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Health Care Expansion

In: Business and Management

Submitted By lvnmichelle
Words 1208
Pages 5
Temple Living Center East Expansion
Michelle Grey-Karl
HCS/446 Facility Planning
January 23, 2012
Ryan Haywood, MBA

Temple Living Center East Expansion
Within the world today there are different types of health care facilities to serve the different types of individuals and health care conditions. Temple Living Center East is a long-term care facility that serves the individuals who requires prevention, healing, and rehabilitative nursing care services for non-acute, long-term environment for the elderly. Temple Living Center East will be working on updating the secure unit for the individuals who require special care because of the diagnosis of Alzheimer’s. There will be several tasks that should be completed before the individuals can enjoy his or her new living environment.
It is important that the contractors understand each of the regulatory requirements before planning out the design and ordering the supplies and equipment. In Texas the Department of Aging and Disability Services, which is part of the Department of Human Services (DHS) lay out the Texas Administrative Codes set up for long-term care facilities. The Texas Administrative Code rule §19.344 Plans, Approvals, and construction Procedures requires that the plans of a new building or expansion is to be reviewed by the DHS, and the facility will be notified within 30 days of the review on the architectural requirements or changes (Department of Aging and Disability Services, 2011). When submitting the plan to the DHS, all required documents need to be included from the contractor with schedules and details included before the construction phase will even be approved. When the construction phase starts the DHS must be notified in writing before any type of construction starts and at the end of the construction there will be an initial survey of completion done by the DHS (Department of Aging and Disability Services, 2011). If the completion service is approved then the DHS will issue a license to the facility after the architectural inspecting surveyor submits the certifications and documentation from his or her inspection on the fire alarm systems, sprinkler systems, and gas test along with the life safety code inspection (Department of Aging and Disability Services, 2011). These are just a few regulations required by the Department of Human Services and Aging Disability of Texas. Also for a long-term care facility to be reimbursed under Medicare and Medicaid there is federal standards along with Joint commission on the Accreditation of Healthcare Organizations (JCAHO) and National Fire Protection Association (NFPA). Finally, the American with Disabilities Act (ADA) has to approve all designs of a public building to maintain specific accessibility requirements within the design (Carr, 2012).
Temple Living Center East is working to increase the functionality of the secure Alzheimer’s unit by updating the colors of the facility with some remodeling of the rooms. One aspect that is important on the secure unit is that the environment is warm and reassuring with non-reflective finishes, and colors or textures. Some colors are more soothing to the individuals with Alzheimer’s so the design plans will to paint the walls with light blue and warm honey tones. Along with noise reduction flooring called Tandus flooring that is easy to maintain, durable, and cost effective. This type of flooring will help maintain the noise because of the sound absorption, and reduce the risk of slips and falls because of reduction of glare from overhead lighting. This type of flooring can offer inlying of symbols so it will give the individuals a wayfinding program because of the symbols that can lead direction to the individual with Alzheimer’s (Tandus Flooring, 2011).
Other equipment that Temple Living Center East will be supplying in the remodel is new flat screen television in each patient room, computer centers on the hall for the nurses to be closer to his or her patients, and new artwork that is inspired from the individuals past such as familiar historical events, famous places or people and old photographs. This is just a few items along with the new furniture, lighting, windows, flooring, paint, and wiring. With these updates this will help the individuals feel more at home and less confused in this secure environment.
Temple Living Center East will be granted a budget of $150,000 and with the flooring costing an estimate $48,000, electrician cost of $5,000, electronics $10,000, paint $3,000, lighting $5,000, skylights $6,000, labor $6,000, update the furniture for $5,400, artwork $2,000, and bathroom remodel $30,000, which is an estimated total of $116,400. The corporate construction will be doing most of the work for the remodel therefore the cost will be reduced since this company is part of the Trisun team. Also A+ Electric is the company that follows through with the maintained on all four of the Trisun buildings in Temple, Texas so most of the work will at a discount cost. Finally, Skylight Direct will be installing the four skylights in the open commons area for the patients. Therefore, this will leave $33,600 left over for any incidentals with an overall timeframe of six months to have the remodel completed.
For all of this to happen it will require for the corporate stakeholders and financial department to agree to the budget, and remodeling project. In addition to the facility staff and patients to handle the remodeling around the increase care that will be needed to maintain the patients’ safety and wellbeing during this time. Not only will this affect the patients but also the individual family members because his or her love ones will have increase confusion with the surrounding changes that he or she will have to go through until the construction is completed. One way to secure the stakeholders is to inform him or her how the remodel will increase the health and wellbeing of the individuals with Alzheimer’s because of the adequate room for walkers, and roaming of the patients. The overall atmosphere will sell itself when it comes to the increase cost of room rates that the facility want to charge for the new Memory Care Unit instead of a secure Alzheimer’s unit or lock down unit. The new room will help reduce falls, and increase the memory of the patient because of the surroundings and color choices. Also with the wayfinding program in place this can help the patient have some independence with going to activities, meals, and finding one’s own room.
A long-term care facility is not just a facility for 24-hour medical care but this is the individual’s home. The facility needs to help improve the individual’s quality of life, and maintain what cognitive status he or she has over a period of time. Therefore, it is important that the facility has a homelike environment with colors and safety features to offer the individual with Alzheimer’s ultimatum care.

References
Carr, R. F. (2012). Nursing Home. Retrieved from http://www.wbdg.org/design/nursing_home.php
Department of Aging and Disability services. (2011, March 7). Texas Administrative Code. Retrieved from http://www.sph.umn.edu/hpm/nhregsplus/NHRegs_by_State/Texas/TX%20Chapter%2019%20Complete.pdf
Tandus Flooring. (2011). St. Mary's Hospital. Retrieved from http://www.tandus.com/content/design/healthcare/st-marys-hospital

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