The Dayani Center for Health and Wellness

March 18, 2015

Where we have been

“Since our doors opened, we've been operating as a medical fitness facility, catering to those who need to exercise in a safe environment with a highly qualified staff. However, we've never defined "medical fitness" or had a structure in place to ensure that we maintain the consistent quality associated with the Vanderbilt name. By defining who we are and what we do best, we can concentrate our time and efforts toward growing programs that best meet the needs of our members.”—Karen Klein, Dayani Exercise Specialist

The Vanderbilt Dayani Center’s multidisciplinary team of physicians, physical therapists, exercise physiologists, nurses, dietician and health psychologist, as well as other allied health professionals, work as an integrated team to promote positive lifestyle changes in an effort to treat and/or minimize acute and chronic disease.

Our New Mission

Improve health outcomes for those with, or at high risk of developing, chronic disease by providing safe, structured land- and aquatic-based physical activity and wellness programs.

Provide a transition from rehabilitation programs into supervised exercise and wellness activities designed to promote long-term health.

Our New Goals

Facility concerns

We are NOT moving out of this location. We are NOT going to be changing the hours

again. We are NOT going to be transitioning to a

“clinic only” model.

93% of our members have at least one medical condition…

76% of our members are over 65+

15 - 19

25 - 29

35 - 39

45 - 49

55 - 59

65 - 69

75 - 79

85+

# Members

Do I need a note from my doctor or a referral to continue my membership?

Answer: • You DO NOT need to provide any written

documentation of your medical condition.

What if my medical condition is controlled by medication or I am in remission?

Answer: • You still qualify for membership.• You DO NOT need to provide any written

documentation of your medical condition.

Why are membership fees increasing?

Answer: • Membership fees have not increased in over 12

years, but the cost of operating the facility and providing qualified staff increases each year

• Eliminate significant inequities in rates paid• Our facility is in serious need of updating and repairs

If I’m a Vanderbilt employee what do I need to know?

Answer:• We no longer offer a discounted membership rate.

Providing discounted rates requires we report your discount as taxable income AND you are required by the IRS to claim is as income.

• We have been asked to encourage employees to use the Campus Rec Center.

• Payroll deduction is no longer offered.

Why is there a discrepancy in the letter about membership fees?

Answer:• This is a great example of why we are requiring

everyone to re-enroll under the new model.• We were unaware some of your were receiving an even

larger discounted rate than what is on record or receiving larger deductions that what is on record.

Everyone will be asked to enroll at the new rates listed in the letter. However, you will NOT be required to schedule an appointment to complete a new intake with the Exercise Specialists.

Are you going to grandfather current members who may not meet the criteria?

Answer:• We will NOT be grandfathering any existing members

who do not meet the medical criteria.

Are you getting rid of group fitness classes?

Answer : We will NOT be discontinuing group fitness classes (land- and aquatic). However, classes will be restricted to Dayani members ONLY.

If I re-enroll as a regular member, do I also have to pay for the group fitness classes?

Answer:• Group fitness classes are included in the regular

membership rate. You DO NOT have to pay additional for access to those classes.

If I enroll in a Group Fitness membership can I use the pool or other equipment?

Answer:• Enrolling as a “group fitness member” ONLY

allows access to land- and pool-classes.

Do I have to schedule an appointment with an Exercise Specialist to re-enroll?

Answer:• Our exercise specialists are very familiar with our

members medical histories. As a result, existing members DO NOT have to complete a formal intake/orientation when they re-enroll.

What if my insurance company offers to pay for my membership?

There are no facilities at Vanderbilt approved to provide BCBS Fitness Blue or Silver Sneakers memberships or discounts.

Reasons for not offering this benefit:• Expensive to qualify to offer programs• Poor reimbursement from the insurance providers

What if my insurance says they will cover a gym membership?• Contact your plan provider for details.

Why do I have to Re-enroll?

1. Our membership database is out of date and must be purged.

2. We need to transition members to a more reliable billing system:• Reduce # of billing errors• Ability to track delinquent accounts• Allows medical center to manage payments

How do I re-enroll to ensure I don’t have any interruption to my membership?

Answer: Starting April 1st, current members can stop at the front desk as if you were checking in for a doctor’s appointment. You will be asked to:

• Update contact information• Pay 1st month membership fee• Set-up your preferred payment plan.

Do I have to pay for a full year when I re-enroll?

Answer: You do not have to pay for a full year when you re-enroll. Our front desk staff will be able to assist you with setting up a payment plan when you update your information in our system.

If I re-enroll in April will I be paying twice for my membership?

Answer: Yes. We will be sending one more billing cycle in April.

If you re-enroll in April, you will receive a 13-month membership for your first year.

If you re-enroll after May 1st, you will be renewed for a 12-month membership.

What if I paid in advance for this years membership?

Answer: We have already identified individuals who have paid in advance for their membership. Anyone who had paid past April 30th, 2015 will be receiving a refund for the months paid in advance.

Is there a fee to re-enroll if I decide to cancel my membership at any time, travel for the summer or have a medical event?

Answer: There are NO enrollment fees moving forward and you may rejoin at any time.

We do require 30-day written notice of cancellation request.

If I want to cancel my membership now, do I still have to give 30 day notice?

Answer: Yes, due to our billing cycle. However, you may also choose not to renew in April and we will terminate your membership automatically on May 1st.

If I get referred to Physical Therapy or Cardiac/Pulmonary Rehab will my membership continue or can I use the facility for free when I’m not being treated?

Answer: Your membership will continue unless you choose to cancel. We will NO LONGER allow patients or family members to use the facility for free during treatment. Please see your therapy provider for more details on Concurrent Membership options.

Do I have to pay a family membership rate if I have a caregiver who assists me through my exercise program or fitness class?

Answer: • We do not require a member pay for a caregiver IF:• The member requires direct assistance to

complete their exercise program and move safely about the facility.

• The caregiver remains with the member at all times and not using the equipment.

Caregivers will be asked to wear a bracelet while in the facility. These will be available at the front desk.

Is a parking pass included in my membership fees?

Answer: Yes. We will no longer be charging additional fees for parking passes.

Vanderbilt employees will receive a parking pass, but when you park in the Dayani lot, you may risk receiving a ticket.