“Episode 50: The Evolving SNF (Skilled Nursing Facility) – Joshua Jacobs from Windsor Healthcare Communities”
by Stacey Richter

Listen to the MP3 file directly by clicking here.

joshua Jacobs

Joshua Jacobs is an innovative and forward-thinking healthcare executive at Windsor Healthcare Communities, a post-acute and long-term care provider operating approximately 1800 SNF beds in New Jersey. As a generalist that works on a wide scope of Windsor’s business, Joshua’s cross-disciplinary experience affords a view of operational and strategic challenges that often result in novel solutions. Data analytics, marketplace forecasting, and clinical-operational integrations are some of the focus areas in which he has achieved recent distinction.  Joshua also is responsible for Windsor’s payment reform strategies, which includes participation in Bundled Payments Model 3, integrating with regional ACOs, and realigning operational priorities to meet the needs of the changing marketplace.

Joshua holds a Bachelor of Science from The Johns Hopkins University, an MBA from the New York University Stern School of Business and a J.D. from New York University School of Law, where he was Managing Editor of the Journal of Law and Business. Joshua’s pre-healthcare work experience includes periods at Merrill Lynch, The Supreme Court of the State of Israel, and the New York University Investment Office.

He is a member of the American College of Healthcare Administrators and the Bar of State of New Jersey.


00:00 Joshua talks about Windsor Healthcare Communities.
00:20 Windsor Healthcare Communities offers both post-acute care, as well as long-term care.
00:30 “SNF”: Skilled Nursing Facility
01:00 How SNFs are changing to elevate the care provided.
02:25 The SNF occupancy rate peaked in the mid-90’s, and has been steadily declining as more long-term care options are created.
04:15 What the umbrella term “SNF” actually covers–assisted living excluded.
07:30 “The SNF does strive to be more like a home than a hospital can ever be.”
08:40 What balance of short-term and long-term services are looked at as a success at Windsor Healthcare Communities.
10:00 How Windsor Healthcare Communities is tremendously impacted by its good relationship with hospitals.
11:00 The service that hospitals need that Windsor Healthcare Communities provides.
13:00 The historical biases towards nursing homes and SNFs.
17:00 Windsor Healthcare Communities chooses to refer to its residents as “Elders” as a sign of respect for their wisdom and experience.
22:00 The risks of having a specialized SNF.
23:00 How things are changing for SNFs in modern healthcare.
25:30 How a hospital’s reimbursement can affect the funding and reimbursement that a SNF receives.
29:45 “I think there is a lot of room for young people with innovative ideas to have a tremendous impact on the healthcare industry.”
31:00 “If the post-acute care industry doesn’t conform to the data-driven technology of hospitals, it will not survive the future of healthcare.”
33:00 Joshua’s advice for tech innovators in the healthcare industry.
35:00 The risk of incentivizing too much on performance.
37:00 You can learn more by reaching out to Joshua directly on LinkedIn, or at WindsorHealthcare.org.

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