Weekly Episodes of "At the Table with CAHSAH"

Now available here......

Listen and Watch here and Subscribe on Spotify and YouTube.

At The Table with CAHSAH Special Edition: Hospice Emergency Regulations Series - #4 of 8 Policies and Procedures

Most hospice providers underestimate how deeply policies impact compliance and patient care until a regulatory audit turns into a reality check. In this eye-opening episode, industry veterans Sharon Fredericks and Eric Peterson reveal why having written policies isn’t enough. True success lies in routine implementation, real-time audits, and team-led updates.

Discover how California’s new Hospice Emergency Regulations challenge hospices to move beyond static manuals and foster a culture of continuous improvement. We'll explore practical strategies to ensure your policies reflect actual practice, including effective senior leadership ownership, staff competency checks, and engaging team meetings that foster buy-in. You’ll learn how to translate complex legal language into day-to-day operations that staff understand and follow, reducing costly citations and elevating care quality. You’ll also hear specific tactics to streamline policy updates amid tight timelines, prioritize the most critical changes such as geographic service areas and patient acuity systems, and involve your team in the creation and review process.

Plus, find out how structured ongoing education and audits escalate compliance from a checkbox exercise to a core organizational value. If you’re a hospice leader, compliance officer, or clinical manager feeling overwhelmed by the regulatory maze, this episode is your blueprint for turning policies into a practice that supports staff and impresses surveyors. With insights from respected California experts and real-world frameworks, you’ll leave equipped to build a resilient, compliant organization committed to exceptional patient care. Join us to transform policy from a dusty binder into a living, breathing tool that drives operational excellence. Your next survey success depends on it.

At The Table with CAHSAH Special Edition: Hospice Emergency Regulations Series - #3 of 8 Nurse Ratios & Patient Acuity

Most hospice providers are caught off guard by California's new emergency regulations, specifically, the strict nurse-to-patient ratios and patient acuity system. Are your staffing models ready to meet the legal demands while still providing quality care? This episode cuts through the noise with insights from two industry experts who know the regulations inside and out. Discover why regulators are focusing on nurse caseloads and patient acuity and what it means for your organization’s staffing, documentation, and patient care. With nurse ratios capped at 12 and a yet-to-be-standardized acuity system, many providers are asking: How do we adapt quickly without compromising quality? You'll learn about the regulatory language that defines “assignment,” how to monitor your ratios effectively, and how to develop a flexible yet compliant acuity model tailored to your team. We break down key topics: the practical implications of staffing at 12 patients per nurse, the importance of documenting care accurately, and the challenges of creating a reliable acuity assessment. Our experts share actionable strategies for early planning, including what to do now if your caseloads are higher than the new thresholds, and how to build a customized acuity system that stands up to scrutiny. Failure to prepare could mean regulatory penalties or compromised patient safety. Miss this, and you risk falling behind in delivering the best possible care. This episode is perfect for hospice leaders, administrators, and clinical directors who want to stay ahead of the regulatory curve and ensure their team is compliant and capable. Tune in to understand the nuances of the regulations, avoid common pitfalls, and be the leader who confidently navigates change while prioritizing patient well-being. Remember, the deep dive happens at our upcoming webinar.

At The Table with CAHSAH Special Edition: Hospice Emergency Regulations Series - #2 of 8 Geographic Service Area

California’s recent hospice emergency regulations are reshaping how organizations define their service areas and the stakes couldn’t be higher. If your hospice isn’t prepared, you risk falling short on response times, compromising patient safety, and facing surveyor scrutiny. Yet, navigating these changes doesn’t have to be overwhelming. This episode uncovers the practical strategies and insights you need to operate confidently within the new regulatory framework. You’ll discover the critical importance of geographically realistic service area planning—beyond just drawing lines on a map. Our experts break down how to determine a safe, compliant radius based on real-world driving times, especially in rural and congested areas. Learn why response time is no longer just a guideline but a legal requirement that impacts staffing, operational workflows, and patient outcomes. We break down the essential operational questions: Are your nurses strategically located? Is your staffing model prepared for increased call volume and unexpected night-time emergencies? How can you identify and address unmet needs without overextending your organization? Plus, get tactical advice on how to audit your current operations and spot warning signs of overgrowth that can outpace your infrastructure. The stakes are high failing to meet response time standards can lead to regulatory penalties, patient dissatisfaction, and worse, compromised care. Conversely, a proactive approach that integrates patient acuity, staffing planning, and service area analysis positions your hospice for sustainable growth and industry respect. Perfect for CEOs, clinical leaders, and operations managers, this episode equips you with the insights to make informed decisions today—before the next surveyor inspections. And don’t miss the upcoming webinar, where we go even deeper with case studies, calculation tools, and live Q&A to turn regulatory stress into strategic strength.

Your organization’s ability to deliver timely, safe, and compliant hospice care depends on understanding and mastering these changes. Hit play now, and lead your team confidently through California’s evolving hospice landscape.

At The Table with CAHSAH Special Edition: Hospice Emergency Regulations Series - #1 of 8 Hospice Management Qualifications

California hospice providers are facing the most significant regulatory changes in years. In this special edition of At The Table with CAHSAH, we begin a comprehensive series exploring the new Hospice Emergency Regulations and what they mean for providers, leaders, clinicians, and patients across the state.

At The Table Episode 9: PDN Investing in Private Duty Nursing: California's $175M Opportunity

Discover how increasing Medi-Cal support for private duty nursing could save California $175 million annually while transforming care for children. This episode explores the challenges of funding essential services, the impact of workforce shortages, and the potential for policy reform. Join experts as they discuss strategic advocacy and the power of public support to revolutionize pediatric care. Tune in to learn how a $62 million investment could change lives and save costs.

At The Table Episode 8: Barry Berger and The Power of Relationships

An interview with Barry Berger, a legendary home care entrepreneur, executive, and philanthropist.

Episode 7: Why Outdated Training is Holding You Back!

In this eye-opening episode, we dive into the core challenges plaguing the home-based care industry and the surprisingly simple solutions already within reach. Experts from PHI, Jake McDonald and Jenna Kellerman share how outdated training frameworks, systemic neglect and societal perceptions keep this vital workforce undervalued, despite its critical roles in everyone’s health and economy. They reveal the five pillars of care job quality, emphasizing fair wages, professional development, respect, and a unified industry approach to systemic change.

Episode 6: California's Home-Based Care Regulatory Chaos: Turn Knowledge into Action to Thrive!

Discover how education can transform your home care agency from surviving to thriving. Sina Tate, Director of Education at CAHSAH, shares strategies to stay ahead of regulations, boost staff retention, and turn education into a powerful investment. Learn how targeted training and embracing AI can future-proof your agency. Perfect for providers ready to adapt and lead in a complex environment.

Episode 5: The Shift from Volume to Value in Home Health.

Many home health agencies are struggling to keep up with a rapidly shifting industry. But some are thriving through innovation and strategic mindset shifts. In this episode, Arnie Cisneros, president of Home Health Strategic Management, and Kimberly McCormick, clinical director with 20+ years in home health, reveal how top-performing agencies are rewriting the rules to succeed in today’s high-pressure environment. Discover how Medicare's move from volume to value is transforming care delivery. Sicker patients, faster hospital discharges, and the critical need for real-time documentation. Arnie shares his groundbreaking approach to service utilization review, leveraging Medicare’s evidence-based data models to improve outcomes while reducing costs. Kimberly highlights proven strategies to align clinicians' practices with regulatory standards, embrace objective metrics, and achieve deficiency-free audits.

Episode 4: Hospice Payment Suspensions - What You Need to Know!

Most hospice providers are feeling the heat right now — with hundreds facing abrupt Medicare payment suspensions based on low-standard allegations of fraud. But what’s really going on behind the headlines? And more importantly, what can providers do immediately to protect their operations, reputation, and patient trust? In this eye-opening episode, legal expert Judy Waltz reveals the secret weapon: understanding the true nature of these suspensions, how to navigate the critical 15-day rebuttal window, and strategies to safeguard your organization from unwarranted penalties. With Medicare now wielding powerful, rapid enforcement tools, it’s more urgent than ever to know how to respond effectively and keep your doors open. You’ll discover:

The low threshold for credible allegations of fraud that can trigger speedy suspensions

Practical steps to review your own hospice’s discharge rates, length of stay, and other vital KPIs to spot vulnerabilities

The importance of engaging in timely rebuttals and what to include in your response

How aggressive oversight is reshaping the future of hospice regulation — and why you can't to prepare

Ways to tell your own story before others shape the narrative with misinformation

This episode is essential listening for hospice CEOs, compliance officers, and home care advocates determined to defend their reputation while continuing to serve with integrity. With expert insights from Judy Waltz, a leading healthcare attorney at Foley & Lardner, you’ll walk away with concrete tactics to stay compliant, protected, and ready for what’s next. Don’t let swift enforcement catch you off guard — your license, your team, and your patients' trust depend on it. Tune in now for the critical knowledge shaping hospice’s future in California.

Episode 3: Shifting the Focus.

In this episode we’re stressing the importance of embracing accountability rather than being defensive in a world where media has had the first word on fraud. We welcome oversight and transparency and actively showcase what quality care looks like. This shift in mindset can help to counteract the negative perceptions and highlight the admirable work being done in home-based care.

Episode 2: 60 Years of Care. What Has Changed?

Ever wondered how home-based care has evolved over 60 years? Let’s dive into the challenges and triumphs!

From the days of nurses traveling on foot to today’s telehealth revolution, the landscape of home care has transformed dramatically. Some challenges remain timeless: workforce shortages, access to care, and the need for compassion in caregiving. The stories from the past remind us of the dedication required to care for loved ones in their own homes, even in tough environments. As we navigate the future, let's remember the pioneers who shaped our industry and continue to advocate for home and community-based services.

Episode 1: The Year of Execution

In this episode of At the Table with CAHSAH, we dive into the challenges facing our members, from policy issues to real conversations about what keeps them up at night. Our new CEO, Soua Vang, shares how we’re using this podcast as a platform to engage more deeply with our membership, ensuring their voices are heard in Sacramento and beyond. We recognize that every region in California has unique concerns and we are committed to listening and addressing those needs. This year, our theme is execution. We’re focusing on enhancing the voices of home care providers and making sure our industry is at the heart of health care decisions.

Join us as we turn challenges into action!