Transcript of Rising Storm in LTC How to Prepare for the Worst.
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- Rising Storm in LTC How to Prepare for the Worst
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- Economic Squeeze Resource Shortage Workload Pressure Union
Attack Government Interference
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- Economic Squeeze Medicaid/Medicare catastrophe Labor Costs
& Turnover Access to Funding
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- Medicaid/Medicare Economic Squeeze 5 14 25 29
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- Economic Squeeze Medicaid/Medicare
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- Labor Costs: 70% Turnover rates: 40% - 166% CNA Turnover: 70%
Costs: 25% of annual compensation Labor & Turnover Costs
Economic Squeeze
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- Access to Funding Economic Squeeze
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- Resource Shortage Aging of America High-Growth Market Fewer
Trained Workers Hospital Releases
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- Aging of America 65+ 2000: 35 million 2010: 40 million 2020: 55
million 2030: 72 million 6.5% 65+ in residential care Resource
Shortage 35 40 55 72 Population Over Age 65 (in Millions)
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- High Growth Market Direct Care Workers 2 nd Largest
Occupational Group New Job Growth: 1.Registered Nurses 9.Nursing
Aides, Orderlies & Attendants Community Care Facilities: up 31%
Nursing Care Facilities: up 28% Resource Shortage
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- 1,113,000 needed 850,736 available Resource Shortage Fewer
Workers NeededAvailable
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- Hospital Releases Resource Shortage 1985 - 2000
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- Workload Pressure Higher Acuity Staffing Litigation
Pressure
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- Higher Acuity Diabetes Deaths in Nursing Homes Alzheimers ADL
Dependence Workload Pressure
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- Staffing Shortage Workload Pressure
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- Litigation Workload Pressure
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- Union Attack Survival Requires Growth Markets Targeted
Campaigns Political Influence
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- Growth Markets Union Attack
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- Targeted Campaigns Union Attack
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- Political Influence Union Attack
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- Government Regulation Specialty Healthcare DOL/OLMS Rule
Changes NLRB Rule Changes
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- Specialty Healthcare Rehabilitation Center of Mobile Government
Regulation
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- DOL/OLMS Persuader Advice Exemption Government Regulation June
21, 2011 Notice of Proposed Rulemaking: The New Rules (proposed)
June 21, 2011 Notice of Proposed Rulemaking: The New Rules
(proposed) Persuader activities include drafting, revising or
providing: 1.Materials for presentation, dissemination,
distribution to employees 2.Speeches 3.Audiovisual, multimedia
presentation 4.Website content 5.Planning, conducting one-on-one or
group meetings 6.Employee attitude surveys concerning union
awareness, sympathy or proneness Proposed Rulemaking Not a final
rule 90 days to comment In effect after comment period Comment by
web (regulations.gov), hand- delivery or by mail Reference
1215-AB79 and 1245-AA03 (29 C.F.R. Parts 405 and 406) Proposed
Rulemaking Not a final rule 90 days to comment In effect after
comment period Comment by web (regulations.gov), hand- delivery or
by mail Reference 1215-AB79 and 1245-AA03 (29 C.F.R. Parts 405 and
406)
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- DOL/OLMS Persuader Advice Exemption Government Regulation June
21, 2011 Notice of Proposed Rulemaking: The New Rules (proposed)
June 21, 2011 Notice of Proposed Rulemaking: The New Rules
(proposed) Persuader activities include drafting, revising or
providing: 7.Training supervisors to conduct meetings
8.Coordination or directing activities of supervisors
9.Establishing or facilitating employee committees 10.Developing
personnel policies 11.Deciding which employees to target for
persuader activity or disciplinary action 12.Conducting a seminar
for supervisors 13.Other (must explain) Proposed Rulemaking Not a
final rule 90 days to comment In effect after comment period
Comment by web (regulations.gov), hand- delivery or by mail
Reference 1215-AB79 and 1245-AA03 (29 C.F.R. Parts 405 and 406)
Proposed Rulemaking Not a final rule 90 days to comment In effect
after comment period Comment by web (regulations.gov), hand-
delivery or by mail Reference 1215-AB79 and 1245-AA03 (29 C.F.R.
Parts 405 and 406)
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- Watch Webinar and Get Other Resources Here:
http://lrionline.com/olms-advice-rule Comments Due September 21,
2011 DOL/OLMS Persuader Advice Exemption Government Regulation
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- NLRB Quickie Elections Rule Government Regulation Hearing
suspended to post- election if issues effect less than 20% of unit
Statement of Position Form (all future litigation limited to
statement of position) Eliminate 25-30 day waiting period to allow
review of Regional Director decisions Provide voter phone numbers,
email, shift & departments within 2 days of direction of
election (and immediately to Board) Key Changes
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- NLRB Quickie Elections Rule Government Regulation Key Changes
Election can be held within 10 days of transmission of eligibility
list (or earlier if union agrees) Use of electronic signatures to
support a showing of interest Election Notices required (electronic
posting required where possible) Review all individual voter
eligibility issues post- election
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- NLRB Quickie Elections Rule Government Regulation Watch Webinar
and Get Other Resources Here:
http://lrionline.com/nlrb-streamlined- elections Comments Due
August 22, 2011
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- What Do I Do Now? Comment Political outreach Proactive ER
Government Regulation
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- BOOM Right of BOOM Left of BOOM Situation Assessment
Counter-Campaign Strategy Alert Legal, Consulting, Jump Team
Vulnerability Assessment Positive ER, Engagement Hiring/Onboarding
Tripwire Team Left of Boom
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- Frontline Focus
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- How Companies Screw Up Training You dont need one of these
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- How to Evaluate Effective Training Intervals shrink the
knowing- doing gap Active intervals - bursts Awareness, values,
skills Accountability Leverage self-learning
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- Try Active Intervals Awareness Values Skills Try one module
FREE One pulse survey FREE Copy of Next 52 Weeks
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- Webinar Conclusion To participate in training or pulse survey
call Greg at 800-888-9115 or email gkittinger@lrims.com