Operational and Clinical Underwriting

A facility’s credit profile and valuation are directly linked to its operational and clinical proficiency. Lancaster Pollard recently hired Brad Granger as Vice President of Operational and Clinical Underwriting. His position significantly enhances Lancaster Pollard’s ability to analyze and assess risk factors in senior care facilities and to pass that knowledge on to our clients.  Leading our Clinical Risk Group, Brad also assists clients in developing business opportunities relating to improving managed care relationships, hospital referral patterns and reimbursement enhancement.

The expertise and perspective of the Clinical Risk Group enables Lancaster Pollard to create best-in-class credit narratives and offering memoranda which demonstrate and convey the most thorough understanding of seniors housing and care in the industry.  Our clients benefit from more efficient review processes that lead to better outcomes, whether the objective is closing a loan or preparing to acquire or divest an asset.

Post-closing, the Clinical Risk Group works collaboratively with our clients who have obtained debt to proactively address operational benchmarks identified as key success factors. The group continuously monitors various operational characteristics of the facilities in our portfolio, developing benchmarks that identify opportunities for improvement.  Specifically, the Clinical Risk Group provides standardized and/or custom reports:
  • Referral Analysis – from specific acute care providers
  • Clinical Dashboard – measuring a facility’s key clinical measures
  • Quality Measure Analysis
  • Staffing Analysis
  • Rehospitalization Rate Analysis
  • Facility Scorecard – with benchmarks for:
    • Staffing for Post-Acute Care
    • Care Processes and Outcomes
    • CMS Quality Measures with Post-Acute Care Significance
    • Compliance Related to Post-Acute Care
    • Consumer Experience