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Program
Thursday Morning Breakout Sessions • 11:00 a.m. – 12:30 p.m.
Download
a PDF of the 2011 Skilled Nursing Investment Forum Preliminary Program.
Making Your Case: Using Data Systems to Capture Outcomes
In the emerging post-acute world, the ability to identify and routinely measure and report outcomes data accurately will
be the key to remaining competitive. Learn how some of the most innovative providers are dealing with this challenge and
what you can do to integrate these systems into your existing operations. Hear from a health system executive who will discuss
the critical decision points within acute care and how to leverage your organization’s post-acute expertise in mutually
productive ways. The national leader in QIS development and the developer of hospitalization measures for the Centers for
Medicare & Medicaid Services (CMS) and MedPAC will give his unique perspective on the evolving role of quality assessment
and outcome measurement in post-acute care. He currently leads an organization in the development of web-based data systems
and training for providers to assess quality outcomes and improve performance.
Moderator: James C. Thompson, Senior Vice President, Capmark Bank
Panelists:
- Lane M. Bowen, EVP & President, Health Services Division, Kindred Healthcare
- Andrew Kramer, MD, Chief Executive Officer, Nursing Home Quality, LLC & Professor Emeritus, University of Colorado
School of Medicine
- Jeffrey S. Lemon, President, Spectrum Health Continuing Care
When Will the Banks Be Back? And What Are They Doing Now?
According to NIC MAP data, which is intended to be representative but not all encompassing, record new loan volume for seniors
housing of more than $7.6 billion in 2007 was followed by declines to $4.5 billion in 2008, and $3.5 billion in 2009. Of
the $1.3 billion reported in 2009 for skilled nursing, $1.1 billion resulted from a single large transaction in the third
quarter of 2009, leaving only $200 million for the entire year. Not since 2003 has the reported new loan volume for skilled
nursing been less than $200 million. Banks that are lending report more conservative underwriting that includes higher debt
service coverage requirements, lower loan-to-value ratios and stronger guaranty and sponsorship requirements. With many
real estate-heavy balance sheets with maturities ongoing over the next couple of years, borrowers might expect more of the
same. Get the facts directly from a national commercial real estate expert and three bank executives active in the current
market.
Moderator: Daryl McCombs, Director, RED CAPITAL GROUP
Panelists:
- Sam Chandan, Global Chief Economist and EVP, Real Capital Analytics
- Steve Gilleland, Senior Director, Healthcare Real Estate, CapitalSource
- Jeffrey Steele, Managing Director and Executive Vice President, The PrivateBank
- Richard A. Sutton, Vice President, California Bank & Trust
Culture Change - ‘Soft’ Like a Brick: How Facilities and Companies are Achieving Serious Financial
and Clinical Results Through Resident-Directed Care
Sometimes viewed as “soft,” “touchy-feely,” or simply expensive, culture change is often dismissed as a business model for
devoted idealists. Yet a growing number of facilities and companies are achieving outsized returns and significantly improving
their business results by resourcefully re-tooling their business models to incorporate the principles of culture change.
Regulators also are serious about culture change, broadening their interpretations of regulations with a positive view toward
resident directed care initiatives. Are staff retention, resident satisfaction, clinical outcomes, occupancy and case mix
on your list of things to improve in your facility, your company, or your clients’ companies? This panel of operators and
experts will share how their facilities and companies have made big improvements in results through culture change. They
will discuss the key considerations leaders must reconcile to make their own business case for culture change and its desired
business results. They will also examine the market and regulatory forces that are combining to catapult culture change
forward as a serious operating imperative.
Moderator: Mark Ballif, Plum Healthcare Group
Panelists:
- David J. Farrell, Director of Organizational Development, SnF Management
- Jeff Jerebker, President, Piñon Management, Inc.
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