The Forgotten Adult Day Care Population

The Forgotten Adult Day Care Population

Dr. Erma Leverette called three, (3) adult day care centers in the Los Angeles, California area with the goal of gathering information and choosing one in which to enroll  her aunt.  To her surprise and disappointment, not one of those who answered the phone could...
When They Are Not All Coming….

When They Are Not All Coming….

How fortunate that in many states residential care is Medicaid reimbursed.  These same qualifying residents may also participate in an adult day services program and have that reimbursed as well.  Generally, there are limits, i.e. 2 to 3 days per week of...
The Governing Body in Your CORF

The Governing Body in Your CORF

The ever evolving adult day care model is complementing log-term care in very unique ways.  This includes the addition of highly skilled nursing, physician, restorative and rehabilitative services often under the CMS certification as a Comprehensive Outpatient...
Know the Rules; Including What Some Do Not Say…

Know the Rules; Including What Some Do Not Say…

You would be hard-pressed to find an adult day care provider in a state where licensure is required who does not know the rules that apply to their business model.  This is commendable and often impressive.  Regulatory compliance can save lots of grief. Many programs...
In Preparing for CORF Survey, a Utilization Review Reminder…

In Preparing for CORF Survey, a Utilization Review Reminder…

Many are now providing or preparing to provide more clinical services in your adult day health programs.  This is impressive and important.  Maximizing how you serve your community has value and speaks to your commitment to care along the continuum. Generally your...
“In the Multitude of Counselors There is Wisdom”

“In the Multitude of Counselors There is Wisdom”

Many may be familiar with that Scripture from the Bible (Proverbs 14:22)  that reminds us that in all situations more than one voice can often have value, (although the focus of the verse are spiritual situations).   While this Blog is not about using the Bible, we...
The Right Knowledge Can Lead to Increased Income; Or….

The Right Knowledge Can Lead to Increased Income; Or….

Unknown to those who may not be in the business of adult day care, the program’s expenses extend beyond a meal and the everyday items associated with running a building.  Of course there are liability coverages and the cost of transportation.  Fleet management...
The Right Software is About More than Organization

The Right Software is About More than Organization

Adult day programs, which are becoming more and more clinical need truly defined organizational tools.  Nowadays the task of these tools has expanded as billing to Medicaid and Medicare become essential parts of many operations. Clinically competent programs partner...
Timing Matters with Strategic Relationship Development

Timing Matters with Strategic Relationship Development

New businesses start everyday and oh boy, the preparation can be enormous.  This is especially true when regulatory requirements must be met before we can operate.  At the same time that we are in full preparatory mode, there is the question of when should we begin to...
Adult Day Care and Auto No-Fault; A Failing Relationship?

Adult Day Care and Auto No-Fault; A Failing Relationship?

Talk to any insurance adjuster who works in the Michigan no-fault system and they will tell you that they have an obligation to combine quality service identification with cost effectiveness.  So many of the 1200+ persons injured in Michigan auto accidents each year...
Shadowing Both Effective and Scary….

Shadowing Both Effective and Scary….

In some jurisdictions, training for new direct care workers is allowed by using current employees to impart skill and policy to the new employee.  This is called shadowing.  While this can be an effective means of familiarizing someone with routines and policy, there...
Just Call it What it Is….

Just Call it What it Is….

Adult day care centers, adult foster care and other community based care environments often rely heavily upon publicly funded reimbursements for services.  Without these, the business operation can be really tough.  Some operators have decided to forgo this funding...
Oh the Challenge to Keep Customers Forever; One Trap to Avoid

Oh the Challenge to Keep Customers Forever; One Trap to Avoid

Every business wants to enjoy loyalty from customers, clients, residents, patients, etc. for decades.  After all it is often less expensive and a bit less tiring to keep serving those who know you as opposed to the exhaustive efforts associated with attracting new...
In Adult Day Care, Operators Must be Both Thoughtful and Creative….

Preparedness Helps Eliminate Entrepreneurial Grief

America is known for the creation of entrepreneurs; those business owners that excite neighborhoods and often provide wonderfully arranged and needed services.  The care business, from group living to adult day care is no exception. At the same time it is not unusual...
In Residential Program Development; Know Population Facts

In Residential Program Development; Know Population Facts

More and more residential adult day care centers are popping up.  This is, in fact a good thing.  One of the main priorities for a new center is identifying whom you care to serve.  For some it might be a population mix of the mentally ill and the medically fragile...
No Need to Abolish No-Fault; Shift its Focus…

No Need to Abolish No-Fault; Shift its Focus…

For over forty, (40) years the personal injury protection benefits payable under Michigan’s auto no-fault law have been the subject of much discussion. Thousands of personal injury attorneys fight the insurers for more benefits while case managers help...
Equity Financing at Start-Up; A Closer Look

Equity Financing at Start-Up; A Closer Look

Like many businesses, adult day health care programs, special needs child day care and other health oriented business models need money to get started.  Equity financing is an option that comes up more often than you might think.  Here are a few tips to help you...
Managing the “Foreigner Conundrum” in Adult Day Health

Managing the “Foreigner Conundrum” in Adult Day Health

No shortage of seemingly honest-hearted Americans approach our firm about entering the business of adult day health care.  Many of them were not born on American soil but feel a yearning to assist in the care of others.  Some have watched neighbors struggle with the...