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Achieving speed, spread, scalability and sustainability in life plan communities: Two case studies
The aim of this paper is to show how a focused 100-day workout will develop middle managers to become more accountable in achieving margin improvement of 0.5–1 per cent or greater. The reader will take away strategic questions that can be asked of the executive team.
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Ray Johnson is managing principal of the High-Impact Practice, which provides a wide array of aggressive margin improvement strategies and implementation coaching for large, complex projects, process or change initiatives. As a former HCA hospital CEO and CEO of a management company serving the seniors market, he brings a unique set of skills and experiences in operations improvement, growth, physician health system integration and strategy optimisation to the field. He is an expert in identifying root causes of issues and translating complex problems into clear, actionable steps that align with strategic goals. Known for his ability to build high-performing teams that adapt to change quickly and are inspired to increase patient satisfaction and improve outcomes and margins, he leads with a keen understanding of how to add value by eliminating waste and enabling technology. With over 30 years of healthcare experience, he brings expertise in healthcare operations for hospitals and health systems ranging in size from 25 beds to a multi-hospital system including academic and community hospitals. He brings experience and skills in the following areas: strategy alignment and rationalization, labour and non-labour high-impact strategies, value-based clinical/physician-health system integration, senior living market opportunity realization, senior team implementation accountability coaching, and board education and alignment. He has served in multiple hospital leadership positions throughout his career in healthcare. He served as chairman of a risk retention insurance company that provided general and professional liability insurance to the senior living provider market and is a licensed nursing home administrator. He received his MBA in marketing and management from the University of North Florida and his BS degree from the University of Florida, USA.
Bruce Chittenden has been CFO for John Knox Village, a Life Plan Community in Pompano Beach, Florida, since 2016. Prior to that he was CFO for Army Residence Community, San Antione, Texas, for 18 years; an auditor for KPMG and an infantry officer in the US Army. He has a BS in animal science from Texas A. & M. and a BS in accounting from the University of Texas at San Antonio.
Stephen P. Fetyko Steve Fetyko has approximately 25 years of acute healthcare, auditing, senior housing and health service management experience. He currently serves as President and CEO for United Methodist Retirement Communities (UMRC) and Porter Hills (PH). He served as vice president and CFO of UMRC since 2014 and as Interim CEO since November 2018 until the affiliation between UMRC and PH finalised on 1 March 2019. In his CEO role, he has responsibility for all aspects of operations and strategy for UMRC and PH. In his CFO roll Steve has overseen the finance, accounting and information technology functions of UMRC as well as several of its affiliate organisations before taking on interim CEO responsibilities in fall 2018. During his tenure, the organisation added housing and services to one continuing care retirement community, entered into a home care partnership as well as developed two Programs of All-Inclusive Care for the Elderly (PACE) before completing an affiliation with PH in March 2019. Prior to joining UMRC, he served as senior vice president and CFO at Memorial Healthcare in Owosso, Michigan and was responsible for all finance, accounting and billing functions as well as the employed physician group and all outpatient operations. This included negotiating all third-party payer contracts. Previous experience includes serving in various finance management roles at the University of Michigan Health System, including inpatient and outpatient operations, as well as serving as an auditor focused on the senior living and non-profit sectors with the firm of Plante and Moran. In addition, he has served on multiple boards for community organisations. He currently serves on the board of the United Methodist Association, LeadingAge Michigan, Life Circles PACE and Tandem365. In the past has served with Thome PACE (treasurer), Huron Valley PACE (treasurer), the Chelsea Chamber of Commerce and Senior Care Resources. Steve holds a bachelor’s in business administration and a master’s in public administration with a healthcare administration concentration from Eastern Michigan University in Ypsilanti, Michigan. He is also a certified public accountant in Michigan.