Category Archives: Strategic Planning

China: Growth of Long Term Care

In a recent report entitled “Long Term Care for older persons in China” the authors cite the usage of nursing facilities by persons 65+ is around 3%.  Even at this low usage, the nation will need 1.7 million beds to serve their elderly.

“China will have 223 million people aged 60 or older in 2015 (Ministry of Civil Affairs, 2014). Taking into account that around 3 per cent of older persons will need institutional care, some 6.7 million institutional care beds are required, representing a shortage of more than 1.5 million beds (Wu and others, 2013, p. 149).”

There are three main programs the nation has relied upon to serve as their framework of long term care services: Residential care, community services and institutional care.  To read more about China and its approach to serving elderly click on the following link.  Long Term Care for older persons in China

Future model of nursing facility: Focus on caring relationships.

In a report titled “2010 STAKEHOLDER SURVEY: CULTURE CHANGE AND THE HOUSEHOLD MODEL” published by the University of Wisconsin’s  Institute on Aging and Environment (Culture Change Household Survey) the 79% of the participants strongly agreed with these guiding principles:

  •  A household is a small grouping of residents and their dedicated staff with the purpose of fostering self directed, relationship based life.
  •  A household has pleasing homey spaces with a functional kitchen at its hub nurturing daily life -­‐ responding to individual residents and fostering community life. It is intimately-­‐sized with clear boundaries and a variety of spaces typical of home, including the flexibility of private and shared bedrooms spaces as desired by the residents.
  •  It includes clinical best practices, the tasks and routines and pleasures of daily life, cutting edge technologies to encourage life choices and promote functionality, mobility, wellness and growth.
  •  Household life is facilitated by an empowered self-­‐led team of residents and staff. Deep knowing, reflective of true home, fosters a good life for everyone and is supported by the resources of the organization.
  •  The organization has been redesigned to position households and their leadership with the autonomy and accountability to respond to the individual resident needs; and the responsibility to create meaningful household life. In other words, the households together as a team with the administrator and Director of Nursing Services become the vehicle for all operational decisions and administration, replacing the traditional department structure.

At the core of implementing all of these principles, is the culture of a caring, well trained and dedicated staff. If you focus your time and attention on the PEOPLE who are living and working in the setting, you are creating an environment where the principles described above will come to reality.

States Planning for Long Term Care: Census is Key

As you look ahead in strategic planning for serving tomorrow’s elders,  what are the key elements a long term care provider should focus upon? I would suggest census is at the top of the list. Without clients, you are out of business. Clients in the nursing facility represent only a small part of the potential market of frail elders.  Compare your census in the nursing facility, assisted living, dementia units today versus 5 years ago. If your census is increasing, you are in the minority. Customers are choosing other services whenever they are available. State governments are playing a major role in helping them to do so.  A recent survey by the AARP of 37 states shows that 17 states had a decrease in nursing home occupancy from 2011-2012, 15 remained the same and 5 had an increase in census. Most towns and communities have a wide range of options for the elders.  States through their Medicaid programs are focused upon slowing the growth of the program. Here is the summary of the study on what states are doing to deal with the growth of elders and slowing Medicaid budget. Transformation of Long Term Care Systems AARP.

Grace Team. Helping you lead.