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Rising Storm in LTC How to Prepare for the Worst

Rising Storm in LTC How to Prepare for the Worst. Economic Squeeze Resource Shortage Workload Pressure Union Attack Government Interference. Economic Squeeze. Medicaid/Medicare catastrophe Labor Costs & Turnover Access to Funding. Medicaid/Medicare. 29. 25. 14. 5. Economic Squeeze.

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Rising Storm in LTC How to Prepare for the Worst

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  1. Rising Storm in LTCHow to Prepare for the Worst

  2. Economic Squeeze Resource Shortage Workload Pressure Union Attack Government Interference

  3. Economic Squeeze Medicaid/Medicare catastrophe Labor Costs & Turnover Access to Funding

  4. Medicaid/Medicare 29 25 14 5 Economic Squeeze

  5. Medicaid/Medicare $16.79 Economic Squeeze

  6. Labor & Turnover Costs Labor Costs: 70% Turnover rates: 40% - 166% CNA Turnover: 70% Costs: 25% of annual compensation Economic Squeeze

  7. Access to Funding Economic Squeeze

  8. Resource Shortage Aging of America High-Growth Market Fewer Trained Workers Hospital Releases

  9. Aging of America Population Over Age 65 (in Millions) 65+ 2000: 35 million 2010: 40 million 2020: 55 million 2030: 72 million 6.5% 65+ in residential care 72 55 40 35 Resource Shortage

  10. High Growth Market • Direct Care Workers 2nd Largest Occupational Group • New Job Growth: • Registered Nurses • Nursing Aides, Orderlies & Attendants • Community Care Facilities: up 31% • Nursing Care Facilities: up 28% Resource Shortage

  11. Fewer Workers 1,113,000 needed 850,736 available Needed Available Resource Shortage

  12. Hospital Releases 98% 1985-2000 1985 - 2000 Resource Shortage

  13. Workload Pressure Higher Acuity Staffing Litigation Pressure

  14. Higher Acuity Diabetes Deaths in Nursing Homes Alzheimers ADL Dependence ALL UP Workload Pressure

  15. Staffing Shortage Workload Pressure

  16. Litigation Workload Pressure

  17. Union Attack Survival Requires Growth Markets Targeted Campaigns Political Influence

  18. Growth Markets Union Attack

  19. Targeted Campaigns Union Attack

  20. Political Influence Union Attack

  21. Government Regulation Specialty Healthcare DOL/OLMS Rule Changes NLRB Rule Changes

  22. Specialty Healthcare Rehabilitation Center of Mobile Government Regulation

  23. DOL/OLMS Persuader “Advice” Exemption June 21, 2011 Notice of Proposed Rulemaking: The New Rules (proposed) Persuader activities include drafting, revising or providing: Materials for presentation, dissemination, distribution to employees Speeches Audiovisual, multimedia presentation Website content Planning, conducting one-on-one or group meetings Employee attitude surveys concerning union awareness, sympathy or “proneness” • Proposed Rulemaking • Not a final rule • 90 days to comment • In effect after comment period • Comment by web (regulations.gov), hand-delivery or by mail • Reference 1215-AB79 and 1245-AA03 (29 C.F.R. Parts 405 and 406) Government Regulation

  24. DOL/OLMS Persuader “Advice” Exemption June 21, 2011 Notice of Proposed Rulemaking: The New Rules (proposed) Persuader activities include drafting, revising or providing: Training supervisors to conduct meetings Coordination or directing activities of supervisors Establishing or facilitating employee committees Developing personnel policies Deciding which employees to target for persuader activity or disciplinary action Conducting a seminar for supervisors Other (must explain) • Proposed Rulemaking • Not a final rule • 90days to comment • In effect after comment period • Comment by web (regulations.gov), hand-delivery or by mail • Reference 1215-AB79 and 1245-AA03 (29 C.F.R. Parts 405 and 406) Government Regulation

  25. DOL/OLMS Persuader “Advice” Exemption Watch Webinar and Get Other Resources Here: http://lrionline.com/olms-advice-rule Comments Due September 21, 2011 Government Regulation

  26. NLRB “Quickie” Elections Rule Eliminate 25-30 day waiting period to allow review of Regional Director decisions Statement of Position Form (all future litigation limited to statement of position) Key Changes Hearing suspended to post-election if issues effect less than 20% of unit Provide voter phone numbers, email, shift& departments within 2 days of direction of election (and immediately to Board) Government Regulation

  27. NLRB “Quickie” Elections Rule Election can be held within 10 days of transmission of eligibility list (or earlier if union agrees) Election Notices required (electronic posting required where possible) Key Changes Use of electronic signatures to support a showing of interest Review all individual voter eligibility issues post-election Government Regulation

  28. NLRB “Quickie” Elections Rule Watch Webinar and Get Other Resources Here: http://lrionline.com/nlrb-streamlined-elections Comments Due August 22, 2011 Government Regulation

  29. What Do I Do Now? Comment Political outreach Proactive ER Government Regulation

  30. Hiring/Onboarding Situation Assessment Vulnerability Assessment Positive ER, Engagement Left of Boom Right of BOOM Left of BOOM BOOM • Counter-Campaign Strategy Alert Legal, Consulting,Jump Team • Tripwire Team

  31. Frontline Focus

  32. How Companies Screw Up Training You don’t need one of these

  33. How to Evaluate Effective Training Active intervals - “bursts” Awareness, values, skills Accountability Leverage self-learning Intervals shrink the knowing-doing gap

  34. Values Skills Try Active Intervals Awareness Try one module FREE One pulse survey FREE Copy of Next 52 Weeks

  35. Webinar Conclusion To participate in training or pulse survey call Greg at 800-888-9115 or email gkittinger@lrims.com

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