rising storm in ltc how to prepare for the worst
DESCRIPTION
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. - PowerPoint PPT PresentationTRANSCRIPT
Rising Storm in LTCHow to Prepare for the Worst
Economic SqueezeResource ShortageWorkload PressureUnion AttackGovernment Interference
Economic Squeeze
Medicaid/Medicare catastropheLabor Costs & TurnoverAccess to Funding
Medicaid/Medicare
Economic Squeeze
514
2529
Economic Squeeze
$16.79Medicaid/Medicare
Labor Costs: 70%
Turnover rates: 40% - 166%CNA Turnover: 70%Costs: 25% of annual compensation
Labor & Turnover Costs
Economic Squeeze
Access to Funding
Economic Squeeze
Resource Shortage
Aging of AmericaHigh-Growth MarketFewer Trained WorkersHospital Releases
Aging of America
65+2000: 35 million2010: 40 million2020: 55 million2030: 72 million
6.5% 65+ in residential care
Resource Shortage
35 4055
72
Population Over Age 65 (in Millions)
High Growth Market
Direct Care Workers 2nd Largest Occupational Group
New Job Growth:1. Registered Nurses9. Nursing Aides, Orderlies & Attendants
Community Care Facilities: up 31%Nursing Care Facilities: up 28%
Resource Shortage
1,113,000 needed850,736 available
Resource Shortage
Fewer Workers
Needed Available
Hospital Releases
98%1985-2000
Resource Shortage
1985 - 2000
Workload Pressure
Higher AcuityStaffingLitigation Pressure
Higher Acuity
Diabetes Deaths in Nursing Homes Alzheimers ADL Dependence
Workload Pressure
ALL UP
Staffing Shortage
Workload Pressure
Litigation
Workload Pressure
Union Attack
Survival Requires Growth MarketsTargeted CampaignsPolitical Influence
Growth Markets
Union Attack
Targeted Campaigns
Union Attack
Political Influence
Union Attack
Government Regulation
Specialty Healthcare DOL/OLMS Rule ChangesNLRB Rule Changes
Specialty Healthcare Rehabilitation Center of Mobile
Government Regulation
DOL/OLMS Persuader “Advice” Exemption
Government Regulation
June 21, 2011 Notice of Proposed Rulemaking:
The New Rules (proposed)
Persuader activities include drafting, revising or providing:
1. Materials for presentation, dissemination, distribution to employees
2. Speeches3. Audiovisual, multimedia presentation4. Website content5. Planning, conducting one-on-one or group
meetings6. 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)
DOL/OLMS Persuader “Advice” Exemption
Government Regulation
June 21, 2011 Notice of Proposed Rulemaking:
The New Rules (proposed)
Persuader activities include drafting, revising or providing:
7. Training supervisors to conduct meetings8. Coordination or directing activities of supervisors9. Establishing or facilitating employee committees10. Developing personnel policies11. Deciding which employees to target for
persuader activity or disciplinary action12. Conducting a seminar for supervisors13. Other (must explain)
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)
Watch Webinar and Get Other Resources Here:
http://lrionline.com/olms-advice-rule
Comments Due September 21, 2011
DOL/OLMS Persuader “Advice” Exemption
Government Regulation
NLRB “Quickie” Elections Rule
Government Regulation
Hearing suspended to post-election if issues effect less
than 20% of unit
Statement of Position Form (all future litigation limited to statement of position)
Eliminate 25-30 day waiting period to allow review of
Regional Director decisions
Provide voter phone numbers, email, shift &
departments within 2 days of direction of election (and
immediately to Board)
Key Changes
NLRB “Quickie” Elections Rule
Government Regulation
Key Changes
Election can be held within 10 days of transmission of eligibility list (or earlier if
union agrees)
Use of electronic signatures to support a showing of
interest
Election Notices required (electronic posting required
where possible)
Review all individual voter eligibility issues post-
election
NLRB “Quickie” Elections Rule
Government Regulation
Watch Webinar and Get Other Resources Here:
http://lrionline.com/nlrb-streamlined-elections
Comments Due August 22, 2011
What Do I Do Now?
CommentPolitical outreachProactive ER
Government Regulation
BOOM Right of BOOMLeft of BOOM
Situation Assessment
Counter-CampaignStrategy
Alert Legal, Consulting, Jump Team
Vulnerability Assessment
Positive ER, Engagement
Hiring/Onboarding
Tripwire Team
Left of Boom
Frontline Focus
Actual
Goal
35%
40%
18%
30%
23%
20%
20%
10%
4%
In-Group Partially Affiliated NeutralPartially Disaffiliated Out Group
How Companies Screw Up Training
You don’t need one of these
How to Evaluate Effective Training
Intervals shrink the knowing-doing gap
Active intervals - “bursts”Awareness, values, skillsAccountabilityLeverage self-learning
Try Active Intervals
Awareness
Values SkillsTry one module FREEOne pulse survey FREECopy of Next 52 Weeks
Webinar Conclusion
To participate in training or pulse
survey call Greg at 800-888-9115 or [email protected]