Company Overview

Specializing in serving not-for-profit healthcare organizations, Roush & Associates services encompass a vast array of professional expertise. Established in 1997 by professionals with extensive experience in healthcare management and development, Roush & Associates serves a wide range of post-acute and senior care organizations in New England. Clients are representative of the long-term care continuum and include skilled nursing facilities, assisted living communities, residential care and independent senior housing. The firm offers its clients the advantages of being part of a specialized management group, while respecting the independence of the client organization.

Development and Consulting Services

Roush & Associates has provided guidance to clients with differing needs including: nursing home renovation and replacement projects, hospital bed conversion projects, construction of assisting living facilities, and planning outpatient and community programs.

Our team can guide an organization through all aspects of project development—from market feasibility research, site selection and facility design through project financing, regulatory approvals, start-up and marketing.

Clients may also access our consulting expertise on an as-needed basis. Our services include

• strategic planning
• service line diversification and expansion
• facility turnarounds
• quality assurance audits
• short-term management or marketing projects

Strategic Planning

Roush & Associates assists organizations that recognize a need for growth or realignment. We recognize the process for strategic planning involves assessing both the internal and external environment, researching viable options, coordinating the implementation plans and providing evaluation.

Post-Acute Network Development

Roush & Associates realizes that in the next decade, business survival may be predicated on linking complimentary services across a continuum. Roush & Associates is experienced in creating and managing senior care and integrated delivery systems to compete successfully.

Clinical Services

Roush & Associates is an experienced leader in providing quality improvement services to healthcare providers operating under challenging regulatory mandates. Our range of services includes: quality improvement and educational training programs; clinical record reviews; pre-survey assessment; and Medicare and Medicaid reimbursement.

Financial Management Services

Roush & Associates offers a wide range of financial services under the direction of an experienced Chief Financial Officer. Our capabilities range from full-service management to assistance with PPS vendor contracting.

Senior Care Project Marketing

With over 20 years of diverse marketing experience, our team offers marketing plan development for assisted living, independent living and long-term care settings. In addition, we provide feasibility analysis for assisted living, start-up marketing management and event management and training of marketing and sales personnel.

Clinical Services

Roush & Associates is committed to supporting and guiding the efforts of providers to achieve clinical excellence. Roush & Associates is an experienced leader in providing quality improvement services to healthcare providers operating under challenging regulatory mandates. To promote and sustain quality of care and regulatory compliance, Roush & Associates offers the following services:

Quality Improvement and Educational Training Programs

We begin by touring a facility to observe departmental practices and quality of care and quality of life issues. To assess facility compliance, we review established clinical management programs, facility policies, current standards of practice and documentation requirements. Examples of training programs offered by our team include RUGs III application, case management systems, all aspects of the comprehensive MDS assessment process, care plan development, survey readiness and quality assurance activities.

Clinical Records Reviews

Our audits are intended to detect weak documentation and deficient practices and to offer corrective solutions. We utilize the entire clinical record including pre-admission data and review the interdisciplinary services provided to residents throughout their stay. The comprehensive assessment process is the driving force for our reviews. These clinical record reviews are also included in all pre-survey assessments.

Pre-Survey Assessment

Survey readiness is a constant process and involves proactive approaches by all members of the interdisciplinary team to attain and maintain compliance. We assist providers in the achievement of substantial compliance by conducting quality assurance reviews. These "mock surveys" are keyed to the potential regulatory "hot spots" relating to facility quality indicator reports, survey investigative protocols and current acceptable standards of clinical practice. A facility is provided with a comprehensive report of all negative findings with the assignment of "scope and severity" to areas of weakness. We offer recommendations and provide assistance with corrective measures to address compliance issues.

Medicare and Medicaid Reimbursement

Roush & Associates identifies documentation methods and systems used in the determination of eligibility requirements for Medicare and Medicaid programs. In addition, we help providers develop strategies for successful operation under the current reimbursement systems.

Financial Management Services

Roush & Associates provides healthcare organizations with the expertise of a Chief Financial Officer and management team to develop systems and strategies for achieving a fiscally sound organization.

Roush & Associates Financial Management Capabilities include:

• Full service, hands-on management services
• Development of operating and capital budgets
• Evaluation of staffing models, including sensitivity analysis of various staffing patterns
• Monthly financial statement preparation and review; Financial forecasting;
• Accounts receivable and payable management
• Measurement of Medicare PPS management
• Evaluation of managed care contracts
• Assistance with PPS vendor contracting
• Software analysis and implementation
• Acting Chief Financial Officer or Financial Manager

An integral part of maintaining financial health in an organization is an educated staff. Roush & Associates provides hands-on training and support to key financial personnel.