Advisory Board Profile: Dr. Lucy Andrews, CEO At Your Service Home Care

The Private Duty Home Care Advisory Board is made of some of the most experienced and talented leaders in the private duty community. Each of our Advisory board members is committed to the mission and vision of the organization and ensuring our members are well represented and receive the tools, support, and resources you need to provide the highest quality and caliber care and services to your clients and families. 

In our reccurring Advisory Board Profile series, we invite you to get to know our advisory board members better through a short Q&A interview, and learn more about why they choose to dedicate their professional lives to the private duty home care community. 

This week, we have the pleasure of sharing a little more with you about Dr. Lucy Andrews, CEO of At Your Service Home Care.

Dr. Andrews, tell me about how you would describe what you do to someone you just met.

I passionately advocate and care for those whose goal is living with health and independence at home.

Tell me about how you ended up working in private duty home care. How did your professional journey bring you to where you are today?

I started my nursing career 40 years ago, worked in hospital systems for ten years, and then discovered home care services. Since that time, I have worked in every aspect of home care services; home health, hospice, home care aide services and all the other post-acute care services… SNF, DME scheduler, etc. If it is home care I have done it, that just shows you I’m “old”… Oh, I mean experienced.

Along the way I earned my masters in healthcare administration and my doctorate degree in nursing, with the emphasis on dementia and the aging brain.         

Why choose private duty home care? Why not something else, or some other part of home care?

After I worked for almost 10 years in the Medicare-certified world, I realized there was a whole other aspect of home care that really made the ultimate difference for people as they strived to stay independent at home. While the nurse and the physical therapist are crucial to their goal of independence, often times what ultimately kept someone at home was having an aide there that helped them get dressed, cook a meal, and helped them combat isolation and loneliness. I found this so compelling that I left the home health setting and opened my own home care agency; that was 18 years ago         

What do you find to be the most rewarding about your job?

Making a difference in the life of another person.

Conversely, what do you find to be most challenging?

Finding and retaining staff.

What is your favorite memory working in private duty home care? Why?

The day I opened and took our first patient for care.

What is the one thing that keeps you up at night professionally?

Staffing (laughs out loud)

What made you first get involved with NAHC and Private Duty Home Care at NAHC?

I have been a NAHC member for 30 years and only missed one annual meeting, which was when my house burned down. I was on the original team that started the Private Duty Home Care Association (PDHCA), now Private Duty Home Care at NAHC. 

What would you say to someone considering becoming a NAHC Private Duty Home Care member?

NAHC offers the best advocacy education and representation that we home care providers need to survive and succeed every day.

What would you say to someone who was considering a career in private duty home care?

People think it’s easy and there are no regulations because we are not Medicare-certified to receive Medicare payments. It isn’t quite that easy, but it is the most rewarding career you can have!


On behalf of everyone at the National Association for Home Care & Hospice, we thank Dr. Andrews for her detailed and candid responses. We are honored to have her as a distinguished, and long-time, member of the PD Advisory Board and thank her for her dedication, commitment, and passion to the private duty home care community.