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A WHOLE NEW WORLD

Content Contribution provided by TBC SERVICES AND PROVIDER RESOURCES GROUP

THE WORLD AS WE KNEW IT

FACILITY BASEDLARGE GROUPS

MIX OF VOC AND HAB

Not Many Changes – Very predictable income & expense

Home Based Day Service TransportationEmployment

WHERE IN THIS WORLD ARE WE GOING…

EmploymentSMALL GROUPS

COMMUNITY SETTINGSHOME BASED SERVICES

A marketing strategy that joins products or services together in order to sell them as a single combined unit. Bundling allows the convenient purchase of several products and/or services from one company. The products and services are usually related, but they can also consist of dissimilar products which appeal to one group of customers.

DEFINITION of Bundling

One Call Does It All

Building of the market footprint for the product (ie: transportation, HPC, employment) is the process that requires activities in different segments.

During this process all functions within the company support the services.

Building a successful footprint can be done in several different, but interlinked dimension. 

NEW REVENUE STREAM

• Creative scheduling that looks @ the profit and loss margin

• Ensuring that it is in the plan• Looking at realistic ratio and

that special circumstances are accounted for

Non-Medical Transportation

• Lucrative money stream however, must be closely monitored

• Attendance of program participants – location & # of people

• Staffing – cross-utilized or single source/part-time • Vehicle service and repair – best way to address

• Variety of vehicles – flexibility of purposes, interagency collaboration

• Per-mile versus per-trip billing

Expense Income$0.00

$10,000.00

$20,000.00

$30,000.00

$40,000.00

$50,000.00

$60,000.00

$70,000.00

$80,000.00

$90,000.00

NMT Income Vs Expense

Employment Services• Key ingredient of the future

• Moving through tiers quickly by thinking ahead to the next step

• Caseloads have to be managed

• Staff schedules & retention

• Barrier: OOD transportation typically two weeks then shifts to the person – creativity and collaboration w/CBDD and discussed right at the beginning

Employment Services

2011

2012

2013

2014

2015

1st

hal

f

-50000

-40000

-30000

-20000

-10000

0

10000

20000

30000

Net Profit

Net Profit

WHAT IS HPC…… CAN BE PROVIDED IN THE HOME OR IN THE

COMMUNITY

1:1 SERVICES OR SMALL GROUPS (RECOMMEND NO MORE THAN 1:4 FOR THIS SERVICE)

CAN PROVIDE RECREATIONAL ACTIVITES AND OUTINGS

CAN BE PROVIDED OVERNIGHT

PAYS FOR AWAKE TIME AND SLEEP TIME AS NEEDED

VERY SUPPORTIVE SERVICE TO INDIVIDUALS WHO ARE WORKING AND LIVING ON THEIR OWN

EXAMPLES OF CURRENT PROGRAM IDEAS

DAY, EVENING AND WEEKEND RECREATIONAL ACTIVITIES

BEFORE AND AFTERWORK CARE

DROP IN SERVICES

ASSISTANCE TO ACCESS MEDICAL CARE

WEEKEND DROP OFF SERVICES

OVERNIGHT TRAVEL

SHORT VACATION TRIPS

AMUSEMENT PARKS AND SPORTING EVENTS

HPC TRANSPORTATION

BILLED AS PER MILE

CAN BE USED IN ADDITION TO NMT (but not @ the same time)

CAN BE USED TO ACCESS ADS, SEE, SEC AND HPC SERVICES

HPC STAFF HOURS AND HPC MILEAGE CAN BE BILLED AT THE SAME TIME

MOSTLY PROVIDED IN SMALL VEHICLES OR EMPLOYEE VEHICLES

VERY PERSON CENTEREDABLE TO FOCUS ON WHAT THE INDIVIDUAL NEEDS AND WANTS

CAN ASSIST INDIVIDUAL IN INCREASING INDEPENDENCE

MUST BE IN THE PLAN AND RATIOS ARE GENERALLY SPELLED OUT IN THE PLAN

SUBJECT TO PAWS LIMITS – NEED TO CAREFULLY MANAGE

What Does This Look Like?

Management – Financials • Income and expenses classified by

department

• Decisions MUST be based on financial data

• Financial forecasting and cash flow

• Systems to monitor – what works for you

• Staffing based on actual acuity and based on available authorized funds

TA

KE

AW

AY

S

FLEXIBLE AND NIMBLE

ABILITY TO MEET INDIVIDUALS NEEDS

ABILITY TO SUPPORT CMS STATUTES

ABILITY TO BE “IN” THE COMMUNITY

ABILITY TO PROVIDE SERVICES IN SMALLER SETTINGS/WAYS

ABILITY TO CROSS TRAIN STAFF USING ADS AND HPC

PERSON CENTERED

ABILITY TO BE CREATIVE IN CARE

ABILITY TO BE FLEXIBLE IN SERVICE TIMES (TRANSPORTATION)