Start-Up Program: Private Duty


Whether you are interested in starting an agency from the ground up,
purchasing an existing agency or adding services to your existing agency –
do your homework and get the facts before you invest. Expert faculty will
show you the ropes, from getting a business license to hiring, setting up your
office, creating your referral network and branding your organization. This
comprehensive program will cover all the “need to know” information to turn
your vision into reality.


The On-Demand Start-Up Program for Private Duty Agencies will introduce you to the private duty home care (medical and non-medical) business. It will review the necessary steps that must be taken to begin the process of an agency start-up. This program will help you understand requirements for location, operations financial requirements, local state and federal regulations and laws and personnel, as well as how to create effective billing, budget and other financial systems/processes.

You’ll learn how to define administrative and client needs, and you’ll get the answers to the: Who, Why, What, Where, How and When regarding agency start up. There are many changes happening in the industry, make sure you start your new agency or new division off on the right foot!

Agenda Topics

Introduction: Starting a Private Duty Agency
Make a thoughtful decision regarding entry into the private duty home care field. Know the steps that must be taken to begin the process of agency start-up, and know the answers to the: Why, Who, What, Where, How, and When regarding agency start-up.

Business Resources
Be aware of the materials, resources, and personnel needed to create effective billing, budget, and other financial systems/processes.

Recognize the facility, financial, time, and personnel requirements to start-up a private duty agency. Define criteria to choose an appropriate medical record and information system.

Staffing: Building Your Team
Define administrative and clinical staffing needs and focus on strategies to secure THE BEST staff. Define your leadership style and how you can lead your new company.

Create systems to develop and track referral resources, know your competition and how to set your agency apart

Compliance & Regulations
Understand how compliance with regulations and laws are the foundation for your agency's success.


  • Anyone considering starting a private duty agency

  • An agency considering adding private duty services

  • Newly employed management staff for a private duty agency

  • Agencies in their first 3 years of start-up



Brittnei Salerno, BS

President, CEO
La Jolla Nurses Homecare

Brittnei Salerno is the President and Owner of La Jolla Nurses Homecare. With more than 21 years of Home Care management experience, Brittnei is a recognized industry leader. An active advocate, she’s past Chair for CAHSAH®’s Board of Directors, PAPA Committee and Licensed Home Health Agency Committee.

She has been honored for her outstanding contributions to the development of local, state and federal home care associations. In 2003, 2004, 2005, 2006, and 2007 she received the Grassroots Advocate of the Year award and is a past recipient of CAHSAH®’s Lois Lillick Award (2006).

Dr. Lucy Andrews, RN, MS

At Your Service Home Care

In 1988, after working as a clinical nurse in the University Health System at UC San Francisco, Lucy Andrews started understanding home care. She became a discharge planner and immediately fell in love with the concept of home care and the autonomous clinical practice it affords nurses. Dr. Lucy was hooked and has been a strong supporter of home care ever since. Believing people need advocates in healthcare systems, she has championed that cause across the acute care and post-acute care setting.

Dr. Lucy has worked in every aspect of home care from Medicare Certified, DME, Infusion, Hospice and finally Private Duty/Private Pay services. She also works as a home care consultant across the country and as a legal nurse consultant for the home care industry. Having worked in all areas of home care, Dr. Lucy has a well-rounded perspective of the challenges facing patients, families and the home care industry, and as a provider she advocates for patients through the maze of health care services. Dr. Lucy celebrated over 37 years as a nurse and patient advocate.

Dr. Lucy has a Baccalaureate Degree in Nursing from Lewis University, Romeoville, Illinois. In 1994, she received her Masters of Science in Health Service Administration from St. Mary's University, Moraga, California. Dr. Lucy received her Doctor of Nursing Practice awarded in 2016, graduating with Distinction and a 4.0 GPA. She did her doctoral work on the global dementia crisis, aging and prevention strategies for healthy living. Developed dementia and Alzheimer's disease plans for aging patients leaving the hospital setting or entering long-term care or home health and hospice environments. She also developed a specialized program for those at risk for dementia and Alzheimer’s disease.

In 1992, Dr. Lucy was designated CAHSAH Certified Home Care Administrator in the inaugural offering of this designation through the California Association for Health Services at Home (CAHSAH). She is the founder and CEO of Creative Solutions Home Care Consulting Services and At Your Service Nursing & Home Care, a concierge nursing & home care agency that provides the services she believes are essential for seniors to age in place. She offers a higher level of care allowing people to be in their own homes with an emphasis on independence, safety, and quality of life.

Dr. Lucy is the Vice Chair of the Board of Directors for the National Association for Home Care and Hospice (NAHC) and sits on the Board of Directors for California Association for Health Services at Home (CAHSAH). She has served on the boards for both state and national board associations, and is currently on the following boards and committees: Board of Directors, California State Association for Health Services at Home (CAHSAH), 2002-present, National Association for Home Care and Hospice (NAHC's) Private Duty Home Care Association Director, and multiple state and national home care committees.

Dr. Lucy goes to Washington, DC, several times a year to advocate for senior services and home care issues. She was past Commissioner for the Sonoma Commission on Human Rights. She is past chair of the local Senior Advocacy Services.


After your registration has been processed you will receive a confirmation email within two business days containing a course syllabus and confidentiality agreement. Once CAHSAH has received your signed course documents in return, you will receive login information to access your on-demand course. A course manual will be shipped to you.

If you do not receive these emails please call CAHSAH at (916) 641-5795 ext. 113. Once you receive your login information you may immediately begin accessing your on-demand course. On-demand course content can be accessed 24 hours a day, seven days a week from any device that has internet connection. The On-Demand Start-Up Program for Private Duty comes with a total subscription length of six (6) months. If additional time is needed to complete the course, you may purchase an extension period of two weeks.

This course was recorded during a live workshop. The course was developed using sound and screen capture technology, allowing you to listen to the speaker as you follow along with the power point slides.

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