|| Print ||
|Articles - July 2010|
|Thursday, June 24, 2010|
Page 2 of 3
Felicia Barza is sitting at a table in the Lake Oswego foster home she has operated since 2002.
“In Romania, you take care of your mother, your grandmother, your great-grandmother,” the 62-year-old says. “My great- grandmother died in my arms when I was 7. I was so proud.”
The former director of an auto parts warehouse in Transylvania, Barza landed in Anaheim in 1993, where her daughter had emigrated a few years earlier. “Then somebody told me about foster homes in Portland,” she recalls. “I thought the best thing was to be a caregiver because then I [spoke no] English.”
Adult foster care is a relatively small and unknown entity in the long-term adult care industry. There are few statistics indicating the size and demographics of the Oregon market. In 2008, foster homes served about 4,000 of the state’s 27,000 long-term-care Medicaid clients, a sector valued at about $1.1 billion. Another 5,000 foster-care residents pay out of pocket, and many homes serve both Medicaid and private-pay clients.
Unlike nursing homes, adult family dwellings are real houses in residential neighborhoods, often modified with additional rooms, baths and safety features. Although most foster-care providers are not medical professionals, each home is assigned a nurse who delegates tasks such as dispensing medication. In Oregon, the state regulates the industry, with the exception of Multnomah County, where the county wields jurisdiction. Regulators issue licenses to foster-care operators based on the level of care they have the training and experience to provide.
At her establishment, Felicia’s Adult Care Home, Barza attends to five seniors who need help in almost all aspects of daily living: eating, toileting, bathing and behavior management. With the help of a live-in assistant — a Romanian man who grew up in a Transylvanian monastery — Barza also cleans house, does laundry and cooks three meals daily, including native specialties such as chicken paprikash.
Then there is the constant stream of people — case managers, social workers and family members — going in and out her door.
“This job is 24 hours a day, seven days a week,” says Barza. “It’s a good living, but I’m not going to be a millionaire.”
In an era of skyrocketing health care costs, relative affordability is one of the foster-care industry’s key selling points. Nursing homes cost about $7,500 a month; foster care, by contrast, runs about $3,500 to $5,000. Medicaid reimbursement rates reflect a similar divide. The state pays about $6,500 per month for nursing home care and $1,800 for foster care. The cost differential is a source of aggravation for foster-care operators, who believe Medicaid compensation for their services should be higher. But the lower reimbursement rates also mean Oregon saves hundred of millions of dollars by placing Medicaid clients in foster homes instead of nursing facilities.
This year, there are 2,755 Medicaid residents in adult foster care. That saves the state about $158 million, according to an analysis by the Oregon Department of Aging and Disability Services.
But the inherent challenges of caring for the elderly day and night can also lead to complications and complaints. In 2009, there were 700 complaints registered against adult foster homes, including rule violations and allegations of abuse; 27% of those allegations were substantiated. In nursing home and assisted- living facilities, by comparison, about 33% of the total allegations were substantiated.
To understand how Romanians came to dominate the public and private foster-care markets, start with the community’s unique set of assets. The first-generation Romanian refugees who immigrated to Portland seeking religious freedom were well educated, with doctors, engineers and business people among the ranks. Their language is also of Latin origin; unlike Laotian and Ethiopian refugees, Romanians didn’t have to learn a new alphabet.
Other transferable skills have helped the Romanians succeed. Raised in a communist country noted for its economic and political hardships, the Romanian émigrés share a history of depending on family and friends. Those shared values have translated into a useful strategy for building a family-based, community care industry.
Fashionable in black boots and jeans, 36-year-old Lidia Pap is a good example of the Romanian foster-care network as well as second-generation provider trends. She learned the business growing up in her parents’ adult foster home and now owns her own residence, Just Like Home, on a blueberry farm in Wilsonville, one of a growing number of luxury foster homes springing up in the suburbs.
Wednesday, August 19, 2015
BY LINDA WESTON
In 1996, after a 17-year career in the destination marketing industry, where I gained national standing as the CEO of the Convention & Visitors Association of Lane County, I was recruited by the founders of a new professional basketball league for women. The American Basketball League (ABL) hoped to leverage the success of the 1996 USA women’s national team at the Atlanta Olympics — much like USA Soccer is now leveraging the U.S. Women’s National Team’s victory in the World Cup. The ABL wanted a team in Portland, and they wanted me to be its general manager.
Monday, July 13, 2015
BY KIM MOORE
A conversation with Greg Lambert, president of Mid Oregon Personnel Services.
Wednesday, August 19, 2015
BY KIM MOORE
A conversation with Chris Maples, president of the Oregon Institute of Technology.
Friday, August 14, 2015
BY JACOB PALMER | DIGITAL NEWS EDITOR
17 airlines make stops at Portland International Airport, but not all are created equal when it comes to customer service.
Wednesday, July 15, 2015
We asked readers how Obamacare has impacted their business.
Wednesday, August 05, 2015
BY KEN MAES
A huge migration from Northern California has contributed to average 16% growth per year since 1990.
Monday, July 13, 2015
BY JACOB PALMER
Holding a Power Lunch at Veritable Quandary in downtown Portland.
|Child care challenge|
|Is there life beyond Reed?|
|Downtime with Jill Nelson|
|Storyteller in Chief: Power Player|
|Adidas produces special shoe for upcoming Timbers/Sounders match|
|Intel invests $60M in drone company|
|Congestion should be expected|
|How many devices are using Windows 10?|
|Aftermath of the Ashley Madison hack|
|Boy trips in art museum, rips $1.5M painting|
|U.S. stocks plummet|
Transforming the culture of Oregon’s educational leadership.
The Board dismissed a petition related to efforts to unionize the Northwestern University football team.
Every once in a while we receive a letter in the (fictional) mailbag that is tough to describe and quite compelling. This week, Isabel, the new HR manager at LabCo (and someone who is new to HR), wants to know whether she may fire the owner’s son for having an Oregon medical marijuana card. In passing, Isabel also makes a number of alarming admissions about her motivation. Here is Isabel’s nerve-racking question and our response to it.
Oregon Sick Leave is here, and changes to the federal white-collar worker regulations are on the way. This workshop will prepare you for both. We invite you to participate in an interactive discussion on how to start planning now for the future impact on your operations and finances.
Presented by OEN + CENTRL + YESpdx.
This Roundtable will cover numerous issues under the employer "shared responsibility" rules of the Affordable Care Act, including how to track the "full-time" status of variable-hour employees, temporary or seasonal employees, and employees who experience a change in status or a break in service. Additionally, we will provide a brief overview of Code sections 6055 and 6056, which require most mid-sized and large employers to submit their first information reports to the IRS in early 2016 regarding the health insurance coverage being offered to employees. We invite you to participate in an interactive discussion on how to prepare for the future impact of the shared responsibility rules on your operations and finances.