and keeping up with them along the way. If you do, then you can run into big time road blocks financially and legally. Make sure you know how to adequately prove compliance with a regulation. We saw this hit home with providers when face-to-face came into play. Most agencies saw ADRs deny. It wasn’t because agencies didn’t try. It was because agencies and physicians thought they were compliant only to find out it wasn’t enough. This is exactly the reason an objective eye looking at your agency makes sense.  

Why A Mock Survey: 

Agencies often hit compliance hard before survey, but then back down when it is done. If you think surveys will only come in the form of an on-site visit every third year, then you make a big mistake in running your agency. Auditing comes more frequently now than ever. Accrediting bodies make more and more return visits. CMS wants to know the agency doesn’t become lax after the survey is done. Sometimes, the site visits are yearly leading up to the next full 3-year review. This is expensive for agencies. A mock survey can keep you on the straight and narrow. It has an objective eye on your agency for everything needed to show compliance. It is much cheaper than a yearly site visitor! 

Let Us Do Your Mock Survey: 

At Kenyon Homecare Consulting, we have senior consultants who have been surveyors and know when an agency is compliant and when it isn’t. Call us today at 206-721-5091 or contact us online for your free 30-minute consultation to see if a mock survey is right for you.

Breaking Down The Evolution To The Oasis D Tool. From Clinical Assessment To Data Collection, Why This Document Is More Important Than Ever!

ToolRemember the first Oasis tool? It seemed so cumbersome. Think stapled assessment tool that just made more work for clinical staff. Well, we had not seen anything yet! As the tool has evolved from its original to the current version, the industry has had to evolve too. If you aren’t sure if you are there, then look ahead at how to use the tool to your advantage. 

Well, It Is An Assessment Tool, BUT: 

The reality is that most clinicians see the Oasis as a form to fill out for Medicare. If this is the only way your agency uses it, then more education needs to happen. Lots of clinical information is jammed into that tool. If you think critically about it on a functional and clinical level, then the care plan is effectively created. How many therapists in your agency understand Oasis? Do your nurses critically understand Oasis?  Does therapy read the Oasis after it is completed by the nurse? Is the tool part of initial care coordination? These are all good questions to ask. If staff doesn’t use the tool to properly create a comprehensive care plan, then it is just a form to fill out for Medicare. 

Data Collection: 

Yes, it is a data collection tool for Medicare. So, it needs to be filled out correctly. Not just from a financial standpoint, but also for outcomes.  Oasis changes are made based upon prior years of data. So, if agencies do not take the effort to properly train staff, it hurts the industry. Ongoing errors trigger audits. In the course of a normal record review, how often do you see Oasis discrepancies with other parts of the clinical record? We live in a healthcare world where auditing is here to stay. Don’t set yourself up to fail your ADRs. 

Kenyon Can Help: 

At Kenyon Homecare Consulting, we have senior consultants who can assist with training and operational changes to make your Oasis come together as a tool to make you better. Call us today at 206-721-5091 or contact us online to talk about how we can help train and transition your staff.