MOVE THROUGH CHANGE. MOVE THROUGH LIFE.
SPRING 2015
TABLE OF
CONTENTS 4
WELCOME TO AEGIS THERAPIES®
5
SEAMLESS TRANSITIONS THROUGH THE POWER OF PARTNERSHIP
7
3 30
Enhanced Cardiac Training Comprehensive Transition Management
31
CLINICAL EXCELLENCE
Enhanced Outcomes
Featured Programs
8 9 11 12 13
INDUSTRY EXPERTISE
14
PROVEN RESULTS
15 16 18
LEVERAGING TECHNOLOGY
32 33
34
DYSPHAGIA DIAGNOSIS AND MANAGEMENT
36
AEGIS HEALTHSTEP
Denials Management
Market Overview
37
AEGIS MARKET MOVER
20
CUSTOMIZABLE COLLATERAL
22
AT HOME WITH AEGIS For Home Health Agencies
Opportunity Aegis Therapies and VFT
Billing Interface
19
Benefits to Patients Benefits to Payors
Documentation
myCare
NAVIGAIT Benefits to Referral Sources
Compliance Internal Audit Procedures
KINETIX ENHANCED ORTHOPEDIC CARE Orthopedic Excellence
Core Programs Specialty Services
RIGHT RHYTHM
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WALK! WITH AEGIS THERAPIES
40
ABOUT AEGIS THERAPIES
41
OUR PEOPLE Management Structure
42
Staffing/Recruiting
23
For Assisted Living and Independent Living Facilities
24
ENERG® BY AEGIS
Our Mission
Purpose. Power. Proven.
Our Values
25
How EnerG Benefits Your Patients
Partner With Aegis Today
26
FREEDOM THROUGH FUNCTIONALITY
Turnover
43
Strength-Building Equipment Benefits of FTF
28
GERIATRIC ENHANCED MODALITIES
BRINGING IT ALL TOGETHER
WELCOME TO
SEAMLESS TRANSITIONS THROUGH
AEGIS THERAPIES
THE POWER OF PARTNERSHIP
The healthcare environment is rapidly changing, and at Aegis Therapies®, we’re thinking differently about the way care is provided. Today more than ever, the healthcare industry is intertwined, and we must realize that our involvement in a patient's health stretches across the care continuum. We must work together to deliver a holistic care experience that helps patients recover safely, quickly and efficiently. We must ensure seamless transitions between care settings and communication between caregivers that helps keep the patient's best interest at heart. Adapting for success is imperative, and Aegis can help its partners meet the challenges of delivering care in a cost-effective way with excellent patient outcomes.
We all know how vitally important it is to ensure that patients are transitioning across the care continuum smoothly, seamlessly and – most important – safely. Our goal is to provide the right care, in the right place, at the right time. Part of providing quality rehabilitation therapy is understanding that patients’ needs don’t end when they leave our care. Regardless of where they are moving next, we manage our patients so that they have the smoothest transition possible. Communication between the physician and other healthcare providers is key as patients transition through their healthcare journey. When caregivers have up-to-date patient information, transitions between care settings can happen smoothly and seamlessly. As we know, smooth transitions help reduce unplanned rehospitalizations.
I am proud to say that every day, our employees live and breathe our mission: to share our passion for improving quality of life through innovative healthcare – one person, one family and one community at a time. This is important because what we do matters. It matters to the patient, and the patient is why we’re all here. It is our ultimate goal to make a difference in the lives of individuals – to create a better care experience. An experience that we can be proud of and that gives the patient a sense of empowerment and control.
SNF
CCRC
ALF
Hospital
Outpatient
We are the provider of choice for high-quality therapy and wellness services in multiple settings. We do this by not only delivering care that leads to excellent clinical outcomes but by protecting our partners in the constantly evolving regulatory environment. We know that we can enhance the care of your patients and the effectiveness of your business, and we’ve dedicated the rest of this book to discussing the support we provide to help our partners thrive in the new healthcare world. Join us in exploring partnership opportunities that can change your patients’ lives and your business. You’ll clearly see – we keep our patients at the forefront of everything we do.
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Palliative
CLINICAL
EXCELLENCE We leverage technology to facilitate smooth transitions. This technology, such as our industryleading customer web portal, Casamba® SMART, electronic documentation and our external therapy interface, allow for faster communications, which means that providers are up-to-date on the latest patient information. No matter the setting – acute, post-acute, home, specialized unit or CCRC – Aegis understands how to care for patients to help them achieve meaningful goals that will ultimately help them transition back to the community when appropriate. In acute settings, Aegis helps patients regain the ability to move in bed, sit up, talk, eat and walk. In post-acute settings, learning to navigate stairs, dress and groom is a priority. Finally, when patients are back in the community, we help them regain the ability to maintain their home, prepare meals, manage their medications and manage emergency response options. Aegis Therapies leverages the power of partnership to help patients transition seamlessly throughout the care continuum. Through agility, best-in-class clinical programs, compliance and alignment with strategic objectives, we’re positioned to propel you to the next level of success. What a partnership with Aegis Therapies means for you: Creating agility and flexibility to drive results Best-in-class clinical programs and outcomes Ensuring compliance and integrity Aligned to achieve strategic objectives
7
Aegis Therapies has developed a suite of comprehensive core, featured and specialty programs and services to help meet the unique needs of patients with a variety of conditions. Our services fall into two main categories – therapy and wellness – and all are designed to enhance patients’ lives by maximizing functional ability and increasing independence. Our therapists utilize the latest therapy treatments and equipment to execute evidence-based therapy plans tailored to the individual. We embrace a “Restore, Compensate, Adapt” model of care. We consider not only what can be improved in the patient’s functional abilities (restore), but also what can be changed in the patient’s environment (compensate and adapt). Our therapists consult with nursing staff and the patient’s family so every therapy program is specifically tailored to the patient’s needs and potential. Our services can be provided in the setting that is most appropriate for the patient: skilled nursing facilities, assisted living facilities, continuing care retirement communities, hospital inpatient rehab units, outpatient clinics and private homes.
CORE PROGRAMS Our Core Programs ensure basic competency in the treatment of conditions typically seen in long-term care. They expand on our “Restore, Compensate, Adapt” philosophy and apply across all of our service settings. Core Programs include: Management of Cognitive Impairments, Balance Management and Complex Disease Management.
FEATURED PROGRAMS Our Featured Programs are clinical programs providing intermediate and/or advanced level knowledge. They address key areas that customers consider unique to their needs, position them for niche marketing or provide enhanced service delivery to a current core program. Featured Programs include: Continence Management, Seating and Positioning, Wound Care Management and Debridement, Visual Dysfunction and Rehab, Pain Management, Sensory Integration for the Older Adult and Vestibular Rehab.
SPECIALTY SERVICES Specialty Services provide advanced training that is beyond basic knowledge and skill. In addition to this advanced education, they may require investment in special equipment and/or physical units. Most of these programs are in a facility or clinic setting. These specialty services include: Freedom Through Functionality, Geriatric Enhanced Modalities, Right Rhythm Cardiac Care, Kinetix Enhanced Orthopedic Care, Dysphagia Diagnosis and Management, Aegis Healthstep, and NaviGait.
INDUSTRY
EXPERTISE
9
Aegis Therapies understands the complicated nuances of the rehabilitation therapy industry, and our partners benefit from our deep industry expertise. Our dedicated compliance team will help you navigate the changing rules and regulations of the healthcare industry, and as your partner, we provide:
By-patient, by-minute management
COMPLIANCE Aegis Therapies employs a Vice President of Quality Management and Compliance who oversees and directs quality management and compliance, and regularly communicates regulatory updates and changes to the entire company. Each Regional Vice President serves as the compliance liaison for his or her region, to assure adherence to company compliance programs and requirements. Aegis Therapies’ Compliance Program is designed to foster a culture within our organization that promotes conduct reflecting ethical company and business practices, compliance with federal and state laws and regulations, and meeting the requirements of federal, state and private healthcare programs. The protocols have been designed to address key areas of responsibility:
Standardized documentation, meticulously monitored Compliance with Regulatory Standards
Compliance and risk management
Investment in advanced technologies and tools
Understanding the voice of our employees, patients and customers
Documentation
OBRA
Medical records maintenance
Billing and payment
Licensure/certification
HIPAA
Supervision/State practice guidelines
Compliance with Policies and Procedures By leveraging our regulatory knowledge, you can: • Efficiently and effectively navigate changing rules and regulations at the facility level • Effectively address reimbursement challenges • Strengthen relationships with payors • Create alignment to further influence regulatory policy
Clinical practice guidelines/standards (policies and procedures) Safety Infection control
11 Compliance Tracking
DOCUMENTATION
Aegis Therapies has an in-house review system, with checklists and tracking logs to monitor and track patient care orders and certifications, to ensure compliance is maintained. Additionally, the on-site manager, with oversight from the Area Vice President, ensures that Aegis systems for tracking and monitoring certifications and physician orders comply with facility/nursing systems at all times. In the event a problem in this area is uncovered, the Aegis Compliance Department works directly with the on-site manager, Area Vice President, Compliance Liaisons and Clinical Directors to provide training, problem resolution and tracking of compliance related issues.
Aegis Therapies has fully implemented and utilized electronic clinical documentation since 2009. The Casamba SMART documentation program, though an off-the-shelf program, was significantly modified with the medical reviewer in mind. Aegis created starter phrase libraries to help cue the therapist to document using medical necessity and skilled services language. We reformatted the printed documents to assure that the necessary information needed by a reviewer to make payment decisions is at the top and very noticeable. We ensured logical flow for easy decision-making on the reviewer's part.
Compliance Monitoring
Aegis Therapies has developed an extensive documentation training provided through eLearning. The training takes the therapist through the concepts of documenting medical necessity and skilled services. Additionally, it has a module on documentation auditing. Enhancements currently under development will result in converting this training into modules that will be completed by all staff on an annual basis to ensure constant focus on documentation quality.
At Aegis Therapies, monitoring and compliance are part of every manager’s and therapist’s performance plan. Managers are required to submit written documentation of any compliancerelated concerns to their supervisor and VP Compliance. There is a process in place for obtaining and maintaining updated State Practice Act information. An automated licensure tracking system is in place to ensure compliance. Licensure renewal dates for all disciplines are sent out each month to all Aegis managers. Each Area Vice President, along with credentialed auditors, must complete mandatory audits each quarter to ensure compliance with regulatory standards. These audits, and feedback, are shared with the original documentation author as another layer of training. This process is automated to encourage completion and compliance, and results are readily available in report form. Quality Assurance For Quality Assurance, Aegis completes Facility Visit reports and Survey Readiness assessments. Combined, this ensures the quality of services Aegis Therapies provides to patients and the facility, identifies risks for exposure, provides trending reports, and creates follow-up/action plans. Through these activities, Aegis ensures that we are aligned with facility quality management programs by incorporating two key standards: Quality of Care, and Regulatory and Company Requirements. • Q uality of Care: Specialized rehab services are provided to all patients who require them. These services address Quality Indicators, and serve to enhance and maintain the patient’s highest functional level. • R egulatory and Company Requirements: The rehab department supports the goals and objectives of the client facility, and complies with state and federal clinical practice guidelines and regulatory requirements.
Plan of Care - PT - 10/7/2014 Pt:
MRN:
Onset: 10/01/2014
SOC: 10/07/2014
DOB: 05/08/1926
Med Dx: 682.6 - CELLULITIS OF LEG
Tx Dx: 719.7 - DIFFICULTY IN WALKING
Payor: Medicare Part A
Qualifying Hospital Stay: From Date: 10/01/2014 To Date: 10/06/2014 Reason For Referral: Patient is a 88 year old female who presents with multiple active medical conditions, including cellulitis in right hip, hyponatremia and PVD. This medically complex patient over the last two weeks has experienced a significant decline in activity tolerance and functional mobility due to cellulitis and fatigue, such that it is not anticipated that the patient will be able to resume function without skilled therapy intervention. Delaying therapy would result in a reduced chance to regain the lost function. Therapy Necessity: The patient requires skilled PT at this time for addressing strength and mobility deficit in order to regain independence and be able to move to ALF. Medical History Related to Diagnosis/Condition: Pt has a history of hypothyroidism, general osteoarthritis, glaucoma, hyperlipedemia, CHF, atrial fibrillation, renal and ureteral disorder, DMII, and muscle weakness. Pt recently hospitalized for cellulitis and hyponatremia Medications: see medical chart for details Environmental Factors/Social Support: Pt is intending to transition from SNF to ALF and not return to apartment. Pt has supportive family that lives nearby and visits often.. Prior Residence and Living Arrangement: Pt lives in independent apartment. Pt was independent for dressing and all activities of daily care. Pt states she fixed her own breakfast and went to the dining room for dinner. Pt states she uses a rolling walker at all times. Previous Therapy: Pt had PT during last admission to this SNF. She was discharged to her apartment with home health were she achieved MOD I, however she then had increased pain in her hip and was admitted for hospital management Precautions: high risk for falls, pt on 2-4 L of constant O2 to keep O2 sats >90% Discharge Plans: Pt is planning to move to ALF Functional Deficits
Prior Level
Transfers, Sit-stand
MODIFIED INDEPENDENCE (Requires no MODERATE ASSISTANCE (Routinely requires physical assistance or verbal cues to transfer. 50% physical assistance to transfer.) Patient may require external support or the use of an assistive device, or require more than a reasonable amount of time to complete the task.) MODIFIED INDEPENDENCE (Requires no MODERATE ASSISTANCE (Routinely requires physical assistance or verbal cues to transfer. 50% physical assistance to transfer.) Patient may require external support or the use of an assistive device, or require more than a reasonable amount of time to complete the task.) MODIFIED INDEPENDENCE (Requires no MODERATE ASSISTANCE (Routinely requires physical assistance or verbal cues to transfer. 50% physical assistance to transfer.) Patient may require external support or the use of an assistive device, or require more than a reasonable amount of time to complete the task.) in community 0 feet 4-Wheeled Walker 4-Wheeled Walker MODIFIED INDEPENDENCE (Requires no DEPENDENT (Requires 100% assistance by one physical assistance or verbal cues to ambulate. or more persons to ambulate.) Patient may require external support or the use of an assistive device, or require more than a reasonable amount of time to complete the task.) Pt is unable to step at this time, pain may be a factor in ambulating
Transfers, Stand-sit
Transfers, Stand Pivot
Gait, Distances Gait, Assistive Device Gait, Level Surfaces
Other:
Current level
Underlying Impairments
Neuro/Musculo/Skeletal, Postural Control - Nudge-Push Test Unstable Neuro/Musculo/Skeletal, Pain with activity - 8 out of 10 Neuro/Musculo/Skeletal, Gross Strength RLE - 3+/5 Neuro/Musculo/Skeletal, Gross Strength LLE - 3+/5 Neuro/Musculo/Skeletal, Range of Motion - See Narrative Box Below Neuro/Musculo/Skeletal, Kansas Univ. Standing Balance Scale - 1+/5: Patient supports self with upper extremities but requires therapist assistance. Patient perfo Neuro/Musculo/Skeletal, Balance - Static Standing - F-: Able to maintain balance with handhold support and constant Min assist Neuro/Musculo/Skeletal, Balance - Dynamic Standing - P: Unable to accept challenge or move without loss of balance Other: Pain is located in L posterior hip/low back area ROM is WFL in B LE Pt's L hip pain is most likely due to cellulitis, no direct treatment on pain is indicated at this time. Will assess when infection clears Short Term Goal(s)
Goal Date
Pt. will ambulate 100 feet safely with rolling walker on even surfaces with CGA in order to require less caregiver
10/28/2014
13 INTERNAL AUDIT PROCEDURES
DENIALS MANAGEMENT
To assure quality documentation and billing integrity, Aegis Therapies requires documentation review on a regular basis. Our documentation reviews are conducted both randomly and targeted toward specific “outliers.”
Aegis Therapies is one of the few rehab companies to employ a dedicated Outcomes and Reimbursement team.
Documentation reviews are completed to identify areas of risk and areas of opportunity. While Aegis Therapies has policies that ensure documentation reviews are performed monthly at each Aegis Therapies facility to achieve a minimum number of reviews for each quarter, the expectation is that each facility is aware of their risk areas and uses documentation review as a tool to control their risk. Trends are monitored at the corporate, area, facility and therapist level with plans of correction developed as needed. Documentation reviews are conducted by Aegis Credentialed Documentation Reviewers. The credentialing program was developed and is trained by our Senior Clinical Claims Review Specialist who was a Medicare Medical Reviewer for over nine years prior to coming to Aegis Therapies. Currently, we have 325 credentialed reviewers. Aegis Therapies has created an electronic auditing program that displays the auditing form alongside the document that is to be audited. The auditing questions focus on the key areas that a Medical Reviewer looks for in determining medical necessity and skilled services.
This provides our customers with knowledgeable and experienced resources who are highly involved in government affairs and dedicated to strengthening our relationships with fiscal intermediaries. Our Outcomes and Reimbursement managers are responsible for the following: • E stablishing positive, proactive contact with Fiscal Intermediary (FI) and Medicare Administrative Contractor (MAC) or strengthening existing contact • D etermining FI/MAC requirements for documentation of therapy services (i.e., evaluation, physician communications, progress notes, monthly summaries, discharge summaries, etc.) via monitoring of Local Medical Review Policies, bulletins, newsletters and website • D etermining FI/MAC requirements for Appeals Process (i.e., written vs. oral; Reconsiderations/ Re-openings, Fair Hearings, Administrative Law Judge reviews, etc.) • Overseeing/managing entire Appeals Process, including all timelines • Producing trending analysis of denials received from FI/MAC • T raining therapy staff regarding documentation standards/ approaches as related to denials trending and FI requirements • T raining therapy staff regarding quality improvement (QI) processes, such as peer review of documentation • A ll denials reported to Aegis Therapies are entered into a Denials Tracking System (DTS). Through this process, we are able to monitor the appeals process through written appeals, hearings, and other forms of judicial review.
Full Doc Audit (Highest Risk)
Full Doc Audit (High Risk)
QI Audit (Moderate Risk)
PROVEN
LEVERAGING
RESULTS
TECHNOLOGY
It’s one thing to talk about therapy results, but we provide stronger patient outcomes and have the data to prove it. With 16 years of experience, we have collected more than seven million outcome data points, which we call Aegis Rehab Outcomes, making ours the largest post-acute outcomes database in the country. Our data proves we help patients achieve higher functional levels, and we use this data to enhance our evidence-based practice.
Aegis Therapies sets the standard for utilizing the extensive capabilities of Casamba SMART®, an industry leader in therapy provider software. This includes electronic clinical documentation, daily therapy notes, validation of data entry for compliance and several other key components that create a solid foundation for customer billing, regulatory compliance and business performance information. Our utilization of iPads® and mobile technology allows therapists to achieve true point-of-service care – full capture of accurate therapy start and stop times and point-of-service documentation for improved accuracy and compliance.
Aegis Rehab Outcomes are designed to ensure that quality services and positive outcomes are delivered to each patient by allowing clinicians to identify best practices. Through our Aegis Rehab Outcomes Report Cards, patients are able to see their progress as they work towards recovery, and our therapists are able to adjust their therapy program as needed. Outcomes Report Cards also serve as dynamic marketing tools that you can use to drive census in your facilities, track patient progress and report results.
15
Aegis was the first to market with a web-based customer portal and continues to lead the way in customer access to information. We can now extend the technology to all caregivers, including nursing, therapy, physicians, hospitals, and even patients and their families – giving everyone appropriate access to information and the ability to communicate and collaborate efficiently. Core to our technical infrastructure is the use of Amalga IntellaCare. This technology drives the ability to collect and seamlessly integrate data from multiple platforms, care settings and business models. AEGIS REHAB
OUTCOMES CARD Name:
SLP
From: To: Therapist name:
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Aegis provides a custom developed, web-based portal for access by our partners to realtime reports and full clinical documentation generated directly from our system, along with recent regulatory information updates, marketing tools and much more. Since the portal is developed internally, much of the content and reports have been developed at the specific request of our customers. This portal is available from any web browser at any time so there is no dependence on email or waiting for reports to be sent.
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Before we started, you could Now, you can
Not only do we have strong clinical outcomes, but our customers and patients are consistently satisfied as well.
Our use of recognized, market-proven solutions such as SMART and Amalga IntellaCare, combining them with the development of proprietary software that sits above these applications, creates a unique capability to meet our customers’ needs.
17 myCARE The ability to leverage our unique combination of the Amalga IntellaCare system, state-of-theart data center and our internal development team resulted in the creation of the proprietary myCare web-based portal. myCare offers the opportunity, in a single location, to provide real-time access to information as well as social networking capabilities for our customers and healthcare provider partners, accessible across all care settings. As part of the customer portal that would be developed for this partnership, the data application and social networking capabilities of myCare would also be customized to support your business’ clinical needs.
Aegis Therapies is uniquely positioned in the post-acute space to provide advanced, comprehensive, collaborative EMR solutions to our partners that help them meet the challenges they face by improving their competitive position and efficiency. Aegis has the benefit of technology infrastructure and resources that is unmatched by any other contract therapy service provider. Core to that capability is the use of Amalga IntellaCare — the technology that drives the ability to collect and integrate data from multiple platforms and care settings and multiple business models seamlessly. Amalga IntellaCare runs in a large data center hosted in our Fort Smith, Ark. administrative location, and it is specifically designed to aggregate and organize data across multiple platforms and systems — both internal and external.
Amalga IntellaCare
The Amalga IntellaCare system, coupled with Aegis’ internal software development team, give Aegis Therapies the ability to provide data and integration services to meet the requirements of any software program or EMR solution our customers use.
Outcomes
Customer Portal
iPad® Point of Care Documentation
myCare offers extraordinary capabilities that allow therapists, patients and family members to communicate quickly and efficiently. Therapists are able to help patients understand goals and current progress, and patients are able to keep their family members up-to-date with social media functionality. myCare keeps caregivers, patients and family members connected, no matter their location. Side-by-Side Therapist/Nursing Comparison Notes
Social-Networking Communication Channel
SMART® Electronic Charting and Auditing
AEGIS
MARKET MOVER Caregiver/Patient Dashboard
19
When you partner with Aegis, you will strengthen your reputation in the community by developing your position as the go-to provider of our proprietary services and programs. Plus, you’ll be able to leverage Aegis Market Mover, our premier marketing assistance, to showcase these services to patients, payors and providers, which will help your facilities stand out from the competition. Helping your business grow is all about positioning, partnering and performing. • Positioning – Identifying the right products/services/training to optimize customer growth. • Partnering – Developing the framework for successful, long-term strategic relationships to achieve best practice and sustainable competitive advantage. • Performing – Sharing best practices to produce growth or process improvement. To help you succeed, we also provide essential assessments, tools and trainings.
Patient/Family Dashboard ASSESSMENTS
TOOLS
• SWOT analysis
• Customer portal
• Outcomes utilization
• Competitive analysis • DRG trend analysis
• Key performance indicator dashboard
• G etting to Yes admissions
• Market potential grid
• Marketing collateral
• Census trends
• Digital marketing library
• Selling specialty programs
• Payor mix • R eferral and admission patterns
• S ales video on demand library
BILLING INTERFACE
• Marketing plan templates
Aegis utilizes a custom application to generate files of any format or layout to be imported into our partners’ billing systems. We currently provide billing export files to over 200 customers and to all of the major software applications.
• F irst Impressions checklist
We also provide real-time and near-real-time interfaces with many of the major software providers for HL7 ADT information and MDS therapy data. Each interface that is developed is a custom effort, and Casamba has a standing policy that it will provide interface development services to Aegis and our customers wherever the vendors are capable and willing to participate.
TRAININGS
• Inquiry protocols
• Leveraging social media • Touring strategies
CUSTOMIZABLE
COLLATERAL
21
We have the capabilities of customizing collateral by adding your personal logo and contact information. Collateral examples
Many residents in long-term care facilities have some level of dementia, ranging from mild to severe. To better help individuals in our facility facing this condition, our therapy department has developed a systematic approach to their therapy regimen.
AEGIS REHAB
QUALITY OF LIFE
OUTCOMES CARD SLP
From: To: Therapist name:
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T Ability today I
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Therapists will also establish a therapeutic program for the patient and instruct the caregivers in techniques to successfully carry it out. The result is a patient who can function within his or her best ability.
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Benefits of the Dementia Management program include: FREEDOM THROUGH
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Another unique feature of the Allen Cognitive Levels is their predictive value. Once a patient’s cognitive level is identified, therapists can use that information to predict the functional tasks that he or she should be able to perform.
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Ability area Dependent
OUTCOMES
INFORMATION
At Aegis, our mission is to enhance patients’ lives with quality, individualized care plans to help them regain independence. Each day we see the results of our commitment, not only with physical results, but also with quantitative, measurable data. This data allows us to prove our results and show the success from our therapy services.
Our Dementia Management program incorporates the use of the Allen Cognitive Levels to provide better individualized therapy for the patient. Developed as a way of measuring cognitive function, one of the unique features of the Allen Cognitive Levels is that it focuses on the patient’s abilities – that is, what he or she can do rather than what he or she is unable to do. By focusing on those strengths, our therapists can develop a program that capitalizes on them and allows the patient to function at his or her best ability.
BETTER REHAB
FOR MORE
ENHANCING
Name:
DEMENTIA MANAGEMENT
MOVE THROUGH LIFE
FUNCTIONALITY
• Identifies behavioral problems • Helps to reduce chemical restraint • Addresses poor food intake • Assists with continence management • Identifies lack of participation in both • Assists in decreasing occurrences of falls recreational and daily living activities The Freedom Through Functionality (FTF) program is a unique strength-building plan for older adults. Modeled after a clinical study — proving that the most effective way to increase thetoday independence and functionality of seniors is through Call us to learn more. a regular program of strength building — FTF is designed to benefit patient outcomes and improve quality of life.
Independent
Ability area Dependent
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Insert Non-Affiliate Logo Here
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OF LIFE
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Geriatric Enhanced Modalities (GEM) are innovative therapy tools and programs to enhance quality of life for seniors.
Independent
Benefits include: • Reduced pain • Decreased edema • Improved contractures • Enhanced muscle re-education • Increased circulation • Stronger muscles • Improved bladder control • Greater joint flexibility • Faster recovery • Improved wound healing
Before we started, you could Now, you can
MODALITIES
INFORMATION Therapy services provided by
Independent
Ability area
GERIATRIC ENHANCED
FOR MORE
ENHANCING QUALITY
Ability area
The FTF program pairs specially modified strength-building equipment with exercise programs developed by experts in geriatric rehabilitation. In addition to the physical benefits, this proven program also has a positive impact on patients’<> well-being. Having the strength to perform basic activities of daily living, without the aid of others, boosts confidence and restores dignity. <> <>, <> <> By increasing muscular strength, patients can often reduce the severity of health conditions commonly <> associated with aging. When considering the facts below, it is easy to understand why strength-building programs are so beneficial. www.AegisTherapies.com
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• The average older adult loses up to 80 percent of strength throughout a normal lifespan, mostly due Aegis Therapies welcomes all persons in need of its services and does not discriminate on the basis of age, disability, race, color, national origin, ancestry, religion, sex, or source of payment. ATS-11388-14 M175 to inactivity. • Weakness is directly correlated to functional issues such as impaired walking ability, transfers, balance and activities of daily living. • Seniors, including the very frail elderly, have the ability to regain substantial strength. • Increased strength positively improves functional ability and decreases risks of injury.
Aegis Therapies welcomes all persons in need of its services and does not discriminate on the basis of age, disability, race, color, national origin, ancestry, religion, sex, or source of payment. Aegis Therapies and (Company Name) are
companies. Aegis provides therapy services pursuant to a Service <>
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CONTINENCE
MANAGEMENT Benefits of FTF include:
• Better mobility, balance and flexibility • Faster walking speed • Improved ability as to urinary rise from a seated or reclined position Bladder control problems, also known incontinence, affect more than • Decreased painof from arthritis 13 million Americans, with about half seniors experiencing this condition. • people Improved mood Unfortunately, most affected doand notself-esteem seek medical help, primarily because falls they do not know • thatDecreased safe and successful treatment exists. • Enhanced quality of life Our therapy team • hasIncreased developed a Continence Management program to help patients with urinary independence incontinence issues. Medical research has proven that such programs help reduce leakage by 65-70 percent learn more about control the FTF program, contact us government’s today. in over 80 percentTo of people with bladder problems. In fact, the U.S. Agency for Healthcare Research and Quality recommends this approach before using drugs or surgery for treatment of <> Insert Non-affiliated bladder control problems. Logo Here <>
Aegis is proud to offer this exceptional program, and we invite you to contact us for more information.
Outcomes Report Card
ENHANCING
QUALITY OF LIFE While slow-healing wounds can be disruptive, they can be successfully treated. With the support of an Aegis Therapies’ healthcare team and the innovative Wound Management program, you’ll see your wounds heal quicker so you’re able to enjoy an improved quality of life.
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FOR MORE
MANAGEMENT
INFORMATION Therapy services provided by
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www.aegistherapies.com Aegis Therapies welcomes all persons in need of its services and does not discriminate on the basis of age, disability, race, color, national origin, ancestry, religion, sex, or source of payment. Aegis Therapies and (Company Name) are
Aegis Therapies welcomes all persons in need of its services and does not discriminate on the basis of age,
disability, color,abdomen national origin, ancestry, sex,floor or sourcemuscles of payment. ATS-11387-14 Simple exercises for therace, hip, and religion, pelvic will be M115 introduced to help strengthen bladder support and decrease leakage. Another treatment option is to apply mild, comfortable electrical pulses to the torso and legs to help re-educate the bladder muscles.
separate companies. Aegis provides therapy services pursuant to a Service <>
GERIATRIC ENHANCED
<> <>, <> <> <<000-000-0000>> Fax <<000-000-0000>>
Discipline: PT_____ OT_____ ST_____
While urinary incontinence can be an uncomfortable condition, a professional health evaluation and recommended treatment from our team can help patients start regaining control today.
MODALITIES
Benefits of the Continence Management program include:
• Increased confidence and activity participation Clinicians in hospitals, outpatient clinics and sports medicine facilities use therapy • Improved overall quality of life machines to treat problems like pain and swelling in young adults and athletes. • Increased mobility Since older adults often encounter similar physical problems, it made perfect sense to offer a program to our patients so theystrength could experience the same • Increased pelvic muscle health benefits.
Freq/Dur: _____X/Week for _____Weeks
Physical and Occupational Therapy:
Speech and Audiology:
____ Evaluate and treat
____ Active ROM
____ Evaluate and treat
____ Moist heat
____ Active assisted ROM
____ Articulation therapy
____ Ultrasound
____ Therapeutic exercises
____ Voice therapy
____ Massage
____ Joint mobilization
____ Fluency therapy
____ Electrical stimulation
____ Home exercise program
____ Language therapy
____ Hydrotherapy
____ ADL retraining
____ Developmental delay
____ Wound/Burn care
____ Adaptive equip. training
____ Receptive language
____ Paraffin bath
____ Splint fabrication
____ Expressive language
____ Contrast bath
____ Energy conservation
____ Aphasia
____ Cryotherapy
____ Joint protection
____ Dysphagia therapy
____ Gait training
____ Advanced home-making
____ Tongue thrust
____ Work conditioning
____ Environmental adapt.
____ Apraxia therapy
____ Walking program
____ Urinary incontinence program
____ Dysarthria therapy
____ Passive ROM
____ W/C assessment
____ Vital stimulation
®
®
EXPERIENCE THE
FREEDOM The Freedom Through Functionality program brings you the best and latest in strength building. It includes programs designed to build strength and independence, Nautilus® equipment modified specifically for seniors and the clinical expertise to generate great results. We are proud to offer this exceptional program, and we invite you to contact us for more information.
FOR MORE
INFORMATION Therapy services provided by
For more information about the Continence
Based on years of experience in hundreds of facilities, Geriatric Enhanced Modalities (GEM) provides therapy Management program, contact us today. protocols designed specifically for health conditions common to seniors, with clinicians specifically trained to administer and manage the therapy. GEM uses ultrasound, diathermy and comfortable electrical stimulation <> Insert Non-affiliated for a variety of treatments including stroke recovery, incontinence, Logo Here joint replacement therapy, wound care <> and osteoarthritis. <>, <> <>
FREEDOM THROUGH
FUNCTIONALITY
<> Our GEM machines and protocols are based on research evidence published in peer-reviewed rehabilitation and therapy journals. The use of modalities is in accordance with the guidelines from the Centers of Medicare www.AegisTherapies.com and Medicaid Services (CMS). In addition, the modality protocols are consistent with standards established This facility welcomes all persons in need of its services and does not discriminate on the basis of age, disability, color, national origin, ancestry, gender,American sexual orientationPhysical or source of payment. ATS-11394-14 M245 for national therapyrace, organizations suchreligion, as The Therapy Association and American Occupational Therapy Association.
Space provided for Facility Logo
www.aegistherapies.com Aegis Therapies welcomes all persons in need of its services and does not discriminate on the basis of age, disability, race, color, national origin, ancestry, religion, sex, or source of payment. Aegis Therapies and (Company Name) are separate companies. Aegis provides therapy services pursuant to a Service Agreement with (Company Name). ATS-11206-14 F245
<> <> <>, <> <> <<000-000-0000>> Fax <<000-000-0000>>
As a result of the GEM program, our patients enjoy better mobility, less pain, greater joint flexibility, faster recovery, earlier discharge from therapy and an enhanced quality of life. Benefits of GEM include: • Reduced pain • Decreased edema • Increased circulation • Strengthened muscles and joint flexibility
Appliances/Special Instructions: ___________________________________________________________________________________________
EnerG Cookbook
___________________________________________________________________________________________ ___________________________________________________________________________________________
Insert Non-Affiliate Logo Here
Therapy services provided by
Physician Certification: I certify that the services above are medically indicated and necessary to the health of this patient and will be furnished under my personal direction. Date:_________________
www.aegistherapies.com Aegis Therapies welcomes all persons in need of its services and does not discriminate on the basis of age, disability, race, color, national origin, ancestry, religion, sex, or source of payment. Aegis Therapies and (Company Name) are separate companies. Aegis provides therapy services pursuant to a Service Agreement with (Company Name). ATS-10609-13 O114
Aegis Therapies welcomes all persons in need of its services and does not discriminate on the basis of age, disability, race, color, national origin, ancestry, religion, sex, or source of payment. Aegis Therapies and (Company Name) are separate companies. Aegis provides therapy services pursuant to a Service Agreement with (Company Name). ATS-11592-14 A255
Prescription Tear Pad
Tri-fold Brochures
Faster healing Improved wound healing Better mobility Enhanced quality of life
For more information on the GEM program, contact us today.
___________________________________________________________________________________________
Signature of Referring MD _________________________________________
• • • •
<> <> <>, <> <> <>
www.AegisTherapies.com Aegis Therapies welcomes all persons in need of its services and does not discriminate on the basis of age, disability, race, color, national origin, ancestry, religion, sex, or source of payment. ATS-11386-14 M175
Fliers
AT HOME
WITH AEGIS At Home With Aegis is a comprehensive home therapy service that helps patients achieve their goals and stay healthier at home — longer. By partnering with home health agencies, assisted living facilities and independent living facilities, At Home With Aegis is able to deliver core therapy services tailored to the specific needs of the home environment.
23 FOR ASSISTED LIVING AND INDEPENDENT LIVING FACILITIES Assisted living and independent living facilities want to keep residents as healthy as possible so that they may continue to age in place. At Home With Aegis delivers core therapy services to ALFs and ILFs while focusing on the additional aspects of care and services that will strengthen our partners’ business. Resident benefits include:
FOR HOME HEALTH AGENCIES
• One seamless care team provides the care they need, when and where they need it most
At Home With Aegis partners with home health agencies to provide the therapy staffing, leadership, clinical support and excellence in rehabilitation to position agencies across the nation for success and growth.
• “Restore, compensate, adapt” model of care • Comfort and peace of mind while receiving care from familiar people in their own home • Individualized care plans and evidence-based approach to care
Patient benefits include: • Comprehensive, individualized treatment plans focused on patient goals • “Restore, compensate, adapt” model of care • Evidence-based practice, which drives successful outcomes
Restore
• F ocus on condition management, which empowers the patient to move toward greater independence Agency benefits include: • Helps patients achieve optimal outcomes and patient satisfaction • Removes the burden of therapy oversight and management
Adapt
Compensate
• Increases marketability through a proven partnership, core programs and strong clinical outcomes
ALF/ILF benefits include: • Helps residents remain healthier in the ALF/ILF, longer • L ightens the load of communication and paperwork through seamless systems and a singular point of contact • Increases marketability through a proven partnership and results • Creates a more cohesive team familiar with the community, policies and staff
ENERG®
BY AEGIS
25 We believe that wellness isn’t just one-dimensional. It’s a complete way of looking at our health and how we maintain it. It’s a philosophy of prevention, not treatment. The EnerG® by Aegis programs have been designed to help us look at health in a new way that focuses on multiple dimensions of wellness – social, physical, emotional, intellectual, occupational, spiritual and environmental.
We use this multi-dimensional model because it supports the factors that impact our health on a daily basis – diet and nutrition, exercise, emotional and physical health, stress and spirituality.
HOW ENERG BENEFITS YOUR PATIENTS • O ffers a holistic approach to wellness – EnerG activities address the whole person with the goal of improving quality of life at any stage of wellness. • P rovides an integrated experience – Activities are integrated with nursing, social services, dietary and therapy to help patients achieve wellness goals and improve quality of life. • Improves satisfaction and engagement – Helps provide a fun, interactive and supportive activity experience that keeps patients motivated and moving. • Improves quality of life – Helps keep patients independent longer and improves daily social and emotional engagement. • P romotes lifelong learning – Fosters a culture of wellness and lifelong learning through multiple educational offerings. • Improves care outcomes – Results have shown that participants reduce their risk for falls with injury, depression, impaired cognition and unplanned hospitalizations.
The Dimensions of Wellness
PURPOSE. POWER. PROVEN. EnerG wellness programs offer a purposeful approach to senior activities to enhance participants’ health and happiness. With a focus on total wellness, EnerG is a powerful program that takes traditional recreational activities to a new level. Plus, EnerG has been developed using scientific research that shows patients have a higher success rate when they engage in a multi-dimensional approach to their health and wellness.
Improved Patient Outcomes
Improved Length of Stay
100%
1 yr.
75%
9 mos.
50%
6 mos.
25%
3 mos. 15.2%
30.4%
61%
1.1
2.35
8.1
Reduction in falls
Reduction in falls with injury
Utilization across all settings
Increase to LOS in LTC/SNF
Increase to LOS in ALF
Increase to LOS in IL
Enhanced Patient Engagement • 78% of EnerG participants report higher overall satisfaction • 64% agreement that EnerG was a primary reason for selecting the care setting
FREEDOM THROUGH
FUNCTIONALITY The Freedom Through Functionality (FTF) program is a unique strength-building plan for older adults. Modeled after a clinical study — proving that the most effective way to increase the independence and functionality of seniors is through a regular program of strength building — FTF is designed to benefit patient outcomes and improve quality of life. In addition to the physical benefits, this proven program also has a positive impact on patients’ emotional well-being. Having the strength to perform basic activities of daily living, without the aid of others, boosts confidence and restores dignity. By increasing muscular strength, patients can often reduce the severity of health conditions commonly associated with aging.
STRENGTH-BUILDING EQUIPMENT The FTF program pairs specially modified strength-building equipment with exercise programs developed by experts in geriatric rehabilitation. Historically, this program has been supported with customized equipment from our long-time partner, Nautilus®. However, we are now pleased to also offer a new program with HUR® Health & Fitness equipment that utilizes Natural Transmission technology and the HUR SmartCard. The heart of HUR machines is the SmartCard, used to automate the entire training session, which makes workouts easier and more motivating for all users. With the SmartCard, repetitions and resistance are automatically uploaded. A color touch screen with animated exercise display provides additional motivation and helps beginners ease into the exercise. In addition, training programs are updated automatically to match the goals and progress, making instruction easier.
BENEFITS OF FTF • Better mobility, balance and flexibility • Faster walking speed • Improved ability to rise from a seated or reclined position • Decreased pain from arthritis • Improved mood and self-esteem • Decreased falls • Enhanced quality of life • Increased independence
27
GERIATRIC ENHANCED
MODALITIES Clinicians in hospitals, outpatient clinics and sports medicine facilities use therapy modalities to treat problems like pain and swelling in young adults and athletes. Since older adults often encounter similar physical problems, it made perfect sense to offer a program to our patients so they could experience the same health benefits. Based on years of experience in hundreds of facilities, Geriatric Enhanced Modalities (GEM) provides therapy protocols designed specifically for health conditions common to seniors, with clinicians specifically trained to administer and manage the therapy. GEM uses ultrasound, diathermy and comfortable electrical stimulation for a variety of treatments including stroke recovery, incontinence, joint replacement therapy, wound care and osteoarthritis. Our GEM machines and protocols are based on research evidence published in peer-reviewed rehabilitation and therapy journals. The use of modalities is in accordance with the guidelines from the Centers of Medicare and Medicaid Services (CMS). In addition, the modality protocols are consistent with standards established for national therapy organizations such as The American Physical Therapy Association and American Occupational Therapy Association. As a result of the GEM program, our patients enjoy better mobility, less pain, greater joint flexibility, faster recovery, earlier discharge from therapy and an enhanced quality of life. Benefits of the GEM program include: • Reduced pain • Decreased edema • Increased circulation • Stronger muscles and greater joint flexibility • Faster recovery and improved wound healing • Better mobility • Enhanced quality of life
29
RIGHT
KINETIX ENHANCED
RHYTHM
ORTHOPEDIC CARE
The Right Rhythm Cardiac Care Program provides patients with the specialized care needed to address heart failure and other cardiac issues. The Right Rhythm program is specific to cardiac care, so we offer a level of expertise focused on maximum patient recovery. With Right Rhythm, patients receive the right care in the right setting. As a transition between hospital and home, our cardiac program will better ensure that patients can manage their conditions and reduce symptoms that result in unplanned rehospitalizations. You can look to us to improve patients’ health and educate them about their disease. Utilizing specialty protocols, processes and procedures, as well as patient-centered clinical training, we help patients get stronger, faster.
ENHANCED CARDIAC TRAINING • S taff training based on CardioSmart® modules educates caregivers on each of the 10 cardiac diagnoses addressed with Right Rhythm • R ight Rhythm Cardiac Care Maps provide clinical steps and anticipated time frames, and can be customized for patients according to physician preferences • P atients and families receive personalized nutrition education based on therapeutic and dietary recommendations from the National Institutes of Health and guidelines from the American Dietetic Association
COMPREHENSIVE TRANSITION MANAGEMENT • E arly and on-going collaboration by the interdisciplinary care team addresses patient care holistically • C ardiac-specific resources give patients the tools they need to effectively self-manage their condition at home, including an individualized Patient Transition Notebook and cardiac meal plans featuring chef-inspired recipes from Right Rhythm Recipes for Heart Health • F ollowing up with patients 48 hours after discharge and then each week for the next four weeks helps our caregivers identify any changes in health earlier We tailor our treatment plan to help patients reach their individual goals and highest level of functional skills possible. With the millions of outcome-related statistics and data we’ve collected, we’re able to design our treatment plans for better outcomes.
31
The Kinetix Enhanced Orthopedic Care program provides patients with the care they need to recover from joint replacement, fractures, spinal injuries, amputations and other orthopedic conditions. Enhanced Orthopedic Care offers a level of expertise focused on optimal patient recovery. Patients can feel confident that they will receive the right care in the right setting. As a transition between hospital and home, we assess our patients for the safest environment to help reduce avoidable rehospitalizations.
ORTHOPEDIC EXCELLENCE Aegis therapists have specialized training to maximize therapeutic outcomes for patients recovering from orthopedic conditions. We use evidence-based practice and physician-specific protocols for diagnosis and treatment. Plus, our therapists have access to ongoing training to understand the specific needs of the orthopedic patient. We also incorporate wellness services into our treatment as a way to enhance overall recovery, including pain management, non-skilled strengthening and relaxation.
ENHANCED OUTCOMES We tailor our treatment plan to help patients reach their individual goals and highest level of functional skills possible. With the millions of outcome-related statistics and data we’ve collected, we’re able to design our treatment plans for better outcomes. We provide focused care through proactive care planning and clinical pathways to help patients get back home. Plus, we follow up with the patient weekly for a month after discharge to check on patient progress. We’ve also integrated the industry-recognized INTERACT III tools* into our protocols and procedures because they’ve been shown to reduce the possibility of avoidable rehospitalization. * The INTERACT tools were originally developed by Joseph G. Ouslander, MD and Mary Perlone, MS, GNP.
NAVIGAIT
33
Aegis Therapies has developed the NaviGait program to provide rehabilitation therapy services to patients who have undergone amputation or limb loss and are being fitted with a prosthetic device. NaviGait is designed to ensure that patients receive the clinically appropriate, functional benefits that Aegis has to offer. The program offers primarily physical therapy services and occupational therapy services to patients with limb loss surgery. The initial focus is on lower extremity amputation with pre-operative services (where possible) and post-operative services. The program will expand to include all limb loss patients, as well as additional services, including orthotics, pediatric plagiocephaly and post-mastectomy services.
EVALUATION AND TREATMENT SERVICES INCLUDE (BUT ARE NOT LIMITED TO):
Services include pre-operative visits, when possible and as clinically indicated, as well as post-operative services that will be provided pre- and post-fitting and upon receipt of the first prosthesis. Additionally, a critical component of NaviGait is the use of therapeutic modalities – ultrasound, electrical stimulation and diathermy. These modalities are vital in helping to address issues with pain management, phantom limb sensation, edema management and muscle reeducation. The program also includes balance training. Patient education about predisposing conditions, risk for complications, and prevention strategies is also an important component of the program. Through effective patient education and patient monitoring, we believe the risk of complications and re-hospitalization will be reduced.
Pre-op assessment and services, when available
BENEFITS TO PATIENTS Pain management Mobility
Integration of physical and occupational therapy as a part of a comprehensive care program ensures the patient’s ability to maximize their functional and mobility capabilities. This allows the patient to move about safely, optimize the potential of the device and avoid developing counter-productive adaptive behaviors. Patients also will receive education and monitoring that will help reduce and address complications.
Gait
BENEFITS TO REFERRAL SOURCES Exercise Posture and alignment Education/prevention Footwear Positioning
This coordinated and comprehensive care program provides a single source solution for postsurgical/non-physician services. Physicians can be confident that their patient’s immediate and longer-term needs will be addressed and monitored.
BENEFITS TO PAYORS Immediate costs can be controlled through utilization of bundled payment arrangements. In total, fewer services will be required due to a coordinated care approach. While costs have traditionally been paid on a stand-alone, by-service basis, the bundled approach will prove to be a more cost-efficient process. Longer-term benefits from a structured and predictable care program will result in reduced complications and fewer unnecessary, additional medical expenses.
DYSPHAGIA DIAGNOSIS
AND MANAGEMENT Aegis Therapies continuously searches for evidence-based methods to improve the health and well-being of patients with a variety of conditions. The needs of patients with dysphagia are currently underserved in the post-acute care industry, and there is an opportunity to greatly improve care for these patients with Aegis Dysphagia Diagnosis & Management. Studies have shown that 78% of all avoidable rehospitalizations that occur within 30 days of admission to a SNF are caused by five specific diagnoses, four of these diagnoses are related to dysphagia. In partnership with Dysphagia Management Systems, Aegis Therapies has developed a program that will provide better care and condition management for these patients. With an aggressive dysphagia management program, we can help reduce unplanned avoidable rehospitalizations by as much as 62% for the following conditions: • Congestive heart failure, which is associated with aspiration, pneumonia and dysphagia • Respiratory infection, which causes or is caused by dysphagia • Urinary tract infection, which is associated with malnutrition and dehydration • E lectrolyte imbalance, which means that the patient with dysphagia should remain nutritionally sound to remain stable Additionally, studies have shown that up to 30% of nursing home residents with dementia are undernourished. Through appropriate endoscopic assessment, it can be determined if the undernourishment is due to an inability to swallow. If so, the dysphagia management program would help the patient improve swallowing ability and therefore reduce problems associated with undernourishment.
35 Provider benefits: • Reduced number of avoidable rehospitalizations • Significantly lower costs for swallowing evaluation • M ajor differentiator in the marketplace and an attractive benefit for Accountable Care Organizations • Reduced cost of care for patients with dysphagia due to avoiding complications • Improved patient outcomes • P otential increase in appropriate SLP caseload with comprehensive documentation to support functional patient goals Benefits to patients: • P atients receive state-of-the art endoscopic evaluation of swallowing in the facility (if clinically indicated), which means no transfer to a hospital is required • Risk of dysphagia complications are assessed early and throughout patient stay • Trained staff can provide prompt interventions to maintain safety • Improved outcomes as a result of an aggressive, focused treatment program
PROGRAM COMPONENTS Immediate risk prediction
78%
Interventions for patient stability
Avoidable unplanned rehospitalizations that occur within 30 days of admission to a SNF are caused by five specific diagnoses. Four of these diagnoses are related to dysphagia.
Comprehensive evaluation
62% The percentage of unplanned rehospitalizations that can be reduced by aggressive dysphagia management.
Individualized medical and therapeutic management Formal monitoring and intervention for change of condition
AEGIS
HEALTHSTEP There are currently 26 million people with diabetes in the United States. Aegis Therapies is helping to improve the health of this patient population, and is exploring new ways to improve the care and management of these patients in terms of preventing foot ulcers and lower-limb amputations. Individuals with diabetes make up 76% of all lower-limb amputations in the U.S., and approximately half of all diabetes-related amputations have been attributed to poorly fitting footwear (JAMA, 2002). To help address this problem, Aegis Therapies is partnering with Visual Footcare Technologies to introduce Aegis Healthstep, the latest in preventative foot care to people with diabetes.
37 OPPORTUNITY Aegis Therapies is uniquely positioned to intervene at the right time and help reduce possible complications of diabetes through proper foot care, evaluations and education. Aegis Healthstep: • M aximizes the health and well-being of patients with diabetes with innovative diagnostic tools and ongoing education • R educes foot ulcers and amputations for at-risk patient population through earlier and more comprehensive intervention • P rovides a service extension for our patients through diabetic foot exams and enhanced educational materials
MARKET OVERVIEW
• P rovides custom shoe fittings and assistive shoes or inserts for appropriate patients, viewing these tools as assistive devices when they are needed
12 MILLION
• C reates an opportunity to extend the service offering by appropriately fitting and sizing shoes for participants in wellness programs, regardless of diabetic status
Medicare beneficiaries (26.9% of Americans age 65 and older) have diabetes
85% of diabetic amputations are preceded by a diabetic foot ulcer
$17 BILLION Estimated costs for treatment of diabetic foot ulcers and related incidence of amputations per year
AEGIS THERAPIES AND VFT Visual Footcare Technologies (VFT) is a hybrid medical device/healthcare services company, which has comprehensive programs and FDA-approved, proprietary products that target foot ulcers and other lower extremity complications associated with diabetes. VFT provides a standardized, comprehensive diabetic foot assessment that uses the company’s proprietary, FDA-approved risk stratification devices. VFT’s Lower Extremity Amputation Prevention (LEAP) program promotes early risk stratification, patient education and proactive prevention of diabetic foot ulcers. VFT also makes available therapeutic footwear and insoles, which are eligible for reimbursement through Medicare’s Therapeutic Shoe Benefit Program. Aegis Therapies will provide trained and certified Therapeutic Shoe Fitters who will understand how to properly assess and fit patients with appropriate footwear. Aegis will help stratify and educate patients who are at risk for diabetic foot ulcers. This will facilitate the initiation of preventative care and treatment, and will positively impact patient outcomes.
WALK!
WITH AEGIS THERAPIES WALK! with Aegis Therapies is a five-day celebration of health and wellness that is held annually each September. It is held at Aegis client locations across the country, including independent living facilities, assisted living facilities, continuing care retirement communities, skilled nursing facilities and other locations. 2015 marks the seventh annual WALK! with Aegis Therapies event. The event is presented by EnerG® by Aegis and the International Council on Active Aging® (ICAA). The event is held in support of Active Aging Week and was launched as a one-day event during Active Aging Week in 2009. The next year, WALK! with Aegis Therapies expanded into a five-day celebration of health and wellness. In 2014, more than 760 locations across the country participated in the program. This past year, the WALK! with Aegis Therapies event was the largest in its six-year history, with more than 61,000 participants at over 760 locations nationwide. Participants walked a combined total of 94,000 miles. Notably, the ICAA has awarded Aegis Therapies an Innovators Award for WALK! with Aegis Therapies. The annual award recognizes creativity and excellence in active aging, and it honors programs, concepts and products that are setting new standards and are making a difference in the lives of older adults. WALK! with Aegis Therapies is a series of daily walking sessions and activities focused on a different dimension of wellness every day, including physical, intellectual, occupational, emotional, environmental, social and spiritual. Throughout the week’s activities, participants are active and hear words of encouragement from Martha Schram, President of Aegis Therapies, and Colin Milner, Founder and CEO of the ICAA, through CDs that are provided to all participating facilities. This unique event is unlike any other, and it is just one of the ways that Aegis Therapies helps bring value to its partners across the country.
39
ABOUT
OUR
AEGIS THERAPIES®
PEOPLE
As one of the nation’s leading providers of contract physical, occupational and speech therapy services, our professionals apply proven techniques to help patients move through life to increase their freedom and independence. We have over 1,400 partnerships in 42 states and more than 8,400 employees providing long- and short-term therapy services. This gives Aegis the strength and stability to help providers navigate the changing healthcare landscape and meet the needs of tomorrow, today.
MANAGEMENT STRUCTURE
We are the right partner for you with better resources, faster communications and stronger outcomes. You want your company to be positioned for growth, and Aegis can help you move through change and thrive in the new healthcare world.
41
Each facility has a Director of Rehab (DOR) assigned. The DOR is a manager and is available to meet daily with the facility team based upon the needs of the customer. The DOR is the direct support manager to the therapists and manages the day-to-day business for the therapy programs. The DOR is also a partner with facility management. The Area Vice President (AVP) will be on-site monthly or as requested by the customer. The AVP provides oversight and support to the DOR for the achievement of the goals of facility in partnership with facility. The AVP provides business reviews as well as facility visits as needed. The Regional Vice President (RVP) provides oversight and support to the DOR and AVP. The RVP participates in chain quarterly and yearly business reviews, special strategic initiatives and facility visits as needed.
Aegis Locations
Finally, the local and regional management team is supported by a wealth of resources at the corporate level; including recruiting, operations, regulatory, compliance, risk management and technology support.
Martha Schram (16 yrs)
Director HR (21 yrs)
VP Compliance (24 yrs)
IT Director (7 yrs)
VP Recruiting (7 yrs) SVP Strategic Partnerships (14 yrs)
VP Wellness (6 yrs)
VP Home Health (3 yrs)
VP Rev Growth and Diversification (16 yrs)
LEGEND SNF / ALF LEGEND Hospitals SNF/ALF
Hospitals
5 Region VP (16 yrs)
VP Clinical Services (15 yrs)
VP Sales (11 yrs)
VP Finance (14 yrs)
41 Area VP (11 yrs)
7 Clinical Regulatory Outcome Directors (16 yrs)
8 Sales Managers (8 yrs)
7 Finance Managers (8 yrs)
500 Directors of Rehab (6 yrs)
BRINGING IT
ALL TOGETHER
43
STAFFING/RECRUITING Extensive company resources and geographic market knowledge
Aegis is a leader in rehab recruiting. Our recruitment department consists of a team of 16 employees to ensure that needed staffing levels are met. Staffing needs are assessed at the facility level based on patient needs and facility objectives. Aegis Therapies currently employs over 4,400 full-time, regularly scheduled employees. An additional pool of more than 4,000 part-time employees provide backup staff when there are increases in patient caseloads and new business opportunities, and when seven-day coverage is a facility requirement.
Organizational support at every level
Personalized approach to meeting your organization's objectives
University Relationships and New Graduate Recruiting Building and maintaining strong clinical relationships with universities is a major goal at Aegis Therapies. Currently, Aegis has over 2,500 contracts with universities offering clinical rotations and affiliation opportunities across the country. In 2014, a total of 342 FTE new graduates joined Aegis Therapies. In addition, we partnered with Concorde University to launch our own OTA school in response to the lack of these specialized educational institutes available in some areas of the country. We graduated the first class of 7 students in December of 2014 and have plans to expand in 2015. We are doing the right thing to bring in the right people. Conversion and Implementation Plans Aegis Therapies is successful in converting existing staff and hiring additional staff as needed for new business partnerships. When a conversion of existing employees is involved, Aegis is highly competitive in its approach to recruitment. The conversion of contract therapists includes recognition of the number of years of service that the therapists have at the current facility. This is in part due to the thorough benefit comparison, competitive pay and employee meetings that are conducted to ensure a smooth transition for these employees. The benefits and conversion plans are introduced to the therapists prior to start date.
TURNOVER Aegis Therapies is an exceptional organization, offering our employees an opportunity to develop professionally while providing them with competitive pay and benefits. Aegis maintains high staff retention and low employee turnover. For the past four years, employee turnover was less than 11.5 percent. To ensure we maintain low employee turnover, we conduct employee satisfaction surveys annually and monitor turnover results on a monthly basis.
Industry-leading documentation and compliance programs
OUR MISSION: To share our passion for improving quality of life through innovative healthcare, one person, one family and one community at a time.
OUR VALUES: Make integrity and accountability your pledge. Share our passion for excellence. Be uncompromising in delivering quality care.
PARTNER WITH AEGIS TODAY With a broad service offering, Aegis Therapies is positioned to be a strong partner for you in the new healthcare world. We look forward to working with you to identify and achieve mutually beneficial strategic objectives. 877-877-9889 www.AegisTherapies.com
877-877-9889 www.AegisTherapies.com This document was created strictly for internal use of Golden Living and its subsidiaries and related companies and is not to be reproduced without the express written permission of the Corporate Law department. ATS-11667-14 M125
