Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:

Wednesday, August 2, 2017

Integrated Rehab Consultants Grows Revenue to $21 Million by Filling Critical Need in Skilled Nursing Facilities Physiatrist Oversight of Rehab Shortens Stay; Reduces Costs

Nowhere in here do they ever mention results. How many patients got 100% recovered? They may be making money but that doesn't mean the patients are getting what they want, which is 100% recovery.
Article ID: 678821
Released: 1-Aug-2017 12:05 PM EDT
Source Newsroom: PS Medical Marketing
Newswise — Chicago-based Integrated Rehab Consultants (IRC) has grown its gross revenue from $63,000 since its inception in 2010 to more than $21 million in just six years by providing physicians for rehab oversight to improve patient care and significantly reduce cost for patients and insurers.  IRC achieved profitability in its first year and each subsequent year while self-funding its own growth at an exponential pace:
Year               Revenue                   %growth
2010               $   63,000     
2011               1,197,000                  1,800%
2012               2,791,000                     133%
2013               5,145,000                     84%
2014               8,464,000                     64%
2015            15,898,000                      88%
2016   .        21,394,000                      34%
IRC is on track for gross revenue of $25 million for the year ending December 31, 2017.
Starting with just one physiatrist (rehabilitation physician) in Chicago in 2010, IRC now supplies 100+ physicians to 300+ high quality Skilled Nursing Facilities (SNFs) in 22 states coast-to-coast and CEO Amish Patel, DO, has his sights set even higher.
“Integrated Rehab Consultants’ growth has been totally self-funded to date,” Dr. Patel noted.  “However, we see a tremendous opportunity for additional growth and expansion into psychiatry using a similar business model.”
IRC is successfully filling a critical need in nursing care today. Increasingly, especially among older adults, insurance providers (including Medicare) are discharging patients who need short-term rehabilitation after a stroke or orthopedic surgery, such as a knee replacement, to SNFs, rather than more costly in-patient rehab facilities, to get them in shape before returning home.
According to MedPAC, the average stroke patient stay in a SNF costs $8,905, as opposed to $34,196 in an inpatient rehab facility.
However, many lower-cost SNFs do not have the highly qualified staff to direct the most efficient rehab for these patients. IRC fills the gap by providing physiatrists to oversee patient rehab. The physicians’ fees are covered by Medicare or other patient insurance.

Physiatrist Oversight Shortens Rehab Stay
When a physiatrist is involved to provide more frequent patient visits, focus exclusively on rehab and oversee a physical therapy plan, patients’ length of stay is decreased. According to a recent Coker Group study (2015), SNFs with an IRC physiatrist on staff lowered their average patient length of stay by 11 percent.
Discharging patients from SNFs more quickly pleases everyone: patients, facilities, hospitals and insurance providers. Families are happy to see loved ones come home, facilities are able to free up beds for more acute (and more profitable) patients, hospitals are seeing fewer re-admissions and insurers prefer the lower-cost option.
IRC, the largest provider of physiatrists to SNFs nationwide, was founded by Dr. Amish Patel, a board-certified, Chicago-based physiatrist. As a young physiatrist, he noticed more rehab patients going to SNFs as opposed to other care settings and found that the SNFs weren’t equipped to care for this type of patient. He contracted with other physiatrists across the country and matched them with SNFs to provide rehab oversight. He continues to treat patients in the Chicago area while serving as the company’s CEO.

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