Why I Chose Consulting in Home Health and Geriatrics

I came to consulting after years of working in home health and geriatrics, not because I was looking for a new title, but because I kept seeing the same problems go unresolved.

After more than a decade in this space, a clear pattern emerged. Well-intentioned solutions often missed the mark, not because they lacked innovation, but because they weren’t built with the realities of care in mind.

Home health is where healthcare theory meets real life. Care happens in cramped apartments, rural farmhouses, and everything in between. It happens with limited equipment, tight timelines, and patients whose lives don’t neatly fit into clinical pathways. Over time, working as a physical therapist in this environment reshaped how I understood care, not just as an intervention, but as a system.

And that system is under strain.

As healthcare increasingly shifts into the home and focuses on aging populations, the gap between product design and clinical reality has become harder to ignore. I’ve watched promising tools struggle with adoption. I’ve seen clinicians burdened by workflows that look good on paper but fall apart in practice. I’ve seen older adults and caregivers asked to adapt to systems that weren’t designed for them.

What stood out wasn’t a lack of effort or intelligence. It was a lack of early clinical perspective in decision-making.

Over time, I found myself drawn to conversations beyond the visit itself. I wanted to understand why certain tools existed, how decisions were made upstream, and what assumptions were shaping product and strategy choices. Often, I could see where things would break long before they did, not because I was smarter, but because I had lived the constraints firsthand.

Home health clinicians don’t have extra time. Reimbursement realities matter. Workflows matter. Human behavior matters. Ignoring those truths doesn’t just slow adoption. It undermines outcomes.

That realization ultimately pulled me toward consulting.

Consulting allows me to bring clinical insight closer to the point where decisions are made, early, when changes are still possible and far less costly. It lets me help teams pressure-test ideas against real-world conditions, align solutions with how care is actually delivered, and ensure that products meant to support older adults and clinicians truly do so.

My background as a physical therapist and board-certified geriatric clinical specialist shapes how I approach this work. Geriatrics teaches you to think in complexity, to value function over flash, and to design for long timelines rather than quick wins. Home health teaches you humility, because the environment always has a say.

I believe the future of healthcare will be increasingly home-based, technology-enabled, and outcome-driven. But for that future to work, solutions need to be grounded in clinical reality from the start, not retrofitted later.

This is why I chose consulting in the home health and geriatric space. Not to step away from care, but to support it differently, by helping build smarter, more durable solutions that respect the people and systems they’re meant to serve.

If you’re building solutions for home-based care or aging populations and want clinical insight early in the process, I’d love to connect.