RHCF Bed Need Methodology 10 NYCRR Section 709

RHCF Bed Need Methodology 10 NYCRR Section 709. 3 September 24, 2015

2 Disadvantages of Current Formula Ø 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% 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% 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 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. 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 % Change (2009‐ 2014) 85+ <65 65‐ 74 75‐ 84 85+ 50. 9% 6. 6% 11. 1% ‐ 9. 6% 1. 6% 50. 9% 9. 7% 17. 9% ‐ 7. 3% ‐ 0. 4% 51. 2% ‐ 1. 1% 12. 3% ‐ 10. 7% 3. 2% 52. 5% ‐ 1. 4% 28. 8% ‐ 5. 2% ‐ 2. 1% 55. 0% 4. 3% 23. 5% ‐ 17. 6% 4. 2% 47. 0% ‐ 5. 3% 20. 2% ‐ 6. 3% ‐ 0. 6% 35. 4% 1. 1% 11. 4% ‐ 5. 0% ‐ 3. 3% 47. 2% 4. 7% 22. 5% ‐ 9. 8% 1. 1% 44. 3% 2. 5% 15. 5% ‐ 8. 0% ‐ 0. 4% ‐ 6. 4%

5 Ø 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 Ø Suitability of the 97% occupancy threshold Ø 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) Ø Short stays of <100 days • Percentage of admissions • Impact on occupancy rates.