1. Senior Living, Wellness, Care & Recovery of Osakis Balancing a Model of Care & Rehabilitation with Prevention Services Dave Carlson, M.S.Ed., LNHA

2. Historically, heavy reliance on a medical, disease management model of entitled care for older adults with resulting near-crisis conditions nationally and a failure by our organization to fully achieve desired “big picture” outcomes… Change…Not an Option Consumer Value Quality of Life Opportunity Consumer Satisfaction Profit Happiness & Fun Quality of Care Hope & Optimism Culture Change Health & Wellness

3. “In my opinion, most of the people I see in nursing homes across the country are there because they are weak, not because they are sick.” John Rude - 2003 A Catalyst for Change in 2003

4. Top-Down Board Support Program Development Desire for Deep System Change Equipment Investment Dedicated Time & Resources Strategic Priority Quality Indicators Restoring Hope in 2004 Human Potential vs Decline

5. Priorities in Perspective Brand Identity Program Expansion Prevention Services Wellness Center Marketing Traditional Care

6. Investing in Our Future - 2007 Borrowed $3.5 Million Reserves $1.2 Million HUR Grant $104,000 Total Project $4.8 Million

7. “In Galeon’s experience, HUR makes the best and most effective exercise equipment for older adults found anywhere in the world.” Tony Van Acker Director of Wellness and Prevention Services

8. Positive Outcomes - 2008 $100,000 Annual Revenues 466 Members Skyrocketing Support 3000 exercise visits per year FIVE-fold increase in outpatient therapy visits

9. Community Benefits  Campus and community support for Club Galeon proves to be sustainable.  Wellness Director becomes liaison to therapy.  70% of memory care residents actively participating  66% of Board and 23% of employees involved.  44% actively engaged across campus.  Outpatient therapy patients increase by 166%.  Club membership averages 300-350 per month.  Club members joining because they want to, not because they have been told they have to.  Prevention keeps compelling medical model demands in perspective.  Niche market opportunities are created such as in weight loss, balance, fall risk reduction, K-12 education, Multiple Sclerosis, Parkinson’s, incontinence prevention, nutrition, etc.  Wellness and exercise impact the human condition more directly than most quality initiatives.

10. Financial Benefits  Margin from therapy services significantly increased.  Revenues from community outreach offset most program costs.  Grants for wellness and prevention initiatives readily available.  Evidence-based programs are available, inexpensive, replicable.  Consumers incur lower cost for medications, supplies, and clinical visits while managing their conditions.  Allows for the creation of relationships that lead to future referrals. Prevention and wellness services are successful when offered conveniently and affordably to large numbers of older adults.

11. Looking Forward “Prevention is the gold star standard of excellence that organizations like Galeon will aspire to in the future.” John Rude, AgeDynamics

12. Prevention, Prevention, Prevention! Purge the Urge – UI Prevention bioDensity – Osteoporosis Prevention Freedom Through Functionality – Therapy Approach to Preventing Loss of Function Geriatric Enhanced Modalities – Pain Management and Prevention Tai Ji Quan – Balance and Fall Prevention

13. bioDensity “I have been a member of Galeon for 5 or 6 years. About 10 years ago I was diagnosed with osteopenia. I did the usual Fosamax for 5 years, but the improvement was minimal. I started regularly working out at Galeon and taking more calcium and vitamin D. When Galeon received the bone density machine, I went to my doctor for another bone density scan so that I could get a baseline against which I could measure progress. At that time it was found that I had improved enough to be taken out of the osteopenia stage. I really wanted to stay out of that stage, so I began working on the bone density machine to maintain, if not to get even better results.” Sandi Benson Galeon Board Member

14. Purge the Urge “I know what I am doing is helping me. Everything that I come here for, whether it be arthritis, osteoporosis, pain or other issues I know that I am benefiting.” Sherrie Heuer Club Galeon Member

15. Partners Making a Difference

16. The Challenge Our challenge is to focus on desired outcomes and distribute available resources in ways that empower those we serve with effective opportunities for prevention.

17. Partners in Prevention