RHCF Bed Need Methodology
10 NYCRR Section 709.3
September 24, 2015
2
Disadvantages of Current Formula
 Overestimates Bed Need
•
121,243 estimated for 2016
•
111,195 certified or in pipeline
•
Occupancy 93.0% statewide
3
Occupancy Rates for Residential Health Care Facilities (RHCF)
By Region, 2009‐2014
Region
2009
2010
2011
2012
2013
2014
1. Western New York (WNY)
94.8%
93.5%
92.7%
91.7%
92.9%
92.4%
% Change
2009‐2014
‐2.5%
2. Finger Lakes (FL)
94.0%
93.3%
91.7%
96.2%
92.9%
93.9%
‐0.1%
3. Central New York (CNY)
94.8%
93.8%
94.4%
92.9%
92.3%
92.4%
‐2.6%
4. New York‐Penn (NY‐PENN)
93.4%
94.0%
91.0%
92.2%
91.3%
93.3%
‐0.1%
5. Northeastern New York (NENY)
94.9%
93.6%
94.5%
94.0%
92.9%
92.3%
‐2.8%
6. Hudson Valley (HV)
91.7%
93.3%
92.9%
92.1%
91.2%
91.7%
0.0%
7. New York City (NYC)
94.9%
95.4%
94.8%
94.8%
93.5%
93.9%
‐1.1%
8. Nassau/Suffolk
(N/S)HFIS
Source:
94.5%
94.0%
92.4%
92.8%
92.1%
91.5%
‐3.2%
New York State
94.3%
94.3%
93.6%
93.7%
92.6%
92.9%
‐1.5%
4
Patients in Residential Health Care Facilities
(RHCF) 2009 and 2014 Age Cohorts, by Region
Region
1. Western New York (WNY)
2. Finger Lakes (FL)
3. Central New York (CNY)
4. New York‐Penn (NY‐PENN)
5. Northeastern New York (NENY)
6. Hudson Valley (HV)
7. New York City (NYC)
8. Nassau/Suffolk (N/S)
Source: HFIS
All New York State
Total Patient Population* (NYS)
<65
9.1%
9.3%
9.4%
7.1%
6.9%
11.3%
17.7%
12.7%
12.9%
2009
65‐74 75‐84
11.7% 29.1%
10.6% 28.9%
11.4% 29.9%
10.4% 28.9%
10.2% 30.1%
12.9% 28.5%
17.6% 28.1%
12.0% 28.6%
13.9% 28.7%
106,014
85+
50.1%
51.1%
49.6%
53.6%
52.8%
47.3%
36.6%
46.7%
44.5%
<65
9.7%
10.2%
9.3%
7.0%
7.2%
10.7%
17.9%
13.3%
13.2%
2014
65‐74 75‐84
13.0% 26.3%
12.5% 26.8%
12.8% 26.7%
13.4% 27.4%
12.6% 24.8%
15.5% 26.7%
19.6% 26.7%
14.7% 25.8%
16.0% 26.4%
99,245
85+
50.9%
50.9%
51.2%
52.5%
55.0%
47.0%
35.4%
47.2%
44.3%
% Change (2009‐2014)
<65
65‐74 75‐84 85+
6.6% 11.1% ‐9.6% 1.6%
9.7% 17.9% ‐7.3% ‐0.4%
‐1.1% 12.3% ‐10.7% 3.2%
‐1.4% 28.8% ‐5.2% ‐2.1%
4.3% 23.5% ‐17.6% 4.2%
‐5.3% 20.2% ‐6.3% ‐0.6%
1.1% 11.4% ‐5.0% ‐3.3%
4.7% 22.5% ‐9.8% 1.1%
2.5% 15.5% ‐8.0% ‐0.4%
‐6.4%
5
 Statewide Decline in the Number of
Nursing Home Residents
2009
106,014
2014
99,245
Reduction
6,759
6
Possible factors for consideration in the
revision of Section 709.3 Nursing Home bed
need methodology
Suitability of the 97% occupancy threshold
Planning areas:
•
•
•
•
•
County
Multi-County
NYC five boroughs
Long Island (Nassau-Suffolk)
Allow DSRIP arrangements – PPS service areas, etc.
7
Possible factors for consideration in the
revision of Section 709.3 Nursing Home bed
need methodology (continued)
Short stays of <100 days
• Percentage of admissions
• Impact on occupancy rates.