innovative, and cutting edge practices.” “Compassionate care for home bound patients and families through proven, innovative, and cutting edge practices.” TenderHeart Home Care Jessica Campbell, Charles Leonard, Katy Lucas, and Julie Simon Ferris State University

Needs for Home Care Leelanau County population 21,915. 27.7% or 6,071 above the age of 65 7.3% or 1,600 below the age of 65 are disabled (United States Census Bureau , 2015) Increase need for specialized services close to home 85% of US adults >65 have chronic conditions Increased possibilities of complications and ability to care for themselves (Michigan Department of Health and Human Services, 2016) Most home care agencies are based in Traverse City Based nearby represents commitment to the community

Mission Statement “Our Nursing Mission is to exceed expectations and norms by providing safe and compassionate care for home bound patients and families through proven, innovative, and cutting edge practices which sill result in high patient satisfaction and superior outcomes.” Philosophy “We believe every patient deserves the greatest respect, advocacy, and empowerment. Our nurses provide this by exemplifying teamwork, accountality, education, dedication, and innovation by applying the highest level of care based on evidence-based practice and compassion. We believe excellent home care is a gateway to a better community.”

Goals Identified for excellence in home care settings Exceptional patient and family care Sponsor and volunteer at health- focused community events Secure a high reputation in the community and health care organizations Maintain contact with local health care agency and departments Form strategic alliances with local health care professionals Work with local radio and television stations. Advertise on-line and in-print for recruitment of staff and patients Optimize information technology Attend educational conferences to maintain and follow latest evidence and research

Objectives 2016 March 1 – Recruit and hire 3 skilled nurses 15 nurse aids May 1 – Begin local community marketing July 1 – Implement home-based care December 1 – Client base of 40 by end of the year Complete orientation process through educational classes Bi-monthly education/training updates and professionalism Meet or exceed national benchmarketing for patient satisfaction Provide evidence based nurses to improve quality of care and safety

Job Descriptions Director of Home Care Responsible to plan, organize and direct Long term and short term planning, program development, and coordination Oversee operations on the site as it relates to the: day to day delivery of patientcare services financial performance customer satisfaction employee relations clinical outcomes certification and accreditations.

Job Descriptions Register Nurse Holds a current RN license in the State of Michigan Professional and comprehensive nursing care within their scope of practice Provide patient focused skilled nursing care by: utilizing the nursing process of assessment, planning, interventions, and evaluation Following physician and advance practice professional orders, nursing interventions, and TenderHeart policy and procedure.

Job Descriptions Case Manager RN Holds a current RN license in the State of Michigan Responsible for coordinating the interdisciplinary plan of care for the patient in a home care environment Coordinates services and resources for the patient within the community Functions as a patient advocate Ensures home care personnel are providing the necessary care, while involving the patient’s family.

Job Descriptions Physical Therapist Occupational Therapist Graduation from an accredited school with a Master’s Degree in Occupational Therapy. Hold a current Occupational Therapist License in the State of Michigan Development and rehabilitation of home health care patients that require therapy for: Mental, emotional, and physical disabilities. Responsible for planning and directing medically prescribed occupational therapy. Physical Therapist Graduation from an accredited school with a Master’s or Doctor’s Degree in Physical Therapy. Improve and manage movement/mobility and pain Improve patient function and independence Planning and administering medically prescribed therapy.

Job Descriptions Patient Care Technician Works under the direct supervision of the manager of the home care office. Performs and assists with activities of daily living Approved treatments for patient care according to established policies and procedures Follow direction from the Registered Nurse Documentation of care provided Maintains a safe, clean, and positive work environment

Job Descriptions Creative Director Staff Scheduler supporting the staff in their practices coordinate other therapy options for patients finding creative solutions for abstract problems coordinate with the community on elder support programs, art, music, literature, massage and nature pathway programs maximize the quality of life for each one of our patients in every way possible. coordinator of social activities and group functions Staff Scheduler Responsible for overall scheduling and assignment of Tenderheart clients. Overall communications focal point to our team Managing and monitoring staff schedules and schedule changes

Marketing Plan The Record-Eagle Home Care Other sources 13 county regional newspaper Circulates 19,000 weekdays, >24,000 on Sunday Available in-print, on-line, and a mobile platform Home Care Leading business magazine for home care professionals In-print and on-line 30,000 subscribers Other sources Free on-line job advertising Craigslist Facebook page TenderHeart Web page

Marketing Strategies Local Advertising Visibility in the community The Record-Eagle Radio station Billboard Visibility in the community Presences and volunteering at events and fairs Sponsoring School Teams and productions Health Fairs and Education seminars

Service Plan Budget Justification

References Michigan Department of Health and Human Services (2016). Chronic diseases and health indicators. Retrieved from http://www.michigan.gov/mdhhs/0,5885,7-339- 73970_2944_67827---,00.html United States Census Bureau. (2015). State and county Quickfacts: Leelanau county, M.I. Retrieved from http://www.census.gov/quickfacts/table/PST045215/26089, 00.