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Abandonment Or Termination Of Homecare Services For Violence?

Today’s article, written by Elizabeth Hogue, a well-known health care attorney provides guidance about how to terminate services to patients in the face of violence or threatened violence against field staff members. Homecare field staff who provide services on behalf of private duty agencies, hospices, Medicare-certified home health agencies and home medical equipment (HME) companies are extremely vulnerable. Contributing to their vulnerability is the fact that they work alone on territory that may be unfamiliar and over which they have little control. Staff members certainly need as much protection as possible.

In Part 1 of this series, exposure to workplace violence was reviewed from the point of view of requirements of the Occupational Safety and Health Administration (OSHA). Also, the previous article addressed the potential liability of all types of home care providers for negligence when employees are injured as a result of violence. This article provides guidance about how to terminate services to patients in the face of violence or threatened violence. Providers are at risk for legal liability of abandonment when they terminate services to patients. Violence or threatened violence, however, likely warrants immediate termination of services. Providers show concern understandably about the possibility of legal liability associated with the termination of beneficial services.Abandonment

Liability for Abandonment

Specifically, providers remain concerned about the possibility of liability for abandonment of patients. Practitioners often speak of abandonment as though it is equivalent to termination of services. On the contrary, patients who want to hold case managers liable for abandonment must show that:

  1. Providers unilaterally terminate the provider/patient relationship
  2. Without reasonable notice
  3. When further action was needed

Patients who fail to prove any one of these requirements are likely to lose their lawsuits against providers.

As indicated above, abandonment requires unilateral termination of the relationship between the patient and the provider by the provider. In instances of violence or threatened violence, this requirement of proof of abandonment may be met when providers decide unilaterally to discontinue services.

Requirements of Abandonment

The second requirement of abandonment means that providers who give patients reasonable notice prior to termination of services will not be liable for abandonment. The key question is: what is “reasonable” notice? Providers should view what is reasonable on a continuum. That is, on one extreme end of the spectrum are patients who are violent or threaten violence. Practitioners are likely justified in terminating services immediately to patients who fall into this category. Providers are also likely justified in ending services to patients whose family members threaten violence or are actually violent.

Statutes and/or regulations in some states govern how much notice must be given to patients prior to termination of services. Some of these statutes address the issues of violence or threatened violence and permit providers to terminate services to patients immediately under these circumstances. Providers must carefully review requirements for the state in which the patient resides before terminating services.

After staff members agree that immediate termination of services due to violence or threatened violence is reasonable, patients and attending physicians should receive notice verbally and in writing. Written notices should be hand-delivered to patients’ homes. Although it is desirable, it is unnecessary to obtain a signature verifying receipt. Written notices to physicians may be faxed or hand-delivered.

After giving notice, providers must terminate care as planned. Practitioners are sometimes tempted to continue services in the face of pleas from patients, physicians, and/or family members. Providers must bear in mind, however, that one of their most important responsibilities is to protect staff members from harm.

How Providers Defeat Claims of Abandonment

Finally, providers can defeat claims of abandonment if patients for whom services are discontinued need no further attention. How do providers know whether further attention is needed? Is this requirement as subjective as it appears? On the contrary, judges are likely to make retrospective determinations about whether further attention was needed. The basis for such determinations will probably be whether patients were injured as a result of termination. In other words, the law is likely to conclude that no further attention was needed, so long as patients are not injured as a result of termination of services.

What kind of injury must patients prove? Can patients who attempt to prove emotional damage only as a result of termination of services win lawsuits? The “good news” for providers is that courts generally require proof of physical injury or damage before they will find providers liable for abandonment. Providers must, therefore, take appropriate steps to make certain that patients are not physically injured as a result of termination of services.

In rare instances, appropriate action may include sending an ambulance to take a patient to the nearest hospital. Even if patients refuse transport by ambulance, providers may avoid liability because patients likely assumed the risk or were contributorily negligent when they refused transport via ambulance.

In Conclusion

It does not appear that the world is becoming a kinder, gentler place for anyone. Field staff members must face their vulnerability every day. Those who are behind the firing line must provide support by shielding them from threatened or actual violence whenever possible.

If you need to develop or implement a comprehensive program to prevent violence in the workplace, Kenyon HomeCare Consulting is here to help! Schedule an appointment to speak with one of our experts or give us a call at 206-721-5091.

For more information about this or other legal issues in homecare, contact Elizabeth as outlined below.

Elizabeth E. Hogue, Esq.

Office: (877) 871-4062

Twitter: @HogueHomecare

ElizabethHogue@ElizabethHogue.net

©2017 Elizabeth E. Hogue, Esq. All rights reserved.

 

What Providers Need To Know: Violence Against Homecare Staff

Much thanks to Elizabeth Hogue, our esteemed colleague and well-known health care attorney for this article. Homecare staff who provide services on behalf of private duty providers, hospices, Medicare-certified home health agencies and home medical equipment (HME) companies are extremely vulnerable. Contributing to their vulnerability is the fact that they work alone on territory that may be unfamiliar and over which they have little control. Staff certainly need as much protection as possible.

First, we will review exposure to workplace violence from the Occupational Safety and Health Administration’s (OSHA) point of view. And then explore the liability of home care providers of all types for negligence when employees are injured as a result of violence.

Agency providers may be liable when field staff members are injured as a result of violence. The Occupational Safety and Health Administration (OSHA) may, for example, take action against homecare providers when patients are injured as a result of violence. Likewise, agencies may be liable for negligence. Recent enforcement action taken by OSHA against a private duty agency illustrates the likelihood of liability for such violations by homecare providers of all types.

Agency Providers Learn From Recent OSHA’s RulingProviders

On July 5, 2016, OSHA issued a $98,000 fine for an alleged willful violation of applicable requirements related to exposure to workplace violence, including physical and sexual assault. The citation was based on an investigation that began on February 1, 2016, after a staff member was assaulted by a homecare client. In this case, a staff member who previously took care of the client had warned the Agency about sexual assaults by the client. OSHA concluded that the Agency failed to protect its staff members from life-threatening hazards of workplace violence. According to OSHA, the Agency also failed to provide an effective workplace violence prevention program.

Specifically, OSHA took issue with two types of conduct by the Agency:
• Staff members were exposed to physical assault.
• There was no system in place for staff members to use to report threats and instances of violence to the Agency.

If OSHA’s citation is upheld, OSHA will require the Agency to abate these findings by:
• Developing and implementing a written, comprehensive program to prevent violence in the workplace
• Implementing a hazard assessment of violence in the workplace
• Developing and implementing measures to control violence in the workplace. Example: an option to refuse to provide services to clients in hazardous situations
• Develop and implement a training program on violence in the workplace
• Developing procedures to follow in instances of violence, including making reports and conducting investigations of such instances
• Putting in place a system that allows staff members to report all instances of violence, regardless of severity

Homecare Providers Responsibility to Protect Staff

Homecare staff members provide increasingly important services under circumstances that can be difficult, to say the least. Perhaps the highest obligation of all homecare providers is to protect their staff members. Proposed action by OSHA described above provides a “road map” for providers to follow as they continue to work to address the issue of violence against homecare staff members.

Providers owe their employees a duty of reasonable care. That is, they are responsible to take reasonable precautions to protect their employees from harm. This obligation may be far easier to talk about than to fulfill due to increasingly threatening environments for home care personnel. A key question regarding this obligation is: what is reasonable?

Homecare Providers and Reasonable Precautions

Reasonableness is determined by what other providers are doing across the country. In other words, whether providers are taking reasonable precautions to protect workers will be judged by comparison to what others throughout the country would have done under the same or similar circumstances. This definition of reasonableness poses particular difficulty for home care providers. There is a lack of data or even anecdotal information about how other companies are dealing with a number of key issues in home care, including protecting workers from harm.

Failure of agencies to fulfill their obligation of reasonable care can be in the form of: (1) acts or errors, and (2) omissions. In other words, providers must show that nothing happened to harm workers because of something that the providers did or should have done. Providers will be found to have caused injury to employees if the damage to employees would not have occurred “but for” an act or omission by employers. Courts generally require proof that employees were injured physically, as opposed to only emotionally, in order to compensate them for their injuries.

What Providers can do to Protect Employees From Harm

From a practical point of view, it is important to ask what providers can do to protect their employees from harm. The most important answer to this question is that managers must listen and take action when staff members complain about safety hazards.

One of the strengths of the home care industry has always been that staff members are willing to go beyond the extra mile to care for patients. The perception of many who know the industry well is that workers tend to put up with safety hazards that others would not hesitate to avoid. It becomes essential, therefore, for supervisors to listen carefully to staff members who complain about safety hazards. Assessments by most staff members that they regard situations as unsafe are usually valid since their natural inclination is to continue to provide services to patients in unsafe situations.

It is also extremely important for managers to take action in response to complaints by personnel. There is an old legal adage that “every dog is entitled to one bite.” This means that, as soon as the dog has bitten one person, those responsible for the animal are on notice that the dog is dangerous. They must then take reasonable precautions to prevent further injury or damage. Consequently, once employees register even a single complaint regarding dangers associated with the care of particular patients, employers are likely on notice that further care may involve harm to workers. In view of this “first bite,” so to speak, providers must take appropriate action or face possible liability for injuries to their personnel. What kinds of actions are appropriate?

Defining Appropriate Actions for Providers

The use of so-called “escorts;” including armed, off-duty police officers; may be appropriate. Some home care personnel, however, object to use of escorts. The basis for their concern may be that the presence of escorts interferes with their relationships with patients. They point out that there is an essential inconsistency between the caring and nurturing relationships they wish to foster with patients and their families and the use of escorts. Some workers also express concern about their reputations in the community when escorts are used, especially if they live in the community in which they make home care visits.

Providers may, therefore, decide to implement a policy that staff may not reject escorts when management deems their use is appropriate. Refusal of escorts should be defined as insubordination in such policies and procedures, and appropriate disciplinary action, including termination of employment, should be taken in response to this type of insubordination.

Termination of services to patients is also an appropriate response to concerns regarding the safety of home care staff members.

Home care personnel knock on the doors of thousands of patients each day, unaware of what may be inside their homes. They regularly encounter unfamiliar terrain and unknown risks. These risks are likely to become even greater as the use of home care services continues to expand. Managers and field staff must be prepared to deal with the constant potential for compromised safety.

If you need to develop or implement a comprehensive program to prevent violence in the workplace, Kenyon HomeCare Consulting is here to help! Schedule an appointment to speak with one of our experts or give us a call at 206-721-5091.

For more information about this or other legal issues in homecare, contact Elizabeth as outlined below.

Elizabeth E. Hogue, Esq.

Office: (877) 871-4062

Twitter: @HogueHomecare

ElizabethHogue@ElizabethHogue.net

©2016 Elizabeth E. Hogue, Esq. All rights reserved.

 

Spotlight: What You Need To Know Regarding The New RACs And New Rules!

As Elizabeth Hogue, our esteemed colleague and well-known health care attorney explains in this article, the Centers for Medicare and Medicaid Services (CMS) recently selected five new recovery audit contractors (RACs) and established new rules. RAC audits will undoubtedly resume soon. Performant and Cotiviti were awarded contracts, along with HMS Federal Solutions. A previous RAC auditor, CGI Group, did not bid in the latest round of contracts for RACs. Performant will focus on auditing home medical equipment (HME), home health agency (HHA) and hospice claims.RACs

Contingency Fees and Timing for Overpayments

CMS will continue to pay RAC auditors a contingency fee when identifying overpayments. Providers frequently point out that RACs receive incentives to find erroneous overpayments. These errors have resulted in a multi-year backlog of claims pending appeal, especially before administrative law judges (ALJs). Nonetheless, CMS announced that RAC auditors have recouped $8 billion for the federal government since the audits began in 2009.

Under previous rules, RACs received payments for overpayments they identified in less than forty-five days. Under new rules, RACs will now receive payments for overpayments they identify only after providers have an opportunity to appeal through the second level of an appeal process that provides five stages of appeals. As a result of this change, contingency rates for payments to RACs will likely increase substantially, from the current 9.5% to 12%.

Also under previous rules, RACs could review claims that were up to three years old. Under new rules, claims reviewed by RACs cannot be more than six months old.

Audits by RACs, More of the Same

Audits by RACs have been on “pause” while developing new rules and disputes about the contracting process resolved. When RAC audits resume, providers can expect more of the same, i.e., a focus on vague eligibility criteria, such as home bound status and terminal illness, which are open to broad interpretation.

RAC auditors are also likely to continue their focus on whether care that was provided was reasonable and necessary. Unfortunately, RAC reviewers often seem to evaluate this issue very differently than providers who are “on the ground,” so to speak. It seems reasonable to require RACs to cite national standards of care to support their conclusions that care provided was not reasonable and necessary. Without such support, what constitutes reasonable and necessary care seems to be “in the eye of the beholder.” This pattern makes such determinations extremely difficult for providers to address on appeal.

Name of the Game for all Audits Including RACs

CMS’ initial meeting with new RACs is in November. Audits will begin soon thereafter.

As always, the “name of the game” for providers with regard to all types of audits, including RAC audits, is documentation, documentation and more documentation! Although it is an age-old “story” and most clinicians certainly know how to provide appropriate documentation, consistently excellent documentation appears to remain elusive.

Kenyon HomeCare Consulting is here to help! Are you struggling with overpayments discovered by RAC audits and need assistance with improving your clinical documentation? Contact us to schedule an appointment or call us today at 206-721-5091.

For more information about this or other legal issues in homecare, contact Elizabeth as outlined below.

Elizabeth E. Hogue, Esq.

Office: (877) 871-4062

Twitter: @HogueHomecare

ElizabethHogue@ElizabethHogue.net

©2016 Elizabeth E. Hogue, Esq. All rights reserved.

Will Home Health Star Ratings Suffer Same Fate As Insurance?

Five-star ratings are a familiar tool in general. Although they are not new to many providers receiving CMS funds, such as skilled nursing homes and hospitals, home health star ratings are relatively new. And, be aware, hospice star ratings are coming in 2017.

Below, we introduce the basics of what home health star ratings are, as well as some potential problems home health agencies may encounter.

What Are Home Health Star Ratings?

Currently, there are two types of home health star ratings or tools helping customers make the best decisions about their health care.home health star ratings

1. Quality of care ratings, first introduced in July of 2105 are based on OASIS and Medicare claims data. Quality score calculations use 9 quality-of-outcome metrics and, in general, reflect how much patient conditions improve and how often they make a hospital visit.

2. Patient perception ratings. First available on the CMS website for home health in January of 2016, this rating category bases outcomes on patient surveys. Survey questions examine areas such as:

  • Agency education with patients on how to care for themselves
  • Patient understanding of how to take their medications
  • Reasons why medications are necessary
  • How thoroughly clinicians probe for possible medication side effects

Both sets of home health star ratings are available on Home Health Compare, a subsidiary website of Medicare.gov. The quality stars are meant to summarize or rate care providers. On the website, consumers are able to compare up to three agencies at a time. Like the data they summarize, the website gets quarterly updates.

Agencies receive a preview report before the newest home health star ratings are seen by the public. Agencies have a 3 month window to check the “star” data to be sure it is complete and accurate. During this time-frame, agencies may also request a data revision from CMS.

October Surprise to Health Insurance Companies

On October 12, 2016, the formula CMS uses to rate health insurance providers was adjusted. And it is big change! Now, companies previously receiving 4 and 5 star ratings, are a rarity. For example, Humana with 3/4 of its plans receiving 4 or 5 stars last year, estimates that level at about 37% today. As a result, Humana stock prices took at immediate and spectacular hit. Although the prices are a bit more stable now, the “ride” was rather unpleasant for the stockholders and plan customers.

Many in the home health industry are now wondering if a similar fate awaits them. For health insurers, the CMS 3 star rating is now the equivalent of what 4 stars used to be. And striving for a 5-star rating now seems as futile as “reaching for the stars.”

Problems With Home Health Star Ratings

Similar to the recent health insurance plan fiasco, consumer confusion will occur if the value of the home health stars suddenly change. However, currently there is other confusion plaguing home heath star ratings.

First, there is a major difference in the number of stars received for quality of care vs. from patient surveys. Patients rate agencies at 4 or 5 stars about 75% of the time, but only about 25% of homecare organizations got as many stars on the quality of care score. Nor does this difference stem from patients being over-generous on the surveys, but from the fact that Medicare purposefully uses a different formula to make 3 stars the norm on quality scores. This results in the two scores differing by one or even two stars.

The second cause of potential confusion arises due to the lack of sufficient surveys. There “should be” 100 surveys to base patient perception star ratings on, but there are often fewer. And if less than 40 surveys to calculate, no rating will appear for that agency.

Finally, quality star ratings can give false impressions due to the patient population home health cares for. Many conditions, such as CHF or diabetes, are not likely to be reversed even with the best possible care. And, if patients happen to live in a region lacking certain services, hospital visits will increase and lower the star rating.

Conclusion

Only by understanding the home health star ratings calculations can you hope to improve both your quality and patient-survey scores. Be sure to review your agency’s preview data and contact CMS if adjustments are needed. Getting your OASIS and claims submissions right the first and every time is a big part of this equation. Remember, your quality score calculations use OASIS quality-of-outcome metrics reflecting how much patient conditions improve.

Kenyon HomeCare Consulting is here to help! To learn more, contact us today at 206-721-5091 or schedule an appointment online.

Updated 2017 ICD-10 Codes Just Arrived. Are You Prepared?

The new 2017 ICD-10 codes were recently implemented, one year after the U. S. transition from ICD-9 to ICD-10 in October of 2015. And while the adjustments this October are not nearly so extensive as last year, they still include over 2,500 individual coding changes.

These updates will be taking place every year going forward. Your home health and hospice agency needs to be ready to make a smooth transition each time. If not prepared, you will feel the pinch of too-slow implementation in your revenue and cash flow.

What Are the New 2017 ICD-10 Codes?2017 ICD-10 Codes

The October 2016 update is the first since the U.S. ICD-10 implementation and the first worldwide update in five years. This update introduces over 1,900 new codes, revises over 400, and deletes about 300 codes.

The changes touch every chapter of the code book, but of particular note for homecare is:

  • 260 new diabetes combination codes
  • 152 new codes in Chapter 13, on musculoskeletal and connective tissue disorders
  • 885 new codes in Chapter 19, mostly to do with fracture injuries
  • Changes to Chapter 4, which covers endocrine, metabolic, and various nutritional disorders

Additionally, updates also occur in the tabular instructions found in the 2017 Official Guidelines for Coding & Reporting. Of special note is the new, “opposite” usage of “with.” “With” can mean “associated with” or “caused by,” and conditions with “with” between them are considered linked unless the documentation says otherwise. Before the 2017 update, such conditions were not regarded as linked unless indicated by clinical documentation.

Strategies for Implementing 2017 ICD-10 Codes

As correct and complete coding directly impacts reimbursements, encourage coders to take time to practice using scenarios involving these coding changes. Both code selection and sequencing must be perfect to avoid negative consequences.

Besides practice exercises, other important ways to ensure these coding updates are implemented correctly include:

  • Be sure all coders have a copy of the updated 2017 Code Book or Code Set. Without an up to date reference at hand, efficient and accurate coding will be impossible.
  • Check with your software vendor to ensure 2017 programming changes are complete. Also be sure codes automatically become available/unavailable based on the date of service.
  • Expect a temporary dip in production, even if it’s only a slight one. It will take time for your coders to become familiar with the new changes. On the other hand, put plans in place to minimize slowdown.

Perspective on Changes to 2017 ICD-10 Codes

While these 2017 changes are a significant challenge, they are minor in comparison to the numerous changes homecare has endured over the years. Homecare dates from colonial times, with visiting nurses becoming common in the 1800’s and rapid growth and diversification of services taking place in the 1900’s. In 2000, the introduction of the home health OASIS was a huge change and the shift to ICD-10 last October was another major step.

Going forward, the expansion of home health and closer cooperation with hospitals and other providers is signaling a new era. The increasingly complex and ever-changing nature of medical coding in a major component of these changes. Only by implementing a coding and documentation plan including correct and sufficiently specific coding, can you expect to maximize reimbursements.

2017 ICD-10 Codes Conclusion

Remember, coding problems are rarely a matter of “bad luck.” However, with a proactive approach they are easy to identify, improve, and/or eliminate. So to accomplish these goals, is it time to team up with a superior outsourcing partner? Outsourcing improves your bottom line, takes the weight of coding off your shoulders and frees up time to focus on client care.

Adjusting to the 2017 ICD-10 codes and being ready for a similar transition every year requires a streamlined coding and documentation plan, certified coders or help from an outstanding outsourcing partner.

Kenyon HomeCare Consulting provides coders with many years’ experience in home health and hospice specific coding. Clients report the Coding Plus Program increases reimbursement rates by 29% to 48%. To learn more, contact Kenyon today or call 206-721-5091.

Why Agencies are Failing to Reduce Rehospitalization Rates

Whether you’re a key decision-maker at a home health agency, a nursing home, or an assisted living facility, your ultimate goals are the same:

  • to employ, train, and inspire aides who provide exceptional, world-class, individualized client care,
  • to attain the highest level of both employee and client satisfaction, and
  • to reduce the number of your organization’s clients who have to be re-hospitalized.Rehospitalization rates

While accomplishing these goals on a consistent basis is quite a feat, it is both doable and necessary for the continued success of your organization. Once you realize that your three goals are all interconnected, and reliant upon each other, it makes accomplishing them easier.

Here’s a look at why many health care agencies are failing to reduce re-hospitalization rates and how your organization can avoid becoming one of those statistics.

The Fact: Rehospitalization Rates are High

In a study by the New England Journal of Medicine on rehospitalizations, it was found that “Almost one fifth (19.6%) of the 11,855,702 Medicare beneficiaries who had been discharged from a hospital were hospitalized within 30 days, and 34.0% were rehospitalized within 90 days.”  While these statistics are staggering, what’s just as overwhelming from the research findings was that the annual cost to Medicare for these unplanned rehospitalizations was $17.4 billion dollars.

The study found that interventions can “sharply reduce the rates of rehospitalization among clients with heart failure and other Medicare beneficiaries.”  For clients of nursing care facilities and/or at-home health agencies, reducing the percentage of rehospitalizations is paramount to improving the overall well-being of the client and successfully managing the resources at your organization.

The Result: Numerous Adverse Effects

Universally identified as harm to a client as a result of failure to provide exceptional needed care, adverse events in a nursing home, assisted living facility, or at a client’s home profoundly affect everyone involved.  It’s not just the client that suffers – it’s the entire industry.

What’s even more disturbing was that “59 percent of these adverse events and temporary harm events were clearly or likely preventable. They attributed much of the preventable harm to:

  • substandard treatment,
  • inadequate resident monitoring, and
  • failure or delay of necessary care.”

Whether it’s a specific medical error or substandard care that results in the harm of a client, adverse effects negatively affect your entire organization. From profoundly altering the client’s physical, emotional, and/or mental well-being to reducing your aides’ confidence, ability to think proactively, and skills in identifying potential-problematic areas before those concerns escalate and require rehospitalization, adverse events must be identified, acknowledged, and resolved.

The Solution: Mandatory Online Advanced Disease Training

The best way to reduce client rehospitalization rates and the overall integrity of your organization is through providing and expecting mandatory completion of exceptional online advanced disease training for your staff.

A virtual classroom, such as Chronic Disease University, provides the convenience of a flexible online schedule available 24/7, and provides curriculum that is as demanding, thorough, and rigorous as that offered by a traditional brick-and-mortar college.

As the health care industry continues to flourish, and the demand for high-quality, world-class, exceptional client service grows, your staff must be armed with the skills they need to perform their roles successfully.   The goal to reduce rehospitalization is a top priority.

After all, you don’t want your clients going to a competitor’s service and, more importantly, you don’t want them going back to the hospital.

Is Your Home Care Agency Ready For 2015?

2015 New year countdown timerEvery business makes New Year’s resolutions, but strategic planning sets apart those who are successful from those who may have to shut their doors. Making a goal (or resolution) is only half the battle. In order to meet that resolution you must create a plan of action, which means doing some research, coming up with a strategy, and implementing it.

There are many changes coming for 2015, especially for the home care industry. If you have not made your New Year’s resolutions, now is a critical time to start. And you should plan how you will tackle these changes, because ignoring them could be detrimental to your business. Below you will find three issues that should be part of your New Year’s resolutions. (more…)

Unzip Your Success! 5 Types of Planning Every Small Business Needs to Succeed

Zipper and falling money. Luck in business conceptThis week we are pleased to welcome back Jackie Nagel as our guest writer.

Small business entrepreneurs are familiar with start-up planning, exit strategy planning, and strategic planning. Of course, being familiar with and actually performing key business development planning are quite different. Entrepreneurs who excel at planning can quickly find themselves victims of their own planning process. As planning pays off and business grows, many entrepreneurs become victims of their growth, which causes them to ditch the business planning process that set off their business growth. (more…)

Kenyon to Speak at CAHSAH Annual Conference, May 10-12

Spring is upon us, and that can only mean that CAHSAH‘s annual conference is just around the corner.  This year’s conference will be held in Ontario, California, May 10-12; the planning committee has done a superior job of finding presentations for you.

I will be speaking at the conference, and would be pleased if you joined me on Wednesday, the 11th, from 1:45 to 3:15 when I will be presenting “Developing an Orientation Program That Sets You Apart.” 

I look forward to seeing old friends and making new ones.  If you do not attend my session, I will be around the conference and would love to see you, so please introduce yourself.

Ginny Kenyon to Speak on Orientation Programs at Private Duty Leadership Summit

Seattle, WA – Ginny Kenyon, Founder and CEO of Kenyon HomeCare Consulting will be a featured presenter on Monday, January 24, 2011, at the Private Duty Homecare Association’s 6th Annual Leadership Summit & Exposition in Long Beach, California. The theme for Kenyon’s presentation, Developing an Orientation Program that Sets You Apart, covers the major aspects of a comprehensive orientation program and will demonstrate how one company made it work for them. Attendees will learn how to hire the best and how to orient and train them for excellence. Kenyon will be joined by Mary Lynn Pannen, RN, BSN, CCM President/CEO, Sound Options, Inc.

Kenyon will be available to discuss a wide range of issues that are strategic to the growth and fiscal stability of the home health and homecare industries throughout the conference, from January 23-25, 2011.