AmEriCA’s lEAding providEr ofhospitAl thErApy sErviCEs

EnduraCare

We are committed to exceeding our customers’ expectations.

EnduraCare

We’re not just out to changethe world of therapy,

we’re actually changing it.

EnduraCare

sErviCEs

About Us

EnduraCare Acute Care Services, LLC (“EnduraCare”), founded in 1981, is the

nation’s largest privately-held provider of rehab therapy program management

for hospitals. We are headquartered in Franklin, Tennessee and have more than

700 therapists operating in 13 states.

We partner with hospitals and deliver labor productivity, revenue growth,

staffing solutions, educational resources, and rehab expertise to ensure

optimal performance. We provide this management in all rehab venues including

Inpatient Rehab Units (“IRU” or “IRF”), Skilled Nursing Units (“SNU,” “SNF,”

or swing beds), outpatient departments, and inpatient acute. Our average

contract tenure of more than 10 years demonstrates our focus on long-term

relationships with satisfied customers. We are experts at and understand the

complex reimbursement structures across all rehab venues.

Our proprietary rehab-centric systems enable us to manage therapy efficiency

and productivity in real time and drive measurable value to our customers.

We do one thing, and we do it well.

Inpatient Rehab UnitsSkilled Nursing Units

OutpatientInpatient Acute

Inpatient Rehab Units

focus on functional independence

Rehab Management in the IRF:

Therapy in your IRF requires team collaboration, patient education, and participation while focusing

on functional improvement in a medically complex patient population. We understand the importance

of the interdisciplinary process, delivering the required intensity of service and regulatory

requirements driving service delivery.

Focus on Quality Measurement and Outcomes:

• We work with our customer’s IRF nursing team to become fully integrated into our customer’s care

management process. We collaborate with physicians and care managers to manage utilization

and length of stay.

• The focus on quality measures and outcomes drives the need for therapists to participate in our

customer’s quality initiatives. Our therapists are involved in specific initiatives to drive clinical

outcomes, such as lift teams, fall prevention teams, and transport teams.

We partner with our customers to provide a specialized team with dedicated tools. IRFs serve

medically fragile patients who require an intense level of physical, occupational, and speech therapy

with the prevailing goal of returning to their community with the highest level of independence.

We have proven experience in the implementation, expansion, and enhancement of:

• Census development;

• Clinical programming;

• Improved FIM scores;

• Regulatory compliance;

• Operational management; and

• Patient scheduling strategies.

Skilled Nursing Units

meeting maximum individual needs

Rehab Management in Skilled Nursing:

EnduraCare partners with customers offering skilled nursing care as a part of the post-acute

continuum. We often see that therapy services, care coordination, and nursing are often fragmented.

We bring a strategic approach to the SNU, working in concert with the nursing and physician care

teams to align interests.

Commitment to Meeting Individual Patient Needs:

• We recognize the transition from home or hospital to a care facility can be difficult. Ensuring that

patients are engaged and that their care is coordinated well across settings is our primary focus.

• The RUG system is not based on patient diagnosis or discharge location, it is based on the

amount of time a therapist spends assisting a patient in meeting their individual goals. We train

therapists to understand this dynamic and work seamlessly with the nursing team to deliver

value-based care.

Optimize Business Results:

• Skilled nursing patients in the hospital environment are most often a higher acuity and medically

complex. Therapists working in this environment receive functional training that prepares them

to better serve the specific population and understand the service delivery requirements.

• Accurately assessing the care needs of patients upon admission assures they will be assigned

to the most appropriate level of care.

• Accurate coding of the ADL Index plays an important role with 5-Star Quality Measure scoring

and reimbursement.

• We offer a unique, web based software platform used to promote electronic

documentation, accuracy in billing and coding practices, tracking of the therapy

cap, utilization and service delivery management, and outcome reporting.

EnduraCare

Outpatient Rehab

returned functional Capacity

Rehab Management in Outpatient:

Outpatient rehabilitation programs are a critical component to the continuum of care for any health system.

As the population continues to age, trends show an increased need for outpatient rehabilitation services.

At the same time, changing regulatory and compliance rules are bringing new pressure on the delivery of therapy.

These trends create challenges that make expert management more important than ever.

• Increased requirements for quality and transparency mean that outpatient rehabilitation departments

must optimize performance and produce supporting documentation and data.

• Well-run outpatient rehabilitation programs require specific expertise and skills to ensure the

department is running efficiently.

• The rehab department's success depends on growing the business

line and ensuring clinical outcomes that deliver value, improved

financial performance, increased market share, and (most importantly)

patient satisfaction.

Working with EnduraCare can help your hospital or physician

clinics position their organizations for success. We tailor our

partnerships to meet your unique needs, whether it be enhancing

your current campus outpatient department or developing

satellite clinics.

We provide the talent and expertise to grow and

expand your outpatient rehabilitation programs with:

• Referral development;

• Staffing/labor management;

• Specialty programming;

• Patient scheduling strategies; and

• Protocol development.

Does Your Outpatient Department Perform?

• Does your director have all of the support from the health system to

operate a successful outpatient department?

• Does your outpatient department program deliver specialty

programs that differentiate it from other outpatient programs?

• Is your outpatient rehab program contributing positively to the

bottom line of your hospital?

• Does your outpatient department have a fully dedicated,

rehab-focused recruiter to fill costly openings?

• Do you have productivity standards for your outpatient program?

• How effective is your scheduling process in managing staff levels and

productivity?

• Does your team manage no-show/cancellation rates?

• Does your therapy team see new patients within 48 hours of the referral?

• Does the therapy team’s clinical documentation support its charges?

• Is your billing and collections process effective in maximizing

reimbursement?

• Is your director skilled in clinical treatment, program development,

staffing and productivity, compliance and regulatory monitoring,

financial, and operational management?

Inpatient Acute

promote patient mobility

Rehabilitation Management in Acute Care

The role of therapy in acute care is to facilitate patient movement through your hospital, easing patient

transition to the next care setting, and working to keep patients from readmitting unnecessarily. We strive to

accomplish these goals while also winning physician and nursing confidence in our service delivery.

We take an active role in supporting initiatives, such as the Hospital Consumer Assessment of Healthcare

Providers and Systems (HCAHPS), which help our hospital customers maintain market share and avoid losing

reimbursement. In today’s healthcare environment, safe, high-quality care is expected from hospitals.

The patient’s experience at the hospital may be what differentiates one hospital from another. We educate

our therapists about the HCAHPS survey and how they can assist our customers improve their scores.

Key Initiatives for Acute Care:

• Timeliness of initiating evaluations and

treatment.

• Reducing the patient’s length of stay.

• Physician satisfaction and confidence with

therapy service line.

• Enhanced patient experience with services.

• Transition from acute to post-acute care must

be accomplished effectively and efficiently.

Our therapists participate in the navigation of

patients by providing recommendations for

post-acute placement so that clinical and

financial outcomes are optimized.

EnduraCare

We recognize the important role therapy plays in expediting patient recovery and

any post-acute needs upon discharge. Inpatient acute therapy also is important

in maintaining excellent physician relationships and reputation in the community.

We serve to promote patient mobility and shorten their length of stay with:

• Clinical expertise of licensed therapists

• Protocol development

• Joint Camps

• Prompt evaluations

EnduraCare

Education and Compliance

EnduraCare’s in-house education and compliance team provides clinical support, guidance, and training

to our Directors, site level employees, and our customers. We receive updates from CMS, the APTA,

AOTA and ASHA, Medicare Administrative Contractors, and the OIG related to reimbursement, medical

review, fraud alerts, new research, and evidence-based practice. Our education and compliance team

provides education and training through conference calls, webinars, remote and onsite audits, in-services,

continuing education courses, site visits, and written resources on multiple topics, including:

• Regulatory requirements (e.g., CMS, Joint Commission, CARF);

• Payer requirements (e.g., Medicare Part A and B, managed care, commercial insurance, Medicaid,

workers’ compensation);

• Practice Act requirements;

• Documentation requirements and systems;

• Coding compliance (e.g., CPT, HCPCS, ICD-9, ICD-10);

• Venue-specific issues (e.g., SNF, IRF, OP, HH, acute care, CAH, swing bed);

• Program development (e.g., SNF caseload development, OP referral development, niche program

development and implementation);

• Clinical skills development (e.g., modalities, wound management, lymphedema, stroke rehab);

• Medical review (e.g., ADR and appeal process, reviewing bodies, proactive auditing);

• Clinical policy and procedures; and

• EnduraCare’s Corporate Compliance Program.

Our commitment to education and compliance is instrumental to developing successful partnerships

with our customers, creating a positive work environment for our employees, and delivering the best

possible clinical care for our patients.

EnduraCare

Management Expertise – Partnering for Success

For over 30 years, EnduraCare has partnered with hospital systems to ensure optimal clinical and

financial performance in physical, occupational, and speech therapy operations across all provider

settings (Inpatient Rehab Unit, Skilled Nursing, Outpatient, and Inpatient Acute).

Through a consistent process of measuring services and comparing benchmarks, we enable therapy

programs to improve on patient care delivery models and overall operational efficiency. Careful data

analysis provides a set of realistic goals that are designed to promote cost savings, increase market

share, and result in a better patient experience.

We have a variety of flexible partnership options and shared-risk agreements that consistently allow

us to align our clinical and financial goals with the healthcare clients that we serve.

Request a No Cost Opportunity Analysis today!Call (615) 861.8963 or visit EnduraCareAC.com

AmEriCA’s lEAding providEr ofhospitAl thErApy sErviCEs

381 Riverside Drive, Suite 440

Franklin, TN 37064

info@EnduraCareAC.com

(615) 861.8963

EnduraCareAC.com

Copyright © EnduraCare AcuteCare 2015

EnduraCare