It’s Still A Problem, Right? Fixing The Policy And Procedure Manuals That Get You Every Time!

Kenyon HomeCare Consulting • March 3, 2021
 The surveyor walks through the door. What is one of the first thing he or she asks to see? That’s right. It’s the policy and procedure manual. When’s the last time yours was updated? Do you utilize it frequently in running your business? Or, is it something you purchased and never touched. Either way, it gets you in trouble at survey time over and over. So, isn’t it time to make it work for you and not against you?

Things To Consider With Your Manual:
Here are the list of essential things to consider when you look objectively at your manual:

State And Federal Regulations: Who in your organization keeps abreast of regulatory changes? When was the last time your manual was truly reviewed from beginning to end?
Who Is Responsible to Update The Manual? Who in your organization is assigned to update your master manual when things change? Is there someone routinely doing it?
Does Your Manual Guide Your Operations? If yes, then you probably have a manual that is more up-to-date than most.
Does You Manual Actually Put You At Risk? Consider employees and whether the personnel decisions you make consistently follow policy. In many cases, it does not. This can be a huge problem especially if branch locations handle the same personnel decisions differently.

Did You Purchase Your Manual? Online manuals are fantastic because they contain up-to-date federal regulations. Depending upon your state, some companies offer state specific rules as well. Many agencies forget to add the state regs into their online manual. However, the biggest mistake agencies make is when they do not customize these manuals to fit their operations. For example, the online manual you purchased may have a great emergency preparedness plan, but you didn’t do a hazard risk assessment or make the interventions specific to what your agency does. Make sure you purchase accreditation ready manuals if this is the route you are going.

Helping You On The Federal And State Level:

At Kenyon Homecare Consulting, we have online manuals available for purchase for all lines of in-home services. We also offer state crossovers for several states. If you are looking for help to add state rules into your manual, our senior level consultants can help you do so. Whether you are starting a new agency or are an existing one, we can help get your manual up-to-date and survey ready. Make it the tool it was meant to be. Call us at 206-721-5091 or contact us online to see how we can help you.this default text and start typing your own or paste your own from a different source.

Results Based Consulting

Did you find value in this blog post? Imagine what we can do for your home care or hospice agency. Fill out the form below to see how we're leading the industry with innovation, affordability, and experience.

Contact Us

policy and procedure manual
By Ginny Kenyon May 9, 2026
In 2026, an updated home health or home care P&P manual serves as defense against litigation, a blueprint for operations, and a mandate for federal reimbursement.
Starting a home care agency
By Ginny Kenyon May 5, 2026
Here is the "ABC" guide to building a successful foundation for your starting your new home health, home care or hospice agency. It is necessary for success.
policy and procedure manual
By Ginny Kenyon May 2, 2026
An up-to-date manual the bridge between high-level vision and daily execution. A current, living P&P manual is critical for any successful agency or business.
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
call to action
By Ginny Kenyon April 11, 2026
In the world of digital marketing, the most critical moment of the entire customer journey often comes down to a tiny rectangle: the Call-to-Action (CTA) button.
job descriptions
By Ginny Kenyon April 7, 2026
When you're recruiting talent for your agency finding people with the required technical skills is the baseline, but vibe and vision are the differentiators.
business plan
By Ginny Kenyon April 1, 2026
Whether you're pitching to investors or just trying to keep your own head on straight, a professional business plan is vital. Here's help in putting one into place.
firingiring
By Ginny Kenyon April 1, 2026
Hiring the "right" person isn't just about finding someone who can do the job; it's about finding someone who makes the rest of the team better. Headcount matters.
sales and marketing strategy
By Ginny Kenyon March 28, 2026
In the modern business world, sales have evolved beyond a mere transaction. It is a sophisticated blend of psychology, problem-solving, and relationship management.
home care
By Ginny Kenyon March 26, 2026
Selling home care isn't like selling a car; you are asking for permission to enter someone’s private sanctuary and care for their most vulnerable loved ones.