Accra President and CEO
In 2022, Accra continued to work toward our mission of improving lives by providing individualized homecare services and support to people living at home by providing quality homecare to clients throughout Minnesota.
Despite facing continued challenges in the homecare industry, including increased workforce pressures, regulatory changes, and rising costs, Accra achieved remarkable results. Our revenues increased by 7.4% to $341.7 million. I am thrilled to share that in 2022, Accra continued to achieve a positive Return on Mission (ROM) of 0.91%, consistent with last year.
This positive Return on Mission was made possible through various strategic initiatives:
We expanded our operations to reach even more individuals, aligning with our mission.
By optimizing our administrative and overhead expenses, we reduced indirect costs, allowing us to allocate more resources directly to our clients’ care.
Through a targeted effort to manage overtime and implement compliance measures, we successfully curbed direct costs, ensuring efficient service delivery.
We proactively pursued Federal COVID relief funds, which played a crucial role in offsetting the additional costs incurred by regulatory changes.
During the 2023 Minnesota legislative session, our public affairs team successfully advocated for an increase in the PCA-Choice wage to $19 per hour, starting January 1, 2024. This wage increase is a significant step forward, and we remain committed to providing fair compensation for our caregivers.
Our public affairs team also successfully advocated for an increase in the PCA reimbursement rate to offset the increase in caregiver wages. Unfortunately, the reimbursement rate did not increase at the same rate as PCA-Choice wages, so our operating margins will be even tighter in the future.
The evolving landscape of healthcare continues to inspire us to seek external collaborations. We are actively pursuing partnerships that align with our vision of creating an ecosystem focused on delivering personalized care in the home, tailored to the unique needs of those underserved by the current healthcare system.
Additionally, we are preparing for executive team transitions in the coming years and have expanded our leadership team to include a group of talented senior directors who will help guide us through this period of change.
I am proud to report that Accra is well-positioned to continue fulfilling our mission in the years ahead. I am profoundly grateful for the unwavering dedication of our employees and caregivers whose passion and commitment drive our success. Together, we are positively impacting the lives of our clients and communities across Minnesota.
Celebrating 30 Years of Service
CFSS expected to launch in 2024
Accra Access debuted in Q1
Increasing PCA Wages
Broadening Legislative and Public Affairs Efforts
Appointing a Chief Technology Officer
In January 2023, Timothy Jones was promoted to Chief Technology Officer.
With Chief Operating Officer Sue Morgan announcing her plans to retire at the end of 2023, the Accra executive team has been engaged in succession planning.
In response, Accra announced the promotion of several Directors to Senior Director positions. These promotions, which include reassignment of Sue’s current assignments among these individuals, are as follows:
- Peter Noss to Senior Integration Director
- Rochelle Wodarz to Senior Program Director of PCA/CFSS and Compliance
- Tyler Langenfeld to Senior Program Director of Strategic Development
- Valerie Patino to Senior Program Director of FMS and Mental Health
- Hannah Rutt to Senior HR Director
Personal Care Assistance (PCA) Choice
Self-directed Personal Care Assistance (PCA) Choice services are available to children and adults with disabilities, chronic diseases, behavioral diagnoses and mental illnesses who need assistance with personal care in their homes or in the community. PCA caregivers help with “activities of daily living,” such as dressing, grooming, eating, bathing, transfers, mobility, positioning and toileting, as well as light housekeeping, laundry and meal preparation. The PCA Choice option gives clients a greater level of responsibility in managing their care, while Accra helps handle the employment and management-related functions of the PCA.
Financial Management Services (FMS)
Accra’s Financial Management Services support individuals with long-term care needs or disabilities to easily hire and employ caregivers under the consumer-directed community supports (CDCS) program or the Consumer Support Grant (CSG). In each of these programs, Accra helps participants directly employ caregivers and purchase other supports that they need for living in the community. Accra helps participants determine how their program budget is used, receive approval from their county case manager, hire their own employees and choose their own service vendors. Accra then handles all required employer and employee paperwork, payroll, vendor payments, reimbursements, claims processing, tax filings and workers’ compensation on behalf of the individual.
245D Waivered Services
Accra is a Basic 245D licensed provider of Individualized Home Supports (IHS) without training, respite, homemaker, night supervision and Individual Community Living Support (ICLS) Services. In each service, the person or family selects a trusted, qualified worker suited for their homecare needs. Accra then assigns a 245D Accra Service Coordinator to work with the client and their county case manager to set up and administer Basic 245D Waivered Services while ensuring that all workers are properly trained.
In 2022, Accra began offering Individualized Home Supports (IHS) with training, which is an Intensive 245D Service. IHS with Training provides support and training to adults who require assistance in at least one community living services category. These service categories include community participation, health and wellness, household management and adaptive skills. Accra matches each client with a fully trained and qualified IHS Designated Coordinator who helps them achieve their stated outcomes and goals.
Home Health Care
Home Health Care consists of medical and health-related services and assistance with day-to-day activities, including professional nursing services, home health aide services and rehabilitation services, which maintain the security and safety of people living at home. Accra primarily provides Home Health Care services to people requiring continuing care for chronic needs. (Home Health Care is only available in select locations.)
Individual Therapy & ARMHS
Accra provides in-person therapy at our Minneapolis, Duluth, Hibbing and Virginia clinics, and we offer virtual therapy via telehealth to clients throughout Minnesota. Our licensed therapists provide individual therapy for a variety of mental health issues. Therapy services are available in either an office setting or by mobile health, depending on our client’s preference.
Accra also provides adult rehabilitative mental health services (ARMHS) throughout the seven-county Twin Cities metro area and in St. Louis County. ARMHS help in areas such as medication education and monitoring; developing symptoms management skills; household management; and employment-related or community living transitions. Supervised by mental health professionals, ARMHS can be provided in an office setting or in a client’s home, based on client preference. Current office settings are available for adults in Minnetonka, Hibbing and Virginia.
Senior Assisted Living
Accra High Street House in Lake City offers a quaint assisted living community with comfortable apartments. At High Street House, Accra partners with each resident to create a personalized plan tailored for their specific healthcare needs.
The Private Pay program allows people to buy homecare services with their private dollars when they are not covered by other payers. Individuals are responsible for finding their own employees, and once they do, Accra will assist them with employee paperwork, record-keeping and payroll duties.
Community First Services and Supports (CFSS)
Community First Services and Supports (CFSS) is a new self-directed option being developed by the State of Minnesota to offer those who require home services more choice, control and flexibility with the services and supports needed to live and work in the community. CFSS, when implemented, is intended to replace the current Personal Care Assistance (PCA) program and the state-funded Consumer Support Grant (CSG) benefit.
Accra will offer Consultation Services, a part of CFSS that will help all participants (or the participant’s representative or family member) make informed choices about CFSS. The consultation services provider will support participants by providing instruction on CFSS, the service delivery models and self-directing skills. The provider will also offer guidance in becoming a participant-employer, assist with developing the required service-delivery plan, and obtain approval of the plan when applicable.
As one of the most experienced providers of PCA Choice and FMS in Minnesota, Accra will provide homecare services under both the CFSS agency and budget models. We will serve clients using whichever model they prefer when CFSS is implemented.
John Dahm, President and CEO
Susan Morgan, Chief Operating Officer
David Hancox, Chief Administrative Officer
LeAnn Frette, Chief Financial Officer
Amy Hilsgen, Chief Human Resources Officer
Tim Jones, Chief Technology Officer
Senior Leadership Team
Peter Noss, Senior Integration Director
Rochelle Wodarz, Senior Program Director of PCA/CFSS and Compliance
Tyler Langenfeld, Senior Program Director of Strategic Development
Valerie Patino, Senior Program Director of FMS and Mental Health
Hannah Rutt, Senior HR Director
Board of Directors
Chairperson: Mark Heston, Founder and CEO, Heston + Associates Consulting
John Dahm, President and CEO, Accra
Steve Suckow, ESOP Specialist, BMO Harris Bank
Monica Theisen, Senior Audit Manager, Eide Bailly LLP
Robin Brown, SVP, IT, Cirrus Aircraft
Mike Neill, CTO, C.H. Robinson
Bonnie Hays, Manager, Hennepin Health Plan
Christianna Finnern, Shareholder, Winthrop & Weinstine
Mike Holz, Vice President, SureScripts, LLC