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Facility Research And Selcetion Essay

1334 words - 6 pages

Running head: FACILITY RESEARCH AND SELECTION 1FACILITY RESEARCH AND SELECTION 2Facility Research and SelectionHCS/529July 7, 2014Eugene BurwellFacility Research and SelectionWith the recent changes in Affordable Care Act and Centers for Medicare and Medicaid Services (CMS) initiative to decrease avoidable hospital readmissions, it would be prudent for the current long-term care facility, Brittany Farms Health Center, to create a sub-acute unit that would provide medical and rehabilitation care to post-acute patients. Research indicates that there is a strong need in the community for this state-of-the-art, patient-centered unit and would be a center of excellence for post-acute patients and ...view middle of the document...

This facility is older and has semi-private rooms. It also does not have a good reputation in the community and has difficulty keeping its census up. Research also indicates that there is a need for a quality sub-acute unit that is patient-centered and collaborates with the area acute care hospitals to help prevent avoidable readmissions. Renovating one of the current long-term care units into a sub-acute center of excellence that uses evidence-based practice to provide care for patients with heart failure, chronic obstructive pulmonary disease, and other complex medical conditions is a need for this community. This will require close collaboration with the acute-care hospitals. As health care's business model changes, to achieve success in a value-based system, health systems will be required to reassess existing leadership and business models, and transform the care delivery system in their communities.Types of Facilities and Services Offered in the Local CommunityWith one other long-term care facility in town and three other long-term care facilities in the area, there are an abundance of long-term care beds available. One out of all the facilities in the area provides sub-acute care. All other facilities provide general long-term, dementia, respite, and palliative care. All facilities except Brittany Farms Health Center are union facilities and are also for-profit organizations. One facility has recently been renovated and has all private rooms, menu selection, and touts patient-centered care. All other facilities have a mix of private and semi-private rooms. All facilities accept Medicare, Medicaid, and most major insurances. One of the facilities is under consent order from the state for poor care and was recently in the news for a dementia resident that eloped and fell on the road.Description of FacilityBrittany Farms Health Center is a non-profit 150-bed long-term care facility in New Britain, Connecticut and has four units, three of which are long-term units and one is a closed dementia unit. The facility enjoys a good reputation in the community and has a deemed status of five-stars from CMS. The facility has a good survey track-record. Staff longevity is prevalent with very little staff turnover. Census remains strong overall with occasional fluctuations, with average daily census of 82% in the last fiscal year. The facility is governed by a board of directors who are vested and involved in decisions regarding the facility. Recent challenges with reimbursement and lack and increases from Medicaid have prompted discussions to...

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