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Since opening our doors in 1988, PR&A has consulted to hundreds upon hundreds of long term care (LTC) providers.

Recognizing that the LTC industry must prepare for the burgeoning (77 million) aging baby boomers who are joining the ranks of senior citizenship, access to, and provision of, quality care is a growing national concern. As a result, far-reaching changes that impact on LTC, are evolving in the political, economic, social and professional arenas.

PR&A provides programmatic health care consultation services to providers and assists them in responding to the quality of care and reimbursement challenges they face. We guide clients in organizational restructuring and provision of long-living systems that better ensure both measurable quality care and maximum, legitimate reimbursement. Having one, without the other, is simply not a success story.

PR&A is equipped to prepare your facility for the changes in service expectations and reimbursement that are emerging on a trajectory with the growing number of aging Americans. Our clients measurably benefit from the knowledge, skills and systems approach we bring to an engagement. One striking example of the results of the intellectual capital we bring to an engagement is seen in our ability to empower all members of a clients’ team. We take the mystery out of PPS through training that launches clinicians’ innate abilities to implement clinical and organizational strategies necessary to ensure both high quality care and fiscal solvency. When we complete an engagement, we are confident that our client’s key staff are fully empowered with knowledge, techniques and tools to achieve the specified objective(s).

Our Staff
Guided by Phyllis Ramzel, our staff includes talented professionals from all clinical disciplines as well as specialist in technology and marketing. Based on analysis and/or a client’s expressed need, and under Phyllis’ supervision, the most appropriate staff is selected to assist the provider in the implementation of systems tailored to the given facility’s needs and resources.

Every consultation is provided with efficiency and effectiveness and is grounded by standards of professional practice and regulatory requirements. We do not linger over, nor protract, a project -and that’s why we continually get called back by clients when new challenges emerge!

Our Commitments
Our key to success is based on a commitment to the following objectives:

  • Keep current;
  • Integrate systems analysis and systems approach into each engagement and within the confines of the organizational structure;
  • Uphold professional standards of practice and regulatory requirements;
  • Impart information, strategies and techniques for measurable achievement of engagement objectives;
  • Work closely and cooperatively with facility managers and clinicians.
  • Keep focused on effectiveness with efficiency.

Our Clients
PR&A serves health care providers and their multidisciplinary clinicians throughout the country. Our clients are in all parts of the nation - from Coos Bay, Oregon to Palm Beach, Florida to New York City to Boonsville, New York. We serve voluntary, proprietary and public sector providers in long term, post-acute, adult day health care and diagnostic and treatment centers, amongst other service delivery models.

To learn more about PR&A, visit Our Services, or for additional information, Contact Us.


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