Our Objectives To Help Your Company · C&V SENIOR CARE SPECIALISTS, INC. 2015 Phase II Full Day Professional Training for Agency Psych RNs and Admin Staff (8 hours-6CEUs) Admin Training

8/21/2015

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• GROWTH THROUGH ALZHEIMER’S AND BEHAVIORAL HEALTH PROGRAM

DEVELOPMENT WITH THE “BECOMING AN ALZHEIMER’S WHISPERER℠” AND “ROAD TO

WHOLENESS℠” PROGRAMS

Dr. Verna Carson

President

Katherine Vanderhorst

Vice President

C&V Senior Care Specialists, Inchttp://www.cvseniorcare.com

[email protected]

C&V SENIOR CARE SPECIALISTS, INC. 2015

Our Objectives To Help Your Company

Develop a strategic plan for the development of an Alzheimer’s and/or Behavioral Health Program for Your Company

Provide training, operational and/or marketing support so that they may provide the highest Behavioral Health and Alzheimer’s care to patients.

Enhance your clinical and financial outcomes.

Assist in Niche development.

Make your company the market leader


http://www.cvseniorcare.com/

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Company History

30 years home care experience

Both Psychiatric Nurses

Research Projects

Extensive Sales and Marketing Experience

Multiple Publications, National Column in CARING, Two

books on Alzheimer’s Care

National Recognition for both Behavioral

Health and Alzheimer’s programs


Why Work with C & V?•Experience

•Program development and support

•Your company strives to provide the highest level of services available for patients with Alzheimer’s/Dementia and Behavioral Health

•Prevent unnecessary legal actions

•Assist w/ niche market development

•Training that decreases staff turnover

•Financial/Market Growth


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Behavioral Health Training

THE ROAD TO WHOLENESSBEHAVIORAL HEALTH HOME

CARE MANUAL


The Behavioral Health Home Care Program assists

patients and families who are broken and wounded by

mental illness to move towards wholeness. The program

provides:

1.Acute intervention, 8. Preventative services

2. Crisis stabilization, 9. Decrease symptoms

3. Medication management, 10. Improve function

4. Community linkages, 11. Improve knowledge

5.Family interventions coping, staying well,

6. Blood Draws taking of meds,

7. Prevent expensive

in-patient utilization


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• Psychiatrically homebound patients,

under a physician’s care, who require the

skills of a psychiatric nurse:

-Depression

-Schizophrenia

-Anxiety Disorders

-Dementia

-Dual Diagnoses


Mental Illness in America•In 2012, 8.6 million inpatient stays involved at least one mental disorder (MD) or substance use disorder (SUD) diagnosis, accounting for 32.3 percent of inpatient stays. Medicare was the most common payer for stays involving MD diagnoses only (37.4 percent). Medicaid was the most common payer for SUD diagnoses only (29.0 percent). (H-CUP, Heslin et al.,2015)

•One in four adults– (approx. 61.5 million Americans) experience mental illness in a given year (National Alliance on Mental Illness [NAMI], 2013).

•Depression and suicide are major public health concerns (Gilman et al., 2011)

•Homebound older adults with psychiatric disorders: 40.5% (Qiu et al., 2010)

•Two most prevalent are Depression and Dementia (Qiu et al., 2010)


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Depression: Prevalence and Costs

Prevalence

• An estimated 6.6% of American adults experience a major depressive disorder during a 12 month period (Centers for Disease Control and Prevention [CDC], 2010)

• During 2006 and 2008, an estimated 9% of adults reported symptoms of current depression (CDC, 2010)

• Greater than 6.5 million of 35 million Americans ≥65 experience depression (Duckworth, 2009)

• Depression in older adults may be under-recognized and under-reported (CDC,2010)

• Depression in older adults is highly treatable; however, frequently under-treated (Glasser, Vogels, & Gravdal, 2009)

Risks and Costs

• “By 2020, depression is expected to be second only to cardiovascular disease in disease burden” (CDC, 2010, p. 1229)

• “Depression is an expensive health problem” (Department of Health and Human Service [DHHS], 2011, p. 8)

• Health care costs is approximately 50% higher for older adults with depression (DHHS, 2011)

• Older adults with depression have:

• Increased risk of hospitalization and nursing home admissions

• Increased frequency of MD & ED visits

• Increased incidence of polypharmacy (DHHS, 2011)


Dementia: Prevalence and Costs

Prevalence

• “Age is the greatest single risk factor for developing dementia” (Small, 2014)

• Alzheimer’s type dementia accounts for 60-80% of all cases

• In 2014, estimated 5.2 million Americans have Alzheimer’s dementia

• By 2050, the number of people age 65 and older with Alzheimer’s may triple

• Vascular Dementia is the second most common kind of Dementia

Risks and Costs

• Impact on caregivers:

• In 2013, 15.5 million family and friends provided

17.7 billion hours of unpaid care giver burden

• $9.3 billion in additional health care costs of their own.

• Cost to Nation:

• In 2014, direct cost is estimated $214 billion

• $150 billion to Medicare and Medicaid (Alzheimer’s Association, 2014)


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DEMENTIA FACTS

There are 329,000 people in Massachusetts providing 374,000,000 hours of care for a loved one with Dementia at a value of $4,554,000,000.

Massachusetts will experience a 25% growth in the number of people with Alzheimer’s - from a current number of 120,000 people to 150,000 people living with the disease in 2025.


MASSACHUSSETTS COUNTIES

County Name Eligibles MA Enrolled MA Penetration MCR A

Barnstable 68,797 7,797 11.33% 61,000

Berkshire 32,091 1,498 4.67% 30,593

Bristol 110,789 17,113 15.45% 93,676

Dukes 4,129 61 1.48% 4,068

Essex 143,165 26,577 18.56% 116,588

Franklin 15,994 3,160 19.76% 12,834

Hampden 93,992 27,259 29.00% 66,733

Hampshire 29,361 5,318 18.11% 24,053

Middlesex 249,882 56,753 22.71% 193,129

Nantucket 1,688 23 1.36% 1,665

Norfolk 120,556 22,141 18.37% 98,415

Plymouth 97,698 14,086 14.42% 83,612

Suffolk 100,672 22,117 21.97% 78,555

Worcester 141,127 49,442 35.03% 91,685

TOTALS 1,209,941 253,345 956,606


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MARKET SHARE POTENTIAL

DEPRESSION

1,209,941(MCR e

Eligibles)-253,345(MCR enrollees in

MA)=956,596

956,596 x 13.5%***(avg rate

Depression)=129,140 x 10%(min home care

utilization)=12,914

12,914 X $2,007(average HHRG)=$25,918,398

x 2** episodes=$51,836,796

DEMENTIA

1,209,941(MCR Eligibles)-253,345 (MCR

enrollees in MA)=956,596

956,596 x 11%***(avg. rate Alz. over

65)=105,226 x 10*%(min home care

utilization)=10,523

10,523 X $2,220 (average HHRG)=$23,361* x

1.6** episodes=$37,377,696


*** avg rate depression in home care is between 13.5-46%

** Average episodes for Depression are 1.5-2

* MCR data shows that on avg people w/Alz use MCR home care

benefit 25%;

** Average episodes in a study

Reimbursement (Certified)Average Depression HRRG =$2007.81 to $2,571.96

◦Higher with Therapy $3,662.77

Average Visits = 18.7

LOS = 2 cert periods

Average Recert Rate = 47.6%

Gross Margin = 64%(40-65%)


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Behavioral Health Opens New Doors

Opens doors to new referral sources

Relationships with ACOs, MCOs

Grows physician base

Increases YOUR Company offerings

Taps Medicare population often overlooked

Already getting these patients

Population is growing

Creates partnerships with referral sources

Expanded CONs


TRAINING

TWO on-site Road To Wholeness Training (7-8 hrs.) Admin Training (1 hr.) Folders CEUs

Monthly Education Webinars(Clinical Topics) Power point handout quiz

Monthly Clinical Champion Calls


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Materials

Manuals

◦ Certified

◦ Sales Manual(Optional)

CareGuides

◦ Depression

◦ Bipolar

◦ Anxiety

◦ Thought Disorders

Clinical Practice Guidelines


RESOURCES-Materials


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Phase I

Agency Buy In (via Webinars)

◦ Presentation “Taking Your Share in Behavioral Health Home Care”

◦ Implementation Readiness Call (How to

Determine staff to train & expectations)

Clinical (On-site-1st training)

◦ Full Day Professional Training for Agency Psych RNs and Admin Staff (8 hours-6 CEUs certificates for RNs)

◦ Admin Training (1 hour)-Training on yearlong materials, tracking

Monthly Clinical Champion Calls (1/month)

Monthly Clinical Training Webinars (1/month)

Tracking Form for HR files


Phase II

◦Full Day Professional Training for Agency Psych RNs and Admin Staff (8 hours-6CEUs)

◦Admin Training (1 hour)

◦Clinical Champion Meeting (1/2 day)

◦Evaluation of staff needs

◦Review Year 2 Options

◦Certificate of Completion


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OPTIONAL

Sales Training

Becoming an Alzheimer’s Whisperer Training

Community Events


Questions & Answers


Documents

Our Objectives To Help Your Company · C&V SENIOR CARE SPECIALISTS, INC. 2015 Phase II Full Day Professional Training for Agency Psych RNs and Admin Staff (8 hours-6CEUs) Admin Training