Fig. 3: Prehabiliation components in relation to the transplantation phases.

Baseline evaluation and monitoring of physical fitness allows referral of candidates to the prehabilitation program. Through improved physical fitness, patients are expected to have fewer hospital admissions and dropout risk from waitlist. By increasing the pool of liver transplant (LT) candidates, prehabilitation should facilitate more LT with a shorter length of stay (LOS) and less need for rehabilitation at hospital discharge. Reputational benefits from better outcomes (e.g., SRTR or Scientific Registry of Transplant Recipients) should translate into more LT referrals and programmatic growth. In the end, an increased revenue margin and partial reimbursement through cost report should result in investment recovery, thus making prehabilitation a sustainable initiative.