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.