The future of Medicare revenues is less certain with the introduction bundled payment programs and other payment reforms; however, Fitch believes this concern is somewhat mitigated by Cypress Cove's affiliation with LMHS
. SNF revenues make up approximately 22% of total fiscal 2017 resident revenues.
In the years from 2002-2006, all inexperienced RNs entering LMHS were enrolled in a standardized internship program that included, regardless of initial competence assessment results, a series of traditional didactic classes based on body systems and an arbitrary number of weeks for clinical orientation.
Therefore, in 2008/2009, LMHS initiated a multifaceted development methodology called the Transitional Orientation Program, designed to develop and retain competent RNs.
Again, although these results were gratifying, LMHS believed there was an even greater opportunity for improvement in competence results and cost savings.
In 2010, LMHS initiated a third phase of the Transitional Orientation Program to respond to anticipated workforce challenges including commitment to hire at least 200 inexperienced RNs each year.
Although the clinical coaches had been prepared as described, LMHS believed it was critical to provide additional support for them for this new role.
SPINNING OUR WHEELS A majority of LMHS
students have been transplanted from other states and now live in subdivisions in this vaguely defined megalopolis.
LMHS has provided healthcare in Southwest Florida for four generations.
After adding its third facility in 1998, LMHS decided it was time to clean up its MPI.
Because of Y2K problems and the need to identify each patient at all three facilities, LMHS decided to migrate all three to a new HIS.
LMHS believed it was best to clean the MPI before conversion or installation because:
Using QuadraMed's Best Practices Manual, LMHS developed facility-specific processes and procedures to clean its MPI.