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Select Medical is a leading operator of specialty hospitals and outpatient rehabilitation clinics in the United States. Select Medical operates more than 100 long term acute care hospitals and 15 acute medical rehabilitation hospitals in 28 states and nearly 1,000 outpatient rehabilitation clinics in 32 states and the District of Columbia. Select Medical also provides medical rehabilitation services on a contracted basis to nursing homes, hospitals, assisted living and senior care centers, schools and work sites. www.selectmedical.com // www.mayoclinic.org ABOUT US Allevant is a joint venture between Mayo Clinic and Select Medical offering consulting services for critical access hospitals and other providers to develop high-quality, low-cost post-acute transitional care and ventilator care programs. Mayo Clinic is a nonprofit worldwide leader in medical care, research and education for people from all walks of life. Doctors from every medical specialty work together to care for patients, joined by common systems and a philosophy of “the needs of the patient come first.” Mayo Clinic, through Mayo Clinic Health System, has an extensive network of rural hospitals and clinics in over 70 communities across Minnesota, Wisconsin and Iowa.” IMPORTANT DIFFERENCES SKILLED NURSING FACILITY (SNF) TRANSITIONAL CARE PROGRAM – CRITICAL ACCESS HOSPITAL Nursing Ratio * 1 nurse for 10 or more patients 1 nurse for 3-5 patients, consistent with hospital level staffing On-site physician or Advance Practice Provider 24/7 NO Most critical access hospitals provide 24/7 coverage on-site Bedside Rounds with Care Team, Patient and Family NO Important component of Transitional Care that allows patients and families to get their questions answered, establish care plan, and promote teamwork to help patients reach their goal Radiology, Laboratory Services On-site NO On-site radiology and laboratory allows patients to receive follow-up and newly ordered laboratory and x-ray studies to be performed on-site 24/7 Real Time Quality Tracking NO YES Care Coordination NO Yes, Care Coordination with follow-up phone call after discharge, timely follow-up with primary care provider, and ensuring primary care physician receives discharge summary improves outcomes and reduces chance of readmission to hospital Rural vs. Urban 71% Urban, 29% Rural 100% Rural For Profit vs. Not-For-Profit 70% For profit, 25% Not-For-Profit, 5% Governmental 100% Not-For-Profit Overall Able to take very stable patients with low risk for complications The components of Transitional Care listed above allow critical access hospital Transitional Care Programs to care for sicker more challenging patients OUR ROLE IN THE POST-ACUTE CONTINUUM OF CARE :: The majority of post-acute care is currently provided in skilled nursing facilities. From 1976 to 2003, hospital readmissions within 60 days of discharge from a SNF experienced a relative increase of 25 percent (American Health Care Association Annual Quality Report, 2011). Offer your patients another choice with transitional care through Allevant.
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Allevant Executive Summary for Critical Access Hospital

Aug 15, 2015

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Page 1: Allevant Executive Summary for Critical Access Hospital

Select Medical is a leading operator of specialty hospitals and outpatient rehabilitation clinics in the United States. Select Medical operates more than 100 long term acute care hospitals and 15 acute medical rehabilitation hospitals in 28 states and nearly 1,000 outpatient rehabilitation clinics in 32 states and the District of Columbia. Select Medical also provides medical rehabilitation services on a contracted basis to nursing homes, hospitals, assisted living and senior care centers, schools and work sites.

www.selectmedical .com // www.mayoclinic.org

a b o u t u s

Allevant is a joint venture between Mayo Clinic and Select Medical offering consulting services for critical access hospitals and other providers to develop high-quality, low-cost post-acute transitional care and ventilator care programs.

Mayo Clinic is a nonprofit worldwide leader in medical care, research and education for people from all walks of life. Doctors from every medical specialty work together to care for patients, joined by common systems and a philosophy of “the needs of the patient come first.” Mayo Clinic, through Mayo Clinic Health System, has an extensive network of rural hospitals and clinics in over 70 communities across Minnesota, Wisconsin and Iowa.”

Important DIfferences skIlleD nursIng facIlIty (snf)

transItIonal care program – crItIcal access HospItal

nursing ratio * 1 nurse for 10 or more patients 1 nurse for 3-5 patients, consistent with hospital level staffing

on-site physician or advance practice provider 24/7

NO Most critical access hospitals provide 24/7 coverage on-site

bedside rounds with care team, patient and family

NOImportant component of Transitional Care that allows patients and families to

get their questions answered, establish care plan, and promote teamwork to help patients reach their goal

radiology, laboratory services on-site NO On-site radiology and laboratory allows patients to receive follow-up and newly ordered laboratory and x-ray studies to be performed on-site 24/7

real time Quality tracking NO YES

care coordination NOYes, Care Coordination with follow-up phone call after discharge, timely follow-up with primary care provider, and ensuring primary care physician receives discharge

summary improves outcomes and reduces chance of readmission to hospital

rural vs. urban 71% Urban, 29% Rural 100% Rural

for profit vs. not-for-profit70% For profit, 25% Not-For-Profit,

5% Governmental100% Not-For-Profit

overall Able to take very stable patients with low risk for complications

The components of Transitional Care listed above allow critical access hospital Transitional Care Programs to care for sicker more challenging patients

our role In tHe post-acute contInuum of care :: The majority of post-acute care is currently provided in skilled nursing facilities. From 1976 to 2003, hospital readmissions within 60 days of discharge from a SNF experienced a relative increase of 25 percent (American Health Care Association Annual Quality Report, 2011). Offer your patients another choice with transitional care through Allevant.

Page 2: Allevant Executive Summary for Critical Access Hospital

We establish a consulting service agreement with the goal of utilizing your existing capacity and resources. The fees associated with our services are allowable for critical access hospital cost reporting purposes.

Post-Acute Care Solutions developed by Mayo Clinic

and Select Medical

how we partner with you ::

by partnering with larger acute hospitals to:more care locallyallevant can Help you DelIver

4 aDmIt more patIents DIrectly ratHer tHan stabIlIze anD transfer

4 mInImIze transfers of InpatIents tHat experIence a sIgnIfIcant cHange of conDItIon

4 become DIscHarge DestInatIon

4 reDuce reaDmIssIons

4 strengtHen referral relatIonsHIps

4 Detailed gap analysis and on-site implementation in 60 days

4Comprehensive quality and patient safety program

4Extensive multi-disciplinary clinical training and learning management system

4Quality database management for patient outcomes and reporting

4 Plant, supply, and equipment recommendations

4Tele-health clinical support

4Turn-key marketing solution

providesallevant

4 Improve patient outcomes 4 Improve patient and employee satisfaction4 Enhance clinical competencies of your staff4 Increase volume, revenues and profitability4 Add new clinical services and enhance outpatient services4 Stabilize census and staffing needs4 Create larger critical mass of operations to reduce variability and costs

to your organizationbenefIts

Critical Access Hospital Transitional Care Programs

experience developing* allevant clInIcal team’s

4 referrals from tertIary care to crItIcal access HospItal transItIonal care IncreaseD 500%

4 transItIonal care beD Days IncreaseD 200%

4 respIratory patIent Days IncreaseD 800% wItH transItIonal care

* Mayo Clinic Experience