Challenge Overview
The hospice struggled with unreliable delivery timelines, lost or delayed equipment, and vendors charging for items even after patient discharge. Manual ordering processes left staff frustrated and families without timely updates or support.
Solutions Overview
Qualis provided a DME management system that brought visibility, accountability, and support to every order.
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Transparent Ordering System
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Proactive Vendor Accountability
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Cost Oversight Controls
Key Benefits
1. Full Visibility Into DME Orders
Every order was time-stamped and viewable in one place, giving staff clarity on what was requested, when, and by whom.
2. Faster Equipment Delivery
With Qualis advocating directly with vendors, delays were reduced and urgent needs were addressed without repeated follow-up.
3. Less After-Hours Stress for Nurses
Staff could place orders quickly and independently, avoiding long phone calls and confusion during nights and weekends.
4. Cleaner Billing and Fewer Errors
The hospice avoided charges for patients who had passed and could more easily verify invoices, cutting down on unnecessary back-and-forth.
5. Major Reduction in Monthly DME Costs
Monthly DME expenses dropped from as much as $60,000 to under $40,000, freeing up resources for other areas of care.
The Challenge
Unreliable Equipment, Manual Processes, and Rising Costs
Before partnering with Qualis, this hospice team was struggling to manage their DME program in a way that felt consistent or sustainable. Most equipment orders were handled manually, often through individual phone calls to vendors and handwritten tracking. That meant if a nurse ordered something on a Friday night or over a weekend, there was a real chance the equipment would not arrive or that no one else would know it had been ordered at all.
This lack of visibility led to repeated calls, duplicate orders, and significant frustration from nurses and caregivers. In some cases, the hospice would not even find out that equipment had not been delivered until a family called to complain. And when items were lost or left behind, they were stuck paying the full cost, even if the item was years old. Over time, the financial strain increased. At one point, their DME expenses reached nearly $60,000 a month.
It was not just a financial issue. Every missed delivery, billing dispute, or back-and-forth with a vendor pulled clinical teams away from patient care. It left after-hours staff stressed and under-supported and left leadership with no easy way to verify or track what was really happening with equipment.
- Delayed or Missed Equipment Deliveries
- Lack of Visibility Across the Team
- Poor Vendor Communication and Accountability
- Billing Errors and Overcharges
- Staff Burnout
“We will call and order DME. As far as we know, the DME was delivered, and then we find out a day or two later that it was on backorder and wasn't ever actually delivered."
The Solution
Visibility, Accountability, and Smarter DME Oversight
When this hospice partnered with Qualis, they were no longer operating in the dark when it came to durable medical equipment. The team gained access to centralized ordering, real-time status updates, and audit-ready records, all in one place. Instead of relying on phone calls and hand-written notes, every action was visible, traceable, and supported by Qualis' proactive oversight.
Qualis did not replace the hospice’s existing DME vendors. Instead, they acted as a layer of accountability between the hospice and vendors, ensuring timely deliveries, flagging discrepancies, and stepping in when patient care was at risk. The platform not only saved time and money, it reduced tension between field staff and administrative teams, helping everyone work from the same playbook.
By integrating smarter workflows, permissions, and escalation pathways, the hospice could ensure that equipment was ordered appropriately, delivered on time, and picked up promptly. This was especially important for grieving families who needed space and closure after a death.
- Centralized Order Visibility
- Real-Time Status Tracking
- Vendor Oversight and Intervention
- Configurable Approvals
- After-Hours Accessibility
“One of our nurses absolutely hated doing after-hours and weekend admissions just because of the DME companies... now all she has to do is log in and do it at her pace.”
Implementation
Fast, Simple Setup with Ongoing Support
Switching to a new system can often feel overwhelming, especially in hospice care where patient comfort and continuity are critical. But for this hospice team, implementing Qualis was straightforward and supportive from day one.
"It was probably one of the easiest implementations that we’ve done since we started here."
Using Homecare Homebase, the team found that much of the technical configuration was handled directly by the Qualis and HCHB teams, minimizing the workload on hospice staff. Training sessions were brief, targeted, and reinforced with responsive follow-up from the Qualis team whenever questions arose. Staff appreciated that the system was intuitive enough for both daily users and those who only needed to access it occasionally.
"Our admissions convert right over. So for me that’s easy because I don’t use it all the time. If I need help, Lily can walk me through it quickly over the phone."
The success of the implementation was not just in how quickly it was completed, but in how well it prepared the team for long-term use. The hospice had the flexibility to customize workflows, configure approval processes, and get immediate help from a dedicated support contact. It allowed the staff to focus on care rather than troubleshooting technology.
- Pre-configured Setup with HCHB Integration
- Minimal Downtime
- Accessible Training and Onboarding
- Responsive Support
- Customizable Workflows
The Results: Lower Costs, Fewer Headaches, and Better Care
Reduced DME Costs
Switching to Qualis had a measurable financial impact. Before implementation, monthly DME spending sometimes soared to $60,000 due to overbilling, lack of pickup follow-through, and limited control over what equipment was being ordered. With Qualis' centralized oversight and approval workflows, costs dropped significantly.
“Some months we were paying up to $60,000 just in our DME and by going with Qualis, it’s been under 40.”
Faster Response and Equipment Delivery
Delays in equipment delivery used to be a routine frustration, especially when items were placed on backorder without informing the hospice. Since implementing Qualis, staff have reported a significant improvement in response times. Orders placed in the morning often arrive within hours, and issues are addressed directly and quickly.
“When we put in something to be ordered at 9:00 AM, before it would be a call to us like, ‘Does it have to go today?’ But now, within two hours, they got that equipment out there.”
Better Documentation and Visibility
With all equipment orders and pickups logged and time-stamped in the Qualis system, staff no longer have to rely on memory or manual logs. This has improved team communication and eliminated the frequent miscommunications about what was ordered, when, and by whom.
“Everything’s time stamped… so when I’m told, ‘No, you didn’t order,’ I’m like, ‘Yes, I did. I ordered five days ago at 10:30.”
Empowered and Less Frustrated Staff
The hospice's clinical staff found Qualis particularly helpful during off-hours and weekend shifts. Previously, nurses dreaded calling after-hours vendors, navigating multiple handoffs just to place a simple order. Now they log in, submit the request, and trust it will be taken care of, allowing them to focus on the patient.
“All [our nurse] has to do is go in, log in and put the order in… they don’t have to be on the phone in the middle of the night.”
Conclusion
A Simpler, Smarter Way to Manage Hospice DME
This hospice’s transition to Qualis led to measurable improvements across the board. With a more transparent and reliable DME process, the organization now operates with fewer delays, clearer communication, and greater cost control.
Instead of chasing down equipment orders or navigating inconsistent service, staff can now focus more fully on patient care. Orders are tracked, delivery timelines are clear, and unnecessary manual tasks have been reduced. The system ensures accountability at every step, minimizing billing errors and keeping patients and families informed and supported.
For hospices looking to reduce friction in their operations and improve their ability to provide timely, compassionate care, the results demonstrate that it is possible to manage DME without constant disruption. With a more organized and responsive system in place, this hospice is now better equipped to serve its mission every day.
If your hospice is struggling with billing inaccuracies, vendor delays, or operational inefficiencies, it’s time to rethink your DME strategy. Learn how Qualis can help by contacting us today.
See how Tender Care Hospice cut costs and improved care with better DME Support. Download the full case study to learn how they simplified operations, reduced stress on staff, and kept focused on patients and families.
Download the Tender Care Hospice Case Study
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