STRATEGIC PLAN LITE Deborah Bradbury

ENVIRONMENTAL ANALYSISTrend / Opportunity / Evidence Issue Threat

Impact on Probability of Organization Trend Continuing

Aging Population O 96% of population growth will be in the over 75Age group

8 8

76% of above will T Mercer report 8 8

Use HCBS

Desire to age in T 8 8

PlaceHospitals d/c early O Average length

of stay decreasingWealth in area O House prices

9 9

7 7

• Aging in place

• Funding

• Safety

CHALLENGES IN LONG TERM CARE

• Census

• Funding

• Competition

• Rebalancing

CHALLENGES FOR SNF’S

PROJECTED EFFECTS OF REBALANCING• If the Mercer projections are right in 2020 Killingly will have 479

Medicaid recipients and 76% of them will be using HCBS.

• That leaves 115 potential residents for RHD and Westview.

• Westview should have about 75 Medicaid beds available if their 25% Medicare census is maintained.

• RHD would have 40 of the residents.

• With the current Medicare census of 10% we would be down, in total, 131 beds.

• It is time to diversify.

Strengths Non –selectiveCommunity

Strengths Weaknesses

Non – selectiveCommunity orientedStrong corporate baseGood clinical skillsHighest acuity in area

OpportunitiesChange of use unoccupied beds Diversify Specialize

Poor reputationUnionizedNon – selectiveNo private roomsMixed population

ThreatsRebalancingNot part of ACONot first choiceNot physically appealing

COMPETITION

• Two SNFs in town

• RHD 190 beds 3 Star

• Westview 103 beds 5 Star

• % Occupancy RHD 86.3 Westview 98.1

• % Medicare RHD 10.0 Westview 25.2

• Public perception favors Westview

GOALS

• Increase average census by 10% in one year.

• Increase respite admissions to 10 per 6 month period.

• Create secure memory care neighborhood in 6 months.

• Create 6 permanent private rooms immediately.

INCREASE AVERAGE CENSUS BY 10% IN 1 YEAR

• Admissions/Marketing – biweekly visits to referral centers. Attempt to meet potential clients. Encourage local groups such as weight watchers to use facility for meetings. Invite local elderly to bingo night. Offer free flu shots. Highlight local employees in local paper.

• Administration – Attend town meetings. Evaluate ways to involve facility in the community such as wheelchair clinics. Create admission nurse and admission cna positions to control quality of admission experience.

continued

• Nursing – polish up customer service with role playing inservice. Smile at least 5 times a day. Leave personal issues at the door. Never air facility issues when in contact with resident or visitor.

• Recreation – Increase volunteers by 5 each month for 6 months. Incorporate spontaneous activities into the schedule. Invite families to attend as much as possible.

• All employees to provide a helpful positive experience consistently.

•

INCREASE RESPITE ADMISSIONS BY 10 PER 6 MONTH PERIOD

• No respite availability in the area.

• Advertise the facility and service.

• Hold open house to introduce service formally.

• Encourage spontaneous visits.

• Marketing and Administration responsible for initiative.

CREATE SECURE MEMORY CARE NEIGHBORHOOD

• No availability in area.

• Develop criteria with external partners.

• Design and implement physical changes.

• Decide how to staff neighborhood.

• Keep community apprised of progress.

• Encourage spontaneous visits.

• Administration, Marketing, and Maintenance bear the brunt of the work but all staff should be

• Part of the process.

CREATE 6 PRIVATE ROOMS IMMEDIATELY

• End of life care accomplished better in private room.

• Private pay should have private room.

• Complex short term residents need extra room.

• Serious infections should be in private room. Would allay fears if not co habited.

• Census consistently below maximum.

Timeline

CITATIONS• Strategic Rebalancing Plan: A Plan To Rebalance Long Term Services

and Supports. Retrieved from http//www.ct.gov/dss/lib/pdfs/frontage/strategic_rebalancing_plan

• Woodcock, C., Stockwell, I., Tripp, A., & Milligan, C. (2011, June 14). Rebalancing Long Term Services and Supports: Progress to date and a research agenda for the future. Baltimore, MD:The Hilltop Institute, UMBC.

• Mercer; CT DSS., (2008). State of Connecticut Medicaid Long Term Care Projections.