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March (Phase I) Report: Home Care Needs Priority Supplies, Regulatory Flexibility & Emergency Aid for COVID-19 Response

In a just-completed HCA survey on the COVID-19 crisis, nearly 300 home care providers in every region of New York State report that they collectively serve more than 14,100 priority level 1 patients in the community. These are patients who, without home care, would face a rapid, immediately life-threatening deterioration in their existing health condition or would need to be transferred to another setting, such as hospitals or nursing homes already stretched to capacity. Many of these most at-risk patients are homebound, or dependent on technology or ventilators, with severe life-limiting conditions.

The vast majority of home and community-based providers (68%) in our survey report that they do not have access to adequate personal protective equipment. Almost half (48%) report instances where patients and/or family members refuse entry of staff in the home due to concerns about the virus at a time when home health agencies are working vigorously to screen caregivers and patients alike for the safety of both.