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If you wouldn't mind sharing, what is your conversion rate of referrals to

admissions for your IRF/IRU?

A presenter at AMRPA said that it should be 60-70%.

In our best years, it was only 50-60% and last year it was only 30%.

When you calculate your conversion rate do you back out any numbers? For

example, do you factor in or out the patients who you would have admitted but

they chose another facility or insurance wouldn't authorize? In other words,

you did not reject them and they would have been converted. Sorry if I'm not

clear on this. Feel free to call me to further discuss.

Thank you in advance for sharing!

Lori Stoddart, OTRL

Inpatient Therapy Manager

Physical Rehabilitation Services

Henry Ford Wyandotte Hospital

2333 Biddle Avenue

Wyandotte, MI 48192

734/246-8963

lstodda1@...

[cid:image003.jpg@...]

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Hi Angie,

thanks so much for the prompt reply and the very thorough and helpful

information! You make some very good points and mentioned some items that we

need to take a closer look. Our admission coordinators do tend to rule on the

conservative side.

If you don't mind I may contact you to further discuss. I want to share your

e-mail with our Rehab Administrator and compile our questions.

Thanks again!

Lori

________________________________

From: PTManager [PTManager ] On Behalf Of Angie

[images.angie@...]

Sent: Thursday, January 19, 2012 8:39 PM

To: PTManager

Subject: RE: IRF question

Lori:

For a stable IRF market where there are minimal changes in the competitive

market, stable referral sources with little turnover in case management

positions and minimal changes in payers driving patient, the rule of thumb

is typically 60-70% . BUT...

Having said that, conversion rate alone doesn't give you a lot of

information. It is simply one indicator of the success of your referral

development and patient assessment process. For example, newly opened IRF's

may have very low conversion rates because of the types of referrals that

they receive and their lack of contracts with key payers in the market.

Conversion rates in the 30% range can be the result of a number of things:

1. You have identified new referral sources that do not necessarily

understand the admission criteria for IRF - not necessarily a bad thing. We

all need new referral sources and it is better to receive referrals that

become an opportunity to educate the referral source than for them to make

an assumption that the patient is NOT an IRF candidate.

2. You are being referred only cases that were not accepted by others

- this is a difficult one. The case are not appropriate and, in essence,

take time from you. You can turn these referrals into educational and

relationship opportunities but if the patient is not a candidate, it is

still a resource drain on your staff.

3. Payer issues - it is fairly common for payers to push for SNF

placement or placement of patients in network. Again, you can turn this

into an opportunity to educate the referral source re: the benefits of IRF

vs SNF; or, you can consider whether you should negotiate to be " in network "

for a given payer.

4. Your own admission practices -look at declined patients. Could

they have qualified? Why did you deny? Was there an opportunity to accept

the patient?

Regardless of the reasons for the low conversion rate, you have an

opportunity to drill down and determine if it is appropriate to your market

or whether you have opportunities to improve you conversion or your process.

If you would like to talk privately as a colleague, please give me a call.

Angie

Images & Associates

President/CEO

6707 Barcelona

Irving, Texas 75039-3041

Mobile-

Fax-

www.ptconsultant.com

NOTICE: This message and its attachments may contain confidential

information that is intended only for the use of the ADDRESSEE(s) named

above. If you are not the named addressee or if this message has been

addressed to you in error, you are directed not to read, disclose,

reproduce, distribute, disseminate or otherwise use this transmission.

Please notify the sender immediately by e-mail and delete and destroy this

message and its attachments.

From: PTManager <mailto:PTManager%40yahoogroups.com>

[mailto:PTManager <mailto:PTManager%40yahoogroups.com>] On Behalf

Of Stoddart, Lori

Sent: Tuesday, January 17, 2012 1:07 PM

To: 'PTManager <mailto:%27PTManager%40yahoogroups.com>'

Subject: IRF question

If you wouldn't mind sharing, what is your conversion rate of referrals to

admissions for your IRF/IRU?

A presenter at AMRPA said that it should be 60-70%.

In our best years, it was only 50-60% and last year it was only 30%.

When you calculate your conversion rate do you back out any numbers? For

example, do you factor in or out the patients who you would have admitted

but they chose another facility or insurance wouldn't authorize? In other

words, you did not reject them and they would have been converted. Sorry if

I'm not clear on this. Feel free to call me to further discuss.

Thank you in advance for sharing!

Lori Stoddart, OTRL

Inpatient Therapy Manager

Physical Rehabilitation Services

Henry Ford Wyandotte Hospital

2333 Biddle Avenue

Wyandotte, MI 48192

734/246-8963

lstodda1@...<mailto:lstodda1%40hfhs.org> <mailto:lstodda1%40hfhs.org>

[cid:image003.jpg@...<mailto:image003.jpg%4001CCD521.78682530>

<mailto:image003.jpg%4001CCD521.78682530> ]

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  • 4 months later...
Guest guest

Lori,

We do vitals 3 times a day at the end of each shift. I hope that

helps.

Deane

W. Deane

Rehabilitations Services

Finger Lakes Health

196 North St.

Geneva, New York, 14456

Tel:

Fax:

E-Mail: deane.butler@...

>>> " Stoddart, Lori " 5/23/2012 1:41 PM >>>

Hi Everyone,

Here is a question on behalf of our rehab nurse manager:

How often are vital signs taken with inpatient rehab patients (routine

VS and not in cases of increased monitoring or when symptomatic).

If you have a policy or protocol to share, that would be much

appreciated.

Lori Stoddart, OTRL

Inpatient Therapy Manager

Physical Rehabilitation Services

Henry Ford Wyandotte Hospital

2333 Biddle Avenue

Wyandotte, MI 48192

734/246-8963

lstodda1@... ( mailto:lstodda1%40hfhs.org )

[cid:image003.jpg@... (

mailto:image003.jpg%4001CD38E9.BED8D830 )]

________________________________

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Guest guest

Lori,

We do vitals 3 times a day at the end of each shift. I hope that

helps.

Deane

W. Deane

Rehabilitations Services

Finger Lakes Health

196 North St.

Geneva, New York, 14456

Tel:

Fax:

E-Mail: deane.butler@...

>>> " Stoddart, Lori " 5/23/2012 1:41 PM >>>

Hi Everyone,

Here is a question on behalf of our rehab nurse manager:

How often are vital signs taken with inpatient rehab patients (routine

VS and not in cases of increased monitoring or when symptomatic).

If you have a policy or protocol to share, that would be much

appreciated.

Lori Stoddart, OTRL

Inpatient Therapy Manager

Physical Rehabilitation Services

Henry Ford Wyandotte Hospital

2333 Biddle Avenue

Wyandotte, MI 48192

734/246-8963

lstodda1@... ( mailto:lstodda1%40hfhs.org )

[cid:image003.jpg@... (

mailto:image003.jpg%4001CD38E9.BED8D830 )]

________________________________

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