Tuesday, April 15, 2008
Nursing Homes: Focus on the Bottom Line!!!
You may be thoroughly convinced otherwise, but I think that nursing homes don't think enough about making money. Reimbursement is typically something that only the front office and the administrator are concerned about, but I would encourage you to get every single member of your staff in a money mindset. Teach them how nursing home finance works. Make sure that CNAs understand (I mean *really* understand) how the ADL and restorative documentation that they are responsible for raise the RUG levels. It is imperative that everyone in the facility appreciate the MDS. Insist that anyone who so much as breathes on the MDS gets certified so that they know what they are doing. Have an inservice for the licensed nurses on what they have to chart for skilled residents, and why. Conduct an open-house meeting as you are preparing the annual budget. Share your projections with all staff and get their feedback. By getting everyone in a money mindset, not only are you helping the facility but you are helping them. Although unconventional, it is empowerment at its best, because everyone can see that they are making a difference in the one thing that seems to matter most to corporate owners -- making a profit.