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New
Jersey Business Monthly
August
18, 2003
Where Social Work Meets Health Care
A Startup targets the special needs of in-home patients
and their families
by Wamiq Chowdhurry
Annandale, NJ – Stephen
Kane knows how hard it can be to balance caring for an elderly
loved one with working a full-time job. In 1991, Kanes
mother was diagnosed with colon cancer. His parents, who
live on Long Island, have since suffered from prostate cancer,
bladder cancer, and heart attacks.
Kane, 49, and his sisters have thus had to juggle caregiving
responsibilities with their jobs, with all the time and
stress that entails. He has brought president of Support
Systers, an Annandale company whose approach combines social
work with home health care. The idea is to provide the total
care package for patients that families are typically unable
to give.
Support Systers sends its 10 registered nurses into homes
to handle tasks ranging from administering injections to
organizing insurance payments and accompanying patients
to medical appointments. Most of our patient interactions
happen in a treatment facility setting, says Kane.
We ask questions, get clarification, and help the
patient and the patients family understand just what
is going on.
Founded in 2000 by social worker Ann Picardo, who has been
a psychotherapist in private practice for 15 years, Support
Systers is still just getting started. The company, which
charges $75 an hour, has 15 clients and expects revenue
of $250,000 to $350,000 this year. Our focus right
now is on the top line and we are achieving significant
growth there, Kane says.
Kane, who had been chief marketing officer for PWI, a Red
Bank software company, was looking for a change when he
heard about support Systers. His contact was his wife, Kathy,
who was a Support Systers nurse and is now a vice president.
I was extremely enamored of the type of care the company
was providing, he says.
Support Systers aims to relieve what it calls the productivity
crisis that befalls firms whose employees must manage the
health of their loved ones. One 1999 study found that virtually
everyone who has done this has been forced to alter his
or her work schedule.
The study, whose sponsors included MetLife and the National
Alliance for Caregiving, found that 18% of those surveyed
had to take leaves of absence and another 13% had to quit
their jobs altogether.
The study questioned 55 people over the age of 45 who had
experience work disruptions while providing care for six
months or longer. On average, respondents to the poll spent
eight years at the task and some had spent more than 16.
Support Systers matches its nurses with patients by gauging
the patients medical and emotional needs. A cancer
patient would be matched with a nurse skilled in oncology;
an elderly person would have a nurse experienced in geriatrics.
But the emotional aspect can be just as critical as the
medical one.
Some people need somebody who is really providing
a lot of TLC, while some need someone who is more of a taskmaster
to make sure theyre taking their prescriptions and
things like that, says Kane. We try to navigate
the emotional side as best as possible.
The firms clients include Carl, a detective for the
Port Authority of New York and New Jersey, whose job precludes
the use of his last name. Carls wife was diagnosed
with a malignant tumor of the voice box in May and underwent
tracheotomy surgery. Obviously the care required
afterwards was quite intense, says Carl. Originally
we had a visiting nurse, but they were limited in what they
could do.
That led him to Kanes company. To be honest
with you, I wouldnt even want to think about how it
would have been without Support Systers, Carl says.
They assisted with our three small children and they
took care of medical issues. When a complication developed
and his wife had to be rushed to the hospital, their Support
Systers nurse met the family in the emergency room.
Support Systers currently works with Hunterdon Medical Center.
They approached us with their service, and we really
felt it would be a valuable service to our patients to provide
continuity of care from inpatient to home care, says
tom Ollis, director or program development at Hunterdon.
The feedback has been excellent.
Kane says the company aims to find ways to accommodate clients
who cant foot the bill. And he is trying to persuade
more insurers to include Support Systers in their coverage.
When people are in compliance with their doctors
orders, the incidence rate of being re-hospitalized for
the same thing declines significantly, Kane says.
Support Systers also seeks partnerships with visiting-nurse
associations which the company first saw as rivals. Support
Systers would step in to provide ongoing special care to
patients referred by the associations.
Kane plans to strengthen the companys presence in
New jersey and then expand to other states. He says doctors
from as far away as Virginia have contacted him with requests
for Support Systers services.
Our standard mode of working is to look at a county
and see how we can work with the key medical centers,
Kane says. He would particularly like to expand the companys
service to Long Island, wher his parents continue to battle
their ailments. It would be a godsend, he says.
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