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📘 Launch Protocol for the First SNF (7-Day Post-Contract SOP)

🔥 The Core Principle

👉 Signing the contract isn't the finish line—it’s the starting block. You must have services operational within 7 days.

🧠 I. Overview of the Workflow (The Big Picture)

👉 The 5-Step Execution:

1. Contract Confirmation
2. SNF Onboarding & Coordination
3. NP Assignment
4. The "First Shift" Launch
5. Stabilization & Routine

🧠 II. Step 1: Day of Signing (Immediate Action)

✔ Your Action Items:

• Identify Key Contacts: Confirm the Administrator and Director of Nursing (DON).
• Establish Start Date: Don't leave it vague.

👉 The Essential Question:

• "When would you like us to begin?" * Goal: Lock in a specific date.

🧠 III. Step 2: SNF Coordination (Days 1–2)

✔ What to Verify:

• Patient Volume: Total number of behavioral health patients.
• Preliminary Census: Get the initial patient list.
• Frequency: How many visits per week are required?

👉 Key Strategic Question:

• "How many residents would you like us to start with?"
• Pro Tip: Control the initial scale; don't start too big.

🧠 IV. Step 3: NP Assignment (Days 2–3)

✔ Your Action Items:

• Assign the NP: Match the right provider to the facility.
• Scheduling: Set the specific shift times.
• Notify the SNF: Confirm who is coming and when.

👉 Key Requirement:

• Fixed Schedule: Use the same day/time every week to establish a predictable rhythm.

🧠 V. Step 4: The First Visit (The Critical Moment)

✔ The NP’s Goals for Day 1:

1. Patient Rounds: Start seeing the residents.
2. Documentation Setup: Initiate the medical records/EHR.
3. Workflow Familiarization: Learn the facility’s specific layout and staff culture.

Mantra: Do not chase perfection. Focus on getting the service active.

✔ Management’s Role:

• Follow up immediately for SNF feedback.
• Identify and troubleshoot friction points.

🧠 VI. Step 5: Week 1 Stabilization

✔ What to Monitor:

• Is the NP's attendance consistent?
• Is the SNF leadership satisfied?
• Are there any immediate "pain points" to resolve?

👉 Priority: Focus on consistency, not perfection.

🧠 VII. Week 2 Onward: Building Value

✔ Scaling Up:

• Gradually increase the patient count.
• Optimize administrative workflows.
• Refine clinical documentation quality.

🧠 VIII. The 3 KPIs

1. NP Attendance Stability: Are they showing up as scheduled?
2. Facility Satisfaction: Are there zero complaints from the SNF?
3. Census Growth: Is the patient count steadily increasing?

🧠 IX. Potential Pitfalls (Preventative Measures)

❌ NP Instability: Providers missing shifts or changing times.

❌ Communication Breakdown: Failing to sync with the DON.

❌ Census Chaos: Poorly organized patient lists.

👉 Prevention: Monitor these daily during the first 14 days.

🧠 X. The True Objective of the First SNF

👉 It’s about: Standardizing the Process + Creating a Prototype.

👉 The Goal: Prepare the blueprint for SNF #2 and #3.

🔥 XI. One Sentence to Remember

👉 Your first SNF is your "Showroom."

👉 At this stage, the most important thing is NOT:

❌ How perfect the clinical notes are.

👉 It IS:

✅ System Stability. Once it runs reliably, you can replicate it anywhere.

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