Sunday, April 27, 2008

Focus on the money part deux

There are quite a few nursing homes that like to limit supplies in a well-intended effort to contain costs. This practice is pound foolish and penny stupid. Not only does it decrease employee morale and directly affect resident care in a negative way, but it is a waste of time and energy that most administrators don't have to begin with. Assuming that with volume discounts, an incontinence brief will run you anywhere from about 30 to 50 cents each. Limiting how many briefs can be used per day will save you a dollar, maybe a buck fifty, per day per resident. Maximizing the RUG score by educating CNAs on their part and by ensuring that MDS nurses are credentialed will increase your revenue by a minimum of several dollars per day per resident. I'm not in any way saying you should try to defraud third party payors, but you should go to great lengths to make sure that your assessments are as accurate as possible. In short, go after the many big fish instead of concentrating on the few small fish that are out there in the sea of finance.

1 comment:

Patti said...

Ahhh...thank you Matt. This is important. Many nursing home leaders tend to focus on the small things and ration supplies and even food. This does lower the morale of the aides and nurses- who must often be the ones to write the aides up for doing the **right** thing even when its wrong according to policy.

Accurate assessments cannot be done without the input of aides. Who are up close and personal and who know what the residents are, and are not capable of. I've always thought aids should be part of some MDS team. As well as participating members of care plan conferences and the like. Educating them about the benefits of increased reimbursement is wonderful...but there is also a danger when the aides actually know how much each resident is **worth** vs. how much they are being paid, ect.

I think many for profit chains keep the aides in the dark on these things for a reason. Yet they have no moral problem with telling how many briefs can be used in a 24 hour period...