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

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

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

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

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

6. Reinventing Swing Beds
The Better Choice
Reinventing Swing Beds

7. Better Choice - Quality

8. Better Choice – Saving Lives

9. Better Choice – Care and Treatment

10. Promoting Value
Cost and Satisfaction

11. 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

12. 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

13. Financial Performance

16. Referral of Swing Bed Admissions

19. 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

20. Thank you! Questions