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. 


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competitive
strategy
By Ginny Kenyon July 4, 2026
In an increasingly competitive healthcare and senior care landscape, providers are constantly searching for ways to differentiate themselves. Families looking for care, and the hospital discharge planners who guide them, are no longer satisfied with generic promises of "quality service" and "compassionate staff." They want proof of specialized capability. One of the most effective yet often overlooked ways to grow in this sector is to provide caregiving staff with thorough training in chronic disease care. In addition to improving patient outcomes and reducing hospital readmissions, this training also serves as a powerful marketing advantage and sales driver. Here is how turning your caregiving team into specialized chronic disease experts transforms your market positioning and accelerates revenue growth. 1. Transforming Specialized Care into a Unique Selling Proposition (USP) Most care agencies and senior living communities market themselves using the same language: "assistance with daily living," "meal preparation," and "medication reminders." When everyone says the same thing, care becomes a commodity, and pricing becomes the only differentiator. By equipping caregivers with advanced training in prevalent chronic conditions—such as Alzheimer’s/dementia, Parkinson’s, Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), and Diabetes—you shift your brand positioning from a general utility to a specialized medical solution . The Marketing Edge: Your marketing materials transition from passive descriptions of tasks to authoritative statements of capability . Instead of advertising "we help with seniors," you can market "specialized, evidence-based care protocols for advanced Parkinson's management." 2. Building High-Value B2B Referral Pipelines The lifeblood of senior care sales is the professional referral pipeline—hospital discharge planners, social workers, physicians, and elder law attorneys. These professionals risk their own reputation when they recommend a care provider. Discharge planners, in particular, are intensely focused on preventing 30-day hospital readmissions , a metric heavily tied to hospital funding and penalties. The Sales Edge: When your sales team meets with a hospital transition manager, they aren't just dropping off brochures and lip balm. They are presenting a clinical solution. The Pitch: "Our staff, nurses, PT, and Home Care Aides undergo a rigorous 8-hour certification program specifically for CHF symptoms, care, and tracking. We actively monitor daily weights and fluid retention to catch exacerbations before they require an ER visit." This level of specificity builds immediate trust, establishing your organization as a preferred partner capable of handling high-acuity, complex cases that other agencies might turn away. 3. Creating Authentic Trust in B2C Digital Marketing When a family member realizes their loved one needs help, their first stop is almost always a search engine. They aren't looking for broad corporate statistics; they are looking for answers to specific, frightening problems (e.g., "How do I stop my dad with dementia from wandering at night?" ). In-depth staff education provides a goldmine of content for inbound marketing strategies: Expert Content Marketing: You can leverage your staff's training to create highly targeted blog posts, downloadable care guides, and educational webinars. Thought Leadership: By hosting free community seminars on managing chronic conditions, you position your brand as the local authority. When families are ready to transition from self-care to professional care, your organization is already their trusted advisor. 4. Shortening the Sales Cycle Through Consultative Selling The consumer sales process in senior care is deeply emotional and fraught with guilt, anxiety, and confusion. Families are often in crisis mode. A standard salesperson who only speaks about room dimensions or hourly rates will struggle to close the deal. When your sales representatives are backed by a highly trained clinical and aide staff, the sales discovery call morphs into a clinical consultation . Traditional Sales Approach: Focuses on features, schedules, and pricing "We can send a caregiver on Tuesdays and Thursdays for four hours to help your mother clean and cook." Consultative, Education-Backed Approach: Focuses on disease progression, symptom management, and quality of life. "Because your mother is dealing with advanced COPD, our caregivers are trained to recognize early signs of respiratory distress, manage energy conservation techniques during bathing, and ensure proper oxygen optimization." The latter approach instantly alleviates family anxiety. It proves that you see their loved one as a person with specific medical needs, not just a line item on a ledger, effectively neutralizing price sensitivity and shortening the time it takes to sign a contract. 5. Maximizing Lifetime Value (LTV) and Word-of-Mouth In senior care, the best marketing is a glowing testimonial from a relieved family. In-depth chronic disease education directly correlates with higher client satisfaction and longer length of stay (or care retention). Preventing Care Burnout: Caregivers who lack training get overwhelmed by the behavioral or physical symptoms of chronic diseases, leading to high staff turnover and disrupted care. Trained caregivers handle difficult symptoms with confidence and skill. The Ripple Effect: Stable, high-quality care leads to happy families. Happy families write powerful 5-star online reviews and passionately recommend your services to friends and neighbors, creating an organic, self-sustaining sales loop. Conclusion: Education as an Investment, Not an Expense In-depth chronic disease education for caregiving staff should never be viewed as a mere regulatory compliance box to check. It is a foundational business strategy. By investing in the clinical intellect of your frontline workforce, you feed your marketing engine with authentic, high-value content, arm your sales team with an undeniable competitive advantage, and build a brand reputation that commands premium pricing. In a crowded market, the most educated care team wins the deepest trust—and ultimately, the client. At Kenyon Homecare Consulting , we focus on high-quality home care, home health, and hospice services. In doing so, we provide in-depth chronic disease education on the conditions that affect our clients population the most. If you are interesting in development of a true competitive advantage, visit Kenyon's Chronic Disease University for your educational needs. Call us at 206-721-5091 or at gkenyon@kenyonhcc.com with any questions.
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