Growth in care at home organizations often brings a familiar challenge: as census increases, operational complexity increases with it. Without the right systems in place, even the strongest teams can struggle to keep workflows efficient, stay compliant, and keep pace with rising demand. Organizations that scale successfully tend to have one thing in common: they leverage technology strategically to streamline workflows and empower teams at every level.

United Energy Workers (UEW) Healthcare, a multi‑state care at home provider serving former nuclear and uranium energy workers, embodies this approach. As patient volume expanded across 37 offices in 25 states, UEW needed a technology partner that could increase operational visibility, reduce administrative burden, and support a rapidly growing workforce. Their experience offers a clear example of how innovation can unlock both productivity and sustainable growth in care at home.

Streamlining Processes to Boost Productivity

UEW implemented Axxess Home Care in 2024 to simplify workflows and eliminate inefficiencies that slowed productivity. Soon after, the impact was clear.

“Since then, we’ve seen our census grow by about 15%,” UEW President Will Burton said less than a year later. “The Axxess Home Care platform has enabled us to increase our productivity and keep our operations so well-managed that we’re able to expand our reach, meeting the needs of more and more patients and families across the United States.”

One of the most significant improvements came through documentation modernization. Before transitioning to Axxess, more than a third of UEW’s caregivers were still documenting on paper. After implementation, that number dropped dramatically.

“One of our goals when starting with Axxess was to minimize the number of caregivers we had documenting on paper,” Burton explained. “With our previous EMR, more than 37% of our caregivers were still on paper documentation. We now have only 11% of caregivers using paper documentation and are decreasing that number even further by increasing use of the Axxess Home Care mobile application.”

By shifting the large majority of caregivers to digital documentation, UEW reclaimed time, reduced duplication, and strengthened accuracy, all critical factors in scaling effectively.

Improving Visibility and Operational Control

Axxess Home Care gave UEW leadership the clarity needed to support a large, dispersed workforce. Case managers gained new visibility into caregiver activity and documentation, enabling them to address issues quickly and efficiently. This visibility extended beyond documentation into scheduling as well, giving leaders and case managers the tools to ensure visits were planned accurately and in compliance with authorization requirements.

“Communication notes in Axxess Home Care are a huge time-saver, as is the Schedule Center,” Burton said. “Case managers have total oversight of caregivers’ visit notes and can follow up with them conveniently and efficiently using communication notes. The Schedule Center facilitates easy, compliant scheduling, ensuring we adhere to the approved authorization hours when scheduling visits.”

This expanded oversight supported both productivity and compliance. With greater visibility came faster issue resolution, fewer documentation errors, and smoother coordination across office and field teams. For an organization operating in diverse communities nationwide, this visibility was essential to sustained high-quality service.

Driving Growth Through Efficient Billing and Financial Workflows

Operational improvements also translated into significant financial efficiency. UEW saw measurable gains in billing turnaround time and reimbursement accuracy, strengthening the organization’s foundation for long-term growth.

“Our weekly billing of claims has quadrupled with Axxess Home Care and we have a much lower rebill rate, saving us time and effort and ensuring we get full reimbursement,” Burton said.

This increase in throughput, combined with fewer rebills, reflects the compounding effect of clean documentation, real-time oversight, and aligned workflows. These elements collectively support the organization’s ability to scale without adding unnecessary administrative burden.

Simplifying Training and Adoption for a Distributed Workforce

Behind these improvements is an ecosystem that caregivers can actually use. UEW credits Axxess with making adoption straightforward, even for caregivers with limited technical experience.

“We initially were worried that our caregivers would have a slow adoption rate to Axxess Home Care, that a lot of training would have to be deployed because our prior EMR was so different,” Burton said. “However, the forms and GUI [graphical user interface] layout offered by Axxess Home Care enabled most of our caregivers to complete assigned tasks using their intuition about the system – like using any popular social media software.”

This ease of use reduced onboarding time, accelerated adoption, and ensured staff across dozens of locations could quickly document, communicate, and coordinate using a consistent system. As the organization expanded, this intuitive design became essential for maintaining productivity while onboarding new team members at scale.

Building the Foundation for Sustainable Growth

UEW’s journey demonstrates how technology-led innovation can strengthen operations and create the foundation needed for meaningful growth. By streamlining workflows, improving documentation accuracy, increasing billing efficiency, and making training simple, the organization positioned itself for long-term success, and earned recognition through the Growth and Innovation Award at AGILE 2025.

Their experience illustrates something many organizations overlook: scalable growth in care at home isn’t just about adding more patients or expanding into more states. It’s about empowering teams with tools that make their work easier, more accurate, and more connected. When organizations invest in technology that elevates productivity, they create the stability and capacity needed to grow confidently, without compromising the quality of care patients deserve.

To read the full interview, click here.

Axxess’ cloud-based software solutions provide healthcare organizations with a comprehensive technological infrastructure, empowering them to deliver exceptional patient care and achieve sustainable success.

Choosing a technology partner is one of the most consequential decisions a healthcare organization can make. The right technology platform can reduce administrative burden, safeguard compliance, and support growth, while the wrong choice can slow teams down and introduce unnecessary risk.

Cardinal Hospice Care knows this firsthand. After its previous EMR system proved inadequate, the organization reevaluated its technology strategy. Their experience highlights five essential questions every hospice organization should ask before selecting a technology partner:

1. Will this system reduce administrative burden for clinicians?

Documentation is necessary, but it shouldn’t distract clinicians from patient care. Technology should simplify, not complicate, the clinical experience.

Cardinal’s experience:

When evaluating new solutions, Cardinal asked four different hospice EMR providers the same questions. Because Axxess Hospice was custom-built by hospice clinicians, not adapted from another care setting, it included the hospice‑specific features Cardinal needed, such as integrated volunteer and bereavement management workflows and hospice-compliant documentation templates.

Best practice:

Ask potential partners:

• Were clinicians involved in product design?
• Can common clinical tasks be completed in just a few clicks?
• Is documentation aligned with hospice-specific requirements rather than retrofitted from other care settings?

Clinician-friendly technology plays a direct role in satisfaction and retention.

2. Does the system support interdisciplinary teamwork?

Hospice care depends on collaboration among clinical, administrative, and billing teams. When systems don’t communicate well internally, the burden often falls on staff to bridge the gaps.

Cardinal’s experience:

Cardinal prioritized finding a unified solution where clinical documentation, eligibility tracking, and billing could live within the same ecosystem. By moving to a single sign-on platform, their teams gained clearer visibility into patient status and fewer handoffs between disconnected tools.

Best practice:

When evaluating a vendor, dig into real workflows:

• How easily can nurses, social workers, and billers access the same data?
• Are updates reflected in real time across departments?
• Does the system reduce follow-up emails, phone calls, and duplicate work?

Integrated technology strengthens both compliance and team efficiency.

3. Can this system scale with our growth?

Many hospice organizations adopt technology that works “for now,” only to find it strains under growth, whether that’s more patients, more locations, or more complex regulatory requirements.

Cardinal’s experience:

As Cardinal grew, the limitations of their legacy system became impossible to ignore. Manual workarounds that once felt manageable turned into operational bottlenecks, adding administrative strain and limiting visibility across locations. Without consistent reporting or standardized workflows, it became increasingly difficult to track performance trends or plan effectively as their census grew.

When evaluating new solutions, Cardinal found that Axxess’ Business Intelligence dashboards provided the kind of real‑time, organization‑wide visibility they had been missing. They needed a system built to support multi‑site growth, streamline reporting, and eliminate the inefficiencies that were slowing teams down.

Best practice:

Look beyond your current census. Ask whether the platform:

• Supports multi-location visibility and reporting
• Can standardize workflows across branches
• Eliminates redundant data entry as volume increases
• Provides real-time analytics that scale with operational complexity

A scalable system should make growth feel manageable, not chaotic.

4. How does the system support compliance with Medicare and other regulatory requirements?

Hospice organizations operate in one of the most highly regulated environments in healthcare. Technology must help teams stay compliant, not reactively, but by design.

Cardinal’s experience:

Cardinal recognized that compliance couldn’t be treated as an add-on. They needed embedded safeguards to support Medicare eligibility documentation, billing accuracy, and survey readiness.

Best practice:

A strong hospice technology partner should:

• Build regulatory requirements directly into workflows
• Help prevent errors before claims are submitted
• Provide audit-ready reporting and documentation

Ask vendors how often their systems are updated to reflect regulatory changes and how those updates reach end users.

5. Will this partner act as a long-term extension of our team?

Technology is only part of the equation. Implementation, training, and ongoing support determine whether a platform truly delivers value.

Cardinal’s experience:

Beyond functionality, Cardinal wanted a partner that offered reliable, ongoing support. From onboarding through everyday use, they needed confidence that help would be available when challenges arose.

Best practice:

When assessing vendors:

• Ask about onboarding timelines and training models
• Learn how support requests are handled and by whom
• Look for evidence of long-term customer relationships, not just onboarding success stories

A true technology partner grows alongside your organization.

Making the Right Choice for Your Future

Cardinal Hospice Care’s experience underscores a simple truth: choosing hospice technology is about more than features; it’s about fit. By asking the right questions upfront and learning from organizations that have successfully navigated these decisions, hospice leaders can make more informed, future‑ready choices.

If your organization is reevaluating its technology strategy, Cardinal’s journey offers a valuable roadmap for what to look for, and what to expect, from the right partner.

Axxess Hospice was custom-built by hospice experts for hospice professionals. Click here to learn more.

Navigating a successful business in the care at home industry requires more than a dedicated staff and strong leadership team. It requires pairing the right people with the right technological tools. When teams embrace solutions that enhance quality and compliance, the result is lasting success.

At the 2025 Axxess Growth, Innovation and Leadership Experience (AGILE), Liberty Home Care and Hospice received the Quality Standards of Excellence Award, recognizing their commitment to delivering the highest quality of care to patients.

As a division of Liberty Health, Liberty Home Care and Hospice provides a comprehensive range of home health, palliative and hospice services across the southeastern United States. They credit their success to a leadership team and staff focused on quality, supported by the advanced tools and functionalities within Axxess Home Health, Axxess Hospice, and Axxess Business Intelligence . In an interview with Axxess, Donna Turlington, RN, BS, HCM, CCM, President of Liberty Home Care, Hospice and Palliative Care, shared how this combination of dedicated people and innovative technology enabled their organization to achieve measurable improvements and sustainable growth and excellence.

Achievements in Quality and Growth

Highlighting the organization’s recent quality achievements, Turlington reported that several home health locations raised their quality ratings.

“Ten of our home health locations have achieved a star rating of 3.5 or higher,” said Turlington. “In many cases, we increased the ratings by a full point, moving from two to three stars and from 3.5 to four stars.”

She also emphasized the strong performance of the organization’s hospice locations, noting their improved quality scores.

“Our hospice locations currently hold a four-star rating and have achieved a Hospice Care Index (HCI) rating of 10,” said Turlington.

In addition to their improved quality scores, the hospice locations also saw increased census and revenue growth.

“We have experienced significant census and revenue growth for our hospice services, with a 48% increase in census and a 52% increase in revenue over the past year,” said Turlington.

Leveraging Technology for Success

Reflecting on how Liberty’s home health and hospice locations achieved significant improvements in quality metrics, Turlington highlighted the ways the Axxess ecosystem has played a key role in their success.

“We are continuously identifying ways to leverage the solution to ensure quality and grow our business,” she said.

Turlington emphasized that tools like Axxess Home Health’s PDGM Dashboard and the Quality Assurance (QA) Center have been instrumental in keeping their home health locations compliant, as well as supported them in patient outcome monitoring and driving revenue growth.

Turlington identified the built-in scrubber and predictive dashboards in Axxess Hospice as essential hospice tools, noting that these features helped strengthen documentation processes and compliance by ensuring a thorough review before submission to CMS.

The many Axxess Business Intelligence reporting tools were also crucial to their quality and growth successes. These tools provided pivotal visibility into their overall operational performance and metrics.

“We use these tools to continuously evaluate and assess our operations, enabling us to address issues and pivot as needed,” said Turlington.

Liberty Home Care and Hospice’s successes demonstrate how partnering with the right technology partner can elevate quality, compliance and operational growth, ultimately leading to better patient outcomes and improved care delivery.

“Our technology team is very innovative and always looking for ways to streamline operations via partners and integrations,” said Turlington. “I’m grateful for their vision and willingness to partner closely with Axxess.”

To read the full interview with Liberty Home Care and Hospice, click here.

Axxess’ cloud-based software solutions provide healthcare organizations with a comprehensive technological infrastructure, empowering them to deliver exceptional patient care and achieve sustainable success.

In the ever-evolving care at home industry, staying ahead of the curve requires agility, efficiency and the right technology partners.

Preston Lucas, Chief Financial Officer of Interim of the Great Lakes, has embraced these principles and discussed how working with technology partners has led to significant growth within the organization.

The Right Partner

Central to the success of Interim has been their partnerships with Axxess, a leader in home healthcare technology, and Forcura. The seamless integration of these platforms has revolutionized Interim’s operations, eliminating manual processes and significantly speeding up order processing. This transformation has not only optimized revenue cycles but also provided real-time data, empowering the leadership team to make informed, strategic decisions.

As a result, Lucas has seen streamlined workflows and improved patient care across the board.

“It’s been a game-changer for us because the integrated platforms mean that we can process orders faster,” Lucas said. “We can go through things without having all the manual steps of standing at a fax machine and sending things out. So that’s a huge time saver for our intake team and our orders management team, and it allows the visibility for our leadership team into those processes and those workflows. So, we’re able to hold those various teams accountable and make sure that we’re meeting the right metrics.”

Data Insights

Beyond technology, Interim leverages the powerful insights provided by Axxess to enhance business operations. By using data from Axxess and Forcura, Interim has strengthened relationships with referral sources, negotiated more favorable contracts and navigated geographic and regulatory hurdles with confidence. Their standardized processes, built to meet the highest state requirements, ensure they’re always ready to adapt to change.

“We truly use that data to educate all aspects of our business, starting at our referral sources,” Lucas said. “You know, looking at how are we standing out in the market compared to our competitors, and what are we offering our patients, and how are we scoring with the publicly reported CMS data, but then also more real-time actionable data that we have access to. So, we use that with our referral sources to help build those strong relationships and ultimately grow our business.”

Improved Order Processes

The combination of Axxess’ robust platform and Forcura Circle has led to faster order turnaround times and improved communication with physicians, directly contributing to better patient outcomes and reduced rehospitalization rates. Interim’s success is a testament not just to technology, but to the power of strategic partnerships and data-driven decision-making in delivering exceptional care.

“A lot of people say, ‘Forcura, oh, yeah. That’s an e-fax program for your orders,’” Lucas said. “Well, it’s so much more. And we’ve looked at it as truly our comprehensive document management system altogether rather than just an orders platform.”

Interim of the Great Lakes showcases how adopting innovative technology like Axxess and collaborating with strong partners can lead to extraordinary achievements in the care at home industry. Their story showcases how strategic leadership, backed by cutting-edge technology, can drive operational excellence and elevate patient care.

“It allows us to make crucial decisions at the right time,” Lucas said. “So, with real-time data and insights from both Forcura and Axxess, we can make those informed decisions and be able to spot trends early, whether good or bad, and adapt our strategies effectively to stay ahead in the market.”

See how Axxess can transform your organization’s operations by scheduling a demo here.

Editorial Note: The insights from this article were provided by Forcura.