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    Barney Rehab Business Overview Final Barney Rehab Business Overview Final Document Transcript

    • Barney
Rehabilitation
Hospital
 Business
Overview
 Voorhees,
Nj
 

    • 
 
 
 
 
 
 OUR VISION 
 
 
 The
vision
of
Barney
Rehab
Hospital
is
to
provide
a
clinically
integrated
continuum
 of
post‐acute
care
resulting
in
people
regaining
their
lives.
It
is
the
policy
of
Barney
 Rehabilitation
Hospital
that
all
team
members
will
act
in
a
manner
consistent
with
 the
mission,
philosophy
and
operating
policies
of
the
Hospital.

 
 In
accordance
with
these
principles
and
policies,
team
members
will:
Show
respect
 for
the
dignity
of
the
individual
whether
patient,
family
member,
co‐worker,
client
 or
any
other
person.

 
 Provide
the
highest
quality
clinical
and
customer‐related
services
Demonstrate
 fairness
and
honesty
in
all
interactions
with
the
public.
Adhere
to
their
professional
 codes
and
practice
guidelines.

 
 Provide
an
accurate
portrayal
of
the
services
and
outcomes
of
the
program.
Be
 ethical
in
all
marketing
and
public
relations
activities.
 
 

    • 
 
 Introduction
 
 Voorhees Township located in Camden County, New Jersey is less than 20 miles east of Philadelphia, and midway between New York and Washington, D.C. The community is very welcoming to new business making it ideal for business growth and potential in an expanding economy. The population in Voorhees is about 29,000 with about 4,600 in the over 65 group. Camden County has a population of about 520,000 with 65,000 over 65 years of age. There are over 10 senior living centers in Voorhees but the community is lacking a physical rehabilitation hospital to meet the needs of this growing elder population. The “Baby Boomers” are just beginning to enter our senior age group and within just a few years the over 65 group will be the major group in the United States. In fact, seniors will double in numbers within the next twenty years. Business Overview: Patients expect and deserve quality medical care. Physicians, by nature, want what is best for their patients. With the advent of specialty hospitals, physicians can own, run, and control a superior center designed to deliver the highest quality health care. Neurosurgeons who manage their own hospital may set the standards for medical excellence, with patient satisfaction as their primary focus. Only a few generations ago, physician-owned hospitals were common. Sadly, communities all over the United States haven’t enough hospitals to accommodate the growing demands of the geriatric patient. Perhaps the most significant specialty hospital to meet the needs of the geriatric population is a physical rehabilitation hospital. Voorhees does not have a rehabilitation hospital within the community. Now is the time to plan and establish such a facility.
    • Community Leaders in Voorhees are very supportive of a rehabilitation hospital and have assured us they will lend a hand in any way necessary to bring the hospital to the community. Physicians have expressed to us the need for rehabilitation services and are looking forward to a hospital for their patients. While an adult physical rehabilitation hospital treats the needs of all adult patients, the geriatric population makes up about 95% of the patients treated in a rehab hospital. This is easy to understand when we realize that rehabilitation diagnoses are often associated with illnesses and incidents that occur, as we get older. For instance strokes, amputations, fractures of femurs, poly arthritis and traumatic brain injuries are just a few of the diagnostic categories that are treated in a rehabilitation hospital. The professionals working in the hospital include physicians, physical therapists, occupational therapists, speech pathologists, social services, psychologists, and recreational therapists. These groups of professionals work together as a multidisciplinary team to treat the patient. Their goal is to provide integrated care to disabled individuals in order to assist these individuals in reaching the highest functional level of independence and return the patient to a quality life. It is very important to the community to establish a physical rehabilitation hospital in Voorhees. The hospital will also provide an outpatient department to offer a continuum of care for the patient after they have been discharged from the hospital. This is very important to total patient care and maintenance. A Wellness Program for all seniors within the community has been planned. This program will assist geriatrics in maintaining a healthy and independent lifestyle. The hospital is also planning to offer a Traumatic Brain Injury Unit. This unit will specialize in treating the patient that has sustained a closed head injury. We are very excited about this facility and expect that the hospital will become a regional hub for the treatment of these injuries. We anticipate hiring around 150 employees to support hospital services. Many of these employees are medical professionals and will certainly add to the economy. Community members that we have been in contact with are looking forward to not only the hospital providing a much-needed service but also creating additional jobs in the area. We have an obligation to ensure that health care services like rehabilitation are available to all who need these specialized services but specially our seniors in Voorhees and surrounding areas. This hospital will provide these services. However, given the current economic situation as well as the approval of health care reform as of Dec 2009. The New Inpatient Rehab hospital development will presents us with an opportunity to integrate the full range of acute, post-acute, and senior care across a major market. This innovative approach is in alignment with the intent of the new Obama healthcare reform initiatives to improve the quality and efficiency of care at all types of inpatient facilities
    • Anuschka Healthcare Group Barney Rehabilitation Hospital has partner with Anuschka Group for the management and operational services for the hospital. Established in 1998, Anuschka Group, Inc. has been a leading provider of physical rehabilitation program management services in hospitals, skilled nursing facilities and other long-term care facilities throughout the United States. We also own and operate a total of 50 rehabilitation and long-term acute care hospitals. Our Skilled Nursing Rehabilitation Services division serves skilled nursing and other long-term care facilities, and outpatient care facilities by providing and managing therapy services for both the short-stay patient and long-term care resident. The division also provides consulting and billing services for long-term care providers as well as therapy/nurse staffing solutions for the state of Texas and Louisiana through Amed Medical Staffing Services. Our Hospital Rehabilitation Services division manages hospital-based inpatient rehabilitation facilities (IRFs), medical/surgical therapies and outpatient therapy programs. Within our Hospital division, we own and operate freestanding IRFs and long-term acute care hospitals through joint venture partnerships with market leading acute care providers. Anuschka Healthcare Group, help hospitals identify strategies to drive efficiencies, increase revenue and achieve clinical excellence across their post-acute continuum of care, from med/surg therapies and transitional care to IRF and outpatient rehabilitation services. We have a demonstrated ability to help hospitals adapt and thrive in an ever-changing reimbursement environment.
    • Anuschka Healthcare Group, LLC provides program and care management services across the post-acute continuum of care. Our scope of expertise and unique model of care coordination ensure the seamless transition of patients to the right level of care, at the right time, with superior outcomes. 
 
 BUSINESS MODELS Our flexible business models offer an array of collaborative opportunities for our clients' evolving post-acute needs. Program Management Services We provide solutions for hospitals, skilled nursing facilities and other healthcare providers looking to optimize vacant space, free up acute care beds, fill an unmet need for therapy services or improve performance in an existing rehabilitation program through full-service, staffing or management only agreements. Joint Ownership Agreements Through joint venture partnerships, we allow healthcare providers to take advantage of our clinical and management expertise to create innovative programs for their market, while sharing the risks. Our joint venture relationships typically result in the development of freestanding facilities. Consulting Services We have the expertise to provide analysis and action planning on a consulting basis or to provide remote management when necessary.
    • What Will Sets Us Apart 
 
 
 
 Our People BRH will recruits and retains the nation’s top rehabilitation professionals who are driven by our vision of helping people regain their lives and daily exercise our core values of excellence, integrity, teamwork and fun. We back our employees with competitive compensation and benefits, advanced training, educational offerings and professional development support. State-of-the-Art Technology Through Palm® technology and our web-based patient tracking system, our rehab programs are able to provide real-time data on patient functional improvements, program demographics, satisfaction levels, sources of referral and key performance measures.
    • Electronic data transfer also results in full Medicare compliance with accurate and timely billing and reporting. Evidence-Based Practices We will implement only the evidence -based programs with Clinical Practice Guidelines for patient diagnoses such as stroke, brain injury, spinal cord injury and Parkinson’s disease. The guidelines, founded on evidence-based practices, standardize and enhance the quality of patient care we deliver across the continuum of care while helping improve Out comes and reduce costs. They also serve as validation and groundwork for our specialty programs. Dennis While the healthcare industry has historically fared better than others during economic downturns, recessionary pressures can have far-reaching effects on a company’s ability to raise additional capital. In contrast, our strong capital position enhances our competitive advantage in a challenging market by giving us greater flexibility with potential partners searching for solutions to economic constraints and allowing us to continue to evaluate growth opportunities. It also finances our investments in technologies that enable further efficiencies and keep us on the cutting edge. An IT Roadmap Government efforts to reduce healthcare costs will continue to challenge us to develop more efficient and innovative ways to deliver care. As technology takes a central role in emerging discussions on healthcare reform, we once again are positioning ourselves at the technology forefront. We will be advancing to the next generation in point-of-care technology. We also will be upgrading our therapy management system with a web-based platform that offers important new functionalities, including integrated labor management, an online patient scheduler, and an insurance verification and authorization tool. These enhancements are part of an IT roadmap we’ve outlined to further automate, streamline and standardize the processes that drive our business. Positioning for Growth In 2011, the first wave of Baby Boomers will enter Medicare, significantly increasing demand for the restorative, self-sustaining treatment we provide. Our efforts will continue to center on meeting this growing demand by executing the long-range strategic plan that has guided us over the past few years. Our plan, together with a healthy balance sheet and an expanding post-acute market, create opportunity for our continued growth and prosperity. 
 
 
 

    • 
 
 
 Advanced
Treatment
and
Tracking
 BRH with Anuschka Healthcare Group is an industry leader in the use of technology to document therapy. Using Palm®* technology and our proprietary reporting system, we provide: • Real-time treatment data • Frequent, multi-level reports to assist you in making prompt, proactive decisions • Electronic data transfer to most billing systems Clinical Programming Wiihabilitation The Wii, Nintendo’s sports-themed package of virtual reality games, is becoming an ever more important tool in rehabilitation. Wiihabilitation clinical guidelines explain how the Wii can be reasonably incorporated into Therapy while fulfilling the requirements for medical necessity, and provide recommended Medicare billing codes for the activities. Moving Forward Moving forward is a series of educational material for BRH patient diagnoses, providing patients and families with a diagnosis overview and Information on bowel and bladder management, diet and exercise, sexuality, travel and resources, as they relate to their illness or injury.
    • 
 
 
 
 
 
 
 Facilities/Programs

 Our
professional
staff
at
BRH
with
its
years
of
 management
and
clinical
experience
will
assist
in
 establish
the
following
programs:
 Inpatient
Rehab
Facilities
 Inpatient
Rehab
Units
 Comprehensive
Outpatient
Rehab
Facilities
 Therapy
Services
 Acute
Care
Facilities
 Geriatric
Psychiatric
Hospital/Unit
 Intensive
Outpatient
Program
 Hospice
 Rural
Health
Clinics
 Skilled
Nursing
 Residential
Care
Facilities


    • Inpatient
Rehabilitation
Facility
(IRF)
 IRF’S
are
specialty
hospitals
that
treat
patients
who
have
sustained
a
debilitating
 injury
or
illness.
Their
goal
is
for
the
patient
to
achieve
the
most
independent
and
 productive
lifestyle
possible.
Whether
you
want
to
build
a
new
Physical
 Rehabilitation
Hospital
or
wish
to
expand
and/or
enhance
the
performance
of
your
 current
services,
BRH
will
assist
you
in
taking
the
right
route
to
provide
the
highest
 quality
service
in
the
most
cost
effective
manner
to
patients,
physicians,
and
your
 community.

 
 Patient
Profile
 Our
Physical
Rehabilitation
programs
offer
the
unique
benefits
of
interdisciplinary
 care
to
patients
with
disabling
conditions,
such
as:
 Stroke
 Brain
injury
 Spinal
cord
injury
 Arthritis
 Congenital
deformity
 Neurological
disorders
 Amputation
 Burns
 Major
multiple
trauma
 Joint
replacement
 Hip
fracture
 
 
 
 

    • Services
Offered
 Inpatient
rehabilitation
benefits
patients
who
are
able
to
tolerate
intensive
therapy
 and
who
can
expect
to
improve
their
condition.
Our
team
of
rehabilitation
 professionals
helps
you
provide
services
that
include:
 
 
Physician
Physiatrist/Rehab
Trained
 Psychology
 Rehabilitation
Nursing
 Speech/Language
Pathology
 Physical
Therapy
 Social
Work
 Occupational
Therapy
 Case
Management
 
 
 























 
 
 
 
 

    • 
 Comprehensive
Outpatient
Rehabilitation
Facility
(CORF)
 A CORF is a medical facility established and operated exclusively for the purpose of providing diagnostic, therapeutic, and restorative services for the rehabilitation of injured, disabled, or sick persons, at a single fixed location, by or under the supervision of a physician. CORF’S have nine different billing codes as compared to three for a typical Outpatient Therapy Department. 
 Covered
items
and
services
at
a
CORF
include:

 Doctors’
services

 Physical,
occupational,
and
respiratory
therapy,
and
speech‐language
pathology
 services

 Prosthetic
and
orthotic
devices,
including
testing,
fitting,
or
training
in
the
use
of
 these
devices

 Social
and
psychological
services

 Nursing
care
provided
by
or
under
the
supervision
of
a
registered
professional
 nurse

 Drugs
and
biological
that
you
cannot
give
yourself

 Supplies
and
durable
medical
equipment

 

 
 





Facility
Benefits
 
 Let
BRH
show
you
how
you
will
experience
one
or
all
of
the
following:

 
 Improved
continuity
and
quality
of
care
 Improved
productivity
 Increased
patient
and
physician
satisfaction
 Enhanced
profitability
 Improved
program
development

 
 



























 
 
 

    • Outpatient
Therapy
Services
(ORF)
 


























































 AN
Outpatient
Therapy
Department
provides
comprehensive
services
for
 patients
of
all
ages
in
a
wide
variety
of
settings,
including
hospitals,
nursing
 centers,
medical
specialty
units,
and
other
health
care
providers.
 A
Therapy
Services
Program
covers
all
aspects
of
management,
from
 administration
through
the
actual
delivery
of
services.
We
develop
your
Program
 with
sensitivity
to
the
financial,
regulatory,
and
reimbursement
issues
relating
to
 therapy
in
your
community
and
state.


 
 Therapy
Services
Programs
are
designed
to
help
patients
gain
maximum
 independence
and
make
a
successful
transition
to
everyday
life.
 
 Specific
services
include:
 Physical
Therapy

 Recreational
Therapy
 Occupational
Therapy

 Social
Work
 Speech/Language
Pathology
 Community
Education
Coordinator
 
 
 
 
 
 
 

 
 
 

























 

    • 
 Acute
Care/General
Hospital
 An
Acute
Care
Hospital
offers
short‐term
care
to
its
patients.
Acute
Care
Hospitals
 strive
to
provide
quality
services
with
positive
patient
outcomes.

Cost
effectiveness
 is
very
important
to
the
delivery
of
services.

Most
hospitals
offer
comprehensive
 services
and
a
continuum
of
care
to
meet
the
needs
of
the
communities
they
serve.
 Medical
Services
may
include:
 Emergency
Department
 General
Surgery
 Radiology/Imaging
 Laboratory
 Physical
Therapy

 Nursing
Services
 Pharmacy
 Respiratory
 
 
 
 
 
 

    • Investment Highlights Summary 
 
 For
more
information
on
partnering
with
BRH,
contact:
Cleo
Kirkland,
CFO
at
 ckdranch@aol.com
Cell:
601­585­3153.
 
 We are also accepting EB5 investors 
 
 
 
 
 
 When
you
partner
with
us,
you
will
experience
 


 
 Barney
Rehabilitation
Hospital
along
with
Anuschka
Healthcare
Group
who
 specializes
in
partnering
with
healthcare
providers
to
deliver
valuable,
 innovative
programs
that
meet
the
needs
of
the
community.


 
 In
our
more
than
27
years,
we
have
continually
demonstrated
our
expertise
in
 anticipating
and
adapting
to
changes
and
opportunities
in
the
marketplace,
 while
helping
our
clients
deliver
the
highest
quality
rehabilitation
services
for
 their
patients.


    • 
 
 
 11 
 2010
HEALTCHARE
IMPACTS
 
 New Jobs Through Better Health Care Health Care Reform Could Boost Employment by 250,000 to 400,000 a Year this Decade David Cutler Center for American Progress Neeraj Sood Leonard D. Schaeffer Center for Health Policy and Economics January 9, 2010 Proactive management will be key to health system Survival in 2010, experts say January 05, 2010 | Diana Manos, Senior Editor
    • Medicare to adjust payments to Rehab facilities August 01, 2008 | Bernie Monegain, Contributing Editor WASHINGTON – The Centers for Medicare & Medicaid Services set new nursing home payment rates for 2009 and issued a final rule to on payment for services for people who need the intensive rehabilitation services provided by Inpatient Rehabilitation Facilities, or IRFs. The final rule on rehabilitation payments will appear in the August 8 Federal Register and will be effective for fiscal year 2009, beginning Oct. 1, 2008. Rehabilitation patients are recovering from serious illnesses or injuries, such as stroke, spinal cord injuries, severe burns and amputations. There are currently more than 1,200 facilities that are paid as IRFs. Medicare payment rates to nursing homes will increase by $780 million next year, CMS officials announced. The change is the result of a 3.4 percent increase in the annual market basket calculation of the cost of goods and services included in a skilled nursing facility stay. CMS projects that Medicare payments to inpatient rehabilitation facilities under the final rule will be approximately $5.6 billion in fiscal year 2009.
    • "The payment rates and policies adopted in this final rule will make it possible for beneficiaries who are severely impaired by illness or injury, but who are able to participate in an intensive program of rehabilitation, to obtain high quality care in an inpatient setting," said CMS Acting Administrator Kerry Weems. Since 2002, Medicare has paid rehabilitation hospitals and rehabilitation units in acute care hospitals for inpatient stays under the IRF prospective payment system. Under this system, patients are classified into case-mix groups, taking into account the patient's physical and cognitive status. Medicare establishes a weight for each case-mix group based on the average resources required for treating a patient in that group. Medicare makes a single payment to the facility based on a base rate, which is updated annually for inflation. The base rate is further adjusted to account for specific characteristics and the location of the facility. The payment rates set by the IRF for rehabilitation therapy services are higher than would be paid for services in other settings, such as hospital outpatient departments, skilled nursing facilities or in the home health setting, because these patients have more severe and more complex medical conditions that need more intensive and coordinated rehabilitation services. The final rule sets the inflation update for the standard federal rate at zero percent for 2009. "The rule CMS is adopting today will help to ensure that people with Medicare have access to rehabilitation services that are appropriate to their medical conditions, and that will help them reach their maximum level of recovery as quickly as possible," said Weems.