MannaQure Interview at AHCA by Harmony Healthcare in the Provider Magazine Lounge

By Mannaqure on February 9, 2016

Carmen Vitton from MannaQure was interviewed by Kris Mastrangelo, President and CEO of Harmony Healthcare International, at the Provider Magazine Lounge at AHCA's Annual Convention and Exposition in San Antonio, TX.

The interview covered several topics important to the post-acute care industry. One of those topics was the staffing challenges occurring due to the critical shortage of Speech Pathologists and Occupational Therapists. Further complicating this challenge is the need for therapists to accommodate a growing Spanish speaking population.

Harmony Healthcare MannaQure Interview

As Carmen states in the interview, this was the motivation for her and her colleagues, Jennifer Maya and Lindsey Roberts, to develop MannaQure. They recognized that it has become increasingly necessary for practitioners to offer adequate assessment and intervention for patients whose primary language was different from that of the treating therapist.

The MannaQure Assessment is a comprehensive, norm-referenced English to Spanish assessment of dysphagia and dysarthria designed to identify, describe, and quantify swallowing and oral-facial deficits in the adult Spanish-speaking population.

As we discuss in our Blog Post "Are you in Compliance with Meeting the Needs of your Spanish-speaking Patients?", the growing Spanish population requiring healthcare is a challenge to our ability to meet Quality-of-Care standards that govern our industry. To receive more information about MannaQure, contact us at


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Review of MannaQure by Dysphagia Ramblings

By Mannaqure on December 18, 2015

Dysphagia Ramblings, a place for everyone to discuss and learn about dysphagia, published a review of MannaQure on November 30, 2015.

The mission of Dysphagia Ramblings is to inform, educate and share.

Mannaqure objectives

The MannaQure assessment is a comprehensive, norm-referenced English to Spanish assessment of dysphagia and dysarthria. In an attempt to meet the demands placed on the monolingual SLP, MannaQure has developed a comprehensive, norm-referenced English to Spanish Dysphagia and Dysarthria Assessment designed to identify, describe, and quantify swallowing and oral-facial deficits in the adult Spanish-speaking population.

The review was published on The review refers to the test of the MannaQure assessment, which was normed using 145 participants 21 years and older with with 95 of the participants speaking English as a second language. Participants had a wide variety of neurological diagnoses.

The summary provided by Dysphagia Ramblings was "Overall the authors did a very nice job of putting together an easy to use assessment guide that gives a severity rating for your patient."

To learn more about MannaQure, who needs MannaQure and how to use it, visit

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SLPs: What's in Your Bag??

By Mannaqure on September 30, 2015

What's your 'go-to' Standardized Assessment for clients with Dysphagia and/or Dysarthria?

As an SLP working in today's ever-changing healthcare environment, feeling the constant pressures of productivity and efficiency, I'm sure that you'll agree that we all need to ensure we get the 'biggest bang' for our time and business. So, I ask, why not use a tool that yields all of the information you need about all of the salient aspects necessary to establish a comprehensive Plan of Care from the outset?

Being a creature of habit, for years I administered the Mann Assessment of Swallow Ability (MASA) to my patients with Dysphagia, only to turn around and do more diagnostic testing using the Frenchay, for example, for my patients who also exhibited signs and symptoms of Dysarthria. The problem was though, that neither of my old 'stand-bys' provided me with standardized data regarding receptive or expressive language - not to mention cognitive function - thereby requiring me to administer further tests. At times, I would pull in subtests or portions from my 'old pals' the Boston or RIPA-G; but by this point, I was a couple of days into treatment, which meant modification of my original POC necessitating additional physician signatures or additional re-authorization - and we all know how well that goes over.

Comprehensive English to Spanish Manual

No matter what setting I found myself practicing in, whether it be home-health, skilled nursing or in the hospital, it never failed that my supervisor always complained when I requested the need to purchase numerous different assessment tools/kits/forms in order to conduct a comprehensive assessment. Regardless of where I worked, I needed a variety of tools in my arsenal of old friends: MASA, Frenchay, Boston Diagnostic Aphasia Exam, Ross Information Processing Assessment-Geriatric, etc. Yet none of these could help me with my Spanish-speaking patients, leaving me in a never-ending quest for additional costly materials and tools.

Introducing MannaQure:

Since I'm a 'one-stop-shopper'; I like to get everything I need in one place which I am now able to accomplish with MannaQure. Not only is MannaQure a comprehensive English-to-Spanish assessment of Dysphagia and Dysarthria, the test results provide me with everything I need to know about the patient's ability to comprehend directives, answer questions related to their swallow or speech production, as well as their ability to recall and learn new information - everything I need for my Intermediary regarding all patients on my caseload - whether they're English or Spanish speakers! Now I can write my entire treatment plan in one session which is efficient, cost-effective and makes my Director happy especially since she only has to make a 'Purchase Request' for one kit in my department. The Fiscal Intermediary who reimburses our Medicare/Medicaid claims also likes the baseline data included in the Initial Evaluation in the event I add more complex language or cognitive goals later on in the Episode of Care.

As with any comprehensive assessment tool, I can use test items on which the patient scored poorly to aid in the development of my treatment plan. With MannaQure, this is particularly useful with my patients who speak Spanish-only; given I am not proficient at the word or phrase level in medical terminology related to swallowing or motor speech disorders - MannaQure does it all for me.

MannaQure also provides me with a Stimulability Probe that I am able to use with my patients who may be less-responsive than those participating in a traditional dysphagia/dysarthria treatment program, to determine their candidacy for pre-feeding techniques such as thermal/tactile and/or olfactory/gustatory stimulation.

Finally, a comprehensive standardized assessment tool that I am able to administer to my English and Spanish speaking clients in approximately 15-20 minutes which leaves time for the more important tasks of the day such as rendering quality patient care; the reason I became an SLP in the first place. For more information regarding MannaQure, visit

See you at the American Healthcare Association Conference in San Antonio October 4-7, 2015. Visit our Booth #331 to register to win a free MannaQure kit!

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Standardized Assessment Tools for Speech Language Pathologists

By Mannaqure on June 10, 2015


What Standardized Assessment Tool are YOU using? What Outcomes are you using to support your Clinical Judgment in the selection of Functional Limitation G-Codes for Swallowing /Oral Motor Speech Disorders and their respective Severity Modifiers?

Standardized Tests for Dysphagia and Dysarthria are limited; not only for our English-speaking adult patients, but until now, tools were non-existent for Spanish-speaking patients. Introducing MannaQure: The ONLY Comprehensive, Norm-Referenced English-to-Spanish Dysphagia and Dysarthria Assessment for the forward-thinking SLP in today's every changing Healthcare Market. Visit the MannaQure website at for more information and to review MQ White Pages/Standardization Data.

Standardized Assessment for SLP

MannaQure is not only intended for use with your Spanish-speaking patients, but may be administered to your English-speaking patients as well, given all test items are in both languages. MannaQure's Assessment of Dysphagia and Dysarthria culminates into a Summary Report that translates into a Total Degree of Severity commensurate with Functional Limitation G-Code Modifier Severity Level of Impairment.

In addition to the Labial/Lingual/Laryngeal/Soft Palate/Respiratory Structure/Function Evaluation, along with Bedside Oral/Pharyngeal Exams, MannaQure Subtest items also provide the Clinician with Standardized Assessment data to aid in Functional Limitation G-Code reporting/Severity-Level Modifiers for the categorical measures of Receptive/Expressive Language Comprehension, Attention and Memory. MannaQure's Stimulability Probe is an added feature to guide SLPs in the development of a treatment plan that may include Oral-facial Stimulation/Pre-Feeding Techniques for patients with Profound Impairments.

All SLPs, whether they meet ASHA's definition of a Bilingual SLP requiring Native or Near-Native Proficiency in a Second Language, or if they are Monolingual, will benefit from the use of MannaQure as the tool provides Dysphagia and Dysarthria Terms accurately and appropriately translated for use in your Clinical Setting. MannaQure's Functional Pronunciation Guide aids any SLP, regardless of Spanish-Speaking Fluency in adequate articulation and presentation of test items with a Closed-Set of potential corresponding Patient Responses.

Allow MannaQure to be the Standardized Test that aids you in better preparation of your Clinical Documentation necessary to support Medical Necessity/Clinical Reasoning that aids in insulation of your Reimbursement, Paid Claims and Revenues. Protect your Clinical Documentation by referencing Standardized Test Outcomes as required by the Middle Class Tax Relief and Jobs Creation Act necessitating Claims-based Reporting through data collection for all Outpatient/Medicare Part B Therapy Services; Law Section 3005(g) implementation in 2013.

Mention this Post when ordering your Standardized Tests for Dysphagia and Dysarthria at to receive a 25% discount during the month of July, 2015!

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Advance Magazine Article Discusses Language Barriers and Dysphagia

By Mannaqure on April 3, 2015

Advance Healthcare Network For Speech and Hearing recently published an article outlining the journey three Speech-language pathologists took in developing an individualized treatment approach to serve the growing Spanish speaking patient population.

The article, Language Barriers and Dysphagia begins with the question, "Have you ever been responsible for assessing and treating an adult patient with dysphagia whose only spoken language was not that of your own?" The number of SLPs answering yes to this question will only be growing. According to the article, the U.S. Census Bureau 2012 data estimates 12-14% of the population in the states of CA and TX will be Spanish-speaking only, which is equitable to a combined total of over six million people in those states alone, not to mention NM, AZ, NV, FL, NY, NJ, IL, and CO.

Census of Spanish Speaking population

The MannaQure team discovered through clinical practice that tools to serve the adult Spanish-speaking population did not exist in today's market for clinicians. The commonly used solution was to have the SLP request an interpreter through nursing or social services. This solution has inherent concerns because of the scheduling of qualified available resources and the cost of such services.

The MannaQure team responded to the need by developing a comprehensive English to Spanish Dysphagia and Dysarthria Assessment designed to identify, describe, and quantify swallowing and oral-facial deficits in the Spanish-speaking population.

Any SLP that has ever been responsible for assessing or treating a Spanish speaking patient, whether they themselves are fluent in Spanish or not, will relate to the journey taken by these three SLPs and enjoy this article. Learn more about MannaQure - contact a MannaQure Assessment Consultant.


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Are you in Compliance with Meeting the Needs of your Spanish-speaking Patients?

By Mannaqure on February 19, 2015

As a fellow provider of healthcare services, do you know if you are meeting the needs of your patients who may be speakers of other languages through the provision of appropriate treatment and services?

Speech Therapist Using MannaQure

In order to meet the Quality-of-Care and Quality-of-Life standards that govern our industry, we are responsible for facilitating a means through which our non-English speaking patients can express their basic wants and needs such as pain, and are thusly responsible for fully meeting their health, safety and matters-of-emergency needs, which includes services to ensure safe eating and swallowing.

Meeting the needs of patients with dysphagia and/or dysarthria can be challenging enough given limitations in the availability of Speech-Language Pathologists, particularly in rural areas. Add to limited bilingual staffing demands, coupled with the dubious question of "what to do when the patient speaks little or no English" and you could be placing your facility at risk for penalties imposed upon our industry. Don't face this language-barrier alone.

The developers of MannaQure learned through clinical practice that we as healthcare providers need to be able to do more than simply 'dispense the pleasantries' to our Spanish-speaking patients. In an attempt to meet the demands placed on the monolingual healthcare or therapy provider, MannaQure has developed a comprehensive, norm-referenced English-to-Spanish Dysphagia and Dysarthria Assessment designed to identify, describe, and quantify swallowing and oral-facial deficits in the adult Spanish-speaking population. This comprehensive battery is intended to be used in developing an individualized treatment approach and provides a unique Functional Pronunciation Guide to get you through this hurdle. MannaQure may be used with your English-speaking patients as well!

Protect your Quality of Care Ratings and Standards today: Access the tools you need for your Therapy or Nursing Department at

View our videos to learn how to use Mannaqure:
The MannaQure video from your mobile device

The MannaQure video from your PC

You can use MannaQure with all of your patients, even if they speak English! Contact us to learn more.

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Mannaqure Discovered at ASHA 2014

By Mannaqure on February 19, 2015

MannaQure attended the ASHA convention in 2014. The blogger at Dysphagia Ramblings received a Twitter Follow from MannaQure during the convention. Not having heard of MannaQure before, the blogger searched them out and later wrote:

"I found the MannaQure booth the next day in the exhibit hall. The protocol for this evaluation has the questions/instructions written in English, in Spanish with pronunciation for those that do not speak Spanish and just in Spanish for those that are able to speak Spanish. All on the same protocol.

It looked like a fairly comprehensive evaluation, with a few questions regarding cranial nerves. I would love to have more time to look over this evaluation."

We invite all Speech Language Pathologists to learn more about MannaQure by viewing our videos Who Should Use MannaQure and Why and How to Use MannaQure.

Contact us and we will discuss how MannaQure helps you meet the Quality-of-Care and Quality-of-Life standards that govern our industry as you treat your Spanish speaking patients; and English speaking patients, too.

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MannaQure Information

By Mannaqure on February 18, 2015

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MannaQure Product Development

By Mannaqure on May 22, 2014


The MannaQure Comprehensive English to Spanish Assessment of Dysphagia and Dysarthria was found to be reliable and valid as evidenced by the data collected from October 2013 through February 2014 via 145 clinical and non-clinical subjects. It is expected that this tool will be well received by the SLP in your community and therefore successful in the identification and treatment of patients currently not being served. Further, the examiners participating in the research agreed that the method of scoring the MannaQure accurately depicted the level of the patient's deficits and that the scoring was intuitive and made sense in a manner they were able to measure over time. Additionally, 50% of the clinicians provided feedback and 100% of them agreed or strongly agreed that the tool was effective in the identification of their patient's deficits. Click to read more at

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