Freeman Home Care Case Study

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Freeman Home Care is the company I’ve worked for the last 15 years, 14 of those I’ve been the Office Manager. This is a skilled Home Health agency that sends licensed RN, PT, MSW, and Bath Aide’s out to patients’ homes. I have watched this company grow over the years, and with growth generally comes a need for change. To improve work flow at Freeman Home Care the agency should close the office for lunch breaks, secretarial staff should have a portable phone, and another Intake Nurse needs to be hired.
This company has around 30 employees, but only 5 of those are office staff. There are 3 intake nurses, 1 office manager, and 1 secretary. Two of the intake nurses work 4 days a week, 10 hour days. One is off on Wednesday, and the other on Thursday.
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Any order received has to be entered in the computer system, the appropriate nurse has to be notified of updates, pharmacies have to be called, lab draws have to be ordered, etc. These tasks are considered clinical, therefore only a clinical staff member can do them. Out of the 30 employees at this agency most of them are field nurses. A field nurse goes out and sees the patients in their home. A field nurse can do the tasks of an intake nurse, and it has gotten so busy there have been many times the intake nurses have needed the field nurses help. The three assigned intake nurses are also supervisors over other tasks for the agency. The intake nurses have to juggle their day to day duties and the responsibility of managing any doctor orders that come in. Over the years Freeman Home Care’s business has grown. This means everyone is busier and has more responsibilities to tend to. The agency would benefit from hiring another nurse who’s only job is to be the primary intake nurse. This would allow the intake nurses more time to tend to their other supervisory tasks, which they are currently behind on. Hiring another nurse would be a high cost to the agency. Freeman Home Care would have to pay a nurse salary for someone that is stationary in the office and not out in the field bringing in more business, ie money. Despite the financial loss this would cost, it would help the agency gain in productivity and allow the supervisors more time to keep up with government regulations, policies, productivity, budgets, education,

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