National Healthcare At Home Best Practices: What Did The Study Show And Where Do We Go From Here?

June 9, 2023

The results of the National Healthcare at Home Best Practices and Future Insights Study recently released its results. With over 1,000 agency sites, the study results were comprehensive for home health, homecare,  and hospice. This type of research can help our industry solidify itself as a prime mover of care to the aged and infirm communities we serve and help us improve how we do it. Let’s take a look at some of the results from the study.

Home Health and Hospice Results:

This study pulled best practices from over 40,000 data points. It looks at clinical, operational, and financial best practices while addressing the staffing, recruitment and retention issues that continue to hurt our industry’s ability to provide all the care needed. Here are some of the interesting findings from the report:

1: Sales force used to generate referrals: Those considered in this part of the study were agencies in the top 10% for quality and patient satisfaction while also performing well financially in PDGM. The study showed there was no difference in quality scores for those agencies who utilized a clinical versus a non-clinical employee in sales. However, there was a difference small difference in patient satisfaction. The patient satisfaction was improved for those using non-clinical employees.

2. Referral to admission conversion rate: Ultimately, for those agencies converting over 80% of referrals to admission, there was a 4 Star or better rating. Those agencies with 70% conversion rate or less ranked with only 2 ½ to 3 stars.

3. Missed visits metric: Agencies who evaluated missed visits in relationship to LUPA thresholds had a 20% average profit ratio. This is in stark contrast to those who don’t that only show 1% profit ratio.

4. Start of Care Scheduling: In this metric it showed that none of the agencies in the Home Health Centers for Excellence base used the clinical team for scheduling. The majority used a non-clinical scheduler at 65% and non-clinical intake personnel at 35%. These agencies did not sacrifice quality to utilize this approach.

5. Reimbursement: 56% pay RN per diem/per visit while 42% pay salary. Those agencies utilizing this model have an average Star Rating of 4.0. 92% pay rehab staff and social workers salary.

6. Average visits per day: The study showed no correlation between productivity and quality. Over 62% of agencies average 5 visits or more unweighted visits per day. Over 35% average less than 4 unweighted visits per day. Therefore, those doing over 5 visits a day still had the same quality ratings of those at 4 or less.

7. Outsourced ICD 10 Coding And Oasis Review: In the last year, 92.18% of Home Health Centers of Excellence agencies report outsourcing ICD 10 coding.  5.59% of these agencies report outsourcing both Oasis and ICD 19 coding. 0.56% do Oasis, ICD 10 coding and plan of care review through a third party. The primary reason for doing so related to lack of resources. The other reasons listed were for cost and improvement of quality outcomes.

8. Outsourced Billing: Those agencies with outsourced billing showed an average profit ratio of 20% while those who didn’t outsource were at 6% profit .


This blog post lists only a fraction of the findings in this very comprehensive report. It is worthwhile for all agencies to review the results and consider what you could and should do differently to improve clinical financial and operational outcomes. The full report can be found here. If you need help to achieve your goals, call Kenyon Homecare Consulting at 206-721-5091 or contact us online to see how we can help you get there. 


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

chronic disease education
By Ginny Kenyon May 22, 2026
In the high-stakes environment of home health, the difference between a routine day and a medical crisis often rests on a single observation. Education counts!
beyond the snapshot
By Ginny Kenyon May 18, 2026
The HOPE tool captures clinical, psychosocial, and spiritual patient needs patient at multiple intervals. This is better than the HIS for the entire clinical picture
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.