
Becker’s Healthcare Podcast Navigating Post-Acute Strategy and Workforce Pressures with Charles Ross
Mar 29, 2026
Charles Ross, Chief Strategy Officer at TCM Consulting, draws on roots as a discharge planner and nursing home administrator. He discusses workforce pressures, shifting demand for skilled nursing, and hospitals rethinking post-acute strategy. He also covers slim margins, consolidation, and cautious AI adoption in operations.
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From Discharge Planner To Nursing Home Administrator
- Charles Ross began as a hospital discharge planner on a geriatric unit and later became a nursing home administrator, which grounded his understanding of post-acute needs.
- That progression led him to co-found TCM and shape its services around real operational and clinical experience.
Diversified Services Built From Market Needs
- TCM evolved from building transitional care centers to offering diverse services including third-party management, home health, hospice, design, and clinical consulting.
- This diversification lets TCM anticipate market shifts and plug specific gaps like clinical training and back-office finance support.
Workforce Strain And Pragmatic AI Adoption
- Major trends include lingering post-COVID workforce pressures, selective nursing home closures, rising alternatives to nursing homes, and increased clinical and revenue cycle needs.
- AI is being piloted in admissions to reduce workload but requires oversight because outputs aren't always sufficient alone.
