Continued Care, LLC

Continued CareGroup 5Shawn bolen, Charlie Dietrich, Kasha Martin, Kathleen Smith

History~ 2003-2004 11,855,702 Medicare beneficiaries discharged from the hospital (Lattimer, 2013). ~19.6% were readmitted within 30 days~ 34% were readmitted within 90 days~ 50.2% of those were readmitted within 30 days after a medical discharge (Lattimer, 2013).~ Research has shown that engaging a group of partners such as nursing facilities, home care agencies and social service agencies reduces the readmission rate and help deliver higher-quality care, in a more cost efficient manner.

SolutionA non-profit organization in the community that assists in the prevention of hospital readmissions of cardiac patients after discharge from the hospital. Funded by grants, Medicare, and Medicaidprovide a solid transition from an in-patient stay to home environment, which would begin with education while in the hospital and continued through extensive monitoring and rehabilitation during the first 30-90 days.

Continued Care MissionOur mission at Continued Care is to prevent hospital readmissions through high quality nursing services that maintain and promote health through collaboration, education and self-care.

Continued Care GoalsComprehensive Discharge Planning including medication education and medication coordination.Patient communication on the day of discharge and a personal visit with an Registered Nurse within 48 hours of discharge. Collaboration with dietician services.Coordinate care with additional outpatient services such as physical therapy or home health aids.Provide continuous monitoring for up to 90 days with a seamless transition for continued care through their Primary Care Physician.

Hierarchy of Continued CareJob DescriptionsBoard of Directors: This (unpaid) board consists of the CEO, CFO, Director, representative from each hospital in the city.CEO: Answers to the Board of Directors. Meets the needs of the patient population, the board of directors, the companys employees, customers and policy.Director: NP or Masters Degree level nurse. Reports to the CEO. Manages the patient care day to day operations of Intake Specialist and Nurse Care Managers.Intake Specialist: Interview clients, investigate their needs, facilitate care between the client and the Nurse Care Managers. Nurse Care Managers: Perform in home visits, assess patient needs, follow up care referrals, acts as liaison between patient and other care providers to facilitate care. Answers to the Director. CFO: Answers to the Board of Director. Evaluates and is responsible for managing the financial aspect of the organization, including record keeping, financial planning and reporting fiscal situation to the Board.Billing Specialist: Receives and processes all billing statements, audits coding and patient/insurance billing.Office Administrator: Handles day to day office procedures including light human resource work, scheduling, provider or client complaints, working with outsourced companies, and staffing issues. Answer to CFO.Admin Assistant: Answers phones, scheduling appointments, filing, first line of communication and routing customer or provider to the right person. Answers to the Office Administrator.

CONTINUED CARE ADVERTISING & BUDGETGroup 5

JOB ADVETISINGDifferent means of advertising allows your company to reach the right people for the right job. An organization can have key insights and make better-informed decisions with the power or mass media such as the newspaper, magazine, radio, television and the internet.

-It is also important to advertise in nursing journals that are link to nursing associations such as American Journal of Nursing jobs which are posted through Nursing Jobs Plus. Below is the cost. $375 Single Job Posting Bundle our most popular enhancements at substantial savings! Including: Featured job Spotlight ad National Network Boldface IconThe National Healthcare Career Network (NHCN) and American Nurses Association (ANA) offers a single job posting with no word limit for 30 days for $450 online.

ADVERTISING LOCALMBA Job Grand Rapids, MI 30-day Job Includes $290 30-day Job Posting on Monster Reach targeted audiences across the web your job will also be posted on our extended partner network Local reach - your job will also run on local market sites Up to 20 Recommended Resumes within the hour, we'll send you matching resumes from our database!

MARKETING According to Yoder-Wise marketing helps companies in identifying and meeting both social and human needs (Yoder-Wise, 2014). It gives Continued Care the chance to be the company of choice giving customers the care they need when discharged from the hospital. Marketing also allows our company to efficiently give services to meet the public needs in an ever changing, competitive healthcare market.

MARKETING ON THE WEBInformational or Small Business Website Cost8 to 16 web pagesCustom graphicsStock photosLittle or no Flash designWeb forms sending to email accountsProject duration: 30 to 75 days Cost range: $2,000 to $6,000*Other forms of marketing can be done on free internet websites such as Craigslist, Google, Facebook and Twitter.

Marketing Hard CopyBrochuresPsPrint offer everything from list services to printing and mailing services; and to save on headaches and postage its best to stick with an all-in-one company like this. Lets take a look at a direct-mail brochure campaign, assuming youll be printing and distributing 2,000 full-color 100-pound gloss letter-fold brochures with PsPrint:The Grand Rapids Press. Cost for a column advertisement will be $273.00.

Continued Care BudgetIt is important to create a thorough, one-year budget for Continued Care to accurately plan for costs associated with the organization. A budget is the basic financial document used in most healthcare organizations (Yoder-Wise, 2011, p. 239). A personal budget is to determine how many staff members will be needed to provide the care. Full-time equivalent or FTEs are used as a measurement for staff members who work hours during the year. 1 FTE=40 hrs/per wk in a 52 week/year and a 0.5 FTE=20hr/per wk worked.

Expenditure Chart

Continued Care Overall ExpensesItemsCost in dollarsMonthsYear in dollarsOffice Supplies200122400Office Lease12001214,400Office Equipment Lease(desk,chairs, computers,etc)100012$12,000Phone37512$6000Utilities (heat, water, electric)/Cleaning50012$6000Travel expenses50012$6000Salaries5595012$652,400Benefits(vacation,401K, SS)25%-30% 1891612$227,000Marketing/Advertising$40002$8000Total$931200

Revenue TableTypeTotal yearPayment/Insurance/out of pocket$130 a visit30 home visits a week4 X nurse care managers$811,200Grant from Grand Rapids Community Foundation$50,000Grant from Kresge Foundation$50,000 Health and Human Services$35,000Total$946,200

Expenditure/Revenue ChartGrants will be used the first month for start up costs and salaries. Revenue brought in for services rendered. $10,000 will be kept in account for future expenses in emergencies. Revenue during the year will be adjusted with future grants such as the Gannett Foundation, Blue Cross Blue Shield or a renewal of past grants. An evaluation of revenue home care costs will be done quarterly and adjusted accordingly so that there is a balance between expenditure and revenue.

Revenue - Cost = ProfitWith the overall annual expenses of $931,200 and a first year revenue of $936,200 there is a profit of $15000.Continued Care is a not for profit organization and all the profits are reinvested back into the organization to better serve the public.

ReferencesDepartment of Health and Human Services. (n.d.). In Improving Diet and Physical Activity Assessment (R01) Department of Health and Human Services National Institutes of Health. Retrieved October 20, 2014, fromhttp://www.grants.gov/web/grants/search-grants.html EHOW. (n.d.). In Cost of setting up a business. Retrieved October 20, 2014, from http://www.ehow.com/about_5373782_costs-setting-up-business.html Grand Rapids Community Foundation. (2014, October). In Grants. Retrieved October 20, 2014, from http://www.grfoundation.org/pastgrants LoopNet. (2014, October). In Grand Rapids Office Space For Lease. Retrieved October 20, 2014, from http://www.loopnet.com/Michigan/Grand-Rapids_Office-Space-For-Lease/ Simply Hired Inc. (2014). Search jobs from company sites, job boards and the web. In Simply Hired. Retrieved October 20, 2014, from http://www.simplyhired.com3 Webpage FX. (2014, October). How Much Should a Website Cost in 2014?. In Designing Services. Retrieved October 20, 2014, from http://www.webpagefx.com/How-much-should-web-site-cost.html# Yoder-Wise, P. (2011). Leading and managing in nursing. (5th Ed.). St. Louis, MO: Elsevier

ReferencesLattimer, C.A. (2013). Case management: a view beyond the affordable care act 13 annual case management conference 2013. Retrieved from: http://nursing.msu.edu/Images_Docs/CE_Images/CasePresentations/2013%20Presentations/Lattimer_MSUCM_Beyond_the_ACA_Slide_Deck_Final_102113.pdf Williams, M.V. (2013). A requirement to reduce readmissions: take care of the patient, not just the disease. Retrieved from: http://0-jama.jamanetwork.com.libcat.ferris.edu/article.aspx?articleid=1558260Yoder-Wise, P.S. (2014). Leading and managing in nursing. Elsevier Mosby: St. Louis MO.