12 years of service providing mobile onsite dysphagia consultations including the MBSS for patients suffering for dysphagia. Over 660 nursing homes and Ltacs in our service area. Seeing 1400-1700 patients a month. Consultations in 24 to 72 hours 95% of the time. Reduce cost of transport and fatigue of patients. Improve participation with familiar caregiver/staff. A picture speaks a thousand words in healthcare today, taking the guess work out of the pathology of the dysphagia. Reduce chances of a hospital readmission by providing aspiration pneumonia risk stratification. All results and recommendations based on latest research including patients diagnosis, prognosis, and wishes.