Range of Motion's Turn Key DVT prevention and Post Operative care program for Orthopedic practices and ASC's.

1. Mitigating Risk| Improving Patient Compliance | Enhancing Patient Outcomes
Pinnacle Orthopaedics Lunch
www.dvtnow.com / www.rangeofmotion.us

2. Range of Motion a trusted local partner

3. Patients are leaving the hospital sooner
Continue to drive the healthcare
industry toward more “in-home”
medical solutions and “same
day” procedures.
Cost Pressures1
Medicare has deemed DVT a “Never
Event”; thus, if a patient acquires a DVT
within 30 days postoperatively, the
hospital is responsible for treatment
cost
Never Events 4
Post -Surgical
Patients are at the highest risk for
DVT while recovering at home
2
Cost reduction program based on
survey data. DVT prevention is one
of the factors used to calculate
hospital performance creating the
need for a better continuum of care
Value Based
Purchasing
3
Outcome Based Value
and DVT risk can last for 30 plus days post discharge. Range of Motion is a product agnostic provider
of mechanical DVT prophylactic devices that help prevent post-operative DVT for moderate to high
risk patients, while maintaining focus on patient outcome and value
March 14, 2016

4. It’s not the procedure being
performed, it’s the patient’s risk
factors
By performing a simple risk assessment your patients can be
protected from life threatening DVT, which reduces the
physicians liability and results in better patient outcome
According to JCAHO all facilities
should be doing a DVT/PE risk
assessment on all patients

5. Assessing Patient
Risk

6. 75%
Reduction in DVT/PE with
use of pharmaceuticals
and mechanical
prophylaxis
Intermittent pneumatic compression is as
effective as pharmacological with no
bleeding or side effects
AACP and AAOS agree that aspirin is not
an appropriate sole option for prevention
of VTE
5x Less expensive than many
anticoagulants
1. Source: The Cochrane Library 2008, Issue 4. “Combined intermittent pneumatic leg compression and pharmacological prophylaxis for the prevention of venous thromboembolism in high-risk patients (Review)

7. Intermittent Pneumatic Compression is more cost-effective than
Pharmacological
• Pharmacological therapy can cost as much as $1800 per month per patient
• Pneumatic prophylaxis has fee schedules of less than $350
Anticoagulant Typical Dose Typical Cost / Day Typical Cost / Monthly
Enoxaparin / Lovenox 40-90 mg $30 - $70 $900 - $2100
Warfarin / Coumadin 3-6 mg $3 - $6 $90 - $190 + INR testing
Fondaparinux / Arixtra 2.5 mg $50 - $100 $1500 - $3000

8. 75% of DVTs occur in the first
48 hours following a
THA / TKA
postoperative day is
demonstrated to have the
highest peak of DVT
incidences according to
studies
10
recommend number of days
of DVT prophylaxis following
major orthopedic surgery
according to Caprini
guidelines
5th

9. Cost Reduction program based on survey data
• 20% clinical process
• 30% patient experience
• 30% outcome
• 20% efficiency
DVT prevenation is one of the factors used to
calculate hospital performance
Never Events
• Medicare has deemed DVT a “Never Event” thus, if a patient
acquires a DVT within 30 days postoperatively, the hospital is
responsible for treatment costs
• Blue Cross, United Healthcare, Cigna, and Aetna have all adopted
the Medicare never events guidelines
• $50,937* per patient
• *Medicare estimated cost to treat a DVT

10. The cost of never events
Never Event Cost Using Anticoagulants Alone Never Event Savings Adding Mechanical Prophylaxis
Total Number of Knees / Hips
Performed at Facility Per Year
300 Total Number of Knees / Hips
Performed at Facility Per Year
300
% of DVT Incidence With
Anticoagulant Prophylaxis
2% - 15% % of DVT Incidence With
Anticoagulant and ROM
Mechanical Prophylaxis
1% - 3.7%
Number of Patients 6 - 45 Number of Patients 3 - 11
DVT / PE Hospital Stay Cost $50,937 / Patient DVT / PE Hospital Stay Cost $50,937 / Patient
Annual Non-Reimbursed
Expense to Treat VTE Per Year
$305,622 - $2,292,165 Annual Non-Reimbursed
Expense to Treat VTE Per Year
$152,811 - $560,307
Savings Adding Mechanical DVT Prophylaxis $152,811 - $1,731,858
1) CMS Fact Sheet “CMS Proposes Addition to List of Hospital Acquired Conditions for Fiscal Year 2009” 2) THA/TKA from evidence-based clinical studies on post-operative DVT incidence with prophylaxis after TKA/THA 3) New DVT incidence % using ROM solutions based on
clinical studies

11. Orthopedic Surgeon’s Office Hospital / ASC
Rehab Facility Bundled Offerings

12. Orthopedic Surgeon’s Office
} Prevent life-threatening DVT
} More offerings fewer vendors in your offices
} Better patient outcomes
} 90% compliance vs 25% with pharmaceuticals
} No lost or broken products to worry about
} 24/7/365 patient service
} Reduced liability
} Increased revenue due to lower readmissions and average cost per episode

13. Orthopedic Surgeon’s Office
} Sign Assignment of Benefits
} Prescribe take home DVT to patient at time surgery is scheduled
} Apply sleeves and complete billing sheet
} Send paper work to ROM
} Notify ROM if surgery date changes
} Stock product or deliver to patient
} Have rep check the SCD stock weekly
} Bill Patient’s insurance for product
} Call patient within 72 hrs of receiving bill sheet

14. Bundled Offerings
} Go Home DVT
} CPM
} Crutches
} Post Op-Brace
} Cold Therapy
} Go Home DVT
} CPM
} Walker
} 3-1 Bedside Commode
} Cold Therapy

15. Product Agnostic to Fit Needs and Budgets

16. We own our contracts
Plus many
more!

17. 19 years serving our community
#1 provider of Mechanical DVT prevention
in Georgia
24/7/365 customer support
Brooks Harvard
770.402.0718
brooks.harvard@rangeofmotion.us
THANKS

18. 10%-
30%
Will die within 1 month of
diagnosis
900K
Total number of people
that may be effected by
DVT/PE each year in
America
25%
Of people who suffer from
PE, death is the first
symptom
Of population has one of
several genetic risk factors
known as inherited
thrombolysis
8%
http://www.cdc.gov/ncbddd/dvt/data.html