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National Association for Home Care & Hospice
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In the various roles he has undertaken through the years, Val J. Halamandaris has been a singular driving force behind the policy and program initiatives resulting in the recognition of home health care as a viable alternative to institutionalization. His dedication to consumer advocacy, which enhances the quality of life and dignity of those receiving home health care, merits VNA HealthCare Group’s highest recognition and deepest respect. 

VNA HealthCare Group

I have the highest respect for them, especially for the nurses, aides and therapists, who devote their lives to caring for people with disabilities, the infirm and dying Americans.  There are few more noble professions.

President Barack Obama

Home health care agencies do such a wonderful job in this country helping people to be able to remain at home and allowing them to receive services

U.S. Senator Debbie Stabenow (D-MI) Chair, Democratic Steering and Outreach Committee

Home care is a combination of compassion and efficiency.  It is less expensive than institutional care...but at the same time it is a more caring, human, intimate experience, and therefore it has a greater human’s a big mistake not to try to maximize it and find ways to give people the home care option over either nursing homes, hospitals or other institutions

Former Speaker of the U.S. House of Representatives Newt Gingrich (R-GA)

Medicaid covers long-term care, but only for low-income families.  And Medicare only pays for care that is connected to a hospital discharge....our health care system must cover these vital services...[and] we should promote home-based care, which most people prefer, instead of the institutional care that we emphasize now.

Former U.S. Senator Majority Leader Tom Daschle (D-CD)

We need incentives to...keep people in home health care settings...It’s dramatically less expensive than long term care.

U.S. Senator John McCain (R-AZ)


Home care is clearly the wave of the future. It’s clearly where patients want to be cared for. I come from an ethnic family and when a member of our family is severely ill, we would never consider taking them to get institutional care. That’s true of many families for both cultural and financial reasons. If patients have a choice of where they want to be cared for, where it’s done the right way, they choose home.

Donna Shalala, former Secretary of Health and Human Services

A couple of years ago, I spent a little bit of time with the National Association for Home Care & Hospice and its president, Val J. Halamandaris, and I was just blown away. What impressed me so much was that they talked about what they do as opposed to just the strategies of how to deal with Washington or Sacramento or Albany or whatever the case may be. Val is a fanatic about care, and it comes through in every way known to mankind. It comes through in the speakers he invites to their events; it comes through in all the stuff he shares.

Tom Peters, author of In Search of Excellence

Val’s home care organization brings thousands of caregivers together into a dynamic organization that provides them with valuable resources and tools to be even better in their important work. He helps them build self-esteem, which leads to self-motivation.

Mike Vance, former Dean of Disney and author of Think Out of the Box

Val is one of the greatest advocates for seniors in America. He goes beyond the call of duty every time.

Arthur S. Flemming, former Secretary of Health, Education, and Welfare

Val has brought the problems, the challenges, and the opportunities out in the open for everyone to look at. He is a visionary pointing the direction for us. 

Margaret (Peg) Cushman, Professor of Nursing and former President of the Visiting Nurses Association

Although Val has chosen to stay in the background, he deserves much of the credit for what was accomplished both at the U.S. Senate Special Committee on Aging, where he was closely associated with me and at the House Select Committee on Aging, where he was Congressman Claude Pepper’s senior counsel and closest advisor. He put together more hearings on the subject of aging, wrote more reports, drafted more bills, and had more influence on the direction of events than anyone before him or since.

Frank E. Moss, former U.S. Senator

Val’s most important contribution is pulling together all elements of home health care and being able to organize and energize the people involved in the industry.

Frank E. Moss, former U.S. Senator

Anyone working on health care issues in Congress knows the name Val J. Halamandaris.

Kathleen Gardner Cravedi, former Staff Director of the House Select Committee on Aging

Without your untiring support and active participation, the voices of people advocating meaningful and compassionate health care reform may not have been heard by national leaders.

Michael Sullivan, Former Executive Director, Indiana Association for Home Care

All of us have been members of many organizations and NAHC is simply the best there is. NAHC aspires to excellence in every respect; its staff has been repeatedly honored as the best in Washington; the organization lives by the highest values and has demonstrated a passionate interest in the well-being of patients and providers.

Elaine Stephens, Director of Home Care of Steward Home Care/Steward Health Systems and former NAHC C

Home care increasingly is one of the basic building blocks in the developing system of long-term care.  On both economic and recuperative bases, home health care will continue to grow as an essential service for individuals, for families and for the community as a whole.

Former U.S. Senator Olympia Snowe (R-ME)

NCOA is excited to be part of this great event and honored to have such influential award winners in the field of aging.

National Council of Aging

Health care at home…is something we need more of, not less of.  Let us make a commitment to preventive and long-term care.  Let us encourage home care as an alternative to nursing homes and give folks a little help to have their parents there.

Former President Bill Clinton

OSHA Finalizes Requirement for Electronic Reporting of Injuries/Illnesses

Home care, hospice providers with 250 or more employees must comply
May 19, 2016 09:46 AM

Under existing law, the Occupational Safety and Health Administration (OSHA) requires employers with more than 10 employees in most industries (including home health care) to maintain record of occupational injuries and illnesses at their organizations and must have them available in the event of an OSHA inspection. Specifically, employers covered by these rules must record each applicable employee injury and illness on the “Log of Work-Related Injuries and Illnesses” (OSHA Form 300) or an equivalent form and prepare a supplementary “Injury and Illness Incident Report” (OSHA Form 301) or equivalent that provides additional details about each case reported on the “Log”. Annually these employers are also required to prepare and post a “Summary of Work-Related Injuries and Illnesses” (OSHA Form 300A) in a visible location in the workplace.

Under a rule (Improve Tracking of Workplace Injuries and Illnesses; Final Rule) finalized May 12, 2016, employers in covered industries (including home care) with 250 or more employees will be required to electronically submit information from their records of occupational injuries and illnesses to OSHA or OSHA’s designee on an annual basis. Further, employers with between 20 and 249 employees in certain designated industries will also be required to electronically submit information from their occupational injury and illness records to OSHA or OSHA’s designee on an annual basis. Finally, the rule requires that in cases where an employer is notified by OSHA it must electronically submit information from its injury and illness records. As part of the final rule OSHA indicates that it plans to post the establishment-specific injury and illness data it collects on its public website at

The new requirements take effect Aug. 10, 2016, with phased in data submissions beginning in 2017. These requirements do not add to or change an employer's obligation to complete and retain injury and illness records under the Recording and Reporting Occupational Injuries and Illnesses regulation.

As part of the proposed rule issued in 2014, OSHA’s standard for determining which industries would fall under the “designated industries” standard (and would, therefore, be subject to the electronic reporting requirements if they employed 20 - 249 individuals) included all entities classified under North American Industry Classification System (NAICS) code 621610 -- Home Health Care Services. These include:

  • Home care of elderly, medical
  • Home health agencies
  • Home health care agencies
  • Home nursing services (except private practices)
  • Hospice care services, in home
  • Nurse associations, visiting
  • Nursing agencies, primarily providing home nursing services
  • Visiting nurse associations

However, as part of the final rule OSHA modified its rule for establishing what industries fall under the “designated industries” category, and entities under NAICS code 621610 will NOT be subject to the electronic filing and public reporting requirement. This means that home health, home care, and hospice organizations with 249 employees or fewer will not be subject to the new requirement. In comments on the proposed rule, the National Association for Home Care & Hospice (NAHC) expressed concern about the new requirements based on potential costs to home care and hospice organizations, and the potential for the public to misinterpret publicly reported data on workplace illnesses and injuries.




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