This document summarizes the T-REXTM at-home tele-rehabilitation program for total knee arthroplasty (TKA) patients. It claims the program significantly reduces rehabilitative costs and post-operative complications associated with bundled payment programs. The program utilizes robotic therapy, telehealth visits, in-home physiotherapy, and rehabilitative equipment over 90 days to optimize recovery outcomes while guaranteeing savings and refunding payment if readmission occurs. It provides two partnership options for practices to utilize the program's services and technologies.
3. CRISIS IN PHYSICAL THERAPY
PT & OT
Shortage
Globally
reduced
reimbursment
More
documenting
required for
reimbursement
Increase
PT &
OT Costs
Aging Baby
Boomer’s
Need for
Technology
By 2030, the number of states with
substandard PT will increase to 48
of 50 states
1 out of 5 Americans: 65 years
or older by 2030
4. 2014 NATIONAL STUDY FROM DATA COLLECTED ON 31,000 HOSPITAL
BASED MEDICARE TKA PATIENTS R.
$28,000Average Total TKA Bundle Payment
$5,046Skilled Nursing Facility (SNF)
$1,459Total Outpatient Rehabilitation cost
$1,979Home Health Agency cost
$1,381Inpatient Rehabilitation cost
$4,819Average Total Rehab Cost (when no SNF needed)
JAMA. 2016 Sep 27;316(12):1267-78. doi: 10.1001/jama.2016.12717. Association Between Hospital Participation in a Medicare Bundled Payment
Initiative and Payments and Quality Outcomes for Lower Extremity Joint Replacement Episodes.
6. SCALE THRU TECHNOLOGY
A plug and play interface allows for ease of use for patients of all ages
TELEREHAB
Automation
Compliance
Track Outcomes
Service more patients
Patient Convenience
T-REX (robotic therapy)
7. CHALLENGES OF A TKA BUNDLED PROGRAM
710,000 TKA performed annually and 332,000 hips performed annually
http://www.cdc.gov/nchs/fastats/insurg.htm
The number of lower-extremity total joint arthroplasty procedures in the United
States is expected to increase markedly over the next twenty years. Kurtz et al.
recently estimated that, by 2030, more than 500,000 total hip arthroplasties and
approximately 3.5 million total knee arthroplasties will be performed annually1
Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip
and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg
Am.2007;89:780-5
Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook
Handbook, 2016-17 Edition, Physical Therapists,
https://www.bls.gov/ooh/healthcare/physical-therapists.htm
APTA estimates the country will have a shortage of 26,969 physical therapists by
2020.
8. YOU TAKE ON ALL THE RISK
Complications Post Op Rehab Readmissions
Lack of compliance parameters to monitor patients on a daily
basis during the first 90 days
11. THE T-REX HOME-BOUND REHAB PROGRAM IS DESIGNED
TO HELP YOUR PATIENTS TO ACHIEVE:
Regain strength
and balance
Full ROM, not
just functional
ROM
Biomechanically
correct gait
12. 4 COMPONENTS OF THE T-REX TKA HOME-BOUND PROGRAM
03 04
Pre-Op Education
and
Prehabilitation
Robotic Assisted
Tele-Rehab
Home Assisted
Physiotherapy
Rehabilitation
Rehabilitative
DME Products
0201
13. Pre-Surgery Preparedness
Pre-habilitation strengthening program to optimize surgical outcome.
Pre-habilitation education program to mentally, emotionally, and
physically prepare patient for life following TKA.
PRE-OP EDUCATION AND PREHABILITATION
30 DAY
14. ROBOTIC ASSISTED TELE-REHAB– PATIENT REHAB LIFECYCLE
Conduct baseline fitness
and Range of Motion
assessment ~4 weeks
prior to surgical procedure
Develop pre-surgery fitness
and Range of Motion
exercise routine in
preparation for surgical
procedure
Conduct Pre-Surgery Range
of Motion assessment
within 1 week prior to
surgical procedure to
document compliance and
results
Establish physical
rehabilitation program for
patient using Smart T- Rex
device with monitoring
Utilize Smart T-Rex -device
to monitor and support
post-op Rehab activities
using physical T-Rex unit
Monitor patient compliance
with assigned exercise
routine and modify/adjust
rehab program based on
patient progress
Continue to monitor patient
progress and compliance
with assigned rehab
program using T-REX
Rehab
Compare patient’s current
Range of Motion to
Pre-Surgery Range of
Motion assessment
conducted prior to surgery
Continue program until
patient’s full Range of
Motion (defined by
Pre-Surgery assessment)
is restored
-
-
-
Prior to Surgical Procedure Immediate Post-Op Rehab period Post-Op Recovery Period Discharge
PatientSurgicalProcedure
Surgical
Procedure
Robotic Therapy Cyber & Home Therapist Patient Discharge
Prehab
1st
Go home healthy
16. Daily use of T-Rex allows for the breakdown of scar tissue, as a
result optimizing patient outcomes.
17. AN EASY TO USE PATIENT INTERFACE
A plug and play interface allows for ease of use for patients of all ages
18. HIPAA COMPLIANT TRANSPARENCY
T-Rex Smart
Rehab
Connects via
Available
Wireless
Technology
Data Captured
Stored on
HIPPA
Compliant
Secure Server
Doctors
Therapist
Trainers
Insurers
T-REXTM
units are equipped with
Bluetooth and WiFi technology that
exchanges information through a
HIPAA compliant web portal for
Clinicians to easily and conveniently
monitor their patient’s progress.
Every measurable use of the T-REXTM
Smart Rehab machine during
patients' therapy sessions are logged
for review and documenting of your
patients’ progress.
19. Physical therapy participation increased from the traditional 12 documented
monthly sessions to 90 documented monthly sessions.
PHYSICAL THERAPY PARTICIPATION
DOCUMENTED MONTHLY SESSIONS
12
90
20. HOME ASSISTED PHYSIOTHERAPY REHABILITATION
---> --->WITH
TRANSPORTATION
ISSUES
CONSISTENCY
COMPLIANCE
PATIENT TAILORED
THERAPY PLAN
PT HOME VISITS
CYBER PT VISITS
A DEDICATED PT FOR THE
ENTIRE EPISODE OF CARE
The T-REXTM
At Home TKA Tele-Rehab Program Addresses three of the main
challenges that impede optimized results post TKA
22. CAPITATED REHAB PROGRAM
See Significantly Reduced Rehabilitative Costs Associated with your TKA Bundled Program
A Fixed/Capitated PT cost per patient equals big savings for you and your practice.
IncludedDaily cost for PT services, capturing compliance and outcomes data , all products noted below
IncludedPre-Surgery preparedness & strengthening program: 30 day program
IncludedCyber PT visits
IncludedIncreased Monitored & Recorded Therapy Sessions (90 documented sessions per month)
IncludedPT home visits
IncludedDVT device & wraps
IncludedCold Therapy
IncludedUltra sound - when needed
IncludedRehab Sled
IncludedGait training system with pedometer
IncludedPost op breathable circulatory garment
IncludedMedical grade stepper and walker
CAPITATED REHAB PROGRAM
MUA/READMISSON MONEY BACK GUARANTEE
IncludedT-Rex “Robotics PT”
TM
GU
ARANTE
ED
SAVINGS
G
UARANTE
E
ON
M
UA READMISSI
ONS
MONEY
BaCK
23. OUR GUARANTEE
We provide a 100% refund guarantee on mua readmission.
GU
ARANTE
ED
SAVINGS
G
UARANTE
E
ON
M
UA READMISSI
ONS
MONEY
BaCK
24. 2 ONBOARDING OPTIONS
The T-Rex TKA Home-Bound Program provides you two options to better fit your
practice’s need.
25. FULL SERVICE
We take on
everything
includingthe PT
Full
Implementation
& Management Quality physical
therapists
Products for
optimization of
recovery time Ongoing care
management
Our team will take of everything including the Physical Therapists necessary to
deliver proper care and rehabilitation.
26. Use your Physical Therapist.
We provide the technology
framework, the products,
and care management
support.
PARTNER
27. KEY BENEFITS
Improved Efficiency
Monitor Compliance
Track & Quantify Outcomes
Patient Treatment/Protocols individualized
Remote Protocol changes & Improved “office Patient Flow“
Less Paperwork
Less time measuring, recording, and inputting data
Improved data reporting & analysis of function
More Engaging
Convenience = Greater Compliance
Higher patient satisfaction scores
Personalized care
28. HOW DOES TREX HELP MY PRACTICE?
Cost Reduction through our TKA Bundled Program.
Improved patient satisfaction + superior compliance = “near perfect”
outcomes.
Expand Practices’ geographic coverage area.
Increase the number of new patients, and add new revenue.
Reduce MUA’s.
Reduce “traffic” with current PT patient flow.
