Boyer & Associates is a team of national consultants that assists long-term care facilities in optimizing operations, reimbursement, compliance, and clinical elements. Their mission is to create lasting solutions that help facilities provide quality care for residents. The team has extensive experience and offers services such as mock surveys, operational assessments, regulatory compliance reviews, wound care consulting, educational seminars, and weekly webinars to support facilities.

1. Boyer & Associates, LLC National Consultants for Long Term care Providers

2. -Our Mission- 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

3. -Who We Are- 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.

4. -Our Team- 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

5. -Our Team Continued- 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.

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

8. 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.

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

10. 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

12. -Our Services- 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

13. Mock Survey/Quality Indicator Survey 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

14. -Operational Assessment- 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.

15. -Medicare/Medicaid Audit- 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.

16. -Corporate Compliance- 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.

17. -Dietary Consulting- 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.

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

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

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

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

24. MDS 3.0

25. RUGs IV

26. Wound Care

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

28. -Training Seminars for Facilities- 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.

31. Boyer & Associates, LLC 16655 West Bluemound Road Suite 280 Brookfield, WI 53005 P: 262.754.0525 F: 262.754.0528 www.boyerandassociates.com http://boyerandassociates@webex.com