TIMS MVP for FEES

Incorporate FEES into your practice using a workflow you already know and trust.

“Our Speech Language Pathology team has been very happy integrating TIMS with our FEES system. It has allowed us to upload videos directly into the EMR and allowed physicians to view them and collaborate with our SLP team. We love the workstations, annotation, playback, touch screen monitors and ease of use that TIMS offers. It has helped our team be more efficient with completing the FEES, which results in seeing more patients. Also, the support team with TIMS is great to work with and always willing to help”.

Elizabeth Kay Hill, Acute Care OT/SLP
Acute Care Occupational Therapy/Speech Language Pathology Manager
Spartanburg Medical Center, Spartanburg, SC

TIMS MVP for Traditional Scopes

Gold-Standard image quality, shared to the enterprise

  • Olympus
    KARL STORZ
    PENTAX
    And all other brands!

  • Integrates onto new or existing endo stacks

    Captures at max resolution of scope

    Records audio to hear patient feedback

    Trigger with scope or foot pedal

    Archive studies to any PACS or VNA & view in EMR

TIMS MVP for USB Scopes

Game-changing price point to help start a flexible endoscopic evaluation of swallowing (FEES) program

  • ATMOS
    JEDMED
    Optim
    PatCom
    Or any USB FEES scope!

  • Less than half the cost of traditional endo stacks

    Highly maneuverable cart for tight quarters

    Perfect for bedside use

    Connect FEES scope to either side of the cart

    Archived studies can be viewed in EMR

TIMS MVP for Single-Use Scopes

Enables TIMS Review workflow and sharing to the enterprise

  • Ambu
    KARL STORZ
    Olympus
    or any single-use disposable scope

  • Archive to any PACS / VNA and view in your EMR

    Included 27” display increased viewability vs. tablet

    Full access to tablet controls and functionality

TIMS Review Workflow

The TIMS Review software allows SLPs to analyze completed studies directly in their office, freeing up busy procedure rooms. TIMS Review serves as a central hub for scoring, measuring, diagnosing, and reporting on both fiberoptic endoscopic evaluation of swallowing and modified barium swallow studies. Utilize DIGEST-FEES, Yale Residue, Reflux Finding, Secretion Rating, and other tools with the integrated scoring system to evaluate a procedure as you review your FEES study.

TIMS Review

Includes DIGEST-FEES, Yale Residue, Reflux Finding and Secretion Rating Scorecards for FEES swallow studies

FEES FAQs

FEES training is an important part of starting your FEES program. See our FEES training resource page here…

  • When advocating for FEES, it is important to understand current evidence, the ability to demonstrate the return on investment, and have an open mind to understanding the goals of the administrative team. Here are a few quick facts to help you get started:

    FEES has been used in clinical practice for dysphagia since 1988. It is sensitive, predictive, practical, and is a valuable evaluation and treatment tool. FEES is safe, well tolerated, and significantly impacts patient outcomes. There is no concern for radiation exposure, no time limit restraints in conduction, it uses regular foods and liquids, and can be conducted in a variety of settings. The use of instrumental evaluations can help reduce healthcare costs and improve patient outcomes.

  • Flexible endoscopic evaluation of swallowing (FEES): Code 92612

    Sensory testing (FEEST): Code 92616

  • When considering which scope to purchase, a variety of aspects need to be considered including cleaning, image quality, and more. Our team is happy to assist you in this process.

  • TIMS provides the same interface you know and love from TIMS MVP for MBSS. It allows you to record the entirety of your FEES study, and archive it to PACS/VNA - increasing patient access and interdisciplinary collaboration.

  • Record up to 30fps and 1080p resolution

    Connects via HDMI, DVI, Analog, SDI and USB to any endoscope

    Records in PACS friendly M-JPEG and MP4

  • Callahan, C. M., Buchanan, N. N., & Stump, T. E. (2001). Healthcare costs associated with percutaneous endoscopic gastrostomy among older adults in a defined community. Journal of the American Geriatrics Society, 49(11), 1525–1529. https://doi.org/10.1046/j.1532-5415.2001.4911248.x

    Centers for Medicare & Medicaid Services. (2023). Search the physician fee schedule. https://www.cms.gov/medicare/physician-fee-schedule/search?Y=0&T=4&HT=0&CT=3&H1=92612&M=5

    Dziewas, R., Auf dem Brinke, M., Birkmann, U., Bräuer, G., Busch, K., Cerra, F., Damm-Lunau, R., Dunkel, J., Fellgiebel, A., Garms, E., Glahn, J., Hagen, S., Held, S., Helfer, C., Hiller, M., Horn-Schenk, C., Kley, C., Lange, N., Lapa, S., Ledl, C., … Warnecke, T. (2019). Safety and clinical impact of FEES - results of the FEES-registry. Neurological research and practice, 1, 16. https://doi.org/10.1186/s42466-019-0021-5

    Farneti D. (2008). Endoscopic scale for evaluation of the severity of dysphagia: preliminary observations. Revue de laryngologie - otologie - rhinologie, 129(2), 137–140.

    Kelly, A. M., Leslie, P., Beale, T., Payten, C., & Drinnan, M. J. (2006). Fibreoptic endoscopic evaluation of swallowing and videofluoroscopy: does examination type influence perception of pharyngeal residue severity?. Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery, 31(5), 425–432. https://doi.org/10.1111/j.1749-4486.2006.01292.x

    Langmore, S.E., Schatz, K. & Olsen, N. (1988). Fiberoptic endoscopic examination of swallowing safety: A new procedure. Dysphagia, 2, 216-219.

    Langmore, S. E., Scarborough, D. R., Kelchner, L. N., Swigert, N. B., Murray, J., Reece, S., Cavanagh, T., Harrigan, L. C., Scheel, R., Gosa, M. M., & Rule, D. K. (2022). Tutorial on clinical practice for use of the fiberoptic endoscopic evaluation of swallowing procedure with adult populations: Part 1. American Journal of Speech-Language Pathology, 31(1), 163–187. https://doi.org/10.1044/2021_AJSLP-20-00348

    Leder, S.B. & Murray, J.T. (2008). Fiberoptic endoscopic evaluation of swallowing. Phys Med Rehabil Clin N Am, 19, 787-801.

    Martin-Harris, B., Canon, C. L., Bonilha, H. S., Murray, J., Davidson, K., & Lefton-Greif, M. A. (2020). Best practices in modified barium swallow studies. American Journal of Speech-Language Pathology, 29(2S), 1078–1093. https://doi.org/10.1044/2020_AJSLP-19-00189

    Murray, J, Langmore, S.E., Ginsberg, S. & Dostie, A.(1996). The significance of oropharyngeal secretions and swallowing frequency in predicting aspiration. Dysphagia, 11, 99-103.

    O'Keeffe S. T. (2018). Use of modified diets to prevent aspiration in oropharyngeal dysphagia: is current practice justified?. BMC geriatrics, 18(1), 167. https://doi.org/10.1186/s12877-018-0839-7

    Pisegna, J. (2022). What’s the evidence? A commentary on FEES research. American journal of speech-language pathology, 7(6), 1941-1959. https://doi.org/10.1044/2022_PERSP-22-00128

    U.S. Centers for Medicare & Medicaid Services (n.d.). Why health insurance is so important. USA.gov. https://www.healthcare.gov/why-coverage-is-important/protection-from-high-medical-costs/

    Warnecke, T., Teismann, I., Oelenberg, S., Hamacher, C., Ringelstein, E. B., Schäbitz, W. R., & Dziewas, R. (2009). The safety of fiberoptic endoscopic evaluation of swallowing in acute stroke patients. Stroke, 40(2), 482–486. https://doi.org/10.1161/STROKEAHA.108.520775

See TIMS MVP in action!