2. 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.
3.
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.
4. 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
5. 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.
6. 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.
7. 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.
8. 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.
9.
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.
10.
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
13.
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
14. 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
16. 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.
17.
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
18. 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.
19. "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.
