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co-op.care Operations

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co-op.careOperations

The pulse

Where the operation stands right now

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People counted (hands raised)
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Circles seeded
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Circles active (≥5)
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Real intake leads

Demand pipeline · by source

SourcePeople
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Circles

PlaceMembers
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Aggregate, PII-free (SECURITY-DEFINER RPCs: coop_counted(), coop_pipeline(), public local_circles). Individual member records, care plans, and health data live behind the auth + HIPAA layer — not here, by design.

The coordinator's week

The recurring cadence — this is the job

Move the pipeline

  • Contact every new lead within 48 hours — a real call, warm, no pitch.
  • Assess & sort — what do they need, what door are they (family / housemate / host / caregiver).
  • Make a match when both sides are vetted and it fits (see the Manual).

Keep people safe & supported

  • Facilitate the first video meet — you sit in; your job is to notice if it isn't right.
  • Check-in at 1 week and 1 month on every live match — mediate early, while it's small.
  • Verify the financial firewall is understood and in the agreement, every time.
  • Watch for the flags — isolation, money pressure, a changed mood. Escalate to APS if anything feels wrong.

The operating manual

How to run a node — appropriately

Making a match (the HIP Housing way — software + a human)
  1. Compatibility, not a vacancy — both complete the profile (rhythm, tidiness, quiet hours, hours/help, hard-no's). careho.me pairs on fit.
  2. Vet both ways — ID verification + criminal background check + references. Required, not optional. The host is verified too.
  3. A person facilitates — a care companion sits in on the video meet. Pure-platform matching (Silvernest alone) is riskier for a vulnerable elder; the human-in-the-loop is the safeguard.
  4. Trial + agreement — 2-week trial, terms in writing (careho.me/agreement), 30-day notice either way.
  5. Follow up — 1 week, 1 month, then on. Full safety detail: careho.me/safety.
The safety protocol — protecting a vulnerable host
  • Financial firewall (non-negotiable): the housemate/caregiver NEVER handles the resident's money — no checkbook, cards, accounts, banking, "just this once." Written into every agreement. (Over half of elder financial abuse is by someone close — design it out.)
  • Companion check-ins = the early-detection tripwire (1wk / 1mo / ongoing).
  • Circle, not isolation — widen the elder's world; family + the local circle stay in the loop (more eyes = checks and balances).
  • Cognitive-capacity guard — if memory is a concern, a family member or proxy (or the Rossmoor physician's letter) is part of the arrangement from the start; never place a vulnerable-cognitive elder solo.
  • Exit + escalation — easy to end in the trial; a direct line; and help reaching Adult Protective Services if anything feels wrong.
The funding flow — one letter, every payer
  1. The medical director issues one physician's letter (LMN) — help with 2 daily activities or memory loss.
  2. It does double duty: satisfies the caregiver-exception (e.g. Rossmoor's Permitted Health Care Resident) AND unlocks the funding stack.
  3. comfortcard runs one screener → sorts the resident into HSA / cash-LTC / Medicare Advantage / VA / IHSS.
  4. The wallet pays the caregiver from whatever they qualify for. co-op.care is the Fiscal/Employer Agent — payroll, taxes, workers' comp, background checks — so the family is never a compliance-bearing employer.
The two lanes (never merge)
  • Care Token — 1 banked hour = 1 token, at par, closed-loop, never cashable / sold / appreciating (keeps it out of securities + money-transmitter law). For reciprocity beyond your own circle.
  • Dollars — paid care (Medicaid self-direction, WA Cares, private pay). What appreciates is patronage equity, never the token.
  • Family care is tracked, not tokenized — logged for coordination, routed to dollars, never mints spendable tokens.
Compliance & voice
  • Roles, not names — never name the medical director or any partner publicly; "the medical director," "a physician partner."
  • Intensity is private — the ARCHANGELS caregiver-intensity score is never exposed; the public badge celebrates identity only.
  • Honest credibility — "MD with deep clinical training," never "practicing physician"; verifiable claims only.
  • LMN geography — the medical director's license limits which states LMNs may issue in; confirm before issuing outside CA/CO/VA/LA.

The toolbelt

Everything you run the node with

The surfaces

cottagecareho · browse roomsthe homeshare match diversity_1careho · recruit caregiversthe supply door + flyer shield_personcareho · safetythe matching + protection model walletcomfortcardthe wallet + funding screener mapRossmoor playbookthe first-node plan groupsthe circle roomwhere a community lives holiday_village/villagestart/join a circle printprintable flyersdementia pilot + caregivers

External · contacts & rails

support_agentGolden Rain Counseling925-988-7750 · Rossmoor referrals
badgeContra Costa IHSS PA800-510-2020 · caregiver registry
emergencyAdult Protective Servicesescalation if abuse suspected
gavelJason Wiener P.C. (Denver)co-op / federation counsel
databaseSupabase (uhizqukd…)the backend

The guardrails

Lines we do not cross

No real money, KYC, EVV, or PHI until the licensed vendor + legal + HIPAA layers are in place. This ops hub stays aggregate + PII-free until then.
The financial firewall is absolute — no caregiver ever touches a resident's money.
Two lanes never merge — the Care Token is never cashable or marketed as appreciating; family care is never tokenized.
No one's care-intensity is ever exposed; roles not names in public; honest credibility always.
Counselor-facilitated, never an anonymous marketplace — a human is always in the loop for a match.