embracing change — transitions of care and of ourselves · embracing change — transitions of...
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Embracing Change —Transitions of Care and of Ourselves
Post-Acute Care Conference Creating Pathways of Care – How Post-Acute Care Will Meet the Challenge of Reform
January 30, 2014
L. Greg CunninghamCEO
American Case Management Association
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With respect to impending change:
• How to observe the past and the present
• How to plan for change
• Why create your future in the midst of change?
• Where can I find resources to support change?
• R6
Overview
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Observe the Past and Current Trends
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Predict and Prepare For Things We Fear
• Where is money flowing freely?
• What small insinuations are made in meetings regarding
post acute?
• Who are the power brokers and what are your greatest
weaknesses that can be exploited?
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Know your Benchmarks and Trends
• Key performance measures
• Top challenges
• Staffing/Salaries
• Budgets
• Industry News/Outcomes – especially the “Exalted” ones
• Be able to speak knowledgeably about them
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Key Performance Measures
2013 ACMA National Hospital Case Management Survey | This data and information is the property of the American Case Management Association (ACMA). Use of this data without ACMA permission is prohibited.
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Top Challenges
2013 ACMA National Hospital Case Management Survey | This data and information is the property of the American Case Management Association (ACMA). Use of this data without ACMA permission is prohibited.
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Days of On-Site Coverage
2013 ACMA National Hospital Case Management Survey | This data and information is the property of the American Case Management Association (ACMA). Use of this data without ACMA permission is prohibited.
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Hours of Coverage
2013 ACMA National Hospital Case Management Survey | This data and information is the property of the American Case Management Association (ACMA). Use of this data without ACMA permission is prohibited.
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Department Funding
2013 ACMA National Hospital Case Management Survey | This data and information is the property of the American Case Management Association (ACMA). Use of this data without ACMA permission is prohibited.
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Past vs. Present
• More people to take referrals from
• More hours and days of week requiring referral response
• Scope of responsibility is now the top challenge in Case
Management – its likely the same in Post Acute, “Do more
email”
• Forced collaborations - silo doors are being forced open
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Plan for Your Future
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Workplace
• Identify barriers and areas of concern – includes leadership,
resources, outcomes
• Create and file process documentation and outcome DATA!
• Create an emergency plan and prepare yourself to implement if
needed
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Community
• Expanding “outside the walls” – create a model that addresses appropriate staffing, scope/duties, outcome monitoring beyond inpatient (25-50% of staff will be focused on outpatient services)
• Connecting using new technology – identify communication /data needs and capital budget needs (you will need a consumer-based tool for communication and patient compliance monitoring)
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Community
• Developing partnerships (solutions for gaps – behavioral,
homeless, funding)
• Improving education for patients and families – proactive
community education programs regarding disease processes
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Community
• Seek to integrate patient
needs with the technology
at hand
• Be aware of new
technological developments
that facilitate patient/family
engagement
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Personal Goals
• Determine your personal and professional goals within a
timeframe - write it down
• Advancement - career ladder or new profession
• Certification - future governmental role
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On Capitol Hill/Environment
• Health care reform - “rationing will get worse – prepare for it”
• Budget cuts to CMS - the U.S. cannot sustain the expenditures
• Immigration reform - high budget dollars needed and they will
need to come from somewhere – CMS has the bulk of dollars
considered for budget neutral bills
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Create Your Future
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Action and Risk Taking Can Produce Results
What will you decide to do?
• The hesitant chapter board member
• The establishment of ACMA
• The success of hospitals who pioneered community outreach initiatives - Kaiser, Sutter, Geissinger
What we definitely know is inaction and no risk taking produces nothing new!
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Practical Application
• Arrange meetings with your administration
• Get more involved with your local professional
societies/network
• Educate your state and federal representatives – story telling is
extremely powerful from constituents
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Create Your Future
• Be proactive and take action
• Be tenacious and do NOT give up
• Influence leadership/culture with information, reputation
outcomes and role modeling
• Influence the environment/legislature and regulatory
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Where Do I Get Support for the
Future?
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Support
• Professional Associations - Nursing, SNFs, Rehab, Home
Health
• Elected Officials Staff Resources
• CHA
• Peer Networking and Colleagues outside of your industry
• Newsletters, Periodicals, List Serves and even Job Boards?
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This is the Time