Unlock Profit Growth and Boost Employee Engagement!

September 19, 2025

Every home care/home health agency is in the business to make a profit. To do so one must increase retention of staff you already hired. In previous blogs, I wrote about the cost of recruitment, hiring, orientation and training. It is estimated that it costs an agency around $2000 to $5000 to hire and replace an aide. We also see that the turnover rate is still close to 80% a year. Therefore, it is estimated an agency is spending on average $171,600 per year for an agency per 100 aides. 


What if most of that money spent on recruitment could go to your bottom line? The key to increased profits is increased referrals and retention of staff. Over the years running agencies, I learned that to increase my referrals I had to have the best staff of any other agency in my territory. And,  I had to retain that staff. The key was listening to and investing in the staff. 


For that reason, I created a Chronic Disease University. Each disease process is an 8-hour course divided into 4 modules. There are tests after each module and when someone completes the course material. The courses are “take it until you make it”. They are designed to educate, not pass or fail! The courses are certified by DSHS as 8 hrs. of continuing education for field staff. 


Two of the courses were tested in the acute wing of a nursing home. The facility, in a 6 month time period, had 13 CHF and 3 COPD patients readmitted to the hospital in the first two weeks of admission to the SNF. This resulted in financial penalties to the nursing home. All 32 staff were required to take both of those Kenyon chronic disease courses. It took 3 months for all the staff to complete and become certified. The results were beyond what we had anticipated. Readmission for these two chronic diseases dropped to 0 and 0  not only on the acute wing but for the entire 164 bed building, as the MDS nurses worked the entire building. 


When the hospitals discovered that there were no readmits for these two diagnosis, referrals increased by 30% and the SNF was invited to participate in A Robert Wood Johnson study on CHF. The surprise was the increase in retention. Retention climbed to 80% with those leaving only because they were hired by the area hospitals who paid more than the SNF. Increased referrals, increased retention and increased profits! A win, win, win!!


If you want to win, win, win, go to Kenyon Education under the store tab. Make your agency truly stand out among the rest. Hire the best, train the best, retain the best and let the profits grow! If you need assistance, please contact Ginny Kenyon at gkenyon@kenyonhcc.com or 206-721-5091. 

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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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