Best Practices And Future Insights: Where Do You Land In The Sea Of Data And How Can You Do Better In Employee Retention?

June 9, 2023

If you follow this blog, you will know that our last post dealt with some information obtained in the National Healthcare at Home Best Practices and Future Insights Study.  There are so many excellent data points and today we want to look a little more into expectations for new employees and retention of staff as well as legacy planning. If you have not downloaded the entire report, then please do. When you read the items we reference from the report here, then consider where your agency culture could potentially change to improve retention of staff.

Recruitment of Nurses to the Industry:

It is no surprise that topping the list of barriers is compensation being higher in other healthcare venues than home health and hospice. This is not new considering our our reimbursement in comparison to hospitals, etc. However, within the top 3 barriers was a misinformed or wrong perception of the industry. This was true for Home health and Hospice Centers of Excellence reporting as well. Our industry is somewhat handcuffed on the reimbursement issue, but what does that tell us we need to do to help those nurses understand the industry differently? How can we reach people to change it? After a few years working in the industry, I had several nurses communicate to me a feeling that they did not believe their assessment skills were good enough to be in home health or hospice. I communicated the opposite. When working with other staff directly around me, I always felt I didn't need to figure things out on my own. My assessment skills got much better working independently in home health and hospice. How many nurses shy away for this exact reason?

Recruitment of Aides to the Industry:

Again, the biggest barrier lies in reimbursement. This is a tough thing, but we as home health and hospice agencies don't utilize aides to their fullest capacity most of the time. If we did, then what resources in terms of additional visits made by higher cost employees could be decreased. Doesn't this allow us to train, increase expectations of certain skilled aides and change rates of pay because of the advanced care provided by these staff? The biggest take home here is that the Centers for Excellence agencies are more likely to  utilize colleges/ universities and preceptor programs as sources of recruitment than those non Centers for Excellence agencies. Are you looking into this in your area?

Legacy Planning:

This data point was very interesting from a consulting standpoint. We all know that major changes to leadership can be very disruptive to employee job satisfaction as well as recruitment and retention. Hospice agencies reported the effect of leadership changes in the next 3-5 years as having a 64.13%  neutral impact. Meanwhile, when home health was surveyed, it reported a negative impact of 62.57% and very negative impact at 35.50%.  Only 2.23% of home health agencies reported leadership changes as a neutral impact. Although the industries have differences, the stark contrast to the impact of leadership changes is drastic. It is clear why over 89% of the 1,000 home health agencies involved have formal legacy planning. Meanwhile, only 11.41% of hospice planned for change. As far as best practices, 99% of Home Health Centers of Excellence agencies have formal legacy planning.

Kenyon Homecare Consulting can Help:

Our next article will focus on another portion of this  report. We would suggest agency leadership use the metrics involved to understand their own agency strengths, weaknesses, and need for planning. Ultimately, there is so much data here to digest and so much of it can help you look at your agency through a different lens. At Kenyon Homecare Consulting, we help agencies improve clinically, financially, and operationally to function the best way they are able. If you would like assistance with your agency, then call us today at 206-721-5091 or contact us online to see how we can help!


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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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