Category: Fresh Perspectives

This article by Seth Anthony, Chief Revenue Officer at LW Consulting, Inc., was originally published at LW-consult.com and is reprinted here with permission.

Let’s be honest with ourselves.

For years, many organizations have viewed having a comprehensive compliance program as “check the box” activity. If there was a binder on the shelf labeled “Compliance Program,” then organizational leadership felt like they were covered.

Then, along came the role of Compliance Officer, and it became that person’s issue. Except, the comprehensive compliance program was one problem among many. While the compliance officer was busy putting out fires, programs moldered on shelves, with few tangible updates. Meanwhile, compliance requirements grew exponentially, with little opportunity for corporate leadership to integrate those changes into their daily operations in a holistic way.

Then, there was the pandemic. Businesses went from “firefighting” compliance into full operational triage. Now, as the pandemic fades, the Centers for Medicare & Medicaid Services (CMS), the Department of Health and Human Services (HHS), Office of the Inspector General (OIG) and the Department of Justice (DOJ),  are getting serious about enforcing compliance failures.

And they are going to hold you personally responsible.

In the September 15, 2022 policy revision, DOJ made substantial changes relating to personal accountability, outside monitors, misconduct, voluntary disclosures, and expectations around the integration of compliance into the culture of an organization. Deputy Attorney General Lisa Monaco made it very clear that a new era of “personal accountability” has dawned at the DOJ by stating, “[R]esourcing a compliance department is not enough; it must also be backed by, and integrated into, a corporate culture that rejects wrongdoing for the sake of profit.”

That is certainly some tough talk! But what should it mean to operators and leaders, especially those working in healthcare settings?

DOJ has said that when bringing a criminal complaint, their agents will consider a broad range of issues, including reward and compensation metrics tied to compliance, the imposition of financial sanctions for compliance failures, and the role leaders play in allowing those failures to occur. Active participation is no longer the key issue; passivity or inaction will likely be just as damning evidence going forward.

What’s a provider to do?

The answer is simple. Pick up that Compliance Program binder and get to work!

DOJ shared that an effective, updated, and independently reviewed compliance plan is the best strategy to ward off misconduct and such a plan will likely be considered if a compliance breach comes before DOJ officials. If your plan does not include actionable compliance incentives, such as those tied to compensation, promotion, and hiring practices, you are likely already behind the proverbial “8 Ball.”

Ethical behavior and compliance are no longer a “corporate” problem. It’s a “you” problem. Your career may be on the line for compliance failures if you do not take an active role, right now, in making sure your programs are comprehensive, effective, implemented, and enforced.

Is your Compliance Program up to date, or do you need assistance with reviewing your Compliance Program? Contact one of the experts at LW Consulting to learn more about how they can help.

 

 

 

The Varsity team attended the National LeadingAge Annual Meeting + EXPO, which was held October 16–19 in Denver, Colorado. In case you weren’t able to attend, here are some of the top themes we heard.

1. Workforce recruitment. This remains a hot topic of conversation and a major struggle for much of the field. However, it seems as if the situation is slightly improving and there are some signs of hope.
2. Raising rates. How much and when? People talked about how they had to raise rates twice in a year and deal with the issues that go along with that. Given that Social Security will increase by 8.7% in 2023, there is hope that residents will be (somewhat) understanding.
3. Technology. Some people said they were excited by all the technology they were seeing. However, others said they just keep hearing a lot of buzzwords and no real substance. Technology is great; it can replace the tasks that don’t need human interaction (e.g., waiting for food and delivering it to residents), so team members can focus on relationship building. But high tech alone is not enough — we need high touch as well.
4. Marketing content development. We saw fresh ideas from old and new vendors alike. Marketers are looking for new ways to redefine perceptions of Life Plan Communities in the marketplace.
5. Cherish the moment. We’ve all been through a lot with COVID-19. We’ve all lost people in our personal and professional lives. It’s been hard, hectic and long hours of work, but let’s cherish the moment and cherish the people we do have.

What moments have you been cherishing during these challenging times? Please share your thoughts on the Varsity Facebook page.

October 22 is National Make a Difference Day! To honor this day of service, we asked our staffers,
“What is one thing you are doing to make a difference?”

Here are some of their answers:

“I’m building a sanctuary for nature and its creatures.”
“l live on a farm, where I compost just about everything possible, plant bee and butterfly favorites like milkweed, bee balm and butterfly bushes, and tend a flock of chickens that give me great nutrients for my gardens. I also maintain a small pond that attracts frogs, insects and butterflies, and build and install birdhouses around my property.”
— Jace Dawson, Project Manager 

“I join 100 women in making a bigger difference together than we could alone.”
I belong to 100 Women Who Care, and each of us donates $100 per quarter and awards the aggregate $10,000 to a nonprofit in need. We nominate the nonprofits to be considered, they each present to us, and then we vote for who should receive the funding.”
— Jackie Stone, Sales Consultant

“I serve as an election judge in my own precinct.”
After the murder of George Floyd, I wanted to do something that would make my community fairer and more equitable. I looked around for ways to do that and determined one of the best ways was to get involved in the election process. I wanted to be a poll watcher to ensure everybody was able to safely and confidently vote. However, I was told the greatest need was to be an election judge in my own precinct. I’ve served in that capacity since 2020.
— Derek Dunham, VP Client Services

“I support organizations that support the community.”
“I donate to local organizations and am mindful of the environment, because we all live downstream.”
— John Bassounas, Partner

“I’m going a year without purchasing new clothing.”
“At the end of 2021 I did my routine closet clean-out, and by the end of the day I was donating more bags of clothing than I care to share the final number of. Seeing that much clothing was humbling and disturbing. I probably was only wearing about 20% of my clothes. I took on the challenge to see if I could go an entire year without purchasing any clothing, and I’m well on my way there.  Remake has been a great resource, and is packed with information about huge flaws in the fashion industry, from labor issues to the huge amount of clothing that ends up in landfills.”
— Renee Kelly, Art Director

“I volunteer my time to a nonprofit theatre company and a community college’s graphic design program.”
“For over 35 years, I’ve supported the local arts community by volunteering my time to a nonprofit theatre company — producing posters for The Harrisburg Shakespeare Company’s main stage events. I’ve also dedicated time to the local community college’s graphic design program, as a member of their advisory board, a guest lecturer and mentor to students, assisting them in preparing their portfolios and honing interview skills prior to graduation.”
— Robinson Smith, Creative Director

“I focus on reducing plastic use and recycling, buying locally and composting everything I can.”
“I compost everything (including buying compostable diapers), have planted bee- and butterfly-friendly flowers, use biodegradable cleaners, recycle all that I can, and use Terracycle for items that aren’t traditionally recyclable. I also buy local eggs, meat and produce at the farmers’ market one mile from my house that I walk to.”
— Natalie Groeger, Senior Account Strategist

That’s what we’re doing to make a difference! Here’s to helping each other, our communities and the planet!

September is Happy Cat Month and Responsible Dog Ownership Month! To honor these observances, we would like to introduce you to the feline friends and canine companions of our staffers. In addition to contributing to a happier, longer  life for older adults, pets have a similar impact on our team. Without further ado, we present the pets of Varsity!

Rocky the Pillow-Fort Creator
Owns: Ellie Weaver, Account Strategist

“This three-year-old boxer makes pillow forts for himself out of the couch cushions. He barks at everything that moves and sometimes at nothing at all.

Louis the Snow Bunny
Owns: Emily Runyon, Account Strategist

Two-year old Louie, a mutt, was adopted as a puppy. This big, happy lazy boy is happiest sitting on your lap (all 75 pounds of him) or in the snow.

Loki the Rodent Connoisseur
Owns: Jace Dawson, Project Manager

Adopted from Heavenly Paws, this 12-year-old feline hates to be inside too long and is the best hunter Jace has ever had. (Loki prefers rodents to birds.)

Mia the Tennis Ball Fanatic
Owns: Emily Runyon, Account Strategist

Adopted as a puppy, five-year-old Mia is obsessed with tennis balls and will do anything for a treat or to bask in the sun.

Sebastian the Cat’s Best Bud
Owns: Jace Dawson, Project Manager

An eight-year-old German Shepherd, Sebastian is loyal to a fault and loves to be vacuumed.

Mila the ZZZ-Catcher
Owns: Renee Kelly, Art Director

Adopted at a year old, ten-year-old Mila made her way to central PA from a shelter in Ohio. She lives her best life through relaxation, naps and walks.

Keno the Complainer
Owns: Jace Dawson, Project Manager

The first (and probably last) pure bred Jace has ever owned, 12-year-old Siberian Husky Keno is bullheaded and loves to complain.

Kylo the Cuddler
Owns: Jace Dawson, Project Manager

This affectionate feline loves to cuddle up on the sofa and in bed, but doesn’t like to be picked up. His snores shake the earth.

That’s our pet project. Here’s to our beloved animals – and yours!

One of the most mispronounced words of 2021 is disrupting senior living communities in 2022.

Near the beginning of December, our participants had heard about the Omicron variant, but it wasn’t impacting them much yet. One marketer said, “The last data I heard was yesterday in our area that there were only nine cases of COVID-19 in our hospital, which is the lowest it’s been since the beginning of the pandemic.”

Another participant commented, “Right now we’re preparing for ‘just in case’ mode, making sure our communities and departments have rapid tests and enough PPE.”

Even during the second week of December, the focus was on planning and throwing holiday parties, not on Omicron. One roundtable participant said, “We’re having all kinds of holiday activities, and it has been fun to come together as a community to do this.”

And when we asked if the Omicron variant was an issue? Responses included:  “I haven’t heard a thing” and “not yet.”

The Holiday Gift Nobody Wanted

Later in December, concern began to mount. “We’re getting anxious about the Omicron variant,” said one participant. “We’re asking families to be cautious and test before visiting. We’re reloading on PPE and N95 masks to use in the buildings for a few weeks. We’re trying to keep things safe through this surge.”

A roundtable member in Arkansas commented, “A lot more folks are taking it more seriously. People are masking up more in the community.” A participant in Illinois added:  “There is an uptick in the Omicron variant around here. We’re offering free testing for the community.” From Wisconsin, we heard: “We’re going to get through Christmas and keep moving forward until after the holiday. We held a clinic last week where 75 people got boosted, including both residents and employees. Everyone is nervous about what’s going to happen with the new variant.”

New Year, New Cases

By the end of the month, communities were shutting down New Year’s Eve parties. One couple received a celebration kit complete with filet mignon, a dessert sampler and party hats after the community’s bash was canceled due to an outbreak among the staff.

Now that Varsity has held its first post-holiday roundtable on January 6, the situation has blown up. With Omicron surging, many communities feel like it’s Groundhog Day — they closed, they opened, and now they’re closed again.

One marketer commented, “COVID-19 has definitely hit here for staff as well as our residents, and all of our areas of long-term care as well as independent living. All of our events where we’re bringing people on-site have been canceled at this time. Private appointments or tours are on a case-by-case basis.”

Reports were similar at another community: “We’ve been hit hard with lots of cases of COVID-19. The state has surged in a big way, like everyone. We’re owned by a hospital system and they offered a drive-through testing to the community. 42% tested positive.”

What Are Your Resolutions for 2022? 

With communities across the country dealing with Omicron, one participant said, “I hear a lot of defeat in people’s voices. We can be very grateful for a lot.”

Another marketer commented, “It’s been a challenging time but there is a lot to be thankful for. We have had a really good year and I think we can have that again. I think the pandemic has caused a lot of fear, but I think it’s more about being cautious. Another participant added, “Once people got vaccinated, things got into a bit more normal living. And now it’s taken a big swing back right now. It isn’t going to be like this forever.”

Some roundtable members felt that we’ll get used to it. “Hopefully it will be like the flu in the future and we just get a booster shot, just like the flu has a different variant.” And one last comment: “I think we will just start accepting this new reality for restrictions for safety.”

Let’s all resolve to think positive and support one another in 2022! We’re looking forward to coming together this week. You’re welcome to join our Sales & Marketing Roundtable on Thursdays at noon ET, 11 a.m. CT and 9 a.m. PT.

For login information, email DDunham@varsitybranding.com.

“Half the money I spend on advertising is wasted; the trouble is I don’t know which half.” Those are the words of John Wanamaker (1838–1922), a very successful United States merchant, religious leader and political figure, considered by some to be a pioneer in marketing.

Anyone who is a marketer for senior living communities can relate to that statement. But there is a way to know where your marketing dollars are really going, and it’s by harnessing your data using predictive analytics.

That concept was the focus of a 2021 LeadingAge Conference session, “Predictive Analytics: Connecting Past Performance to Future Success,” a joint presentation by Varsity, its sister agency WildFig Data and Ingleside Senior Living.

“Retirement communities in general are data rich and insight poor,” says John Bassounas, Partner at Varsity. “Sometimes when it comes to analytics and data, people get overwhelmed. Really, at the end of the day our job is to simplify that process and deliver insights that can help communities make better decisions.”

During these challenging times, harnessing your data is especially important. “As an outgrowth of COVID-19,” John says, “everyone is trying to figure out the role of digital — how organizations can establish a competitive advantage. Data is the way to do that.”

A Progressive Partner

Varsity and WildFig have been fortunate to partner with Ingleside, a forward-thinking, multi-site, nonprofit senior living organization located in the Washington, D.C., area. “Data analysis was a leadership initiative at Ingleside,” says John. “It started at the top, and leadership identified data analytics as a key priority for their organization. In doing so, they partnered with us, and we became an extension of their team.”

“This is a visionary client,” agrees Derek Dunham, Vice President Client Services at Varsity. “They have established team members focused on the digital experience in analytics — they see the value in it. They have been an early adopter of data mining and analytics.”

Here are some key takeaways from the LeadingAge presentation based on our work with Ingleside:

1.  Consider all of the digital elements as an ecosystem, not siloed tactics.

“One of the goals here is to make sure that we’re not just looking at isolated tactics. We need to assess the impact of the entire digital ecosystem of paid, owned and earned media,” says Derek.

“From a marketing perspective, understanding the relationship between the various tactics and strategies to the overall program is incredibly valuable, because we want to optimize the plan for the best results.”

“For Ingleside, an important part of the ecosystem is a fresh website that is newly programmed using all the modern tools. Technology is always changing. With a new website, we don’t have to dumb down any of the analytics because the site can plug into analytics and pull data easily.

2. Embrace the process — Each organization is at a different stage with their analytics and modernization journey.

“It’s important for any organization to have the mindset that this is a process,” says Derek. “It’s not going to be a one-off project; it’s a culture. It’s an ongoing initiative that needs to be fed over time. I would say, assess what you have and get going. Taking the first step is important as this process is never ‘done’ — there are always opportunities to refine, test and learn.”

“Some organizations might think, ‘We don’t have all the data we need.’ Others may think, ‘We have too much data.’ Don’t let a lack of data stand in the way of proceeding with initiatives,” John says. “The first thing you need to ask is, ‘What is the question that you want to answer, and how can data make that happen?’”

3. Start with the big questions — Others will emerge.

“Starting with the big questions means, don’t get mired down in the details,” Derek says. “First think about what are the big questions you want to have answered. A question might seem too big initially, but you’ll be able to break it down into smaller questions and put together a manageable process.”

As an example, here are some of the questions that Ingleside wanted to answer:

• How do we reach and maintain 95% occupancy?
• How can we use data to make informed decisions?
• How can we predict future outcomes?
• Should the website be redesigned and merged under one URL?

4. Think not just about outcomes, but about implementation, and how to create a dynamic feedback loop.

“It’s an iterative process, and you’re constantly going to be refining it,” says Derek. “You want to look at the outcomes at a point in time. With this process, you are able to have confidence that you can pull your data at any point in time and get answers.”

Once the loop is established, John says, “We can either look backward at what has happened, or we can look forward to help inform what we’d like to have happen or predict outcomes.”

5. Customize the sales experience through predictive modeling.

“The overall goal of data analytics is to be able to understand the data to provide prospects with a customized experience — making the entire process from a marketing and sales perspective more efficient,” Derek says.

“For organizations like Ingleside, we’re doing that through a predictive modeling tool that does two things — predicts what lead volume will be, and assigns a lead score to every prospect in their database. We’ll be able to map each prospect’s customer journey and know the likelihood of their becoming a depositor at each interaction with the salesperson,” says John. “This map can be generated for every prospect, providing an easily digestible way to monitor the sales process.”

Why is that so important? “We all know that it takes anywhere from 20 to 30 touches for somebody to move in,” says Derek. “The more we can make those touches relevant and purposeful and efficient, the better. Through that process, we also make the salesperson’s time efficient, because they’re dealing with the people who are most predisposed to buying. We’re offering the salesperson better information so they are better able to connect with the right prospects.”

If you’d like the Varsity team to take you through the presentation in more detail, please contact John Bassounas at JBassounas@varsitybranding.com or Derek Dunham at DDunham@varsitybranding.com.

 

This November, many participants in our Thursday roundtables commented that leads are still pouring in. One marketer said, “We’re getting inquiries like crazy.” Another agreed, “It’s been our strongest year in 10 years.”

But even the busiest communities are working hard to capitalize on every lead and plan for the future. While other people were getting ready to pass the potatoes, our participants were passing around both new and tried-and-true sales and marketing approaches that are working for them:

1. Keep resident encounters casual. “We are seeing success with holding more casual events where prospects can mingle with residents versus having a more formal resident panel (which can be viewed as too scripted), so prospects can ask more specific questions about things not being presented here.”

2. Stay in touch. “There are usually about eight to nine articles in the marketing newsletter highlighting all the things we’re doing within the community,” said one participant. “Our sales team says prospects comment on it all the time.”

3. Stop talking, start listening. “People need someone who listens, not somebody who talks,” said a marketer. “I worked with a sales guy who was a master of the art of silence. He’d ask a question, and he’d stop talking. If you can stop talking long enough, the other person will start talking and open up.”

4. Overcome objections. Now that COVID-19 is slowing down, people are back to the classic excuses for not making the move. Here are some comebacks our participants found effective:

Objection: “I’m not ready yet.”

Answer: “I completely understand; however, can I ask what your hesitation is?”

Objection: “Wow, there’s a lot of old people here.”

Answer: “That’s because we take such good care of people, they live to a ripe old age.”

5. Update your floor plans. “We’re filling larger apartments, but it’s the smaller apartments that are harder to sell,” said one marketer. “We’re having work done, taking a wall down to make a bigger living space. People want their kitchen table, they don’t need that second bedroom.”

6. Offer trial stays. “There is a program that a community offers where if they stay one month, they get the second one free. Marketing it that way has been successful for them,” said a participant. “There is also a community that does a Safe & Warm program, which has been very successful for them when offering people to come in and live at the community on a trial basis during the winter months.”

7. Automate insights. “We’re trying to wrap up and create a sense of urgency now, so people move in the beginning of the year,” said one marketer. “We integrated some automated marketing in our database, and that’s really delivered some tangible results from our sales team. It’s giving us insights into our inquires and visits to our websites.

We’d like to leave you with one final thought: Normalize life again. “We need to remind people that there is a life to be lived,” said one participant. Another said, “It’s not entirely business as normal, but the more we act like it is, the better.”

Look for our next monthly roundtable recap in your inbox. Until then, please be sure to join our weekly Sales & Marketing Roundtable on Thursdays at noon ET, 11 a.m. CT and 9 a.m. PT.

For login information, email DDunham@varsitybranding.com.

 

 

 

Today we’re talking to Sadiya Abjani, Director of Learning & Equity at SAGE, the world’s largest and oldest organization focused on advocacy and services for LGBT elders. SAGECare, SAGE’s cultural competency training and credentialing program, provides training and consulting services to elder care providers. SAGECare also offers the added benefit of providing qualifying agencies with a national accreditation to highlight the percentage of trained staff.

Sadiya was kind enough to answer some questions about SAGECare and its training program.

Why should your organization hold LGBT trainings?

“There are many reasons why LGBT training courses are incredibly important for elder care providers,” says Sadiya. “The SAGECare mission is in line with that of elder care communities, to make sure LGBT people are taken care of, that elders are aging with grace.”

“There are many community members that have experienced a great deal of violence and discrimination, and some of that discrimination comes at the hands of medical professionals,” she continues. “Up until 1973, homosexuality was a diagnosable medical condition. An individual could lose everything after that diagnosis. That stigma and fear doesn’t go away. Decades of lack of access to treatment, and mistreatment, are causing people to fear accessing care. Folks are delaying care because they don’t think healthcare providers will treat them with dignity and respect. There is a deep feeling of ‘I won’t feel safe.’ SAGECare training will walk you through preparing for and working through all of that with your clients.”

Although the primary mission in these trainings isn’t monetary, there is a financial component, explains Sadiya. “Boomer consumers are values-based consumers. It’s a huge market and it’s constantly growing. In the under-40 segment, the percentages of LGBT population are even higher,” she says. “Over the next 20–25 years, that market will grow even more. It’s better to do that work early and set your company up for success in the long run.”

What are some of the benefits of getting the SAGECare credential?

“The biggest benefit is that SAGECare is the oldest and largest national credential,” Sadiya says. “Elders reach out to us for care, services and information. Getting the credential on an organization’s website becomes incredibly useful. Folks are also going to our website and are searching for credentialed providers in their area. SAGECare provides that repository of physicians who have been trained to take care of LGBT elders.”

Can you talk about your background and why you work at SAGE?

“I have been in the social justice field for my entire adult life,” says Sadiya. “Previously, I developed training curriculum around fair housing, disability justice, and immigrant rights, and worked on issues related to the shelter systems. While doing this work, I was connected with SAGE through a toolkit I built for a study they had just done about housing discrimination. I started doing trainings for SAGE, and I fell in love with the people that work here and the organization. I saw a job opening and I applied, and it changed my life. I’ve worked here for six years. I love the individuals I get to work with. I learn and I grow every single day. Our mission is to ensure that those individuals who struggled and fought and sacrificed so much for dignity, for justice — those individuals who have paved the way for me to live my identity — get the best care. And it’s not just for them. All of us age. I’m working for a better future, so that I can live my identity out loud. I want to age safely; I want to have good care. This mission resonates with me in many ways.”

What is the most important thing we need to know about LGBT training?

“The most important thing is that this community exists, they are aging, and they are not being cared for in the way that they need,” says Sadiya. “This training sets you up to do your job well for this population.”

In part II of this series, we’ll cover nine truths you need to know about LGBT training. Click here to read the post.

For more information or if you’d like to schedule a training for your organization, email sabjani@sageusa.org.

 

 

The treats for senior living communities this October included lots of interest from prospects. The tricky part? Staffing issues and COVID-19-related restrictions made it tough for some organizations to take advantage of the momentum.

The Treats: Lots of Tours, Applications and Deposits 

A participant in Washington state said, “Four of our areas (apartments, memory care, assisted living and duplexes) are all 100% full, and I’m not sure that’s ever been the case.” Another marketer in California agreed that business continues to be strong. “We’re going to have 10 move-ins in October. It’s really exciting to see.”  And there’s good news from Arkansas as well:  “Sales for our new neighborhood are good, with 43 of 53 units sold.”

Communities are also trying creative new tactics for bringing in business. One participant from Wisconsin said, “We’ve been really rocking and rolling. For the first time, we offered a promotion of 10% off the entrance fee to people who sign up now, and we’ve had lots of success with it.”

The Tricks: COVID-19 Restrictions and Staff Shortages

Scary Shutdowns 

Something that could scare off prospects: Communities shutting down to visitors because of local COVID-19 restrictions. One marketer shared, “We’re talking about taking everything online again.” A second participant said, “We’re unable to do events, so it’s frustrating.” And a third marketer added, “I’m seeing more restrictions. It’s sad having to see people tap the brakes.”

In some cities, however, it’s nearly business as usual. One participant from Virginia said, “Our team members are all fully vaccinated — it’s a requirement, and I think that’s helped because a lot of prospects asked that question. We’ve been busy giving tours and adding people to the waiting list.”

Creative Hybrid Events

One way of solving the dilemma when prospects are worried about attending in-person seminars: Hold a hybrid event. “As far as marketing events, we have a hybrid event — in person and on Zoom as well, so people can choose to do either,“ a participant shared.

Industry-Wide Staff Shortages

Staffing shortages continue to be a roadblock to sales. One marketer shared, “We’re getting calls and inquiries, but we don’t have enough staff to keep up with the volume …  we had to turn down seven people last week who wanted to move in!” A participant in Arkansas agreed. “Our nursing home is desperately looking for staff and we’re having a difficult time finding applicants.” Another marketer shared, “This is the #1 thing on everyone’s minds — how will we deal with this?” One final comment: “We have a waitlist that’s two pages long. We don’t have the staff at the higher levels of care to cover all the interest.”

Innovative Solutions for Recruiting Staff

When we asked participants if they’d found any effective methods for recruitment in these challenging times, they shared these creative ideas:

• Drive-through career fairs: “We had another drive-through career fair in August, which was successful. They have been fun and an interesting way to get people onto campus.”
• Diversity and inclusion: “We have a resident committee here working hard at looking at diversity and inclusion.”
• Salary hikes: “The board moved our minimum starting wage to $15 per hour, so some will get up to a 40% raise in November.”
• Using staffing firms: Several firms participated in the recent LeadingAge conference, including: Fusion Medical Staffing, Gale Healthcare Solutions, Hireology, OnShift, Intelycare, Prime Time Healthcare  and ShiftMed.  (Varsity is not endorsing any of these firms; rather, merely providing information.)

Holiday Tactics for Targeting Adult Children

Heading into the holidays, some communities are targeting adult children (but not necessarily with in-person events). One participant shared, “We changed our media messages to target adult children more.” Another marketer said, “We put together a one-sheet guide of tips on how to talk about things with your parents.” A third community published an article in a local magazine about ways to connect with adult children who are raising their kids and caring for their parents as well.

Notes From the 2021 LeadingAge Conference

Held October 24-27 in Atlanta, Georgia, the first LeadingAge conference since COVID-19 had lighter attendance than usual, but some fascinating presentations. The major focus? “Technology, technology, technology,” said Derek Dunham, who attended with his Varsity colleagues. For instance, Amazon launched its new senior living product with an enterprise solution. You can read about it in this Senior Housing News article. Varsity, sister firm WildFig Data and Ingleside also presented a session with a technology focus: “Predictive Analytics: Connecting Past Performance to Future Success.”

Look for our next monthly roundtable recap in your inbox. Until then, please be sure to join our weekly Sales & Marketing Roundtable on Thursdays at noon ET, 11 a.m. CT and 9 a.m. PT.

For login information, email DDunham@varsitybranding.com.

Guest post by Andrew Leech, Vice President, Operations Management Services, Greystone Communities

Today Andrew Leech is expanding on some of the ideas he shared in his recent presentation at The Greystone Event 2021, “The Art of the Pivot: Addressing Operational Challenges.”

With all the tragedy that has come with the pandemic, we’ve learned a couple of things. In a 24/7 operation, we never have the opportunity to retool and reopen and reboot. COVID-19 has been awful and terrible for our residents and industry, but one of the positives coming out the other side is the lessons we’ve learned. It would be a real shame to go back to the old normal.

Some of the lessons communities have learned:

• Residents can adopt and use technology far faster than we gave them credit for.
• Society is more open to doing things a little differently now than it did a year-and-a-half ago, so why waste this opportunity to improve and secure the future of our communities?
• In every facet of our operations, now is the time to change.

One caveat: There is a strong regulatory component in what we do, which means some things are not going to change as fast as we’d like them to. Guidelines and restrictions are going to impact our changes.

Here are some areas that I feel communities should be looking at:

Recruiting

We’ve had hiring challenges in health care for many, many years. There has been a nursing shortage and not enough nurses to replace those that left. Now the challenges are even greater, with other industries raising their wages during COVID-19. How are we going to compete for talent with other sectors? How can we help lower costs to help pay for talent? We’ve often pitched how strong our operations were, saying things like: “You would be lucky to come and work for such a fine organization that treats employees well.” In this market, rather than say, “You’d be fortunate to work for us,” it’s a natural shift to say, “We would really love the opportunity to have you be a part of our team.”

We need to change our approach to how we’re recruiting talent in a market this tight. We spend an awful lot of time and money to attract residents and get them through the sales process. We need to start to take some of those funds and have the same vested interest in appealing to employees. Some specific tactics communities can implement:

• Pay for time spent during the screening process
• Make sure your community has a director level position for HR
• Partner with a Professional Employer Organization (PEO)
• Text candidates within five minutes of their application hitting the portal (the younger generation doesn’t read emails)
• Offer seven days on and seven days off in skilled nursing care, or four days of 10-hour shifts — think creatively about how to offer work/life balance.

Retention

We have teams that have been through hell and back during the last 18 months to two years. We need to show them that they’re appreciated for the sacrifices they’ve made. And we also have to be realistic about our expectations for retention: A year for a certified nurse’s aide or a server is actually quite good.

Ideas for retention will vary in every single market. Offering employee meals is a great start — but we can’t just stop there. Here are some other options, many of which are also strong recruitment tools:

• Retention bonuses. We believe that a better approach to bonuses is to space them out and incentivize even further someone’s desire to stay with the company. Part of the bonuses may come at three months, six months, nine months, a year.
• Day care. Some communities are looking at spaces on their properties for day care and figuring how to license and run a center. We’re in the research stages, and I do have leaders of communities telling me that day care would make a huge impact. Having day care on-site simplifies people’s lives. Imagine being able to drop your child right at your workplace and go into your job each day.
• Flexible schedules. Gone are the days that if an employee can’t work weekends, they can’t be a part of your team. Now it can be mutually beneficial to be flexible to meet the needs of each individual. We can give team members the life balance that they’re looking for, and they can provide excellent experiences to the residents.
• Attractive employee lounges and locker rooms. We need to evaluate employee areas and solicit team feedback to determine if they are welcoming.
• Fee structure reviews and involvement of residents. COVID-19 strengthened that desire to help, because folks have very strong ties to members of the staff and their teams. The pandemic made us all re-evaluate what’s important. The residents have realized that their communities are not the same without these amazing team members who are working hard and sacrificing day in and day out. We had actually proposed a rate increase at one of our communities, and one of the members of the resident council came to the director and asked whether that number was going to be sufficient to pay their staff a living wage. He was invested in making sure the staff were well taken care of.

Infection Control

Because of the extra precautions communities have taken during COVID-19, we’ve had tremendous success in keeping the flu at bay this past year. Through tools like visitation restrictions, PPE and social distancing, we’ve shown we can control infections very, very effectively. That’s going to be the expectation moving forward. The challenge is, how do we eliminate the spread of infection, while still having communities that are more open with visitors?

Finding Efficiencies

Here’s an example of how we need to work more efficiently: If you have a housekeeper going to three different floors in a main building, as well as villas and cottages and garden homes, are you sacrificing a lot of time and energy in having that person traveling from place to place? This is now an opportunity to reboot services like housekeeping. Let’s break out the community in a way that is far more efficient for travel time. We’re looking for little opportunities to do things smarter.

Dining Innovations

Before COVID-19, dining in was not heavily utilized — and was not experientially the best. What we did learn during the pandemic was that there’s a way to do it well and inexpensively. We strongly believe, moving forward, that there is going to be demand for in-room dining to augment regular dining. We see this through the success of services like Grubhub, Door Dash and Uber Eats. Customers are looking to have great dining experiences with gourmet food in the comfort of their own homes — and seniors are going to be no different.

Stay Virtual

What we’ve learned from our residents’ eager adoption of technology is that virtual programs will always be in demand. Make sure your community keeps up by continuing to offer them and learning to do them better.

These are just small examples of how the need to change runs throughout the entire operation. It could be that in five to 10 years, our community buses will be driving themselves. Something along those lines is coming, so we’d better be ready.

People are more receptive to new ideas than they have been in years, so let’s take advantage of that opportunity. We don’t want to lose the chance to change and go back to doing things the way we’ve done for years and years and years. However, we also don’t want people to run to their communities with all these ideas and try to cram them all in at once. That’s not going to be successful for them. Each market may have different demands.

Fast and Simple Changes

Our focus is on providing small takeaways that everyone can do something with. For example, when was the last time you did a wage analysis in your market? If it’s a year old, the analysis is highly out of date. If it’s not done in the last 90 days, you can’t trust it.

Those are quick, easy things you can do: reviewing fees, involving residents, reassessing culture, looking for opportunities to be more efficient — those are actions that would be advantageous to any operation. It’s important to do the work to figure out what’s going to be most impactful to your team and operations. Now is the time to start to ask these questions and look into these issues.

A Short Window of Opportunity

You have a window of time to make these changes. You have receptive residents, prospective residents and staff. The trick is, you can’t sit on your hands and not do anything or the window will close. Eventually people will wipe these circumstances from their memories and we’ll continue on like we did before.

Our call to action is: “Please don’t do nothing.” If you do nothing, you’re going to be left behind. You can’t waste this opportunity, and if you do waste it, it will have longstanding effects on the financial health and stability of your community for years to come.

Seeing the Glass Half Full

I’d like to end this on an optimistic note. Should we feel optimistic or pessimistic about the future, knowing all that has happened? I choose to look at this through a positive lens. We have had some teams that went through some extremely difficult, once-in-a-lifetime challenges, and the people who have stuck around have built more stamina and become more capable, more resilient and more optimistic. We now have these folks on our team who have managed through a huge crisis, and they will be able to draw on these experiences should, and when, the next crisis comes along. This is an industry that has been challenged by many, many things, from 9/11 to the Great Recession and now COVID-19. There are always going to be challenges. We need to take away what we excelled in and what we learned during this crisis to help our operations get stronger and more secure in the future. We believe that the future is bright.