PEL/VIP is Fixing Healthcare

• We have contracts with over 400 SNF centers in 7 states

• We provide weekly RT support in over 200 centers

• We run our Re-Hospitalization Intervention

• Program (RHIP) in over 120 Centers

• We run In-Patient Pulmonary Rehab Programs in over 40 Centers

• Provide Comprehensive Respiratory Services for all levels of PAC Care

• Forge Partnerships with PACs by Providing: Education, Assessments & Recommendations, Standards of Care & Cost Saving Measures, Quality Measures

• Increase Census Development with niche services targeting reduction of unplanned discharges

• * Hospitals

• * PAC (nursing adjunct, disease management, therapy, EQ-supplies)

• * CCRC

• * Out Patient Therapy

• *Equipment/Safety in Home

• *DME

• Home Health

• Resident Assessment by a Licensed RT

• Setup Equipment and Supplies

• Education of Staff/Skills check-offs

• Disease Management Programs:

• Re-Hospitalization Intervention Program

• In-Patient Pulmonary Rehab

• Ventilator Unit Consulting & Outsourcing

• Staffing Licensed RTs in SNFs

• Provide Equipment Compliance Program

Two types of Patients:

1. Skilled Patients requiring therapy (Med A, private pay payer source)

2. Patients requiring round the clock nursing care (Med B, Medicaid, private Insurance, private pay)

• Medicare A patient with 3 noc hospital stay (patient eligible for 100 days in SNF)

• MD writes an order for SNF Care

After patient reaches 100 days they may still need round the clock nursing care (ADL’s) they become a resident of center

• MDS pay for performance service (PPS) put respiratory therapy is under Nursing for reimbursement

• PT, OT, SLP, Nursing have direct reimbursement

• 2000’s PEL developed RT consulting in SNF’s (Assessments, In-Services, Trach Changes, Equipment Setups)

• 2005’s PEL developed disease management programs (Pulmonary Rehab, Re-Hospitalization Intervention Program)

• 2010’s PEL developed oxygen sales, equipment rental and sale, supplies, equipment compliance

• 2015’s PEL expanding our respiratory support (ACO’s, RT training, CMI Reimbursement)

Disease Management Patients:

• PR

• RHIP (Pneumonia, CHF, COPD)

Disease Management Patients:

• One Time Assessment (maybe more depending upon situation)

• Equipment Setup

• Scoring Tools to gauge risk of recidivism

• Care Pathways and Nursing Tasks based on acuity for each patient

• Respiratory to assess, care plan, educate, assist with discharge

• Monthly Outcome Reports for each PAC running program (RT will be emailed on monthly results)

• Monthly Referral Report Summary

• Disease Process

• Referral Source

• Risk for Re- Hospitalization

• Payor Source

• Length of Stay

• Used for every Initial Assessment

• Used for all Disease management programs except (Orthopnea program)

• To assist Centers in capturing Care Mix Index (CMI) for patients with COPD and their inability to lay Flat

• New Program, not in very many centers