Future of Skilled Nursing Facilities: Medical Model vs. Social Model

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Introduction: While being employed in Corporate America for over 20 years and in the United States Air Force for over 10 years has been extremely valuable experience, I don’t feel like I’m fulfilling my purpose in life. After losing my grandmother 2.5 years ago, it finally dawned on me what my purpose is, and that is to care for our aging population. I am one of 65 grandchildren. My grandmother and I always had a special bond. She raised me for a big part of my childhood, and was more of a mother-figure to me.
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



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