PDT #164 -- Create Accountability and Reward Success

Show Your Staff That You Care                                                                   March 17, 2010

Private Duty Today

Jason Tweed, editor of Private Duty Today 

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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Academy for Private Duty Home Care comes to Seattle in April

Seattle PD Academy

 Join us for the next Academy for Private Duty Home Care in Seattle, Washington.

April 8, 2010

Register today for the Academy for Private Duty Home Care.

 

An upcoming academy has also been scheduled in Dallas in May.  Registration is now open.

My wife is a big loser. Over the past two years, she and several co-workers have been losing weight in a friendly workplace competition themed after the NBC television series, The Biggest Loser.

This was no easy task. As a social worker, Kristen and her team are constantly on the road. Lunchtime usually consists of drive-thru or convenience store fare. A social worker's exercise regiments are more likely to lead to carpal tunnel disease than weight loss. Supporting a seven-year-old who hears voices telling her to kill her parents, among dozens of other clients, leads to a new breed of job-related stress.

So how do you motivate a dozen social workers to become "big losers"?

I spoke with Jamie Edinger, a Care Management Supervisor for a county mental health agency. Jamie, and two co-workers, began "The Biggest Loser" competition simply as a way of motivating each other to lose weight. As her team heard about it, and saw the results, they joined in the competition.

Over a two-year period approximately a dozen employees participated in one or more quarterly rounds of the game. Each Monday they would weigh in and look at the results individually and as a group. The overall "Biggest Loser" was the person who lost the largest percentage of their starting body weight over several weeks.

The competitions were put on hiatus over holidays, and there were gaps between each. They wanted it to be enjoyable and fun, but not stressful or guilt inducing. Some of the competitors gained a little back, but all of them saw overall weight loss.

When I asked about results, Edinger told us "Five members of the team lost 25 pounds or more, and one of them lost 50 pounds."

I'm proud to say that my wife, Kristen Tweed, was one of the five people who managed to lose more than 25 pounds.

Caring for mentally ill children and their families can be stressful. In fact, my wife is 36 years old, and the oldest member of their eight person team. There is a fairly high "burnout factor" in social work.

One of her co-workers told Kristen after a particularly stressful day, "After a day like today I'd like to quit my job, but I can't because I'm losing weight."

Whether or not "The Biggest Loser" competition actually retained this employee is less relevant than the fact that it was a contributing factor to their job satisfaction.

A low stress and voluntary healthy competition has several potential benefits, including:

·         Improved employee health, potentially reducing healthcare costs

·         Improved job satisfaction, potentially preventing turnover

·         Reduced risk of work-related injury

·         Increased team camaraderie, potentially increasing productivity

After two years and half a dozen rounds, their team is no longer having competitions, but the results are clear. Not only did the events have several potential benefits for the company, but the team also recognized an unquantifiable benefit. They know that their supervisor, and their organization, cares about them. To a team of people who spend their lives caring, this is priceless.

 

Creating Big Losers in Private Duty

Private duty home care companies have lots of similarities to social work. Caregivers are a unique breed. They have a strong maternal instinct. While their daily tasks are a bit more active than social work, the job-related stress can be just as intense. Finally, both groups spend most of their day in the field, separated from co-workers. Camaraderie among team members can be scarce.

 

Think about ways in your company workflow that you can encourage and reward healthy behavior. Create communication scenarios that are motivating without being preachy. Remember, the goal here is to improve morale first and health second.

 

Look for ways to create accountability and reward success. Recognize achievements individually and as a group.

 

Don't limit yourself to weight loss or healthy behavior. You may be able to find other important criteria, such as reliability or productivity to measure and reward.

 

Try to include office staff as well. Caregivers as a group will feel more united as an organization if you help them connect to management and support staff.

 

 

ACHA logo

New Trend in Private Duty Home Care

One of the growing trends in Private Duty Home Care is for home care companies to be accredited by a recognized accrediting body.  Accreditation has been widely recognized and endorsed in home health and hospice for many years.  In fact, the three major accrediting bodies have "deemed status" with Medicare. This means that home health agencies are "deemed" to meet the Conditions of Participation for Medicare Certification.  Now, more and more private duty companies are realizing the value of accreditation.

 

The accrediting bodies are also working with state governments around the country to gain deemed status with regard to state licensure for private duty home care.  In some states where there is a moratorium on new non-medical home care licenses, being accredited can speed up the process.

 

Accreditation accurately assesses a private duty company's level of performance in relation to established standards. It's a means of measuring organizational leadership, internal processes, client safety practices, and service outcomes. Accreditation is the most commonly accepted means of assuring quality care.  It truly reflects an organization's dedication and commitment to meeting standards that facilitate a higher level of client care. The process of becoming accredited involves a private duty home care company presenting their competency and credibility to an accrediting body, such as the Accreditation Commission for Health Care, Inc. (ACHC).

 

Each accrediting body has developed accreditation programs and standards to meet different needs. ACHC, for example, developed their accreditation standards by using knowledge from their educated and experienced staff and volunteer industry leaders in order to develop industry-leading standards and criteria. While each accrediting body's process and standards differ, they all achieve a common end product that results in accreditation.

In the 2009 Private Duty Benchmarking and State of the Industry Survey, we asked respondents about their perception of accreditation, and its value to their businesses.  Over 65% of respondents said Yes!

 

Accreditation Graph

 

What are the Benefits of Accreditation?

 

Owners of private duty companies ask themselves, "What are the benefits of accreditation, and why should I invest the time, resources, and money to achieve this goal?  Here's what survey respondents see as the value of accreditation:

 

  • Accreditation demonstrates to your clients, and especially your potential patients, that you truly care about their health, safety and quality of care.
  • With accreditation, you can prove that you've met nationally recognized standards and have a deep dedication to patient care.
  • Accreditation is a marketing tool to consumers, referral sources and third-party payers.
  • Accreditation helps your company grow by being more efficient, cost effective with improved management and employees.
  • Accreditation helps you receive third-party payments, such as Veterans Administration or Long Term Care Insurance, sooner and with less difficulty.

 

Private Duty Home Care is a highly fragmented industry sector, with over 15,000 small companies.  Our industry is viewed by some outsiders as a "Mom and Pop" industry that lacks sophistication.  This view will change, and outsiders will realize that private duty makes a huge impact on the lives of seniors as more companies adopt exceptional business management practices such as accreditation.

 

To learn more about the value and benefits of accreditation, read the chapter on Accreditation in the 2009 Private Duty Home Care Benchmarking and State of the Industry Report, being published right now by Leading Home Care.  Or visit our friends at The Accreditation Commission for Health Care.

 

 

Washington State will host the next Private Duty Academy in Seattle on April 8

 

SCT PD Academy


Seattle - April 8 - Stephen Tweed will facilitate the first
West coast workshop of the Academy for Private Duty Home Care. Sponsored by the Home Care Association of Washington.

Dallas - May 5 - The Academy for Private Duty Home Care will visit the great state of Texas in May. Hosted by the Texas Association for Home Care & Hospice. 

Nashville - August 12 - Franklin, Tennessee will be the site of the Academy for Private Duty Home Care hosted by the Tennesee Association for Home Care. 

Register for the Academy for Private Duty Home Care and learn more about these workshops, as well as discounts available to state association members.

Thanks to our sponsors:

Please visit their websites from the Academy homepage.

 

 

Caregiver Retention Begins with Caregiver Selection

CQA Gold Seal

Many of you are focused on reducing turnover. Keeping great caregivers begins with choosing great caregivers. Choosing caregivers with the correct attitude, behaviors, and cognitive abilities breeds success both short-term and long. Are the caregivers you hired today going to be around in one year? Five years?

 

Using a pre-employment assessment will help you find caregivers with improved ability to do good work today, and down the road.

 

I encourage you to examine the Caregiver Quality Assurance Program, and focus on the caregiver pre-employment assessment system. It will help you find better caregivers, lower your costs, and establish a clear competitive advantage in your marketplace.