Ep 7Rosa Hart names the crisis no one wants to talk about — and why agencies who don't address it now will be priced out of the market in 24 months.
Rosa HartApr 6, 2026Resources Hub
Explore expert insights, podcasts, videos, case studies, and educational content about AI, compliance, operations, and home health innovation.

Wondering what changed between OASIS-E1 and OASIS-E2? OASIS-E2 is an incremental update, not a redesign. The framework, five time points, and PDGM methodology stay the same, while CMS refines Section GG, cognitive and behavioral items, SDOH, and SPADEs. This guide compares both versions side by side and gives you a transition plan and checklist.

Selecting an EMR is one of the most important operational decisions a home health agency makes. For more than two decades, WellSky (formerly Kinnser) has stayed a top choice because it was built specifically for home health, not adapted from hospital software. Here are 10 reasons agencies choose it, from OASIS-E and compliance to scheduling, billing, scalability, and AI integration.

Choosing a home health EMR shapes how nurses document, how fast claims go out, and how efficiently your agency runs. Homecare Homebase, WellSky (Kinnser), and Axxess all support OASIS-E and Medicare compliance, but they differ in usability, scalability, and workflow design. This guide compares all three across documentation, OASIS-E, mobile, compliance, AI, and agency size to help you choose.
The CMS-required home health assessment instrument — 23 pages with skip logic.
DefinitionPatient-Driven Groupings Model — case-mix based Medicare payment for home health.
DefinitionBrief Interview for Mental Status — exact-wording required to preserve scoring validity.
Definition
Every experienced nurse has felt it: the vital signs look normal, the labs haven't changed, but something feels wrong. Is that intuition or clinical judgment? They're two distinct but complementary skills. This guide explains how each works, how intuition develops, why clinical judgment turns a gut feeling into safe action, and what AI can and can't do about it.

Nurses now spend nearly as much time documenting care as delivering it, and the result is unprecedented burnout. AI can help, but only when it is designed to support nurses rather than replace them. This guide breaks down how AI reduces cognitive load, ambient documentation, predictive deterioration detection, human-in-the-loop safety, and what it means for retention and home health.
OASIS section that scores self-care and mobility ability and assistance need.
DefinitionAdditional Documentation Request — Medicare's request for records to support a billed claim.
DefinitionHuman-in-the-loop — a human reviews and approves AI output before it's used.
Definition
From a new Medicare Part D out-of-pocket cap to negotiated prices on the most expensive prescription drugs, 2026 brings major Medicare changes designed to improve affordability, alongside new prior authorization requirements and shifting Medicare Advantage options that beneficiaries need to understand before open enrollment.

Late nursing documentation is far more than an administrative inconvenience. Delayed charting increases patient safety risks, creates handoff gaps, triggers claim denials and undercoding, raises legal and audit exposure, and accelerates nurse burnout and turnover, costing healthcare organizations millions. Most delays happen because nurses lack time to chart in real time, and AI and point-of-care documentation tools can give that time back.
Home Health Q&A
Short, direct answers on EMR choices, pricing, OASIS, referral management, AI documentation, and reducing denials, written for home health leaders comparing their options.
Browse the Q&APodcast library
Every conversation on the show, grouped by the operational and clinical challenges home health leaders are working on right now.
Home Health Operations
Operators, scheduling leaders, and clinical executives on what it actually takes to run a modern agency.
Ep 7Rosa Hart names the crisis no one wants to talk about — and why agencies who don't address it now will be priced out of the market in 24 months.
Rosa HartApr 6, 2026
Ep 3Gaurav and Kathy unpack the EMR disconnect every home health nurse lives with — and how AI can finally bridge the gap between the visit and the chart.
Kathy DuckettMar 9, 2026
Ep 4Laurel Chiaramonte traces her path from manual 18-hour nurse scheduling to building AI scheduling algorithms now used by the military — and what home health can learn from it.
Laurel ChiaramonteMar 16, 2026Nurse Burnout & Workforce
Burnout, retention, and the real cost of the documentation tail on nurses and patient experience.
Ep 11Nina Stevenson on the under-the-radar AI shift coming for CNAs, medics, and LVNs — and the practical playbook for nurses who want to be on the right side of it.
Nina StevensonMay 4, 2026
Ep 1Kathy Duckett pulls back the curtain on the unfiltered reality of home health nursing — the windshield time, the after-hours documentation, and the parts of the job that never make it to social media.
Kathy DuckettFeb 23, 2026
Ep 2Valerie Choniuk reframes clinician burnout as the upstream cause of the patient experience crisis — and walks through what AI can and cannot do about it.
Valerie ChoniukMar 2, 2026Healthcare AI
Founders, clinicians, and operators on what AI can and cannot do at the bedside.
Ep 14Desiree Paige on the clinical intuition AI can't replicate and what the right AI partnership for the bedside nurse actually looks like.
Desiree PaigeJun 1, 2026
Ep 12Susie Branagan on trauma-informed AI, why the bar for clinical AI is not accuracy alone, and what 'AI's clinical conscience' actually looks like in practice.
Susie BranaganMay 11, 2026
Ep 9Paulo Machado on the next five years of healthcare AI — who gets disrupted, who wins, and how home health operators should position right now.
Paulo J. MachadoApr 20, 2026
Ep 10Nathan Hayman tells the founding story of Rivvi.ai — how watching his wife come home from clinical shifts in tears led to a conversational AI infra company for healthcare.
Nathan HaymanApr 27, 2026OASIS & Documentation
Deep dives into the skip-logic, the goals, the interventions, and the cost of getting any of it wrong.
Ep 6A deep dive into why the OASIS is the single hardest document in home health — the skip-logic, the goals, the interventions, and the cost of getting any of it wrong.
Kathy DuckettMar 30, 2026
Ep 13Part three with Kathy Duckett — can AI actually solve the OASIS crisis, what the human-in-the-loop layer has to look like, and where the future of home health documentation is heading.
Kathy DuckettMay 18, 2026Leadership & Career Growth
Nurses turning clinical experience into leadership, entrepreneurship, and revenue-generating roles.
Ep 5Kimberly Maurer on the false binary nurses are sold — and the third path she built helping nurses reclaim their voice without leaving the profession behind.
Kimberly MaurerMar 23, 2026
Ep 15Luke Adams on Advanced Care Planning and how turning nurses into revenue-generating clinicians changes both margin and meaning in primary care and hospitals.
Luke AdamsJun 8, 2026Patient & Family Experience
Aging in America, family caregivers, and the patient experience side of clinical care.
Ep 8Dr. Pooja Patel walks through what families discover too late about aging in America — and how home health and OT can change the trajectory if engaged early.
Pooja A. Patel, DrOTApr 13, 2026