1. Effective Utilisation of Your Allied Health Team to Increase Income & Reduce Expenses CEO: Nick Heywood-Smith © W&L Aged Care Services 2015 wellnesslifestyles.com.au

2. BACKGROUND OF W&L © W&L Aged Care Services 2015 wellnesslifestyles.com.au

3. Top 6 allied health tips © W&L Aged Care Services 2015 wellnesslifestyles.com.au In this session we will cover How your physiotherapists should be reporting to you providing real data on profit achieved Why it is important to have an allied health assistant/physiotherapy aide and how to monitor their performance Why you should be utilising occupational therapists at your facility to work in collaboration with your physiotherapists How to get your podiatry visits for your residents down to $10 per consult How to get your speech pathologists to minimise your accreditation risk How to reduce supplement usage & improve wound care using your dietician

4. W&L ALLIED HEALTH INPUT © W&L Aged Care Services 2015 wellnesslifestyles.com.au

5. W&L ALLIED HEALTH INPUT © W&L Aged Care Services 2015 wellnesslifestyles.com.au Treatment Hours22.00 Base Hours8.00 Total Hours30.00 Annual Increase $ 445,592.00 Annual Cost $ 119,402.40 Annual Profit $ 326,189.60

6. W&L ALLIED HEALTH INPUT © W&L Aged Care Services 2015 wellnesslifestyles.com.au SITE’S CHC CLAIM CHC CLAIMED WITH W&L INPUT ADMINISTRATION Resident Q11 (Medication) Q12 Directives Q12 Points Q12 Rate (A,B,C,D) CHC Rate without W&L W&L’s Q12 Directives New Q12 Total New Q12 Rate (A,B,C,D) CHC Rate with W&L Input Increase due to W&L $ Increase due to W&L Documentation Completed Treatment mins/week Confirmed with site staff Submission date XC3,54BL4b10DHL-H$49.92Yes60Yes12/01 YB3,5,127CM4a10DHM-H$20.28Yes20Yes24/11

7. DELEGATION © W&L Aged Care Services 2015 wellnesslifestyles.com.au Senior Therapist PT/OT Junior PT/OT 4a’s, 4b’s Site RN 4a’s only PTA’s - 12.3’s - Exercises classes - Falls & balance - Mobility training Reduce cost Spread risk Staff leave cover – Annual, sick, maternity WHY?

8. OCCUPATIONAL THERAPISTS © W&L Aged Care Services 2015 wellnesslifestyles.com.au Many aged care facilities have difficulty finding the time to complete ADL’s & cognitive assessments Many facilities are unable to provide all residents that need it with pain management interventions

9. OCCUPATIONAL THERAPISTS © W&L Aged Care Services 2015 wellnesslifestyles.com.au Cheaper than physiotherapists – W&L History Increase resource capacity More suited to the ACFI than physiotherapists  PAS, Cornell, ADLs Can reduce nursing staff workload Can conduct pain management treatments Increases treatment options Most importantly – Better outcomes! WHY?

10. OCCUPATIONAL THERAPISTS © W&L Aged Care Services 2015 wellnesslifestyles.com.au Senior Therapist PT/OT Junior PT/OT 4a’s, 4b’s Site RN 4a’s only PTA’s - 12.3’s - Exercises classes - Falls & balance - Mobility training Reduce cost Spread risk Staff leave cover – Annual, sick, maternity Cost analysis – no blanket 4b’s Individual resident analysis WHY?

11. PHYSIOTHERAPY & OCCUPATIONAL THERAPY © W&L Aged Care Services 2015 wellnesslifestyles.com.au By completing 4a & 4b pain management treatments, facility funding should increase greater than the cost of the service! W&L’s KPI Cost neutral within 1 month!

12. PHYSIOTHERAPY & OCCUPATIONAL THERAPY © W&L Aged Care Services 2015 wellnesslifestyles.com.au CHC Audits Every resident assessed for pain & identified for potential 4a, 4b, 12.3 (plus 12.5 & 12.12 if not claimed) Optimum level of allied health input identified Resourced using combination of internal & external physiotherapists, occupational therapists, physiotherapy aides & registered nurses Prioritised for facility staff to re-submit Benefits Easier to resource from day 1 Review of performance of insourced allied health staff Maximised ACFI income generated

13. PHYSIOTHERAPY AIDES © W&L Aged Care Services 2015 wellnesslifestyles.com.au 12.3 = Pain Management involving therapeutic massage or application of heat packs AND frequency at least weekly AND at least 20 minutes Nil to a low $16.04 per day$ 5,854 per year Low to a medium $29.64 per day$10,818 per year Medium to a high$20.28 per day$ 7,402 per year

14. PHYSIOTHERAPY AIDES © W&L Aged Care Services 2015 wellnesslifestyles.com.au 1 day = 8 hours = 24 treatments (hot packs or massage) $140,000 $260,000 $178,000 ….All from just 1 day of work! Cost = $20K per year ($48 per hour – contracted) = $11K per year ($26 per hour - employed) Question: Is your physiotherapy aide paying for itself with ACFI increases?

15. PODIATRY © W&L Aged Care Services 2015 wellnesslifestyles.com.au An exceptional Podiatry service in Aged Care Facilities Should be regular & scheduled (not every 6 or 8 weeks) Number of residents 52 8 X / 52 weeks = Number of podiatry Consults per week Should have a communication book for referrals & new residents Should access Medicare CDM rebates for ALL eligible residents (high or low care) Should have a quality documentation system specifically designed to support accreditation standards & infection control practices to decrease risk

16. PODIATRY © W&L Aged Care Services 2015 wellnesslifestyles.com.au W&L Podiatry Costs Target = 77% of all podiatry to be bulk billed

17. SPEECH PATHOLOGY © W&L Aged Care Services 2015 wellnesslifestyles.com.au Exceptional speech pathology service in aged care facilities Tracks your speech pathology usage & recommends ways to reduce costs Keeps track of residents who need follow up & calls to remind you (reducing your accreditation risk) Ideally works in collaboration with a dietician to manage swallowing & nutrition issues Guarantees to visit the facility within 24 hours for emergencies Provides online education tools for aged care staff unable to be present following a resident assessment

18. DIETETICS © W&L Aged Care Services 2015 wellnesslifestyles.com.au Exceptional dietetics service in aged care facilities Inexpensive – Will track usage then recommend ways to reduce cost Can reduce your supplement usage and wound care (and hence cost) by using alternate strategies Educative – Provides access to online & offline education

19. SPEECH PATHOLOGY & DIETETICS © W&L Aged Care Services 2015 wellnesslifestyles.com.au Track your usage of these services $170 per resident = 3 x per week = $510 versus $85 per hour (contracted services) For the same dollar spend the SP/OT can see 6 residents

20. RISKS IF ALLIED HEALTH IS NOT MANAGED © W&L Aged Care Services 2015 wellnesslifestyles.com.au MOST IMPORTANTLY: POOR RESIDENT OUTCOMES! Poor productivity Poor ACFI funding Poor validation results Accreditation risks Money wasted – Poor return on investment Not accessing Medicare rebates

21. CONCLUSION © W&L Aged Care Services 2015 wellnesslifestyles.com.au QUESTIONS