Care Plus

My wife and I just bought a home care two years ago. All the nurses there got paid by the hours and we changed that to a point system. However, for all the new hired nurses don't want the point system and so we end up adopting the per visit as an additional system in our agency. For some of the new nurses and LPN that choose the pay per visit fail to complete their charting. We have to put in place policies that if charting is not complete we won't pay them. One bad apple ruin the whole.

OldDude, RN Guide, Thanks to your advice. I looked through the hourly pay carefully and found one thing that I like to call it a See-Saw Pay Model. At the center is the bucket of 80 hours. When one end (visit) is down, the other (office hours) is up, vise versa. The goal is to fill the bucket at the center to 80 hours. This See-Saw Model does not set the bar for employees. Once again, thank you for the advice.

Hi Kyasi, I took over a company that is very much like what you describe here. What I found is that the Case Manager spend lots of hours doing their paperwork. Their non-billable hours are close or sometimes higher than their billable hours. Even I am paying some of them only $25.00/hr, it is still a lose to me. Unless I limit their paperwork hours down. Does the company you work for has any policy on how much time they allow the Case Manager to use?

Thanks for the advise.

I recently got into the Home Care business and so I started going online to find information that might help me understand the business better. After a few weeks I found this site and I have been reading lots of the comment online here since. I don't see business owner post their comments here so I don't know if I will get any answer from this post. I hope I would. There are 3 pay methods that I came to know; hourly, per visit, or points. Currently I pay my employees by the hours and I think it is probably the best option since I am not the kind of guy who likes to push people to the edge to work for me. But what I found with 'pay by the hours' is that some of the RN or LPN would put their (non-billable hours) so much. Sometimes their visit hours are less than their office hours that they use to complete the charts or scheduling, etc... So with that, I plan to move toward pay per visit or points. What is your thoughts and advise to me? I think that if I can find a reasonable ground that an RN or LPN need to use to chart of do his or her things, I would love to stay with the hourly.