August 24, 2025 • 18 mins
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.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
This episode of let's Get Comfy was brought to you by
Evolutionary Healthcare.
Caring is what we do.
Speaker 2 (00:07):
Another episode of let's Get Comfy podcast, and
we're actually interviewing thesponsors of the show and Florida
Healthcare interview seriesthat we're doing here live at
the Higher Regency Hotel.
So I'm joined by my superiors,my leaders here with
Evolutionary Healthcare.
I let them introduce themselves, as that's the tradition here
(00:32):
on the show.
So to my right start with you.
Speaker 1 (00:35):
I'm Sierra Jones.
I'm the COO of EvolutionaryHealthcare and I am not Norman's
superior.
I am his teammate, hisco-worker.
Speaker 3 (00:43):
Yeah, Hello, my name is Missane Ballou.
I'm a teammate his co-worker.
Hello, my name is Moussae Mbalu.
I'm a local geriatrician inFlorida.
Speaker 2 (00:48):
Yes, sir, so glad they joined the show, but also
one personally I want to saylive here is.
I want to give special thanksto them for embracing the vision
of the show, but also ComfortMeasures, consulting and having
them a part of allowing me to bea part of Evolutionary
Healthcare and the way thatwe're growing as an organization
(01:08):
.
So, personally, I'm honored tobe a part of the dream and the
vision and how we're growing asan organization throughout the
state.
But you guys be seeing a lot ofbig things coming from
Evolutionary Healthcare, so staytuned.
For sure We'll be posting ittoo, all right?
Speaker 1 (01:23):
Norm.
We thank you for that.
Speaker 2 (01:24):
Honored to be here.
Yes, ma'am, so we'll get kickedoff with just the origins of
evolutionary healthcare.
How did you guys begin?
And we'll start with thatquestion with you, dr Blue.
Speaker 3 (01:35):
So after I graduated from residency in Michigan, I
ended up moving to Florida.
I signed with Health First inBrevard.
I was at Palm Bay Hospital.
Right next door there was alife care facility.
They kept referring to some ofthe patients in the facility as
a revolving door of getting thepatients in the ER and sometimes
they could have been preventedwith simple medical treatment if
(01:58):
someone had done the UA orreviewed the results.
So I ended up going over there,ended up becoming their medical
director.
We were able to close that gap.
The hospital was veryappreciative, the facilities and
management was veryappreciative and that led one
thing led to another.
Speaker 2 (02:16):
Yes sir, yes sir.
Do you remember what year wasthat?
How long ago was that 2017,?
Speaker 3 (02:20):
2018.
2018.
So you've been in BrevardCounty area since 2017.
Speaker 2 (02:22):
Yep, we opened it.
We started in the facilityprobably beginning of 2018.
2018.
Speaker 3 (02:25):
So you've been in Brevard County area Since 2017.
Yep, we opened it.
We started in the facilityprobably beginning of 2018.
Speaker 2 (02:30):
Okay, that's good.
That's good.
So, evolving you selected thename of evolutionary healthcare
and that's stood out to mebecause a lot of my
presentations that I do alwayssay the evolution is here.
I love saying that.
But so you brought Sierraaboard.
What would intrigue you aboutSierra and how you all met?
So the name.
Speaker 3 (02:49):
The name comes from the way that we're delivering
the care.
When we first started in thenursing homes, a lot of things
were not done the way thatthey're usually done in an acute
care system, whether it's thetraining that the staff has
provided, some of the protocolsand the way everything is
written.
And that's actually where I metSierra, when we got together
(03:11):
one of the buildings.
We designed some protocols forthe facilities, designed some
training.
We've seen the success of it,so there we are.
Speaker 2 (03:20):
Sierra brings that, of course, skilled nursing
leadership experience as alicensed nursing home
administrator, and that's partof the reason I wanted to join
the organization too.
But that sets us apart as anorganization that we have
someone that actually ran thefacilities as well.
But even from the corporatelevel as well, she's advanced
bands.
(03:40):
But so, Sierra, if you wouldjust let the audience know how
the impact of having a leaderlike yourself incorporating,
integrating into evolutionaryhealthcare us being a
multi-specialty physician groupoverall, yeah, so I came down to
Florida in 2019, started mynursing home administrator
(04:02):
career in Brevard County andthat's where Dr Ballou and I met
.
Speaker 1 (04:06):
He was medical director in my facility, so we
worked close together, worked onsome projects where we saw
great outcomes.
Like you said, over the coupleof years Our relationship
continued to evolve.
I became a regional vicepresident of operations, used
him in some of the facilitiesthat I got to oversee and we
started to see the same qualitythat we saw in the beginning
trickle out, and I think that'swhen we both kind of said this
(04:28):
could work a different way.
How can we work together?
So I had the opportunity tocome over two years ago and we
think alike and we also thinkdifferently, but our minds
always meet at the finish lineFor us with Evolutionary
Healthcare, and it's not justmyself being a nursing home
administrator.
Our background administrativecrew that you don't see in the
(04:50):
forefront are previous directorsof nursing and skilled nursing
facilities or floor nurses, andI really take pride in the piece
that we understand and we getit from the facility level A lot
of these groups and providers.
You know everybody's offeringgreat things, correct?
But we're all speaking the sametune.
Hey, we can reduce your falls,we can reduce your RTH, we can
(05:11):
do this, we can do that, but,all realistically, are the
providers understanding what thefacilities are going through?
Do they understand qualitymeasures and the drive to get
there?
Do they understand survey andthe outcomes and how to help
boost those outcomes for thefacility?
And I think that that's what'simportant and that's what sets
us apart and I think that's whatevolves us, is that we have
(05:36):
that core understanding and Ithink that that's what continues
to drive evolutionary, outsideof the quality of care that the
providers are giving.
Speaker 2 (05:46):
Yes, so I'm a big advocate of holistic healing and
that's one thing that we bringto the table as an organization
functional medicine and holistichealth.
Tell us how you wereintegrating that or the honors I
should say in the post-acutespace.
Speaker 3 (06:02):
So the post-acute space didn't have many holistic
options when we first started.
So we've been putting inosteopathic neuromusculoskeletal
physicians.
They specialize and dotechniques such as OMT, the
manipulative treatment.
It's a hands-on approach doneby a physician that they'll work
(06:25):
on your lymphatic flow, muscleenergy.
If you're constipated, they canhelp with your constipation.
They can do the jointmanipulations to alleviate the
pain.
We've had significant resultsin the nursing homes decreasing
narcotics.
They can do local triggerinjections or joint injections.
It's a wide variety of thingsthey can do, but the biggest
(06:47):
benefits that we've seen inthese nursing homes is one it's
a hands-on approach.
They're not just prescribing amedication, You're treating the
root.
You're treating the problem atthe root.
You're letting the body allowit to heal itself and use its
natural techniques.
We're just supplementing it.
I would say that's the biggestthing that separates us from
most companies is our approachto medicine is different.
Speaker 2 (07:12):
Very innovative, very innovative.
So talk to us here about justthe innovation, uh projects
moving forward, but uh, uhaspects clinically that we're
going to add as an organization.
So your vision moving forwardum.
Speaker 1 (07:27):
So, first, with continuing to build out the omt
program and spread the awareness, I think people get conflicted
with the fact that we start withit's a non-pharmacological
approach to pain management.
So they immediately think, ohwell, we already have physiatry
in-house, we're not interested,and it's one.
It's actually it's an accessory, right.
We're able to collaborativelywork with those teams.
(07:48):
What people need to understandis, like Dr Balut said, it's a
hands-on approach to care, whereit doesn't just have to be pain
management.
The demographic of patients thatwe're working with are used to
spending time with theirprovider.
This is a physician-led programand they're getting hands-on
care for at least 20 to 30minutes with the provider.
(08:09):
That alone sets us apart, right.
We're typically used to theproviders knocking on the door
how you doing, ms Jones?
I'm fine, you feeling better?
Let me check your heart rate,et cetera.
We're taking care to the nextlevel.
Other visions that we have Iwouldn't quite give the
blueprint to, but just know thatwe're working and we are.
(08:30):
Our biggest goal is to makesure that we're making a
difference and making it inquality ways.
Speaker 2 (08:34):
Yes, yes.
Now, sierra, I know yourpersonal story right regarding
OMT, but tell us how you wereconvinced.
Speaker 1 (08:42):
So, just like Dr B said, a lot of people don't have
the open-mindedness to holisticapproach.
Right In the world it'sstarting to become more and more
popular, but especially in theskilled nursing setting we're
kind of closed off to just thisis how we've always done it
right and this is traditional.
If it works, if it ain't broke,don't fix it.
Well, it's not necessarilybroken, but it can get better,
(09:04):
right, um?
So I had a physician who workedwith us who was specialized in
onmm, and she would always tellus let's try omt, let's try omt.
And honestly I would say I'mfrom the backwoods of west
virginia, miss me with theholistic hippie stuff.
You know that's not going towork.
You're not going to touch meand fix my pain.
Can you just give me a scriptto get through?
(09:24):
We were playing basketball.
One day I twisted my knee.
This guy's going to tell you hecrossed me over, but I ate my
own words.
My knee was swollen and Ifinally allowed the physician to
do treatment on my knee.
The swelling went down in 20minutes.
She used a portable ultrasoundto see that I had torn my
(09:45):
meniscus and that's when a lightbulb went out or came on and we
tried it in.
We had one opportunity to try itin a pilot program in a sniff.
After six months we haddecreased their long-term
narcotics by 78% and falls andnaturally falls in RTH reduced,
wow.
And we were also able to, youknow, show a difference in
(10:06):
polypharmacy, et cetera.
So we've kind of startedtrickling up and down the East
Coast, made our way into theWest Coast, and now we have
attention from differentproviders and groups out of
state that we're going to beable to expand our services to
and we're super excited for.
For me as an administrator,it's something that I'm proud of
, because we are truly gettingto the root of the problem
(10:28):
instead of masking it withnarcotics or medications that
are unnecessary.
So it's something I'm proud ofand I don't feel like I'm just
saying that because it's part ofmy career.
Speaker 2 (10:36):
So it's something I'm proud of and I don't feel like
I'm just saying that becauseit's part of my career Right,
right, right.
So big thing aboutorganizations and providers when
they're seeking to partner withskilled nursing facilities.
The thing that I cherish isthat we have employees that
really enjoy doing what they do,and we embrace that.
And so the culture.
I always say you treat youremployees well.
Ultimately, that's thepatient's going to also feel
(10:59):
that as well.
So the culture talk about ourculture here at Evolutionary
Healthcare.
You don't see many practices ororganizations you know
interviewing live and promotingtheir other physicians as well,
but that's one thing I think isvery unique about us is that you
can go on our LinkedIn page andsee our doctors, hear from them
personally, but just overallyour approach to culture
(11:19):
building.
Speaker 3 (11:20):
We're building out the company in a way that's
going to empower physicians.
As a physician, I loved some ofthe parts of working at a
hospital, but the autonomy ofhaving your own practice,
setting your hours, picking yourown days that's kind of the
culture that we're giving them.
(11:41):
We want to supplement theirlife.
I want them to be able to makemore money with evolutionary
healthcare than they would beable to make on their own.
So we're more positioningourselves as a management
service for these physicians sothey don't have to move per se
to Florida where we can acquirethe buildings around them.
(12:01):
They can have their ownpractice and then round with us
a day or two a week.
And then that's the process thatwe we've launched in West
Virginia by partnering with WestVirginia School of Medicine and
their neuromuscular skeletalprogram.
So we're more so findingphysicians that are leaders in
their community and want to stayin their community and then
(12:23):
giving them a opportunity to beable to make enough income and
not move away.
That's why we think that we'regoing to be able to change the
game and revolutionize the waythat health care is delivered.
It all starts with.
It all starts with yourproviders, and if your providers
are well taken care of,everything falls in place.
Speaker 2 (12:43):
I 100% agree with that.
I love the fact.
One of the things we say is weplay nice in the sandbox.
So just leading it with statingthat I want to ask
misconceptions right With us.
You know, introducing theholistic approach, folks in
medicine in the skilled nursingspace.
If you could talk aboutmisconceptions, that are
(13:05):
hesitations right that otherorganizations may have about
embracing sort of our vision inregards to that, tell them they
don't have the second guess.
Speaker 3 (13:14):
Like Sierra was saying earlier about the pain
management, sometimes we'reviewed as a pain management
group.
Our number one referral sourceare physiatrists and inpatient
rehabs.
We supplement what they'redoing.
We don't replace any specialty.
The neuromuscular physiciansare their own specialty.
It doesn't interfere withtherapies.
(13:35):
Billing doesn't interfere withthe billing.
Compensation doesn't interferewith a primary doctor's
compensation.
It's supplemental and theresults speak for themselves.
Speaker 1 (13:45):
It's an added impact right.
So I think that that's whatpeople don't realize.
It's not taking away, it'sadding to.
Not only adding to care, butit's adding to something that
you're able to market.
It's something different andit's getting from a customer
service approach, a satisfactionapproach.
You know the residents start tosay, oh, my personal masseuse
is here and while theneuromusculoskeletal physician
(14:07):
is much more than that.
That is what they perceive itas and that's what we're fine
with.
Right, because you're makingthem feel better.
A success story that we had.
We had a lady who needed a backsurgery for 10 years and was on
so many narcotics.
After seven months of OMTtreatment she was able to
titrate down the amount ofnarcotics that was preventing
her from getting the surgery andshe was able to have that back
(14:30):
surgery.
So those are the type of thingsthat are impressive and that
we're proud of.
Speaker 2 (14:35):
Right.
One story I can share is thatwhen I'm rounding to other
facilities, one administratortold me to say with our patients
that may have behaviors, theysay they have behaviors every
day except for OMT day Every dayexcept for OMT day.
Speaker 3 (14:49):
We've become the most popular group in the facility.
Speaker 2 (14:53):
And what's unique and you can expound on this Sierra
is how wound physicians also youknow sort of see the impact or
utilize OMT as well.
Speaker 1 (15:03):
Yeah, I think even outside of the wound physicians,
it's multiple physicians.
Once they buy in and realizewhat we're doing and they
realize that it doesn't affecttheir outcomes or their pockets,
they start to buy in becausethey understand the benefits
that OMT is able to provide.
So it's not just wound, it'ssite providers.
You know OMT can be used foranxiety and I think you guys
(15:23):
will get to hear from one of ourneuromusculoskeletal physicians
here a little bit later, sowe'll let him go down that honey
hole and speak a little bitmore from his profession.
But I think it's somethingdefinitely that people should
give an extra two to threeminutes to learn about.
Speaker 2 (15:36):
Thank you.
So we're concluding theinterview here, but I want to
say if Sierra got some skills,she can play ball right.
She actually went to thecollege level, collegiate level
playing too, and her and Dr Blueplayed often.
Now, if it was a game ofone-on-one, you guys had to play
right now.
Who would win?
Right now, I'm taking me allday, you all day, dr Blue.
Speaker 3 (16:02):
I wouldn't want to hurt her feelings if I were
taking an emotional day off.
Speaker 1 (16:05):
Understood Now if we had to play like first to 30,
I'm dead after 10 points.
This guy's cardio is impeccable, so don't give it all to me.
This guy wakes up in themorning and goes and plays two
hours of war of racquetball ortennis.
It's insane.
But if you really want to know,his wife would beat us both in
one-on-one.
Speaker 2 (16:24):
In one-on-one Got it All right.
And final question If you guyswere in the woods and you were
approached by a bear, what wouldyou do?
Would you run just die, orwould you fight?
Speaker 3 (16:39):
You make a lot of noise.
Speaker 2 (16:41):
You make a lot of noise.
Speaker 3 (16:42):
So the bear hears you and you don't startle a bear
and you definitely don't juststart running away.
Speaker 1 (16:47):
Yeah, sierra, okay, so I feel like if I'm making the
noise, the bear is going tocome after me.
So I'm going with all threeoptions I'm going to run, the
bear is going to catch me, I'mgoing to try to fight it and
then I'm going to die becausethe bear is going to kill me.
What about you?
Speaker 2 (17:02):
Norm Me, I'm going to have to.
Just, I saw it on DiscoveryChannel.
They say it's best if you havelike a backpack.
Speaker 1 (17:12):
What if you don't have?
Speaker 2 (17:13):
the backpack Norm?
Well, I have one.
What if you don't have thebackpack Norm?
Well, I have one.
What are you doing in the woods?
Right, I don't go in the woods,but I'm just like if I go, I'm
going to have a backpack.
How about that?
So you squirt down, crouch down, have the backpack over your
head and the bear is going to bedistracted by the backpack.
So he's going to be trying tomess with the backpack, and so
(17:33):
that's like your guard.
That's how I starteddiscovering child.
Okay, we'll stick to it.
Speaker 3 (17:37):
Whoever produced that needs to be fired.
There's no way.
That's good advice.
Put it on your head so hestarts kicking at it with his
claws.
Sounds like a great idea to die.
Speaker 2 (17:48):
So tell us, tell the audience here where they can
reach us, our website, all thosethings here, all those things
here.
Speaker 1 (17:54):
We're on LinkedIn, we are on Instagram, Facebook.
Evolutionary Healthcare Ourwebsite is evolutionaryhcorg and
you guys can always hunt downNorm the man, the myth, the
legend, on LinkedIn.
Speaker 2 (18:07):
He'll tell you how to find him.
I already messaged you too.
Speaker 1 (18:09):
Look at the deal.
I already messaged you already.
Speaker 2 (18:11):
Yeah Well, thank you for joining the show again.
Sponsors the Lesson Get Comfypodcast here at the Florida.
Healthcare Conference inOrlando, florida, 2025.
I'm so glad that they did it.
I feel good.
Cmc Media is growing.
Thank you, tune in to the nextshow.
All right, thank you so much.
Bye, guys.
(18:31):
Yeah.
Speaker 1 (18:32):
We got it.
This episode of let's Get Comfywas brought to you by.
This episode of let's Get Comfy was brought to you by
Evolutionary Healthcare.
Caring is what we do.
Speaker 2 (00:07):
Another episode of let's Get Comfy podcast, and
we're actually interviewing thesponsors of the show and Florida
Healthcare interview seriesthat we're doing here live at
the Higher Regency Hotel.
So I'm joined by my superiors,my leaders here with
Evolutionary Healthcare.
I let them introduce themselves, as that's the tradition here
(00:32):
on the show.
So to my right start with you.
Speaker 1 (00:35):
I'm Sierra Jones.
I'm the COO of EvolutionaryHealthcare and I am not Norman's
superior.
I am his teammate, hisco-worker.
Speaker 3 (00:43):
Yeah, Hello, my name is Missane Ballou.
I'm a teammate his co-worker.
Hello, my name is Moussae Mbalu.
I'm a local geriatrician inFlorida.
Speaker 2 (00:48):
Yes, sir, so glad they joined the show, but also
one personally I want to saylive here is.
I want to give special thanksto them for embracing the vision
of the show, but also ComfortMeasures, consulting and having
them a part of allowing me to bea part of Evolutionary
Healthcare and the way thatwe're growing as an organization
(01:08):
.
So, personally, I'm honored tobe a part of the dream and the
vision and how we're growing asan organization throughout the
state.
But you guys be seeing a lot ofbig things coming from
Evolutionary Healthcare, so staytuned.
For sure We'll be posting ittoo, all right?
Speaker 1 (01:23):
Norm.
We thank you for that.
Speaker 2 (01:24):
Honored to be here.
Yes, ma'am, so we'll get kickedoff with just the origins of
evolutionary healthcare.
How did you guys begin?
And we'll start with thatquestion with you, dr Blue.
Speaker 3 (01:35):
So after I graduated from residency in Michigan, I
ended up moving to Florida.
I signed with Health First inBrevard.
I was at Palm Bay Hospital.
Right next door there was alife care facility.
They kept referring to some ofthe patients in the facility as
a revolving door of getting thepatients in the ER and sometimes
they could have been preventedwith simple medical treatment if
(01:58):
someone had done the UA orreviewed the results.
So I ended up going over there,ended up becoming their medical
director.
We were able to close that gap.
The hospital was veryappreciative, the facilities and
management was veryappreciative and that led one
thing led to another.
Speaker 2 (02:16):
Yes sir, yes sir.
Do you remember what year wasthat?
How long ago was that 2017,?
Speaker 3 (02:20):
2018.
2018.
So you've been in BrevardCounty area since 2017.
Speaker 2 (02:22):
Yep, we opened it.
We started in the facilityprobably beginning of 2018.
2018.
Speaker 3 (02:25):
So you've been in Brevard County area Since 2017.
Yep, we opened it.
We started in the facilityprobably beginning of 2018.
Speaker 2 (02:30):
Okay, that's good.
That's good.
So, evolving you selected thename of evolutionary healthcare
and that's stood out to mebecause a lot of my
presentations that I do alwayssay the evolution is here.
I love saying that.
But so you brought Sierraaboard.
What would intrigue you aboutSierra and how you all met?
So the name.
Speaker 3 (02:49):
The name comes from the way that we're delivering
the care.
When we first started in thenursing homes, a lot of things
were not done the way thatthey're usually done in an acute
care system, whether it's thetraining that the staff has
provided, some of the protocolsand the way everything is
written.
And that's actually where I metSierra, when we got together
(03:11):
one of the buildings.
We designed some protocols forthe facilities, designed some
training.
We've seen the success of it,so there we are.
Speaker 2 (03:20):
Sierra brings that, of course, skilled nursing
leadership experience as alicensed nursing home
administrator, and that's partof the reason I wanted to join
the organization too.
But that sets us apart as anorganization that we have
someone that actually ran thefacilities as well.
But even from the corporatelevel as well, she's advanced
bands.
(03:40):
But so, Sierra, if you wouldjust let the audience know how
the impact of having a leaderlike yourself incorporating,
integrating into evolutionaryhealthcare us being a
multi-specialty physician groupoverall, yeah, so I came down to
Florida in 2019, started mynursing home administrator
(04:02):
career in Brevard County andthat's where Dr Ballou and I met
.
Speaker 1 (04:06):
He was medical director in my facility, so we
worked close together, worked onsome projects where we saw
great outcomes.
Like you said, over the coupleof years Our relationship
continued to evolve.
I became a regional vicepresident of operations, used
him in some of the facilitiesthat I got to oversee and we
started to see the same qualitythat we saw in the beginning
trickle out, and I think that'swhen we both kind of said this
(04:28):
could work a different way.
How can we work together?
So I had the opportunity tocome over two years ago and we
think alike and we also thinkdifferently, but our minds
always meet at the finish lineFor us with Evolutionary
Healthcare, and it's not justmyself being a nursing home
administrator.
Our background administrativecrew that you don't see in the
(04:50):
forefront are previous directorsof nursing and skilled nursing
facilities or floor nurses, andI really take pride in the piece
that we understand and we getit from the facility level A lot
of these groups and providers.
You know everybody's offeringgreat things, correct?
But we're all speaking the sametune.
Hey, we can reduce your falls,we can reduce your RTH, we can
(05:11):
do this, we can do that, but,all realistically, are the
providers understanding what thefacilities are going through?
Do they understand qualitymeasures and the drive to get
there?
Do they understand survey andthe outcomes and how to help
boost those outcomes for thefacility?
And I think that that's what'simportant and that's what sets
us apart and I think that's whatevolves us, is that we have
(05:36):
that core understanding and Ithink that that's what continues
to drive evolutionary, outsideof the quality of care that the
providers are giving.
Speaker 2 (05:46):
Yes, so I'm a big advocate of holistic healing and
that's one thing that we bringto the table as an organization
functional medicine and holistichealth.
Tell us how you wereintegrating that or the honors I
should say in the post-acutespace.
Speaker 3 (06:02):
So the post-acute space didn't have many holistic
options when we first started.
So we've been putting inosteopathic neuromusculoskeletal
physicians.
They specialize and dotechniques such as OMT, the
manipulative treatment.
It's a hands-on approach doneby a physician that they'll work
(06:25):
on your lymphatic flow, muscleenergy.
If you're constipated, they canhelp with your constipation.
They can do the jointmanipulations to alleviate the
pain.
We've had significant resultsin the nursing homes decreasing
narcotics.
They can do local triggerinjections or joint injections.
It's a wide variety of thingsthey can do, but the biggest
(06:47):
benefits that we've seen inthese nursing homes is one it's
a hands-on approach.
They're not just prescribing amedication, You're treating the
root.
You're treating the problem atthe root.
You're letting the body allowit to heal itself and use its
natural techniques.
We're just supplementing it.
I would say that's the biggestthing that separates us from
most companies is our approachto medicine is different.
Speaker 2 (07:12):
Very innovative, very innovative.
So talk to us here about justthe innovation, uh projects
moving forward, but uh, uhaspects clinically that we're
going to add as an organization.
So your vision moving forwardum.
Speaker 1 (07:27):
So, first, with continuing to build out the omt
program and spread the awareness, I think people get conflicted
with the fact that we start withit's a non-pharmacological
approach to pain management.
So they immediately think, ohwell, we already have physiatry
in-house, we're not interested,and it's one.
It's actually it's an accessory, right.
We're able to collaborativelywork with those teams.
(07:48):
What people need to understandis, like Dr Balut said, it's a
hands-on approach to care, whereit doesn't just have to be pain
management.
The demographic of patients thatwe're working with are used to
spending time with theirprovider.
This is a physician-led programand they're getting hands-on
care for at least 20 to 30minutes with the provider.
(08:09):
That alone sets us apart, right.
We're typically used to theproviders knocking on the door
how you doing, ms Jones?
I'm fine, you feeling better?
Let me check your heart rate,et cetera.
We're taking care to the nextlevel.
Other visions that we have Iwouldn't quite give the
blueprint to, but just know thatwe're working and we are.
(08:30):
Our biggest goal is to makesure that we're making a
difference and making it inquality ways.
Speaker 2 (08:34):
Yes, yes.
Now, sierra, I know yourpersonal story right regarding
OMT, but tell us how you wereconvinced.
Speaker 1 (08:42):
So, just like Dr B said, a lot of people don't have
the open-mindedness to holisticapproach.
Right In the world it'sstarting to become more and more
popular, but especially in theskilled nursing setting we're
kind of closed off to just thisis how we've always done it
right and this is traditional.
If it works, if it ain't broke,don't fix it.
Well, it's not necessarilybroken, but it can get better,
(09:04):
right, um?
So I had a physician who workedwith us who was specialized in
onmm, and she would always tellus let's try omt, let's try omt.
And honestly I would say I'mfrom the backwoods of west
virginia, miss me with theholistic hippie stuff.
You know that's not going towork.
You're not going to touch meand fix my pain.
Can you just give me a scriptto get through?
(09:24):
We were playing basketball.
One day I twisted my knee.
This guy's going to tell you hecrossed me over, but I ate my
own words.
My knee was swollen and Ifinally allowed the physician to
do treatment on my knee.
The swelling went down in 20minutes.
She used a portable ultrasoundto see that I had torn my
(09:45):
meniscus and that's when a lightbulb went out or came on and we
tried it in.
We had one opportunity to try itin a pilot program in a sniff.
After six months we haddecreased their long-term
narcotics by 78% and falls andnaturally falls in RTH reduced,
wow.
And we were also able to, youknow, show a difference in
(10:06):
polypharmacy, et cetera.
So we've kind of startedtrickling up and down the East
Coast, made our way into theWest Coast, and now we have
attention from differentproviders and groups out of
state that we're going to beable to expand our services to
and we're super excited for.
For me as an administrator,it's something that I'm proud of
, because we are truly gettingto the root of the problem
(10:28):
instead of masking it withnarcotics or medications that
are unnecessary.
So it's something I'm proud ofand I don't feel like I'm just
saying that because it's part ofmy career.
Speaker 2 (10:36):
So it's something I'm proud of and I don't feel like
I'm just saying that becauseit's part of my career Right,
right, right.
So big thing aboutorganizations and providers when
they're seeking to partner withskilled nursing facilities.
The thing that I cherish isthat we have employees that
really enjoy doing what they do,and we embrace that.
And so the culture.
I always say you treat youremployees well.
Ultimately, that's thepatient's going to also feel
(10:59):
that as well.
So the culture talk about ourculture here at Evolutionary
Healthcare.
You don't see many practices ororganizations you know
interviewing live and promotingtheir other physicians as well,
but that's one thing I think isvery unique about us is that you
can go on our LinkedIn page andsee our doctors, hear from them
personally, but just overallyour approach to culture
(11:19):
building.
Speaker 3 (11:20):
We're building out the company in a way that's
going to empower physicians.
As a physician, I loved some ofthe parts of working at a
hospital, but the autonomy ofhaving your own practice,
setting your hours, picking yourown days that's kind of the
culture that we're giving them.
(11:41):
We want to supplement theirlife.
I want them to be able to makemore money with evolutionary
healthcare than they would beable to make on their own.
So we're more positioningourselves as a management
service for these physicians sothey don't have to move per se
to Florida where we can acquirethe buildings around them.
(12:01):
They can have their ownpractice and then round with us
a day or two a week.
And then that's the process thatwe we've launched in West
Virginia by partnering with WestVirginia School of Medicine and
their neuromuscular skeletalprogram.
So we're more so findingphysicians that are leaders in
their community and want to stayin their community and then
(12:23):
giving them a opportunity to beable to make enough income and
not move away.
That's why we think that we'regoing to be able to change the
game and revolutionize the waythat health care is delivered.
It all starts with.
It all starts with yourproviders, and if your providers
are well taken care of,everything falls in place.
Speaker 2 (12:43):
I 100% agree with that.
I love the fact.
One of the things we say is weplay nice in the sandbox.
So just leading it with statingthat I want to ask
misconceptions right With us.
You know, introducing theholistic approach, folks in
medicine in the skilled nursingspace.
If you could talk aboutmisconceptions, that are
(13:05):
hesitations right that otherorganizations may have about
embracing sort of our vision inregards to that, tell them they
don't have the second guess.
Speaker 3 (13:14):
Like Sierra was saying earlier about the pain
management, sometimes we'reviewed as a pain management
group.
Our number one referral sourceare physiatrists and inpatient
rehabs.
We supplement what they'redoing.
We don't replace any specialty.
The neuromuscular physiciansare their own specialty.
It doesn't interfere withtherapies.
(13:35):
Billing doesn't interfere withthe billing.
Compensation doesn't interferewith a primary doctor's
compensation.
It's supplemental and theresults speak for themselves.
Speaker 1 (13:45):
It's an added impact right.
So I think that that's whatpeople don't realize.
It's not taking away, it'sadding to.
Not only adding to care, butit's adding to something that
you're able to market.
It's something different andit's getting from a customer
service approach, a satisfactionapproach.
You know the residents start tosay, oh, my personal masseuse
is here and while theneuromusculoskeletal physician
(14:07):
is much more than that.
That is what they perceive itas and that's what we're fine
with.
Right, because you're makingthem feel better.
A success story that we had.
We had a lady who needed a backsurgery for 10 years and was on
so many narcotics.
After seven months of OMTtreatment she was able to
titrate down the amount ofnarcotics that was preventing
her from getting the surgery andshe was able to have that back
(14:30):
surgery.
So those are the type of thingsthat are impressive and that
we're proud of.
Speaker 2 (14:35):
Right.
One story I can share is thatwhen I'm rounding to other
facilities, one administratortold me to say with our patients
that may have behaviors, theysay they have behaviors every
day except for OMT day Every dayexcept for OMT day.
Speaker 3 (14:49):
We've become the most popular group in the facility.
Speaker 2 (14:53):
And what's unique and you can expound on this Sierra
is how wound physicians also youknow sort of see the impact or
utilize OMT as well.
Speaker 1 (15:03):
Yeah, I think even outside of the wound physicians,
it's multiple physicians.
Once they buy in and realizewhat we're doing and they
realize that it doesn't affecttheir outcomes or their pockets,
they start to buy in becausethey understand the benefits
that OMT is able to provide.
So it's not just wound, it'ssite providers.
You know OMT can be used foranxiety and I think you guys
(15:23):
will get to hear from one of ourneuromusculoskeletal physicians
here a little bit later, sowe'll let him go down that honey
hole and speak a little bitmore from his profession.
But I think it's somethingdefinitely that people should
give an extra two to threeminutes to learn about.
Speaker 2 (15:36):
Thank you.
So we're concluding theinterview here, but I want to
say if Sierra got some skills,she can play ball right.
She actually went to thecollege level, collegiate level
playing too, and her and Dr Blueplayed often.
Now, if it was a game ofone-on-one, you guys had to play
right now.
Who would win?
Right now, I'm taking me allday, you all day, dr Blue.
Speaker 3 (16:02):
I wouldn't want to hurt her feelings if I were
taking an emotional day off.
Speaker 1 (16:05):
Understood Now if we had to play like first to 30,
I'm dead after 10 points.
This guy's cardio is impeccable, so don't give it all to me.
This guy wakes up in themorning and goes and plays two
hours of war of racquetball ortennis.
It's insane.
But if you really want to know,his wife would beat us both in
one-on-one.
Speaker 2 (16:24):
In one-on-one Got it All right.
And final question If you guyswere in the woods and you were
approached by a bear, what wouldyou do?
Would you run just die, orwould you fight?
Speaker 3 (16:39):
You make a lot of noise.
Speaker 2 (16:41):
You make a lot of noise.
Speaker 3 (16:42):
So the bear hears you and you don't startle a bear
and you definitely don't juststart running away.
Speaker 1 (16:47):
Yeah, sierra, okay, so I feel like if I'm making the
noise, the bear is going tocome after me.
So I'm going with all threeoptions I'm going to run, the
bear is going to catch me, I'mgoing to try to fight it and
then I'm going to die becausethe bear is going to kill me.
What about you?
Speaker 2 (17:02):
Norm Me, I'm going to have to.
Just, I saw it on DiscoveryChannel.
They say it's best if you havelike a backpack.
Speaker 1 (17:12):
What if you don't have?
Speaker 2 (17:13):
the backpack Norm?
Well, I have one.
What if you don't have thebackpack Norm?
Well, I have one.
What are you doing in the woods?
Right, I don't go in the woods,but I'm just like if I go, I'm
going to have a backpack.
How about that?
So you squirt down, crouch down, have the backpack over your
head and the bear is going to bedistracted by the backpack.
So he's going to be trying tomess with the backpack, and so
(17:33):
that's like your guard.
That's how I starteddiscovering child.
Okay, we'll stick to it.
Speaker 3 (17:37):
Whoever produced that needs to be fired.
There's no way.
That's good advice.
Put it on your head so hestarts kicking at it with his
claws.
Sounds like a great idea to die.
Speaker 2 (17:48):
So tell us, tell the audience here where they can
reach us, our website, all thosethings here, all those things
here.
Speaker 1 (17:54):
We're on LinkedIn, we are on Instagram, Facebook.
Evolutionary Healthcare Ourwebsite is evolutionaryhcorg and
you guys can always hunt downNorm the man, the myth, the
legend, on LinkedIn.
Speaker 2 (18:07):
He'll tell you how to find him.
I already messaged you too.
Speaker 1 (18:09):
Look at the deal.
I already messaged you already.
Speaker 2 (18:11):
Yeah Well, thank you for joining the show again.
Sponsors the Lesson Get Comfypodcast here at the Florida.
Healthcare Conference inOrlando, florida, 2025.
I'm so glad that they did it.
I feel good.
Cmc Media is growing.
Thank you, tune in to the nextshow.
All right, thank you so much.
Bye, guys.
(18:31):
Yeah.
Speaker 1 (18:32):
We got it.
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