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Old Jun 7, 2009, 05:46 AM   #1
63dot
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Is anybody starting own home health care business?

When I first saw home health care businesses many years ago, people who started a business were pretty much unregulated and many worked on their own besides their regular job in nursing. Many were not even any sort of nurses. When I was younger, I helped many an old person with groceries, cleaning, picking up meds, driving to appointments with doctors, etc.

Now that the baby-boomers are getting older, there's an increased need every year for nurses, but the requirements to start a business seem so stiff. It seems just about every owner I have seen with a business has an MSN, MHM, or MPH degree. I wonder what will be next, for any such business to have to have an MD as an owner?

The home health care business seems to be one that is recessionary proof in these hard times in the US. I briefly considered this field, but the legalities are daunting.

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Old Jun 8, 2009, 01:38 AM   #2
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It depends on what state you're in ... when I was in DE it was easy to start a healthcare related business (a friend and I had several), however in FL you need a permission slip from GOD to start one, and even if you have it that doesn't mean the state will grace you with its permission to start your company.

Last edited by annk; Aug 29, 2011 at 04:40 AM. Reason: Removed quote of OP
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Old Jun 8, 2009, 07:33 AM   #3
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Originally Posted by colourfastt View Post
It depends on what state you're in ... when I was in DE it was easy to start a healthcare related business (a friend and I had several), however in FL you need a permission slip from GOD to start one, and even if you have it that doesn't mean the state will grace you with its permission to start your company.
It seemed that way when I did handyman chores in an elderly community. What if I am painting a cabinet and the old person falls in the other room? I help them up carefully, right? But these days I have to call 911 and the closest officer or ambulance has to help. If they feel sketchy about it, the whole FD shows up as did when my friend crashed on her bicycle not 10 feet from her store.

I did some research and also found that besides the obvious of having me and my employees all have CPR and a Certified Nurses Assistant license (or similar) from my state, there's also a $50K surety bond, too.

I looked at all the degrees and certifications and there is actually a bachelor's degree with a nursing emphasis on home health care management but nothing in that degree's description about being a consultant or entrepreneur since I only saw that attached to the master's degrees related to the subject.

Every time there's an ad, the owner or senior manager flashes out their MSN, MHM, or MHA credential. Sometimes they are in the ad wearing a nursing/medical jacket. All this legality has made me not to continue to help existing handyman and home health care clients of mine lest I get sued. Those people, also my longtime friends and mentors, will have to get a properly licensed and insured nursing company to do anything medical or even remotely medical in an assisted living situation.

Thank God I can still help my parents legally but I wouldn't be surprised if that privilege or right was taken away from children of the elderly.
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Old Jun 17, 2009, 11:31 PM   #4
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Originally Posted by 63dot View Post
....Every time there's an ad, the owner or senior manager flashes out their MSN, MHM, or MHA credential. Sometimes they are in the ad wearing a nursing/medical jacket. All this legality has made me not to continue to help existing handyman and home health care clients of mine lest I get sued. Those people, also my longtime friends and mentors, will have to get a properly licensed and insured nursing company to do anything medical or even remotely medical in an assisted living situation......
if you're doing anything remotely medical, then I sure would want you to be properly trained.....there's quite a difference between "healthcare" and helping out with household chores as a handyman.....nurses aren't intended to do handyman chores and the handyman shouldn't try his hand at a little untrained medical practice

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Old Jun 18, 2009, 11:50 AM   #5
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if you're doing anything remotely medical, then I sure would want you to be properly trained.....there's quite a difference between "healthcare" and helping out with household chores as a handyman.....nurses aren't intended to do handyman chores and the handyman shouldn't try his hand at a little untrained medical practice
In my first semester of law school, studying torts started to get me really thinking of what I had done for a quarter of a century either full time or part time as a "all around handyman". It's one thing, in California (other states may differ slightly or greatly) to be painting a fence in an elderly person's yard, and when I see them fall down, go over to help them up. In the mid-80s, when I was a young gardener/handyman, it was quite OK to help that person up. Today, in my state, I have to call 911 as they only have the authority as I am not any type of nurse. I worked for a law enforcement agency as an analyst and I also was a medical records employee at the hospital at nights, but still not any type of nurse.

This almost sounds crazy, but the law does many times, especially in civil liability cases which are not always logical and can be counterintuitive ... (Google Palsgraf for instance).

My mentor, an elder law attorney for the past 47 years, basically said the fast moving field of liability as it relates to older people is astounding. No longer could I use some Good Samaritan defense if I carefully try and help an old person up, and they concurrently then break a bone or have a stroke.

My classmate from undergrad college days is a fire captain, and he said in some of the most minor injuries, if it's a 911 call, they bring out the cops, the paramedics, and the whole fire brigade with truck and ladder. He confessed to me that it does help keep the small local fire departments in business as there are very, very few fires here as opposed to a higher population area.

One place I can help the elderly is my immediate family.

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Old Jun 19, 2009, 01:32 PM   #6
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Originally Posted by colourfastt View Post
It depends on what state you're in ... when I was in DE it was easy to start a healthcare related business (a friend and I had several), however in FL you need a permission slip from GOD to start one, and even if you have it that doesn't mean the state will grace you with its permission to start your company.
I have heard that in FL there is more healthcare fraud than water...perhaps this is why it is difficult.

In the last year, I helped start a healthcare company for seniors and it is extremely complicated and complex as you already know. But I would encourage you to go for it. If you can leap the hurdles to get into the market, you will likely benefit and the complexities of the healthcare industry help keep the market from being flooded with competition.
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Old Jun 19, 2009, 07:32 PM   #7
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I have heard that in FL there is more healthcare fraud than water...perhaps this is why it is difficult.

In the last year, I helped start a healthcare company for seniors and it is extremely complicated and complex as you already know. But I would encourage you to go for it. If you can leap the hurdles to get into the market, you will likely benefit and the complexities of the healthcare industry help keep the market from being flooded with competition.
One friend of mine, who is getting her MBA in Health Care Management, may consider this path. Maybe I can work for her part time since I have a huge rolodex.

She's going to get in while she can because she wouldn't be surprised if California one day required all owners of health care organizations to hold an MD.

When I was working PT at the hospital near me, the board of that non profit hospital decided all new senior managers had to either be doctors or nurses or hold specific health care administration degrees. The hospital had previously been run by a non medical CEO, but who was good at numbers. Some departments were run by business only types, and the care provided was still good, but many consider it better with actual medical staff in leadership positions.
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Old Jun 19, 2009, 08:01 PM   #8
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....but the requirements to start a business seem so stiff. It seems just about every owner I have seen with a business has an MSN, MHM, or MPH degree. I wonder what will be next, for any such business to have to have an MD as an owner?
As a non-American, the first thing that came to mind was, "I bloody well hope so."
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Old Jun 20, 2009, 02:41 AM   #9
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As a non-American, the first thing that came to mind was, "I bloody well hope so."
I bloody well hope NOT ... I've worked in physicians' practices and without fail they were the WORST businessmen I've ever worked with.
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Old Dec 14, 2010, 12:55 AM   #10
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What do you mean by Health Care business? .... like Health Care Management Consulting?
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Old Jan 11, 2011, 12:00 PM   #11
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I am taking the plunge

I am in the process of starting a home health care business. I have been trying to attend the RN program for 2 years and have not yet been accepted. Here in California this seems to be a problem and after graduation job placement for new grads has been far and between. This has made me decide to start my own business. As far as I know there are no requirements that one has to have a medical background.
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Old Mar 2, 2011, 09:18 PM   #12
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The home health care business seems to be one that is recessionary proof in these hard times in the US. I briefly considered this field, but the legalities are daunting.
Open a nursing home and the dough will roll in at $3-6k per month. Make sure you have enough wheel chairs to park residents in the hall...
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Old Apr 20, 2011, 06:51 AM   #13
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Originally Posted by colourfastt View Post
It depends on what state you're in ... when I was in DE it was easy to start a healthcare related business (a friend and I had several), however in FL you need a permission slip from GOD to start one, and even if you have it that doesn't mean the state will grace you with its permission to start your company.
How does He send these permission slips? After you've prayed to Him, your printer starts up?
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