My grandmother resided with one of my aunts for the last 15 years of her life. As her health started to fail her, she became more and more dependent. My grandmother was always a very independent woman and the rock of our family. She had always been the caregiver in the family, now she was the one in need of care. I was very involved in her care during the last 10 years of her life. However, I was more involved in her quality-of-life efforts as oppose to her medical care. I remember on some days she would be so sad. She would always tell me that because she required so much assistance from my aunt and other relatives, she was made to feel as if she was burden to them. She would sometimes talk about going to a skilled-nursing facility, but because of the horrible stories that our family had heard and/or witnessed regarding the quality of care for the residents while working in some of those facilities.
This paper will provide a strategic management analysis of the future of skilled nursing as it relates to the medical (traditional) model versus the social model.
I. Understanding the Organizational Setting
(The External Environment)
Exhibit 1a - Future Trends in the Macro Environment
The United States (U.S.) entered into a recession in December 2007 (Leonhardt). However, according to U.S. Treasury Secretary, Tim Geithner, “the U.S. economy is rebounding …, but the recovery will be slow and uneven” (http://english.chosun.com). Many
Cited: Arceneaux, Tainese "Senior care industry sees big growth spurt." Business Journal Serving Fresno & the Central San Joaquin Valley 323923 (2008): 1. Master FILE Premier. EBSCO. Web. 3 Nov. 2009. Bunderson, Gaye "Where do you want to live when you’re old? " Idaho Business Review (Boise, ID) (n.d.): Newspaper Source Plus. EBSCO. Web. 31 Oct. 2009. Garrett, Thomas A., and Russell M. Rhine "Social Security versus Private Retirement Accounts: A Historical Analysis." Review (00149187) 87.2 (2005): 103. MasterFILE Premier. EBSCO. Web. 31 Oct. 2009. Heys , John, "Privatizing system 'makes no sense, ' official tells Charleston Rotary." Charleston Gazette, The (WV) (n.d.): Newspaper Source Plus. EBSCO. Web. 3 Nov. 2009. Ignagni, Karen, , CEO President and Plans America`s Health Insurance "Long-Term Care And Medicaid." FDCH Congressional Testimony (N.D.): Newspaper Source Plus. EBSCO. Web. 3 Nov. 2009. Madrick, Jeff "Economic Scene; Bush wants $670 billion in tax cuts, but where 's the bang for the buck?." New York Times 23 Jan. 2003: 2. Newspaper Source Plus. EBSCO. Web. 2 Nov. 2009. "US Economy: Current Trends and Issues. N.p., n.d. Web. 2 Nov. 2009 . Woods, Lynn "In national immigration war, skirmishes play out locally.” Fairfield County Business Journal 46.26 (2007): 1. MasterFILE Premier. EBSCO. Web. 2 Nov. 2009. 29 U.S. News and World Report (2008). “GAO Faults State Nursing Home Inspections.” May 2008. http://www.usnews.com/articles/news/national/2008/05/15/gao-faults-state-nursing-home-inspections.html). 31 Healthcare Finance News (2008) 17 AARP Public Policy Institute (2007). “Fact Sheet: Long-Term Care Insurance.” (http://www.aarp.org/research/health/privinsurance/fs7r_ltc.html). 8 NEAL, CONAN "Analysis: Economics of aging." (n.d.): TOPICsearch. EBSCO. Web. 18 Nov. 2009. 9 "Trends in America." Insert Name of Site in Italics. N.p., n.d. Web. 18 Nov. 2009 . Hein, Teresa O 'Dea "How to Reach a New Generation of Seniors." Multi-Housing News 42.10 (2007): 16. MasterFILE Premier. EBSCO. Web. 18 Nov. 2009. Amirkhanyan, Anna "Privatizing Public Nursing Homes: Examining the Effects on Quality and Access." Public Administration Review 68.4 (2008): 665-680. Business Source Premier. EBSCO. Web. 18 Nov. 2009. U.S. Census Bureau (2000). PHC-T-13, States, and Puerto Rico Ranked by Percent Change of Population 65 Years and Over: 1990 and 2000. U.S. Census Bureau. (2005). Change in Total population and population 65 and older by state: 2000 to 2030. Doehrman, Marylou. "The changing business of caring for the elderly." Colorado Springs Business Journal (CO): 04 Jun 04. Newspaper Source Plus. EBSCO. Web. 23 Nov. 2009.