Prescribed Pediatric Extended Care (PPEC)

Tender Care provides skilled nursing services in a daycare-like environment.

What is PPEC?

PPEC stands for Prescribed Pediatric Extended Care. A PPEC center is a licensed, non-residential, day treatment program prescribed by a physician for medically complex and technologically dependent children. Care is provided by a team of skilled pediatric professionals.

Tender Care’s daytime program provides skilled nursing care, skilled therapies, specialty consultants and developmental stimulation for medically complex children up to twelve hours per day.

PPEC Offers Many Advantages…

To the child/family:

  • Centrally located nursing and therapy decreases intrusions into family dynamics at home
  • Increased socialization with other children
  • Decreased hospitalization
  • Personalized case management ensuring the best care for your child
  • Offers caregivers increased potential to return to work or school
  • Early detection of potential health problems by licensed professionals

To the payer:

  • Decreased hospitalizations through early detection and case management
  • Increased compliance with plan of care resulting in less utilization of health care benefits
  • An average savings of 40% to 50% compared to Home Health services

Common pediatric diagnoses that indicate a potential need for daily skilled nursing services:

  • Premature infants diagnosed with bronchopulmonary dysplasia, apnea of prematurity, oxygen and pulse oximetry dependence
  • Cerebral palsy with gastrostomy or jejunostomy dependence and/or seizures
  • Spina bifida with or without an Arnold Chiari malformation and shunt monitoring, and urinary catheterization dependence
  • Certain cardiac anomalies
  • Post-transplant status
  • Immunosuppressed status
  • Tracheostomy status (with or without ventilator dependence)
  • Failure to thrive
  • Chronic Kidney Disease
  • History of hypoxic-ischemic encephalopathy
  • Adrenal Insufficiency
  • Presence of a colostomy, ileostomy, urostomy, or vesicostomy
Skip to content