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

Subscribe to the Let’s Get Comfy Podcast for more conversations with healthcare leaders driving positive change in long-term care.

Edward Estes, Regional Account Executive at Pruitt Health, shares his journey with the healthcare organization and explains their comprehensive services across multiple states. His passion for healthcare stems from personal experience and a desire to help others, demonstrating how Pruitt Health embodies their family-oriented approach to patient care.

• Pruitt Health began as a pharmacy over 50 years ago and now provides comprehensive healthcare services
• Edward covers central Florida, south Georgia, and parts of Atlanta for ancillary sales including pharmacy, medical supplies, shredding, and equipment rentals
• Pruitt Health's unique perspective as both operators and service providers gives them deeper insight into client needs
• Edward played defensive back at Liberty University, overcoming back-to-back concussions to return to a starting position
• Skilled nursing facilities provide essential 24-hour care that cannot be replicated at home
• About 40-43% of caregivers pass away before the person they're caring for due to the immense stress
• Edward prioritizes God first, followed by family and work, maintaining strict boundaries to protect personal time
• Personal losses have shaped Edward's approach to life and work, deepening his compassion for others

Visit PruittHealth.com or find them on social media platforms to learn more about their services in Florida, Georgia, North Carolina, and South Carolina.

Wound care expert Matt Smith from Gentel reveals how they're transforming senior care through comprehensive staff education and innovative products like collagen-based dressings and honey-based solutions from their new acquisition, ManukaMed.

• Gentel is the leading wound care company in the US and globally, manufacturing and distributing their own complete line of advanced wound care supplies
• Collagen-based products are particularly effective for seniors as they don't produce collagen like they once did
• Gentel differentiates itself by educating all facility staff on wound care, not just wound nurses
• Matt transitioned from bedside nursing to leadership to make a bigger impact across a larger territory
• The Gentel Direct program follows patients after discharge to ensure wound healing continues at home
• Care plan meetings are an underutilized resource for families to advocate for loved ones and ensure everyone is on the same page
• Gentel recently acquired ManukaMed, a New Zealand company known for honey-based wound care products

Visit our website at comfortmeasuresconsulting.com for more information about our personal care advocacy and business development services. Reach out to Gentel through their social media platforms on LinkedIn, Facebook, and Instagram.

Analytics expert Dov Greenberg, founder of Boosted Analytical, reveals how data management transforms skilled nursing facility operations and improves patient care. Specializing in Payroll-Based Journal (PBJ) compliance, Greenberg demonstrates how proper data handling directly impacts star ratings, reimbursement, and ultimately the quality of care provided to residents.

• Processing millions of rows of data to track staffing compliance in nursing homes
• Converting complex analytics into actionable steps for healthcare administrators
• Helping facilities improve star ratings through better data management and reporting
• Reducing reliance on agency staff through strategic data analysis
• Creating customized reports that solve real staffing challenges
• Bringing an Orthodox Jewish background and rabbinic training to business leadership
• Emphasizing productivity as both a personal value and business principle
• Encouraging entrepreneurship and small business development

Find Tove Greenberg at boostedanalytical.com or on LinkedIn where he regularly shares PBJ tips and tricks.

Joy McMillan transforms healthcare compliance from a reactive scramble to a proactive partnership through her firm, JAD Infection Control Experts. As she explains during our engaging conversation at the Florida Healthcare 2025 Annual Conference, her approach helps organizations address regulatory requirements while genuinely improving patient safety and quality outcomes.

With credentials that would make most professionals' heads spin (BSN, MBA-HA, CRRN, WCC, CJCP, CIC, and more), Joy brings extraordinary expertise to her consulting work. Yet what truly sets her apart isn't just knowledge—it's perspective. "My why is I want to be the person that's able to take the pressure off of you but still make you look good," she shares, revealing how her 24+ years of frontline experience shaped her understanding of healthcare challenges. The company name itself—JAD, representing Joy, her daughter Asia, and husband Daryl—reflects the family foundation supporting her mission.

Joy's innovative approach includes replacing outdated paper-based systems with digital tools that provide real-time dashboards and automated compliance reminders. This technology integration helps healthcare leaders maintain continuous oversight rather than scrambling during inspections. When describing "nightmare scenarios," she candidly discusses finding facilities with rampant infections and generic policies disconnected from actual practices. Even worse are situations where leadership resists acknowledging documented problems, insisting "they've got it covered" despite evidence to the contrary. These challenges highlight why proactive partnerships matter so much in healthcare compliance.

Ready to transform your approach to infection control and compliance? Connect with Joy McMillan on LinkedIn or visit J-A-D-I-C-C.com to learn how her expertise can help your organization exceed standards rather than merely meeting them. Subscribe to Let's Get Comfy on YouTube and follow us on social media to continue exploring healthcare insights that prepare you and your loved ones for better outcomes.

CHE Behavioral Health Services provides mental health support to seniors in skilled nursing facilities through a holistic, client-centered approach that addresses past trauma and current challenges. Their 31-year expertise helps facilities meet compliance requirements while delivering compassionate care through psychiatry and psychology services.

• Dr. Phyllis Kennedy Howell (National Clinical Director of Psychiatry) and Heidi Rogers (Regional Director of Operations) describe CHE's comprehensive behavioral health services
• CHE serves psychiatry and psychology populations in skilled nursing facilities, focusing on CMS guidelines and quality measures
• Early signs of mental health conditions include changes in environment, mental status, physical status, and seasonal transitions
• Childhood trauma often resurfaces during senior years when people have more time to reflect on memories
• CHE offers services to skilled nursing facilities, rehab centers, assisted living facilities, and PACE adult day programs
• The organization provides outpatient mental health services for facility residents and their family members
• Understanding your own mental health and knowing when to seek help is crucial for everyone
• Client-centered care ensures mental health interventions meet individual needs rather than following rigid templates

Visit www.cheservices.com to learn more about their services.