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Sweeping changes are impacting the delivery of long term care services throughout the nation, and within Catholic Health East. In 2000 approximately 100,000 people were over 100 years old; by 2050, this figure is expected to reach almost one million. As a result of the aging population, meeting the housing and health care needs of this rapidly growing segment of the population has become a major challenge for public policy, sponsors and operators of facilities for the aging. Moreover, consumer preference is in favor of more community and home-based services. In 2004, CHE’s Sponsors, concerned about the growing needs for continuing care services and cognizant of the operational challenges facing our facilities, challenged us to recommit to the long term care ministry. Together with the explosive growth of “alternative” community and home-based services, these issues led to the development of a new CHE vision for continuing care. This new vision called for commitment to continuing care services by all within CHE and the incorporation of continuing care strategies as part of each RHC’s strategic plan, to ensure that continuing care services are positioned as a core ministry of CHE and integrated into the “mainstream.” Continuing care programs and services throughout CHE have grown significantly in the past few years. Our ministry now includes 36 freestanding and hospital-based long term care facilities, 12 assisted living facilities, five continuing care retirement communities, and 25 home health/hospice agencies. In 2007, CHE provided over $500 million in services for seniors outside of the hospital/acute care realm. In 2007, CHE decided to harness the continuing care expertise that already existed within our health system and make it available to other RHCs/JOAs. John Capasso, then-CEO of St. Joseph of the Pines, became the president and chief executive officer of a new CHE division: Continuing Care Management Services Network (CCMSN). By using our collective resources, the goal of CCMSN is to enhance the growth and long-term success of continuing care facilities throughout CHE. “Working together, we have real opportunities to impact the lives of millions of Americans. These services are important to the community, and we’re now organizing in a way that will enhance the delivery of service and achieve our strategic goals,” says Capasso. “We are blessed to have the expertise across the System, and we can build further alliances to maximize our collective value to our patients, communities and each other.” CCMSN consists of a core staff who have continuing care expertise in finance, quality, information management and operations. CCMSN focuses on operational excellence and strategic execution to optimize how continuing care services are managed and operated. Services provided include onsite management services and consulting services; a wide range of financial services and support such as financial reporting, performance analysis, budgeting and forecasting; accounts receivable management and third party billing services; strategic planning and marketing analysis; quality management and clinical improvement services; and assessing and supporting information technology needs. Our third program supports Boards and Sponsors. Our Sponsors asked us to develop and provide Sponsorship Education to ensure the continuity of our ministries. Serendipitously, after we developed the program, local boards found the content important and now more than 60% of our local boards have initiated the program for their self-education. This new program complements the Collaborative Formation Program that we have been involved with for five years with five other systems that were interested or have a Public Juridic Person. CHE has sent more than 30 persons from local boards and ministries who can now potentially serve as Sponsors. CHE’s three continuing care RHC’s — St. Joseph of the Pines, Mercy Community Health and Mercy Medical — now have direct reporting relationships to Mr. Capasso. In addition to working with these RHCs and supporting the continuing care efforts and needs of others throughout the health system, a for-profit subsidiary corporation, Catholic Health East Senior Services Management (CHESSM) has been created to consult and manage continuing care services in organizations unaffiliated with CHE to help assess and improve their continuing care needs. Our enhanced…and growing… continuing care services and expertise are key components of CHE’s strategic plan and our Vision for health care delivery in 2017…and one more way that we strive to be a transforming, healing presence in the communities we serve.
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