Introduction to Healthcare Organizationsan Inpatient Rehabilitation Facility<br />Lyndon Edwards, MBA, MHS<br />Associate ...
<ul><li>Overview of Inpatient Rehab Facility Industry
Shands HealthCare: Vision & Values
Market Overview
Strengths, Weaknesses, Opportunities, Threats
Strategic Goals
Quality and Patient Satisfaction Initiatives </li></ul>Topics<br />
Post-Acute Care Continuum<br /><ul><li>Outpatient Services
Home Care
Long-term care
Inpatient Services
Long Term Acute Care Hospitals (LTACHs)
Skilled Nursing Facilities (SNFs)
Inpatient Rehab Facilities (IRF)</li></li></ul><li>39 In state of Florida<br />2,258 beds<br />65% Occupancy Rate in 2008<...
Stroke<br />Spinal Cord Injury<br />Congenital deformity<br />Amputation<br />Major Multiple Trauma<br />Hip Fracture<br /...
Polyarthritis (3 types defined in rule)
Knee or hip joint replacement if (1) it was bilateral, (2) the patient’s Body Mass Index was greater than 50, or (3) the p...
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Introduction To Healthcare Organizations 111510

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Introduction To Healthcare Organizations 111510

  1. 1. Introduction to Healthcare Organizationsan Inpatient Rehabilitation Facility<br />Lyndon Edwards, MBA, MHS<br />Associate Administrator<br />Shands Rehab Hospital and Shands Vista<br />
  2. 2. <ul><li>Overview of Inpatient Rehab Facility Industry
  3. 3. Shands HealthCare: Vision & Values
  4. 4. Market Overview
  5. 5. Strengths, Weaknesses, Opportunities, Threats
  6. 6. Strategic Goals
  7. 7. Quality and Patient Satisfaction Initiatives </li></ul>Topics<br />
  8. 8. Post-Acute Care Continuum<br /><ul><li>Outpatient Services
  9. 9. Home Care
  10. 10. Long-term care
  11. 11. Inpatient Services
  12. 12. Long Term Acute Care Hospitals (LTACHs)
  13. 13. Skilled Nursing Facilities (SNFs)
  14. 14. Inpatient Rehab Facilities (IRF)</li></li></ul><li>39 In state of Florida<br />2,258 beds<br />65% Occupancy Rate in 2008<br />Services<br />Intensive therapy (PT, OT, ST, RT, Psychology)<br />3 hours/day<br />13 Diagnoses (75% Rule)<br />Inpatient Rehab Facilities<br />
  15. 15. Stroke<br />Spinal Cord Injury<br />Congenital deformity<br />Amputation<br />Major Multiple Trauma<br />Hip Fracture<br />Brain Injury<br />Neurological Disorders<br />QUALIFYING CONDITIONS<br /><ul><li>Burns
  16. 16. Polyarthritis (3 types defined in rule)
  17. 17. Knee or hip joint replacement if (1) it was bilateral, (2) the patient’s Body Mass Index was greater than 50, or (3) the patient was 85 or older</li></li></ul><li>Opened in 1986 as Upreach Pavilion as a part of the Avmed-Santa Fe HealthCare System<br />Acquired by Shands in 1996 as part of the SanteFe HealthCare purchase (Vista, Upreach, AGH, Starke, Live Oak, Lake Shore)<br />Only remaining facilities from acquisition that are fully owned by Shands HealthCare<br />40-Beds<br />Shared administrative structure with Shands Vista, an 81-bed behavioral health hospital<br />Located in the Health Park off N.W. 39th Avenue, west of Santa Fe College<br />
  18. 18.
  19. 19. Vision and Values<br />Together we create unstoppable momentum toward improving individual and community health through discovery, clinical and translational science and technology, exceptional education, and patient-centered, innovative, high-quality healthcare.<br />
  20. 20. Market Overview<br /><ul><li>Primary Service Area
  21. 21. District 3
  22. 22. 28% Market Share
  23. 23. 75% of patients come from Shands UF
  24. 24. 84% of patients are from counties within district 3
  25. 25. 80% of District 3 patients are from the “Northern Tier”
  26. 26. 64% of population(~1M) live in the “Southern Tier”</li></li></ul><li>
  27. 27. <ul><li>Affiliation With SUF as primary referral source
  28. 28. Geographic dominance (Northern District 3)
  29. 29. Reputation for quality and patient satisfaction
  30. 30. Top quartile satisfaction scores
  31. 31. Higher than benchmark on key quality indicators
  32. 32. High “workforce commitment”</li></ul>Strengths<br />
  33. 33. <ul><li>Regulatory changes in Medical Necessity Criteria
  34. 34. Staffing shortages in key areas (Therapists and specialized nursing)
  35. 35. Improving Access
  36. 36. “Disconnection” from acute-care facility
  37. 37. Distance from major population centers</li></ul>Challenges<br />
  38. 38. <ul><li>“Similar” competitors
  39. 39. Certificate of Need (CON)applicants in the district
  40. 40. Healthcare Reform
  41. 41. Accountable Care Organizations (ACOs)
  42. 42. Bundled payment systems</li></ul>Threats<br />
  43. 43. <ul><li>Diversifying service offerings
  44. 44. Developing provider competency
  45. 45. Electronic Medical Record
  46. 46. Strategic alignment into one or more of the Shands Integrated Clinical & Academic Programs (ICAP)
  47. 47. cancer,
  48. 48. cardiovascular medicine,
  49. 49. children’s and women’s health, neuromedicine,
  50. 50. organ transplantation and
  51. 51. peri-operative (surgical) medicine</li></ul>Opportunities<br />
  52. 52. Strategic Goals<br /><ul><li>5 Pillars
  53. 53. People,Service,Quality,Financial,Growth
  54. 54. Quality: Improving quality across multiple dimensions
  55. 55. Service: Maintaining leadership in overall patient satisfaction
  56. 56. Improving Access</li></li></ul><li>
  57. 57. Questions?<br />

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