If you are developing or operating senior living communities are you doing what you do because it is what everyone else is doing or because it is the way you have always done it? Is it possible there is a better way?
I didn’t know quite what to expect when I attended the Marcus Evans CXO Executive Summit last July. These events are an intimate gathering of around 100 senior living executives and 20 or so carefully selected vendors. The two day event is a mix of networking time and powerful presentations and discussions. Months later I am still writing about ideas that came out of that event. Perhaps the single most intriguing presentation was by John Cochrane, the President and CEO of the be.group. The crux of his presentation was a “What if . . . “, question that continues to intrigue me.
Setting up the Question
- Let’s presume that, after looking at the current aging trends in North America, you have decided to start a new business focusing on serving seniors.
- Let’s further presume that you have a senior housing background, which means you have a leaning in that direction and some expertise.
- Finally, lets’ assume there is a huge investment fund that thinks you are the right person to invest in and they hand you $100 Million as seed money, asking only that you to provide a decent to high yield on their investment.
The Big Question
Given this clean sheet of paper opportunity, what would you do with that money? Your first thought might be, “I would go out and build assisted living, memory care or independent living”. But honestly, maybe that is not the best investment of your money and energy given the wants and needs of today’s seniors and the emerging generation of seniors. I am quite sure I don’t have the perfect answer or answers and I know that I have not been offered a pot of money but, just for fun, how about these possibilities:
- Conventional wisdom says building new skilled nursing buildings is a path fraught with difficulty, but maybe not. Maybe the Greenhouse Concept could work even for Medicaid. Or maybe even that is too big; California has passed some legislation that will allow even smaller skilled nursing facilities (6-10 beds).
- There is a lot of thinking that the market for CCRC’s is diminishing, but maybe not. Jeff Petty thinks that, with a little more flexibility on the part of the federal government, he can create a lower middle market CCRC community that makes money and cares for residents for the rest of their lives even if their money runs out.
Maybe we could even create a very modestly priced CCRC that would target low income seniors. It might feature shared apartments, or tiny apartments and more common space that people would really live in, rather than just look good.
- Maybe rather than seeing “CCRC without walls” as primarily a marking tool that will, over time, generate move-ins, it should be the starting concept, with the idea that, as seniors age in place, bricks and mortar would have to be built or acquired.
- Perhaps there is a market for a more dollars and sense approach to co-housing, where a young or empty nester couple buys a house along with one or two elders and they enter into a share of profits agreement (plus of course a lot of other details on care).
5 Questions
In his presentation John offered 5 questions an organization’s might explore:
- What business should be we in? And the corollary . . . What business should we not be in?
- How do we add value?
- Who are the target customers?
- What are our value propositions?
- What capabilities are essential to add value and differentiate us?
How About You?
How would you answer these 5 questions? Do you have any crazy ideas for caring for seniors that would be interesting to explore and look at? If you like this article it would be a great honor to have you subscribe to our mailing list HERE.
1) What about acquiring home care agencies or home care franchises (named most profitable franchise in 2012 by Franchise Business Review) — which can serve seniors in a broader geography than a brick and mortar facility?
2) Cultivate a program of younger seniors matched as companions either in -building or in-community for older seniors? (See the Village Movement as example)
3) Consider investment in technologies of many types to expand the reach of senior communities to connect families to residents as with IN2L, residents to community (broadcast TV; service providers to community — expanding their reach through broadcast TV).
4) Invest in partnerships between research universities and brick-and-mortar communities to develop and pilot technologies to assist with dementia care, fall prevention, wellness, cognitive health, mobility.
Unique, affordable Dementia-specific housing/communities/neighborhoods; to address the catastrophic need we already have, to support those streaming into our industry; with a dementia diagnosis.
DEMENTIA TRAINING – for all senior service providers. Nurses, Doc’s, Dentists, Home Health Care, Long Term Care, Hair Dressers/Barbers, auto mechanics, bankers, etc, etc – as the population grays – and many folks remain in their own homes; longer than suggested – they could be inter-facing with any/all service providers that serve the public. And, having those folks – understand ‘dementia dynamics’ – would be lovely.
Our overseas neighbors (ie: netherlands) are years ahead of the US, in identifying the need for save-haven dementia villages and neighborhoods. The UK gives tax incentives/breaks to those businesses that make special accommodations for those living with dementia. (IE: a special/quiet area at the grocer – where those with cognitive decline can check-out and get special attention from the cashier)
Instead of hiding from the dementia condition; If I had 100 million $, I would use it to educate and elevate the consciousness of the American people – in an uplifting and energized way – regarding the necessity of supporting those with a dementia diagnosis to LIVE as high a quality of life, as possible. And, this comprehensive ‘dream’ would include educating/supporting the caregivers – to enable them to remain healthy and engaged, while providing exhausting dementia care.
Create demographically heterogeneous communities on deserted military bases. This would allow for a more natural age spread, which would promote both child and elder care as part of the lifestyle. Elders could stay in their home and/or the size and resources of most bases would support a variety of lifestyles and care models and projects could receive funding from the VA, REITs or perhaps even a new class of gov. bonds. [email protected],
The institutional models from the 20th century are instructive. They don’t work. Smaller, family style models are the future – no matter the size of your company.
From LinkedIn Groups
Yes there is a better way to care for seniors. The current model of large facilities with various amenities will increase. Care on site by visiting providers is on the upswing. Facilities need to embrace this trend by providing a designated area for care. When I visited facilities, I was encouraged to convert the hair salon into an area for care. I saw foot doctors using the facility conference room. These doctors use rotary instruments. Think of the airborne infected tooth particles and bunion fungus that is left behind in areas not designed for such use. Multi care treatment rooms in facilities will elevate the level of care, decrease hospital readmissions and give the over all industry an image boost. Elevate the visiting care givers to the status level of the beautician, give them a room.
By Dr. Stuart Boekeloo
1. I think smaller nursing facilities is a great idea. Currently nursing homes and assisted living facilities are very under staffed. I guess it’s to keep prices down but seniors deserve quality care not rushed care because the LNA caring for them has 14 other people to worry about. It would be easy keep a smaller facility well staffed making quality care possible. So yes to smaller nursing homes, no to normal ones.
2. Make the quality better. Focus how you would want to be cared for not what more profitable. Most people in nursing homes take a shower once a week and have to get up before 8am, some as early as 5am. You wouldn’t like that if your retired. Don’t do it to them.
3.Older people who want quality care.
4.Quality care, tight knit community, We fallow the golden rule
5. Persevere Dignity- Let people help them selves as much as they can, provide privacy, encourage residents to do projects.
Fallow the golden rule- Treat other the way you would like to be treated
Don’t make it about money- Don’t cut costs if brings down the quality
My Crazy Idea- I am a freshman in college and a part time in home care giver. Once I finish my education I want to start an in-home care business. I want it to be part profit part charity based. That way I can make money off those that can pay and help those who can’t. I want to be able to help people get out of nursing homes and into homes of there own. My company will provide care, transportation, and house cleaning. Each client will matched with 3-4 caregivers that will be trained on that person and be matched by personality. Unless someone is fired my clients will never change caregivers. This will help ensure dignity and let a caregiver-client bound form. Caregivers will also be matched to client based on skill. I will have employee just starting out in healthcare, LNAs and RNs. I will determine how much care is needed and the difficulty. This will bring costs down for those who don’t need as much care. In conclusion I want to up the quality and lower the price.
A ‘home’ for those with dementia providing adult day care for around 12 people that also provides overnight on demand respite care for up to 2 people. The facility is located in a neighborhood and is also a gathering place for those with early Alzheimer’s and their caregivers to socialize and get information on the evenings and weekends. The ‘home’ is staffed with a live in couple who agree to provide the overnight respite care. Daytime staff includes volunteers matched in interest to the adult day clients. The volunteers can engage clients to activities they are interested in (baseball game, etc.). Activities are based on client interests and everyday household activities (cooking, gardening, etc.). This is a facility concept I developed through focus groups with caregivers and those with early Alzheimer’s for a client in Upstate New York. The facility opened this last summer.