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Home care expert insights

In Conversation with Marcia Tetterton to Bring Her Insights on Home Care and Hospice Scene in Virginia

Virginia’s home care and hospice landscape is evolving rapidly to meet the needs of its aging population. With nearly 16% of its residents aged 65 or older, the state has seen a growing demand for quality home-based care.

Home care agencies provide a wide range of services, from skilled nursing and personal care to support with daily activities. In recent years, many agencies have adapted by expanding services, incorporating technology, and navigating regulatory challenges.

Hospice care in Virginia is essential for individuals with terminal illnesses, focusing on providing compassionate, end-of-life care, often in the comfort of clients’ homes. The state is home to many accredited hospice organizations offering comprehensive services, including pain management, emotional support, and family counseling.

Virginia has a robust regulatory framework for home care and hospice providers, with oversight from the Virginia Department of Health and the Centers for Medicare & Medicaid Services (CMS). This ensures high standards of care and adherence to Medicaid guidelines.

Further, the state offers various payer sources, including Medicaid waivers, veterans’ programs, and long-term care insurance, allowing for diversified funding and service accessibility.

However, the industry’s ongoing challenges include workforce shortages and navigating evolving payment models.

To shed some light on the same, we interviewed a home care industry expert to bring her perspective on the home care and hospice scene in Virginia.

Expert QA session with Marcia Tetterton

Who Did We Interview?

Marcia has dedicated over a decade to advocating for high-quality, compassionate home care and hospice services across the Commonwealth.

With over 21 years of experience in the healthcare industry, Marcia is a respected leader and champion for vulnerable populations, working tirelessly to shape policies, regulations, and industry standards that improve patient outcomes and enhance the patient and caregiver experience.

Let us now delve into what she has to say about the home care and hospice scene in Virginia:

Question 1: What are the key challenges facing the home care and hospice industry in Virginia currently, and how is the association working to address them?

Home care organizations in Virginia continue to struggle with staffing shortages. The association is engaged in several initiatives looking for long term solutions, practice extensions and improvements in the educational pipeline.

Question 2: Can you provide an overview of the regulatory and policy landscape that home care and hospice providers in Virginia must navigate?

Home care and hospice providers must be licensed, or they may be deemed by one of the accredited organizations. The state survey agency is currently facing a manpower shortage and is behind in its inspections. This does create challenges when the managed care organization requires credentialing.

Question 3: What trends are you seeing in the demand for home care and hospice services in Virginia?

Home care and hospice will only grow as consumers demand care services at home.

Question 4: Can you share insights into the financial and reimbursement challenges facing home care and hospice providers in Virginia?

The predominance of reimbursement for home care and hospice are commercial insurance or Medicare in Virginia. The state waiver programs for home care and personal care are poorly funded and we are seeing a decline in providers and service availability.

Question 5: How does the association collaborate with other stakeholders, such as healthcare systems, payers, and community organizations, to integrate home care and hospice services into the broader continuum of care in Virginia?

The association is constantly promoting the value of in-home care services to a wide array of stakeholders. We share data on both outcomes and patient satisfaction.

Conclusion

Virginia’s home care and hospice industry faces significant challenges, including workforce shortages and navigating the complex regulatory and reimbursement landscape. However, the Virginia Association for Home Care & Hospice, led by Marcia Tetterton, is actively working to address these issues.

The association is promoting the value of in-home care, collaborating with stakeholders, and seeking long-term solutions to staffing shortages. As Virginia’s aging population continues to grow, the demand for quality home-based care will only increase.

With the association’s advocacy and the state’s robust regulatory framework, the industry is poised to adapt and meet the evolving needs of Virginia’s residents.

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