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When you think about a person going into intensive care, you probably picture someone who’s very ill and likely fighting for their life. They may be on a ventilator or other equipment that’s keeping them alive. When you’re in that situation, surviving would be a win. But what happens after these people survive? Do they recover and go back to life as it was? What’s the road to recovery look like?

Fortunately, medical advances have led to higher survival rates for people who end up in intensive care units – it’s now between 71% and 90%, which is great. But, survival is not the end goal, and getting out of the ICU is not the end of the battle. Many patients show significant losses of physical, mental and cognitive abilities after discharge. It makes sense – if you don’t use it, you lose it! This cluster of problems is called Post-Intensive Care Syndrome or PICS.

PICS is now recognized as a public health burden. Interventions against PICS need to start in the ICU. Then they need to continue after discharge.

Physical declines often include significant losses of strength, endurance, and mobility. These can lead to serious difficulty completing basic daily tasks like getting to the bathroom, preparing a meal, or walking to the mailbox. This may keep some people from returning home. For others, it means they need a caregiver to safely return to their previous setting. 50% of ICU survivors have limitations in daily activities 1 year later, so this is a serious and long-lasting problem.

Mental health is also a very real concern for ICU survivors. They show significant rates of depression – the mean is 28%. 24% of survivors have anxiety and 21% report PTSD. Again, these conditions have a real impact on the quality of life after leaving the ICU.

Last, declines in cognitive abilities are very common in ICU survivors. 77% have cognitive impairments at 3 months post-discharge and 71% have impairments 1 year out. Cognitive issues after discharge can include poor memory, slower thinking, problems making decisions, or difficulty concentrating.

Physical therapists play a significant role in the fight against PICS. PT typically begins while the patient is in ICU, focusing on getting the patient up and walking early. Patients begin a progressive exercise program as soon as it’s safe for them. We expect a rise in PICS due to the number of people who COVID-19 has put into critical care and/or on a ventilator.

While we can’t prevent every problem that critical illness causes, recognizing the losses that remain after discharge from the ICU is an important step. Physical therapists play an important role in combating the effects of PICS and helping people return to higher-quality lives.


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More than 30% of people 65 or older fall each year. That risk increases with age. A simple trip on a rug or slip on a wet floor can change your life forever. Thousands of people break bones from falling. For seniors, that can cause a domino effect, resulting in a trip to the hospital, a severe injury, or even long-term disability.

A simple fall can cause seniors to lose the ability to live independently. It’s essential to take certain precautions to avoid and prevent falls and improve your safety. Working with a physical therapist specializing in how the body moves and functions can use exercises to help seniors avoid falls. 

Falls and Fall-Risk Causes

The fear of falling may cause many older people to stop doing activities they may love. Many factors can cause falling: A decline in eyesight, hearing, and reflexes, diabetes, heart disease, thyroid problems, and even medications that cause dizziness or confusion. 

Studies have linked personal factors to falling, such as muscle weakness, loss of balance, changes in gait, and hypotension (a drop in blood pressure when you get up after lying down or sitting). The type of shoe you wear can also attribute to fall risks. 

Adults 65 and older should be evaluated annually by their primary physician to help determine their risk of falling. If a threat is apparent, the patient should see a physical therapist.

How Physical Therapy Can Help Prevent Falls

Your physical therapist will conduct general analysis and evaluation to determine the best suitable treatments for you. An individualized treatment plan will be designed based on your fall risks and home environment. This treatment program will include exercises that help improve strength, balance, and flexibility.

Different modalities of your individualized treatment plan may include: 

  1. Safely doing more than one thing at a time: Older adults who have difficulty doing more than one task at a time have a higher risk of falling. Physical therapists can create a dual-task program. This program will challenge a person to maintain walking speed while performing another task, such as carrying groceries or simply maintaining a conversation.
  2. Pain Management: Exercises designed to reduce pain, such as strengthening and aerobic exercises, can also play an essential role in reducing fall risk. Treatments will be modified specifically to the patient’s pain and source of discomfort. Engaging in physical therapy can eliminate the need for taking pain medication, which frequently causes dizziness or tiredness – lending its hand to fall risk.
  3. Strength Training: Strengthening your muscles is vital in fall prevention, especially when combined with balance exercises. Your therapist will create your personalized strength training program that focuses on specific muscle groups to improve your balance while standing, walking, and your ability to recover from losing balance.
  4. Personal Recommendations: Along with exercises, your physical therapist may provide recommendations based on your condition and goals to help prevent falls. These recommendations may include changing your home environment like removing a rug, adjusting how you perform daily tasks, choosing appropriate footwear, or improving your sleep schedule or nutrition to help reduce cognitive dysfunction (leading to a fall risk). 

The physical therapists at VIP PT are all qualified to work with seniors who fear the risk of falling, have balance issues, or are recovering from a fall and need prevention tips. To get in touch with our team to learn more or schedule an appointment, please fill out the form below: 


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The world has changed.

As technology continues to improve, incredible amounts of data are being collected and analyzed across all sectors of business. Healthcare in particular holds massive stores of information with the potential to revolutionize patient care in amazing ways.

Yet humans are not efficient when sifting through these complex electronic mountains – artificial intelligence (AI) is better suited to perform this job effectively.

What Is AI?

Although the phrase may sound a tad ominous, artificial intelligence is simply a collection of technologies that helps support, automate, and speed up a wide variety of tasks. This assistance ranges from messaging alerts for patient adherence to the detection of important imaging features that may not be visible to the human eye.

According to Forbes, this country spends much more per capita on health care than any other country, and yet the U.S. “ranks 38th in the world in life expectancy, between Lebanon and Cuba.”

Artificial intelligence holds great potential to improve the healthcare industry.

How Is AI Used in Healthcare?

A key benefit of AI is its ability to analyze vast data collections and identify large or small trends – even from data external to the healthcare system:

  • Patient clinic-visit statistics
  • Prescribed medication information
  • Laboratory test records
  • Performed procedures
  • Credit card purchases
  • Census records
  • Popular health-related internet searches
  • Social media discussions

AI additionally boasts its own “skills” to assist in healthcare activities by providing treatment recommendations, predicting infection risk, and offering a host of other capabilities.

In What Ways Can AI Help Deliver Patient Care?

Artificial intelligence uses machine learning and deep learning to get “smarter” as it processes more information and recognizes useful patterns.


Using computer vision to examine medical images, AI can scan for any indication of abnormal findings such as a lesion, tumor, or retinal disease.  Studies have indicated impressive accuracy, specificity, and sensitivity for the detection of small abnormalities. As a powerful tool to assist radiologists, machine learning for medical imaging is predicted to exceed $2 billion by 2023.

Patient Intake and Engagement

AI uses natural language processing to help with patient screening and navigation of care, and it can be used to communicate (via text, for example) with patients to encourage interest and compliance with their treatment plans. This reduction in physicians’ time obviously reduces cost.


While remote health today generally refers to a simple videoconference with a health professional, AI can be used with remote sensors to offer a more comprehensive solution. Eko provides software and sensors to observe cardiopulmonary signs from a distance, for example, and it has been shown to detect atrial fibrillation with 99% accuracy. Medical practitioners range from 70% to 80%.

Are There Other Ways AI Helps Provide Care Within a Hospital?

This technology can be utilized in creative ways within a hospital facility, including:

Predict the Onset of Healthcare-associated Infections

Computer models powered by AI can help providers make educated estimates to pinpoint which patients have an elevated risk of developing central-line infections.  Armed with personalized patient information, treatment history, and staff history, these systems may also indicate specific preventative measures.

Optimize Scheduling and Bed Management

Analyzing data regarding discharges, surgery schedules, current patient population, and nursing unit-specific criteria, patient flow can become increasingly automated and efficient.

Monitor Patient Health Status via Real-time Data Collection

Vital signs and other dynamic indicators can be monitored and examined to detect problems like arrhythmias with appropriate notifications to staff.

Accurately Estimate Childbirth Blood Loss

One system takes advantage of computer vision to monitor blood lost during childbirth. While staff estimates of such loss tend to be inaccurate, AI has managed a four-fold accuracy improvement over such estimates.

Improve Administration

AI shines with its capacity to reduce time and expense in this area and has demonstrated proficiency with:

  • Enforcing patient privacy via intelligent checklists
  • Automation of disclosures
  • Check-in systems that remind staff to replace equipment on mandated schedules
  • Analyze and assign costs for billing

The flexible use of artificial intelligence is growing exponentially in the healthcare industry. Fill out the form below to learn more about these advancements.


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The effects of the COVID-19 pandemic will resonate through healthcare for years to come, now that the initial shock has come to an end. For many independent practices and smaller healthcare systems, the pandemic caused great financial hardship that will be tough to overcome. What this means is that there is a growing divide between the “haves and have-nots” of providers and physicians. 

Providers and healthcare systems with strong digital strategies in place and accessibility to telehealth from the start will survive, while many practices which are smaller, perhaps in more rural areas, and not using the latest digital technologies may succumb to a hospital consolidation or be forced to close their doors. 

How Covid-19 Changed the Patient Experience

When we look back on this time, it will be clear that this was a turning point in the way health care is delivered to patients. Telehealth is single-handedly changing the workflow and how patients and physicians are having appointments. Urgent care, emergency rooms, and even annual, regular appointments with a primary care doctor are all possible via a telehealth platform. 

This platform was urgent and an obvious choice when the stay-at-home orders were mandated. However, the push for telehealth and moving to a virtual healthcare system reduces unnecessary visits, allows physicians to maximize profits and efficiency, while remaining safe and prohibiting the spread of COVID-19. 

There has been a huge uptick in patient engagement online – which means telehealth is becoming the norm for how patients expect to interact with their doctors. Patients who previously expected a doctor-led approach to their healthcare are finding the ease, convenience, and safety of technological ways to receive their care. 

Long Term Effects of Covid-19 in Healthcare

Expedited Telehealth Care

For many practices and physicians, it was long believed that they would not be able to operate virtually – until the pandemic. Overnight, the way they saw patients changed and transformed into remote care. In fact, some experts say that COVID-19 accelerated telemedicine by a decade. It is proving to be more effective, safer, and financially smarter for both patients and physicians. 

Since March, telehealth has allowed patients with low mobility, failing health, and those with compromised immune systems to see physicians seamlessly and effectively. This is because the availability of data and collaboration has continued to evolve. 

Decrease in Nursing Homes

During this time, nursing homes and assisted living facilities have been scrutinized for increasing the number of COVID-19 cases and deaths in certain states. While these types of care facilities can provide around-the-clock care, it is becoming less appealing to house the medically vulnerable in close quarters. 

This leads to the increased demand for in-home care services. People want to live independently and have that mindset – not be “locked up” in a nursing home. With the changes due to COVID-19, there is going to be a large number of people in the coming years who need long-term care but do not want to go into a nursing home. 

In-home care, physician house calls, and certain medical deliveries to the elderly will become an increasingly popular demand. 

A Shift in Who Provides Care

The pandemic put an enormous strain on emergency rooms and intensive care units. What this did was emphasize the importance of nurses, physician assistants, and nurse practitioners. This isn’t new to more rural areas and independent hospitals. 

For independent practices and hospitals, they are able to provide quality care at a lower cost by relying on non-doctor practitioners, when allowed. In fact, if Congress and state medical boards allowed, approximately 70% of primary care could be handled by advanced nurses. However, what this means is that smaller hospitals could shut down as more authority is granted to skilled nurse training and a larger role for these providers in daily healthcare. 

The shift leans towards more preventative and home care, and further away from hospitalizations and centralized healthcare.

Learn how Cartera Health’s comprehensive circle of care has been beneficial to the changing landscape of healthcare due to COVID-19.



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Medical credentialing involves the often lengthy process that health care entities undergo to review and verify every piece of information that documents the ability for a provider to practice medicine, including their education, post-education training, specialty certificates, licenses, and career history, including sanctions and litigation. The method involves intense, laborious scrutiny of credentials to prevent fraud, limit liability, and ensure that health care providers are competent and fit to practice.

Which Entities Govern Credentialing Standards?

Credentialing standards for providers do not fit a “one size fits all” approach. Credentialing standards will vary depending on whether a health care worker is a physician, a nurse practitioner, a physician assistant (PA), a nurse, a pharmacist, or other type of health care worker. As medical licenses are granted at the state level, requirements for practice and subsequently credentialing specifications may vary depending on the geographic location of providers. The National Committee for Quality Assurance has established standards, however, that can serve as a guideline for the credentialing process.

For providers that are hospital-based, credentialing is required by the federal office of the Centers for Medicaid & Medicare Services (CMS) and also by facility accrediting bodies, such as the Joint Commission. Additionally, providers will have to get credentialed by insurance plans as well as through CMS depending on which plans they seek to submit reimbursement from for their services. Depending on the health insurance company, providers may need to be credentialed on an individual basis or they may be considered centrally credentialed once they are approved by their organization.

What is the Difference Between Credentialing and Privileges?

Medical credentialing is the verification process by which your education and experience justify your current ability to practice medicine. Although this process is initiated and completed by organizations for their practicing providers, providers themselves provide primary source documentation that is then verified as legitimate to either permit them to begin practicing in their organization or remain practicing..

Privileges are usually granted after credentialing is completed, and allow providers to provide medical care at specific facilities within the scope of their education and training in their employer organization

What Information is Needed to Complete Medical Credentialing?

Health care organizations or entities that reimburse through health insurance initiate the process of medical credentialing by sending a request to providers for extensive documentation in order to justify their ability to practice in a health care setting within their scope of training.

The types of information required by providers for medical credentialing to be submitted, usually electronically, include:

  • Demographic information, such as mailing address, citizenship, and birthdate;
  • Education and training, including the institution, location, and information related to ability to practice;
  • Work experience, including any sanctions or loss of privileges at previous employers;
  • Malpractice history;
  • Licensure details; and
  • State disciplinary action records, if applicable.

How Are Provider Medical Credentials Verified?

Given the importance of ensuring all providers are held to the same rigorous standards, and how imperative reducing fraud is in protecting patient health, it is no surprise that the credential review process is painstakingly thorough. Those involved in the credentialing process have to review detailed aspects related to the training and experiences of providers to ensure that they are fit to practice and would not pose any harm to patients if they were allowed to practice within their organization.

Organizations that require credentialing often employ individuals to verify the authenticity of provider-submitted credentials. While they may individually call educational institutions or past employers, centralized databases exist that credentialing professionals can utilize to streamline the process and ensure that no vital information is missed in the provider submission step.

Unfortunately, not everyone may be forthcoming about their past history and may choose to withhold information related to any “red flags” in their past that may reflect poorly on their ability to practice.  This is the hallmark of the medical credentialing process; by thoroughly paying attention to every aspect of the education, training, work history, and licensure of a provider, it becomes much less likely that someone who should not be credentialed to practice in a health care setting will be.

However, regardless of the method utilized to verify and accept credentials, the process is often laborious and time-consuming. This is why the process often takes months to complete. If you need help navigating the credentialing process, please contact us today to schedule a consultation. We would love to help you streamline the medical credentialing process to help get your highly qualified providers practicing medicine as soon as possible!



Blog Post

The COVID-19 pandemic delivered a new era in the world of healthcare work. Staffing firms pivoted quickly to manage the demand for workers as the pandemic raced across the country. Demand increased for travel nurses while it decreased for many temporary specialists and therapists. 

While travel nursing remains in demand throughout 2021 as an effort for mass vaccination continues, it will likely even out in the upcoming months due to the cost and budgetary restrictions. As the industry becomes more regulated, hospitals will turn to more permanent staffing solutions.

This may impact the “new normal” in healthcare staffing. There are three main trends ushered in by the pandemic that are here to stay.

3 Key Trends in Healthcare Staffing

1. Using Automated Database Mining to Find Qualified Candidates

Staffing agencies had problems finding qualified candidates like travel nurses. However, many many of those same agencies had hundreds of inactive candidates in their databases. These candidates were disengaged.

By using automated software, recruiters save time engaging leads and only need to screen interested candidates, build relationships, and match them with proper assignments.

2. Problem: Pre-Credentialing Nurses to Prevent Losing Candidates

Because of the high demand and record number of candidates, they were being lost in the funnel. This is due to the credentialing process being too demanding or being presented by competing offers with faster placement.

One way to do rapid-response travel nursing – where nurses receive placement in a day or two – is to pre-credential them or have their credentials nearly complete with only state and facility-specific documents remaining that can be completed quickly. When handled by credentialing software combined with third-party partners with offshore recruiters, this process is far more cost-effective, scalable, and efficient, allowing the onshore recruiters to focus on building relationships with the nurses. 

3. Retaining qualified talent Using Comprehensive Healthcare Agencies

With specific specialties in high demand, staffing agencies worked hard to retain the talent they already had.

When multiple healthcare industries are connected by a larger company, there is more flexibility and opportunity for specialists. As the healthcare market for demand changes, nurses and workers are able to find other positions under the same company, in different practices. Cartera Health not only has connections in staffing in-home medical care but also provides medical credentialing. This ease gives nurses the ability to focus on their patients instead of the logistics of finding work when temporary assignments are up.

Growth & Sustainability in Healthcare Staffing

The U.S. Bureau of Labor & Statistics estimates employment will increase 4% by 2029, an annual growth rate of only 0.4%. Healthcare occupations are projected to outperform this number significantly. Two areas that will see the largest growth are healthcare practitioners and healthcare support – estimated to grow 9% and 23% by 2029. A report by McKinsey & Company expects that by 2030, the most significant growth in U.S. labor demand will be among wellness occupations and healthcare professionals.

To maintain the sustainability of growth, healthcare staffing agencies will continue adopting innovative strategies to guarantee that client, candidate, and employee engagement stays strong. 

Savvy healthcare staffing agencies are taking what was learned and what solutions were implemented over the past year and applying them so they’ll be able to meet forecasted demand for years to come. They’re maintaining the culture of flexibility, skill, and adaptability asked of them during the pandemic to make sure they’re ready for whatever happens down the road.


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Is pain keeping you from enjoying your life? Are you tired of waking up stiff or sore? Do you yearn for ways to relieve your pain when you’re at home? If you answered yes, carry on, because you are not alone. Did you know that chronic pain affects about 50.0 million people in the U.S. alone? Pain can strike anyone at any time for any reason — whether it’s from a medical condition, an injury, or an accident. When pain hits, you want relief. 

These techniques may help if you have temporary pain from a sprain or other physical injury, or if you suffer from chronic pain, which is defined as pain lasting longer than three months and may not respond well to OTC pain relievers.

VIP PT provides therapy that comes right to your door to fit your lifestyle and needs. Their team of professionals works with you to create a comprehensive physical therapy program to relieve any aches and pains you have. This kind of treatment is more effective than most in-office physical therapy sessions, simply due to the fact that you are the only patient they are working with at the time.

Personalized one-on-one care can improve healing and success rates up to 40% faster than traditional physical therapy regimens. So, if your pain has overstayed its welcome, it’s time to tame the pain. The team at VIP PT has put together a list of options that you can try at home to do just that — tame your pain. Try these techniques between sessions with a therapist at home:

Proven At-Home Pain Relieving Techniques

If pain is dragging you down, consider:

  1. Cold and Hot Compress

These tried-and-true methods are the cornerstone of pain relief for specific types of injuries. 

  1. Exercise

Physical activity is essential for disrupting pain and limited mobility associated with chronic conditions like arthritis and fibromyalgia. Gentle aerobics like walking, swimming, or cycling may help. In a review of non-pharmacologic treatments for chronic pain, researchers determined that exercise is in fact moderately effective.

  1. Fish Oil

Fish oil is known for its anti-inflammatory properties, and inflammation plays a large role in pain. Patients with neck or back pain were given 1200 milligrams of fish oil supplements daily for 75 days, along with eicosapentaenoic and decosahexanoic acid. Once complete, the study found that over half of the 125 patients disclosed that they were able to quit their prescription painkillers.

  1. Turmeric and Curcumin

Studies have shown that this root has definite anti-inflammatory properties, according to a study.

A combination of turmeric, along with two other substances, was given to patients with osteoarthritis and found that they had noticeable pain relief after taking two 650-milligram capsules two or three times a day.  

  1. Resveratrol

Red wine, grapes and berries are known to have resveratrol, which studies show may be beneficial for your brain, cancer prevention and living longer.

  1. Occupational Therapy 

Along with physical therapy, occupational therapy is among your best allies in the battle for shared custody of your body. Physical therapy will guide you through a host of exercises designed to improve your mobility and strength. Occupational therapy teaches you how to perform an array of day-to-day activities without aggravating your pain.

  1. Mind-Body Techniques

These techniques can help in putting the “fight or flight” response to rest, allowing you to be in control. Consider trying some meditation, mindfulness, or breathing exercises. Researchers sent 109 chronic pain patients to a mindfulness meditation program and found that they reported greater pain relief, along with reduced anxiety and depression and better mental clarity.

  1. Yoga and Tai Chi

These two exercises combine gentle movements, breath control, and meditation to strengthen and stretch your muscles. Many studies have shown that they can help people manage pain caused by a host of conditions, from headaches to arthritis to lingering injuries.

  1. Biofeedback

Biofeedback involves lessons in relaxation and breathing exercises utilizing a biofeedback machine in an effort to give you a sense of control over how your body responds to pain.

  1. Music therapy

Studies show that music is able to relieve pain, with classical music being at the top of the list. But, if classical is not your thing, mix it a little, enjoying any genre of should help.

  1. Therapeutic massage

Massages ease pain by releasing tension out of your muscles and joints. Massage therapy may also relieve stress and anxiety.


If your pain gets worse, changes, or is not the result of a recent injury that you can recall, our team of specialists can help to distinguish what the underlying cause is and then go on to put together a treatment plan catered to you and your specific needs. 

Contact us today to get the pain relief you deserve using the form below: 


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A pretty common misconception about hospice care is that it is a place. Hospice isn’t a physical building or type of hospital wing – it is a holistic care philosophy that provides comfort to not only terminally ill patients, but to that patient’s family, friends, and caregivers. 

While hospice can be provided at an inpatient facility, a majority of hospice care is provided at your loved one’s home, or where they are comfortable and happy. 

In-Home Hospice Care for Patients

The goal of hospice care is to provide patients with a comfortable, pain-free environment. This is in accordance with their care team’s guidance and the patient’s wishes for end-of-life care.

As a terminal illness progresses, pain management is required. The patient’s care team will be able to closely monitor their needs and can create a comprehensive care plan designed to provide comfort.

Comfort is key, so specialized therapy sessions, like art therapy or pet therapy visits can maximize physical, emotional, and even spiritual comfort. Along with therapy sessions, counseling sessions can help ease the psychological toll that accompanies a terminal diagnosis. Hospice care provides psychological, emotional, and spiritual counseling to help combat feelings of regret, anger, and grief. Counselors help patients achieve peace of mind and heart during their end-of-life care.

How In-Home Hospice Care Supports Caregivers

Caregivers bear the load when it comes to end-of-life care, being present for their terminally ill loved ones. Hospice pays special attention and diligence to support caregivers. Hospice provides caregivers with training, counseling, education, and general assistance. 

Hospice understands that caregivers are the primary source of care and attention toward their loved ones at home, and recognizes the around-the-clock responsibilities that caregiving demands. Hospice care provides licensed medical staff to help administer medications, assist with dietary plans, and provide medical assistance where possible to guarantee the patient’s ultimate comfort as well as maintenance of the caregiver. 

In-home care also gives assistance to the caregiver by providing help with everyday domestic tasks like light housekeeping or cooking and making snacks. Hospice care staff acknowledges the demands placed on caregivers and that it can often lead to burnout. To ensure the well-being and overall health of caregivers, hospice offers respite care: a temporary period of in-patient care that allows caregivers to relax, focus, and tend to their own households or self-care. 

Every patient’s diagnosis comes with its own challenges for caregivers and loved ones. Hospice provides information regarding your loved one’s terminal illness, including end-of-life information. This allows caregivers to provide optimal care and comfort at home during this trying and emotional time. The stress of being a caregiver can be mentally, physically, and emotionally taxing. Hospice provides skilled counselors to caregivers who can support caregivers or be a listening ear and lend guidance. 




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What is Comprehensive Healthcare?

Comprehensive healthcare is an approach to healthcare that embodies the whole patient and all of their needs – not just medical. This type of care typically involves a team of providers working together, instead of separate doctors providing care in just their field. This team communicates and develops a plan of care for their patients that covers every area of care. 

Some areas of comprehensive care include:

  • In-home hospice care for the elderly or those who have limited mobility
  • Physical therapists who help with rehabilitation and decreasing pain caused by accidents, musculoskeletal conditions, and chronic diseases or ailments
  • Diagnostic and testing centers to provide accurate diagnoses and answers to patients

When these specialties work together, patients have better outcomes. A comprehensive care program looks at the bigger picture and focuses on short-term and long-term goals regarding care and health. 

An Innovative Approach

Cartera Health noticed a gap in the healthcare industry in providing quality comprehensive care and sought to create a solution. This resulted in the Cartera Circle of Care. 

A circle is the universal symbol of totality, wholeness, and all cyclic movement. This extensive meaning represents the way the Cartera Health brands work together to provide whole, comprehensive care to their patients. 

Designing brands that work together for the greater good of their patients and their families allows the physicians to work closely and monitor their patients’ progress closely.

Medical credentialing services allow the best physicians and nurses to be found through Sterling Staffing Solutions, which also provides hospice and in-home care to those who need extended care or end-of-life comfort. For those who need in-home care due to mobility issues and need rehabilitation, VIP-PT, and Sterling Therapy help patients reduce pain while building strength. The HomeHealthApp provides physicians and caregivers the data and updates they need regarding their patients’ health and care through a scheduling app and information system.

The Cartera Health Methods

Cartera Health is focused on the expansion of the Extended Care industry. They provide innovative tools, services, and unparalleled healthcare experience to patients and their families through this comprehensive approach they developed. The founders, Dr. Sterling Carter and Stephen Carter are personally engaged and hands-on in improving and implementing the processes that help each patient reach their healthcare goals, as well as building their community. 


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Cartera Health aims to deliver exceptional care across the healthcare industry. Our mission is to elevate every aspect of extended healthcare and hold it to its absolute highest standard. Cartera Health combines the most innovative technologies with their moral and ethical values to ensure that each and every patient receives the care they deserve. 

Our founders, Dr. Sterling Carter and Stephen Carter, developed healthcare brands that encompass each aspect of extended care in order to deliver on their mission and to remain personally involved and engaged. Because of this, the brands cover healthcare staffing to hospice to physical therapy and are held to the same outstanding standards.

The Connection Among Brands

Despite having nine healthcare brands under the umbrella of Cartera Health, patients, medical professionals, and families will find similarities between each business. Our founders dedicate the time and effort in order to create businesses that achieve excellence and hold them to the highest standards. 

These brands contain a number of commonalities that relate back to the Cartera Health mission and their values. An overarching trait you can find within each brand is that they are all people-first and patient-oriented. Regardless of whether you are receiving physical therapy or finding medical staff for in-home services, there will always be the concerns of the patient first. How can we serve them? Are we improving their lives and conditions? Does our staff strive to make a difference in our patients’ lives? 

Here is a full compilation of our brand commonalities. 

  • A focus on extended care and home health 
  • A pattern of ‘learn through doing, then improving the model through innovation and technology
  • We are on a mission for better health and improving the health of others
  • Patients receive personalized & individualized care specific to their conditions or concerns
  • Proudly Clinician/Veteran/Minority-owned and operated
  • People first, and we work on both B2C and B2B levels
  • Our staff is held to the highest level of integrity and sense of responsibility
  • The hope is to serve as thought leadership and models for the next generation of healthcare professionals

Cartera Health is home to nine healthcare brands. Each company aims to serve their patients and the community to the best of their abilities by providing personalized care, white-glove service, and by taking the guesswork out of the business side of operations. This allows the physicians and medical staff to devote their time and passions to their patients.

How they Shape the Mission

These values and common denominators between all the Cartera Health brands drive the overall mission for expanding the extended care industry and raising the bar for future generations of healthcare providers and innovators. 

By working simultaneously with B2B and B2C businesses, leadership can see situations from both points of view. This allows them the ability to create comprehensive solutions. Leadership is present and very hands-on when developing processes and ensures these values are maintained. The brands are all founded on the premise of bettering home health and in-home extended care. This means the staffing solutions have their sights set on the best in-home care providers who understand the importance of comfort, trust, and loyalty it takes to be in a patient’s home. 

Our mission comes to life through these brands on a daily basis. Every small success or patient who is no longer suffering with a condition is a win for Cartera Health and a win for our communities. Each patient affects the way Cartera Health operates and grows.