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Business Change Management

Business Change Management

It May Be Up To Home-Care Workers To Save The Middle Class

On Sep 19, 2017 9:00:00 AM

/ Andrea Simon

Categories: Healthcare, healthcare change


Do you know who is going to care for you when you are old and frail? If the current trend continues, it's probably going to be a middle-aged immigrant woman with (maybe) a high school education and little or no training, making $20,000 a year, reports The New York Times.

And that's if you live in or near a big city, the article says. By contrast, if you live in rural America, you'll have a hard time finding someone to look after you. And the situation is only going to get worse. According to MIT's Sloan School of Management, if nothing is done to draw more workers into the field, there will be a shortage of at least 350,000 home-care providers by 2024.

The challenge: How to transform long-term care into good-paying jobs

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The Unintended Consequences of Healthcare System Consolidation

On Apr 11, 2016 2:00:00 PM

/ Andrea Simon

Categories: healthcare system consolidation, consequences of healthsystem consolidation, healthcare system integration, healthcare change

Have you noticed? Healthcare organizations are consolidating left, right and center—particularly the ones I've been working with recently in the Northeast Corridor. Hospitals, physicians and ancillary services are now having to adjust to this major disruption which, for many of them, is understandably difficult.

This current wave of healthcare system consolidation is also causing a lot of confusion for the remaining independent providers, home health providers, visiting nurses, special purpose centers, and last but not least, consumers.

I recently wrote a blog for Hospital Impact (the first in a series) zeroing in on the unintended consequences of healthcare systems integration. I invite you to read it here. The biggest impact I am seeing out in the field? That big consolidations are having big consequences. 

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