A story from Living Rehab
“OneStep is really billing things that we are not able to bill as a PT — and capturing those things that we normally aren't able to capture.”
Constance Cardoza, PT, Living Rehab
Every morning, before her first session, Cece prints her schedule and opens OneStep. One morning a resident's daily steps had dropped and stayed down. She messaged him, then went to his apartment. He was transferred to hospital and diagnosed with pneumonia — early. He's back in the building and back on caseload.
Living Rehab's therapists were checking on residents between sessions — a bad night, a change in gait, a missed walk — but none of it was billable, documented, or counted toward productivity. Declines between visits stayed invisible until they became falls or hospital transfers.
Every resident on caseload carries a phone in a pocket. OneStep turns everyday walking into a walk score and daily activity trend, flags who is slipping, and captures the monitoring work therapists were already doing as remote therapeutic monitoring. Living Rehab rolled it out with a weekly internal Q&A instead of a mandate, and directors who got it trained the next wave.
More than 40 communities went live in one quarter. RTM eligibility grew every month, from $764 in March to $11,245 in August, with nearly nine dollars in ten coming from passive monitoring. In the building where it was measured, facility productivity rose 3.1 points once RTM minutes were counted.
The monitoring was already happening. Now it shows up in the numbers — and it caught a pneumonia.