Encompass Health Support - Interactive Metronome

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Fall Risk Reduction Protocols
NEW IM Portable Pro Unit Exclusively for Encompass Health
Technology Focused Lunch & Learn Webinar Series

Fall Risk Protocols

Falls are the leading cause of injury and death among older adults and cost a facility as much as $16,000 per fall; these costs are estimated to more than double by 2020. Interactive Metronome’s Fall Risk Reduction Program (IMFRRP) is catching a lot of attention with patients, caregivers and family members thanks to the select Encompass Health facilities that are leading the charge! In fact, Joint Commission caught wind of this program and acknowledged it as one of “high interest.”

Rather than focusing on environmental changes to reduce fall risk, the IMFRRP focuses on improving the mechanisms required to keep a patient upright and safe, including motor planning and sequencing, balance, and cognitive processing. Patients involved in the program have shown positive outcomes and lasting gains in a short period of time and even expressed positive changes in their confidence relating to falls. Encompass therapists reported patient improvements in balance, weight shifting, and attention. Feedback from the first wave of the roll-out resulted in a streamlined program complete with protocols for easy delivery in both the inpatient and outpatient setting. We will begin formal data collection using this program in the 2^nd quarter of 2015. Stay tuned for some exciting results!

Click to download the Inpatient and Outpatient Protocols now

Inpatient Protocol	Outpatient Protocol

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Introducing the NEW IM Portable Pro Unit Exclusively for Encompass Health

This year IM will be rolling out their NEW IM Portable Pro Unit to all hospitals that are currently using the IM Pro Unit. The NEW IM Portable Pro Unit will work to extend the use of your current IM Pro Unit, and can be used with therapy computer carts or therapist’s laptops. The IM software can be installed on any Encompass Health computer by contacting ITG.

The NEW IM Portable Pro Unit will offer Encompass clinicians access to an increased amount of IM equipment in each hospital. IM and Encompass therapy leadership worked together to determine the allocation of additional IM Pro Units and the NEW IM Portable Units based on each hospital’s inpatient census and outpatient visits, to ensure each facility has the appropriate quantity of equipment. This new allocation of equipment will NOT affect the cost of IM for your hospital. As a result of this “right-sizing” of equipment for each facility, some facilities will increase their number of IM Pro Units. IM will begin to ship out additional IM Pro Units to the hospitals listed to the right; these additional IM Pro Units will be shipped by February 26. All hospitals will be contacted by IM before shipment of this new equipment.

IM will begin to ship their NEW Portable Pro Units beginning in late February to be delivered no later than March 31. All hospitals will be contacted by IM prior to shipment of this new equipment.

Additional IM Portable Pro Units may be requested by contacting your IM representative and will result in an additional charge of approximately $90 per unit. Please review the NEW IM Portable Pro Unit delivery schedule.

Hospitals Receiving ADDITIONAL Pro Units

030002 – Florence
030006 – Albuquerque
030019 – Concord
030021 – Charleston
030022 ““ Dothan
030030 – Toms River
030036 – Austin
030042 – Montgomery
030053 – San Antonio
030088 – Mountainview
030091 – Chesapeake
030094 – Scottsdale
030101 ““ Portland
030114 – Geisinger
030116 – St. Vincent’s
030119 – Colorado Springs

Pricing and Training

In 2016, there is an overall 2% price increase for Encompass Health’s annual contract. This price increase will result in a 2% monthly price increase to all hospital’s monthly allocated equipment rental. In the future, this increase may be absorbed by additional new Encompass Health hospitals adding IM. Though Encompass will see this minimal pricing increase, IM will be providing a large quantity of new equipment and software to all Encompass Health hospitals. Every hospital will keep all of their existing equipment and will also receive additional equipment, which includes the NEW IM Portable Pro Units, and 21 hospitals receiving additional IM Pro Units.IM will conduct four IM Personal Pro Roll-Out Calls (one for each time zone) for Encompass users to receive training on these devices beginning in late February. These calls will also be recorded for anyone that misses these roll-out calls. After delivery of all devices, IM will also hold a one hour Q&A call each week for four weeks. Hospitals will receive both clinical and technical support during these calls.PPU Set-up Instructions | PPU Roll Out Call

IM Portable Pro Roll-Out Schedule

March 7th ““ March 10th: Central and West
March 11th ““ March 16th: Southeast
March 17th ““ March 22nd: Northeast
March 23rd ““ March 28th: Southwest and Mid Atlantic

Call-in information: Audio Conference Line: 888-698-7164, Conference Code: 4750630077
Webinar Share:http://interactivemetronome.adobeconnect.com/sales_kelli/

Set-presentation times:

Thursday, Feb. 25th ““ 3pm EST
Monday, Feb. 29th ““ 2pm EST
Monday, March 7th ““ 12pm EST
Tuesday, March 15th ““ 1pm EST

Standing Call-in hours: This time is designated as an open-ended call for hospitals to call in for support, clinical, or general questions regarding new equipment, etc.
** Note: This will only be on Conference Line (800-676-2060, code 196904) **
Monday, April 4th ““ 12:00pm EST to 2:00pm EST
Thursday, April 14th ““ 2:00pm EST to 4pm EST

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Technology Focused Lunch & Learn Webinar Series

Get ahead of the class & spend your time where it counts. Excel your outcomes with IM!

March 2016 Offering: Reconnecting After Concussion: Addressing PCS with IM

Post-Concussive Syndrome (PCS), also known as Mild Brain Injury, disrupts a core set of higher level cognitive/executive function skills, resulting in deficits in attention, memory, processing skills, and organization/planning. Additionally, mental endurance/cognitive fatigue is an issue. These deficits often require skilled intervention to reconnect the superhighway of the brain. Basic fundamentals needed to reconnect these higher level cognitive skills include timing, synchronicity, and focus ““ which are also some of the fundamentals of Interactive Metronome. Learn when and how to introduce IM into treatment sessions with this unique patient population. Intertwine traditional neuro-cognitive treatment with the IM modality to provide the most comprehensive treatment program for your patients.

0.1 ASHA 0.1 AOTA PTs & PTAs may submit paperwork to your state board

How to Register:

Click here
*Please register using your Username and Password (if forgotten, click here)
Access video and PowerPoint presentation materials on UVue
Note: We collect the following information on your course evaluation: time for completion of the webinar, homework (if applicable), post-test, and evaluation.
- If webinar is pre-approved for ASHA CEUs, complete ASHA form (if applicable).
- Locate the ASHA form once logged into the Provider section of the website
- Click on “My Courses”Click on “ASHA CEU Form” Link and submit form Online by clicking “Submit Form”
  * Please do not Fax ASHA form
Complete Online Exam: Also found under the “My Courses” Tab
Once online exam is completed, you will be prompted to complete to course evaluation.
Once your course evaluation is complete, you will receive your Certification of Completion via email.

Access all Interactive Metronome’s OnDemand webinars

Enter the following Promotion Code at checkout:

HS2016SSWeb

Questions? Contact Kelli Crovo at (877) 994-6776 x 240 kcrovo@interactivemetronome.com

Look for past offerings under the Education Support tab

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Installing IM Universe
IM Universe Software Features Overview
Computer Requirements
Help & FAQs

Installing IM Universe

If you need assistance with the install, please contact the ITG Service Desk at 800-646-9404

Go to the link below or copy and paste into your browser:
http://selfservice.healthsouth.com/ESD/Packages.aspx

Click the + beside Application and then click on Interactive Metronome.

Click on the shopping cart picture for Interactive Metronome v9 and click Checkout.

Click on the button for “Me on machine XXXXXXXXX” then click “Next” in the upper right corner.

Then click “Complete Request”

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IMPro Universe Software Features

Learn how to navigate the new IMPro Universe Software
Please Note Encompass Health Facilities will not be using the eClinic option at this time.

Live Walk-Through (8 min)

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Self-Study Manual Walk-Through (14 min)

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*This video goes more into depth with what the terms mean.

Download Links:

Except from IM Pro Universe Manual- “IM Program Features” (Page 22-29)

IM Pro Universe Self-Study Certification Manual

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Computer Requirements

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Minimum Requirements:

Operating System – Windows 7, Service Pack 1
Processor ““ Intel Core 2 or better, AMD Athlon II or better
Processor Speed ““ 1.8 GHz or better
RAM ““ 2 GB or more
Internet Connection ““ 56 Kbps modem or faster
Note: Only the IMPro Universe eClinic features require an Internet connection.

Preferred Requirements:

Operating System – Windows 10
Note: Windows RT is not compatible with IMPro Universe
Processor ““ Intel Core “ix” Family (i3,i5,i7), AMD Phenom 2 or better
RAM – 4 GB or more
Internet Connection – DSL or Broadband
Note: Only the IMPro Universe eClinic features require an Internet connection.

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Minimum Requirements:

Operating System ““ OSX 10.7
Note: iOS devices are not compatible with IMPro Universe
Processor ““ Intel Core 2 or better
Processor Speed ““ 1.8 GHz or better
RAM ““ 2GB or more
Internet Connection ““ 56 Kbps modem or faster
Note: Only the IMPro Universe eClinic features require an Internet connection.

Preferred Requirements:

Operating System – macOS Sierra
Note: iOS devices are not compatible with IMPro Universe
Processor ““ Intel Core “ix” Family (i3,i5,i7)
Processor Speed ““ 2.2 GHz or better
RAM – 4 GB RAM or higher
Internet Connection – DSL or Broadband
Note: Only the IMPro Universe eClinic features require an Internet connection.

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Help & FAQs

Click to view the IMPro Help Guide

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Lunch & Learn Webinar Series
Fall Risk Reduction Coaching & Certification Program
Promotion Codes

Lunch & Learn Webinar Series

Past Course Offerings

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[/toggle][toggle title=”January 2016 Offering- Using IM to Enhance Driving Evaluation Results: A Case Study”]

Driving is the highest level IADL a person participates in on a daily basis. People need to be able to safely drive to get around their town and keep them independent especially in rural areas. Driving is usually one of the hardest IADLs for a person to give up. Learn how the Interactive Metronome can be an effective tool to help our clients begin or return to driving. This course will be based on a case study that allowed a client to participate in this IADL when traditional therapies failed.
0.1 AOTA, PTs & PTAs may submit paperwork to your state board

[/toggle][toggle title=”December 2015 Offering- Strategies to Preserve Function and Independence: IM and Parkinson’s Disease”]

Parkinson’s disease is a movement disorder that is chronic and progressive. It is believed that there are at least one million Americans currently living with Parkinson’s and there are an additional 40,000 individuals diagnosed in the United States every year. Although there is no known cure, the individuals diagnosed and their loved ones are highly motivated to access services that can enhance independence and quality of life. The Interactive Metronome has been used successfully as part of the therapy services offered for both newly diagnosed patients as well as those who are experiencing significant functional declines.
0.1 AOTA, PTs & PTAs may submit paperwork to your state board

[/toggle][toggle title=”November 2015 Offering- IM Best Practices for the Aphasic/Apraxic Population”]

Several peer reviewed studies have shown that individuals with aphasia have difficulty processing the microstructure of speech (auditory temporal processing), which contributes to impairments in receptive & expressive language. Humans process time over 12 orders of magnitude, ranging from microseconds to hours. Timing is most prominent in the auditory domain and the most sophisticated level of timing & neural network synchronization occurs at the microsecond level for processing the rapidly changing and variable acoustics of speech. According to Tierney & Kraus (2013), the ability to tap consistently to a beat can be directly correlated to the consistency of the auditory brainstem response to sound. Those that have trouble synchronizing motor movements with an auditory beat & display less rhythm tend to exhibit greater distortions in the perception of speech, and have more neural jitter. Individuals who are able to move more rhythmically & synchronously to an auditory beat, process speech sounds more accurately & have less neural jitter. The transformation of temporal auditory periodicity into rhythmic motor output likely takes place via the connection of the Inferior Colliculus [master time-keeper of the brain] to the cerebellum. Imaging studies have delineated the role of the cerebellum in sensorimotor synchronization. This course will focus on the scientific and clinical rationale for including feedback-driven timing & rhythm training [via Interactive Metronome®] in the treatment of individuals with aphasia and apraxia following stroke or traumatic brain injury. Treatment hierarchy and facilitative strategies will be discussed.
0.1 ASHA

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How to Register:

Click here
*Please register using your Username and Password (if forgotten, click here)
Access video and PowerPoint presentation materials on UVue
Note: We collect the following information on your course evaluation: time for completion of the webinar, homework (if applicable), post-test, and evaluation.
If webinar is pre-approved for ASHA CEUs, complete ASHA form (if applicable).
Provider section
* Please do not Fax ASHA form
Complete Online Exam: Also found under the “My Courses” Tab
Once online exam is completed, you will be prompted to complete to course evaluation.
Once your course evaluation is complete, you will receive your Certification of Completion via email.

Access all Interactive Metronome’s OnDemand webinars

Enter the following Promotion Code at checkout:

HS2016SSWeb

Questions? Contact Kelli Crovo at (877) 994-6776 x 240 kcrovo@interactivemetronome.com

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Fall Risk Reduction Coaching & Certification Program

Each year, one in every three adults age 65 and older falls. Falls can cause injuries, such as hip fractures and head traumas, and can increase the risk of early death. 53% of the older adults who are discharged for fall-related hip fractures will experience another fall with in six months.

Creating awareness and setting up a safer home environment is only part of the solution. Neurological and Motor therapy ensures better overall mind and body awareness to help further reduce the risk of falling. As such, IM has developed a Fall Risk Reduction Coaching Program.

The program consists of 6 OnDemand modules that teaches an interdisciplinary approach that addresses the musculoskeletal, proprioceptive, oculomotor, vestibular and cognitive/communicative systems with specific therapeutic activities and exercises while emphasizing the foundational skills of timing & rhythm.

Encompass employees are encouraged to register for this program.

Program Cost: FREE ($175 Value)

Enter the following Promotion Code at checkout:

ENCOMPASSFALLRISK

Register Now

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Encompass Health Exclusive Promomotion Codes

Enter these Promo Codes when registering to get your courses for FREE!

Live Course:
Certification Course – ENCOMPASSIMC
Adult Best Practices – ENCOMPASSADULT

Webinars:
Live Webinar – ENCOMPASSLIVEWEB
OnDemand Webinar – ENCOMPASSWEB

Self Study Courses:
Adult Motor Course – ENCOMPASSMOTOR
Adult Cognitive Course – ENCOMPASSCOG
Adult Combo with Motor & Cognitive Courses – ENCOMPASSCOMBO

Coaching Programs:
Fall Risk Reduction – ENCOMPASSFALLRISK

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2015
2013
2012
Archive

HealthSouth Focus

2015

Quarter 1 2015

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2013

October 2013

August 2013

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2012

December 2012

August 2012

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Encompass Health Stand Out Provider

2015

1st Quarter

Name: Derek Layton

Type of Professional: Speech-Language Pathologist

Years using IM: 7 years

Facility Name: HealthSouth Rehabilitation Hospital of Jonesboro

Location: Jonesboro, AR

Population served: Inpatient Rehabilitation, Primarily Adults

What made you look into IM?

I was introduced to IM as a graduate student completing a clinical placement at the same HealthSouth for which I’m currently employed. My background is in cognitive psychology and I immediately fell in love with this approach to cognitive and language rehabilitation.

What do you like most about IM?

The two things I like most about IM are its adaptability and its opportunity for collaboration between different therapy disciplines. I use IM with my lowest level dependent patients to my highest level patients getting ready to discharge home and exercises can be tailored to both utilize their strengths and target their weaknesses. It also provides opportunities to treat patients along with OT or PT to simultaneously target physical and cognitive goals.

What are your thoughts on the IM Universe®?

IM Universe is an improvement from the original in every way. The software is much more user friendly. Adjusting settings is faster which allows for better individualization depending on patient needs and makes integrating IM into the busy in-patient schedule much easier. The addition of the games helps engage patients and sustain their attention. The feature I use most now is the ability to adjust the SRO for each patient. I find that some of my patients get really discouraged if they can’t get “green” despite the fact that their overall accuracy may be quite good. This is also helpful when playing the new games.

Do you incorporate best practices with your IM training?

I try and incorporate Best Practices with IM training with all of my patients. Most of the time these exercises involve tasks targeting their specific deficits. For example, patients might complete rapid automatic naming, singing, true/false judgments, matching, or sequencing tasks while engaged in IM. I also try to incorporate OT and/or PT activities/goals whenever possible.

How do you think the new Fall Risk Reduction Program will benefit your clients at Healthsouth?

The HealthSouth facility where I work recently gained Joint Commission certification in Hip Fracture rehabilitation. Many of the therapists here are hoping to complete the Fall Risk Reduction program to decrease our patent’s likelihood of falling and reinjuring their hips after discharge.

What tips do you have for other IM providers?

Don’t count any patient out! Almost every patient can benefit from IM if it is structured the right way. Just use your imagination.

2013

4th Quarter

Name: Heather Barr

Type of professional: Speech-Language Pathologist

Years using IM: 9 years

Facility Name: HealthSouth Rehabilitation Hospital of York

Location: York, PA

Population Served: Adolescent/Adult/Geriatric IP/OP neurological rehabilitation

What made you look into IM?

To explore the ability to further address neurological deficits, based on the skills IM can help redevelop.

What do you like most about IM?

It’s versatility! IM is great and it is even better when you had clinical creativity to enhance your treatment exercises and your patients’ outcomes.

What are your thoughts on the IM universe?

Again, having more options is always a plus.

Do you incorporate best practices with your IM training?

Almost always!! I completed a live webinar for IM entitled Addressing Post-Concussive Syndrome with IM. In that, I offered many treatment activities to complete in conjunction with IM. After some initial training with IM, I believe in always adding something more to progress the therapy!

How do you think the new Fall Risk reduction program will benefit your clients at Healthsouth?

Fall prevention is a very important area for focus. Having a modality that allows a therapist to address musculoskeletal, proprioceptive, oculomotor, vestibular and cognitive/communicative systems in one exercise while performing functional activities, is very helpful in addressing the patient population. Again, taking therapy to another level, to help improve the quality of life for our patients!

What tips do you have for other IM providers?

Share ideas! Be creative! Try IM with any/all patients! If you aren’t using it often, reach out to those who are!

Can be read in the October 2013 Edition of the HealthSouth Focus Newsletter

3rd Quarter

Name: Stephanie Boyer

Type of professional: Speech-Language Pathologist

Years using IM: 5 years

Facility Name: HealthSouth Rehabilitation Hospital of North Alabama

Location: Hunstville, Al

Population served: 16years +

What made you look into IM?

Working at HS I was given the opportunity to attend an IM certification course. After taking the course I was immediately hooked! I loved the idea of having an objective way to measure progress in my patients and even more I loved having a proven way to address neuroplasticity of the brain.

What do you like most about IM?

IM brings the concepts of Neuroplasticity to life for me. When I can help my patients understand that IM can help them move from compensation to remediation by rewiring / rerouting the brain they get more excited and involved in their therapy

What are your thoughts on the IM universe?

Watching the IM Universe youtube video was exciting! I can hardly wait to start using IM universe with our clients.

Do you incorporate best practices with your IM training?

At our facility we have a wall with Velcro strips. We attach a variety of items ( ABC’s, 123’s, shapes and pictures) to the velcro. My favorite tasks are sequencing, trail making and object inclusion/exclusion tasks. These simple exercises in conjunction with IM serve as a catalyst for all other cognitive and communication tasks that we do during our therapy sessions.

How do you think the new Fall Risk reduction program will benefit your clients at Healthsouth?

I hope that by combining the concepts/ activities of the new Fall Risk Reduction program with the interdisciplinary STOP program, we will see a drastic decrease in fall related incidents in our facility.

What tips do you have for other IM providers?

Be creative! The Best Practices exercises that you can combine with the standard 14 exercises are limitless. Find what motivates your clients and tailor your treatment to the individual.

Can be read in the August 2013 Edition of the HealthSouth Focus Newsletter

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