Less Firefighting, More Focus Home care leaders didn’t enter the industry to spend their days reacting to emergencies, chasing missed calls, or patching last-minute schedule gaps. Yet for many agencies, leadership time is consumed by constant firefighting—after-hours issues, caregiver callouts, EVV exceptions, and escalations that pull focus away from strategy, growth, and culture. Over time, this reactive mode creates burnout at the top and instability throughout the organiz