Welcome to Private Duty Today, the bi-weekly
electronic newsletter for Private Duty Home Care Leaders from Leading
Home Care... a Tweed Jeffries company. I'm Jason Tweed, Director
of Business Development for Leading Home Care and Editor of Private Duty Today.
Private Duty Today is published
every other Wednesday, and currently goes to over 8000 subscribers.
Private Duty
Today is a permission-based newsletter.
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Do What You Love
by Jason Tweed
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Social workers don't see many happy endings. Children and
youth workers are forced to separate families. Mental retardation
and mental health care managers are frequently faced with "things
not getting worse" as the best achievable outcome. Even our
colleagues working geriatric care management and in medical social work
frequently are trying to make the transition to the inevitable as smooth
as possible. These are all valuable people who deserve our thanks
and they are a special breed of human being.
My wife, a social worker, is one of these special breed, however she
cherishes happy outcomes as well. She worked as a mental
retardation case manager serving people living in group homes, often
recently transitioned out of state facilities. One of their target
goals was reducing the number of "behavorial episodes" where a
client would respond negatively to stimuli in the community or in their
home. Basically, a positive outcome was keeping someone with
an IQ below 70, often with behavioral issues, as stable as possible.
After six years, she made the decision to change jobs. She accepted
a position and the $6000 pay cut that accompanied it to work with
adoptive families. She would place high risk children, who have often
spent the entirety of their lives to that point in foster care, with
permanent parents. Her organization, a faith-based organization,
had many social workers who chose not to place children with same-sex
parents. When word got out that she treated gay couples with
dignity and respect, and was able to match them with children in need of
loving parents, she rapidly became the most valuable social worker in the
organization, generating substantially more revenue than any of her
coworkers.
Unfortunately, my father and I were also launching Leading Home
Care around the same time. Coupled with the fact that Kristen
and I were also working diligently (and enthusiastically) on
starting a family, money was tight.
Every time I paid the bills, I looked at her and said, "You love
your job, right?"
"Yes", she'd say with a smile.
"Okay", I'd say, "Just checking."
Our one bedroom house was tiny. So tiny, in fact, that when we
were told we were having twins we had to convert a walk-in
pantry into a nursery. By the way, having a nursery off of the
kitchen is quite convenient for late-night feedings.
She returned from maternity leave to discover a massive caseload waiting
for her and also learned that she was now, after only three years, the
senior member of the social work field staff. Her company had made
a habit of bringing in underpaid fresh college graduates,
paying for them to get masters degrees, then losing them to higher
paying jobs.
She chose to stay, because she was doing what she loved.
Getting Paid For What You Love
I've always been a firm believer that when you do what you love, you
do better work. When you do better work, you eventually reap
the benefits. If you look at the highest paid people in their
fields, in virtually any field, you'll find that they are the most
passionate about their work.
The time had come in my wife's career to ask for a raise. Her
company had been struggling financially. The adoption
agency was a small piece of a much larger social service
structure, whose principal revenue came from skilled nursing facilities.
This was an era where many SNF's were reducing beds in light
of raising nursing costs and increased use of home healthcare.
After several years of absorbing profits from their subsidiaries to
pay for deficits, the organization was forced to restructure
financially, imposing hiring freezes and wage freezes for all
non-unionized workers.
In an era where nurses' salaries were increasing at triple the cost of
living, social workers were being forced to pay 50% of their health
benefits. Since starting with the company, my wife's
net income had dropped by nearly 12% and that was including the
original 20% reduction she accepted to take the job in the first place.
She asked for a 12% raise. She wasn't asking for the moon, she
was simply requesting that they increase her salary to the level
when she was initially hired.
The company offered her 1.2%.
She returned a week later. She had documented all the revenue
she generated in the past three years. She documented how
that exceeded the second most valuable employee by double. The
seven new hires in her department (seven of the eight total social
workers) had each failed to be profitable in the first year,
and only one was profitable in year two. Additionally, the
five of the seven were currently enrolled in masters programs, increasing
their benefit package by 50%. When it came to total cost, she
was the second least expensive worker.
The company's response.... "It is our policy that we no longer give
raises based on merit."
Her response... "Should the social workers no longer do work based
on quality?"
They gave her a 3% raise.
After a long discussion, Kristen and I crafted a memo. The
memo cited her reasoning for requesting 12%. It stated that a 3%
raise felt like a slap in the face. The memo closed by
requesting that human resources remove the 3% raise. Additionally,
she told them in writing that she would be searching for other work
in her field.
The next day the CEO of the organization, along with three supervisory
staff, sat down with her. Yes, there were three supervisors that
managed only eight social workers, in three separate facilities.
She got her 12% raise.
Within the next 12 months, two of the three offices closed, and two of
the three supervisory staff were released. The most efficient
supervisor now managed all eight social workers. The cost
savings was more than enough to purchase a company vehicle for every
staff member. By doing this, they also reduced travel costs.
When they looked at the department closely, it made sense to increase
focus on revenue-generating social workers and eliminate the bloated
budget.
Revenues rose and department profits soared. They created
automatic bonuses for social workers studying for their Master's
degree, and developed contracts that included subsidized loan programs
rather than outright educational reimbursement. This
encouraged MSW's to work for the organization for an additional
three years after completing their education.
When it came time to expand they offered her the opportunity to
focus on training. Kristen turned it down. You
see, while she was very good at her job, she also enjoyed doing that
job. Those happy outcomes fired her passion. She wanted to
place children with loving parents.
She still wasn't highly paid. But she was treated fairly,
generated value for her company, and absolutely loved her work.
Focus On Value When Giving Raises Or Requesting Them
Many of you are owners or managers of home care organizations.
You probably don't love the fact that I'm sharing an example of how your
employees should ask for raises.
However, there are lessons here to be learned from both sides of the
paycheck.
- People
are our products. You have to maintain margins, but remember
to include all costs related to your revenue generating staff.
In Kristen's case, they not only examined the benefits
packages, but the cost of supervisory staff and facilities.
- Put
your mouth where your money is! Make sure you take care of the
people who generate the revenue. In her case, revenues were
generated by home studies, with bonuses post-placement. She
had an excellent track record of placement success and placement
rate.
- Upgrade
productivity first, capacity last. Her company had made the
mistake of opening three offices in three communities, with
three supervisors, and three clerical staff. Unfortunately,
there are only a certain number of children needing placement and a
certain number of families adopting. They tripled capacity
without tripling production.
- Make
exceptions for exceptional people. Kristen received a
raise. The others didn't. Eventually they were treated
more fairly, but none of them received a pay increase comparable to
Kristen's. They recognized exceptional talent.
- Passionate
people don't come cheap, but they're worth it.
- Make
sure incentives, raises or bonuses are paid based on profit
generating goals. They were happy she loved her work, but
loving her work didn't pay the bills. Kristen demonstrated
real value in dollars and cents, revenue and expenses.
And Now...
Three years later, my family relocated. Kristen took another
job back in mental health case management. It doesn't have as
many happy outcomes, but the pay is much better. And she
stills enjoys the work.
My business has grown.
The twins are nine, going on 16. They each have their own
room. We have a guest room that "Papa Steve and
Nonni" affectionately refer to as the Grandparents' Suite. And
Max, our Labrador Retriever and I share a Man Cave.
We love our work and we no longer question our career choices, even on
bill paying night.

Social Media in Home Care & Hospice.
How are you using social media to generate inquiries for your private pay
home care business? What's working and what's not working in social
media?
Please take the next four minutes to answer these 14 questions about how you use
social media. We'll publish the results next month.
Now's The Time To Set Your Standards High In Caregiver Selection
My father, Stephen Tweed, CEO of Leading Home Care was working with a
coaching client yesterday on hiring a private pay home care sales
representative. The client is interviewing candidates and one
candidate currently works as a Client Services Coordinator for another
home care company. The job candidate said she needed to leave the
company because she couldn't handle some of the calls she was
getting. She said they get two calls a day from clients complaining
about caregiver theft.
Both my father and his client were shocked by this report. Two
calls a year is two too many. Two a day is unbelievable. If
this is true, that company is not being very selective in hiring
caregivers.
And it makes the point that now is the time for Owners and CEOs of private
pay home care to raise the standards in caregiver recruiting and
selection. While the economy is slow, there is less of a shortage
of caregivers and now is the time to hire only the best ones.
You can create competitive advantage in your local marketplace by being
the only private duty company to use the Caregiver Quality Assurance®
program from Leading Home Care to help you recruit, select and retain
only the very best caregivers.
For more information on how you can hire better caregivers, reduce the
hassles of dealing with employee issues, and be more competitive in the
marketplace, log onto Caregiver
Quality Assurance® and check on the details.
Private Duty Blog
For more information on what's happening in private duty around
the world, check out our BLOG
posts:
- Technology
Helps Ease Family Caregiver Concerns
- CLASS
ACT dropped by Obama Administration
- Home
Instead Senior Care Featured in Delta Airlines' SKY Magazine
We Have What You're Looking For!
Whether you are looking for help with marketing,
selecting the best caregivers, improving your process for phone inquiries
or new revenue sources, one of the e-books or e-tools listed below will
be sure to help you!
To order any of our other outstanding products or learn more about them,
just click on their titles below.
Our most popular e-Books:
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Reprints: Articles from this
issue may be reprinted by home care companies and home care
associations. Permission is granted provided that the author and
publication are given credit, and provided that the article is used
verbatim in its entirety. All reprints must be accompanied by a mention
of our website, at www.leadinghomecare.com
and/or www.privatedutytoday.com.
Reprints of articles published online must have a link. Other use of
this content is available with written permission only. To request
permission, please email jason@leadinghomecare.com.
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