"They are professional, reliable and exceed our expectations. They're always there when we need them."
Brenda Lavigne, LNHA
Administrator and Regional Director
Home // Post-Acute/ LTC Facilities // Our Post-Hospitalist/SNFist Program is Different than other Post-Acute Care Models

Our Post-Hospitalist/SNFist Program is Different than other Post-Acute Care Models

  • Various other forms of post-acute care models called “extenders” utilize PCP’s, nurse practitioners and physician assistants as extenders to provide post-acute services.
  • In all but 12 states, extenders require physician oversight.  (Exceptions: Alaska, Arizona, D.C., Idaho, Iowa, Maine, Montana, New Hampshire, New Mexico, Oregon, Rhode Island, Washington and Wyoming)
  • Medicare and Medicaid guidelines require direct physician services (not extender services) for certifying “skilled care services.” (Most post-acute, high-risk and medically complex patients fall into this category.)
  • Many post-acute facilities are at risk of non-compliance and may receive tags using extender models. Additionally, others are at risk of becoming “blacklisted” by hospitals due to the high readmit rates and unnecessary usage of ER from their facilities.

Other models providing limited results and exposure to facilities include the following:

  • Traditional attending physicians (PCP’s) and/or medical directors
  • NP practices – Independent NP’s provide post-acute rounding services on behalf of collaborative physicians
  • Group practice extenders – Employed extenders of traditional practices provide post-acute rounding services.
  • Hospitalist extenders – Employed extenders of hospitalist programs provide post-acute rounding services.
  • Health system extenders – Employed extenders of hospitals/health systems provide post-acute rounding services.