TRAINING PROPOSAL FOR Caber Enterprises, Inc. 17- 0722 Ent.pdf · Training Proposal for Caber...

Training Proposal for Caber Enterprises, Inc.: 17-0722 of 14

TRAINING PROPOSAL FOR

Caber Enterprises, Inc.

17- 0722

Panel Meeting Date: 06/23/2017

Regional Office: Sacramento Regional Office

Analyst Name: Dongallo, Jesse

Type of Proposal: Single Employer Contract (SE)

Funding Source: Special Employment Training (SET)

FUNDING OVERVIEW

Provided here is a summary of the funding for the proposed Training Project.

TOTAL ETP FUNDING: $558,760.00

Program & Admin Cost Support Cost Substantial Contribution

($ / %) Total In-Kind

$558,760.00 N/A N/A $658,000.00

APPLICANT PROFILE

Company Summary Headquartered in Visalia, Caber Enterprises, Inc. dba Mission Care Group (Caber)

is a company that provides nursing and rehabilitation services to geriatric and post-acute patients. In addition to the Visalia headquarters, Caber operates 3 rehabilitation, skilled nursing and post-acute care centers in Visalia, Tulare and Hanford.

Industry Sector(s) Healthcare

Priority Industry Yes

No. of Employees (Applicant) State: 300 US: 300 World Wide: 300

Turnover Rate (Applicant) 12.00%

Repeat Contractor Yes

High Unemployment Area

Yes

Unions

No


TRAINING PROFILE

Training Objective

Training objective will be focused on improving processes, maintaining compliance with constant legislative changes, satisfy increasing demands for high quality care, implement technological enhancements, certification on 5-star programs and expand on full time staff.

Training is summarized below. Additional details are provided in Attachment 1 - Group and Job Title Details of this Panel Proposal.

# Group Characteristics # of Trainees

Reimbursement Rate

Avg. Hours

Cost Per Trainee

Min – Max Hour

1 Retrainee (HUA)

JOB CREATION

Priority Rate

76 $20 108 $2,220.00 8-200

2 RETRAINEE (HUA)

Priority Rate

207

$18 100 $1,800.00 8-200

3 Retrainee (HUA)

VETERAN

Priority Rate

10 $22 100 $2,200.00 8-200


PROPOSED TRAINING PROJECT DETAILS

Provided here are the details on the proposed Training Project.

1. Company Background

Founded in 1991, Caber operates several rehabilitation and skilled nursing and post-acute care centers in Visalia, Tulare and Hanford. The Company employs 300 professionals providing 24-hour care within cumulative 210 beds with rehabilitation, recovery, nursing, long term care, post-acute services to patients following illness, surgery and injury.

There will be four Caber facilities participating in training:

Caber Enterprises Inc. (Headquarters) in Visalia

Delta Nursing and Rehabilitation Hospital, Inc. in Visalia

Kings Nursing and Rehabilitation Hospital, Inc. in Hanford Tulare Nursing and Rehabilitation Hospital, Inc. in Tulare

All these facilities are eligible for priority-industry funding as a Healthcare facility.

2. Current Training Project Details

Provided here are details on the purpose of the training, a summary of the marketing plan and support costs.

Purpose of Training

This will be Caber’s second Agreement, and the second in the last five years. During the first ETP Agreement (ET15-0418), the Company’s training focused cost-effective programs and nursing skills to improve customer satisfaction. That Agreement trained 300 employees at the Company’s four California facilities. This proposal will include employees that received training in the prior ETP project. However, these trainees will not receive duplicate training. Training will expand upon the previous proposal. With the constant changing medical industry requirements and programs associated with the Affordable Care Act and Centers of Medicare & Medicaid Services (CMS), Caber needs to adapt with the changes. As of March 2016, the CMS unveiled major changes to Nursing Home Compare, a care facility five-star rating system, with new quality measures that must be integrated under the new system. The five-star quality rating system is a tool to help consumers select and compare skilled nursing centers which is readily accessible on the internet. As a result, Caber has committed to align new quality improvement training to help maintain its high ratings, standards of patient care, and key partnerships with other healthcare providers. In regards to a recent healthcare partnership, Caber has committed to hiring 76 employees to support an expanding workload. Caber was awarded the Providence Medicare/Medicaid contract. This contract will increase patient volume by 30% within the next nine months, along with continual growth within the next two years. Additional trainees will be hired into “net new jobs” as a condition of the contract. In 2014, the Caber began implementing Point Click Care (PCC), which is an Electronic Medical Record Software. This system will allow Caber to provide an integrated clinical and financial electronic medical record along with its Customer Relationship Management system (CRM) across the post-acute care continuum. Although originally planned to be implemented in 2014, the Company has begun installation in July 2016 and will continue to all facilities through 2017. Training for the new software system has begun and is projected to continue to be delivered to all staff in the next 24 months or longer, until all software updates have been completed.


The Panel has established a reimbursement rate for nurse upgrade training, recognizing the higher cost of delivery for the Clinical with Preceptor model. This blended rate, $22 per hour, will apply to both the Didactic and Clinical with Preceptor models of delivery. Medical Skills training will be delivered to 232 RNs, LVNs, CNAs and select Medical Staff, Medical Therapy and Supervisors.

Training Infrastructure and Administrative Plan

Caber has a project manager and training coordinator dedicated to coordinating all training efforts, including scheduling training, ensuring the training is tracked under ETP rosters, providing trainee enrollment data, verifying training and retention completion, participating in ETP monitoring activities and ensuring compliance with all ETP requirements.

To ensure 100% performance, the Company has restructured both top management and training program facilitation methods. Along with improved training management, the Company has established 6 full time trainers and 20 subsequent trainers involved in clinical preceptor training. Caber has also retained an administrative consultant with ETP experience to assist with meeting program requirements.

Marketing Plan

(MEC Only)

N/A

Support Cost Description

(MEC Only)

N/A

Substantial Contribution Description

Caber is a repeat contractor where payment earned did not exceed $250,000 at a single facility within the past five years. Therefore, Substantial Contribution does not apply.

3. Sample Curriculum

Provided below is a summary of the methods by which training will be delivered including a sample of the courses that will be offered.

Each of the Trainee groups will be able to take courses under the various delivery methods.

Delivery Method Classroom/Simulated Laboratory

Training Type/Level Sample Classes

Medical Skills (Didactic) Psychotropic Medication Management

Intravenous Therapy

Behavior Management

Medical Skills (Preceptor) Dementia care

Rehabilitation Services

Skeletal/Orthopedic Conditions

Computer Skills Elect Med Records Application Skills

Patient Services Billing Software

Continuous Improvement Mobility Skills

Medical Records

4. Additional Company or Training Project Details


Provided here is additional information relative to the proposed Training Project.

4.1 Program Waivers

The next table lists the various waivers and supporting justifications for training that apply to this proposed Training Project.

Waivers/Justification Type Summary

Retention Period for Allied Healthcare

500 hours within 272 days working full time with one employer.

Nurses and Allied Healthcare Full-Time Definition

Full time employment is 35 hours per week. The Company requests 32 hours per week as full-time for allied healthcare occupations only.

HUA Wage 43 trainees in Groups 2 and 3 work in High Unemployment Area (HUA), with unemployment exceeding the state average by 12%

The wage may be modified to the ETP Minimum Wage by up to 25% if post-retention wages exceed the start-of-training wages. The trainees in a HUA may receive more hours of basic or literacy skills training (Vocational English as a Second Language), as shown in the Curriculum.

4.2 Subcontractor Summary

The applicant has retained the services of the following Subcontractor(s).

Subcontractor Type Subcontractor Name City Service Cost

Development Synergy Management Consultants, LLC Grass Valley $34,000.00

Administrative Synergy Management Consultants, LLC Grass Valley Not to exceed 10% of funding earned


4.3 Previous ETP Project Summary

The following table summarizes performance by Caber Enterprises under an ETP Agreement that was completed within the last five years:

Agreement No. Location (City) Term Approved Amount Payment Earned

$ %

ET15-0418 Kings, Tulare 05/04/2015-05/03/2017

$424,614 $331,198 (78%)*

Within the first 14 months of the contract, the previous HR manager experienced challenges managing the training plan. In addition, the last 9 months, Caber merged one of its locations with another. This caused the Company to focus much of their time and resources to relocating staff and patients to their existing facilities. As a result of these challenges, the Company finished at 78% performance. For the proposed Agreement, a new HR project manager had been hired to implemented a more training focused plan which resulted in a training increase of 175% in the final 7 months of eligible training. To support this training plan, MCG will be utilizing 6 full time trainers, along with 20 subsequent trainers for clinical preceptor training.

4.4 Supporting Panel Proposal Documentation

Provided in Attachments 1, 2 and 3 is additional application details on the intended training population, the detailed curriculum, and associated program characteristics that are related to this proposed Training Project.

Attachment 1 – Group and Job Title Details

Training Proposal for Caber Enterprises, Inc.: 17-0722 Attachment 1: Page 1

The proposed Training Project includes training for the following Trainees, organized by training group.

Group #1 – Retrainees, Job Creation

County ETP Minimum Wage

Kings County (HUA) $ 10.50

Tulare County (HUA) $ 10.50

Job Title Estimeated Number of Trainees

Base Wage Range Health Benefits Applied

Post-Retention Wage

Kings County (HUA)

Admin Support 1 $12.00 - $18.00 $0.00 $12.00

CNA 12 $12.00 - $14.00 $0.00 $12.00

LVN 7 $19.00 - $24.00 $0.00 $19.00

RN 2 $35.00 - $45.00 $0.00 $35.00

Supervisor 3 $25.00 - $40.00 $0.00 $25.00

Tulare County (HUA)

Admin Support 1 $12.00 - $20.00 $0.00 $12.00

Admin Support 1 $12.50 - $15.00 $0.00 $12.50

CNA 8 $12.00 - $14.00 $0.00 $12.00

CNA 10 $12.00 - $14.00 $0.00 $12.00

Corp Support 3 $13.50 - $25.00 $0.00 $13.50

LVN 1 $12.00 - $15.00 $0.00 $12.00

LVN 6 $12.00 - $17.00 $0.00 $12.00

LVN 8 $17.00 - $25.00 $0.00 $17.00

Manager 1 $25.00 - $40.00 $0.00 $25.00

Medical Staff 1 $12.50 - $18.00 $0.00 $12.50

RN 1 $35.00 - $40.00 $0.00 $35.00

RN 1 $37.00 - $45.00 $0.00 $37.00





Post-Retention Wage

RN 2 $35.00 - $45.00 $0.00 $35.00

Supervisor 3 $28.00 - $47.00 $0.00 $28.00

Supervisor 4 $28.00 - $40.00 $0.00 $28.00

Group #2 -- Retrainees






Post-Retention Wage

Kings County (HUA)

Admin Support 4 $12.00 - $15.00 $0.12 $12.12

CNA 28 $12.00 - $14.00 $0.12 $12.12

LVN 15 $19.00 - $28.00 $0.00 $19.00

Medical Therapy 5 $25.00 - $40.00 $0.00 $25.00

RN 2 $36.00 -$47.00 $0.00 $36.00

Supervisor 9 $25.00 - $40.00 $0.00 $25.00

Tulare County (HUA)

Admin Support 4 $12.50 - $15.00 $0.00 $12.50

Admin Support 4 $12.00 - $20.00 $0.12 $12.12

CNA 28 $12.00 - $14.00 $0.12 $12.12

CNA 33 $12.00 - $14.00 $0.12 $12.12

Corporate Office Support 8 $15.00 - $30.00 $0.00 $15.00

LVN 15 $12.00 - $17.50 $0.12 $12.12

LVN 15 $17.00 - $25.00 $0.00 $17.00

Manager 3 $25.00 - $50.00 $0.00 $25.00

Medical Staff 3 $13.50 - $32.25 $0.00 $13.50





Post-Retention Wage

Medical Therapy 5 $25.00 - $32.00 $0.00 $25.00

RN 2 $35.00 - $45.00 $0.00 $35.00

RN 2 $37.00 - $50.00 $0.00 $37.00

RN 3 $35.00 - $45.00 $0.00 $35.00

Supervisor 7 $28.00 - $47.00 $0.00 $28.00

Supervisor 12 $28.00 - $40.00 $0.00 $28.00

Group #3 -- Retrainees, Veterans






Post-Retention Wage

Kings County (HUA)

CNA Vet 2 $12.00 - $14.00 $0.12 $12.12

RN Vet 1 $35.00 - $45.00 $0.00 $35.00

Tulare County (HUA)

CNA Vet 3 $12.00 - $14.00 $0.12 $12.12

LVN Vet 2 $12.00 - $18.00 $0.12 $12.12

Manager Vet 1 $35.00 - $35.00 $0.00 $35.00

RN Vet 1 $35.00 - $45.00 $0.00 $35.00

Attachment 2 – Training Delivery and Curriculum Listing

Training Proposal for Caber Enterprises, Inc..: 17-0722 Attachment 2: Page 1

Provided below are details on the types of training planned for this proposed Training Project.


Training Type/Level Planned Course Offerings

Medical Skills (Didactic)

Administration of Antimicrobial Agent

Infection Control

Basic Life Support

Body Mechanics

Patient Transfer Techniques

Medical Equipment Skills

Advanced Cardiac Life Support

Change of Condition Management

Interdisciplinary Team Process

Pain Mgmt (Acute and Chronic)

Intravenous Therapy

Enteral Feeding Tube Management

Respiratory Care

Restorative Nursing

Wound Management

Advanced Assessment Skills

Diabetic Management

Urinary Mgmt Foley Catheter, In/Output

Resident and Family Education

Medication Administration Mgmt

Restraint and Restraint Reduction

Behavior Management

Psychotropic Medication Management

Patient Assessment & Care

Physical, Occupation Speech Therapy

End of Life Care

Patient Fall Prevention

Dementia/Alzheimer's

Neurovascular System

Residents with Special Needs

Gastrointestinal System

Laboratory

Lab Electrolyte Imbalance

Lab Arterial Blood Gas Interpretation

Cardiac Conditions





Neurological Conditions

Resident Emergency Response


Incontinence Management

Pro Act Training

Computer Skills Classroom/Simulated Laboratory

Elect Med Records Application Skills

Patient Services Billing Software

PCC Tablet for Bedside Charting

PCC Electronic Medical Records CRM

PCC Clinical Key Perf Indicators

Continuous Improvement Skills Classroom/Simulated Laboratory

Providence Program Administration

Medical Records

Customer Service

Communication Skills

Problem Analysis & Problem Solving

Clinical Services System Mgmt

Interdepartmental Collaboration

Interdisciplinary Team

Incident/Accident Management

Resident Centered Care

Mobility Skills

Documentation

Continuous Quality Improv Workshop

Culturally Appropriate Care

Team Building

The Five Star Rating System

Leadership Development

Business Skills Classroom/Simulated Laboratory

Communication Skills

Time Management

HIPPA

Transportation Procedures

Appointment Scheduling

Room Transfers



Delivery Method Productive Lab (PL)


Medical Skills (Preceptor)

Medication Management

Advanced Assessment Skills

Advanced Clinical Skills

Infection Control

Patient Safety

Clinical Skills Review

Clinical Certification Skills

Patient Assessment and Care

Intravenous Therapy

Enteral Management

Intermittent

EM Continuous

Feeding Tube, Insert, Remove

Feed Tube Site Care

Dementia Care

Respiratory Care

Hemovac/Pnuemovac

Dementia/Alzheimer's

Management Patient Neurovascular Condition

Rehabilitation Services

Residents with Special Needs

Gastrointestinal Conditions

Cardiac Conditions


Incontinence Mgmy (colostomy care)

Functional Mobility and Ambulation

Bowel and Bladder Training of Patients

Identify Skin Impairment & Prevention

Identify Patient Change in Condition

Monitoring of Cardiovascular Changes

Breathing for Respiratory Function

Pain Management

Position of Patient for Body Alignment

Monitor Blood Pressure of Patients

Operate Safety Devices w/Patient



Delivery Method Productive Lab (PL)


Activities of Daily Living

Range of Motion Exercises w/Patient

Patient Care of Foot and Hand

Charting

Colostomy Care

Hazardous Waste Handling

Isolation Techniques

Safe Patient Handling

Use of the Call Light System

Safe Linen Handling

Equipment/Modalities

Therapeutic Safety

Proper Use of Exercise Equipment

Therapeutic Activities

Therapeutic Exercises

Assistive Devices

Tempcheck for Hydrocollator/Paraffin

Attachment 3 - Training Project Characteristics Details


Provided in the table are details on the training characteristics.

Characteristic Program Summary

Retrainee - Job Creation

This program provides incentives to companies that commit to hiring new employees including a higher Reimbursement Rate:

$20 for all delivery methods (Class/Lab; Productive Lab; E-learning) with the following exceptions –

$22 for Clinical (Preceptor and Didactic)

$8 for CBT (delivery Type)

The date of hire for trainees is within the three-month period before contract approval, or within the term of the contract. Trainees are hired into “net new jobs” as a condition of contract. Substantial Contribution and Turnover Rate

penalty requirements do not apply. Employer must demonstrate expanded or new facilities, new equipment or machinery, expanded business capacity or other measureable investment in hiring workers and expanding their California workforce. A trainee whose employment is “Temp-to-Permanent”, “seasonal”, or “part-time” may be considered newly-hired, but employment retention cannot begin until trainee is a permanent full-time employee on Contractor payroll.

TRAINING PROPOSAL FOR Caber Enterprises, Inc. 17- 0722 Ent.pdf · Training Proposal for Caber...

Documents

Transcript of TRAINING PROPOSAL FOR Caber Enterprises, Inc. 17- 0722 Ent.pdf · Training Proposal for Caber...