Measles Crisis Management for Homecare Agencies

Over 300 confirmed cases of measles have swept across 15 US jurisdictions this year, marking a significant resurgence of this highly contagious disease. – USA TODAY

Measles is making a worrying comeback, with health officials scrambling to contain outbreaks occurring all across the country. We’re talking Alaska, California, Florida, Georgia, Kentucky, Maryland, New Jersey, New Mexico, New York City, New York State, Pennsylvania, Rhode Island, Texas, Vermont, and Washington. 

In fact, 93% of all the measles cases we’re seeing are tied to these clusters, where three or more people got infected together. 

And there’s a real concern for folks receiving care at home, especially seniors. Imagine you’re already dealing with health issues, and then you’re exposed to measles. Because caregivers are in such close contact, the virus could spread instantly.

Health authorities are urging immediate precautionary measures and heightened vigilance to protect these vulnerable populations as they work to contain the spread of this highly contagious viral infection.

Measles outbreak across America: An analysis

The high proportion of outbreak-associated cases suggests that the spread of measles is not occurring as isolated incidents but rather in concentrated clusters of transmission within communities, necessitating focused and robust public health interventions to break these chains of infection.

Analysis of Measles Outbreak Across America
  • The most substantial outbreak is currently concentrated in Texas and New Mexico, which together have reported 208 confirmed cases as of March 7, 2025, with 198 cases in Texas and 10 in New Mexico. 
  • This regional outbreak—encompassing the measles outbreak in Texas—has already resulted in two fatalities, with one occurring in Texas and another in New Mexico.
  • Within Texas, the situation is particularly acute in the South Plains and Panhandle regions, where the Texas Department of State Health Services (DSHS) reported 259 cases as of March 14, 2025.
  • Now, if we zoom in on Texas, here’s what the numbers look like, county by county: Gaines (174), Terry (36), Yoakum (11), Dawson (11), Cochran (6), Dallam (6), Lamar (4), Lubbock (4), Martin (3), Lynn (2), and Ector (2). 

Texas counties affected by measles outbreak

While Texas and New Mexico are the hotspots, we’re seeing measles in 13 other states too. That tells us this isn’t just a regional problem, it could be a nationwide one.

Measles outbreak tests home care agencies nationwide

Home care agencies are facing a huge challenge with this measles outbreak. It’s not just a few cases; this virus spreads like wildfire. Experts are warning that it’s incredibly easy to catch, which puts both caregivers and their clients at risk. Agencies are having to ramp up their safety measures in every single home.

They are facing significant home care staff shortages as well. Caregivers without proven immunity may be forced into extended absences of up to 21 days following exposure, while those who contract the virus are sidelined for at least four days after the onset of the characteristic rash.

How to Address Workforce Shortage in Home Care: A 2025 Perspective

Download eBook

These enforced quarantine periods not only disrupt continuity of care but also compound the already prevalent workforce challenges within the sector.

At the same time, efforts to curb the spread of measles are driving up operational costs. Home care providers are investing heavily in enhanced screening procedures, ensuring a steady supply of personal protective equipment (PPE), and stepping up disinfection protocols across their facilities. 

The financial burden of overtime, temporary staffing solutions, and additional supplies is straining budgets, leaving agencies to balance fiscal pressures against the imperative of safeguarding public health.

As the outbreak continues, the need for robust, proactive measures has never been more critical—both to protect vulnerable populations and to sustain the vital services that home care agencies deliver every day.

Join us as we welcome Keith Grunig, the revenue strategist transforming home care finances! As VP of Sales and Marketing at Home Care Answers, Keith excels in business strategy, revenue forecasting, and client reengagement. 

With a proven track record of skyrocketing revenue and optimizing digital presence, he’s here to share game-changing insights to help agencies reclaim unclaimed revenue and drive growth!

The outbreak is also casting a shadow over the financial stability of home care agencies nationwide. Beyond its direct health and operational impacts, the crisis is leading to a significant drop in client census as fear of infection drives many families to forgo care services. This decline is not only affecting day-to-day operations but also putting a strain on agencies’ long-term financial viability.

Besides, with reduced personnel on the front lines, maintaining a reputation for consistent and dependable care is becoming increasingly difficult. And the financial burden of addressing the outbreak—ranging from post-exposure prophylaxis and laboratory testing to the added workload for remaining staff—is mounting rapidly.

As the home care sector faces these dual pressures of health and financial risk, agencies are calling for swift action and support to mitigate the fallout from the outbreak and to protect both their clients and their business sustainability.

Measures for home care agencies to reduce measles spread

Given the serious threat posed by the measles outbreak, there are certain recommendations for measles in homecare settings that agencies must proactively implement in order to protect their staff and clients. 

Category
Key Actions
Staff vaccination
  • Encourage all employees to receive two doses of the MMR vaccine (97% effectiveness).
  • Offer on-site vaccination clinics or provide accessible resources on vaccination locations.
  • Maintain accurate records of staff vaccination status.
  • Ensure new hires are up to date on immunizations.
  • Provide post-exposure prophylaxis (PEP) to unvaccinated staff within 72 hours (MMR vaccine) or within six days (immunoglobulin, IG).
Hygiene practices
  • Emphasize frequent handwashing with soap and water for at least 20 seconds or use alcohol-based hand sanitizer.
  • Provide an ample supply of hand hygiene products in convenient locations.
  • Educate clients and families on proper handwashing techniques and respiratory etiquette (covering coughs/sneezes).
Personal Protective Equipment (PPE)
  • Supply caregivers with PPE, including disposable gloves, surgical masks, and N95 respirators when caring for suspected/confirmed measles cases.
  • Provide comprehensive caregiver training on donning, doffing, and disposing of PPE correctly.
Screening protocols
  • Implement screening for staff and clients for measles symptoms (fever, rash, cough, runny nose, red eyes) before home care visits.
  • Advise postponement or cancellation of visits for symptomatic individuals.
Isolation & reporting procedures
  • Establish protocols for isolating suspected/confirmed measles cases within their homes.
  • Instruct staff to notify the agency and local health department immediately if they suspect a case of measles.
  • Follow public health guidance on testing, contact tracing, and case management.
Education & training
  • Conduct regular caregiver training on measles symptoms, transmission, complications, and prevention strategies.
  • Train staff on measles infection control guidelines, hand hygiene, PPE use, and measles case management.
  • Empower staff with knowledge to prevent transmission and respond appropriately to exposures.

Maintaining efficiency and sustainability amidst the outbreak

  • Leveraging technology can play a significant role in achieving these goals. Exploring opportunities for telehealth and virtual visits, where clinically appropriate, can help reduce the need for in-person contact, thereby minimizing exposure risks for both caregivers and clients. 

    Utilizing comprehensive home care management software, such as CareSmartz360 can streamline essential operational tasks like scheduling, communication, and record-keeping. The centralized platform enables agencies to maintain efficiency even when faced with potential staff disruptions due to illness or quarantine.

    The software also optimizes staff scheduling and management. Implementing flexible scheduling practices can help accommodate potential staff absences resulting from illness or mandatory quarantine periods.

  • Cross-training staff members to perform different roles within the agency can provide valuable flexibility and ensure continuity of care in the event of staffing shortages.
  • Developing a robust contingency plan for staffing shortages, which might include identifying reliable backup staff or establishing formal partnerships with other local home care agencies, can further mitigate the impact of unexpected absences.
  • Implementing proactive resource and financial planning is essential for the sustainability of home care agencies during the outbreak.
Strategy
Description
Ensure adequate supply of PPE and sanitization products Maintain sufficient stocks of PPE, hand sanitizers, and cleaning products. Consider bulk purchasing to reduce costs and diversify suppliers to prevent shortages.
Develop detailed financial plans Create financial plans that anticipate increased expenses related to infection control measures, staff overtime due to absences, and potential temporary staffing needs.
Investigate funding opportunities Actively seek grants and funding opportunities to support outbreak preparedness and response efforts. Resources like Grants.gov and the U.S. Department of Health and Human Services offer information on available grants.
Prioritize essential services during strain During significant strain, prioritize services to ensure that the most vulnerable clients receive necessary care. This may involve adjusting service delivery based on client needs and risk levels.

Also, it is vital to provide ongoing support and resources to staff members who may be experiencing increased levels of stress, anxiety, or fatigue due to the demands of working during a public health crisis. 

Offering access to mental health resources and ensuring adequate rest and breaks can help maintain staff well-being and prevent burnout.

Growth opportunities in a challenging landscape

Amid rising concerns over the measles outbreak, the crisis is paving the way for unexpected opportunities. As families grow increasingly wary of traditional congregate care settings, many are turning to the safety and convenience of in-home services.

Heightened public awareness of infectious disease risks is prompting a surge in demand for home care. Agencies that are communicating robust infection control practices and a steadfast commitment to client safety are quickly gaining traction.

In times like these, clear safety protocols aren’t just reassuring—they’re a competitive edge.

Moreover, some agencies are strategically expanding their service portfolios to include specialized care for those recovering from measles and other infectious conditions. 

Adding to the transformation, the accelerated adoption of telehealth and remote monitoring—practices that soared during the pandemic—is set to reshape home care for the long term. These technologies enable providers to extend their reach, breaking down geographical and mobility barriers to serve a broader client base.

Tune in to the latest episode and learn in the words of Ken Sternfeld, the founder of the Association of Concierge Service Providers, how telehealth and remote monitoring for chronic conditions is revolutionizing home care. 

Also, get to know what specific chronic conditions stand to benefit the most from these innovative technologies, key challenges home care providers face when implementing them, and so much more in this podcast.

In a rapidly evolving landscape, adaptability and innovation have become the cornerstones of success. Home care agencies that seize these opportunities are not just navigating the current challenges—they are laying the groundwork for a more resilient, client-focused future.

Conclusion

The highly contagious virus underscores the urgent need for a proactive, all-encompassing approach to protect both caregivers and vulnerable clients. With home care vaccine standing as the cornerstone of prevention, agencies must ensure that every member of their team is fully immunized.

Amid significant challenges, those home care providers that harness innovative technology, streamline operations, and engage in forward-thinking strategic planning are poised not only to navigate these turbulent times but also to uncover fresh avenues for growth. 

The steadfast commitment and resilience of the home care sector remain a critical lifeline, ensuring that essential services continue to protect the health and safety of our communities.

Download Blog

pdf

Upgrade to Smarter, More Efficient Home Care Software

Our users reported 95% customer satisfaction in 2024. Schedule a personal walkthrough to see CareSmartz360 in action.

Request a Demo