Oasis Point Rehabilitation Hospital

"Hi, I'm [Your Name] with Oasis Point Rehabilitation Hospital. I'm your dedicated liaison for both our Hammond and Gretna facilities. I wanted to introduce myself and learn a bit about your discharge planning process for patients who might benefit from intensive rehabilitation. Our IRFs specialize in helping patients with complex needs who require at least 3 hours of therapy daily and physician oversight. We're particularly strong with stroke recovery, neurological conditions, complex orthopedic cases, and patients needing intensive therapy after prolonged hospitalizations. I'd love to be a resource for you. When you have patients who might be appropriate for IRF-level care, I can provide quick evaluations – we typically respond within 30 minutes and make admission decisions within a few hours. I understand the pressure you're under to move patients efficiently while ensuring they get the right level of care. Would it be helpful if I shared our admission criteria and some outcomes data that shows how our patients typically progress? And what's the best way for me to stay in touch – would you prefer regular rounding visits, email updates about our program, or something else?"

"I understand the frustration with insurance authorizations for IRF care. Our team has extensive experience working with Medicare Advantage and commercial payers to get appropriate authorizations. When you have a patient who clinically needs IRF but is facing insurance barriers, please call me directly. We have several strategies that can help: First, our admissions team knows exactly what documentation each major insurer requires. We can guide you on what specific language and assessments will strengthen the case. Second, our medical director can speak directly with the insurance medical director when needed for peer-to-peer reviews. This physician-to-physician conversation often resolves denials. Third, we track our success rates with different insurers and know which approaches work best with each one. Would it help if I provided a quick reference guide for the documentation requirements of the major insurers you work with? And for this specific patient, I'm happy to reach out to our admissions team right now to start the process."

"I know you have to consider multiple post-acute options for each patient. Let me highlight the key differences between our IRF and a typical SNF, so you can identify which patients would benefit most from our level of care: 1. Therapy Intensity: Our patients receive at least 3 hours of therapy daily, compared to 1-1.5 hours in a SNF. This intensity often means faster recovery and shorter overall stays. 2. Physician Involvement: Our patients see a rehabilitation physician daily, while SNF patients might see a physician once every 30 days. This medical oversight allows us to manage more complex patients safely. 3. Specialized Nursing: Our nurses have lower patient ratios and specialized training in rehabilitation, allowing for better management of medical complexities alongside intensive therapy. 4. Advanced Technology: We offer specialized equipment like robotic gait training and computer-assisted therapy devices that most SNFs don't have access to. 5. Outcomes: Our patients are more likely to return home (70% community discharge rate vs. about 50% from SNFs) and have lower hospital readmission rates. The ideal IRF candidate is someone who needs intensive rehabilitation, has the stamina for 3 hours of daily therapy, and has potential to make significant functional gains in a relatively short time frame. For example, a stroke patient with moderate deficits, a complex orthopedic case, or someone who's deconditioned after a lengthy hospitalization but was independent before."

"Dr. [Name], thank you for taking a few minutes to meet with me. I know your time is valuable, so I'll be brief. I'm with Oasis Point Rehabilitation Hospital, and I wanted to share some specific outcomes data about our stroke rehabilitation program that might interest you. Our IRFs in Hammond and Gretna have specialized stroke recovery protocols that have shown excellent results. For moderate to severe stroke patients, we're seeing an average FIM gain of 28 points during their stay, with 65% returning directly home rather than to institutional care. Our average length of stay for stroke patients is 14 days, and our 30-day readmission rate is just 8%, well below the national average. What makes our program different is our combination of high-intensity therapy and advanced technology. We utilize robotic gait training and upper extremity robotics that allow for hundreds more repetitions per session than conventional therapy alone. Our research shows this leads to faster neuroplasticity and better functional outcomes. We also have a stroke-specific physician communication protocol – we send you updates at admission, midpoint, and discharge so you stay informed about your patient's progress without having to chase down information. Would it be helpful if I left this one-page summary of our stroke outcomes data? And is there anything specific about our program you'd like to know more about?"

"Dr. [Name], I appreciate you taking a moment to speak with me. I'm with Oasis Point Rehabilitation Hospital, and I wanted to briefly share how our orthopedic rehabilitation program might benefit your more complex joint replacement and fracture patients. For patients who aren't appropriate for home discharge – perhaps those with multiple comorbidities, limited home support, or complex fractures – our program offers several advantages: First, we have specialized protocols for total joint replacements, complex fractures, and revision surgeries that focus on rapid mobilization and pain management. Our orthopedic patients typically achieve independence in mobility and self-care within 10-12 days. Second, we have rehabilitation physicians who round daily and can manage medical complexities while focusing on your surgical site protocols. They're experienced with anticoagulation management, pain control, and wound care. Third, we have advanced weight-bearing simulation equipment that allows patients to safely progress even when they have weight-bearing restrictions. Most importantly, we respect your protocols. If you specify certain ROM limitations or weight-bearing status, our team follows those precisely and documents compliance. Would it be helpful to have my contact information for your office staff when they have patients who might need this level of care? And would you like me to coordinate a tour of our therapy gym so you can see our equipment firsthand?"

"Dr. [Name], thank you for meeting with me briefly. I'm with Oasis Point Rehabilitation Hospital, and I wanted to introduce our services as a resource for your patients who may need intensive rehabilitation. As a primary care physician, you often coordinate care across the continuum. We can be a valuable partner when your patients experience functional decline that can't be adequately addressed in home health or outpatient therapy. For example, if you have an elderly patient who's had a recent hospitalization and is now struggling at home – perhaps with multiple falls, significant weakness, or inability to perform ADLs – our IRF can provide a short, intensive rehabilitation stay that often restores function and independence. What sets us apart is our physician-led model with daily physician rounds, our intensive therapy program with at least 3 hours of therapy daily, and our ability to manage medical complexities during rehabilitation. We also prioritize communication with referring physicians. You'll receive admission, weekly progress, and discharge reports, and our physicians are available for direct consultation about your patients. Would it be helpful if I left some information about our admission criteria and contact information? And is there a particular type of patient you find challenging to place that I might be able to help with?"

"Hello [Name], I'm [Your Name] with Oasis Point Rehabilitation Hospital. I wanted to introduce myself and discuss how we can collaborate to provide seamless care for dialysis patients who need intensive rehabilitation. Our IRF specializes in helping medically complex patients, including those requiring ongoing dialysis during their rehabilitation stay. We've developed a streamlined process to ensure patients maintain their dialysis schedule while participating in our intensive therapy program. What makes our approach unique is our dedicated transportation system and flexible therapy scheduling that accommodates dialysis appointments. We coordinate directly with dialysis centers to minimize disruption to established treatment schedules and ensure continuity of care. For dialysis patients who have experienced functional decline, perhaps after hospitalization or due to progressive weakness, our intensive rehabilitation program can significantly improve their independence and quality of life. We focus on energy conservation techniques, strengthening, and adaptive strategies specifically designed for dialysis patients. I'd love to learn more about your center and discuss how we might work together to serve this patient population. Would you have time for a brief meeting in the coming weeks? I'm also happy to provide you with our admission criteria and some case studies of dialysis patients who have successfully completed our program."

"Hi [Name], I'm [Your Name] with Oasis Point Rehabilitation Hospital. I wanted to connect with you as the nurse manager because you have valuable insights into which of your dialysis patients might benefit from intensive rehabilitation. We've found that dialysis patients often experience functional decline that can significantly impact their independence and quality of life. Our intensive rehabilitation program can help address these issues through: 1. Specialized therapy protocols designed for the unique needs of dialysis patients, including energy conservation techniques and strengthening programs timed around their dialysis schedule 2. Seamless coordination with your center to maintain established dialysis appointments, including dedicated transportation and flexible therapy scheduling 3. Comprehensive education for patients and caregivers on managing daily activities while accommodating dialysis requirements 4. Rehabilitation physicians who understand the complexities of ESRD and can manage medications and comorbidities appropriately You likely see patients who are struggling with mobility, experiencing falls, or having difficulty with daily activities. These patients might benefit from a short, intensive rehabilitation stay to improve their function and independence. Would it be helpful if I provided some simple screening criteria to help identify which patients might be appropriate candidates for our program? And I'm happy to answer any questions you have about our admission process or how we coordinate care with dialysis centers."

"I understand your concern about maintaining the established dialysis schedule for your patients during their rehabilitation stay. Let me explain our coordination process that ensures continuity of care: First, we prioritize keeping patients on their existing dialysis schedule whenever possible. We believe maintaining this routine is important for both medical stability and patient comfort. Second, we have dedicated transportation services with trained staff who understand the needs of dialysis patients. They ensure timely arrival and pickup from your facility, and they're trained to monitor patients during transport. Third, our therapy team builds the rehabilitation schedule around dialysis appointments. We adjust therapy intensity on dialysis days to account for fatigue, while still ensuring patients receive their full complement of therapy across the week. Fourth, our nursing team coordinates closely with your staff, sharing vital information about the patient's status before and after dialysis sessions. We have a standardized communication tool that travels with the patient to ensure important information is exchanged. Finally, we have protocols for managing common issues like access site care, post-dialysis monitoring, and fluid balance management during intensive therapy. Would it be helpful to establish a primary contact person at your center who could work with our care coordinator to streamline this process? We find that having designated points of contact improves communication significantly."

"Hello [Name], I'm [Your Name] with Oasis Point Rehabilitation Hospital. I wanted to introduce myself and discuss how our IRF can be a valuable next step for appropriate LTAC patients who are medically stabilizing but need intensive rehabilitation to regain function. We understand the unique challenges of transitioning complex patients from LTAC to rehabilitation settings. Our program is specifically designed to bridge this gap with: 1. Physician-led care with daily rounds to manage ongoing medical complexities 2. Specialized nursing staff trained in both medical management and rehabilitation principles 3. Intensive therapy programs (minimum 3 hours daily) that can be modified based on medical needs 4. Ability to continue complex treatments including wound VAC therapy, IV medications, and complex respiratory care 5. Comprehensive case management to ensure smooth transitions and appropriate discharge planning We've had excellent success with patients transitioning from LTAC settings, particularly those recovering from critical illness, complex surgical cases, and prolonged hospitalizations. Our outcomes data shows that appropriate LTAC transfers to our IRF have a 65% rate of return to community settings, compared to the national average of approximately 50%. I'd love to learn more about your facility and patient population, and discuss how we might collaborate to create optimal patient pathways. Would you have time for a brief meeting in the coming weeks? I'm also happy to provide our admission criteria and some case studies of successful LTAC-to-IRF transitions."

"Dr. [Name], thank you for taking a few minutes to speak with me. I'm with Oasis Point Rehabilitation Hospital, and I wanted to discuss how our IRF might serve as an appropriate next level of care for select patients completing their LTAC stay. We recognize that LTAC physicians are managing extremely complex patients, and we've developed specific protocols to safely transition appropriate patients to intensive rehabilitation while maintaining medical stability. Our program offers: 1. Daily physician rounds by rehabilitation specialists who are also comfortable managing medical complexities 2. Capability to continue complex medical treatments including IV antibiotics, wound care, and respiratory support 3. Intensive therapy programs that can be modified based on medical status while still meeting the 3-hour requirement 4. Specialized nursing with lower patient ratios than typical rehabilitation settings 5. Comprehensive communication protocols to ensure continuity of care during transitions The ideal candidates from your setting would be patients who are medically stabilizing but have significant functional deficits that require intensive rehabilitation before they can safely return home or to a lower level of care. Examples include patients recovering from critical illness myopathy/neuropathy, prolonged ventilation who have successfully weaned, or complex surgical cases with prolonged recovery. Would it be helpful if I shared our specific admission criteria and some case studies of successful LTAC-to-IRF transitions? I'm also interested in learning more about the types of patients you find challenging to place after LTAC care."

"I understand your concern about ensuring smooth transitions for complex patients moving from LTAC to our rehabilitation hospital. Let me explain our comprehensive transition process: First, our evaluation begins with a thorough review of the patient's medical record and a face-to-face assessment by our clinical liaison, who has extensive experience with complex medical patients. This allows us to identify any potential issues before transfer. Second, we coordinate a detailed handoff between our physician and your LTAC physician to ensure continuity of the medical plan. This includes medication reconciliation, ongoing treatment plans, and specific precautions or monitoring requirements. Third, we have a specialized admission protocol for LTAC transfers that includes more frequent vital sign monitoring, comprehensive nursing assessment, and a physician evaluation within hours of arrival. Fourth, our therapy team conducts a staged evaluation process that respects medical limitations while establishing a baseline for rehabilitation planning. Fifth, our case management team begins discharge planning immediately, ensuring that we're working toward appropriate post-IRF placement from day one. We've found that this structured approach minimizes complications during transitions and allows us to quickly identify and address any issues that arise. Our readmission rate for LTAC transfers is less than 10%, which we attribute to this careful transition process. Would it be helpful to establish a regular meeting between our teams to review potential candidates and refine our transition process? We've found that ongoing collaboration leads to better outcomes for these complex patients."

"Hi [Name], I'm [Your Name] with Oasis Point Rehabilitation Hospital. I wanted to connect with you as the therapy director because I believe we can be complementary partners in the post-acute care continuum. We recognize that SNFs provide excellent care for many patients, but occasionally you may have patients who aren't progressing as expected or who need a higher level of therapy intensity than the SNF setting can provide. These patients might benefit from a short stay at our IRF, where they can receive: 1. At least 3 hours of therapy daily, allowing for more intensive intervention 2. Advanced technology like robotic gait training that may help overcome plateaus 3. Specialized therapy protocols for complex neurological and orthopedic conditions 4. Daily physician oversight to address medical issues that might be limiting therapy progress After completing our program, these patients often can return home safely, or they might return to your facility at a higher functional level to continue their recovery. We see our relationship as collaborative rather than competitive – we serve different patient populations with different needs, and together we can ensure patients receive the right care in the right setting. Would it be helpful if I shared some clinical indicators that might help identify patients who would benefit from a higher level of care? And I'd be interested in learning more about your specialty programs so I can make appropriate referrals to your facility when patients need SNF-level care."

"Hello [Name], I'm [Your Name] with Oasis Point Rehabilitation Hospital. I wanted to meet with you to discuss how we might establish a bidirectional referral relationship that benefits our patients. We see home health agencies as essential partners in the care continuum. You're often the first to identify when patients need a higher level of care, and you're also critical to continuing the progress patients make during their IRF stay. From our perspective, there are two key opportunities for collaboration: First, when you have patients who aren't progressing as expected with home health – perhaps they're experiencing falls, unable to safely perform ADLs, or plateauing in therapy – our IRF can provide a short, intensive intervention to improve their function and safety. After completing our program, these patients would likely return to home health to continue their recovery. Second, when our patients discharge home, they often need continued therapy and nursing support. We want to ensure smooth transitions by connecting them with high-quality home health providers like your agency. What makes this relationship work well is clear communication and understanding of each other's capabilities. We'd like to establish a streamlined referral process in both directions and regular communication about shared patients. Would it be helpful to schedule a meeting between our clinical teams to discuss specific patient profiles and establish referral protocols? And I'd love to learn more about your specialty programs so we can make appropriate referrals."