Reducing Rehospitalization in a Community - Mina Breuker, Holland Home


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Mina Breuker, a speaker at the marcus evans Long-Term Care CXO Summit Fall 2013, on working with competitors to reduce a community’s rehospitalization rate.

Interview with: Mina Breuker, Chief Operating Officer, Holland Home

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Reducing Rehospitalization in a Community - Mina Breuker, Holland Home

  1. 1. Interview with: Mina Breuker, ChiefOperating Officer, Holland HomeTo decrease rehospitalization in its localcommunity, Holland Home has joinedforces with five competitors in the area,to standardize processes and share bestpractices. “It is unique to work soclosely with the competition, but we allfelt it was the right thing to do, as itwould help us provide care at the righttime and right place,” explained MinaBreuker, Chief Operating Officer,Holland Home.A speaker at the marcus evans Long-Term Care CXO Summit Fall 2013 inPalm Beach, Florida, July 25-26,Breuker gives a brief overview of theprogram that Holland Home wasinvolved in to better serve itscommunity.How did the program to reducerehospitalization in the communitycome about?The catalyst was the fragmentation ofcare and the fact that one of our areahospitals wanted to prevent rehospi-talizations, to avoid penalties. Itapproached five long-term care (LTC)providers and suggested we all meettogether.At first, I did not consider it a good ideato discuss our “dirty laundry” with eachother, but then we looked at theopportunities and decided it was thebest thing for the community as awhole.It took some time to build trust andwork as a group, but we focused onreviewing each and every rehospi-talization from our facilities to thehospital, and what we could learn fromthem.We identified processes that needed tobe fixed, and procedures and tools thatwere needed. We avoided duplication ofwork by working together, withstandardization as one of the outcomes.For example, we developed a transferform for all five providers to use,common guidelines for conductingfollow-up calls and a dashboard reportcomparing our rehospitalization andpatient satisfaction rates.What has this project achieved forthe community?The hospital’s rehospitalization ratedropped from 20 to four percent down.Our rates are much less than other LTCproviders in town. When we started, allof the skilled nursing facilities wererunning a 24-25 percent rehospi-talization rate, but now it is under tenpercent.How did it impact your bottom line?The hospital had the most to gain, asthey were able to avoid penalties.However, we found that for the post-acute providers it brought in additionalcosts. Keeping people in longer meantmore diagnostics, X-rays, and so on,instead of sending them back to thehospital.The conversation we are now havingwith the hospital is about how we canalso gain financially. For example, witha low rehospitalization rate, we couldbecome their preferred provider. Thereare synergies we can share or thehospital could provide some of thetransition care. At the moment, it islower cost to the community, thehospital and Medicare, but a higher costto post-acute providers.What culture change did thisrequire of each organization?This was a major change. All of asudden we were sitting in a roomtalking about what went wrong and whysomeone was sent back to the hospital,with our competitors! It took a while tobuild the trust that this needed to havesuch conversations, but we are now atthe point where we give each otherreferrals. When one of the nursinghomes had to evacuate because of aflood, we took in their residents.It is a whole different culture now thanit was two years ago, but we are stillworking on getting that culturethroughout our organization, to makesure everyone understands why this isbest for the community we serve.We lookedat theopportunitiesand decided itwas the bestthing for thecommunityReducing Rehospitalization in a Community
  2. 2. marcus evans Summits deliverpeer-to-peer information onstrategic matters, professionalt r e n d s a n d b r e a k t h r o u g hinnovations.Please note that the Summit is aclosed business event and thenumber of participants strictlylimited.About the Long-Term Care CXO Summit Fall 2013This unique forum will take place at The Ritz-Carlton, Palm Beach, Florida, July25-26, 2013. Offering much more than any conference, exhibition or trade show,this exclusive meeting will bring together esteemed industry thought leaders andsolution providers to a highly focused and interactive networking event.www.longtermcaresummit.comContactSarin Kouyoumdjian-Gurunlian, Press Manager, marcus evans, SummitsDivisionTel: + 357 22 849 313Email: press@marcusevanscy.comFor more information please send an email to info@marcusevanscy.comAll rights reserved. The above content may be republished or reproduced. Kindlyinform us by sending an email to press@marcusevanscy.comAbout marcus evans Summitsmarcus evans Summits are high level business forums for the world’s leading decision-makers to meet, learn and discussstrategies and solutions. Held at exclusive locations around the world, these events provide attendees with a unique opportunity toindividually tailor their schedules of keynote presentations, case studies, roundtables and one-on-one business meetings.For more information, please visit: www.marcusevans.comUpcoming EventsNational Healthcare CFO Summit - www.nhcfosummit.comNational Healthcare CNO Summit - www.nhcnosummit.comNational Healthcare CXO Summit - www.nhcxosummit.comTo view the web version of this interview, please click here: