Kindred Healthcare. Opportunities Career Growth Nursing/Case Management. Objectives. Be able to verbalize Kindred Healthcare’s mission; what kind of patients are served in the continuum of care, and where facilities are located Learn about Kindred’s Case Management roles
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Long-term Acute Care Hospitals
Inpatient Rehabilitation Hospitals
Nursing & Rehabilitation Centers
$1.2 billion revenues(1)
$2.7 billion revenues(1)
$2.2 billion revenues(1)
183 licensed beds (3)
Inpatient Rehab Hospitals (5)
Nursing and Rehabilitation Centers (224)
Acute Rehabilitation Units (113)
RehabCare External Customers (1,563)
Home Care and Hospice (19)
Existing Cluster Market
Potential New Cluster Market
(as of June 1, 2011)
Market Specific Integrated and Coordinated Care Delivery Models
With Focus On Developing Cluster Market Service Offerings
SKILLED NURSING FACILITIES
Patient Service Intensity
HOME HEALTH CARE
ADULT DAY CARE
Patient Illness Severity
Inpatient Rehabilitation Facilities
Long-Term Acute Care Hospitals
Hospital Based Sub-Acute Units
Skilled Nursing & Rehabilitation Centers
Kindred Long-Term Acute Care Hospitals:
28,766 (64%) patients went home or to a lower level of care in 2010 after an average length of stay of 30 days
Kindred Inpatient Rehabilitation Facilities
34,960 (76%) patients returned home after an average length of stay of 12 days in 2010
Kindred Nursing and Rehabilitation:
39,836 (50%) patients returned home after an average length of stay of 32days in 2010.
Patient functional improvement from evaluation to discharge was 76.4% in 2010
…is to promote healing,
and produce value
for each patient, resident, family member, customer, employee, and shareholder we serve
Complex skills promoted in:
Complex Discharge planning
Interdisciplinary care facilitation and coordination
Clinical Documentation Improvement (CDI)
Kindred has 4 Regions (West, Central, Southwest, and East) in U.S.
Over 400 case managers (District Directors, Area Directors, Directors of Case Management, Case Managers and Social Worker Case Managers
Typical caseload 1:15 -1:18Kindred Case Management
Evaluation of the MSN-Prepared CM New Graduates’ 2010 Orientation and Mentorship Program
Fusae Abbott, RN, DNSc., Wendy De Vreugd, RN, BSN, FNP, CCDS, MBA, Janet Rowland, RN, MSN
Samuel Merritt University & Kindred Healthcare, Inc.
To the SMU-CM program:
Five-minute case presentation exercises in clinical seminars.
Reviewing standard treatment options for five common disease conditions seen during a student’s preceptorship.
Communication simulation exercises involving difficult patients, family members, and physicians.
Speaking up in inter-disciplinary meetings during the clinical practicum.
Strengthen the 4-week orientation to bring new graduates onboard to KH.
Provide opportunities for new graduates to work at least a week with bedside RNs and priority LTAC ancillary services.
Teach LTAC-specific equipment and treatments.
Develop critical pathways for five common disease conditions at LTAC.
Teach about site-specific issues, such as resources in the community, insurance companies and kinds of insurance that patients may carry, physician practice patterns, and types of patients.
The purpose of the study was to evaluate the effectiveness of the CM orientation and mentorship program for MSN-prepared new graduates with no RN work experience.
•Can an MSN-prepared new CM graduate from SMU, with no RN work experience, perform competently as a case manager after completing a 6-month new graduate orientation and mentorship program?
• What parts of the orientation and mentorship program helped the graduate to function as a case manager? To what degree? What didn’t work?
• A case study method
• Subjects: Three SMU new graduates and their four trainers.
• Demographics and characteristics of the subjects
• Thoughts and feelings of the new graduates and their trainers in regard to the program
• Confidence and competency levels of the graduates
• Various on-going assessments at KH as part of their standard practice for new hires
• Weekly SWOTT reports by the new graduates
Case Management Program
In 2010, Kindred Healthcare, Inc. formed a partnership with the SMU CM Program and hired three SMU-CM graduates who had no RN work experience. KH Hospital Division, West Region provided a 6-month new graduates’ orientation and mentorship program (6/14/10 – 12/31/10).
Aging case managers and the potential shortage of qualified case managers are critical issues in the case management field. The CMSA data for 24,000 certified case managers (CCMs) revealed that the average age of the CCMs was 55.1 and only 4.0% of them were younger than 40 years of age (Park & Huber, 2009).
Although the healthcare industry recognizes the shortage issue, SMU ELMSN-CM graduates still face difficulties in obtaining CM positions. Hospitals traditionally require 1 to 3 years of RN work experience for CM entry positions, but ELMSN-CM students can have no more than one year of RN work experience by the time they graduate.
Wendy De Vreugd, RN, BSN, PHN, FNP, CCDS, MBA,
Regional Senior Director Case Management
Kindred Healthcare, Hospital Division, West Region
Office (714) 899-5020
Bruce Mattos, West Regional Director Talent Acquisition, Hospital Division Office ( 916) 351-8774