What does it take to grow a home health and hospice organization from a startup into a thriving, multi-location agency?

In this episode of Home Health Revealed, Greg Davis, Owner and President of Business Operations at Patriot at Home, shares the story behind the agency’s growth journey, from humble beginnings and early business failures to strategic expansion, acquisitions, and long-term planning.

Greg discusses the role of grit, leadership, and continuous learning in building a sustainable organization, along with lessons learned from scaling quickly, navigating acquisitions, empowering leaders, and adapting to industry change. He also shares insights on leveraging technology, strengthening operational infrastructure, and preparing for the future of home-based care.

Whether you're leading a growing agency or planning your next stage of expansion, this conversation offers practical insights on what it takes to scale through growth and grit.

• (00:00:03) - Home Health Revealed: Growing Patriot Home
• (00:04:02) - Exclusives: New Things Next Year
• (00:08:27) - Leadership in the COVID Era
• (00:10:20) - Ohio Council on Home Health

Home health value-based purchasing continues to be one of the most important topics shaping agency performance, reimbursement, and patient outcomes.

In this episode, Katie Eisel, Director of Payer Relations for the Ohio Community at Home Network (OCHN), joins the podcast to break down HHVBP in a practical, easy-to-understand way. Katie shares how agencies can simplify complex performance reports, engage clinicians in improvement efforts, and focus on the measures that have the greatest impact on results.

The conversation explores the connection between clinician actions and HHVBP scores, strategies for improving OASIS-based measures and hospitalization outcomes, the role of HHCAHPS in overall performance, and why patient experience remains a critical piece of long-term success. Katie also discusses the differences between star ratings and HHVBP, common opportunities agencies overlook, and how organizations can build a culture of accountability and continuous improvement.

Whether you are a clinical leader, executive, or operations professional, this episode offers practical insights to help your agency better understand HHVBP and turn performance data into meaningful action.

• (00:00:03) - What Do Home Health Value Based Purchases Need to Know?
• (00:05:35) - Home Health Value Based Purchasing, Star Ratings
• (00:08:05) - HHSCAHPS: Value Based Purchasing
• (00:16:08) - Face-to-Face Care
• (00:18:33) - Ohio Community at Home Network (OCHN)
• (00:24:40) - Where can somebody find out about the OCHN?

In this episode of Home Health Revealed, we sit down with Hope Mulliken, Help Desk Coordinator at the Ohio Council for Home Care and Hospice (OCHCH), to talk about what’s really happening behind the scenes in home health operations today.

From Medicaid and Medicare changes to rising denials, authorization delays, and audit pressure, Hope breaks down the challenges agencies are facing right now and why things continue to get more complex.

We also explore the OCHCH Help Desk, where Hope supports both member agencies and the community with questions ranging from EVV and OASIS issues to appeals, compliance, and operational challenges. During the conversation, we affectionately refer to it as the “Hope Desk,” a nickname that stuck thanks to Hope’s name and the fact that she’s often the go-to for agency questions.

Finally, we discuss defensible documentation, why every visit note needs to tell a complete clinical story, and how agencies can better protect themselves in today’s regulatory environment.

• (00:00:03) - Ohio Council for Home Care and Hospice Help Desk
• (00:02:19) - Medicare and Medicaid: How to manage both of your patients'
• (00:06:39) - What is the top question you get at the help desk?
• (00:07:26) - Face to Face for Care
• (00:09:04) - Visit Notes
• (00:11:03) - Home and Community Based Nursing Program

In this episode of Home Health Revealed, we sit down with Victoria Barkin, Regional Director of Operations for Home Health at National Church Residences, to talk about what it really means to create a true continuum of care.

Too often, care is delivered in silos. But patients don’t experience it that way.

Victoria shares real-world stories that highlight the gaps that can happen between settings and what it takes operationally and clinically to close them. From navigating complex discharges without an established physician to quickly transitioning a patient to hospice and avoiding an unnecessary hospitalization, this conversation brings the concept of “continuity” to life.

We also dig into the role of relationships, both within an organization and across the community, and why having the right connections in place can make all the difference for patients and their caregivers.

Whether your organization offers a full continuum of services or relies on trusted partners, this episode explores how home health leaders can better support patients through every stage of care.

• (00:00:03) - What's the Core of Home Health?
• (00:02:34) - Home Health for the Complex Patient
• (00:06:52) - OCCAS 2017
• (00:07:31) - Och-Care Ohio Association annual meeting

In this episode of Home Health Revealed, we sit down with Mecca Abdul-Aziz, owner of E&M Home Care in Columbus, Ohio, to hear the real story behind building a home care agency from the ground up.

Mecca shares how a career shift from marketing and education, paired with a sudden layoff and a growing desire to build something of her own, led her into the home care space. With no prior experience running an agency, she walked through licensing, landing her first client, and quickly realizing what it means to build a business while you are actively learning how to run it.

We also talk about the realities that come with growth: hiring caregivers, defining culture, balancing faith and family, and leading with purpose when every decision carries weight. Mecca reflects on what it means to build a mission-driven agency, the importance of trust in home care, and how she thinks about legacy and long-term impact for her family and community.

This is a grounded conversation about starting from scratch, learning in real time, and building something meaningful while you are still in motion.

• (00:00:03) - How to Start a Home Care Business at 23
• (00:02:56) - Caregiving as a Step-by-Step Process
• (00:07:00) - Non-RN Families: Building a Legacy
• (00:11:13) - OCH Networking Event

In this episode of Home Health Revealed, we sit down with Jessica Mandrell, owner of Lifesaver Healthcare, to talk through what it really looks like to step into ownership through acquisition, and what comes next.

Jessica shares her experience purchasing an established agency, what made the transition smoother than expected, and the lessons that came quickly, like navigating prior authorizations, understanding Medicare billing, and making sure the right processes are in place from day one.

The conversation also gets into the realities of cash flow during ownership transitions, including how strong financial footing can help offset the challenges of the “J curve” as new owners find their rhythm.

But at the center of it all is culture. From retaining experienced staff to building a leadership mindset that prioritizes people, Jessica talks about why growth isn’t just about scaling, it’s about investing in the team that makes it possible.

If you’re thinking about acquiring an agency, stepping into a new leadership role, or looking to strengthen your operations as you grow, this episode offers a practical, honest look at what it takes.

• (00:00:03) - Home Health Revealed: Jessica Mandrell's Transition to an Ohio
• (00:03:25) - Home Healthcare: The Palmetto Council
• (00:04:33) - How Your Husband and I Are Working Together
• (00:05:13) - Home Health CEO Discusses the Industry

What’s really happening in home health and hospice right now? A look at Ohio tells the story.

In this episode,Lisa VonLehmden from Ohio Council for Home Care and Hospice shares how the landscape is shifting across the state, from growing demands on agencies to the increasing need for real support and engagement at the association level. She talks through the rapid growth of the Ohio Council, what’s driving it, and how a more hands-on, experience-driven approach is making a difference for providers.

The conversation also explores the connection between clinical care and financial performance, why agencies are being pushed to think differently, and how stronger collaboration across teams is becoming essential.

This is a grounded, real-world look at what it takes to navigate home health and hospice today.

• (00:00:03) - Ohio Home Health and Hospice Association's 20th Anniversary
• (00:05:03) - Ohio Healthcare Financially Management Conference
• (00:11:19) - Crucial Conversations: The Home Health Industry
• (00:15:23) - The Hard Talk in Home Nursing

Documentation in home health has always been essential, but it hasn’t always supported clinicians and agencies in the way it needs to. In this episode of Home Health Revealed, we explore the evolution of home health documentation—from paper and pen to EMRs and now ambient AI—and what each stage has solved, as well as what gaps still remain. Joined by Sandeep Banga and Andrew Ostrander from Scribble, the conversation focuses on the space between what happens in the home and what gets captured in documentation, and how that gap directly impacts quality, compliance, and reimbursement. We also dig into how agencies are thinking differently about documentation today, not just as an administrative task, but as a core driver of clinician experience, retention, coding accuracy, and financial performance. Finally, we break down what ambient AI looks like in real workflows and why capturing documentation at the point of care is becoming increasingly important to closing the gap between care and cash. If your agency is thinking about the future of documentation and how it impacts both clinical and operational outcomes, this episode offers a grounded look at where things are headed.

• (00:00:03) - The Evolution of Home Health Documentation
• (00:00:42) - How to Write in Home Health?
• (00:08:30) - What is Medicare's Requirement for Complete and Accurate Documentation?
• (00:10:50) - The Agency's Top Concerns
• (00:14:11) - HIPAA compliance in documentation
• (00:18:01) - Scribble for Clinicians: The AI-enabled Visit
• (00:24:56) - Healthcare Regulatory Agency-funded documentation review
• (00:26:47) - Home Health Companies See Future of Technology
• (00:28:10) - Home Health Agency Connections