Welcome. America’s Long Term Acute Care (LTAC) Hospitals. Timothy J. Rolsen Chief Executive Officer Regency Hospital Cleveland West Regency Hospital, Akron. My background: Prior Work Experience (20 Years) CEO - LTAC freestanding and HIH
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Timothy J. Rolsen
Chief Executive Officer
Regency Hospital Cleveland West
Regency Hospital, Akron
Prior Work Experience (20 Years)
What We Believe (Mission and Values)
About My Hospital in Cleveland, Ohio.
About All LTACH’s (freestanding vs. HIH)
About the Host Hospital in an HIH
Symbiotic Relationship with the Host Hospital.
Relationship between LTACH and SNF’s
Into the future with regulation
Regency Hospital is part of a large network of more than 120 specialized hospitals owned or operated by Select Medical.
108 of these hospitals are long-term acute carehospitals. The others are medical rehabilitationhospitals.
Regency Hospitals are part of Select Medical’s health care system of more
than 1,000 locations across the United States.
in the United States
15,000+patients in nearly 1,000 outpatient centers
…and more than 10,000people through our contract therapy sites (mostly skilled nursing homes).
All by the end of TODAY.
Our Mission Our Values How We Interact With Those We Serve
We deliver superior quality in all that we do.
We treat others as they would like to be treated.
We are results oriented and achieve our objectives.
We are team players.
We are resourceful in overcoming obstacles.
Introduce self and role... connect with everyone
Communicate what you will be doing
Ask/anticipate needs and concerns
Respond to requests
Select Medical will provide an exceptional
patient care experience
that promotes healing and recovery
in a compassionate environment.
1. We are a small hospital offering specialized care. We operate freestanding hospitals and hospital-within-a-hospital models.
2. Our patients are very sick and medically complex. Many of them are on mechanical ventilators.
3. Many of our patients have Chronic Critically Ill Syndrome.
4. These patients often barely survive ICUs (which stabilize them). For the next step of recovery, they require up to one month or longer of extended hospital care.
CMS expenditure increased from:
Decreases length of stay at STAC
Saves costs due to specialization in longer stay patients thus reducing supply costs and increasing efficiency.
LTAC monitors quality in this type of patient they serve.
5% Return to Host Rule
3 and 10 day “interrupted stay” rules
Medicare 25 Day LOS Rule
(will discuss under regulatory section.)
Nature of symbiotic relationship between general hospital (Short-Term Acute Care) and a Hospital-Within-a-Hospital (HIH)
We work together to assist Short Term Acute Care Hospital with readmit measure. (Penalties involved here).
The sequence is generally STACH LTACH SNF for our type of patient (Chronically Critically Ill). However, if patients become too acute then LTACH physicians can admit directly from SNF.