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Care Home By RNs

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Business concepts of Care Home By RNs

Business concepts of Care Home By RNs

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    Care Home By RNs Care Home By RNs Presentation Transcript

    • Care Home By RNs ®
      • Business Concepts
      Presented by Ron Ordona, MSN, RN, BC, CMSRN, TNCC ANII Administrator/ Consultant
    • Executive Summary
      • Business Plan for future partners of Care Home By RNs ®
      • Senior Care By RNs LLC, Lincoln Residences, Wilson Homes LLC, (and others to follow) are registered corporations
      • Care Home By RNs ® is a registered service mark
      • A unique alternative to nursing homes and residential care
    • Executive Summary
      • The concept “Care Home By RNs” is well received in the healthcare community
      • An on-call RN is deemed as an added and unique value to a RCFE
      • Care Home By RNs ® is able to accept more challenging care needs
      • Care Home By RNs will focus on six-bed residential home setting
      • More marketability
    • Executive Summary
      • More RNs/ NPs/ LVNs will be encouraged to join the network
      • The Stakeholders (on-call nurses, investors, shareholders, administrators, caregivers) will be part-owners
      • The caregivers will have a chance to become part owners
      • More sustainability
    • Mission Statement
      • To be the provider of choice in sub-skilled residential care.
      • To be a dynamic organization, adaptive to changes and innovations.
    • Vision Statement
      • Create a niche, sub-skilled level of care, and be the forerunner in this category.
      • Create a network of NPs/ RNs/LVNs involved in this category.
      • Create opportunities for shareholders, stakeholders and employees to become partners and own and/or operate their own residential care home.
    • Giving back to the community
      • One goal for the future of the community:
        • Support a not-for-profit organization (such as Adopt an Elder, American Care Bridges, and the like) that will help address the needs of low income seniors, providing them with comparable care and accommodation in a residential care setting
    • Goals and Objectives
      • Care Home By RNs ® will be the provider of choice for care home setting
      • Recognized by the healthcare community as ideal placement for their clients
      • Loyal customer following
      • A place to come home to…
    • Market Potential
    • Market Potential
      • 12.5 % of Americans are 65 and older
        • (Lee,2009, p29)
      • 85+ increased 29% between 1990-2000
        • (Population Resource Center, 2010)
      • 1.5 M elderly lives in supportive housing
        • (Population Resource Center, 2010)
      • National home health expenditure has risen from 0.2%(in billion dollars) in 1970 to 66.1% in 2007
        • (Finkelman, 2006, p527)
    • Market Potential
      • Placer County (Population Resource Center, 2010)
        • Population 65+ is 248,939
        • 4.5% are in Nursing Homes
        • 3.5% live below poverty line
      • Target market potential = 229,014
        • 30 RCFEs existing at average 6 residents per home (180 residents)
        • Less than 1% market penetration
    • Market Potential
      • Target market penetration for Care Home By RNs ®
        • Less than 1% or 72,290 potential residents
        • For example, an additional 2 homes only needs 12 more residents!
    • Marketing Strategy
      • Care Home By RNs ®
      • On-call RN 24/7. Accepts more challenging care needs such as diabetes, injections, catheters, ostomies, wound care, oxygen use, hospice, dementia, etc. (as allowed by Title 22)
    • Marketing Strategy
      • Budget
      • Minimum 25% share in expenses and profits
      • Averages about $1,500/ month for initial start-up expenses
      • Time frame for initial start-up is 6 months (average turnaround time for Licensing)
    • Marketing Strategy
      • Pricing
      • Premium pricing at $3,500 shared room or $4,500 private room
      • Industry average is $2,500 for shared and $3,500 private
      • The difference: accepts more challenging care offered via RN On-call (e.g. diabetes, injections, ostomies, etc)
    • Marketing Strategy
      • Ideal location near senior communities like Sun City Lincoln or Sun City Roseville
      • On-going expansion in Elk Grove: Maria Cabigon, RN to supervise home
      • South San Francisco: Martha Romero, LVN to supervise home
      • Congruent to the message:
        • “ on-call RN 24/7”
      • Other locations, as they become available
    • Management
      • Ron Ordona, MSN, RN
        • Overall operation and marketing
      • Albert Wilson
        • Marketing and logistics
      • Maria Cabigon RN, Chad Cabigon
        • Elk Grove Home
      • Martha Romero LVN, Wendell Bariuan, Connie Romero and David Smugar
        • South San Francisco Home
      • Other homes and
      • business partners
    • Home Management
      • Caregivers/ Staff
        • Train and develop to achieve their highest potential
        • Encourage them to go into healthcare profession such as CNA, LVN, RN, NP
    • Care Home By RNs ® Mission & Vision Lincoln Residence 1408 Care Home By RNs Granite Bay Estate Care Home By RNs Senior Care By RNs LLC Dba Aster Villa Care Home By RNs Dba Transport Service By RNs Dba Caregiver Services By RNs Lincoln Residence 653 Care Home By RNs (Partnership with Bay Area RNs/LVNs) Delta Sunrise Care Home By RNs (Partnership with Sacramento RNs) Care Home By RNs ® is a service mark owned by Lincoln Residences Corporation. Senior Care By RNs LLC is a merged agreement between Lincoln Residences Corp and Wilson Home LLC Mission: To be the provider of choice in sub-skilled residential care. To be a dynamic organization, adaptive to changes and innovations. Vision: Create a niche, sub-skilled level of care, and be the forerunner in this category. Create a network of RNs/LVNs involved in this category. Create opportunities for shareholders, stakeholders and employees to become partners and own and/or operate their own residential care home. Goals for the future of the community: Support a not-for-profit organization (American Care Bridges) that will help address the needs of low income seniors, providing them with comparable care and accommodation. New Partnerships
    • Care Home By RNs ® Business Partnership Algorithm (See next) (See next) Licensed Healthcare Professional? (NP/ RN/ LVN) Property Available? (rented/ owned/ raw/ready) Or willing to get one? Open for Business Partnership? (e.g. creation of LLC) Business Partnership Option Generic Packet Option Floating Negotiation Option -invest money? -volunteer? -other options On-call Nurse Option NO NO NO YES YES YES Property Available? (rented/ owned/ raw/ready) Or willing to get one? NO YES
    • Algorithm details
      • A. Floating Negotiation Option- simply means we will continue to talk/ discuss about what we want to do, or wait until a more favorable time/ circumstance for both of us to decide to do business venture together. We can think about investing money, or volunteering into Care Home By RNs.
      • B. Generic Packet- without Care Home By RNs being part of the resulting care home, we can assist in offering a generic licensing application packet ($1,500) or offer added assistance ($2,500). Added assistance is walking you through the licensing process.
      • On-call nurse- will happen only in the absence or physical inability of the regular on-call nurse to see the particular resident in person. The procedures done are in congruence with the doctor’s orders, as necessary. The proposed pay is $35 a visit for an LVN and $55 a visit for an RN to assist in:
      • a. diabetes care: trouble shooting hyper/ hypoglycemia; assessment of diabetes needs;
      • b. injections: diabetes insulin, lovenox, and the like, should the need arise to necessitate an injection;
      • c. care related to ostomies (colostomy, PEG, urostomy, and the like)
      • d. catheters: examples are flushing, irrigating, changing, in/out catheters
      • bowel care (de-impaction, as necessary)
      • f. oxygen use: if needing titration and/or reassessment of need or need to elevate rate
      • g. wound care
      • h. dementia assistance: example is when a resident becomes agitated which may necessitate evaluation if needing 911/ emergency room visit or an in-home intervention by a licensed staff such as ativan IM injection.
      • i. hospice
      • j. staff training and guidance in emergent situations.
      • D. Business partnership- share of Care Home By RNs
      • 25% - home will use “Care Home By RNs” (e.g. Aster Villa Care Home By RNs) provided home has its own RN on-call 24/7 who will work closely with the Care Home By RNs nurse/s; includes licensing assistance until licensed; assistance with staffing; assistance with marketing but home should be involved actively in marketing activities.
      • 50% - home will carry Care Home By RNs brand; Care Home By RNs will take care of staffing and marketing, with minimal participation of home; On-call RN (or LVN) provided; the nurse who is the owner of the home will participate in being on-call when it becomes necessary (e.g. the regular on-call nurse goes on vacation, or in an emergent situation—this relates to the scenario where the owner is a nurse or has a family/ significant other who is a nurse).
      • 75%- Care Home By RNs manages the home without participation of the owner except allowing the use of the property.
      • 100%- the property is rented by Care Home By RNs (average of $2,500 per month).
    • Room for growth…
      • Transport Business
        • www.SeniorCareByRNs.com
      • Caregiver Agency
    • Room for adjustments…
      • Five year contracts
      • Other arrangements…
    • References California Healthcare Foundation. (2008). Residential Care Facilities for the Elderly. Retrieved from http://www.chcf.org/publications/2002/01/residential-care-facilities-for-the-elderly Finkelman, A. W. (2006). National health care expenditures. In Leadership and management in Nursing (pp. 426-431). New Jersey: Pearson. Finkler, S. A., Kovner, C. T., & Jones, C. B. (2007). The nurse as entrepreneur. In Financial management for Nurse Managers and Executives (3rd Ed, p. 32). St. Louis, MO: Saunders. Lee, R. H. (2009). Economics for healthcare managers (2nd Ed ed.). Chicago, IL: Health Administration Press. Newcomer, R., & Maynard, R. (2002). Residential Care for the Elderly: Supply, demand, and quality assurance. Retrieved from www.chfc.org Population Resource Center. (2010). Population projections. Retrieved from www.prcdc.org
    • Let’s sit down and discuss details…
      • Life is a daring adventure!
      • (Helen Keller)
      www.CareHomeByRNs.com