07/06/2026
Is Your Referral Route Plan Helping You Win…or Holding You Back?
One of the most difficult conversations we have with home care agencies is about their referral routes aka route plans aka where they're spending crucial business development time and at what level.
Many agencies continue investing the same amount of time, energy, and marketing dollars into referral accounts simply because those accounts have always been part of the 'plan/route'. Business development representatives continue making weekly visits or bi-weekly, dropping off marketing materials, buying lunches, and hoping that "this will be the week" a referral finally comes.
Unfortunately, hope is not a business strategy.
Think about professional sports for a moment. At the end of every season, successful organizations evaluate every player on the roster. Those decisions are rarely personal. They are based on one question: Is this player helping us accomplish our mission of winning championships?
The strongest teams don't continue investing equally in every player simply because they've been with the organization for years. They evaluate performance, potential, and the role each individual plays in helping the team succeed.
Your referral portfolio deserves the same level of discipline.
One of the healthiest habits an agency can develop is conducting a quarterly review of every referral relationship. I don't mean relying on gut feelings or assuming someone has been a good partner because they talk to you and the conversations are pleasant. I mean sitting down with the data and asking objective questions.
How many referrals has this account generated over the past quarter? How many of those referrals converted into clients? How much revenue did those referrals ultimately produce? Has the relationship become stronger, remained stagnant, or declined? Is this account strategically important because of future potential, leadership changes, or influence within the healthcare community?
Those answers should determine your strategy, not habit.
This doesn't mean every account that isn't currently referring should be eliminated from your route. Some relationships deserve continued investment because they are positioned for future growth or provide strategic value beyond immediate referrals. However, those accounts should receive a different level of investment than the referral partners who consistently entrust families to your agency.
One of the biggest mistakes I see agencies make is treating every referral source the same. Not every account deserves the same amount of face-to-face time. Not every relationship warrants the same marketing budget. Most importantly, not every account should occupy the same amount of space on your business development representative's calendar.
Time is finite. Marketing dollars are finite. Your team's energy is finite.
Every hour spent trying to revive a relationship that has produced little or no return is an hour that could have been invested in strengthening relationships with your highest-performing referral partners or cultivating new strategic opportunities.
We often tell business development professionals that their referral route/plan is much like an investment portfolio. Successful investors don't continue pouring money into underperforming assets simply because they've owned them for a long time. They periodically review performance, make adjustments, and reallocate resources toward investments that are producing results or demonstrating strong future potential.
Your referral portfolio deserves that same level of stewardship.
Backing away from an account doesn't mean burning a bridge. It simply means adjusting your level of investment. Perhaps that relationship shifts from weekly visits to bi-weekly or bi-weekly to monthly check-ins, receives your newsletter instead of lunch meetings, or stays connected through LinkedIn and invitations to educational events. The relationship remains intact, but your greatest investment is reserved for the referral partners who are actively helping your agency grow while serving more families.
Growth is rarely about doing more. More often, it's about becoming more intentional. The agencies experiencing the strongest, most sustainable growth are not the ones with the largest number of referral accounts. They are the ones that understand where to invest their limited resources for the greatest return.
As you prepare for your next quarter, I encourage you to audit your referral lineup. Let your decisions be guided by objective data rather than emotion or tradition.
The goal isn't to have the biggest referral route/plan. The goal is to have the strongest most strategic one integrating personal relationship development with business centered conversations.
We hope you found value,
Sarah Barker, Owner
Senior Care Sales Solutions
858-222-9241
[email protected]