Before you partner with a private duty home care agency, check out these 5 items
1.Before you partner with a private duty homecare agency, as a geriatric care manager, know if your state requires they be licensed .If so ,you want to know if they meet licensing requirement in your state and are they licensed.
2.You want to know the pool of care providers they have available is adequate for your needs.. How many do they employ in their pool. You want to know ,as your caseload grows they have at least 100 care providers to draw from because you will need at least 100 care providers to choose from if you have 10=-15 cases with at least 5 with 24-hour care.
3. Do they have care providers who are bi- lingual several languages. If the aging population you serve has clients who want care providers who speak Mandarin, Spanish or any other language, you need bilingual care providers. Do they have care providers who can drive, lift, transfer, work with Alzheimer’s clients – in other words multiple skill levels that clients may need and demand.
4. Is the salary they offer care providers a living wage? The work of care providers is incredibly hard and low paid. Care provider’s lift more than truck drivers, work long hours and sometimes have to work 3 jobs just to support their families on the low hourly pay. . If the care providers they use are low paid you will get what you pay for , which can be clients firing you for poor care.
5. Do they have a staffing coordinator or is the owner or an aide doing the staffing. If they have no staffing coordinator do not use them. This person schedules and coordinates day-to-day activities staffing for clients. This job is the lifeblood of the agency and of your clients. They must find and deliver, these care providers through a ccomputer program designed for staffing to come up with the right care provider, with the right skills at the right time in as many as 25 cases at a time. They replace care providers who call in sick, quit and are fired on a regular basis and keep the stream of staffing steady so your cases are staffed and your clients are happy. You are only as strong as your weakest link and that is both the care provider and the staffing coordinator.
So, the agency must have a staffing coordinator and she or he must have a staffing data base or do not use them.
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Startup geriatric care managers or existing GCM’s considering adding private duty home care agency to their practice, should think twice. There is a perilous present and future shortage of homecare aides to employ for the business- the very product of PDHC. Better to partner with a good fully staffed PDHC.
It is a country wide challenge for private duty home care agencies to find staffing, for many reasons. Despite growing demand, caregiver shortages remain as the top problem agencies face today. A whopping 70% of agencies said this was their biggest hurdle in 2016, followed by caregiver turnover, which 53% of agencies agreed was a top threat.
Rising wages for care providers has recently become a more significant problem for home care agencies, when it comes to recruiting. A lack of qualified candidates is the next reason
Another big problem in recruiting was finding caregivers who are within close proximity to clients, yet the problem still paled in comparison to the recruiting factors .
Trumps ban on Muslims affect ‘s health care in general
Recent immigrants from other countries will be kept out. Nurses and doctors who cannot yet practice in the US and care providers in general, who cannot come into the US ,will sorely affect the private duty home care industry on top of the present need for staff in our own country. Any care manager or private duty home care agency will tell you that recent immigrants are a great resource to PDHC and make excellent hard working care providers. Along with nurses they represent 1.5 million workers in healthcare today.
The potential demise of the ACA will affect the number of homecare aides as 1 in 5 depend on the ACA for insurance. If the ACA is changed as threatened, homecare aides may be too sick to work the brutal hours they must work in the PDHC industry.
Geriatric Care Manager beware-better to partner with a private duty homecare agency at this point in the geriatric care management business.
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Geriatric Care Managers, who are not highly capitalized should be cautious to start a private duty home care business and a geriatric care management business at the same time. There are 10 both legal and business steps you must take to start the private duty home care
Determine the method of your startup
Create a business entity and meet licensing requirements
Develop your policies and procedures
Set up your financial systems
Recruit and hire office staff
Develop a recruitment and retention plan for caregivers
Set up your office
Set up scheduling, billing, and time keeping systems
Develop your sales and marketing plan
Measure the success of your business
1. Meet licensing requirement in your state and pay the fees for licensing. Several states including California, where I live, require licensing
2. Create a business plan for your non-medical home care business. In the business plan, you must outline your mission as well as the structure that you plan on using for your business. In the business plan, include financial projections with realistic estimates of expenses and income.
3. Develop a policy and procedure operations manual for your business including Administration and office management, finance, human resources, record keeping, quality assurance, risk management, legal issues, and education
4. Set the policies for how you will care for patients in the home. Your employees must have clear guidelines as to how they should treat patients and what types of services they will provide. This means creating a policy manual for caregivers and then a complete training program with modules on require client and caregiver safety plus, timecards, disaster techniques, working with dementia etc.
5 Recruit caregivers for your non-medical home care business, which is incredibly hard now in this industry .There is a nationwide problem in recruiting caregivers In the home care industry and your caregivers are your only product to offer your customers. Because of this, you should develop a recruiting plan that involves seeking out high-quality caretakers who enjoy helping others. You will need to offer a competitive compensation and benefits package as well. Retaining your caregivers is also important, so introducing an incentive program can assist you in keeping your good employees over the long term.
Since you will be doing many of the same steps to start your own geriatric care management business, excluding recruiting and employing caregivers, it is best to just start with an aging life or geriatric care management and partner with a PDHC. Find out more below.
Why Do You Need to Partner with a PDHC agency?
Geriatric care managers need to partner with private duty home care. Why??
80% of Aging life or geriatric care managers are boutique or stand-alone agencies. The do not have a private duty home care component.
But the majority of aging GCM clients do now or will need care providers and private duty home care agencies
Aging Life or geriatric care managers, may begin a case by just offering geriatric care management. But they will need to bring in some type of private duty home care eventually as 6.3 million people over 65 need long term care.
Long-term care often involves the most intimate aspects of people’s lives—what and when they eat, personal hygiene, getting dressed, using the bathroom. Geriatric care managers arrange this and but they do not do it directly.
Other less severe long-term care needs may involve household tasks such as preparing meals or using the telephone, which is usually non-medical care. Geriatric care managers make sure this is done for a client but again do not clean homes or answer the telephone. They need to partner with an excellent private duty home care agency.
However a beginning geriatric care managers cannot afford to start private duty home care and geriatric care management. . Non – skilled home care can take 40 K to 60K start up, skilled care agencies 60K-80K and Medicare $150K-300,00.
On top of this you are starting two business at once. You have start up activities, (hiring staff -a present homecare nightmare) which are all encompassing, then marketing and sales for home care
Only 20% of GCM’s offer care managed home care and they are, according the 2014 Benchmark study on Care Management but those e agencies have either been in business a long time or are privately funded start up’s- well capitalized.
So start-ups, you need a good PDHC partner.
By adding geriatric care management to a private duty home care agency, new clients will understand the solutions and path to hope you bring beyond home care. This offers buy- in to your agency, customer satisfaction and trust in your service.
The care planning process a geriatric care manager does is vital to families particularly in the early stages of caregiving. Most families do not understand the needs and problems of the older adult or the costs associated with these options. They are under terrible stress because they feel out of control. The care manager will explain the problems solutions and cost at a one to one care planning meeting. This makes new families and clients feel in control and have hope, which is vital to keeping the case long term. GCM becomes their trusted guide.
A geriatric care manager sorts all the problems in the case and come up with important solutions in a care plan they use that to explain what is needed for the client. She is very much like a detective- a professional Sherlock Holmes, solving the case for the very confused, desperate family.
education training and experience.
Providing a care plan and opportunity for discussion and buy-in among family members can therefore be an important step in educating, starting initiating, modifying, or continuing PDHC services. Instead of an agency the client bonds with the care manager and builds a 1-1 relationship that is long lasting and put a face on an agency.
The key is a highly trained, experienced, certified geriatric care manager not a staff member who is called a care manager but has no training. Since care managers bill per hour , this multi-faceted professional will pay for her/his salary many times over.
Creating a care plan is not just an art- it is a skill that takes education training and experience.
Learn more about aging life and geriatric care management, creating a care plan, doing multiple assessments and writing a geriatric assessment in my free webinar ‘ Writing a Winning Geriatric Assessment ” January 25 . Sign-up . In the meanwhile watch my You Tube Channel- Geriatric Care 1 and the segment on merging multiple into one care plans- subscribe for latest playlist on writing a geriatric assessment coming soon.