CUSTOMER RECOGNITION:

Medilodge of Yale and Medilodge of

Montrose both recently received perfect surveys.

Congratulations to

both of these facilities and their staff for a job well

done!

Upcoming Trade Upcoming Trade ShowsShows

Stop by our booth!

IAHSA/HOPE March 4, 2008

MAHSA

April 29, 2008

Winter 2008

NNEWSLETTEREWSLETTER Volume 5, Issue 1

AALLLL M MEDED MMEDICALEDICAL S SUPPLYUPPLY

In August of 2007, CMS consolidated F323 and F324 into one tag, F323, related to Accidents and Supervision. Below is the summary of the amended regulation, as well as some areas where All Med can help your facility achieve compliance.

OVERVIEW FROM CMS Numerous and varied accident hazards exist in everyday life. Not all accidents are avoidable. The frailty of some residents increases their vulnerability to hazards in the resident environment and can result in life threatening injuries. It is important that all facility staff understand the facility’s responsibility, as well as their own, to ensure the safest environment possible for residents. The facility is responsible for providing care to residents in a manner that helps promote quality of life. This includes respecting residents’ rights to privacy, dignity and self determination, and their right to make choices about significant aspects of their life in the facility. For various reasons, residents are exposed to some potential for harm. Although hazards should not be ignored, there are varying degrees of potential for harm. It is reasonable to accept some risks as a trade off for the potential benefits, such as maintaining dignity, self-determination, and control over one’s daily life. The facility’s challenge is to balance protecting the resident’s right to make choices and the facility’s responsibility to comply with all regulations. The responsibility to respect a resident’s choices is balanced by considering the potential impact of these choices on other individuals and on the facility’s obligation to protect the residents from harm. The facility has a responsibility to educate a resident, family, and staff regarding significant risks related to a resident’s choices. Incorporating a resident’s choices into the plan of care can help the facility balance interventions to reduce the risk of an accident, while honoring the resident’s autonomy. Consent by resident or responsible party alone does not relieve the provider of its responsibility to assure the health, safety, and welfare of its residents, including protect-ing them from avoidable accidents. While Federal regulations affirm the resident’s right to participate in care planning and to refuse treatment, the regulations do not create the right for a resident, legal surrogate, or representative to demand the facility use specific medical interventions or treatments that the facility deems inappropriate. The regulations hold the facility ultimately accountable for the resident’s care and safety. Verbal consent or signed consent forms do not eliminate a facility’s responsibility to protect a resident from an avoidable accident.

HOW ALL MED CAN HELP •Defining Unavoidable Accidents vs. Avoidable Accidents •Assistance with identification of potential facility hazards •Providing manufacturer guidelines to ensure product efficacy •Product Protocols related to seating, positioning, and fall mats •MSDS Manuals

CONTACT YOUR ACCOUNT MANAGER FOR ADDITIONAL DETAILSCONTACT YOUR ACCOUNT MANAGER FOR ADDITIONAL DETAILS

F323F323——Let All Med help you comply! Let All Med help you comply!

Customer Spotlight Customer Spotlight Morristown Manor, Morristown Manor, Morristown, IndianaMorristown, Indiana

Page 2

Morristown Manor was All Med’s “first” customer in Indiana, and we are excited to have them on board! Morristown is a 95-bed family owned facility that has been servicing the Morristown community since 1993.

All Med Celebrates 2007 at their Annual Holiday Party All Med Celebrates 2007 at their Annual Holiday Party

2007 AWARDS Employee of the Year Employee of the Year TTHERESAHERESA F FRIEDLINERIEDLINE, , Contracts/Account Receivable Rising Star Rising Star CCOREYOREY R REUTEREUTER, , Assistant Warehouse Supervisor Dedication Award Dedication Award BBRENDARENDA L LEWALDEWALD, Customer Service 10 Year Service Awards 10 Year Service Awards SSARAARA G GILBERTILBERT, Customer Service AND CCHRSITIANHRSITIAN V VARGOARGO, Warehouse Supervisor Sales Awards Sales Awards BBECKYECKY R RANDALLANDALL, $ 3 MILLION AND RROBOB S SUINGUING $5 MILLION Vendor of the Year Award Vendor of the Year Award JJANICEANICE M MONFORTONONFORTON, , Smith & Nephew

TWO QUESTIONSTWO QUESTIONS with TINA GRUELL, Administrator

and TAMMY VOILES, Central Supply

Q: Q: WWHATHAT MAKESMAKES M MORRISTOWNORRISTOWN M MANORANOR DIFFERENTDIFFERENT FROMFROM OTHEROTHER FACILITIESFACILITIES?? A: A: (Tina) "The residents have choices in everything they do." "The residents have choices in everything they do." A: A: (Tammy) "It's a very homey facility, not an institution."It's a very homey facility, not an institution. It is truly a facility for the residents." It is truly a facility for the residents." Q: Q: WWHATHAT WOULDWOULD THETHE RESIDENTSRESIDENTS SAYSAY ABOUTABOUT M MORRISTOWNORRISTOWN M MANORANOR?? A: A: (Tina) "They would tell you that they have a say so about everything.""They would tell you that they have a say so about everything." A: A: (Tammy) "Residents say they really feel at home here.""Residents say they really feel at home here."

Product Spotlight Product Spotlight

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Employee SpotlightEmployee Spotlight

Dispatch Hospital Cleaner Dispatch Hospital Cleaner

CHUCK LAYMANCHUCK LAYMAN Account Manager, Indiana Account Manager, Indiana

2007 has brought many positive changes to All Med, one of the most exciting being the company’s expansion into the Indiana territory.

Chuck Layman is the newest addition to the All Med sales team, joining us in October 2007 as an Account Manager based out of Indianapolis. Chuck will be responsible for developing and maintaining All Med’s long term care business throughout the state.

Chuck has been in sales for about 12 years, and is excited to be entering into the field of long term care. So far, his favorite part of his job has been “developing new relationships with his customers”. This year, Chuck is looking forward to getting the All Med brand into the Indiana market, as well as building relationships with the Indiana associations and continuing to expand his knowledge of long term care and the products used.

Chuck has been married to his wife Rachel, a high school history teacher, for almost 13 years, and has lived in the Indianapolis area for about the same time. They have two beautiful children, Alyssa,9, and Jackson, 7

• Cleans and Disinfects in One Step • One-Minute Efficacy on Germs and Viruses • Kills TB in 30 seconds at room temperature on hard, non-porous surfaces

Unique, stabilized bleach & detergent solution: DISPATCH® outperforms 1:10 bleach solutions such as those recommended by the CDC for infection control on many dimensions. It is more stable than bleach solutions and more pleasant to use. DISPATCH® remains stable through expiration date (two years from manufacture), unlike bleach solutions, which begin to deteriorate immediately. It is an excellent cleaner because it contains detergent and also contains an anti-corrosive ingredient that minimizes damage to surfaces and equipment. DISPATCH® is economical too – its ready-to-use format is far superior to bleach solutions, which are time-consuming to mix, must be made up daily, and must be discarded after 24 hours if unused.

NOW IN STOCK!NOW IN STOCK! 254729 32OZ Spray Bottle

254730 128OZ Refill bottle

In his spare time, Chuck enjoys sports. In the summer, he is involved in a men’s baseball league. He is a true Indiana sports fan, especially the Colts, and even though he is an “implant” he considers himself a Hoosier!

Please join us in welcoming Chuck to our team!

All Med Medical Supply 6321 Commerce Drive Westland, MI 48185

Phone: 800-434-2909 Fax: 888-810-4410

Email: kschwieterman@amms.net

We’re on the Web!

www.amms.net

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• Convatec: Convatec: Convatec is modifying the packaging of the small Eakin Cohesive seals. The product itself will remain unchanged. The new packaging will be individually wrapped, rather than in packages of 4. This will result in the product shipping in a larger box size.

• Paper Goods and Cups: In order to continue to maintain our prices, All Med has found a new source for our paper and plastic goods, including our cups in the 16oz, 9oz, and 5 oz sizes. The quality of these products will be the same, please contact us should you have any comments or issues.

• NEW PRODUCT: Provide Liquid Protein Supplement in Cherry Flavor. 30oz 6/cs Item # 255113

• Coloplast is discontinuing their Kind Touch and Soft Touch lines of soap. The Gentle Rain product line is being reformulated to also have handwashing indications. Conversions will occur as stock of the Kind Touch and Soft Touch has depleted.

• NEW PRODUCTS!: Invirosnap Safety Syringes. Available in Insulin, 1CC or 1/2 CC. Contact your account manager for details or an evaluation.

• NEW PRODUCT!: From Caltech Industries-Dispatch Hospital Cleaner. Beach-based Cleaner that has a 20 second kill time for TB. See page 3 more details

•• CCOMINGOMING SOONSOON: : Online Order tracking numbers! Soon, our Fed Ex tracking system will be integrated with our online ordering system. This will allow you to log-in to our website and track any outstanding orders that you may have.

If you have any questions about the Product Updates, please contact your Account Manager.If you have any questions about the Product Updates, please contact your Account Manager.

MMEDICALEDICAL S SUPPLYUPPLY

S S OO LL UU TT II OO NN SS that will help you

Thrive! Thrive!

Product Updates and NewsProduct Updates and News

On January 8, 2008, the Centers for Medicare & Medicaid Services (CMS) announced the Metropolitan Statistical Areas (MSAs) and product categories for the second round of the Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) new competitive bidding program. The program is designed to improve the effectiveness of Medicare's DMEPOS payments, reduce beneficiary out-of-pocket costs, and save the Medicare program money while ensuring beneficiary access to quality DMEPOS items and services by requiring suppliers to be accredited by a Medicare-recognized accreditation organization.

Three MSA’s in Michigan were announced: Detroit-Livonia, Flint, and Grand Rapids-Wyoming. The second round of the competitive bid is expected to happen in 2009. Nursing Homes who are billing Medicare for any of the 8 designated product categories products will be required to be accredited as a supplier and sub-mit a bid in order to continue to bill for their patients. FOR MORE INFORMATION OR ASSISTANCE WITH ACCREDITATION AND THE COMPETITIVE BID PROCESS, CONTACT YOUR ALL MED ACCOUNT MANAGER.

Competitive Bidding Update Competitive Bidding Update Round 2 Announced Round 2 Announced