LTC Earnings Call
July 31, 2020
Overview of Comments
- How it all began: Understanding Covid-19 and Impact on Senior Housing
- Juniper's Covid-19 Journey: A Three Phase Strategy
- Crisis Management
- Reopening: The Pathway Forward
- The New Normal
- Lessons Learned
Juniper Communities and LTC Presentation - 7/31/20
Do not copy or distribute
The Covid-19 Reality: A Radical Shift in A Few Short Weeks
12/31/19: CDC becomes aware of cases in China
1/8/20: CDC issues first public alert in US
1/21/20: First reported US case in Washington (state)
1/29/20: White House Coronavirus Task Force formed
2/29/20: First death at Evergreen Health Care in Kirkland, WA
3/11/20: 1,100 confirmed cases in the US; WHO declares a global pandemic
3/12/20: HHS places first order for N95 masks; delivery around the end of April
3/16/20: Trump issues guidelines urging people to avoid social gatherings of 10 or more and to avoid discretionary travel; warned of possible recession 3/27/20: Trump signs CARES Act
3/31/20: 164,620 confirmed cases; 3,170 deaths and 1.07M tests completed
Juniper Communities and LTC Presentation - 7/31/20
Do not copy or distribute
Our Covid-19 Journey
Juniper Communities and LTC Presentation - 7/31/20
Do not copy or distribute
A 30,000 Foot View of Juniper's Covid-19 Strategy
Our Goal: Keeping residents and associates healthy and safe
Our Approach: Proactive testing and proactive infection control
Juniper Communities and LTC Presentation - 7/31/20
Do not copy or distribute
Public Health Strategy Around the World: Juniper Learns from the Success of Others
The most successful countries in combatting COVID have adopted an infection prevention strategy which prioritizes testing:
- Germany
- South Korea
Juniper Communities and LTC Presentation - 7/31/20
Do not copy or distribute
Crisis Management: Juniper's Covid-19 Strategy/Process
- Testing, contact tracing and Isolation (Defining the Problem, Identifying Risk and Protective Factors)
- Stepped up Infection Control Practices (Develop and Test Prevention Strategies)
- Handwashing, Social Distancing
- Use of PPE
- Cleaning and Disinfecting
- Associate Training and Support (Assure Widespread Adoption)
- Enhanced Accountability and Documentation (Assure Widespread Adoption)
Juniper Communities and LTC Presentation - 7/31/20
Do not copy or distribute
Juniper's Testing Strategy: Data for a Successful Battle Plan
- Patterned after South Korean strategy to test early and universally regardless of symptoms
- Private Lab; decision to test all residents and Associates, not only those with significant symptoms
- Hot spot testing: roughly 50% positive; of these 70-94% asymptomatic; 70-85% recovered
- Majority of communities test 100% negative; some (MC) shelter in place: Camp Wellspring
- Positive tests followed with contact tracing and isolation within cohorts
Now: viral testing weekly; need daily rapid testing
Juniper Communities and LTC Presentation - 7/31/20
Do not copy or distribute
Proactive Universal Testing Yields Data for a Successful Battle Plan at Juniper
Test all residents and staff
Rigorous contact tracing
Cohort residents and segregate associates
Over 70 % of residents and 90% of associates who tested positive were asymptomatic
The disease spreads silently and quickly by unknowing individuals
The vast majority of individuals, including chronically ill older adults, survive
Juniper Communities and LTC Presentation - 7/31/20
Do not copy or distribute
Other Infection Control Practices
- Cessation of non-essential visitors
- Screening questionnaire; later to include temps
- Risk stratification of residents and new protocols for monitoring vitals
- Resident isolation
- Cohorting of residents and designated staff
- PPE (adequate supply, training in use, compliance audits)
- Disinfecting ("Green" clean with foggers)
- Communication (early, often and transparent)
Juniper Communities and LTC Presentation - 7/31/20
Do not copy or distribute
Staff Issues/Solutions
Issues:
Illness, exposure, fear Cost!!!!
Personal Protective Equipment or PPE (access and proper use)
Solutions:
Train all to be universal workers
Extended pay when sick/exposed to protect families Higher "Appreciation Pay" for work with Covid+ residents Hero Pay for shelter in place
Sales people as recruiters
Juniper Communities and LTC Presentation - 7/31/20
Do not copy or distribute
Stories from Phase 1
- Bubbles and RVs
- Healthcare Heroes
Juniper Communities and LTC Presentation - 7/31/20
Do not copy or distribute
Stories from Phase 1 Cont.
- Family appreciation
Recently, the world has faced a global pandemic. The manner in which Juniper has responded to this unprecedented situation has exceeded all expectations. Their communications have been thorough and prompt. Their explanations have been clear and reassuring. Their safety precautions have been extensive. Every day I receive an email update on "COVID status" in the community with helpful information. To date, they have not had one case of the virus. Over the summer, Juniper made the extra effort to arrange outside visits with family, while taking all necessary precautions. They didn't have to do this extra work, but they did. Although I can't hug them (yet), it's wonderful to visit my folks outside in the open air.
Juniper Communities and LTC Presentation - 7/31/20
Do not copy or distribute
Combating
COVID-19:
Juniper's
Response By
the Numbers
Phase 2: The Pathway Forward
Our Goal: Restore Profitability while keeping residents and associates healthy, safe and engaged
Our Approach: Jumpstart
move-ins and implement
the 5 Pillars
Juniper Communities and LTC Presentation - 7/31/20
Do not copy or distribute
The 5 Pillars:
The Pathway Forward in Operations
- Prevention: Infection prevention including testing, cleaning, disinfecting and cohorting
- People: Associate schedules, assignments and pay
- Program: Reopening dining, connections, visitation
- Place: Visible signs of return to normal and successful infection control
- Packaging: Message and delivery
Driving Sales
High Level Efforts
- Golden Triangle focused effort
- Resituated sales office, tour protocol and model suite
- New messaging, training and competency check
- Additional sales support for targeted communities
- Toolkit for rapid move-ins
- REWARDS
High Level Results to Date
- Digital leads:
- July 2020 digital leads up 33% over April 2020
- July 2020 digital leads up 48% over July 2019
- Virtual tours catching on
- Communities now able to do "back-stage" tours as well
- July 2020 results: net census gain, first since March 2020
Juniper Communities and LTC Presentation - 7/31/20
Do not copy or distribute
New Operator Pandemic Imperatives
- Screen for social isolation
- Expand access to telehealth for mental health care
- Increase access to the internet and smart devices for continued variety in life enrichment
Lessons Learned
Leadership:
- Centralized decision making
- Vision; ability to set a proactive course
- The right people in the right seats
Use technology
- Telehealth
- Communication
- Activities/Social and fitness
New model: safety (small neighborhoods, dedicated staff) and social engagement
(community integration)
Juniper Communities and LTC Presentation - 7/31/20
Do not copy or distribute
Phase 3: The New Normal (A Work in Progress)
- Tech (data, communication, provider access, digital marketing, engagement)
- Integrated health services
- Neighborhood design
- Gated entry (temps, screening control over who enters)
- Disinfecting
Juniper Communities and LTC Presentation - 7/31/20
Do not copy or distribute
Juniper Communities and LTC Presentation - 7/31/20
Do not copy or distribute
Attachments
- Original document
- Permalink
Disclaimer
LTC Properties Inc. published this content on 31 July 2020 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 31 July 2020 14:51:10 UTC