Proposal for New Long-Term Care Services

Melissa R. MyersHCS 325

July 27, 2015Michele Lardieri

Introduction

This presentation represents the proposal for long-term care services within our establishment. It is my opinion that expansion of our facility to cover long-term care services will greatly assist in not only expanding our brand name but will also prepare our establishment for future population shifts, changing trends and community needs. Therefore, I present this proposal to the board of directors in hopes of creating a shared vision for our organization.

Communication Methods of Mangers Board of Directors

Executives

Short-term

director

Inpatient manager

s

Care manager

s

Support staff

Outpatient

managers

Care manager

s

Support staff

Long-term

director

Long-term

mangers

Care manager

Support staff

Monthly

Face to face

Skype

Weekly

Conference call

Email

Daily

Email, text,

memo,

Face to face

External and Internal Relationships

External Community need

Competition

Licensure requirements

Medicare/Medicaid

requirements

• Internal• Budgeting

• Staff development

• Developing new

services

• Patient care

Strategic Planning Process

S.W.O.T.

• Expansion • Revenue• Work along

continuum• Media coverage

• Not meeting trends in care

• Other LTC facilities

• Only assist short-term patient's.

• Loss through continuum

• Not ready for the future trends

• Large facility• Established• Ready to expand

to meet trends

Strength Weakness

OpportunityThreat

Overall Plan Change StepsStrategy

identification

• LTC outpatient and/or

• LTC inpatient

• New facility or• Addition to current

facility

Tactics

• Change team established

• Fund raisers• Expansion plans

drawn• Develop change

team• New LTC director

established• Staffing needs• Physicians est.

• Comply with Medicaid

• Establish needs for department

Implementation

• Change team• Add wing to existing

facility by mid 2017• 25 LTC beds per

100 STC• Media efforts • LTC director chosen

early 2017• Hire and train staff

by wing opening in early 2018

Monitoring and control

• Media reaction• Social Media

• Employee satisfaction/ opinion

• Community opinion surveys

Potential Strategies for Change Minimizing Conflict

Transparency with all staff Management change opinions and

ideas

Explain incentives of change

Employee opinion surveys

Promotion from within for departments

Educational incentive

Conflict Strategies and Managers Roll

Action

Attitude of openness

Stress manageme

ntMediate

Reflect

Ethical Issues

• Ethics committee• Education• Ethical administrative and clinical

practice rules and regulations • Mission statement

Code of conduct

• Solar panels• Recycling • Philanthropy• Smoke free campus

Green responsibili

ty

Financial and Human Resource Issues

Acquisition Development

Compensation

Maintenance Evaluation

Staff satisfaction

• Attention• Productivity• Training• Turnover

Management effectiveness

• Motivations• Leadership• Lack of

communication

Environmental Influences Related to Health Care

Tracking and Evaluation of Progress Methods Meetings with change team, executive manager and board of

directors Plan implementation Monthly

Deadlines Shortfalls Problems

Immediate meetings for serious situations via Skype or in person

Conclusion In this presentation, I have presented many aspects required to appropriately expand our establishment to include long-term care services. By including long-term care services within our establishment, we are preparing ourselves for future trends, increased revenue and answering the call for change within our community. It is my vision for the board of directors to allow this addition of long-term care services and begin implementing this plan for change immediately.

References

Agency for healthcare research and quality. (2014). Retrieved from

http://www.ahrq.gov/professionals/education/curriculum- tools/teamstepps/instructor/essentials/

implguide1.html#steps

American college of health care executives. (2011). Retrieved from https://www.ache.org/policy/decision.cfm 

Buchbinder, S. B., & Shanks, N. H. (2012). Introduction to health care management (2nd ed.). Retrieved from The

University of Phoenix eBook Collection

College of nurses of Ontario. (2009). Retrieved from http://www.cno.org/Global/docs/prac/47004_conflict_prev.pdf

Feigenbaum, E. (2015). Chron. Retrieved from http://smallbusiness.chron.com/organizational-structure-hospitals-

3811.html

References

Kwak, J. (2014). American society on aging. Retrieved from http://www.asaging.org/blog/future-long-

term-care-and-aging-network

Mack, S. (2015). Chron. Retrieved from http://smallbusiness.chron.com/change-managementstrategies-

can-used-future-organizational-changes-35475.html

Mote, D. (2015). Reference for business. Retrieved from

http://www.referenceforbusiness.com/encyclopedia/Gov-Inc/Human-Resource-Management-

HRM.html

Stone, P., Hughes, R., & Dailey, M. (2008). Patient safety and quality: an evidence-based handbook for

Nurses. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK2634/.