INFINITY REHAB 2020 QUALITY REPO RT
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- This report features data from 2019 REACH FURTHER INFINITY REHAB 2020 QUALITY REPORT ABOUT: Founded in 1999, Inf inity Rehab provides a full spectrum of rehabilitation services, including occupational, physical, and speech therapy. Their team of therapists and support staff serve over 220 skilled nursing, assisted living, and independent living communities across 19 states. Inf inity Rehab is proud to be certif ied a Great Place to Work for two consecutive years. 21
- This report features data from 2019 MESSAGE FROM INFINITY REHAB JOLYNN MUNRO 43.5K 1.5M 2.3K 221 19 Lives Enhanced Patient Visits Employees Locations States 2019 was an incredible year for I also had an opportunity to stand with Michelle Infinity Rehab as we celebrated 20 Jabczynski, Director of Compliance and Strategy, years as a company. Our outstanding in Washington D.C. alongside fellow industry achievements today are testaments colleagues. Together we fought against the to our work over the last decade – proposed 8% cut to the 2021 physical fee schedule originating from the diligent effort resulting from E&M changes by the Centers for our early leaders devoted to Infinity Rehab. Medicaid Services. I am grateful for this opportunity to take a stance and make a difference along with In 2019 we recognized our outstanding clinical so many other wonderful clinicians. outcomes and 20th anniversary at our annual Symposium. We debuted our Can’t Stop the Feeling In February 2020, Infinity Rehab was named a Great music video as we celebrated our feelings of great Place to Work for the second consecutive year. accomplishment and excitement that we just “can’t This speaks volumes about our culture – about the stop.” immense care our clinicians offer their patients, the many hours our leaders spend guiding our teams, Our teams have proved we “can’t stop” these and the careful work our clinicians devote to their feelings throughout 2019 and continuing into 2020. professional development through Infinity Rehab’s Throughout the year I heard stories of advocacy by many programs. our fellow Infinity Rehab team members. We are a team growing as clinicians, leaders, and The Leadership Academy Class of 2019 scholars innovators, just as our vision statement reads. shared several stories of advocacy in their local You are part of building the irresistible culture we areas. Among the many inspiring stories, Kiley love so much at Infinity Rehab. Connealy, OTR/L and Practice Council member, advocated for patients with strong needs We’ve had a successful 20 years, and I look forward for wheelchairs. Through her advocacy and to the next 20 years with you. collaboration with the National Occupational Therapy Association of Nebraska, where she JoLynn Munro, MS, OTR/L resides, she has seen wheelchair approvals through Division President, Infinity Rehab Medicaid jump from 25% to 80%. Thank you, Kiley, for your efforts and for making a difference for Nebraska clinicians. 22
- This report features data from 2019 CELEBRATING OVER 20 YEARS INFINITY REHAB OF ENHANCING LIVES 221 Locations 18 New Locations Welcomed in 2019-20 Since 1999, customers have chosen Infinity Rehab’s Starting with just seven employees and meeting in unique brand of clinically intensive, comprehensive each other’s homes to write policies and procedures, occupational, physical, and speech therapy for our the fledgling company ended 1999 with 84 ability to achieve quality outcomes and manage employees at seven locations throughout Oregon. rehab programs that provide better business results. Today, Infinity Rehab employs over 2,200 therapists Therapists choose us for our commitment to life- spanning 221 locations across 19 states. Once long learning, the significant resources we commit again, we find ourselves amid an evolution in to professional development, and our forward- reimbursement, and Infinity is leading the change looking approach to standardizing care delivery to from volume-based to value-based care. We optimize outcomes. are committed to improving the way therapy is delivered, reducing unnecessary hospital Infinity Rehab began as a response to payment readmissions, and enhancing the patient experience. changes made to Medicare after the Balanced Budget Act of 1997. These changes provided for the As we transform our business model to meet the implementation of a per diem Prospective Payment demands of a changing industry, our partners System (PPS) for skilled nursing facilities. Inspired and team members will continue to experience by these changes, Rick Miller asked therapists Bob a company that is passionate about its mission: Thomas and Mike Billings to put together a strategic to enhance the life of every person we serve. This plan and lead the newly-formed company. mission that will continue to drive our success for many years to come. 23
- This report features data from 2019 GREAT PLACE INFINITY REHAB TO WORK Infinity Rehab is Great Place and feeling their work has special meaning. Rankings to Work certified for the are based on employees’ experiences. second year in a row! Infinity Rehab Division President JoLynn Munro calls Great Place to Work Institute out Infinity Rehab employees for contributing to this awarded Infinity Rehab this honorable title for a second time. honorable title following a survey to over 1,000 company “What an accomplishment to receive this honor employees. Questions two years in a row,” noted JoLynn. “Our employees’ centered on employee commitment to quality, integrity, and respect for one pride in the organization’s another makes Infinity Rehab a truly great place to community impact, belief that work.” their work makes a difference, The Irresistible Draw of Infinity Rehab 38% of new hires have first-hand experience with Infinity Rehab 15% Found Infinity through word-of-mouth/Infinity’s rep 10% Students hired on after a clinical rotation 769 15% On-call converting to full or part-time employees Employees Joined in 2019 23% Therapists left the organization & returned 36% Clinicians referred to us by current employees 24
- This report features data from 2019 INDUSTRY INFINITY REHAB AWARDS Infinity Rehab ranked above the national average in all 11 categories on the Pinnacle Quality Insight survey. → Overall satisfaction → Understood procedures → Dignity and respect → Response to concerns → Involvement/goals → Pace of progress → Results achieved → Atmosphere/therapy area → Equipment quality → Knowledge/skills of therapists → Recommend to others 4.63 1.5M Overall Satisfaction Patient Visits Nine senior communities where Infinity Rehab provides therapy earned the Best in Class distinction in several categories, ranking in the top 15% of senior communities nationwide across a 12-month average. “We value quality care and outstanding outcomes at Infinity Rehab. Our glowing patient satisfaction results showcase the incredible dedication and care by our clinicians and leaders throughout Infinity Rehab.” Stacey Turner, Vice President of Operations Infinity Rehab 25
- This report features data from 2019 THE MEASURE OF QUALITY INFINITY REHAB OUTCOMES REACHING FURTHER visits each year. From these interactions, we have developed data models and software solutions With the October 2019 changes in the way skilled that standardize patient treatment plans for faster, nursing facilities are reimbursed, industry leaders smarter rehabilitation. transitioned and continue to navigate and understand the new rules and adapt their business Standardized Models of Care: Our evidence-based models accordingly. As these leaders begin to deal interventions, based on big data gathered from tens with the complexities of PDPM, they are increasingly of thousands of cases, result in quality outcomes that turning to outside experts for help guiding them lower cost of care by achieving patient outcomes through the process. more rapidly. New and existing partners are depending on Infinity Promoting Advanced Education: We foster a Rehab to help them understand the new metrics culture of lifelong learning for our clinicians. We and provide solutions to meet the demands of the believe that highly qualified therapists produce high program. We built our strategy for PDPM around our quality results. That is why we provide free access to continuing education and leadership training. While other therapy companies are struggling to find solutions to change from volume to value-based care, we are meeting the challenge. Industry Thought Leader: Patty Scheets Infinity Rehab announced this past year that Patty Scheets, PT, DPT, NCS, was promoted as the Vice President of Quality and Clinical Outcomes. According to Patty, her promotion from a director to vice president is an outward demonstration of the importance of clinical quality to Infinity Rehab’s success. This promotion supports Patty’s diligent work within the company, according to JoLynn Munro, Division President at Infinity Rehab. “Patty has achieved a position of high influence in clinical model, with proven outstanding outcomes. the industry and in the company,” JoLynn said. “She As an industry leader in developing methods and has successfully moved our corporate culture of systems for the improvement of patient care, we compliance to new levels in the last five years that have the experience they need most. she has served as the director of quality and clinical outcomes and has consistently led this strategic Since our humble beginnings 21 years ago, Infinity initiative.” Rehab has led a post-acute care revolution by creating transformational paths for our patients and Among Patty’s other achievements is her re-election partners. We do this through highly qualified people, as President of the Academy of Neurologic Physical intelligent platform, and innovative process. These Therapy, a division of the American Physical Therapy three core foundations set us apart from other rehab Association (APTA). As the ANPT President, she providers: establishes and implements the academy’s strategic plans by working with fellow board members, Data-Driven Solutions: We serve more than committees, special interest groups, and task forces. 43,000 patients and provide over 1.6 million patient 26
- This report features data from 2019 THE MEASURE OF QUALITY INFINITY REHAB OUTCOMES QUALITY TEAM HIGHLIGHTS OF 2019 → We did a deep dive with our clinical model as we explored implementation in different types of patients and further refined our standards of → The Infinity Rehab quality team gave a platform care. presentation on the results of our gait speed training initiative at APTA Combined Sections → We implemented Infinity Predict in the hands Meeting in Washington, D.C. of directors. Predict is built on analysis of our past patients to help identify characteristics → Kele Murdin, PT and Clinical Knowledge Broker, and expected outcome for current and future was recognized as Clinician of the Year by APTA patients. Predict is an important tool in help us Washington. deliver consistent high-value care. → We implemented the work of clinical knowledge brokers. Clinical knowledge brokers work alongside clinicians in coaching and training clinical behaviors consistent with our clinical model. Clinicians who worked with clinical knowledge brokers demonstrated an average improvement of 56% in specific clinical behaviors associated with best-evidence care. → The clinical knowledge brokers also assisted the field in implementing group and concurrent interventions to ensure we maintained our best- evidence care in the context of different modes of care. → We spearheaded a pilot project exploring the impact of the addition of systematic delivery of Kelee Murdin, PT & Clinical Knowledge Broker generalized activity and mobility outside of the skilled therapy session, a program called More → We identified and selected core outcome Movement Matters. The concepts are based on measures for speech pathology; this will enrich the body of literature that demonstrates that our database with information about critical increasing generalized activity and mobility aspects of executive function and the impact of improves health outcomes. This project is in dysphagia at the patient level. process as we continue to analyze data. PREDICT BY INFINITY REHAB Predict uses past patient data to inform the now. This helps us to treat current patients by identifying characteristics and expected outcomes for current and future residents. 27
- This report features data from 2019 INNOVATION WITH INFINITY REHAB PDPM PREPARATION. PLANNING. SUCCESS. resources, and a clinical model, including focuses on therapy intensity and patient engagement in their Infinity Rehab and the PDPM Transition care. The Patient-Driven Payment Model was the biggest One of these training sessions was held in May 2019 change to healthcare in 25 years. Infinity Rehab – see what our directors found most beneficial from prepared for years for the October 2019 transition. the training on Infinity Rehab’s YouTube channel. Here’s a look into how the therapy company successfully transitioned to this new payment model Successful teams are agile and pivoting to thrive and how they continue to support and train under PDPM as the Centers for Medicare & their staff and customers. Medicaid Services enforces model updates. Infinity Rehab leaders continue to train Clinical Model Sets Infinity Rehab Up and support their staff on PDPM to for Success Under PDPM serve as a trusted resource for their OPPORTUNITY customers and patients. Infinity Rehab’s clinical model primed the team for success Watch Patty’s video message on under PDPM. Infinity Rehab quality outcomes under PDPM leadership implemented new at InfinityRehab.com/pdpm- standards of care based on resource-page. best-evidence practice in 2017 and through Manage & Mitigate Risks 2018. This clinical model combined with Infinity STRATEGY CONFIDENCE Infinity Rehab has been Rehab’s diligent efforts mitigating risk and to lower cost through remaining compliant personalized therapy plans by actively monitoring provided a strong foundation clinical outcomes and care for embracing a patient- delivery under PDPM. This focused and value-based payment includes reviewing if the treatment model. was provided in an individual, concurrent, or group manner. Infinity Rehab leadership provided “PDPM provides us the opportunity to deliver a documentation and coding training to staff. From consistently high value care experience to all of June through end the of December, Infinity Rehab our patients by matching the care we provide with held weekly director training calls to provide the patient’s level of responsiveness,” stated Patty education and support in managing new clinical Scheets, Vice President of Quality and Clinical components. Outcomes for Infinity Rehab. “And we do that by truly practicing at the top of our license.” Maintain Staff for Quality Outcomes Infinity Rehab initiated PDPM plans long before the While the new payment model led some therapy new model’s implementation, going back five years companies to substantial cutbacks and lower therapy before October 2019. minutes, Infinity Rehab continued to hire clinicians during this major industry change. “For the last 5 years, we have been quite purposeful in our movement toward value-based care,” Patty New clinicians are trained on Infinity Rehab’s clinical said. model as part of the 90-Day Immersion Program, an on-boarding guide for a new therapist’s first 90 days. In the five years leading up to PDPM, Infinity Rehab leadership provided their staff with training, 28
- This report features data from 2019 INNOVATION WITH INFINITY REHAB PDPM Maintaining staff who are experienced with Infinity customers on the pulse of the PDPM change and Rehab’s clinical model contributes greatly to the what adjustments would be needed. Customers company’s goal for outstanding clinical outcomes. were set up for success. Standardized assessments based on external evidence, knowledge tools, and other data blends Outstanding Outcomes Begin with an Irresistible into a model for rehabilitation care to lead to positive Culture patient results. Even through the PDPM transition, outstanding Collaboration patient outcomes remained a top priority for Infinity Rehab. Company leadership started with their PDPM united the entire healthcare industry in people in their approach for outstanding patient preparation for this major industry change. Infinity outcomes. Rehab collaborated with multiple customers in collecting the most accurate clinical information By creating an irresistible culture, Infinity Rehab about patients. This resulted in increased prepares its partners and clinicians to achieve communication and more individualized care. outstanding quality outcomes for the people they serve. One of these collaborations included Avamere Living. Together they developed pilot programs to Bersin by Deloitte published a case study on Infinity help staff under PDPM. Rehab, stating: “We’re coming together as a team in which I haven’t “Infinity Rehab’s HR team aimed to create a culture seen us do in healthcare in many years,” said Jeannie that would support the high level of therapy Russell, Director of Clinical Reimbursement for excellence required under the new value-driven care Avamere Living. delivery model. Creating this culture requires shared beliefs and values; leadership with a clear, shared “We’ve said it for years – resident-centered care,” vision; a drive for excellence with high expectations; she continued. “But now we’re moving to getting it and vital partnerships. To accomplish this vision, right.” the company prepared its workforce to deliver new models of care, reprogrammed from FFS to episodic Watch the full interview with Carl and Jeannie on thinking, redesigned the delivery of therapy for Avamere’s YouTube channel! quality and value-driven outcomes, and created innovative partnerships to help face the evolving Infinity Rehab also collaborated with customers health care environment to reach these goals.” to prepare them for the PDPM change. Through webinars, videos, blog articles, newsletter updates, Read the full case study on Infinity Rehab’s blog. and other training sessions, Infinity Rehab kept their 29
- This report features data from 2019 LEADERSHIP INFINITY REHAB PROMOTIONS Patty Scheets, Vice President of Quality & Clinical Derek Fenwick, Senior Director of Human Outcomes Resources Infinity Rehab announced in September 2019 the Infinity Rehab appointed Derek Fenwick, PT, MBA, promotion of Patricia “Patty” Scheets, PT, DPT, NCS, GCS, SHRM-SCP to Senior Director of Human to Vice President of Quality and Clinical Outcomes. Resources, promoted from his role as Director of Professional Development. Derek brings his passion Patty has been a valuable Infinity Rehab employee for Infinity Rehab to this new role, as well as a wealth for over five years with extensive experience in of experience. physical therapy and advancing clinical strategies. She is also president of the Academy of Neurologic Derek joined Infinity Rehab in 2010 and brought Physical Therapy, a section of the American Physical over 10 years of experience across multiple areas Therapy Association. of healthcare. Derek has a drive for serving and improving the healthcare industry. He became a According to Patty, her promotion from a director physical therapist in 2003 and earned his MBA in to vice president is an outward demonstration of 2008. Three years later, he became a board-certified the importance of clinical quality to Infinity Rehab’s geriatric clinical specialist. In 2010, Derek was named success. an Emerging Leader of the American Physical Therapy Association (APTA). He was also recently “Infinity Rehab is first and foremost a clinical appointed to the APTA’s first-ever Leadership company,” Scheets said, “and this move to Development Committee and serves as President of vice president reflects to the outside world the the Oregon Physical Therapy Association. commitment to high quality that those of us who work here recognize.” Derek now uses all these skills and leadership experience to integrate a comprehensive talent This promotion supports her diligent work within management strategy into all aspects of the the company, according to JoLynn Munro, Division employment experience of Infinity Rehab’s President at Infinity Rehab. healthcare professionals. PATTY SCHEETS DEREK FENWICK Vice President of Quality & Senior Director of Human Clinical Outcomes Resources 30
- This report features data from 2019 PROFESSIONAL INFINITY REHAB DEVELOPMENT We remain the employer of choice in post-acute program that focuses on identifying and developing care rehab by developing our workforce to be the the clinical behaviors that are essential for effective strongest group of clinicians, managers, and leaders clinical practice at Infinity Rehab. Clinician practice delivering outstanding patient outcomes found is measured in each of five areas across three anywhere in the industry. levels of progressive excellence, providing a clear framework for every Infinity clinician to advance to With programs such as Leadership Academy, Clinical his or her development within the company. Level Champions, and Practice Council, we have created a 1 achievement is considered essential while levels 2 proven method for growing leaders, clinicians, and and 3 show advancement, meeting challenges, and is innovators. voluntary for therapists to complete. This year, we continued our legacy of professional We are thrilled to report that Infinity Rehab now has development. The top stories and highlights are 75 Level 2 Clinical Champions. showcased below. PEOPLE DASHBOARD: With this innovative tool, HOKU OKUMURA APPOINTED TO OREGON PT we can assess performance across the company, in LICENSING BOARD: Hoku has been a physical a specific region, or one individual community. It therapist for 10 years, seven of which she has worked enables Infinity Rehab to strategize initiatives and with Infinity Rehab. With an immense background support our team members as needed. in physical therapy, a fellow Infinity Rehab team member and PT board member, Jennifer Julkowski, INFINITY REHAB ANNUAL SYMPOSIUM: Infinity encouraged Hoku to apply for the board. Hoku’s Rehab celebrated their 20-year anniversary at their admission to the board was approved by Oregon annual conference, Symposium. Team members Governor Kate Brown. and clinicians at Infinity Rehab, as well as outside clinicians, attend from different areas throughout “I am very excited to participate in this process,” Hoku the United States. During the weekend-long event, stated. “I have benefited from the work of this board clinicians network and learn by attending courses for almost 10 years now, and it will be valuable to tailored specifically to them and their daily practice. observe and participate in the inner workings of this The event took place in May 2019. system.” For more information on these and other professional CLINICAL CHAMPIONS: Clinical Champions is Infinity development stories, visit the Infinity Rehab blog at Rehab’s professional development advancement infinityrehab.com/blog. THERAPISTS BY THE NUMBERS 196 183 226 252 130 1,250 OTs COTAs PTs PTAs SLPs PRNs 46 Rehab Aides / Admin Assist. 60 Leadership / Home Office 31
- This report features data from 2019 OUR INFINITY REHAB PEOPLE Infinity Rehab Therapists Advocate in Washington Infinity Rehab Patient Walks After Being Bedridden D.C. for 10 Years The National Association for the Support of Long- Infinity Rehab therapists are making a huge impact Term Care (NASL) hosted Capitol Hill visits in February on the lives of our patients. 2020 for therapy providers across the country. Infinity Rehab leaders JoLynn Munro, Division President, and One Infinity Rehab patient shared her inspiring journey to walking again with staff and fellow patients and residents at her community, Avamere Transitional Care and Rehab – Brighton. At only 25 years old, Kristie, whose last name is being withheld for privacy, was diagnosed with multiple sclerosis. By the time she was 35, she could no longer walk. And only three years later, she was bedridden and put on hospice. When she came to Avamere Transitional Care and Rehab – Brighton, Kristie said she hadn’t walked for 17 years. In June 2019, after several months at the gym, Kristie moved from using a Hoyer lift for transfers to sit-to- stand. And shortly after that, she was able to take a few steps while holding parallel bars. Now she walks with a front-wheeled walker. Kristie was then able to live on her own. “This story exemplifies the core values established by Infinity Rehab,” shared James Brannan, Director of Kurt Schrader & Michelle Jabczynski Therapy with Infinity Rehab, “specifically how closely therapy and restorative teams work together to Michelle Jabczynski, Director of Compliance and improve the lives of our patients.” Strategy, went to Washington D.C. for the visits. Their goal was to “fight the cut” and advocate against the You can read both these stories in their entirety on proposed 8% cut to the 2021 physical fee schedule the Infinity Rehab blog at infinityrehab.com/blog. resulting from E&M changes by CMS. Avamere TC & Rehab Brighton - Therapy Gym The highlight of the trip was meeting with Congressman Kurt Schrader (D-OR 5th District). Congressman Schrader is a vocal therapy advocate. With the help of the NASL, an advocacy letter to fight the cut was prepared with the goal of having several congressman and provider specialty organizations sign it before sending to CMS. Schrader signed the letter. “It’s an honor to advocate on behalf of patients and our profession to make a difference,” noted Michelle. “It’s through this advocacy that we truly see change. Part of advocacy is telling patient stories, which truly makes it impactful and makes a difference. “ 32
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