Presentation delivered by Earl Parker & Sandi Flores, Commonwealth Assisted Living at the marcus evans Long-Term Care & Senior Living CXO Summit July 2016 in FL.

1. Proven Strategies for
Reducing Readmission Rates
Earl Parker, Chief Operating Officer, Commonwealth Senior Living
Sandi Flores RN, President, Sandi Flores Consulting Group
(consulting VP of Resident Care to Commonwealth)

4. Commonwealth Assisted Living (CAL)
Hospital Readmission Summary
Commonwealth Total (All Communities)
Beginning
(4th
Qtr. 2014)
Current
12 Month Average
(2nd
Qtr. 2015–1st
Qtr.
2016)
Most Recent
Month –
April 2016
Hospital
Readmission
Percentage*
21.4% 12.1% 6.7%
Readmission
Rate per 1000
Resident Days
.44 .18 .10
*CAL percentages calculated by using: Number of Resident 30-day Hospital Readmissions/Number of
Resident Inpatient Hospitalizations

5. Reducing Rehospitalization Rates
 As with most things, we believe that success is a
combination of PEOPLE and PROCESSES.
 I am going to share with you a few things that we feel
have helped us to assure our PEOPLE are the right people,
in the right roles, and that they have the right focus.
 Sandi is going to then share with you some of the
PROCESSES that have helped our PEOPLE to be successful.

7. CORE Values are built into all that we do
C. OVERALL RATING:
6
Models the core values extremely well
Low Job Skills
8
Models the core values extremely well
Average to Solid Job Skills
HIGH
(7-9)
3
Does not always model the core values
(average)
Low Job Skills
5
Does not always model the core values
(average)
Average to Solid Job Skills
MED
(4-6)
1
Poor example of core values
Low Job Skills
2
Poor example of core values
Average to Solid Job Skills
LOW
(1-3)
LOW (1-3) MEDIUM (4-6) HIGH (7-9)
JOB SKILLS
V
A
L
U
E
S
9
Models the core values extremely well
High Job Skills
7
Does not always model the core values
(average)
High Job Skills
4
Poor example of core values
High Job Skills

8. Combined with Noble Purpose
Our Noble Selling Purpose:
We improve the lives of seniors, their
families, and each other.
These are our key behaviors:
We listen.
We love.
We care.
We serve.

9. Hearing from our front line
We Care About People We Speak Up!

10. Prepare to Reduce Readmissions
1. Resident Care Systems (service planning/change in condition/incident review)
2. Staff competency
3. Tracking Data
4. RN availability for “case management”

11. Initiating Interventions
1. Medication reconciliation
2. Disease management basics (Multi-department)
3. Physician communication (Inter-facility Transfer Tool)
4. Mastering the process of prepping for the return from acute care (Care
Coordination Form and Process)
5. Medical professional assessment within 7 days of discharge
6. On going analysis (Not just data collection alone)