Interview with Tom Coble, President - Elmbrook Management Company
Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews Tom Coble, President of Elmbrook Management Company, in the AHCA Provider Lounge. Tom discusses the future of providers and healthcare models. He says it will be a delicate balance as providers will need to blend medical models (skilled nursing facilities) with social models (home care, community based) in order to meet the needs and desires of the incoming baby boomer generation. (Audio transcription below).
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Kris Mastrangelo: Good Afternoon. We’ve got Tom Coble from Elmbrook Management out of Oklahoma. How’s it going today?
Tom Coble: Going great! Had a great morning opening session I think and got everything kicked off. Seems to be a lot of energy here in the trade show area so I think everything’s off – we’re off to a really good start.
Kris: You were amazing this morning. It set the pace for the whole convention and I know there are so many things that we can talk about today, but – you know – being a leader, a very visible leader, in the long-term care industry is there anything that you want to talk about specifically or how about what are your plans for the future? What do you think that your demographics are going to look like – you know, related to your census and your case mix and all of that.
Tom: Well you know we heard from our opening speaker this morning about demographics and that we all know in 2020 that, as he described, the baby boomers start to fall apart. That’s we’re going to – it’s not going to be a matter of having clients to take care of, we’re going to have to be able to have systems that can deliver quality of care and at a more affordable price because the cost is going to be higher. So, it’s just a matter of redesigning your company’s delivery system. Perhaps getting into other lines of the continuum of care like home care and different things like some of the things we’re doing in Oklahoma where we tried to knock the walls of the facility down and deliver services out into the community out of the facility so that the stays are much shorter and much more of the care happens in the person’s home in the community.
Kris: So, you’re definitely ahead of the curve because you’re looking and you’re breaking down the walls and what about you know the partnerships or the acquisitions of home care or other continuums? Is that something that is easy to do or does it take a pretty savvy plan on that.
Tom: Well I think that home care and any other type of post-acute care service has its own specialties in operating and then in some states you’re not able to open a Medicare home care because there’s a freeze on issuing licenses and different things. So, I think it works best when you’re able to partner with someone if you’re not large enough to get cover and do it and then you not only have their expertise, you have your expertise in how to move someone from the community into a facility or vice versa and take care of them in a really high quality way that really makes them feel like it’s a person-centered care delivery system.
Kris: Right. And that person-centered piece was definitely reinforced yesterday and again some providers have it, you know, under control but again take the patient-centered, you know, breaking down the walls – I love it – and getting them the services beyond the skilled nursing facility but ultimately know that the influx of the population is going to be very difficult to handle and maybe those licensure moratoriums will have to be removed.
Tom: Well they might be, but you know at the same time we’re at a point where we’re really are taking and blending a medical model which is what skilled nursing is into a social model which what home and community-based services are and they’re both a very delicate balance to achieve, but I mean isolation, not eating, not being able to prepare meals – those things all have a very large impact on someone’s ability to get well and improve. So I mean we’ve got to take all those things into consideration now with this population.
Kris: I love it. It’s Tom Coble. Blending a social model to a medical model – that’s a delicate balance. That’s good commentary to have. Thank you so much more for coming today.
Tom: You’re more than welcome.