In this episode of Home Health Revealed, we sit down with Victoria Barkin, Regional Director of Operations for Home Health at National Church Residences, to talk about what it really means to create a true continuum of care.

Too often, care is delivered in silos. But patients don’t experience it that way.

Victoria shares real-world stories that highlight the gaps that can happen between settings and what it takes operationally and clinically to close them. From navigating complex discharges without an established physician to quickly transitioning a patient to hospice and avoiding an unnecessary hospitalization, this conversation brings the concept of “continuity” to life.

We also dig into the role of relationships, both within an organization and across the community, and why having the right connections in place can make all the difference for patients and their caregivers.

Whether your organization offers a full continuum of services or relies on trusted partners, this episode explores how home health leaders can better support patients through every stage of care.

• (00:00:03) - What's the Core of Home Health?
• (00:02:34) - Home Health for the Complex Patient
• (00:06:52) - OCCAS 2017
• (00:07:31) - Och-Care Ohio Association annual meeting

In this episode of Home Health Revealed, we sit down with Mecca Abdul-Aziz, owner of E&M Home Care in Columbus, Ohio, to hear the real story behind building a home care agency from the ground up.

Mecca shares how a career shift from marketing and education, paired with a sudden layoff and a growing desire to build something of her own, led her into the home care space. With no prior experience running an agency, she walked through licensing, landing her first client, and quickly realizing what it means to build a business while you are actively learning how to run it.

We also talk about the realities that come with growth: hiring caregivers, defining culture, balancing faith and family, and leading with purpose when every decision carries weight. Mecca reflects on what it means to build a mission-driven agency, the importance of trust in home care, and how she thinks about legacy and long-term impact for her family and community.

This is a grounded conversation about starting from scratch, learning in real time, and building something meaningful while you are still in motion.

• (00:00:03) - How to Start a Home Care Business at 23
• (00:02:56) - Caregiving as a Step-by-Step Process
• (00:07:00) - Non-RN Families: Building a Legacy
• (00:11:13) - OCH Networking Event

In this episode of Home Health Revealed, we sit down with Jessica Mandrell, owner of Lifesaver Healthcare, to talk through what it really looks like to step into ownership through acquisition, and what comes next.

Jessica shares her experience purchasing an established agency, what made the transition smoother than expected, and the lessons that came quickly, like navigating prior authorizations, understanding Medicare billing, and making sure the right processes are in place from day one.

The conversation also gets into the realities of cash flow during ownership transitions, including how strong financial footing can help offset the challenges of the “J curve” as new owners find their rhythm.

But at the center of it all is culture. From retaining experienced staff to building a leadership mindset that prioritizes people, Jessica talks about why growth isn’t just about scaling, it’s about investing in the team that makes it possible.

If you’re thinking about acquiring an agency, stepping into a new leadership role, or looking to strengthen your operations as you grow, this episode offers a practical, honest look at what it takes.

• (00:00:03) - Home Health Revealed: Jessica Mandrell's Transition to an Ohio
• (00:03:25) - Home Healthcare: The Palmetto Council
• (00:04:33) - How Your Husband and I Are Working Together
• (00:05:13) - Home Health CEO Discusses the Industry