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5	
  Mistakes	
  to	
  Avoid	
  When	
  You	
  Start	
  a	
  Home	
  Care	
  Business	
  
	
  
You	
  have	
  to	
  ask	
  yourself	
  a	
  lot	
  of	
  questions	
  before	
  
you	
  start	
  a	
  home	
  care	
  business.	
  How	
  much	
  money	
  
does	
  it	
  take	
  to	
  get	
  up	
  and	
  running,	
  and	
  what	
  are	
  the	
  
monthly	
  operating	
  costs?	
  What’s	
  the	
  market	
  size	
  
and	
  who	
  are	
  my	
  competitors?	
  Which	
  services	
  
should	
  I	
  offer?	
  Who	
  should	
  I	
  hire	
  and	
  how	
  should	
  I	
  
hire	
  them?	
  	
  
	
  
The	
  list	
  of	
  questions	
  goes	
  on	
  and	
  on,	
  and	
  the	
  
difference	
  between	
  success	
  and	
  failure	
  can	
  depend	
  
on	
  getting	
  the	
  answers	
  right.	
  There	
  is	
  little	
  margin	
  
for	
  error,	
  especially	
  in	
  this	
  increasingly	
  competitive	
  
industry.	
  Most	
  home	
  care	
  agencies	
  don’t	
  fail	
  
because	
  of	
  the	
  quality	
  of	
  their	
  services.	
  They	
  go	
  out	
  
of	
  business	
  due	
  to	
  a	
  variety	
  of	
  operational	
  reasons,	
  
which	
  inevitably	
  lead	
  to	
  revenue	
  and	
  cash	
  flow	
  
problems.	
  In	
  other	
  words,	
  they	
  have	
  satisfied	
  
customers	
  but	
  an	
  unsatisfactory	
  balance	
  sheet.	
  	
  
	
  
Home	
  Care	
  Startup	
  Mistakes	
  
Before	
  you	
  start	
  a	
  home	
  care	
  business,	
  make	
  sure	
  you	
  put	
  all	
  the	
  right	
  pieces	
  in	
  place	
  to	
  give	
  
you	
  the	
  best	
  chance	
  to	
  succeed.	
  Here	
  are	
  five	
  of	
  the	
  most	
  common	
  mistakes	
  agencies	
  make	
  
and	
  how	
  to	
  avoid	
  them.	
  
	
  
1.	
  Poor	
  Preparation	
  
Creating	
  and	
  implementing	
  a	
  clear	
  strategy	
  is	
  critical	
  from	
  day	
  one,	
  and	
  it	
  starts	
  with	
  
understanding	
  your	
  market.	
  You	
  have	
  to	
  perform	
  your	
  due	
  diligence	
  to	
  select	
  the	
  area	
  you’ll	
  
serve,	
  get	
  to	
  know	
  the	
  needs	
  of	
  your	
  potential	
  customers,	
  and	
  develop	
  services	
  to	
  meet	
  those	
  
needs.	
  You	
  also	
  need	
  to	
  perform	
  a	
  competitive	
  analysis	
  to	
  know	
  what	
  your	
  competitors	
  are	
  
up	
  to	
  and	
  how	
  you	
  can	
  differentiate	
  your	
  services	
  from	
  theirs.	
  Then	
  you	
  can	
  start	
  creating	
  
your	
  marketing	
  plan	
  to	
  determine	
  the	
  best	
  way	
  to	
  beat	
  your	
  competitors	
  to	
  your	
  ideal	
  
customers.	
  	
  
	
  
	
  
2.	
  Insufficient	
  Capital	
  
Of	
  course,	
  preparing	
  to	
  start	
  a	
  home	
  care	
  business	
  also	
  includes	
  setting	
  aside	
  enough	
  capital.	
  
The	
  last	
  thing	
  you	
  want	
  to	
  do	
  is	
  hamstring	
  your	
  agency	
  by	
  launching	
  it	
  with	
  insufficient	
  funds.	
  
Generally	
  speaking,	
  home	
  care	
  agencies	
  need	
  at	
  least	
  $40,000	
  to	
  $60,000	
  to	
  get	
  started.	
  Non-­‐
Medicare	
  home	
  health	
  agencies	
  require	
  $60,000	
  to	
  $80,000,	
  and	
  Medicare	
  home	
  health	
  and	
  
hospice	
  agencies	
  need	
  between	
  $150,000	
  and	
  $300,000.	
  	
  
	
  
3.	
  Sloppy	
  Operations	
  
Starting	
  a	
  home	
  care	
  business	
  with	
  disorganized	
  and	
  inefficient	
  operations	
  is	
  a	
  recipe	
  for	
  
disaster.	
  You’ll	
  find	
  yourself	
  burning	
  through	
  startup	
  cash	
  much	
  faster	
  if	
  you	
  haven’t	
  defined	
  
and	
  setup	
  the	
  right	
  internal	
  systems.	
  These	
  include	
  everything	
  from	
  the	
  software	
  you	
  use	
  to	
  
your	
  procedures	
  for	
  new	
  client	
  intake.	
  All	
  operational	
  areas	
  need	
  to	
  be	
  addressed	
  in	
  your	
  
policy	
  and	
  procedure	
  manual	
  so	
  you	
  can	
  be	
  ready	
  for	
  every	
  challenge	
  your	
  business	
  throws	
  
your	
  way.	
  
	
  
4.	
  Hiring	
  the	
  Wrong	
  People	
  
Ultimately,	
  the	
  quality	
  of	
  your	
  staff	
  will	
  make	
  or	
  break	
  your	
  home	
  care	
  agency.	
  Establishing—
and	
  following—strict	
  hiring	
  practices	
  from	
  the	
  very	
  beginning	
  is	
  paramount.	
  Create	
  well-­‐
defined	
  position	
  profiles	
  so	
  you	
  can	
  screen	
  out	
  candidates	
  who	
  aren’t	
  a	
  perfect	
  fit	
  for	
  office	
  
staff	
  and	
  caregivers	
  in	
  the	
  field.	
  Recruiting	
  and	
  hiring	
  employees	
  without	
  thoroughly	
  assessing	
  
their	
  experience,	
  skills,	
  and	
  passion	
  for	
  the	
  work	
  are	
  mistakes	
  agency	
  owners	
  usually	
  end	
  up	
  
regretting.	
  	
  
	
  
5.	
  No	
  Tracking	
  System	
  
Putting	
  your	
  agency	
  on	
  a	
  path	
  to	
  growth	
  means	
  carefully	
  measuring	
  your	
  progress	
  along	
  the	
  
way.	
  Develop	
  dashboard	
  metrics	
  so	
  you	
  can	
  accurately	
  measure	
  all	
  of	
  the	
  factors	
  that	
  
contribute	
  to	
  your	
  agency’s	
  performance.	
  Careful	
  tracking	
  also	
  enables	
  you	
  to	
  change	
  course	
  
quickly	
  when	
  you	
  see	
  a	
  downturn	
  in	
  one	
  area	
  of	
  your	
  business.	
  
	
  
Trying	
  to	
  start	
  a	
  home	
  care	
  business	
  without	
  a	
  plan	
  is	
  like	
  trying	
  to	
  build	
  a	
  house	
  without	
  a	
  
foundation.	
  No	
  matter	
  how	
  much	
  money	
  you	
  invest	
  or	
  how	
  hard	
  you	
  try,	
  it’s	
  eventually	
  going	
  
to	
  fall	
  down.	
  Make	
  sure	
  you	
  have	
  the	
  planning,	
  people,	
  and	
  processes	
  in	
  place	
  from	
  day	
  one	
  
to	
  position	
  your	
  agency	
  for	
  success.	
  Whether	
  you	
  need	
  assistance	
  creating	
  your	
  strategic	
  plan	
  
or	
  improving	
  your	
  existing	
  operations,	
  Kenyon	
  HomeCare	
  Consulting	
  can	
  help	
  take	
  your	
  
agency	
  to	
  the	
  next	
  level.	
  Schedule	
  an	
  appointment	
  at	
  KenyonHCC.com	
  with	
  one	
  of	
  our	
  home	
  
care	
  consultants	
  to	
  see	
  how.	
  
	
  

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5 Mistakes to Avoid When You Start a Home Care Business

  • 1. 5  Mistakes  to  Avoid  When  You  Start  a  Home  Care  Business     You  have  to  ask  yourself  a  lot  of  questions  before   you  start  a  home  care  business.  How  much  money   does  it  take  to  get  up  and  running,  and  what  are  the   monthly  operating  costs?  What’s  the  market  size   and  who  are  my  competitors?  Which  services   should  I  offer?  Who  should  I  hire  and  how  should  I   hire  them?       The  list  of  questions  goes  on  and  on,  and  the   difference  between  success  and  failure  can  depend   on  getting  the  answers  right.  There  is  little  margin   for  error,  especially  in  this  increasingly  competitive   industry.  Most  home  care  agencies  don’t  fail   because  of  the  quality  of  their  services.  They  go  out   of  business  due  to  a  variety  of  operational  reasons,   which  inevitably  lead  to  revenue  and  cash  flow   problems.  In  other  words,  they  have  satisfied   customers  but  an  unsatisfactory  balance  sheet.       Home  Care  Startup  Mistakes   Before  you  start  a  home  care  business,  make  sure  you  put  all  the  right  pieces  in  place  to  give   you  the  best  chance  to  succeed.  Here  are  five  of  the  most  common  mistakes  agencies  make   and  how  to  avoid  them.     1.  Poor  Preparation   Creating  and  implementing  a  clear  strategy  is  critical  from  day  one,  and  it  starts  with   understanding  your  market.  You  have  to  perform  your  due  diligence  to  select  the  area  you’ll   serve,  get  to  know  the  needs  of  your  potential  customers,  and  develop  services  to  meet  those   needs.  You  also  need  to  perform  a  competitive  analysis  to  know  what  your  competitors  are   up  to  and  how  you  can  differentiate  your  services  from  theirs.  Then  you  can  start  creating   your  marketing  plan  to  determine  the  best  way  to  beat  your  competitors  to  your  ideal   customers.        
  • 2. 2.  Insufficient  Capital   Of  course,  preparing  to  start  a  home  care  business  also  includes  setting  aside  enough  capital.   The  last  thing  you  want  to  do  is  hamstring  your  agency  by  launching  it  with  insufficient  funds.   Generally  speaking,  home  care  agencies  need  at  least  $40,000  to  $60,000  to  get  started.  Non-­‐ Medicare  home  health  agencies  require  $60,000  to  $80,000,  and  Medicare  home  health  and   hospice  agencies  need  between  $150,000  and  $300,000.       3.  Sloppy  Operations   Starting  a  home  care  business  with  disorganized  and  inefficient  operations  is  a  recipe  for   disaster.  You’ll  find  yourself  burning  through  startup  cash  much  faster  if  you  haven’t  defined   and  setup  the  right  internal  systems.  These  include  everything  from  the  software  you  use  to   your  procedures  for  new  client  intake.  All  operational  areas  need  to  be  addressed  in  your   policy  and  procedure  manual  so  you  can  be  ready  for  every  challenge  your  business  throws   your  way.     4.  Hiring  the  Wrong  People   Ultimately,  the  quality  of  your  staff  will  make  or  break  your  home  care  agency.  Establishing— and  following—strict  hiring  practices  from  the  very  beginning  is  paramount.  Create  well-­‐ defined  position  profiles  so  you  can  screen  out  candidates  who  aren’t  a  perfect  fit  for  office   staff  and  caregivers  in  the  field.  Recruiting  and  hiring  employees  without  thoroughly  assessing   their  experience,  skills,  and  passion  for  the  work  are  mistakes  agency  owners  usually  end  up   regretting.       5.  No  Tracking  System   Putting  your  agency  on  a  path  to  growth  means  carefully  measuring  your  progress  along  the   way.  Develop  dashboard  metrics  so  you  can  accurately  measure  all  of  the  factors  that   contribute  to  your  agency’s  performance.  Careful  tracking  also  enables  you  to  change  course   quickly  when  you  see  a  downturn  in  one  area  of  your  business.     Trying  to  start  a  home  care  business  without  a  plan  is  like  trying  to  build  a  house  without  a   foundation.  No  matter  how  much  money  you  invest  or  how  hard  you  try,  it’s  eventually  going   to  fall  down.  Make  sure  you  have  the  planning,  people,  and  processes  in  place  from  day  one   to  position  your  agency  for  success.  Whether  you  need  assistance  creating  your  strategic  plan   or  improving  your  existing  operations,  Kenyon  HomeCare  Consulting  can  help  take  your   agency  to  the  next  level.  Schedule  an  appointment  at  KenyonHCC.com  with  one  of  our  home   care  consultants  to  see  how.