Long-Term Care & Senior Living CXO Summit Spring 2018

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  • Reducing Rehospitalization in a Community


    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


    To decrease rehospitalization in its local community, Holland Home has joined forces with five competitors in the area, to standardize processes and share best practices. “It is unique to work so closely with the competition, but we all felt it was the right thing to do, as it would help us provide care at the right time and right place,” explained Mina Breuker, Chief Operating Officer, Holland Home.

    A speaker at the marcus evans Long-Term Care CXO Summit Fall 2013 in Palm Beach, Florida, July 25-26, Breuker gives a brief overview of the program that Holland Home was involved in to better serve its community.
    How did the program to reduce rehospitalization in the community come about?

    The catalyst was the fragmentation of care and the fact that one of our area hospitals wanted to prevent rehospitalizations, to avoid penalties. It approached five long-term care (LTC) providers and suggested we all meet together.

    At first, I did not consider it a good idea to discuss our “dirty laundry” with each other, but then we looked at the opportunities and decided it was the best thing for the community as a whole. It took some time to build trust and work as a group, but we focused on reviewing each and every rehospitalization from our facilities to the hospital, and what we could learn from them.

    We identified processes that needed to be fixed, and procedures and tools that were needed. We avoided duplication of work by working together, with standardization as one of the outcomes. For example, we developed a transfer form for all five providers to use, common guidelines for conducting follow-up calls and a dashboard report comparing our rehospitalization and patient satisfaction rates.

    What has this project achieved for the community?

    The hospital’s rehospitalization rate dropped from 20 to four percent down. Our rates are much less than other LTC providers in town. When we started, all of the skilled nursing facilities were running a 24-25 percent rehospitalization rate, but now it is under ten percent.

    How did it impact your bottom line?

    The hospital had the most to gain, as they were able to avoid penalties. However, we found that for the post-acute providers it brought in additional costs. Keeping people in longer meant more diagnostics, X-rays, and so on, instead of sending them back to the hospital.

    The conversation we are now having with the hospital is about how we can also gain financially. For example, with a low rehospitalization rate, we could become their preferred provider. There are synergies we can share or the hospital could provide some of the transition care. At the moment, it is lower cost to the community, the hospital and Medicare, but a higher cost to post-acute providers.

    What culture change did this require of each organization?

    This was a major change. All of a sudden we were sitting in a room talking about what went wrong and why someone was sent back to the hospital, with our competitors! It took a while to build the trust that this needed to have such conversations, but we are now at the point where we give each other referrals. When one of the nursing homes had to evacuate because of a flood, we took in their residents. It is a whole different culture now than it was two years ago, but we are still working on getting that culture throughout our organization, to make sure everyone understands why this is best for the community we serve.

    Contact: Sarin Kouyoumdjian-Gurunlian, Press Manager, marcus evans, Summits Division

    Tel: + 357 22 849 313

    About the Long-Term Care CXO Summit Fall 2013

    This unique forum will take place at The Ritz-Carlton, Palm Beach, Florida, July 25-26, 2013. Offering much more than any conference, exhibition or trade show, this exclusive meeting will bring together esteemed industry thought leaders and solution providers to a highly focused and interactive networking event.

    For more information please send an email to info@marcusevanscy.com or visit the event website

    marcus evans group - healthcare sector portal 

    Please note that the Summit is a closed business event and the number of participants strictly limited.

    About marcus evans Summits

    marcus evans Summits are high level business forums for the world’s leading decision-makers to meet, learn and discuss strategies and solutions. Held at exclusive locations around the world, these events provide attendees with a unique opportunity to individually tailor their schedules of keynote presentations, case studies, roundtables and one-on-one business meetings. For more information, please visit www.marcusevans.com 


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