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Home Healthcare: An Industry on the Rise

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If you are considering owning your own business or franchise, then listen closely. Today, the oldest baby boomers are well into their 60’s and according to “The History Channel” about one in five Americans will be older than 65 by 2030. Today there are about 78 million American baby boomers and as the oldest of them hits retirement age many will have additional medical needs. People age 65 and older make up 12 percent of the population but they account for 38 percent of all Emergency Medical Service (EMS) trips and 90 percent of nursing home use.  Here’s another staggering statistic; 60 percent of baby boomers have been diagnosed with at least one chronic medical condition.

Now factor in that The Huffington Post reported that, in 2010 the number of Americans age 65 and older was 40.2 million and that number will more than double by 2050. With the typical life-span increasing significantly over the past 30 year’s long-term healthcare has turned into a vital topic.

Healthcare franchising on the rise

According to Forbes 2014 best franchises list, three of the top ten rising franchises are home healthcare brands. FRANdata reported there were only 13 home healthcare brands in 2000 and that number has shot to 56 companies today. There are 45 franchise brands operating 6,000 locations, compared to 2001, when they operated in less than 300 locations.

Don’t take my word for it, instead read this story of a man whose injury ignited a new business venture. In 1991, a college senior was traveling home to visit family when he was involved in an awful wreck leaving him with a shattered femur and third degree burns. Fifteen surgeries later and countless months of home healthcare assistants the young man pursued a master’s in healthcare administration. As he was finishing his degree, an encounter with the same nurse that helped him with his previous injury led to a management job at her home healthcare business. Five years later he moved back to his hometown and decided he wanted to get out of management to run his own home healthcare franchise.  In January 2014, he expanded his territory and is now caring for 512,000 people. He saw a need and took action.

Why now?

Why is home healthcare franchising on the rise? Multiple aspects come into play; for example, lower investment. It took only $150,000 to open a home healthcare franchise compared to a fast food franchise costing $500,000. Additionally, home healthcare offers high revenue with relatively low investment and can drive a lot of volume after the first year. Not to mention the growing demand of aging baby boomers – people over 65 – is set to double by 2050. Within the next decade a lot of Americans will be entering into their elderly stage of life.

It’s no doubt that home healthcare facilities are on the rise and if you’ve found work among this industry or are considering starting your own venture, here are a couple tips to consider for improving effectiveness in your healthcare facility:

  1. Have a structured plan to grow your franchise: A roadmap and a clear outlook of your upcoming objectives will steer you away from failure.
  2. Never stop marketing your franchise: The main reason that some franchises fail is that owners stop marketing.  Don’t rely on the franchise concept or location alone to bring in business.
  3. Continually grow and learn new business skills:  Frequently learn new skills to be effective, if you’re not accounting savvy take a course so you have a firm grasp of the profit and liabilities of your company.
  4. Learn the state and federal rules governing home health: The federal manual is called the HIM-11. Each state has a Department of Health and Human Services that governs state regulations related to home health care.
  5. Acquire Liability Insurance: All that risk exposure means you need liability insurance. Ideally, you should have insurance that protects your business in general, plus professional liability insurance for your clinicians and worker’s compensation insurance.
  6. Hiring: Hiring clinicians to provide home health services requires a lot of thought and care.Develop clinical and situational interview questions, check references carefully and run thorough background checks on anyone you hire.

As healthcare providers of all kinds struggle to keep up with patient loads, many more franchise concepts will emerge. People are finding better, cheaper and more efficient ways to deliver healthcare services to patients across the country and now may be the right time for you to consider jumping into this industry on the rise.


brittany.rogers

by Brittany Rogers


Author Bio: Brittany Rogers graduated from the University of Central Oklahoma with a Bachelor’s of Business Administration in Marketing. While attending college, Rogers was an active member of the UCO cheer team. Having recently joined Paycom, Rogers is profiling leads in collaboration with her team, while putting forth her marketing knowledge and creativity.

reverification

Best Practices for Utilizing Section 3 of the Form I-9

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Best Practices for Utilizing Section 3 of the Form I-9

Employers are used to filling out Section 1 and Section 2 of Form I-9 because it’s required for every employee. However, Section 3 – otherwise known as the reverification process– can be a bit mystifying.

Who should be reverified?

Employees with expiring employment authorization or documentation should be reverified to ensure continued authorization to work in the United States. The need for reverification is determined by looking at the List A and List C documents that were presented when the I-9 was initially completed. The work authorization expiration date entered by the employee in Section 1, if any, also should be taken into consideration.

When should the reverification process be completed?

The reverification process should be completed prior to the expiration date of the employee’s authorization or documentation. The expiration date is found in two places: the date provided by the employee in Section 1, and the date recorded under List A or List C in Section 2. If these dates conflict, employers should use the earlier date to determine when reverification is necessary.

The United States Citizenship and Immigration Services (USCIS) recommends reminding employees that their documentation will expire at least 90 days ahead of the expiration date. This gives them time to present a List A or List C document or receipt showing continued work authorization. Paycom’s Document and Task Management system helps to ease the burden on employers by providing reminders 90 days prior to an employee’s reverification date.

When should the reverification process NOT be used?

Knowing when you cannot reverify an employee is important, too. U.S. citizens and noncitizen nationals should not be reverified. Additionally, lawful permanent residents should not be reverified if they provide a Form I-551, Permanent Resident or Alien Registration Receipt card for Section 2. An employee’s citizenship status is found in Section 1, as well as at the top of Section 2. Also, List B documents – even if they expire – should not be reverified.

How do you complete Section 3?

To complete Section 3, simply examine the unexpired documents presented by your employee to determine if they appear to be authentic and relate to your employee. Then, record the document title, document number and expiration date, if there is one. Lastly, sign and date this section. You must use Section 3 from the most recent Form I-9, even if the employee’s original form is an older version.  Likewise, if you previously have completed Section 3 for the employee, you should use Section 3 on a new version of the form and attach it to the employee’s original I-9.

 Other instances in which you can use Section 3

Employers also may complete Section 3 when an employee is rehired within three years of the date that the Form I-9 was originally completed. To complete Section 3 for rehires:

  • Confirm that the original I-9 relates to the employee.
  • Determine if the employee is still authorized to work or if reverification is required by reviewing Section.
  • Enter the date of rehire in Section 3 if the employee’s work authorization is still valid.
  • If expired, request the employee’s valid List A or List C document and complete a Section 3 reverification.
  • Sign and date Section 3.

 

Name Changes

You also can use Section 3 to record when your employee has a legal name change. You are not required to update Form I-9 for name changes. However, the USCIS recommends maintaining correct information on an employee’s Form I-9. Similarly, you are not required to request documentation of a name change from an employee, but it is recommended in order to be reasonably assured of your employee’s identity if the government ever asks to audit the Form I-9.

Paycom’s Document and Task Management solution automates employment verification from within the Paycom system to help ensure compliance and reduce your exposure to audits and penalties from Form I-9 violations. Employees and employers can complete the Form I-9 online, including Section 3, utilize electronic signature verification, and securely store completed Form I-9s and supporting documentation within the Paycom system.

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Posted in Blog, Compliance, Document Management, Featured

Alyssa Looney

by Alyssa Looney


Author Bio: As a compliance attorney for Paycom, Alyssa Looney monitors laws, rules and regulations to ensure that the Paycom software is up to date, specifically regarding immigration law and state law developments in the Western United States. She holds a JD and an MBA from Pennsylvania State University, as well as a bachelor’s degree from Texas A&M University. Outside of work, Alyssa enjoys cooking, being active, playing with her puppy and exploring Oklahoma City.

May the 4th

Disturbance in Your Workforce? May the 4th Be With You

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A short time ago in an employee suggestion box not far, far away, this note from a disengaged employee was discovered.

Dear Management,

Being a real trooper, I’ve faithfully served this empire for many parsecs. But lately, morale here is in the trash compactor. I’m close to “storming” out of here! Here’s why:

  • We don’t feel valued. It’s challenging to work for someone who acts like a dictator. (The black cape? A bit much.)
  • We want a comfortable working environment. These uniforms don’t exactly help. (I have to plan bathroom breaks 30 minutes in advance.)
  • We want to contribute, but we’re afraid the boss will choke us from across the room if he doesn’t like what we say. A little two-way constructive feedback could make a death star-sized difference. 
  • I find our lack of training disturbing. With the literal universe at our fingertips, why do we not have an online learning management system?

A disengaged staff is a real phantom menace. Don’t let this happen; awaken your workforce today with our “What Employees Want” toolkit to help you keep the force in your workforce as strong as possible.

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Posted in Blog, Employee Engagement, Featured, HR Management, Learning Management, What Employees Want

Rod Lott

by Rod Lott


Author Bio: As Paycom’s Creative Services Manager, Rod Lott brings more than two decades of experience in marketing, advertising, branding and journalism. A published author and a graduate of the University of Oklahoma, he has worked with such brands as Blue Cross Blue Shield, Sonic Drive-In and OU.

Paid Family Leave Program

New York to Implement Nation’s Most Comprehensive Paid Family Leave Program

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New York to Implement Nation’s Most Comprehensive Paid Family Leave Program

Private employers in the state of New York will soon be required to provide up to 12 weeks of paid family leave. The new law will apply to all employees of employers covered by the state’s worker’s compensation law and will be completely employee-funded via payroll deductions. Public employers are permitted to participate by opting-in to the program.

Growing Trend

These types of “paid family leave” laws continue to gain momentum. Three other states (California, New Jersey and Rhode Island) provide workers with partial pay during parental leave. Some cities have even joined in on the trend. San Francisco passed a paid family leave program in 2016, and Washington, D.C. also recently approved one that will take effect in 2020.

New York lawmakers championed this law as a pivotal step in the pursuit of equality and dignity in both the workplace and home. “New York enacted the strongest paid family leave plan in the nation to ensure that no one has to choose between losing a job and missing the birth of a child, or being able to spend time with a loved one in their final days,” said New York Governor, Andrew Cuomo, upon passage of the law.

Employee Eligibility

The New York legislation originally passed in April of 2016, but the obligations for employers and employees were announced just recently.

Beginning January 1, 2018, the state’s paid family leave program will provide employees with employment protection and partial wage replacement if they spend time away from work to:

  1. bond with a child (including fostering or adopting)
  2. help relieve family pressures when someone is called to active military service
  3. care for a close relative with a serious health condition

A “close relative” as defined under the law includes a spouse, domestic partner, child, parent (including in-law), grandparent and grandchild. An employee must be employed full-time for 26 weeks, or part-time for 175 days to be eligible for a paid family leave benefit. An employer may permit an employee to use vacation or sick leave while on leave, but may not require its use.

 Employer Impact

The complete 12-week benefit will not be implemented fully until 2021. The amount of paid family leave and the percentage of the employee’s salary paid will be realized over four years:

 

Year Weeks
Available
Max % of
Employee Salary
Cap % of State
Average Weekly Wage
1/1/2018 8 50% 50%
1/1/2019 10 55% 55%
1/1/2020 10 60% 60%
1/1/2021 12 67% 67%

 

Employers will be required to purchase a paid family leave insurance policy or self-insure. The employee will pay the premiums of the policy via payroll deductions, beginning July 1, 2017.

For more information about the phase-in process, calculation of the Average Weekly Wage, or general information on the program, visit the New York paid family leave website.

Disclaimer: This blog includes general information about legal issues and developments in the law. Such materials are for informational purposes only and may not reflect the most current legal developments. These informational materials are not intended, and must not be taken, as legal advice on any particular set of facts or circumstances. You need to contact a lawyer licensed in your jurisdiction for advice on specific legal issues problems.

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Posted in Blog, Employment Law, Featured, Pre-Employment, Talent Acquisition, Talent Management

Jason Hines

by Jason Hines


Author Bio: Jason Hines is a Paycom compliance attorney. With more than five years’ experience in the legal field, he monitors developments in human resource laws, rules and regulations to ensure any changes are promptly updated in Paycom’s system for our clients. Previously, he was an attorney at the Oklahoma City law firm Elias, Books, Brown & Nelson. Hines earned a bachelor’s degree from the University of Central Oklahoma and his juris doctor degree from the Oklahoma City University School of Law, where he graduated cum laude. A fan of the Oklahoma City Thunder, Hines also enjoys exploring the great outdoors with his wife and daughter.

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