Case Studies

Trinity Health PACE engaged HDG to complete a thorough market demand analysis to assist in understanding the number of dual eligibles in 12 of their markets who are eligible for Program of All-inclusive Care for the Elderly (PACE) enrollment. By better understanding their markets, Trinity Health PACE could more effectively create reasonable growth strategies and enrollment targets specific to each program.

Kimberly-Clark was looking for quantified, standardized data from SNFs on the infection rates and associated costs of facility-acquired infections, including upper respiratory infections, pneumonia, and gastrointestinal illness, considering costs to both SNFs and payors. Kimberly-Clark engaged Health Dimensions Group (HDG), one of the nation’s leading post-acute and senior care management and consulting firms, to complete the research and analysis. HDG brought extensive experience working with hospitals, health systems, and long-term care and senior living providers, as well as operating over 30 senior living communities across the country.

Established four years ago, Direction Home, LLC, was created to leverage the competitive advantages that the 12 Ohio Area Agencies on Aging (AAA) possess to successfully flourish in the evolving, value-based health care market. The AAAs are unique among the home- and community-based providers in their experiences and capabilities in supporting older adults aging at home, preventing admissions and readmissions, and providing resources for the management of chronic conditions—all priorities of the Affordable Care Act (ACA).

Profiles in Success

Upbring, formerly Lutheran Social Services of the South, is a 135-year-old nonprofit organization located in Austin, Texas. In 2015, Upbring made a strategic decision to focus their efforts on providing social and educational services to at-risk children by moving away from senior care services and selling all four of their retirement communities. One of those communities, Kruse Village, a 248-unit/bed continuing care retirement community (CCRC) located in Brenham, Texas, was left out of the first round of sales until Upbring could improve operational performance at the campus, making it more marketable. Upbring brought in a management company, Health Dimensions Group (HDG), to assess the community and provide and execute solutions to optimize the valuation at the time of sale.

After 12 months under HDG’s oversight, Kruse Village saw significant improvements. In just three weeks, major progress in survey outcomes was made, resulting in the number of citations being below state average. Strides in financial performance were also made, with HDG developing an operating budget for the campus to optimize revenue and decrease operating expenses. This progress led to the sale of Kruse Village to a real estate investment trust that, in turn, leased the campus to an HDG-affiliated organization that engaged HDG to continue providing management services. The sale allowed Upbring to refocus on their mission of ending the cycle of child abuse as the largest provider of children’s services in the state of Texas.

We spoke with Kurt Senske, CEO of Upbring, to discuss the benefits of working with a management company like HDG to best position their senior care community for sale.

Visiting Nurse Association Health Group (VNAHG) is a community health and service organization that is committed to meeting the needs of the diverse communities it serves throughout the state of New Jersey. Providing home health, hospice care, children and family health, and community-based physician services in partnership with leading New Jersey health systems, VNAHG strives to be a recognized leader in quality and innovation.
Consistent with this mission, VNAHG recently formed the Advanced Care Institute to ensure innovative, coordinated, quality care for those with advanced and chronic illness. In collaboration with VNAHG’s home visiting medical practice, Visiting Physician Services, the Advanced Care Institute enables those with advanced and chronic illnesses to receive the care they need while remaining in their homes. The Advanced Care Institute furthers VNAHG’s vision to transform home- and community-based health care and to provide quality, access, and value to patients, payers, and provider partners.
With development of the Advanced Care Institute, as well as the implications of a value-based payment driven market, VNAHG engaged Health Dimensions Group (HDG) to facilitate further development and growth of the Advanced Care Institute. Working collaboratively with VNAHG, HDG proposed a three-year business plan addressing issues around best practice clinical models, hospital relationships, and financial sustainability to position the Advanced Care Institute for continued success.
We spoke with Steven H. Landers, MD, MPH, president and CEO of VNAHG, to discuss the challenges and successes of developing the Advanced Care Institute, as well as the experience of working with HDG.

Immanuel Lutheran Communities has been serving seniors in the Kalispell, Montana, region for almost 60 years through residential living, assisted living, rehabilitation, and skilled nursing. As northwest Montana’s only life plan community, Immanuel Lutheran Communities provides an integrated, resident-centered continuum of care all in one place.

In recent years, Immanuel Lutheran Communities has begun a master planning process to update and further expand its campus. By 2018, their independent living options will have expanded to include The Villas—36 apartment homes with contract options to ensure priority access to the continuum of care. With such significant growth and investment, Immanuel Lutheran Communities leadership sought out Health Dimensions Group (HDG) to recommend a set of proactive, value-based strategies to inform the programming and partnerships that would support this expansion while considering national trends.

We recently spoke to Jason Cronk, CEO at Immanuel Lutheran Communities, about the challenges his team faced at the start of expansion and how HDG helped guide implementation.

The Virginia Commonwealth University Health System (VCU Health) serves central Virginia as a leading academic medical center and key referral center for the community. And, as the only academic medical center in the region, VCU strives to be on the precipice of health care reform, generating innovative solutions to provide the best care for patients.

In complying with reforms driven out of the Affordable Care Act, VCU sought out the consulting experts at Health Dimensions Group to improve patient experience as they move along the continuum of care. HDG presented VCU with the recommendation for the development of a SNF preferred network and the need for improved coordination of care across the entire VCU Health continuum. HDG worked with VCU to develop this model, along with the SNF network, to better synergize care transitions for patients.

We recently spoke with Ryan Raisig, director of care coordination at VCU Health System, to discuss VCU’s success working with HDG on the development of a SNF network and a centralized care coordination model.

Cheyenne Regional Medical Center (Cheyenne Regional) in Wyoming is an acute care hospital that has been serving Laramie County and surrounding areas since 1867. With over 200 beds and 2,000 employees, Cheyenne Regional strives to serve its patients with exceptional care, focused on improving the overall health and well-being of the community. This focus on excellence has garnered industry recognition.

Recently, the Program of All-inclusive Care for the Elderly (PACE) was introduced at Cheyenne Regional. The director of the program, Laurie Wright, wanted to find a solution for those elderly whose needs were not being met through traditional forms of senior care. After much research and review of various options, Ms. Wright and her team determined that PACE provided the solution they needed. PACE programs aim to keep seniors in their homes and in the community for as long as possible by providing comprehensive medical care along with in-home care and other supportive services such as adult day health centers. By design, PACE addresses the issue of loneliness that many elderly face while still allowing them to remain independent. Health Dimensions Group (HDG) assisted Cheyenne Regional in development of their PACE program from determining program feasibility and developing the application through program implementation. We spoke recently with Ms. Wright to review how she implemented the PACE program and her experience working with HDG.