Michigan Rural Health Conference -2018 Sub-Acute Transitional Care in a CAH – Promoting Value and Building Partnerships

Agenda Sheridan Community Hospital Path to Future The Better Choice Financial Performance Lessons Learned Questions Agenda

Providing exceptional care that patients recommend, providers prefer, and employees embrace with pride.

Sheridan Community Hospital CAH located in Montcalm County Independent RHC It’s Niche

Path to Future Retooling Orthopedics Value Purchasing Medicare Reimbursement The Better Choice Reinventing Swing Bed

Reinventing Swing Beds The Better Choice Reinventing Swing Beds

Better Choice - Quality

Better Choice – Saving Lives

Better Choice – Care and Treatment

Promoting Value Cost and Satisfaction

Cost Per Diem Rate Transfer between SNF and Hospital Physician Visits Lower Readmission Ancillary Service LOS Return to normal daily activity sooner, better prognosis for less costly follow-up Negotiating Value with BCCSM

Satisfaction: Patient and Family Personalized Care of a Rural Hospital Value: Family First Engagement Customized Plan of Care Confidence and Comfort of 24/7 In-House Physician

Financial Performance

Referral of Swing Bed Admissions

Lessons Learned SB Reinvented - Referral Model DRG Cost Avoidance Don’t Distinguish M/S from SB RN to RN Meet before Transfer Mild Behavioral Issues Provider Confidence Family Engagement

Thank you! Questions