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Eldercare Review | Monday, October 14, 2024
This article discusses some of the major challenges in nursing facilities and the best practices for overcoming them.
Fremont, CA: Skilled nursing facilities (SNFs) will continue to face numerous challenges from various situations and changes within the industry. Among these challenges are:
● Financial constraints: SNFs are operating with narrow profit margins due to insufficient Medicaid reimbursements and a reduction in the number of private-pay residents.
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● Declining population: The resident population in skilled nursing facilities is diminishing at an annual rate of 1 percent.
● Expansion of home healthcare: New programs that provide Medicaid-funded services in home and community settings are emerging, reducing the need for inpatient skilled nursing care. Consequently, many elderly individuals can return home and remain there.
● Imminent penalties: SNFs are nearing penalties for failing to prevent hospital readmissions.
● Increased care complexity: Accepting higher acuity patients places additional demands on skilled nursing facilities. While it may be tempting to decline these patients, facilities accept them to maintain their competitive edge.
● Staffing challenges: Numerous facilities continue to grapple with insufficient nursing staff levels, which research indicates is a significant factor contributing to hospitalizations.
Best Practices
Modifying the Kind and Content of Care Given:
Nursing facilities can offer a broader spectrum of short-term care services for patients across all age groups. The demand for short-term care and rehabilitation services, including physical, occupational, and speech therapy, is rising. Organizations must enhance their capabilities to deliver these services to maintain high occupancy rates, particularly as certified bed occupancy levels decline. This may necessitate the recruitment of additional nurse practitioners and physician assistants, along with specialized geriatric nurse practitioners and physicians.
Enhance the Quality of Care:
Care facilities are increasingly creating more inviting, home-like environments for their residents, offering a more comprehensive array of activities and events. Numerous organizations are placing greater emphasis on personalized, resident-focused care. This approach often involves residents in developing their care plans and allows them to contribute to the facility's management. Additionally, some facilities are shifting towards employing multi-skilled staff responsible for cooking, cleaning, and assisting with daily tasks.
Accepting Responsibility Is Essential:
Due to the implementation of value-based payment models, hospitals are increasingly invested in the performance of post-acute care providers, holding them to higher accountability standards. Post-acute care providers play a crucial role in this ecosystem, necessitating a proactive approach on their part. Facilities can adopt various strategies to collaborate effectively with hospitals to enhance care quality while lowering costs. Initiating these efforts on a smaller scale with one specific plan can be beneficial, allowing for gradual expansion. One straightforward action that nursing facilities can undertake is to share quality and patient satisfaction data, along with information about their services. This transparency enables hospitals to gain insights into the care being provided to residents. Additionally, they can supply hospitals with targeted information regarding their initiatives to reduce readmission rates.
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