Lakeland Health Care Center 2015 Budget Preparation

1. Lakeland Health Care Center 2015 Budget Preparation The Impact & Importance of Cultural Change May 21, 2014

2. “Policy makers and health care providers increasingly recognize that coordination between acute care hospitals and post-acute providers is essential to improving the overall quality of care and reducing health spending.” Rich Umbdenstock, President & CEO, AHA Medicare’s Shared Savings Program

3. LHCC Team Meetings • Quality Assurance Committee Meetings • Medicare “Stand Up” Meetings • Safety Committee Meetings • Care Conference Planning Meetings • Process Improvement Planning (PIP) • Triple Check Meetings • Toilet Talk • Open Door Policy It takes 5 – 7 Years to change culture.

4. Resident Centered Care • Consistent Assignments • Food Service Assignments • Resident Service Workers • Accountable Care Organizations (ACO) It’s time to tie it all together.

5. Five-Star Rating • Program Specialties • Staffing – esp. RN Staffing • Therapy Provision (5-6-7 days per week) • Electronic Health Care Record • INTERACT Deployment and Use • 30 – 90 Day Readmission Rates • Survey History • Community Discharge Rates • Ability to Admit 24/7 ACO Sample Selection Criteria

6. Certified Medication Assistants • Specialized Teams and Programs • Scheduling Practices • Medical Records – New Coding System • The Dementia Care System Redesign Plan Staff Budget Prep Discussions

7. We no long hear “it can’t be done.” • Everyone from the treating physician to the cleaning staff has a role to play in optimizing efficiency. • The maintenance and dietary employees form important relationships with the residents. Cultural Change – We’ve Come Along Way!