continued “So, that may be an area where not everybody will have a job,” said Maxim.
Maxim and Zicari also stated HCR could make the home healthcare program profitable by spreading its costs over a wider base of patients. The county’s program currently cares for less than 300 patients. HCR currently sees 2,000 patients daily over its coverage area, said Maxim, which includes Monroe, Orleans, Genesee, Cortland and Schoharie counties. This fall, HCR will begin offering services in Delaware, Wayne and Madison counties, adding even more patients into the fold, he said.
Legislator John W. Gallagher, D-Area 9, questioned if the company’s resources would be stretched too thin as it adds more territories to its coverage area. Zicari responded that would not be the case.
“We feel very confident by the time the whole process goes through that we’ve got our people lined up so we can provide the support needed,” said Zicari.
“What makes you think you can take this bull by the horns and make it work so that you can make a profit on this over the next several years where we couldn’t,” asked Butler.
Both Maxim and Zicari reiterated that by putting less administrative duties on nurses providing care, it makes them more productive and able to provide better care to more patients.
“I think our nursing retention and satisfaction rates probably speaks to the comfort level with our method and our productivity expectations,” said Zicari. “We intend to be successful here. We don’t enter into these decisions lightly.”
When questioned what would happen if HCR couldn’t maintain a viable bottom line, Maxim replied candidly.
“If we went out of business, there wouldn’t be an agency in the state that wasn’t out of business,” said Maxim. “We think we’re high quality and very efficient. And, if we can’t make it, nobody can.”
The county has made no decision at this point whether or not to sell its home health-care service, noted Zurlo. Legislators are currently in the process of obtaining more information from HCR before a decision could be made. The amount of time a transition would take if the county decides to go with HCR would be about one year, said Maxim.