The Caregiver Innovation Show

How Virtual Caregivers Are Solving the Home Care Staffing Crisis

Nick & Amy

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Struggling to scale your services while facing chronic staffing shortages? You're not alone. Across industries, businesses are hitting a growth ceiling when human resources can't keep pace with demand.

In this eye-opening episode, we explore a fascinating case study from private duty home care that reveals a potential solution—one with implications far beyond healthcare. We dive deep into how agencies are implementing AI-powered virtual caregivers, specifically Addison Care, to transform their operations and break through traditional limitations.

The results are striking: agencies using this hybrid care approach report a 42% reduction in client falls, 78% improvement in medication adherence, and the ability to grow their client base by 35% while only increasing staff by 15%. This decoupling of growth from staffing represents the holy grail for service businesses—scalability without proportional resource expansion.

What makes this shift particularly noteworthy isn't just the technology itself but the mindset behind it. Rather than positioning AI as a replacement for human caregivers, successful implementations frame it as enhancement—augmenting and supporting the existing workforce. This fundamentally changes the conversation from "technology versus humans" to "technology empowering humans."

The lessons here extend beyond healthcare. We examine how similar approaches might transform other fields facing staffing challenges, the critical implementation strategies that determine success or failure, and how technology can strengthen rather than diminish human connections when thoughtfully deployed.

Whether you're in healthcare or another service industry, this episode offers valuable insights into navigating the increasingly blurred line between human and technological solutions. The future belongs to those who can effectively combine both—creating service models that are simultaneously more human and more scalable.

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Speaker 1:

Ever feel like you're just battling a constant dream? You know trying to deliver top-notch work, but your resources are always stretched thin and scaling up feels almost impossible.

Speaker 2:

Yeah, it's a really common pressure, isn't it, no matter the field.

Speaker 1:

Exactly, and today we're diving into how one industry private duty home care is tackling this exact problem. They're embracing a pretty interesting technological shift.

Speaker 2:

That's right. We're looking at how AI-powered virtual caregivers are being adopted, specifically one called Addison Care. We'll dig into how home care organizations are using this tech to deal with staffing shortages, which are huge right now, and also improve care quality and ultimately grow their business.

Speaker 1:

And the source material we have for this deep dive. It gives a really fascinating inside look. We've got these resources basically designed to sell Addison Care to agencies. And there's this thing called an attractive character workbook. It maps out the journey of someone who actually lived through all these challenges firsthand. It's, like you know, getting the story straight from the source.

Speaker 2:

Precisely so. Our mission here is to pull out the most important insights, the actionable stuff from these materials. Give you a shortcut really to understanding this whole new approach to home care.

Speaker 1:

And I bet there'll be some surprising facts. Maybe a few aha moments along the way.

Speaker 2:

I think so definitely.

Speaker 1:

Okay, let's unpack this. Then it seems like it all starts with really understanding the core struggles these agencies are facing every single day.

Speaker 2:

Yes, and that attractive character narrative. It paints a very relatable picture this person. They spent 15 years managing an agency, personally coordinating care for what? Over 100 clients with 45 caregivers.

Speaker 1:

Wow, that's a lot to juggle.

Speaker 2:

Absolutely, and the workbook goes into their past life challenges. I think anyone trying to grow a service business will recognize this. Things like the constant worry about clients when no caregiver was there. You know those uncovered hours, the nonstop calls from families wanting updates, feeling anxious, and that financial squeeze wages going up but reimbursement rates are what families could pay, often staying flat.

Speaker 1:

Right that pressure.

Speaker 2:

So the key insight there really is just how tough it is to scale traditional home care relying purely on people hours for around-the-clock, affordable care. It kind of creates this cycle of stretched resources, caregiver burnout and just limited growth potential.

Speaker 1:

Yeah, and those specific struggles they list really drive that home. Like not being able to realistically offer 204.7 care to everyone because of the sheer cost, caregivers getting brained out, leading to high turnover, which is a nightmare. The constant background worry about a client's safety when they're alone.

Speaker 2:

And the phone always ringing.

Speaker 1:

Yeah.

Speaker 2:

Family members needing reassurance.

Speaker 1:

Plus, how do you even stand out? Everyone's offering essentially the same thing Hours of in-person care, while your margins are getting tighter and tighter.

Speaker 2:

And what really brings it home are these embarrassing moments they share in the workbook. They're quite stark.

Speaker 1:

Oh, like what.

Speaker 2:

Well, imagine having to tell a family their loved one fell when no caregiver was scheduled, or losing a client you really valued to a competitor just because they had some kind of tech monitoring. Or that sudden panic when a caregiver calls out sick, leaving someone vulnerable with absolutely no coverage.

Speaker 1:

Yeah, it's tough.

Speaker 2:

Or a client ending up back in the hospital because, despite best efforts, they weren't taking their meds correctly. And maybe the worst one for the business owner losing a pitch to another agency because they were using technology to offer something more.

Speaker 1:

Yeah, and it wasn't like they weren't trying other things, right, the workbook lists everything you tried.

Speaker 2:

The usual stuff, basic check-in calls, which are fine, but limited. Prs pendants, those emergency buttons people wear.

Speaker 1:

Yeah, I've fallen in. I can't get up buttons.

Speaker 2:

Exactly Paper medication checklists, totally reliant on the client remembering or the caregiver being there. Trying to hire more staff but good caregivers are notoriously hard to find and keep Trying to raise rates, but getting pushback. Offering premium tiers, but finding they were just too expensive for most families. It really hit a wall with the traditional approaches.

Speaker 1:

And that leads to the breakthrough, the aha moments.

Speaker 2:

Yes, and this seems like a fundamental shift in thinking. The big realization was that, hey, virtual care can actually fill those gaps between the in-person visits it doesn't have to be all or nothing Okay and recognizing that AI isn't just passive monitoring, it can actively engage clients reminders, companionship, that kind of thing. And maybe the biggest one Technology could let them extend their care reach without needing a one-to-one increase in staff, breaking that direct link between hours billed and staff needed.

Speaker 1:

Right, that's the scalability piece, and the idea that a hybrid model, blending virtual and in-person, might actually be the best way forward.

Speaker 2:

Exactly.

Speaker 1:

And maybe the most surprising aha, that technology could potentially strengthen the human connection. By taking over some routine tasks, it frees up the caregiver for more meaningful interaction.

Speaker 2:

That really flips the script on the usual tech versus touch debate, doesn't it?

Speaker 1:

It really does so. From these insights came the solutions you discovered.

Speaker 2:

Right. The core was implementing this AI-powered virtual caregiver, addisoncare, for that 247 digital presence, but crucially, they saw it as augmenting their human caregivers, not replacing them.

Speaker 1:

That was key Empowering them, not displacing them.

Speaker 2:

Precisely, and this allowed them to offer more comprehensive care packages, maybe at a price point that was more accessible, which immediately made them stand out A differentiator, and, fundamentally, it gave them a way to scale that wasn't totally dependent on finding more and more people in a tight labor market.

Speaker 1:

So how did this actually change things on the ground? The what you changed section sounds like a big shift.

Speaker 2:

It was a significant transformation, moving from just reacting and providing in-person hours to this proactive hybrid model. That's a major operational change.

Speaker 1:

Yeah.

Speaker 2:

It meant they started focusing less on just selling blocks of time and more on the quality of care, the actual outcomes for the clients. They evolved really into a tech-enabled care provider.

Speaker 1:

Using tech for prevention, not just reaction.

Speaker 2:

Exactly Redirecting resources towards keeping people healthier and safer proactively.

Speaker 1:

And doing that meant tackling some misconceptions, right Beliefs they had to overcome.

Speaker 2:

Oh, definitely the big one was caregiver fear Is this robot going to take my job? They had to really emphasize how it helped them, made their jobs easier and more effective.

Speaker 1:

Okay, that makes sense.

Speaker 2:

Also the assumption that older adults are just automatically anti-technology. They found that wasn't necessarily true. If the tech clearly helps them stay independent and safe, many are quite open to it.

Speaker 1:

If it solves a real problem for them.

Speaker 2:

Exactly and the idea that virtual care is cold or impersonal. They actually found it increased touch points and engagement in many cases. They also learned tech could simplify coordination and that this hybrid care wasn't second best. It could actually be superior.

Speaker 1:

So the first phase of transformation. How did they actually roll it out?

Speaker 2:

They started small, which is smart, piloted AddisonCare with just 15 clients, and they were careful how they introduced it to caregivers, framing it as a supportive tool.

Speaker 1:

Making their jobs easier.

Speaker 2:

Right and they documented everything Improvements in medication, adherence, fewer emergency calls after hours, getting that early proof. Then they started marketing this new hybrid model, making it a selling point and, importantly, they developed clear protocols for how the virtual caregiver and the human caregiver would work together. No confusion.

Speaker 1:

But it wasn't all smooth sailing. I assume the failures and struggles section.

Speaker 2:

No, of course not. There's that initial caregiver fear. We mentioned needing reassurance. Some clients needed more help getting comfortable with the tech during onboarding.

Speaker 1:

Sure the learning curve.

Speaker 2:

They had to tweak their messaging to families, really make the value proposition clear, adjust the pricing model and they admitted they initially underestimated the training time needed for staff. You can't just drop new tech in.

Speaker 1:

Good point Always takes longer than you think, but those struggles lead to lessons learned.

Speaker 2:

Absolutely critical lessons. Number one caregiver buy-in is everything. They have to see it as enhancing their role, not threatening it. Clear communication with families is vital, explaining the why and the how. The value has to be super clear to justify any change, and dedicated, ongoing training and support for everyone caregivers, clients. That's non-negotiable for success.

Speaker 1:

And the payoff. The successes they reported sound pretty impressive.

Speaker 2:

They really do. They saw the average client relationship extended to 9.3 months. That suggests people were happier and staying longer.

Speaker 1:

Big deal for the business.

Speaker 2:

Huge A 42% reduction in falls. That's a massive safety improvement. 78% improvement in medication adherence Huge health implications there, Wow. Plus increased caregiver satisfaction. That helps with retention. And get this. They grew their client base by 35%, but only increased staff by 15%. That shows the scalability right there.

Speaker 1:

That's the leverage.

Speaker 2:

And a 67% higher family satisfaction rate. So better outcomes, happier families, happier staff and a growing business.

Speaker 1:

That's the goal. Okay, let's shift gears slightly to the expert insights. Taking a broader view, the workbook mentions their deep industry knowledge. What areas are we talking about?

Speaker 2:

It highlights expertise in the nitty-gritty of private duty operations understanding these new hybrid models, how to scale when you can't easily find more staff, strategies for keeping caregivers happy and staying, how to effectively acquire new clients and, crucially, how to boost profitability while improving quality, using tech smartly.

Speaker 1:

So real operational depth.

Speaker 2:

Yes, and they draw a really stark contrast between the right way and the wrong way regarding industry beliefs.

Speaker 1:

Okay, tell me more.

Speaker 2:

The right way is seeing tech as support for humans, recognizing hybrid care as often superior, prioritizing training, using tech to bridge affordability gaps, leveraging tech to stand out and understanding that proper implementation boosts both outcomes and the bottom line.

Speaker 1:

And the wrong way.

Speaker 2:

That's sticking purely to in-person care, seeing tech as a threat, assuming seniors won't use tech, treating tech as just an add-on, competing only on hours and basically waiting around for someone else to innovate.

Speaker 1:

Sounds like a recipe for getting left behind.

Speaker 2:

Pretty much. And they apply the same only on hours and basically waiting around for someone else to innovate. Sounds like a recipe for getting left behind Pretty much. And they apply the same right versus wrong thinking to industry methodology, the actual process, how so? The right process involves starting with a clear vision for hybrid care, training caregivers first, doing a small, well-documented pilot, using those successes in marketing, having clear protocols focusing on client outcomes and using value-based pricing.

Speaker 1:

Makes sense Strategic.

Speaker 2:

The wrong way Trying to implement without buy-in, focusing only on tech features instead of the impact, failing to integrate it smoothly, skimping on training, using old sales pitches and only measuring old metrics like billable hours.

Speaker 1:

It's about the whole system, not just the gadget. Exactly, it requires a the whole system, not just the gadget.

Speaker 2:

Exactly. It requires a holistic strategic approach.

Speaker 1:

Now how does this translate for someone listening? Maybe not in home care. The life application section any universal takeaways.

Speaker 2:

Definitely, the actions are pretty broadly applicable. Things like train thoroughly, track and celebrate improvements, actively seek feedback, be willing to refine things constantly, use success stories to build confidence, share best practices openly. That's good advice for almost any change initiative.

Speaker 1:

And the don'ts.

Speaker 2:

Also very relevant. Don't position new tools as replacing people. Don't cut corners on training. Don't ignore the need for team buy-in, don't get lost in features instead of focusing on outcomes, and don't assume everyone understands the value. You have to spell it out.

Speaker 1:

Yeah, that communication piece is key.

Speaker 2:

Underpinning all this are the personal beliefs, what they love and hate. This gets at the motivation.

Speaker 1:

What drives them?

Speaker 2:

They love empowering seniors, creating sustainable care models, supporting caregivers, using innovation to solve real problems, fostering stronger connections and enabling growth despite limitations. Very positive drivers.

Speaker 1:

And the hates.

Speaker 2:

They hate one-size-fits-all solutions, tech that just adds complexity, the false choice between quality and affordability, sticking with the status quo just because caregiver burnout and fragmented care. They're clearly driven by wanting to fix what's broken.

Speaker 1:

So who is this actually for? Who are the best customers for Addison Care according to the workbook?

Speaker 2:

It paints a clear picture Forward-thinking agency owners Franchises like Home Instead or Visiting Angels Looking for an Edge. Agencies really struggling with staffing. Businesses wanting to expand without just hiring more people. Those feeling pressure from tech-savvy competitors. And family-owned businesses wanting to be sustainable long-term.

Speaker 1:

Makes sense, the innovators and those feeling the pain points most acutely, and the worst customers.

Speaker 2:

Basically the opposite those stuck in traditional models, unwilling to invest in training, hyper-focused on short-term costs, uncomfortable with tech, generally resistant to change and unwilling to market a new way of doing things. Mindset seems critical.

Speaker 1:

Yeah, adaptability, and it explains why do they get results. Why do they not?

Speaker 2:

Right, exactly the best see the limits of the old way. Invest strategically in tech and training. Communicate to value effectively, integrate it properly and price based on that value. The worst resist change. Focus only on cost neglect, training communicate poorly, treat tech as separate and stick to old pricing models.

Speaker 1:

It links back to those right and wrong approaches we discussed Precisely, and the workbook contrasts affirmations of the best customers with excuses of the worst. That's revealing.

Speaker 2:

Very the best. Believe things like. We can grow despite staffing issues. Tech enhances quality and profit. Clients will embrace helpful solutions. We can differentiate. Hybrid care has let us reach more people. Caregivers will be more fulfilled. Positive, proactive beliefs.

Speaker 1:

And the excuses, things like our clients are too old.

Speaker 2:

Tech isn't human touch. Caregivers won't adapt. We can't afford it. What we do is good enough. Clients won't pay for tech. It's a fundamental difference in outlook.

Speaker 1:

Digging deeper into those best customers. What do they love and what frustrates them?

Speaker 2:

They love things that solve the caregiver shortage, enable growth, improve client outcomes, reduce burnout, help them stand out and boost profitability. They're frustrated by the recruitment treadmill not being able to offer affordable 24-7 care, high client turnover being seen as a commodity, shrinking margins and managing constant family demands.

Speaker 1:

So the solution directly addresses their biggest frustrations and aligns with their desires.

Speaker 2:

Exactly, and understanding who do they align with and who annoys them adds more color.

Speaker 1:

Who's in their circle?

Speaker 2:

They connect with other innovators good tech partners who get home care, business consultants, training organizations, other growth-minded owners. They get annoyed by change resistors, tech vendors who don't understand the field, competitors making false promises, regulatory burdens and referral sources who don't get the value of tech-enabled care.

Speaker 1:

Tells you a lot about their values and network. What about? What do they want more of and less of?

Speaker 2:

They want more differentiation, client-caregiver retention, efficiency, affordable 24-7 options, scalable models. They want less turnover, emergency calls, price wars, family anxiety, admin overload and thin margins. It's all about achieving a more sustainable, high-quality operation.

Speaker 1:

The workbook even gets into their emotional drivers, like what gives them freedom versus what makes them overwhelmed.

Speaker 2:

Yeah, that's insightful. Freedom comes from less reliance on constant hiring, tech for remote monitoring, streamlined admin, client empowerment tools, premium pricing power, scalable growth. Overwhelm comes from the recruitment cycle, managing expectations with limited staff, scheduling chaos, after-hours crises, price competition and just the sheer admin weight.

Speaker 1:

You can really feel the pressure points there and their goals and fears internal and external. Fears internal and external.

Speaker 2:

Internally the goal for a sustainable business a better care model, less personal stress, being seen as an innovator, non-staff dependent growth and making a real impact. They fear not overcoming the staffing crisis, stagnation, losing to competitors, bad tech investments, operational disruption, getting left behind High stakes. Definitely. Externally, they goal to be the market leader, grow clients and revenue, expand services, attract top caregivers, get strong referrals, command higher rates. They fear new disruptive competitors, shrinking client base due to cost, bad reviews, not meeting community needs, being seen as less human because of tech and missing the boat on industry evolution.

Speaker 1:

It paints a very complete picture of their mindset. The workbook also emphasizes what do you have in common with your audience? Why is that important?

Speaker 2:

It builds trust and connection. It highlights shared values commitment to aging in place, understanding the flaws of the old model, recognizing the staffing threat wanting comprehensive and affordable care, believing tech should enhance human touch, seeking sustainable growth. Focusing on outcomes, knowing the industry must evolve, needing differentiation and truly wanting to support caregivers. It shows deep empathy.

Speaker 2:

All this leads into the pain and dream bank. Right A summary Exactly the pain points hit all those struggles 247 coverage gaps, lost clients, recruitment woes, family anxiety, emergencies, commoditization, low margins, burnout, medication issues, lack of visibility, scaling difficulties, rising costs, admin burden, price wars, meeting diverse needs it's a long list.

Speaker 1:

A lot to deal with.

Speaker 2:

But the dream outcomes are the flip side. The vision accessible 247 care, premium services, less staff dependency, higher satisfaction, fewer crises, proactive insights, more capacity, tech as a support, less admin, market leadership, better profits serving more people, peace of mind for families that's the transformation they're selling and then the workbook gives a peek into how this understanding translates into marketing act2 and act3 just a glimpse.

Speaker 2:

yeah, it mentions creative content systems and acquisition systems. It talks about content buckets like ROI, proof testimonials, promotions, ideas for videos and posts addressing those pains and dreams. Ad concepts focusing on growth. 247, support differentiation, Using it tangible.

Speaker 1:

Right Using it tangible.

Speaker 2:

Right and even a script template emphasizing that emotional connection hitting the pain, showing the dream, demoing the solution, providing proof, relieving anxiety, making an offer, clear call to action. And they use the Visiting Angels of Denver case study as a concrete example of success.

Speaker 1:

So, bringing it all together, from this deep dive, what's the main takeaway?

Speaker 2:

Well, it seems this hybrid care model using AI, virtual caregivers like AddisonCare, offers a really potent solution to major problems in home care. It's not just tech for tech's sake.

Speaker 1:

It's presented as a fundamental shift, with potential benefits for agencies, caregivers and clients and, crucially, as we heard in those aha moments, it's framed not as replacing human connection, but actually enhancing it Exactly replacing human connection but actually enhancing it Exactly.

Speaker 2:

Letting technology handle some routine stuff to free up humans for the high-touch, meaningful interactions. That's a powerful idea.

Speaker 1:

Which leads to our final thought for you listening, Thinking beyond home care. How could similar tech innovations be applied in your world?

Speaker 2:

Yeah, where could technology augment human capabilities in your field, overcome limitations and maybe unlock new efficiencies or impact, rather than just being seen as a replacement?

Speaker 1:

Definitely something interesting to ponder. Thanks for joining us for this deep dive.

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