Notes from the Private Duty Advisory Council

NAHC’s Private Duty Advisory Council monthly meeting this week, featuring an update on NAHC’s advocacy efforts as well as potential policies being monitored from Co-chair Brittnei Salerno of La Jolla Nurses Homecare and Executive Director of Private Duty at NAHC Kristen Wheeler. Legislation being watched by the NAHC Advocacy Team includes:

NAHC President William A. Dombi reminded the group that these bills will need to be reintroduced next year for the new Congress. We are very unlikely to see any movement on this legislation during the lame duck session of the current Congress.

Council Co-Chair Brittnei Salerno of La Jolla Nurses Homecare and Private Duty Executive Director Kristen Wheeler shared updates on these items, as well as a regulatory update that may potentially affect providers in the Southeast United States. The US Department of Labor (DOL) announced a new initiative to better enforce violations of the Fair Labor Standards Act (FLSA). The campaign aims to improve compliance in Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee.

“The US DOL is determined to ensure these workers are not denied any of their hard-earned wages. Our current initiative combines compliance assistance and enforcement to decrease violations by employers in the care industries,” said DOL’s Wage & Hour Division Regional Administrator Juan Coria. The initiative will focus on resources to educate care workers in the industry along with targeting the misclassification of workers as independent contractors. A public webinar hosted by the DOL on Thursday, November 17, 2022, will review the protections for care workers so that employers and workers alike will understand their rights and responsibilities currently protected by the FLSA. The states being targeted are a result of division investigators identifying violations in nearly 89 percent of investigations completed in home and nursing care completed between 2020 and 2022.

During the state share portion of the meeting, the Council discussed the recently passed $15 minimum wage for Medicaid direct service providers in Florida. Council member Maxine Hochhauser of LHC Group told the group that the Medicaid fee schedule increase simply does not cover the cost of providing services. Expectations are that many Medicaid recipients will no longer have access to care unless the reimbursement rates are increased. The Home Care Association of Florida has joined the Florida Assisted Living Association and the Florida Ambulance Association in challenging the state’s Agency for Healthcare Administration on this requirement, maintaining that the agency did not use a proper rule-making process to define “direct care” workers who would be affected by the wage change. Further information will be shared as it becomes available.

Council members that sit on various workgroups of the Home Care Action Alliance updated the group on the efforts of those groups. Meetings are in their final stages and Project Manager Pat Kelleher is compiling recommendations of the groups. An early December release of these recommendations and action items is on track.

NAHC’s Private Duty Summit is expected to come to fruition in 2023 as a “conference within a conference” at the Annual Conference & Expo in October. The summit will feature robust educational sessions and will be individually branded to ensure attendees understand the separation. However, attendees will also be allowed access to the keynote general sessions as well as the lively trade show hall.

Bill Dombi rounded out the meeting with an update on what’s happening on Capitol Hill with home care legislation.

Interested in being a part of the Private Duty Advisory Council in 2023? Let us know!

Webinar: 2022 Workforce Data Study Overview

Tuesday, November 15, 2022 2:00 PM Eastern/1:00 PM CT REGISTER With nearly 5 million direct care workers, this workforce is the largest workforce in the United States. Despite the high demand for caregivers, who provide essential services for older adults and people with disabilities- too few people are entering the profession, workers are leaving in…

Webinar: 2022 Workforce Data Study Overview

Tuesday, November 15, 2022 2:00 PM Eastern/1:00 PM CT REGISTER With nearly 5 million direct care workers, this workforce is the largest workforce in the United States. Despite the high demand for caregivers, who provide essential services for older adults and people with disabilities- too few people are entering the profession, workers are leaving in…

5 Critical Problems the Home-Based Care Industry is Facing

Kristen Wheeler, Executive Director of Private Duty at NAHC, shares some of the most common issues in the industry and what providers need to focus on to create long-term career for their employees. Question #1: What are the five critical issues issues affecting the care industry. Question #2: When we combine these 5 problems, how are…

We Need You for the Home Care Workforce Action Alliance!

The Home Care Workforce Action Alliance (HCWA), a collaboration between the National Association for Home Care & Hospice, the Home Care Association of America (HCAOA) and other stakeholders, met on Thursday, August 4 for an official kick off in Washington, D.C., following the announcement of the alliance earlier this year.

NAHC President, Bill Dombi, along with Executive Director of Private Duty at NAHC, Kristen Wheeler, joined NAHC and HCAOA board members to speak with the US Department of Labor’s Rhonda Basha about the Office of Disability Employment Policy’s (ODEP) federal workforce priorities and to learn about PHI’s recently released Caring for the Future Report.

Attendees were assigned as co-chairs and broken into four workgroups that will focus on:

  • Wages, Benefits, Supply and Demand for Direct Care Workers;
  • Wages, Benefits, Supply and Demand for Home Care Nurses;
  • Education, Career Paths and Elevation of the Profession for Direct Care Workers; and
  • Education, Career Paths and Elevation of the Profession for Home Care Nurses

Each workgroup is tasked with developing actionable recommendations regarding opportunities and challenges in these areas with a target date of December 2022.

Both NAHC and HCAOA welcome volunteers that are members in good standing to join a workgroup, noting that each group will contain approximately ten members, including the co-chairs.

Contact Kristen Wheeler at kwheeler@nahc.org if you are interested in getting involved.

Please stay tuned for more information on this issue.

We Need You for the Home Care Workforce Action Alliance!

The Home Care Workforce Action Alliance (HCWA), a collaboration between the National Association for Home Care & Hospice, the Home Care Association of America (HCAOA) and other stakeholders, met on Thursday, August 4 for an official kick off in Washington, D.C., following the announcement of the alliance earlier this year.

NAHC President, Bill Dombi, along with Executive Director of Private Duty at NAHC, Kristen Wheeler, joined NAHC and HCAOA board members to speak with the US Department of Labor’s Rhonda Basha about the Office of Disability Employment Policy’s (ODEP) federal workforce priorities and to learn about PHI’s recently released Caring for the Future Report.

Attendees were assigned as co-chairs and broken into four workgroups that will focus on:

  • Wages, Benefits, Supply and Demand for Direct Care Workers;
  • Wages, Benefits, Supply and Demand for Home Care Nurses;
  • Education, Career Paths and Elevation of the Profession for Direct Care Workers; and
  • Education, Career Paths and Elevation of the Profession for Home Care Nurses

Each workgroup is tasked with developing actionable recommendations regarding opportunities and challenges in these areas with a target date of December 2022.

Both NAHC and HCAOA welcome volunteers that are members in good standing to join a workgroup, noting that each group will contain approximately ten members, including the co-chairs.

Contact Kristen Wheeler at kwheeler@nahc.org if you are interested in getting involved.

Please stay tuned for more information on this issue.

Check out Private Duty Now, featuring NAHC’s Kristen Wheeler

NAHC encourages you to check out Private Duty NOW! Hear speakers from different hospitals, health systems, and sponsors across the country. The event kicks off Thursday August 18, 2022 at 10:00 AM EST.

This online summit will explore topics such as:

• Build a Culture of Care to Recruit, Engage, and Retain Staff
• Take Your Marketing Strategy to the Next Level
• Begin Strong, Long-lasting Client Relationships with Solid Client Onboarding

An overview of the sessions:

Build a Culture of Care to Recruit, Engage, and Retain Staff

  • 10:00 – 11:15 AM EST
  • Panelists: Leigh Davis, Founder at Davis+Delaney – The Home Care Lab

Description: Private duty is not an easy job, with low compensation and stressful situation, so it’s not surprising that retaining good workers can be one of the most challenging parts of running a private-duty business.

Building a solid culture of care in your agency by providing fair compensation, broadening career paths, and providing training over and above minimum standards can attract, engage, strengthen, and keep new talent.

This roundtable will look at ways that private duty agencies can create a culture where healthcare workers feel respected, important, and greatly needed.

Take Your Marketing Strategy to the Next Level

  • 11:10 – 12:10 PM EST
  • Panelists: Coming Soon!

Description:

Private duty marketing must recognize that it has two extremely different targets: referral resources, which send business to private duty agencies, and prospective clients and their families.

Identifying and then building relationships with professional referral sources takes time and consistency, but the payoff can be financially rewarding. Marketing to potential clients and their families is quite different and a bit more challenging; after all, you’re selling intimately personal services to vulnerable populations. Plus, the service is typically private pay, so prospective clients are particularly conscious of price.

This roundtable will look at ways that private duty agencies can effectively market to each of their targets.

Begin Strong, Long-lasting Client Relationships with Solid Client Onboarding

  • 12:15 – 1:15 PM EST
  • Panelists: Kristen Wheeler, Executive Director at Private Duty Home Care at NAHC and Tracy Swanson, RN Client Services Coordinator Cypress HomeCare Solutions

Past and current clients and their loved ones are far and above the top private duty referral sources, making up 19.5% of referrals, according to the Home Care Association of America. Coming in a distant second are hospital discharge planners at 8.8%.

Clients obviously are your best referral source, so how can you create positive, long-lasting relationships that will encourage those clients — both past and present — to sing your praises to others? With a solid client onboarding process. Get off on the right foot and begin to build a strong relationship by addressing their questions, quickly identifying their needs, and clearly outlining what you will deliver — all while being cognizant of family dynamics.

This roundtable will offer ways to improve your onboarding process, including questions that effectively identify client needs, so you can build the kind of trusting relationship that your clients and their loved ones will appreciate and refer to others.

NAHC, Workforce Alliance in Talks with Dep. of Labor

Volunteers to help solve this pressing problem are needed! Contact Private Duty Home Care at NAHC’s Kristen Wheeler to be part of the solution The Home Care Workforce Action Alliance (HCWA), a collaboration between the National Association for Home Care & Hospice, the Home Care Association of America (HCAOA) and other stakeholders, met on Thursday, August 4 for an…

NAHC, Workforce Alliance in Talks with Dep. of Labor

The Home Care Workforce Action Alliance (HCWA), a collaboration between the National Association for Home Care & Hospice, the Home Care Association of America (HCAOA) and other stakeholders, met on Thursday, August 4 for an official kick off in Washington, D.C., following the announcement of the alliance earlier this year.

NAHC President, Bill Dombi, along with Executive Director of Private Duty at NAHC, Kristen Wheeler, joined NAHC and HCAOA board members to speak with the US Department of Labor’s Rhonda Basha about the Office of Disability Employment Policy’s (ODEP) federal workforce priorities and to learn about PHI’s recently released Caring for the Future Report.

Attendees were assigned as co-chairs and broken into four workgroups that will focus on:

  • Wages, Benefits, Supply and Demand for Direct Care Workers;
  • Wages, Benefits, Supply and Demand for Home Care Nurses;
  • Education, Career Paths and Elevation of the Profession for Direct Care Workers; and
  • Education, Career Paths and Elevation of the Profession for Home Care Nurses

Each workgroup is tasked with developing actionable recommendations regarding opportunities and challenges in these areas with a target date of December 2022.

Both NAHC and HCAOA welcome volunteers that are members in good standing to join a workgroup, noting that each group will contain approximately ten members, including the co-chairs.

Contact Kristen Wheeler at kwheeler@nahc.org if you are interested in getting involved.

Please stay tuned for more information on this issue.

Check out Private Duty Now, featuring NAHC’s Kristen Wheeler

NAHC encourages you to check out Private Duty NOW! Hear speakers from different hospitals, health systems, and sponsors across the country. The event kicks off Thursday August 18, 2022 at 10:00 AM EST.

This online summit will explore topics such as:

• Build a Culture of Care to Recruit, Engage, and Retain Staff
• Take Your Marketing Strategy to the Next Level
• Begin Strong, Long-lasting Client Relationships with Solid Client Onboarding

An overview of the sessions:

Build a Culture of Care to Recruit, Engage, and Retain Staff

  • 10:00 – 11:15 AM EST
  • Panelists: Leigh Davis, Founder at Davis+Delaney – The Home Care Lab

Description: Private duty is not an easy job, with low compensation and stressful situation, so it’s not surprising that retaining good workers can be one of the most challenging parts of running a private-duty business.

Building a solid culture of care in your agency by providing fair compensation, broadening career paths, and providing training over and above minimum standards can attract, engage, strengthen, and keep new talent.

This roundtable will look at ways that private duty agencies can create a culture where healthcare workers feel respected, important, and greatly needed.

Take Your Marketing Strategy to the Next Level

  • 11:10 – 12:10 PM EST
  • Panelists: Coming Soon!

Description:

Private duty marketing must recognize that it has two extremely different targets: referral resources, which send business to private duty agencies, and prospective clients and their families.

Identifying and then building relationships with professional referral sources takes time and consistency, but the payoff can be financially rewarding. Marketing to potential clients and their families is quite different and a bit more challenging; after all, you’re selling intimately personal services to vulnerable populations. Plus, the service is typically private pay, so prospective clients are particularly conscious of price.

This roundtable will look at ways that private duty agencies can effectively market to each of their targets.

Begin Strong, Long-lasting Client Relationships with Solid Client Onboarding

  • 12:15 – 1:15 PM EST
  • Panelists: Kristen Wheeler, Executive Director at Private Duty Home Care at NAHC and Tracy Swanson, RN Client Services Coordinator Cypress HomeCare Solutions

Past and current clients and their loved ones are far and above the top private duty referral sources, making up 19.5% of referrals, according to the Home Care Association of America. Coming in a distant second are hospital discharge planners at 8.8%.

Clients obviously are your best referral source, so how can you create positive, long-lasting relationships that will encourage those clients — both past and present — to sing your praises to others? With a solid client onboarding process. Get off on the right foot and begin to build a strong relationship by addressing their questions, quickly identifying their needs, and clearly outlining what you will deliver — all while being cognizant of family dynamics.

This roundtable will offer ways to improve your onboarding process, including questions that effectively identify client needs, so you can build the kind of trusting relationship that your clients and their loved ones will appreciate and refer to others.