National Consultants for Long Term care Providers

Boyer’s mission is to create lasting solutions that will assist facilities in optimizing in all areas of operation while maintaining a focus on quality of care for residents.

Boyer Executive Development Center

We are a team of expert national consultants that are empowered by the ability to use hands-on consulting to improve, operations, reimbursement, corporate compliance, and clinical elements for long-term care facilities and their staff.

We focus our time on learning the most recent information to teach and implement in facilities. We come into a building providing a wealth of knowledge that is used to create new systems and processes ensuring facility optimization.

Patricia J. Boyer, MSM, RN, NHA and President of Boyer & Associates, LLC, has more than 30 years of professional health industry experience. Her areas of expertise include long-term care and subacute operations, state and federal compliance programs, and performance improvement process development. Prior to founding Boyer & Associates, LLC Pat was an Operations Consultant for BDO Healthcare Group, LLC. Pat also worked for a national nursing home company, where her roles included director of nursing services, administrator, quality improvement specialist and director of regulatory compliance. In these roles, Pat used the Resident Assessment Instrument (RAI) to improve survey outcomes and facility processes. She has extensive experience in evaluating facility processes, documentation systems, and developing performance improvement plans to improve efficiency and effectiveness of facility systems. Pat has conducted numerous workshops on related topics at the national, state, and local levels. Pat authors the monthly “Ask the Payment Expert” column in McKnight’s Long-Term Care News. Pat is an accredited instructor in the QI Survey process.

Patricia J. Boyer, President

Gail A. Robison, RN, RAC-CT, Clinical Operations Consultant, has more than 34 years of nursing expertise in long-term care, assisted living, mental health, and addictions.

Joy Jordan, RN, MSN, SMQT Certified, Clinical and Educational Consultant of Boyer and Associates, LLC, has more than 30 years of professional health industry experience in operations, state and federal compliance programs, educational programs and performance improvement process development.

Kristin Lueschow, RN, RRT, WCC and Clinical Operations Consultant at Boyer & Associates, LLC has more than 15 years of professional health industry experience in operations, respiratory therapy services and wound care management.

Mary M Conroy, MS, CCC-SLP and Rehabilitation Operations Consultant, has 21 years of healthcare experience providing rehabilitation services in the acute, sub-acute, skilled nursing facility, and home care environments.

Michael A. Peer, CPA, has been in public practice as well as private industry since 1995.

Sharon A. Schott, RN and Clinical Nurse Consultant, has spent more than 30 years working in healthcare at many levels focusing on customer relations and team management.

Jean Edwards, BSN, RN and Clinical Operations Consultant, has more than 15 years of health care experience.

Michele G. Peterson, M.A./CCC-SLP and Rehabilitation Operations Consultant, has 23 years of healthcare experience that includes a variety of positions within the industry, from director of home health within a skilled nursing facility to director of speech pathology services and vice president of clinical operations for a multi-state rehabilitation company

Elise S. Battillo, PT and Rehabilitation Operations Consultant, has nearly 20 years of experience in providing rehabilitation services in acute and long-term care settings.

Our goal is to assist long-term care facilities with any challenges they encounter. Whether that be an immediate need, or a long-term need.

Mock Surveys/Traditional & QI Surveys Operational Assessments Medicare/Medicaid Audits Corporate Compliance Review/Audit Dietary Consulting/Assessments Wound Care Consulting Educational Seminars for Associations Training Seminars for Facilities Medical Review Audits (ADR. Appeal) Policy & Procedure Audits Weekly Webinars

Our mock survey including both the Traditional & QI Survey process is developed to mirror the State survey process. We use every opportunity we can to teach standards of practice and to train facility staff. Hosting a mock survey at the facility level helps management identify areas that need improvement. The process also teaches staff proper communication strategies and how to manage the survey process.

A proactive approach to survey preparedness is a mock survey done by an objective team of professionals. I can’t imagine going through the survey experience in today’s regulatory climate without such scrutiny.

– Eileen Hayes, Administrator

Areas that are Analyzed for Effectiveness:

-Facility Management

-Clinical Management

-Direct Nursing Staff

-Facility Admission Process

-Clinical Systems

-Documentation Systems

-Therapy Services

-Social Services

-Therapeutic Recreation Program

-Dietary Services

-Housekeeping/Laundry

-Ancillaries

-Maintenance

-Medical Records

-Business Office

-Internal Control Systems

Having an outside consultant assess the operational efficiencies will assist in improving efficiency and effectiveness of services. Action plan follow-up assistance will assist in ensuring success.

Our Medicare and Medicaid assessment process identifies whether and where your facility’s existing systems and processes are less than optimal, the financial impact of the problems, and corporate compliance risk areas. More importantly, we provide solutions with specific methodologies and tools not only to rectify problems, but also to streamline and improve the efficiency and effectiveness of the MDS/RAI process to better capture the clinical acuity of each resident.

Each assessment has three parts: a clinical assessment by a registered nurse consultant, a rehabilitation assessment by a registered therapy consultant, and a summary report written by both consultants which includes quantification of the financial impact of their findings.

Our corporate compliance program assists your facility in developing compliance guidelines that meet Medicare/Medicaid and OIG guidelines. We will train your staff in these processes and monitor to ensure compliance. Our audit will be conducted by the same random sample methodology utilized by the OIG. Our results are quantified to establish and error rate based on Medicare reimbursement comparisons. Assist can be provided for facilities exceeding the 5% error threshold to bring them back into compliance.

Boyer & Associates has a Dietician on staff to assist your facility in meeting regulatory and industry standards. We can assist you with clinical evaluation and education, regulatory compliance and evidenced based practice. Let our dietician work with your dietary and nursing staff in meeting standards of practice. Be successful in your survey by preventing issues with potential Food Borne Illnesses and sanitation issues. Let our dietician do a one – two day visit to evaluate your process or provide ongoing mentoring to your dietician.

These are the tools that a Boyer Consultant can bring to your facility:

Development of systems and processes to track wound development tailored to your facility (creating new systems or adjusting systems that are already in place to be effective)

Wound care training to key personnel in the facility to prevent wound development

Creation of a new wound care team that would be responsible for resident “rounds”

Oversight of the implementation of new processes for wound care prevention, ensuring a thorough follow through processes by staff

Training on: wound prevention, development, measuring wounds consistently and treating wounds

CNA wound care prevention training (can be used toward part of the 12 hours they need to be trained a year)

We provide training to associations from Delaware to Oregon. We work with non-for-profit sectors as well as the for-profit associations. Our hot topics for this coming year have been:

An Introduction to the Quality Indicator Survey

MDS 3.0

RUGs IV

Wound Care

Infection Control

We will work closely with associations to provide the training that they need for the facilities to be successful.

Our goal is to assist long-term care facilities with any challenges they encounter. Whether that be an immediate need, or a long-term need.

Boyer & Associates can assist your staff in responding to ADRs and Medicare/Medicare Advantage Appeals. This past year we have seen a significant rise in these reviews with many being prepayment. The rules have not changed but the process has and you need to have expert assistance in this process to be successful. We have those experts. You need to know what to send to the Fiscal Intermediary and what not to send. Let Boyer assist you in being successful.

Boyer & Associates can assist you in reviewing and/or developing Policies and Procedures that meet your facility needs. We will make sure your P&Ps meet regulatory compliance as well as utilization of “Evidence-Based”

practice.

Each week we host a webinar that is the newest up to date information that the LTC industry needs to know to provide quality of care to their residents as well as staying operationally effective.

16655 West Bluemound RoadSuite 280Brookfield, WI 53005P: 262.754.0525F: 262.754.0528www.boyerandassociates.comhttp://boyerandassociates@webex.com