The Behavior You Permit You Promote

June 9, 2023

 By Stephen Tweed 

This month is Company Culture Month for the Home Care CEO Mastermind Groups, and our Mastermind Town Hall will focus on creating a “Caregiver First” Culture.

You’ve read our posts before so you know that we define company culture as “The way we do things around here.”  And you also have heard me talk about the four elements of your company culture:

  1. The Leadership Style of the CEO
  2. The Core Values the Guide Your Decisions and Actions
  3. The Behavior you Expect
  4. The Behavior you Permit

Using our Values Worksheet, we’ve guided dozens of home care companies through the process of defining their core values, describing the behaviors that to with each of the values, and communicating those expected behaviors to all members of the team.

Holding Team Members Accountable

My wife and business partner, Elizabeth Jeffries, RN, CSP, CPAE is a world class Executive Coach. She coaches CEOs in large hospital systems, and she coaches Physician Leaders in academic schools of medicine at several esteemed universities. Elizabeth works with these executives on their leadership skills, and helps them develop relationships with the members of their leadership teams. Here favorite coaching is on-boarding new leaders as they move into a new role in the organization.

One of the elements of leadership that Elizabeth works with is accountability, and helping her coaching clients hold people accountable for what they committed to do. She has even developed a Seven Step Accountability Script that leaders can use to prepare that conversation. The seven steps are:

  1. Describe – the opportunity for developmental coaching
  2. Express – how you feel about this situation
  3. Question – what questions do you want to ask?
  4. Suggest – what outcomes you want
  5. Explain – the benefits to the person for this course of action
  6.  Ask – for commitment
  7. Account for: – what you will say to hold the person accountable

You can read the details of this process in Elizabeth’s newest book, What Exceptional Executives Need to Know. 

The Behavior You Permit You Promote

In developing her coaching process over the years, Elizabeth has developed a mantra that holds true for most situations. “The Behavior You Permit you Promote.”

This is very true when it comes to crafting your company culture. And when you are crafting an “Employees First Culture,” you will need to be observing the behavior of leaders toward their team members, and holding them accountable for demonstrating the behavior you expect.

We have learned over the years that it is very easy for leaders to speak the words that describe the company culture. It is much more difficult to demonstrate the behaviors that go with living your values. What do you do when a member of your team behaves in a way that is outside of your expectations? What do you say? What do you do? What are the consequences?

How do you hold Caregivers Accountable?

In today’s world of high turnover, no call – no show, and unreliable caregivers, how do you hold caregivers accountable for the behavior you expect?

While it is not easy, there are some steps you can take to increase the probability that your caregivers will behave the way you want them to, and they’ll stay with you.

Here are some specific concrete steps you can take to get your caregivers to buy in to your company culture and demonstrate the behaviors that you expect:

  • Communicate your company values in to your job ads
  • Build “Culture Fit” into your selection process
  • Use behavioral interview questions to determine how the applicants core values align with your company values
  • Focus on company culture in your on-boarding process
  • Train your office team members on the values and behaviors of your culture
  • Be very specific with caregivers about the behavior that is expected and the consequences
  • Make sure that your supervisors and managers are holding caregivers accountable
  • Ask very specific questions when having conversations about behavior.
  • Build your values and behaviors into your reward system. Reward caregivers for living your company values and expected behaviors
  • Enforce your expected behaviors and implement the consequences for bad behavior.
  • Use the Seven Step Accountability Script when having those conversations.

There is no magic answer to the process of implementing your culture and getting your caregivers to behave the way you want them to. But the companies we work with you are really focused on crafting their company culture are seeing measurable improvements in their ability to attract high quality new hires, and in retaining those new hires.

Another Mantra that has come out of our work:

“People who want to work, want to work with people who want to work.”

When you build an amazing culture of attraction and accountability, you’ll find that these suggestions really do work to find and keep the people you need to grow your business.

Discuss These Ideas with your Peers

One of the great ways to test these principles is to discuss them in depth with your peers, and learn from OPE – Other People’s Experience. You can do that by becoming a member of a Home Care CEO Mastermind Group. Nobody really understands what you are going through as a home care company owner except another owner of a home care company your same size.


This article is being re-published with permission of the writer, Steven Tweed:

Stephen Tweed, CSP, is an internationally known health care and business strategist, award winning professional speaker, and published author. He is the CEO of Leading Home Care… a Tweed Jeffries company and the Founder of The Home Care CEO Forum® and Caregiver Quality Assurance®.


If you need assistance with your homecare. home health or hospice agency or are looking to start and agency, Kenyon Homecare Consulting can help. Please call us today at 206-721-5091 or contact us online to see how we can make things easier for you!



Results Based Consulting

Did you find value in this blog post? Imagine what we can do for your home care or hospice agency. Fill out the form below to see how we're leading the industry with innovation, affordability, and experience.

Contact Us

controlling chronic diseases
By Ginny Kenyon April 25, 2026
In the rapidly evolving landscape of healthcare, the burden of care is increasingly shifting from clinical facilities to the home. As the population ages, the prevalence of chronic conditions—such as heart disease, diabetes, and respiratory disorders—has reached unprecedented levels. For home care agencies, the quality of service is no longer just about assistance with daily living; it is more and more defined by the clinical competencies and disease-specific knowledge of your field staff. Chronic disease education for home care staff is not a luxury, is a strategic necessity that directly impacts patient outcomes, caregiver confidence, and the business’s bottom line. 1. Enhancing Clinical Outcomes and Safety Home care staff are the "eyes and ears" of the healthcare system. When aides and clinicians are highly educated on chronic disease processes, they can identify subtle shifts in a patient's condition before they escalate into emergencies. · Early Intervention: An educated caregiver can recognize the early signs of fluid retention in a Congestive Heart Failure (CHF) patient or skin changes in a diabetic patient, allowing for proactive adjustments rather than reactive ER visits. · Medication Adherence: Understanding why a medication is prescribed for a specific chronic condition helps staff reinforce the importance of adherence to the patient, reducing the risk of complications. 2. Reducing Hospital Readmissions Hospital readmission rates are a primary metric for home health success. Chronic diseases are the leading cause of "revolving door" hospitalizations. By providing specialized education, agencies empower their staff to implement Evidence-Based Practices at the bedside. When staff can effectively manage symptoms and educate patients on self-care, the likelihood of a patient staying stable at home increases dramatically. This not only benefits the patient but also strengthens the agency’s reputation with referral sources like hospitals and physician groups. 3. Boosting Staff Confidence and Retention The home care industry faces significant challenges with staff turnover. Often, burnout is fueled by the stress of feeling unprepared for complex patient needs. Knowledge is Empowerment: When staff members receive robust training, they feel more confident in their roles. This professional growth fosters a sense of value and belonging within the organization, leading to higher job satisfaction and lower turnover rates. 4. Improving Documentation Accuracy In an era of increased regulatory scrutiny, clinical documentation must be precise. Education on chronic diseases ensures that staff members use the correct terminology and focus on the most relevant clinical indicators during their assessments. · OASIS Accuracy: For Medicare-certified agencies, a deep understanding of chronic conditions leads to more accurate OASIS scoring, which directly influences reimbursement and quality ratings. · Audit Readiness: Well-educated staff produce notes that clearly reflect the necessity of care, making the agency much more resilient during regulatory surveys or audits. 5. Bridging the Communication Gap Effective chronic disease management requires a multidisciplinary approach. A caregiver who understands the nuances of a disease can communicate more effectively with: · Physicians: Providing clear, clinical updates that help doctors make informed decisions. · Family Members: Offering clear explanations and peace of mind to stressed family caregivers. · The Internal Team: Ensuring a seamless transition of care and consistent messaging across all disciplines. Conclusion Investing in chronic disease education is an investment in the agency’s future. By elevating the knowledge of the frontline workforce, home care providers can transform from basic service agencies into high-value clinical partners. In the end, the goal is simple: providing the highest quality of life for patients in the comfort of their own homes, a goal that can only be met through a highly trained and knowledgeable staff. If you do not know where to get comprehensive education for Chronic diseases, contact Kenyon Homecare Consulting at gkenyon@kenyonhcc.com or call 206-721-5091. We are here to help
call to action
By Ginny Kenyon April 11, 2026
In the world of digital marketing, the most critical moment of the entire customer journey often comes down to a tiny rectangle: the Call-to-Action (CTA) button.
job descriptions
By Ginny Kenyon April 7, 2026
When you're recruiting talent for your agency finding people with the required technical skills is the baseline, but vibe and vision are the differentiators.
business plan
By Ginny Kenyon April 1, 2026
Whether you're pitching to investors or just trying to keep your own head on straight, a professional business plan is vital. Here's help in putting one into place.
firingiring
By Ginny Kenyon April 1, 2026
Hiring the "right" person isn't just about finding someone who can do the job; it's about finding someone who makes the rest of the team better. Headcount matters.
sales and marketing strategy
By Ginny Kenyon March 28, 2026
In the modern business world, sales have evolved beyond a mere transaction. It is a sophisticated blend of psychology, problem-solving, and relationship management.
home care
By Ginny Kenyon March 26, 2026
Selling home care isn't like selling a car; you are asking for permission to enter someone’s private sanctuary and care for their most vulnerable loved ones.
policy and procedure manuals
By Ginny Kenyon March 21, 2026
A current and complete Policy and Procedure (P&P) manual is more than just a requirement; it is the fundamental blueprint for safety and organizational excellence.
Dos and Don'ts of starting an agency
By Ginny Kenyon March 13, 2026
Whether offering non-medical or skilled medical care home health, the process requires careful navigation of state-specific legalities, staffing, and operations.
Help Wanted
By Ginny Kenyon March 11, 2026
The home care industry is in a "perfect storm." While demand for “aging in place “is at an all-time high, the industry struggles with the workforce to meet it.