1. Lutheran Services in America
Living and Thriving at Home
Angela Bovill, David Fenoglietto, and John Kristel
Moderated by Julie Kaminski

2. We have grown quite a bit since our humble beginnings…
Good Shepherd Rehabilitation Network is the eighth largest rehabilitation provider in the country, according to Modern Healthcare magazine.

3. Good Shepherd Rehabilitation Network
Nationally recognized not-for-profit rehabilitation leader
Founded in 1908 in Allentown, Pennsylvania
Offers an unmatched continuum of care for people with physical and cognitive disabilities
More than 65,000 people treated annually at more than 60 locations throughout the Lehigh Valley and Philadelphia regions
International leader in the use of rehabilitation technology
World’s leading clinical user of the Ekso Bionics’ exoskeleton
Recognized Center for Robotic Excellence
Good Shepherd is a international leader in rehabilitation, offering a comprehensive continuum of post-acute care for individuals who have had accidents, illnesses or were born with disabilities
Good Shepherd is the world’s leading clinical user of the Ekso bionic exoskeleton, which helps those with lower extremity weakness or paralysis walk. Our patients, many of which have suffered strokes or spinal cord injuries, have taken more than 5 million steps in the device, walking roughly the circumference of the moon or the distance of the Appalachian Trail.
In 2017, Ekso Bionics named Good Shepherd a Center for Robotic Excellence – one of four facilities internationally to earn the designation

4. Levels of Care Inpatient Outpatient Long-Term Acute Care
Allentown: 74 beds
Monroe County: 12 beds
Bethlehem: 20 pediatric beds
Wayne Memorial Hospital: 14 managed beds
GSPP: 58 managed beds
Outpatient
GSRN: 27 sites
GSPP: 17 sites (PA/NJ)
Long-Term Acute Care
Bethlehem: 32 beds
Philadelphia: 38 beds
Long-Term Care
Allentown: 99 beds
Bethlehem: 60 beds
Lehigh County: 670 managed beds

5. Assisted Living and Skilled Nursing Facilities
Good Shepherd currently provides rehabilitation services to the residents of nine assisted living facilities and one skilled nursing facility. We expect to have formal agreements for two more assisted living facilities within the next month.
We are proud to bring to these facilities the model of rehabilitation care and staff expertise that Good Shepherd is well known for. We believe that the elderly deserve the best life possible. Good Shepherd works with senior living communities to develop customized, proactive therapies that result in stronger, healthier residents who are at less risk for falls and subsequent injuries.
Traditionally, these facilities do not receive the level of rehabilitation expertise that Good Shepherd provides. As a result, we have been very well received and are being asked regularly to expand our presence in these facilities.

6. Assisted Living and Skilled Nursing Facilities
Good Shepherd provides rehabilitation services to meet the specific needs of the residents in these facilities. Program offerings, among many, include the following:
Fall risk assessment and reduction program.
Dementia program – including cognitive rehabilitation and functional restoration and safety programs.
Parkinson’s disease rehabilitation and wellness programming.
Swallowing / feeding programs.
Stay Strong Program – program that keeps residents fit, strong, and healthy in their residence.

7. (IHOP) In-Home Outpatient Therapy
IHOP is outpatient therapy where the therapist provides physical, occupational, and / or speech therapy in the patient’s home. This service is designed to reach patients who are unable to take part in traditional outpatient therapy.
The goal of Good Shepherd’s In-Home Therapy is to help patients maintain a healthy lifestyle and to help them develop the necessary skills so that they can remain living in their home.
Good Shepherd’s IHOP therapists also provide therapy services to patients living in residences in senior communities, independent living apartments and assisted living facilities.

8. (IHOP) In-Home Outpatient Therapy
Good Shepherd’s IHOP services provided in the home are reimbursable by Medicare as long as the patient is not receiving formal home health care services.
As the patient improves, the patient may elect to transfer to one of Good Shepherd’s outpatient facilities for their therapy to take advantage of the state of the art rehabilitation equipment located there.

9. Lutheran Services in America
Living and Thriving at Home
David Fenoglietto

10. DEMOGRAPHIC PRESSURE DEFINES THE MARKET: Looking to the future
We Are Here
85 yrs. and over
75 yrs. and over
65 yrs. and over
Source: U.S. Census Bureau National Population Projections (released 2008, based on Census 2000)

11. Living and Thriving at Home (organizational repositioning)
750
Emerging Start-ups
500
SilverSmart Technology ™
Care Navigator
Senior Center in Shopping Mall
450
300
Skilled Nursing
Home Health
PACE

12. Living and Thriving at Home
Independence at Home (IAH) Medicare demonstration program.
PACE (all inclusive care for the elderly)
Managed Medicaid and Accountable Care Organizations (ACOs)
Acute care and home health care partnerships
New “Age Encouraged Communities”

13. Living and Thriving at Home (The growing shift)
Uber Health
GoGoGrandparent.com
Amazon Health Suite, Google Home Safety
HealthStream, Connect Home, other