Quite a few things are making waves in 2011; many could have impacts on the state of the hospice industry. Most significantly, the passage of health care reform is expected to have major influence over the usage of palliative care in the United States. Medicare has long provided coverage for certain types of hospice care; it is expected, however, that health care reform will provide even more hospice-related benefits. Furthermore, the system may become streamlined enough to ease the transition between nursing homes and hospice care. As a result, patients should expect higher standards of care over the upcoming years.

Section One: Hiring in the Hospice Industry in 2011

One of the unique aspects of hospice care is that it takes place in people’s homes and in hospice centers. As a result, there are plenty of jobs to be had in a wide variety of different areas. Considering that approximately 80% of people wish to die at home – and fewer than 20% are able to – it goes without saying that home-based hospice remains the most popular option. Still, patients without readily available caregivers often choose home-based hospice care to ease their transitions. Employment in hospice centers and for home-based hospice companies is expected to remain steady.

In-Demand Positions in the Hospice Industry in 2011

On the home-based hospice side of the spectrum, nurses – including RNs and LPNs – can expect to have plenty of options for work within the industry in 2011. More and more hospitals are referring patients to home-based hospice care, so the demand for nurses in this segment is higher than ever. Such professionals will enjoy flexible schedules and many unique opportunities within the hospice industry over the upcoming years. Especially experienced nurses will be able to secure the most lucrative and convenient positions.

As far as hospice centers go, social workers will be in hot demand over the next few years. Social workers assist hospice patients and their families with a wide variety of issues and concerns. Since hospices prefer to include family caregivers in the process – even when patients opt to stay at hospice centers – social workers are needed very badly. Social workers who enjoy working with family units and who have a knack for assisting with end-of-life issues are sure to have no trouble whatsoever with finding work in the hospice industry in 2011. Those who have specializations concerning Medicare will be especially hirable.

Less In-Demand Positions in the Hospice Industry in 2011

As more and more hospitals begin to integrate palliative care services into their facilities, it is expected that the number of hospice centers could be impacted. In turn, the need for hospice administrators and executives may decline. The trend seems to moving more and more toward home-based hospice services, too, which will lessen the demand for hospice administrators to some degree. While administrators will always be needed, the sharp demand for them is expected to go down a little during 2011. Administrative positions in other healthcare fields will continue to be highly in demand, though.

Section Two: Expected Growth in the Hospice Industry in 2011

Like so many other senior care industries, the hospice industry is expected to boom as aging Baby Boomers seek palliative care in increasing numbers. As the population of the United States climbs, the need for hospice care will, too. Trends are turning away from dying in cold, institutional settings; more and more people are demanding more caring end-of-life experiences. The combination of an aging population and a shift in mentalities about death should converge to make the hospice industry thrive into 2011 and beyond.

Another interesting fact that should spur the growth of the hospice industry in 2011 is the fact that it is still largely underserved. Even in 2010, many patients who sought hospice care were unable to find it in their immediate areas. As the demand continues to skyrocket, more and more services and facilities should open. This is bound to create a significant boom in the hospice industry. Facilities that are able to provide topnotch care – and plenty of home-based services – should do quite well in 2011. If health reform ends up facilitating the use of hospice services, this trend will be intensified even further.

Section Three: Hospice Industry Trends in 2011

Many key changes are expected to occur in 2011; several of them will have significant impacts on the hospice industry. While trends within the industry tend to evolve steadily over time, hiring managers and others within the industry can expect to see a few surprises this year. By staying attuned to emerging trends in the hospice industry, interested parties can make more effective decisions and plans over the upcoming year. Although many trends are carrying over from 2010, there are seven particular trends that should be kept in mind for the upcoming year; they include:

1. Health Care Reform – Several important changes are expected to occur in the hospice industry due to health care reform. Most significantly, it allows children who are enrolled in Medicaid to receive curative and hospice services. This is an important change that is sure to have dramatic impacts on hospice care in the U.S. Reform is also expected to increase the security of hospices, since it requires them to perform background checks on employees, among other security checks. Hospices will also be required to report on quality measures or face penalties. This regulation should help strengthen the industry.
2. Regulatory and Reimbursement Challenges – As noted above, reform is going to change many regulatory aspects of running a hospice. It could be a bumpy road, especially at first, for many hospices. Furthermore, the changing landscape of Medicare should result in reimbursement issues for some hospices. For best results, hospices should keep someone on staff who is charged with staying abreast of these types of issues.
3. Hospital-Based Palliative Care – Although it is not expected to put a major dent in the popularity of or need for hospice care, the increasing addition of palliative care to hospitals around the country is sure to have some impact on the industry. Considering that most patients turn to hospice care in order to avoid hospitals, however, it is safe to say that hospital-based palliative care isn’t going to be giving traditional hospice care a run for its money just yet.
4. Electronic Records – Because many hospices have been very small operations in the past, many have not gotten up to speed on electronic records, even in 2010. Therefore, 2011 is going to be an important year in terms of catching up with the growing use of electronic records. To remain competitive – and to be reimbursed in a timely manner – hospices are going to have to implement topnotch electronic records management into their systems.
5. Nursing Home Transitions – As the elderly population grows, the number of people in nursing homes climbs, as well. Increasingly, many nursing home patients are transitioning into hospice care; this is especially true for patients who have conditions like Alzheimer’s. Partnerships between nursing homes and hospice organizations are sure to increase over the next year or two. Such partnerships make life easier for patients, too, by reducing the amount of disruption that they have to deal with during this time in their lives.
6. The Inclusion of Caregivers – Hospices have generally striven to include caregivers in the hospice experience for many years now. However, this trend is certain to increase as many out-of-work and financially struggling adults try to keep elderly parents at home instead of in nursing homes. Hospices must be willing to provide training and support for caregivers in order to provide the best services possible. Hospices that fail to do so will lose patients to those that do. Including caregivers and other family members in the end-of-life process is actually fairly simple, so most hospice organizations should be able to do so with ease.
7. Advanced Directives – As sophisticated as many hospice centers have become, many of them still have to grapple with confusion over advanced directives every day. Education about the importance of making advanced directives continues to rise, though, so more and more people are laying out their wishes well before hospice care is required. Hospices will most likely begin engaging in campaigns in their communities to raise awareness about the importance of advanced directives. In turn, the end-of-life process will increasingly become smoother and easier to manage for all involved – and that will strengthen the industry, too.

The resources for the hospice industry article are:

http://www.victorypartnersllc.com/pdfs/Spring%202005%20Hospice%20Industry%20Report.pdf

http://www.medpac.gov/publications/congressional_reports/June04_ch6.pdf

http://www.hospicefoundation.org/uploads/florida_ii.pdf

http://www.cvtips.com/career-choice/career-trends-for-hospice-nursing-jobs.html

http://www.nhhpco.org/Conference2010/SPEAKER_PRESENTATIONS/MarthaTeccaTopTrends.pdf

http://www.medicalnewstoday.com/articles/214772.php

http://dying.about.com/b/2010/03/23/obama-signs-health-care-reform-bill-whats-next-for-hospice.htm

Section One: Job Outlook for the Nursing Home and Rehab Industry in 2011

Healthcare is usually a safe bet for anyone who wants steady, long-term employment. Even during poor economic times, people need health care. As the population in the U.S. continues to age, topnotch care for the elderly is more in-demand than ever. That doesn’t mean that all careers within the industry are protected from the lackluster economy, though. Like many other businesses, many nursing homes and rehab facilities are looking to cut financial corners wherever they can. To get a feel for the jobs that will be in-demand and less in-demand, check out the info below.

In-Demand Jobs in the Nursing Home and Rehab Industry in 2011

Nurses, including LPNs and RNs, will remain in high demand within the rehab and nursing home industry in 2011. These skilled and highly trained professionals provide some of the most critical care at such facilities, allowing them to conduct their day-to-day business. Since nursing homes and rehab facilities are designed for those who need extra medical care and attention, it makes sense that RNs and LPNs should continue to be mainstays. Nurse’s assistants might see a spike in demand, too, but licensed nurses will hold their positions.

Janitorial and maintenance roles will increasingly be merged into single positions at many nursing homes. Essentially, such facilities will hire “handymen” who will be able to tackle the cleanup and care of the grounds and buildings. Candidates who have a broad array of knowledge and experience with maintenance and janitorial sciences will have the greatest success of finding employment within the rehab and nursing home industry. More and more “jacks of all trades” will find steady employment in these facilities, since they basically provide the services of two employees for the salary of one.

Less In-Demand Jobs in the Rehab and Nursing Home Industry in 2011

It’s becoming easier and more affordable than ever for all types of businesses to outsource their administrative functions. Things like basic data entry and human resources services can easily be sourced out to inexpensive contractors; many nursing homes and rehab facilities will turn to such services in 2011. As a result, those who are seeking clerical positions within the industry will have a hard time of things. Those who already hold such positions aren’t likely to give them up – or be promoted – in the current economic climate.

Maintenance positions will be less in-demand within the nursing home and rehab industry in 2011, as such roles are merged with janitorial positions. In the past, such facilities often kept separate maintenance and janitorial personnel on staff. As budgetary constraints mount, more and more facilities are looking to merge such roles into one. People who are strictly trained and experienced in the maintenance field will have more difficulty finding jobs within the industry in 2011. To stay competitive, they should add janitorial experience to the resumes if they want to land jobs in nursing homes and rehab facilities in 2011.

Growth in the Nursing Home and Rehab Industry in 2011

As has been the case for the last several years, the steadily aging population of the United States will prompt additional growth within the nursing home and rehab industry in 2011. Baby boomers are just getting into old age; most will be able to remain on their own or in independent living facilities. However, more and more will be requiring the more intensive care of rehab facilities and nursing homes. Either way, there is little chance of a decline in the popularity of such facilities, since the elderly will continue to need such services.

While growth will continue in the industry in 2011, it could slow down a little. The main reason for that revolves around healthcare reform. Medicaid payments to facilities within the industry are predicted to be cut considerably over the next year or two as reform starts kicking in. For a while, there could be a lull in the growth and demand for nursing homes and rehab facilities. Chances are, though, that the slowdown will be minimal. Few facilities will be dramatically affected by the changes, at least during 2011; more dramatic impacts will be felt next year.

Healthcare reform may have a bit of a negative impact on the nursing home and rehab industry at first; however, it is believed that reform will simplify the way in which the elderly pay for such facilities in the long run. Nursing homes and rehab facilities are recognized as needs by most healthcare practitioners. As a result, reform may actual spur a bit more growth within the nursing home and rehab industry in 2011. At this point, it is still too soon to say whether the net effect of reform will be positive, negative or neutral.

Section Three: Trends in the Nursing Home and Rehab Industry in 2011

Some of the trends within the nursing home and rehab industry in 2011 will be carried over from the previous year. Some will intensify, and others will be completely new. Professionals within the industry, including hiring managers, should try to stay on top of these trends in order to perform their duties more efficiently and effectively. While not all of these trends will be felt in every single nursing home and rehab facility, they should color the industry as a whole in 2011.

1. Roomier Accommodations – Senior citizens have more clout than ever, as their numbers continue to grow. As a result, you can expect to see roomier accommodations within nursing homes and rehab facilities than ever in 2011. Private rooms will become more common, too, as fewer people choose to share their rooms with others. This dovetails with the trend away from the clinical feel that nursing homes used to be known for.
2. ”Universal Workers” – One potentially negative trend that may develop within the nursing home and rehab industry in 2011 is the increased use of “universal workers.” These workers will increasingly take on the roles of three, four or even five previous employees. For instance, one person may be in charge of entertainment, activities and outings. This will reduce the quality of care at some facilities.
3. Foreclosures – Thousands of foreclosures happened in 2010. As a result, many people who once provided shelter for their elderly loved ones are no longer able to do so. This trend should boost the growth of the industry in 2011; elderly people who have lost or will lose their homes are also more likely to go into nursing homes this year.
4. Classes – In order to provide enrichment programs for their residents, more and more nursing homes and rehab facilities will be offering classes. These classes will typically be conducted by outside organizations; every now and then, though, the facility will provide the classes itself. These classes will generally include fun arts and crafts and book club-style sessions.
5. Person- Centered Approach - While nursing homes and rehab facilities are primarily designed to assist people who need extra medical attention, they are increasingly moving away from the clinical, hospital-style approach that they once had. In order to keep residents happy and on board for the long haul, many facilities are switching over to a person-centered approach.
6. Budget Cuts – In order to stay afloat, many facilities will be slashing their budgets in 2011. This trend carries over from 2010, when many facilities began to struggle. Corners are sure to be cut at many facilities around the U.S.; in many cases, special activities and outings will be canceled. Furthermore, many places will continue to pare back their staffs to the bare minimum. In some cases, these cuts will be quite detrimental to the well-being of nursing home residents. Facilities that manage to stay afloat without these cuts will enjoy the most success.
7. Specialized Facilities – While full-service nursing homes and rehab facilities will continue to be the norm, there will be an increasing number of specialized facilities in 2011. For instance, facilities that specialize in dementia and Alzheimer’s will continue to grow in popularity.

The nursing home and rehab industry isn’t going anywhere. 2011 may be a tough year for the industry, but it should continue to grow more than anything. Facilities that manage to go with the flow and evolve are the ones that will stand the best chance of survival. Overall, 2011 should be a steady and low-key year for the industry.

subject: Nursing Home/Rehab References

http://www.bls.gov/oco/ocos083.htm#projections_data

http://www.nursinghomesabuseblog.com/national-nursing-home-issues/nursing-home-insights-from-the-director-of-a-therapeutic-recreation-and-activity-consultant/

http://www.scumdoctor.com/senior-care/Trends-In-Nursing-Home-Senior-Care-Facilities.html

http://www.healthcarefinancenews.com/news/healthcare-reform-could-stifle-nursing-home-industry-growth

Section One: Hiring in the Assisted Living and Memory Care Industry in 2011

Although the assisted living industry has not been hit as hard as other industries in terms of unemployment, it has definitely been affected by the ongoing economic crisis. As assisted living facilities scramble to cut costs wherever they can, they tend to strip away jobs that aren’t completely necessary. As a result, there may be less variety in terms of employment within the assisted living industry in 2011. Still, anyone who is embarking on a new career should put this industry at the top of their lists, as it continues to be extremely relevant and necessary.

In-Demand Positions in the Assisted Living Industry in 2011

In order to cut costs, many assisted living facilities are trending more towards hiring part-time help. Those who are flexible enough to take on part-time work will have better chances of finding work within the assisted living industry. Medical assistants continue to be very much in demand within the industry in 2011. Although some medical assistants earn certifications, many simply get by with on-the-job training. In the latter case, employers can generally pay lower salaries. As a result, medical assistants are great options in a flagging economy.

Food preparation workers are sure to be highly in demand within the assisted living industry in 2011. Although such facilities are trying to keep costs down, they have to compete with other facilities in order to stay afloat. More and more people are demanding exceptional nutrition at assisted living facilities. Therefore, the food that is being served at such facilities is trending more towards freshly prepared meals, as opposed to highly processed frozen foods. As a result, there is a greater need for food prep workers these days.

Less In-Demand Positions in the Assisted Living Industry in 2011

During boom times, assisted living facilities could afford to hire plenty of office help. Due to the suffering economy and thanks, in part, to modern technology, administrative assistants aren’t nearly as in-demand within the industry as they once were. While there will always be somewhat of a need for office workers within the assisted living industry, most facilities will be able to get by with reduced staffs. This situation is hardly unique to the industry, though – it is happening in nearly every industry, as sophisticated software programs eliminate the need for dozens of office workers per location.

Assisted living facilities will continue to join forces with healthcare providers within their communities. This could take a toll on the demand for in-house social workers at assisted living facilities. As partnerships are forged between local agencies and assisted living facilities, many facilities may choose not to hire on their own social workers. In 2011, it will be less likely than ever for an assisted living facility to have a social worker on staff – let alone several of them. In the past, social workers could find employment at such facilities with ease; in 2011, that’s not quite the case anymore.

Section Two: Assisted Living Industry Expected Growth in 2011

The famous Baby Boomer generation becomes elderly between 2010 and 2030. In 2011, then, the first wave of Boomers will become senior citizens; many of them will require assisted living services. While the overall economy is lackluster at best, the surge in the elderly population of the U.S. is sure to offset that by a significant degree. In fact, some reports predict that one in five Americans will be elderly by the year 2050. That’s definitely positive news for the assisted living industry, as more seniors will be out looking for housing than ever.

There is an interesting contrast to be expected in terms of growth within the assisted living industry in 2011. On the one hand, the poor economy is likely to keep many seniors at home with loved ones in order to save money. On the other, fewer seniors will opt for more costly independent living facilities. These contrasting forces will, at the minimum, keep the assisted living industry on an even keel for 2011. The aging Baby Boomer population, of course, may tip the balance to create a very profitable year for the industry.

Section Three: Assisted Living Industry Trends in 2011

Although hiring managers and assisted living industry professionals shouldn’t expect any major surprises in 2011, they should keep their eyes peeled for a few notable trends. Some of the year’s trends are carrying over from last year and being reinforced; others are wholly new but not necessarily earth-shattering. Still, professionals and hiring managers are wise to keep their fingers on the pulse of assisted living industry trends. Seven of the most notable trends for the next twelve months are highlighted below.

1. Increased Focus on Memory Care – As more and more is learned about memory-related illnesses like Alzheimer’s disease, more and more assisted living facilities are incorporating memory care services into their repertoires. Instead of having to select a memory care facility for a loved one, then, many people are opting for assisted living facilities that include memory care services. This is a convenient option for those who want to take advantage of what assisted living facilities have to offer while addressing the memory-related needs of their loved ones.
2. Flexible Financing Options – Medicare is being relied on more heavily than ever to finance assisted living stays. The passage of healthcare reform in the United States most likely means even more financing options for the elderly in the not-too-distant future. 2011 should be an interesting year in terms of financing options within the industry. More than likely, this trend will be beneficial to the assisted living industry and should help to spur its growth even more.
3. Fewer Facilities – In anticipation of the major boom that’s being brought on by aging Baby Boomers, a huge number of assisted living facilities were built over the last ten years. Due to the poor economy, though, the number is going to be whittled down a bit in 2011. The survivors will be the facilities that offer the best prices, the best services and the most flexible financing options. In many ways, this small reduction should work to strengthen the assisted living facility over the long run.
4. Shorter Hospital Stays – Every year, the lengths of hospital stays gets shorter and shorter. 2011 will be no different. Concerns over the rising cost of health care will prompt patients to get in and out of hospitals more quickly than ever. As a result, many elderly people may choose to move into assisted living facilities in lieu of staying in the hospital any longer than is necessary.
5. Healthcare Reform – The biggest wildcard for 2011 has to be healthcare reform. The exact changes aren’t fully known yet; the precise impact on the industry remains largely in the dark. As reform starts kicking in, there should be some interesting changes within the industry. Also, many facilities will start making changes in anticipation of healthcare reform-related issues.
6. More Complex Pricing Schemes – One trend that assisted living facilities should try to steer clear of in 2011 is overly complex pricing schemes. Competition is sure to be fierce between local assisted living facilities. Facilities that have confusing pricing schemes are going to lose out against those whose pricing schemes are straightforward and simple to understand. Facilities with transparent fees and charges will enjoy the greatest success in 2011.
7. More People Staying at Home – In an effort to save as much money as possible, more seniors are expected to stay at home with relatives in 2011. With the increasing number of foreclosures that have been happening, though, this trend may be a bit muted. The assisted living industry shouldn’t be negatively affected by the trend towards staying at home.

Assisted Living in 2011: On an Even Keel

When you consider the pluses and minuses that will be occurring within the assisted living industry in 2011, it’s clear to see that things should basically balance out over the year. As always, the assisted living industry should continue to be a great option for those who would like to enjoy steady employment throughout their careers. Those who are already working in the industry shouldn’t worry about losing their jobs, as the aging Baby Boomer generation keeps beds full around the country. As a whole, the industry should continue to thrive throughout 2011 and beyond.

subject: Assisted Living References

http://www.bls.gov/oco/ocos331.htm

http://www.ibisworld.com/industry/default.aspx?indid=1599

http://findarticles.com/p/articles/mi_m3830/is_n3_v47/ai_20891662/pg_2/?tag=content;col1

http://www.seniorhomes.com/p/assisted-living-trends/

http://www.arausa.com/FTP/seniors/2010Outlook_ARA.pdf

http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=440

Section One: Employment Outlook

Last year, the independent living industry was hit hard by the struggling economy. While a full recovery is still far off, things have been turning around a bit. Many seniors moved in with their children and grandchildren in order to avoid the expense of an independent living facility in 2010; in 2011, that trend is expected to reverse itself. A small but significant influx of seniors into independent living facilities is likely to occur in 2011.

As always, the population in the United States continues to age. When that fact is combined with the slightly improved state of today’s economy, 2011 is gearing up to be a healthy one for the independent living industry. Unlike many other cultures, families in the U.S. prefer not to live in multi-generational homes. Therefore, if the money exists to pay for an independent living facility, it will be spent. Thousands upon thousands of seniors will reach ages where more secure living arrangements are necessary, so employment should be up at independent living facilities across the United States in 2011.

In-Demand Positions in 2011

In 2011, two main positions appear to be overshadowing the rest in the independent living industry: physical therapy assistants and aides and licensed practical nurses.

In an effort to reduce their operating budgets, many independent living facilities pared down the number of physical therapists that they keep on staff. To offset that, it’s expected that physical therapy aides and assistants will skyrocket in demand in 2011. Many facilities will hire one licensed physical therapists, then rely on assistants and aides to perform the majority of the day-to-day work.

Licensed practical nurses will be able to find work within the independent living industry with ease in 2011. As with physical therapy aides and assistants, LPNs work under the supervision of registered nurses and physicians. They are affordable options for independent living facilities whose budgets are tight due to the tough economic times. LPNs provide invaluable assistance to the doctors and RNs in an independent living facility. It’s possible to become an LPN with only one year of training, too, which should make this an attractive option for many people.

Less In-Demand Positions in 2011

Although independent living facilities should continue to offer special activities for their residents, the skyrocketing cost of gas could have an impact on the frequency of such outings. As a result, transportation needs should be reduced at many independent living facilities in 2011. People who are seek work as drivers and bus drivers for such facilities may have a hard time of things. Independent living facilities will probably try to keep their outings as local as possible, too, to keep costs down. While transportation jobs in other industries may flourish, opportunities will most likely be scarce in the independent living industry.

Section Two: Industry Growth

On March 23, 2010, the Affordable Care Act was signed into law. This momentous legislation is sure to have a profound impact on the independent living industry. However, the specific ways in which these changes will affect the industry remain unclear. More than likely, however, seniors will have even better control over how they pay for their living expenses into retirement. Industry insiders believe that healthcare reform will be highly beneficial to the independent living industry. Whether the expected changes will have an impact on the industry in 2011 remains to be seen.

Many people consider independent living to be the more expensive alternative to nursing home care. Although the economy is beginning to recover, people are still pinching their pennies. Therefore, nursing homes will probably continue to be more popular than assisted living facilities. Uncertainty about the impact of healthcare reform is also prompting people to be extremely conservative – especially seniors. Independent living facilities that can slash costs and offer lower prices will thrive in 2011; those whose rates are exceptionally higher than nursing homes’ will more than likely stagnate. In 2011, affordability is of key concern for any independent living facility.

Section Three: Trends to Watch in the Independent Living Industry in 2011

2011 is shaping up to be a very interesting year in the world of independent living. There are many important trends to keep your eye on during the upcoming year. Whether you are a hiring manager, an employee within the industry or another interested party, staying abreast of emerging trends is sure to be helpful. Seven of the most significant 2011 trends to watch in the independent living industry are outlined below.

Sources:

http://www.bls.gov/oco/ocos078.htm

http://www.bls.gov/oco/ocos102.htm

http://www.bls.gov/oco/ocos167.htm

http://www.bls.gov/oco/ocos078.htm

http://www.healthcare.gov/

http://www.anythingresearch.com/industry/Continuing-Care-Retirement-Communities.htm

http://www.hoovers.com/industry/long-term-care-facilities/1382-1.html

http://findarticles.com/p/articles/mi_m3830/is_8_48/ai_55685309/

2010 was a very bad year for homeowners. Many people lost their homes due to the poor economy and the bursting of the so-called real estate bubble. Fraud among mortgage lenders has been rampant, and senior citizens are the most popular targets. As a result, quite a few seniors lost their homes in 2010. Whether the number of people who lost their homes is significant enough to impact the home care and home health industry remains to be seen. It may also be mitigated by the fact that more people than ever are seeking to avoid hospitals and the huge bills that go along with them.

Section One: Hiring in the Home Care and Home Health Care Industry in 2011

While most industries are experiencing layoffs, cutbacks and other issues, the overall healthcare industry continues to flourish. That trend should continue into 2011, and it should be especially prominent within the home health care and home care industry. Although working in home care isn’t for everyone, those who are suited for it will be able to take their pick from many in-demand positions. The industry isn’t expected to experience any significant downsizing or other drawbacks during the next year.

In-Demand Positions in the Home Care and Home Health Care Industry in 2011

Home care aides will continue to be in very high demand with in the home care and home health care industry in 2011. Because home care aides handle a large array of different tasks – and because they are not trained as nurses – they tend to be very economical choices for home care companies. Many people who are unable to find work in their current industries could easily receive training to become home care aides; in fact, many already have. Still, the number of available aides versus demand is quite unbalanced.

Home health aides, who usually work for home health agencies, work under the supervision of trained professionals. They keep track of patients’ progress and report back to their superiors. Many home care companies turn to home health aides because they lessen the burden that’s placed on the shoulders of LPNs, RNs and other professionals. In 2011, demand for home health aides is expected to be higher than ever. This position is also a great stepping stone for those who want to see what the home care field is like, but who aren’t sure if they are a good fit.

Less In-Demand Positions in the Home Care and Home Health Care Industry in 2011

As reliance on home health aides and home care aides grows, demand for social workers and therapists in home-based settings may decrease in 2011. While such positions will continue to exist, they may be pared down by organizations that are looking to cut costs. While social workers don’t generally command enormous salaries, they are still paid more than home care aides. Most likely, many home care aides will report back to social workers and other professionals, who will only pay personal visits at infrequent intervals.

Section Two: Expected Growth in the Home Care and Home Health Care Industry in 2011

The poor economy and the high number of foreclosures that have occurred in the U.S. within the last year are sure to have an impact on the growth of the home care and home health care industry in 2011. However, health reform will most likely mitigate – or even overcome – many of those complications. While the number of seniors who own their own homes may have dipped within the last year, healthcare reform is expected to provide funding for home-based nurse visits and other home health care.

One important part of the health care reform bill that passed in March of 2010 is called “Optional Coverage of Nurse Home Visitation Services.” In order to pass, provisions had to be included in the health care reform laws that allowed for home visits by nurses and other professionals. Currently, Medicaid and Medicare pay for limited amounts of such visits. Under the new health care laws, more people than ever may have cheap, easy access to home health care. For the home care and home health care industry, then, the reform could have a dramatic and positive effect.

Section Three: Home Care and Home Health Care Industry Trends in 2010

Several of the home care and home health care industry trends from 2010 will continue and expand in 2011. However, hiring managers and professionals within the industry can expect to see a few new and emerging trends appear in the upcoming year. Some will have major impacts on the industry; others won’t be quite as noticeable. As a whole, though, these trends are going to shape the way that the home care and home health care industry works over the next decade or so.

Sources:

http://www.bls.gov/oco/ocos326.htm

http://www.leadinghomecare.com/lhcreport/20101006.html

http://www.themedica.com/articles/2009/03/the-us-home-healthcare-industr.html

http://www.interimhealthcare.com/franchise/info/industry_trends/homecare.aspx

In the first year of the recession, mild global decoupling created slight alarm but little real action. In the second year, a synchronized global recession caused economies to plummet, reaching the lowest point in decades. And, while the financial outlook for 2010 is uncertain overall, the hospice industry is slated for remarkable growth.

Likewise, the most recent edition of the National Home and Hospice Care Survey (NHHCS) indicates that the job turn-over rate is lower in the hospice industry than in any other health care related venue. Representing a continual thermostat of current trends in hospice and home health agencies, it includes all facilities which are certified or licensed for reimbursement through the Medicaid or Medicare programs. This is good news for hiring managers, who may feel a bit pessimistic about taking on new employees.

Financial Outlook

A recent report published by the Department of Health and Human Services indicates that reimbursement rates for Medicare and Medicaid hospice patients will increase, beginning January 1, 2010. And, while reimbursement rates for physician services will not enjoy these increases, corporations who serve this distinctive segment of the population will find maintaining their operational budget is less difficult with the additional revenue. Terry Pratt, acting director of the agency, indicated to all state agencies nationwide that the new rates will increase by 2.1 percent, despite provisions in Section 1814 of the Social Security Act, which allow for a decrease in rates in cases of economic recession or national emergencies.

These increases provide a certain degree of financial security to hospice corporations, as budget cuts, which seem to be an issue of concern for other government agencies, will not apply to Medicare and Medicaid reimbursements for end-of-life care. Those who are employed in the field can be assured of job security, while those who are seeking employment will find the door wide open for new positions.

Hiring Trends for 2010

According to several Hospice Employers that utilize the NSLPN.com Career Network for posting open positions, hiring trends in the hospice and home health industry will continue to increase throughout the first part of 2010. Since April 2009, the demand for professionals in the hospice industry has increased by 314%, despite the current economic recession. In addition, while other careers lost tremendous ground in overall economic growth and financial stability, the hospice care and related health fields remained strong, with remarkable, positive change.

The hospice industry is a venue which can provide a wide variety of jobs like no other. Because hospice care provides a different level of medical treatment than the traditional health services, virtually anyone can be hired for available positions. While a working knowledge of general health care and sanitary practices are necessary for the hands-on health care worker, others who provide services such as cleaning or emotional support to the family or patient are not required to obtain the same level of training. During the first quarter of 2010, it is anticipated that hospice care corporations will continue to hire new employees to meet these and other needs. These trends can be credited for new job creation as well.

Post-fellowship employment opportunities for individuals in the medical field are expected to increase during the first quarter of 2010 as well. According to positive increases in the number of new medical students coming out of doctoral or other training programs, more individuals will be seeking professional employment venues. It is anticipated that hospice industries nationwide will increase their staff by as much as 5.7%, with 1.4% of these jobs being executive level positions. These new positions will further increase the viability of hospice care and ensure adequate operations.

Administrative positions in hospice are expected to decrease in 2010, primarily due to new efficiencies in office equipment and technology. Speech-to-text software decreases the need for skilled typists, while high-speed Internet services, mobile communication devices, and cell phone browser applications allow current administrative assistants to work more efficiently. And while it is not expected that the administrative sector will lose jobs, new ones are less likely to be created or filled. Hospice nurses and care providers will continue to utilize mobile devices for administrative purposes, further reducing the need for in-office administrative assistants.

New Trends in Hospice Care for 2010

While profit margins continue to decline or stabilize and businesses tighten their belts, home health care corporations are revamping their expenditure-to-profit ratios in unique ways. Recognizing current changes in demographics, many agencies are creating new markets for the urbanizing and aging populations by opening new campus facilities. Building and operating environmentally-friendly businesses and hospice facilities have resulted in massive financial savings while maximizing profit margins. Finally, finding unique ways to cut costs, such as offering internships to nursing or medical students, utilizing time management strategies, and gaining cooperation from civil and community service organizations continue to bolster the hospice industry.
New Hospice Facilities in 2010

Innovative expansions in the hospice and home health industry is anticipated to boost the overall financial outlook in the first quarter of 2010. While some companies continue to provide traditional in-home services, others are adding hospice wings to existing facilities.

The Cedars, an assisted living and nursing home facility in Monroeville, PA for example, recognizes the need for hospice services in the city and surrounding area. An $8 million addition to the existing campus is slated for grand opening in the early part of 2010. John Silvestri, a board member of the Monroeville Christian / Judea Foundation and manager of the facility, is thrilled to be a part of the expansion.

“We are opening an all-new, standalone facility, devoting an equal amount of space to patients and their families. Our mission is to provide health care at all stages of life. With the new addition, we will be able to continue this mission.”

Other live-in hospice centers are scheduled to open nationwide. A new addition to the Elwyn Medical Center of Philadelphia will open 36 new beds and rooms to disabled patients who cannot be adequately served by nursing homes, traditional group homes, or in-home care. Go-Ye Village, an assisted living apartment complex and nursing care center located in Tahlequah, Oklahoma, is adding four more buildings to their property, each dedicated to hospice care for various conditions. While one building may serve cancer patients, another may be dedicated to the victims of Alzheimer’s and their families.

Thousands of patients will benefit from these and other new facilities, which will provide these patients with comfortable living arrangements for the same or comparable price of nursing home services.
Green Hospice Corporations

Thanks to extensive public education efforts, scientific research, breaking glaciers, and obvious environmental damage, the average citizen can no longer deny the effects of “modern” consumption. The hospice industry recognizes that something must be done to stop the continual erosion of the environment. In order to meet these goals, numerous hospice corporations are turning their attention toward greener facilities, environmentally friendly business practices, and reducing carbon emissions. Likewise, with the undeniable consequences that will ensue if action is not taken, the trend toward greener, environmentally-friendly practices is expected to increase in 2010.

While including green products or services is nothing new, building entire new facilities that support the environment is a recent endeavor. The hospice industry is blazing a trail among conscientious businesses by including such items as low consumption water facilities, solar panels, wind turbines, organic and locally grown produce, recycled building materials, recyclable supplies, as well as installing energy-saving windows and appliances. As the going-green initiative stretches worldwide and into all sectors of the economy, more hospice and home health care corporations are jumping on the band wagon. And, while the price to construct such a facility costs about 2% more than the standard location, the financial savings can be as much as $100,000 in return, not to mention the reduced environmental impact.

Hospice of Northeastern Illinois is slated to open an all-new green hospice facility in Spring 2010. The new facility, which was architecturally designed to create a minimal carbon footprint in the surrounding woodland area, will include solar lighting, renewable energy sources, lush organic gardens, and numerous items made of recycled products. It is one of only a few all-green hospices around the nation.

“We recognize the need in caring for the whole person, and especially in the case of hospice patients,” says Carla Andrews, director of the new facility. “By providing opportunities to enjoy the crisp, clean air, engage in gardening, or simply basking in the sun, our patients can enjoy their final moments of life to the fullest, while doing something to save our planet.”

Other hospice companies have committed themselves to doing their part to support the environment in smaller ways. Safe Harbor Hospice of Fredericktown, MO has taken the carbon footprint issue to a higher level by including environmental awareness and recycling practices in every aspect of their business day. From energy conservation inside every office to recycling all recyclable products, the corporation sets the standard for doing business in an environmentally-friendly way. The old, gas-guzzling company cars have now been replaced with newer, higher MPG models. New appliances and water conservation facilities have been installed in all office locations. In addition, instead of traveling to various homes at random, hospice care service routes are now streamlined for optimal gasoline efficiency.

Amy Keller, director of clinical services and patient care, states, “I feel good about giving back to the environment and the community. Being active in this way is very important.”

Safe Harbor Hospice has made it their mission to reduce their carbon footprint while educating themselves and others about additional green behaviors.
Final Thought

An obvious shift toward traditional markets is apparent, in part due to uncertainty in the economic outlook for the coming year, and the hospice industry will continue to blaze a trail for new and innovative business venues throughout the first quarter of 2010. Subsequently, professionals, administrators, and executives in the and hospice and related home health sector should avoid unnecessary lay-offs, as finding good, reliable employees may prove difficult in the near future.

Sources:
http://pittsburgh.bizjournals.com/pittsburgh/stories/2009/11/23/story10.html

http://www.philly.com/philly/business/75605332.html

http://todaysfacilitymanager.com/facilityblog/labels/real_estate

http://www.thefreelibrary.com/Fitch+Rates+Resurrection+Health+Care+(IL)+2009+Bonds+’BBB%2B’+&…-a0212860434

www.aei.org/docLib/20081107_2.pdf

http://www.cms.hhs.gov/Hospice/downloads/hospicerates10correction.pdf

http://www.cms.hhs.gov/transmittals/downloads/R1796CP.pdf

http://www3.cancer.gov/prevention/pob/catalog/placements.html

http://www.cdc.gov/nchs/nhcs/nhcs_surveys.htm

http://www.greenbeanchicago.com/green-hospice-sets-trend-health-care/?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+GreenBeanChicago+%28Green+Bean+Chicago%29

http://www.toledoonthemove.com/news/news_story.aspx?id=197023

http://www.dailyjournalonline.com/articles/2009/10/19/news/doc4adc8be411fdc862240000.txt

http://www.highbeam.com/doc/1G1-187643794.html

Department of Health and Human Services, Pub. 100-04, Medicare Claims Processing Manual, Chapter 11, Processing Hospice Claims, § 30.2.
Section 1814(i)(1)(C)(ii) of the Social Security Act, Payment Rates for Hospice Care

While the dismal economy has been having a deleterious effect on many industries – including many healthcare related industries – it may actually be helping the home care and home healthcare industry. Due to skyrocketing insurance costs, people are trying to avoid long hospital stays whenever possible. In exchange, many are opting for home care or home healthcare assistance during their convalescences. When paired with longer life expectancies – approximately 80 years for women and 74 years for men – and a larger older population in general, the tendency for people to select home care over hospital stays is a promising trend for this industry.

In this report, a close look will be given to the job outlook within the home care and home healthcare industry. In demand jobs will be examined, and less in demand jobs will be as well. This information will help hiring managers get a feel for what to expect. Overall industry growth will be looked at, allowing interested parties within the home healthcare and home care industry to get an idea about where things are going. Finally, some of the most important trends that will gain prominence in 2010 will be looked at.

Section One: Hiring In The Home Care and Home Healthcare Industry In 2010

Since the industry is expected to be burgeoning in general over the next decade or so, it is safe to say that hiring will be complicated only due to the logistics of finding the right personnel. Most home healthcare and home care companies will do well enough to be able to hire the exact kind of help that they need. This also bodes well for those who want to pursue careers within the industry, as several jobs will be in demand. Compared with other health care industries, home healthcare and home care will be excelling.

In-Demand Positions In The Home Care and Home Healthcare Industry In 2010

Due to the nature of home care and home healthcare, the vast majority of the work that is performed is done “out in the field.” One of the top positions that should continue to be very in demand throughout 2010 is home health aide. These professionals handle a multitude of tasks, and can be used to provide a number of important home healthcare services. They aren’t skilled nurses, though, so they are inexpensive to hire; this adds to their increasing popularity considerably.

A huge part of home healthcare revolves around rehabilitation. As such, therapists will continue to be very in demand within the industry in 2010. Physical therapists, in particular, should expect to see plenty of key opportunities over the upcoming year. As more and more people seek to get out of hospitals as quickly as possible in order to avoid exorbitant medical bills, in-home physical therapy and other related services will continue to rise. Therapists in general, including but not limited to Physical Therapists, Occupational Therapists and Speech Therapists, will be able to find gainful employment within the home healthcare and home care industry without issue during the year 2010 and beyond.

Finally, nurses will also be highly in-demand positions within the home healthcare field in 2010. Although they will only be called upon in cases where people need legitimate medical care, as the population is aging so rapidly it can be expected that nurses will be able to find work without a whole lot of effort. Nurses are an important component of any successful home healthcare company; some people even hire round-the-clock nursing care in their homes. Whether or not that trend escalates is uncertain, but what is certain is that nurses will continue to be the backbone of many of these organizations.

Less In Demand Positions In the Home Care and Home Healthcare Industry In 2010

Overall, hiring in the home healthcare and home care industry should be very healthy in 2010. The one area where a slight dip might be experienced is in administrative positions. Those are already relatively scarce, since the majority of the work is done in patients’ homes. Due to current economic conditions, many home healthcare companies will cut even further back on such positions. Clerical and office jobs within the home healthcare industry will, as a result, be less abundant over the next twelve months and beyond.

Section Two: Home Care and Home Healthcare Industry Expected Growth In 2010

Several factors are poised to make the home care and home healthcare industry growth escalate considerably over the next ten years or so. 2010 should be a clear example of this growth, as more and more people within the United States reach elderly ages and require more and more medical assistance. With life expectancies going ever upward, it is clear that this segment of the population is going to balloon even further, ensuring that the home care and home healthcare industry remains quite solvent well into the next decade.

Healthcare legislation is going to be a hot button issue over the year 2010, as the U.S. government and legislators attempt to reach an arrangement concerning healthcare in this country. In the meantime, several millions of people go uninsured – and others face steep insurance bills, copays and premiums. As a result of that, most people try to avoid long hospital stays whenever possible. The length of the average hospital stay has shortened considerably in the last twenty years or so; it’s not because people are healing more quickly, it’s because more and more of them are seeking home care.

As people rush to get out of hospitals as quickly as possible, many will continue to turn to home care and home healthcare services. When combined with the increasingly old population in general, the tendency for injured and ill persons to seek home healthcare ensures that this industry will see exponential growth over the next decade or so. All of this is in spite of poor economic conditions that have crippled many other industries. There is no question that home care and home healthcare will continue to be highly in demand and should become even more prominent as time goes by.

Section Three: Home Care and Home Healthcare Industry Trends in 2010

Trends within the home care and home healthcare industry fall within a wide number of different categories. The overarching theme among them, however, is the fact that this industry is clearly on the rise. More and more people are seeking home healthcare services – and it’s not just senior citizens, either. Those who are disabled or in need of rehabilitative services including physical therapy are increasingly turning to home care for help. Below, seven of the most notable trends for 2010 are outlined for your convenience.

1. State-Sponsored Programs – Several states in the country are turning to LTC diversion programs to help seniors within their communities. With state government getting involved in home care and home healthcare, it is that much more likely that such services are going to grow and expand over the next several years. The participation of the state in LTC diversion programs helps to legitimize them even further, bringing them to the attention of a larger number of people and cementing their importance within the health care and senior care industries in general. More states will likely roll out such programs over the next few years.
2. Hospital Furniture At Home – Since so many people are choosing to get out of hospitals and even rehab centers as quickly as possible, the sale of home hospital furniture is certain to go up. This phenomenon will make the work of home care and home healthcare professionals that much easier, as many of their clients will have the furniture that is needed right on their own premises. This also serves to increase the comfort of such patients, allowing them to enjoy all of the benefits of a topnotch hospital right in the comfort of their own homes.
3. Surveillance Technologies – The desire to stay out of hospitals and nursing homes – and the increasing longevity and life expectancies of the U.S. population as a whole – are making home surveillance an even more important issue than ever. With technology becoming more useful and intuitive than ever, more and more people are choosing to use monitoring systems and sensors to help seniors who wish to live independently do so. Such technology increases safety overall, and improves the effectiveness of home healthcare services by a significant degree. Surveillance technology will become even more integral to home healthcare as time goes by.
4. Portable Medical Technologies – In years past, bringing the hospital to the patient was no easy feat. Bulky equipment and other considerations made it unrealistic and onerous. Today, portable medical technology has gotten to the point where it’s easy to bring topnotch medical equipment right into patients’ homes. This has helped boost the home healthcare industry by quite a considerable margin, making it more practical and more useful to a greater number of people. This trend is expected to intensify over the next twelve months, ensuring that even more people begin taking advantage of such services.
5. Skyrocketing Insurance Costs – Those who are fortunate enough to have health insurance are going to see skyrocketing premiums and other escalating prices, unless healthcare initiatives are passed in the United States. As a result, it is expected that more people than ever before will be turning to home care and home healthcare services. Such services are considered to be much more cost effective than in-hospital stays, and programs like Medicare and Medicaid are increasingly getting on board with them. Escalating health insurance costs are, therefore, going to increase the prominence of home healthcare services in general.
6. Doctors With Fewer Options – Doctors are under increasing pressure to eschew highly expensive treatments in favor of more cost effective approaches. In some ways, this lessens the quality of care for patients and senior citizens. Home healthcare is expected to make up some of this slack, offering a happy medium between doctors with limited options and cash-strapped patients. This compromise might prompt a sweeping change to how healthcare is administered in this country; the increasingly older population will be a strong test of this concept. Doctors are expected to incorporate home care and home healthcare into their treatment plans in steadily increasing numbers.
7. Increasing Life Expectancies – Finally, increasing life expectancies and an increase in the number of people who are disabled within the next few years are both expected to make the home care and home healthcare industry more in demand than ever. Currently, approximately 8 million seniors are considered disabled; by 2014, that number is expected to rise to 14 million. For home healthcare companies, this means an even larger number of potential patients and many very important opportunities. Home care services will not only become more in demand, but they will become more effective and beneficial than ever.

Home Care and Home Healthcare in 2010: More Prominent Than Ever

As evidenced by the preceding information, the general trend for the home care and home healthcare industry is going to be toward expansion and growth. Several different factors are converging to make home healthcare the most practical and cost effective option for more and more people. Senior citizens and injured or disabled persons are expected to turn to home care services in increasing numbers over the next twelve months – and for several years beyond that point. The outlook is enormously positive for this industry, and for anyone who seeks employment within it. 

http://www.themedica.com/articles/2009/03/the-us-home-healthcare-industr.html

http://industries.hoovers.com/health-care/health-care-services/home-health-care/industry_trends

http://www.cdc.gov/nchs/data/ahcd/agingtrends/07olderwomen.pdf

In this report, a close examination of the current job outlook and overall growth for the assisted living industry will be outlined. An overview of which jobs will be in demand – and which will not be – will be included. Factors that affect the growth – or lack thereof – of the industry will be taken into consideration. Finally, an in-depth look at the top trends in assisted living and memory care for 2010 will be included in order to give working professionals and hiring managers within the industry a chance to stay abreast of possible developments.

Section One: Hiring In The Assisted Living And Memory Care Industry In 2010

With unemployment rates approaching record levels in many parts of the United States, it is not surprising that the assisted living industry has experienced a few shifts in terms of which jobs are in demand – and which are not. Assisted living facilities are businesses with very specific requirements in order to stay afloat; certain jobs and positions are integral and simply cannot be eliminated. At the same time, many other jobs are relatively expendable and can be pared back to help keep assisted living facilities solvent.

In-Demand Positions In The Assisted Living Industry In 2010

The elderly require special accommodations and services; that is reflected by the continued need for topnotch geriatric physicians at many assisted living facilities. Although not all facilities keep such professionals on staff, more and more of them are choosing to do so. Doctors who specialize in treating the elderly, then, can expect to see many opportunities over the ensuing years. The need for quality healthcare for senior citizens isn’t going to dissipate, and assisted living and memory care facilities are going to need to continue offering such benefits to their customers well into the future.

As the Medicare system becomes more convoluted and confusing, Medicare billers are going to be more in demand than ever in the assisted living industry. Many times, such professionals may combine the skills of a Medicare biller with those of a general social services counselor in order to provide dual benefits to the facilities they work at. A Medicare biller who can assist the residents of an assisted living facility with their billing inquiries and eligibility questions will be very in demand and should expect to be able to take their pick from several different job opportunities.

Less In-Demand Positions In The Assisted Living Industry In 2010

As always, there is an ebb and flow when it comes to many jobs within the memory care and assisted living industry. Due to the fact that many facilities are tightening their belts with the current economic crisis, for instance, community relations professionals who were once highly in demand within this industry may find fewer opportunities in the upcoming year. While important, community relations is not an integral part of functioning of an assisted living facility, so many facilities will be paring back on such positions in order to save money.

Another position that may see a decline in the upcoming year is activity director. Assisted living facilities optimally offer several activities to keep their residents happy, healthy and active. In order to promote those aims, the role of activity director has been a rather prominent one in assisted living and memory care facilities for some time. As such places try to keep their heads above water financially, though, many are having employees juggle the responsibilities of several different positions; as a result, the position of activity director is being phased out at many facilities.

Section Two: Assisted Living Industry Expected Growth In 2010

For all intents and purposes, the assisted living and memory industry should continue to experience rapid growth well into 2010. This is largely spurred on by the increasingly aging population, and by the fact that assisted living facilities offer a great option between full-blown nursing care facilities and less structured independent living facilities. Healthcare reform – which may or may not happen in 2010 – could play a huge role in whether or not exponential growth continues or begins to wane. Industry insiders are eagerly watching developments concering the healthcare reform issue.

One of the biggest issues for many assisted living facilities is the high turnover rate that is so endemic in the industry. Residents who fall and injure themselves or who become increasingly ill or frail often move on to full-fledged nursing homes, and their vacancies must be filled quickly. In 2010, though, the fact that approximately 1/3 of the population will be over the age of fifty means that this turnover rate is largely mitigated; there should be a steady stream of residents for many memory care and assisted living facilities, and growth should continue accordingly.

Section Three: Assisted Living Industry Trends In 2010

As always, there are several emerging trends to keep an eye out for within the assisted living and memory care industry in 2010. Many of them are spurred on by economic conditions, but others have been prompted by changing ideas about the way that senior citizens should expect to live out their golden years. By staying abreast of what sorts of trends will matter in the upcoming twelve months, working professionals, hiring managers and others within the industry can be better prepared and better able to cope with the many changes that are bound to arise.

There are eight key trends to look out for in 2010; they include:

1. Rapid Growth – For the assisted living industry, the steadily aging population of the United States means that growth should continue to be rapid. It will become easier and easier for those who wish to move into assisted living facilities to find one that will work for them. In the past, assisted living facilities weren’t terribly common; today, they are practically becoming ubiquitous. With that increased popularity comes a broader range of choices, which will only serve to boost the industry even more.
2. Affordability – A major challenge that will continue to plague many assisted living and memory care facilities is the issue of affordability. Depending on what happens with the Medicaid and the Medicare systems, the industry may have to come up with new ways to make its facilities affordable to a greater number of people. At the same time, such facilities must take care not to pare back their services too much.
3. Partnerships – More and more assisted living facilities are choosing to partner up with area hospitals and nursing homes in order to provide a broader swath of services at more affordable rates. This trend should pick up steam in 2010, as cash-strapped consumers look for good places for their elderly parents to live. By joining forces, assisted living facilities and nursing homes or hospitals can enjoy a mutually beneficial arrangement, sharing the burden of caring for their charges.
4. Medical Model Is Obsolete – For the most part, the traditional medical model of the assisted living facility has been phased out. Today’s seniors expect to live in aesthetically pleasing surroundings and do not want to feel like they are living in a hospital. Although some older facilities may maintain this model, they will gradually begin disappearing over the next few years – and brand new facilities will completely avoid the medical model arrangement.
5. Public Trading – More and more assisted living and memory care companies will look to boost their profitability by going public. IPOs within the industry have been happening with increasing frequency, and this trend should hold steady over the next couple of years. The effects that this phenomenon will have on the quality of such facilities remains unclear.
6. Larger Is Better – In order to bring in enough income to stay in business, assisted living facilities will become larger and larger over the next year or two. Larger facilities have a larger number of beds and higher maximum capacities; they also have the benefit of providing larger rooms for their more discerning residents. Today’s seniors are demanding more perks in their assisted living facilities, and roominess is high up on many of their lists.
7. Population Segregation – The segregation of Alzheimer’s and dementia patients from the rest of the population within an assisted living facility is already well established. In 2010, this trend will deepen and should become the standard within the next few years. Dementia patients and Alzheimer’s patients require drastically different levels of care than other residents, so it makes sense to house them in separate sections within a single facility.
8. Onsite Ancillary Services – Keeping as many features and services in-house as possible is an increasingly common goal for many assisted living facilities. As such, many of these facilities are offering on-site physical therapy and other key medical services for their residents. In this way, residents can enjoy the convenience of not having to make frequent trips back and forth to the hospital or clinic. This arrangement is beneficial for the facility, too, since it doesn’t have to transport residents nearly as frequently.

Assisted Living In 2010: Bigger And Better

Overall, the assisted living and memory care industry will enjoy a great deal of expansion and growth throughout 2010. Improved services for the residents of these facilities will be a common theme throughout the year, and larger accommodations will also become par for the course among many of them. Senior citizens who require a bit more care than independent living facilities offer will have more options than ever before in terms of assisted living. With the increasing and continued growth of the industry due to the aging population, the job outlook generally remains quite good for the industry as well. Although a few positions may see a decline, the vast majority will hold steady or may even increase in demand. As a whole, the future looks very bright indeed for the assisted living and memory care industry in 2010.

Sources:

http://aspe.hhs.gov/daltcp/reports/indepth.htm

http://www.alfapublications.org/alfapublications/20100102#pg14

http://www.thefreelibrary.com/Booming+trends+in+senior+housing:+to+meet+the+emerging+needs+of+the…-a0170194029

Section One: Employment Outlook

Like many other industries, the independent living industry has been hit hard by the lackluster economy and the escalating unemployment rate. The problem is multifaceted; many seniors, concerned about money, are opting to move in with children and grandchildren rather than spend their extra money on independent living facilities. In turn, many independent living facilities are going bankrupt and either closing completely, or merging with others. As a result, many jobs have been eliminated as independent living facilities struggle to survive.

The good news is that with a steadily aging population, there is a greater need for independent living services than ever. For this reason, the negative effects highlighted above have been somewhat mitigated. While some jobs within the industry have seen their numbers dwindle in recent months, other positions are incredibly in demand. As the economic downturn starts swinging the other way, it can be expected that the independent living industry will regroup – and that new jobs and positions will begin opening up.

In-Demand Positions in 2010

Two different positions seem to be flourishing within the independent living industry in 2010: occupational therapists and social and human services assistants.

In 2010, positions for occupational therapists who assist the elderly are expected to increase; these professionals help teach seniors how to perform various daily tasks, and also provide strategies and tips for performing a wide range of activities. Although many occupational therapists specialize in assisting disabled people, just as many focus on the elderly. For disabled seniors, the services of an occupational therapist are especially useful. As more seniors seek to remain spry and active well into their golden years, it’s easy to see why occupational therapy positions are enjoying renewed demand. ⁽¹⁾

Another very in-demand position in 2010 is that of social and human services assistant. Within the independent living industry, these professionals perform a number of valuable tasks. They may help seniors navigate the waters of the Medicare system, determine their eligibility for various social services programs or may assist with relatively simple things like income tax filing. Because of the wide umbrella that their services fall under, social and human services assistants will see an increased demand in 2010. ⁽²⁾

Positions That Are Less In-Demand in 2010

With technology progressing at breakneck speeds – and independent living facilities looking to cut corners wherever they can in today’s depressed economic climate – office and clerical personnel are among the least in-demand positions within the industry in 2010. Individual employees are frequently being asked to perform additional duties in lieu of hiring on extra support staff, and more sophisticated computer programs are eliminating the need for as many of these kinds of personnel. People seeking administrative assistant positions within the independent living industry in 2010 are going to have a long, hard search in front of them.

Section Two: Industry Growth

As has been the case for the past several years, trends continue to favor an increase in the popularity of independent living services among today’s active seniors. As the industry adjusts to the various economic strains that are so prevalent today, it appears likely that new areas of growth will soon emerge. The possibility of healthcare reform in the United States means that additional funds may become available for expanding independent living facilities and services around the country. On the flip side, Medicaid and Medicare reimbursement increases may or may not help the industry grow.

The toll that the economic crisis is taking on the savings and investments of many seniors raises concerns among many professionals within the independent living industry. The fact that the elderly population is exploding right now, however, and the older ages at which people are remaining healthy and active definitely serve to counteract many of those concerns. For the first quarter of 2010, it appears likely that industry growth will hold steady or perhaps slow down just a little bit. A major decline – or a major increase – doesn’t appear very likely given current economic circumstances.  Additionally, the expansion of lower income senior housing under the $3,500 a month range should offset much of the decline in the high-end senior housing that is over $5,000 per month.

Section Three: Trends to Watch in the Independent Living Industry in 2010

Every year, different trends take the forefront in the world of independent living. Keeping an eye on those emerging trends can help industry professionals, hiring managers and other interested parties get a better idea about what topics deserve their attention. In 2010, there are several interesting new trends coming down the pipeline. The most significant ones are highlighted below for your convenience:

1. Urban Retirement – Thanks to the centralized proximity of daily necessities like grocery stores and pharmacies, the convenience of public transportation and the nearness of many prime entertainment opportunities, you can expect to see more seniors retiring to urban areas than ever in 2010. Urban retirement is a trend to watch, and the independent living industry is already taking notice. The suburbs will continue to be the predominate location of most independent living service providers, but urban areas will see a definite upswing this year.
2. Technological Amenities – Although many people consider modern technology to be the province of the young, more seniors than ever are getting into high tech gadgetry and other products. Modern technology can benefit independent living in a number of key ways, with communication being one of the primary areas. Thanks to modern forms of communication like email, social networking, text messaging and others, communication can be more easily incorporated into an independent lifestyle than ever.
3. Adventure Activities – Where trips to the mall or to the casino used to predominate in the world of independent living activities, today’s seniors are becoming more adventurous in 2010. This year, expect to see a variety of active team sports increase in popularity; track and softball are two prime examples. More and more independent living facilities are expected to offer programs in more extreme activities like sky diving, white water rafting, skiing, parachuting – and many others – in 2010.
4. Co-Housing – For seniors who aren’t ready or willing to live in an assisted living facility – but for whom total independence isn’t quite realistic – co-housing is becoming a more popular trend in the upcoming year. In a co-housing arrangement, individual seniors enjoy their own apartments or townhouses while sharing common areas with a group of other senior citizens. In this way, they have a built-in community of people who they can turn to for friendship and help while still maintaining a large amount of privacy and independence. The independent living industry is bound to see an increase in its participation with such arrangements in 2010.
5. Green Building – Green – or eco-friendly – building is something that has been emerging as a trend within the independent and assisted living industries for some time. Its roots lie in the increasing awareness of people around the world about saving the planet and reducing their impact on the environment. Interestingly enough, the current economic climate is going to propel the green building movement forward significantly in 2010, since renewable energy and reusable resources – along with overall sustainability – are excellent ways to cut operating costs and save money. Independent living facilities around the world will be placing a greater emphasis on green building well into the future.
6. Low-Income Housing versus High-Income Housing – Affordable senior housing is in limited demand these days. In 2010, an increasing demand for reasonably-priced senior housing is going to surge; for that reason, it is quite likely that low-income housing facilities will be developed at a more rapid rate in the upcoming year. Due to the economic circumstances of today, high-income housing is bound to see a major decrease; independent living facilities that revolve around a high-income clientele are going to have to reconsider their basic business model in order to survive and remain solvent.
7. Campus Senior Housing – An exceptionally interesting trend in independent living – and in senior housing in general – is campus senior housing. Originally started to help alumni maintain their roots with their college or university, such programs are becoming popular ways to keep senior citizens active and involved well into their golden years. For the independent living industry, this trend presents many prime opportunities and could help some facilities branch out in new and exciting ways. Thinking outside the box is definitely a trend in 2010, and you’ll be able to find evidence of it throughout the independent living industry.

^Sources:

⁽¹⁾http://www.bls.gov/oco/ocos078.htm  

⁽²⁾http://www.bls.gov/oco/ocos078.htm  

This quarterly report would not be complete without mention of the current economic crisis. The economic downturn is affecting many parts of our lives; nursing homes, skilled nursing facilities, long term care facilities and rehab centers are no exception. While the steadily aging population of the United States bodes well for the industry in terms of patients, the economic crisis is working against it in many key ways. Many aspects of this report, therefore, will be colored by current economic trends.

Section One: Job Outlook For The Nursing Home And Rehab Industry In 2010

Hiring managers within the rehab and nursing home industry can expect to see some interesting changes in 2010. Thanks to pressing economic concerns, it is highly likely that many facilities will pare back their existing services. In turn, several jobs will most likely be eliminated. Of course, the jobs that are eliminated will be the ones that involve nonessential, or adjunct, services; for the most part, jobs that involve nursing care will hold steady throughout the upcoming year.

In-Demand Jobs In The Rehab And Nursing Home Industry In 2010

With each passing year, the population of elderly people in the United States grows larger and larger. In turn, nursing home attendance is only going to rise. Such facilities must have round-the-clock staff on hand to attend to residents’ various medical needs. Therefore, nursing aides can expect to see an increased demand in the next year or two. If anything, the demand for nursing aids within the rehab and nursing home industry is only going to rise; more than likely, people who pursue a nursing aide career track will have ample opportunities going forward.

Nursing home administrators are also going to be in high demand throughout 2010 and beyond, especially as new facilities are opened and existing ones are expanded. Such employees serve a wide range of important functions, helping to maintain the day to day operations of a nursing home or rehab center and tying together many critical aspects of those operations. Long term care facilities and skill nursing facilities alike are in constant need of nursing home administrators; large facilities may employ several of them within a single site. The job outlook is quite good for anyone who is looking for work as a nursing home administrator in 2010.

Less In-Demand Jobs In The Nursing Home And Rehab Industry In 2010

As with many different types of healthcare facilities, the first jobs to be eliminated during tough economic times are going to be office and clerical positions. Although LTC facilities aren’t likely to be as impacted by the economic circumstances as many other industries, they are going to feel the pinch and many will have to eliminate jobs. Administrative assistant positions are usually first on the chopping block, since many functions can be concentrated and handled by fewer people.

Outsourcing is another issue, and it may have an effect on the popularity of human resources positions within the nursing home industry. More and more small scale facilities are choosing to outsource their HR departments in order to cut costs. Therefore, in-house human resources positions within the rehab and nursing home industry are probably going to be scarcer in the upcoming year or two. Although larger facilities will still require the services of human resources administrators, they may cut back on additional positions within the department. Small nursing homes and rehab centers are most likely going to do away with the vast majority of their human resources positions.

Section Two: Industry Growth In 2010

Without question, the number of nursing homes, rehab centers, skilled nursing facilities and long term care, or LTC, facilities is only going to rise in the next few years. The population of the United States is growing older, and senior citizens are making up a larger percentage of it than ever. Unlike the assisted living industry, nursing homes don’t suffer as badly when the economy takes a turn for the worst since many of the people who end up nursing homes have no other options at their disposal.

The current funding crisis, which involves Medicaid, Medicare and other public payment policies, is going to have an effect on industry growth within the nursing home sector this year. The chances for major upheavals within the Medicare and Medicaid system are high, and any major changes will have a profound effect on how much the industry grows in the upcoming years. Although the Medicare and Medicaid systems have been around for some time, experts are uncertain of how the huge surge in eligible persons is going to affect it. The nursing home industry will undoubtedly feel the repercussions of any changes that occur in Washington.

Finally, the potential for healthcare reform is an important factor in terms of industry growth for the rehab and nursing home sector. Should a public health option develop, senior citizens may have more options at their disposal than they currently do. This could prompt a greater number of elderly people to choose assisted living facilities over nursing homes in upcoming years. Of course, there is a very real possibility that health care reform won’t come to fruition at all; the probability of it happening in 2010 looks quite slim. Still, hiring managers and other working professionals within the industry should keep their eye on healthcare reform this year.

Section Three: Trends In The Nursing Home And Rehab Industry For 2010

Many different forces play a part in the trends that the rehab and nursing home industry will face in 2010. By familiarizing yourself with the trends that are coming up for the following year, you can be more prepared for handling the various issues that may arise. Trends for 2010 fall into many different categories and affect many different aspects of the skilled nursing facility and long term care facility industry. A handful of the most important trends to watch are outlined below.

1. Longterm Care Insurance – First developed during the 1980s, longterm care insurance is going to become more and more popular in the months and years ahead. As the number of people who carry such policies grows, the ability for many seniors to pay for higher quality services is gong to increase. Professionals within the nursing home and rehab industry need to stay abreast of this trend, since it will have a direct impact on many individual facilities around the country.
2. Care Integration – Nursing homes are, by necessity, becoming more organized. As a result, the concept of care integration is being embraced by an increasing number of these facilities. Care integration typically involves the formation of specific teams of employees to handle various tasks within a facility, as well as the streamlining of record management and other essential processes.
3. Alternative Site Services – The nursing home industry is becoming a crowded playing field, and standing out from the crowd is becoming more and more difficult. In response, many facilities are developing alternative site services to entice people to move in. Although such services usually aren’t as extensive as those offered by assisted living facilities, they usually help facilitate healthcare and other essential services for residents.
4. Separate Care Areas – The trend toward segregating various patients within a single facility is going to intensify in 2010. This means that more facilities will create special areas that are reserved for patients who need higher levels of care, like Alzheimer’s patients and patients who suffer from dementia. This will improve residents’ experiences and will help facilities draw in a larger number of residents as well.
5. Optimized Privacy – In the past, the vast majority of nursing homes and rehab centers were institutional and didn’t give patient privacy a lot of thought. Today’s nursing home residents are demanding greater privacy, though, prompting many skilled nursing facilities to provide such options. Even in shared bedrooms, residents are being given more space and curtains are being used with a lot more frequency in order to achieve a more private living experience.
6. Homelike Settings – Even in long term care facilities, trends are turning toward providing a higher degree of comfort than ever. Patients and residents are exhibiting more discerning tastes, and nursing home facilities are scrambling for ways to appeal to as many people as possible. A few small touches that create the illusion of home can help sway people who are on the fence, so it can be expected that such details will be a steadily increasing trend well into 2010 and beyond.
7. Better Technology – Technology is improving and becoming more important everywhere, and nursing homes and rehab centers are no exception. As technology becomes cheaper and cheaper to put into use, more facilities are integrating it into the patient experience. Technology, including wireless Internet access and other computerized options, is an inexpensive way to keep residents occupied and happy. At the same time, better technology means more streamlined patients records and other critical administrative functions.
8. More Room – In terms of patient rooms, size is going to become a more important issue than ever. New nursing homes and rehab centers are offering much larger patient rooms, helping to create a more comfortable environment for their residents. Although larger rooms aren’t standard across the board, they are an important trend that working professionals within the industry should expect to see more of in upcoming years.

Sources:

http://www.bdcnetwork.com/article/377477-10_top_design_trends_in_senior_living_facilities.php

http://www.investorsinsight.com/blogs/retirement_watch/archive/2009/07/17/critical-new-trends-in-long-term-care.aspx

http://www.milbank.org/sea/jan2000/trends.html

http://www.bls.gov/oco/cg/cgs035.htm

http://www.firstresearch.com/industry-research/Nursing-Homes-and-Assisted-Living.html

http://findarticles.com/p/articles/mi_m3830/is_n2_v45/ai_18113157/

http://aspe.hhs.gov/daltcp/Reports/rltct.htm