We dive into the world of Osteopathic Manipulative Treatment (OMT) with Dr. Mehra, Osteopathic Medical Director of Evolutionary Healthcare. Recorded live at the Florida Healthcare Conference, this demonstration reveals how OMT effectively treats chronic back pain in ways other specialties often miss.

• Dr. Mehra explains why OMT qualifies as a specialty requiring significant time to master
• Live demonstration of sacrum alignment on a patient with 13 years of post-childbirth back pain
• Muscle energy technique used to correct significant sacral misalignment in just 30 seconds
• Discussion of how OMT addresses problems overlooked by physical therapists, chiropractors, and other doctors
• Exploration of the connection between bone alignment and muscle function

Visit Evolutionary Healthcare for more information about bringing OMT services to post-acute settings and nursing homes. Caring is what we do.

A healthcare revolution is brewing in post-acute care facilities, and it starts with understanding the challenges from the inside out. Dr. Hussien Ballout, a Florida geriatrician, noticed something troubling at nursing homes near his hospital. Residents were stuck in a "revolving door" of emergency visits for issues that simple medical oversight could have prevented. After becoming medical director at one such facility in 2018, he implemented protocols that closed this gap, laying the foundation for what would become Evolutionary Healthcare.

The company took a decisive turn when COO Sierra Jones, a former nursing home administrator, joined forces with Dr. Ballout. Their combined perspectives and clinical expertise paired with deep operational understanding created something unique in the healthcare landscape. While competitors promise similar metrics improvements, Evolutionary Healthcare approaches facilities with genuine comprehension of regulatory challenges, quality measures, and the daily realities of skilled nursing operations.

Their most transformative innovation? Introducing osteopathic manipulative treatment (OMT) to nursing homes. This physician-led, hands-on approach has yielded remarkable results—a 78% reduction in long-term narcotics use during their pilot program, with corresponding decreases in falls and hospital readmissions. Beyond pain management, these specialized physicians provide 20-30 minute sessions addressing everything from joint issues to anxiety to lymphatic flow problems, all without medication.

The patient response has been extraordinary. Facility staff report that residents with behavioral issues remain calm on OMT treatment days. One woman, unable to qualify for needed back surgery due to high narcotic use, successfully reduced her medications through OMT treatments and finally received her operation after a decade of waiting.

Looking ahead, Evolutionary Healthcare is expanding their unique model beyond Florida. Rather than requiring physicians to relocate, they're building networks around community doctors, allowing them to maintain their practices while joining the Evolutionary mission. This approach honors their core philosophy: when providers are well taken care of, everything else falls into place.

Ready to transform patient care at your facility? Connect with us at evolutionaryhc.org or through our social media channels to discover how our holistic approach can revolutionize your outcomes while supporting your existing clinical programs.

Joshua Wagner, Divisional Director at Aviata Health Group and Senior Vice President of the Florida Health Care Association, shares his journey from aspiring physician to healthcare leader and how embracing his purpose transformed his career trajectory.

• Born and raised in Florida, began in pre-med before discovering his calling in health services administration

• Brings over a decade of leadership experience across healthcare organizations, including Millennial Healthcare, Clear Choice Healthcare, and Aviata Health Group

• Currently oversees business development and leadership development initiatives for Aviata’s 58 facilities

• Serves as Senior Vice President for the Florida Health Care Association and has held multiple leadership roles on its Executive Board, including Treasurer and Secretary

• Advocates for early involvement in professional associations to build influence and drive change

• Recognizes Florida’s unique position as a leader in healthcare quality due to collaborative providers and supportive legislation

• Applies a 30-60-90 day improvement plan to help struggling facilities elevate operations and care standards

• Leverages healthy competition to engage teams and improve outcomes for residents

• Encourages forming employee-led engagement teams that strengthen workplace culture and ownership

• Credits his grandfather’s influence and a pivotal lunch with a CCRC CEO for sparking his passion for long-term care

• Expresses gratitude to industry colleagues for their mentorship and partnership in advancing quality care

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