Care Home By RNs®

Business Concepts

Presented by Ron Ordona, MSN, RN, BC, CMSRN, TNCC ANII

Administrator/ Consultant

Presented by Ron Ordona, MSN, RN, BC, CMSRN, TNCC ANII

Administrator/ Consultant

Executive SummaryBusiness Plan for future partners of Care Home By RNs®

Senior Care By RNs LLC, Lincoln Residences, Wilson Homes LLC, (and others to follow) are registered corporationsCare Home By RNs® is a registered service markA unique alternative to nursing homes and residential care

Executive SummaryThe concept “Care Home By RNs” is well received in the healthcare communityAn on-call RN is deemed as an added and unique value to a RCFECare Home By RNs® is able to accept more challenging care needsCare Home By RNs will focus on six-bed residential home settingMore marketability

Executive Summary

More RNs/ NPs/ LVNs will be encouraged to join the networkThe Stakeholders (on-call nurses, investors, shareholders, administrators, caregivers) will be part-ownersThe caregivers will have a chance to become part ownersMore sustainability

Mission Statement

To be the provider of choice in sub-skilled residential care.

To be a dynamic organization, adaptive to changes and innovations.

Vision Statement• Create a niche, sub-skilled level of care, and be

the forerunner in this category.

• Create a network of NPs/ RNs/LVNs involved in this category.

• Create opportunities for shareholders, stakeholders and employees to become partners and own and/or operate their own residential care home.

Giving back to the community•One goal for the future of the

community: •Support a not-for-profit organization

(such as Adopt an Elder, American Care Bridges, and the like) that will help address the needs of low income seniors, providing them with comparable care and accommodation in a residential care setting

Goals and Objectives

Care Home By RNs® will be the provider of choice for care home settingRecognized by the healthcare community as ideal placement for their clientsLoyal customer followingA place to come home to…

Market Potential

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Market Potential

12.5 % of Americans are 65 and older (Lee,2009, p29)

85+ increased 29% between 1990-2000(Population Resource Center, 2010)

1.5 M elderly lives in supportive housing(Population Resource Center, 2010)

National home health expenditure has risen from 0.2%(in billion dollars) in 1970 to 66.1% in 2007

(Finkelman, 2006, p527)

Market Potential

Placer County (Population Resource Center, 2010)Population 65+ is 248,9394.5% are in Nursing Homes3.5% live below poverty line

Target market potential = 229,01430 RCFEs existing at average 6 residents per home (180 residents)Less than 1% market penetration

Market Potential

Target market penetration for Care Home By RNs®

Less than 1% or 72,290 potential residents For example, an additional 2 homes only needs 12 more residents!

Marketing Strategy

Care Home By RNs®

On-call RN 24/7. Accepts more challenging care needs such as diabetes, injections, catheters, ostomies, wound care, oxygen use, hospice, dementia, etc. (as allowed by Title 22)

Marketing Strategy

BudgetMinimum 25% share in expenses and profitsAverages about $1,500/ month for initial start-up expensesTime frame for initial start-up is 6 months (average turnaround time for Licensing)

Marketing StrategyPricingPremium pricing at $3,500 shared room or $4,500 private roomIndustry average is $2,500 for shared and $3,500 privateThe difference: accepts more challenging care offered via RN On-call (e.g. diabetes, injections, ostomies, etc)

Marketing StrategyIdeal location near senior communities like Sun City Lincoln or Sun City RosevilleOn-going expansion in Elk Grove: Maria Cabigon, RN to supervise homeSouth San Francisco: Martha Romero, LVN to supervise homeCongruent to the message:

“on-call RN 24/7”

Other locations, as they become available

ManagementRon Ordona, MSN, RN

Overall operation and marketing

Albert WilsonMarketing and logistics

Maria Cabigon RN, Chad CabigonElk Grove Home

Martha Romero LVN, Wendell Bariuan, Connie Romero and David Smugar

South San Francisco Home

Other homes and business partners

Home ManagementCaregivers/ Staff

Train and develop to achieve their highest potentialEncourage them to go into healthcare profession such as CNA, LVN, RN, NP

Care Home By RNs® Mission & Vision

Lincoln Residence 1408Care Home By RNs

Granite Bay EstateCare Home By RNs

Senior Care By RNs LLCDba Aster Villa Care Home By RNs

Dba Transport Service By RNsDba Caregiver Services By RNs

Lincoln Residence 653Care Home By RNs

(Partnership with Bay Area RNs/LVNs)

Delta SunriseCare Home By RNs

(Partnership with Sacramento RNs)

Care Home By RNs® is a service mark owned by Lincoln Residences Corporation. Senior Care By RNs LLC is a merged agreement between Lincoln Residences Corp and Wilson Home LLC

Mission: To be the provider of choice in sub-skilled residential care.To be a dynamic organization, adaptive to changes and innovations.

Vision: Create a niche, sub-skilled level of care, and be the forerunner in this category. Create a network of RNs/LVNs involved in this category. Create opportunities for shareholders, stakeholders and employees to become partners and own and/or operate their own residential care home.

Goals for the future of the community: Support a not-for-profit organization (American Care Bridges) that will help address theneeds of low income seniors, providing them with comparable care and accommodation.

NewPartnerships

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Care Home By RNs® Business Partnership Algorithm

Licensed Healthcare Professional?(NP/ RN/ LVN)

Property Available?(rented/ owned/

raw/ready)Or willing to get one?

Open for BusinessPartnership?

(e.g. creation of LLC)

BusinessPartnership

Option

GenericPacketOption

FloatingNegotiation Option

-invest money?-volunteer?

-other options

On-call NurseOption

NO

NO

NO

YES

YES

YES

Property Available?(rented/ owned/

raw/ready)Or willing to get one?

NOYES

(See next) (See next)

Algorithm details

A. Floating Negotiation Option- simply means we will continue to talk/ discuss about what we want to do, or wait until a more favorable time/ circumstance for both of us to decide to do business venture together. We can think about investing money, or volunteering into Care Home By RNs.

B. Generic Packet- without Care Home By RNs being part of the resulting care home, we can assist in offering a generic licensing application packet ($1,500) or offer added assistance ($2,500). Added assistance is walking you through the licensing process.

On-call nurse- will happen only in the absence or physical inability of the regular on-call nurse to see the particular resident in person. The procedures done are in congruence with the doctor’s orders, as necessary. The proposed pay is $35 a visit for an LVN and $55 a visit for an RN to assist in:

a. diabetes care: trouble shooting hyper/ hypoglycemia; assessment of diabetes needs;

b. injections: diabetes insulin, lovenox, and the like, should the need arise to necessitate an injection;

c. care related to ostomies (colostomy, PEG, urostomy, and the like)

d. catheters: examples are flushing, irrigating, changing, in/out catheters

bowel care (de-impaction, as necessary)

f. oxygen use: if needing titration and/or reassessment of need or need to elevate rate

g. wound care

h. dementia assistance: example is when a resident becomes agitated which may necessitate evaluation if needing 911/ emergency room visit or an in-home intervention by a licensed staff such as ativan IM injection.

i. hospicej. staff training and guidance in emergent

situations.

D. Business partnership- share of Care Home By RNs

25% - home will use “Care Home By RNs” (e.g. Aster Villa Care Home By RNs) provided home has its own RN on-call 24/7 who will work closely with the Care Home By RNs nurse/s; includes licensing assistance until licensed; assistance with staffing; assistance with marketing but home should be involved actively in marketing activities.

50% - home will carry Care Home By RNs brand; Care Home By RNs will take care of staffing and marketing, with minimal participation of home; On-call RN (or LVN) provided; the nurse who is the owner of the home will participate in being on-call when it becomes necessary (e.g. the regular on-call nurse goes on vacation, or in an emergent situation—this relates to the scenario where the owner is a nurse or has a family/ significant other who is a nurse).

75%- Care Home By RNs manages the home without participation of the owner except allowing the use of the property.

100%- the property is rented by Care Home By RNs (average of $2,500 per month).

Room for growth…

Transport Businesswww.SeniorCareByRNs.com

Caregiver Agency

Room for adjustments…

Five year contractsOther arrangements…

ReferencesCalifornia Healthcare Foundation. (2008). Residential Care Facilities for the Elderly. Retrieved from http://www.chcf.org/publications/2002/01/residential-care-facilities-for-the-elderly

Finkelman, A. W. (2006). National health care expenditures. In Leadership and management in Nursing (pp. 426-431). New Jersey: Pearson.

Finkler, S. A., Kovner, C. T., & Jones, C. B. (2007). The nurse as entrepreneur. In Financial management for Nurse Managers and Executives (3rd Ed, p. 32). St. Louis, MO: Saunders.

Lee, R. H. (2009). Economics for healthcare managers (2nd Ed ed.). Chicago, IL: Health Administration Press.

Newcomer, R., & Maynard, R. (2002). Residential Care for the Elderly: Supply, demand, and quality assurance. Retrieved from www.chfc.org

Population Resource Center. (2010). Population projections. Retrieved from www.prcdc.org

Let’s sit down and discuss details…

Life is a daring adventure!

(Helen Keller)

www.CareHomeByRNs.com