Ownership & Management

bottom view.a team of doctors at the medical center clasped their hands together.the concept of unityTender Loving Care Senior Residence (TLCSR) is Family Owned and Operated by a Geriatrician and Registered Nurse, who are also brother and sister. They work together with their team providing strong leadership, communication, education, coordination and continuity of care in a in a small personal, home setting. They provide “Hands On” care on a regular basis to each resident, communicate frequently with staff, residents and families. They are available day & night to staff, residents and their families to assist with day to day issues, as well as, any emergencies that arise and provide support and guidance.  All of these included services at TLCSR, provide a great value for residents and their families.

Importance of Ownership and Management Roles

Ownership and management roles vary greatly from business to business.  When evaluating a business, it is important to look at the qualifications, training, knowledge, experience & level of involvement owners and or mangers have in their business.  TLCSR is a small, family owned business, as such, we have a stronger sense of duty & commitment to our clients and are more likely to hold true to our commitments than larger, corporate owned businesses or third-party interests, like insurance companies. While management/ ownership are not the only variables to consider when looking for a Senior Care option they are important variables to consider when looking for the best product.

The owners of TLCSR have the appropriate qualifications, medical training, knowledge and experience (see about us) to successfully operate our Senior Care business. We believe teamwork is essential to providing a good product and we believe it is vital to communicate with and support all members of the team to achieve the best outcomes. When an owner, manager & staff person, doctor and patient have an expectation of maintaining an on-going relationship, they are able to build trust and have a shared sense of purpose & commitment which results in better service, care, quality and value.  This is especially true for seniors who have chronic illness and long-term care needs.

The Human Side of Health & Senior Care is Disappearing

Health & Senior care are a much different other types business that sell a “product” or “widget”. These types of businesses are more finance driven and do not consider the intricate overlapping clinical decision making steps and delicate balance that is required to deliver human, Health Care Services.  A company or corporation develops a product, and if the consumer likes or needs the product, they can choose to buy it or not.  The “assembly line” production of the product is very specific & repetitive with no variation.  

Health & Senior Care are much different. Health & Senior Care are a service and focus on human beings, who are very complex & have varying health conditions, emotions, social & financial circumstances.  The industrial “assembly line” model of care is not effective in Health & Senior Care, yet large institutions like Hospitals, Rehabs and Assisted Livings often approach health and senior care like an “assembly line”, reducing the relative value of the human element.   While advances in technology are always needed and have significant benefit, societies rush to digitalize and specialize Health and Senior Care seems to have removed the most important element, human connection and verbal communication between human beings.   While we believe there are ways to use high tech to improve high touch care in fact naisbitts concern for an “technology intoxication zone” seems more appropriate in todays health care system.

An industrial “assembly line” model may work at some level in an “Acute Care” setting where the problems are short term and may require less oversite and ongoing management.  Unfortunately, that same system is not effective when dealing with long term care needs and chronic illnesses. 

We believe the solution to providing effective, high-quality care requires in part, giving control and opportunity back to the Doctors, who have committed themselves and their time to the study and practice of Medicine.  In the past, doctors had more of a personal stake, ownership and responsibility in their practice.  As such, they had a strong motivation to be & stay involved at a high level; personally, answering calls day & night, visiting patients in the home, office and hospital which promoted continuity of care.  Today, doctors are essentially treated as employees of insurance companies and large institutions which impedes their ability and motivation to be & stay involved and give more in kind services. Today, the insurance companies & hospitals dictate to the doctor what tests should be done & what will or will not be covered, significantly limiting the doctor’s ability “to be a doctor” and be the one who determines what testing, treatments and care their patients need and then monitor and be accountable for the outcomes.  We believe returning ownership to doctors and recognizing & valuing their knowledge and commitment to medicine and their patients, would be a significant improvement to the Health Care System and greatly improve quality of care. Instead, doctors continue to be threatened with cuts to their pay and restrictions on what they can choose for their patients.  

Moreover, to improve Senior & Long-Term Care, the system would benefit from utilizing the medical knowledge, leadership & community skills of geriatricians, who have advanced Geriatric training & experience on the management & coordination of all of the components and issues that accompany chronic illnesses like Alzheimer’s and Dementia, COPD, Heart Disease, etc.  See…. about us Shawn McGivney, qualifications, geriatric fellowship    

The TLCSR model of care utilizes the leadership skills, advanced knowledge & expertise of a Geriatric trained MD, who provides a high level of continuity of care in a small, community-based business setting which dramatically improves accessibly, quality, and overall value.

Expanding the TLCSR model of care with Franchise Opportunities

TLCSR realizes there is an existing and growing need for high quality, financially self-sustaining, long term care beds not only in Nevada and the states, but globally in Japan, China and Europe all of which have aging populations and increasing care needs.  TLCSR is looking at ways to expand and deliver the TLCSR model of care to the larger community.   TLCSR is open to franchising and or working with larger insurance systems or venture capitalists to expand the model and cost effectively help more families and provide higher quality care.   With the Age Wave, the Baby Boom and the global senior care crisis rapidly evolving the need for a high quality, cost effective, long term care beds is exploding. The TLCSR model of care could be a significant part of the solution.