Evidence Based - Patient Centered - At Your Door

3 Reasons for FEES

Why Choose Overland?

Leaders in dysphagia supporting your facility, residents, and therapy team



Increase patient safety and progress

They would be fine with a bedside evaluation, right?  WRONG!

"The majority of clinical/bedside examination procedures commonly employed by clinicians assessing swallowing function are not reliable, sensitive, and specific for detecting penetration/aspiration or a delayed swallow initiation", Dr. Gary McCullough 

  • FEES has consistently demonstrated a high level of sensitivity in determining presence, severity, and treatment plan for dysphagia.

  • Early access to instrumental swallow evaluations decreases unnecessary diet modifications and dysphagia therapy.

  • Accurate diagnosis allows for individualized evidence-based treatment plans. This improves treatment outcomes and may shorten necessary length of treatment.

Mccullough, Gary & T Wertz, R & Rosenbek, John. (2001). Sensitivity and specificity of clinical/bedside examination signs for detecting aspiration in adults subsequent to stroke. Journal of communication disorders. 34. 55-72. 10.1016/S0021-9924(00)00041-1.

Reduce costs

Per Evaluation:

  • One fixed fee per procedure

  • No transportation costs

  • No staffing costs

  • No missed therapy minutes for travel or procedure. 

    • In-house SLP can assist with the procedure as a a treatment session.

Daily Savings:

  • Decrease cost of diet modification and thickened liquids by only using when necessary

  • Decrease need for staffing supervision during meal time



Improve quality of life


  • The "best educated guess" during a clinical swallow evaluation should never be enough information to dictate changes to an individual's quality of life.

  • Eliminate unnecessary diet modifications or use of thickened liquids.

  • Allow individuals to maintain as much of their familiar routine as possible during a trying time. Imaging eliminates unneeded recommendations for postural changes, compensatory strategies, or restrictions on eating/drinking.

  • Use visual feedback to help patients/residents truly understand their swallowing an be an active participant in their recovery

You can NOT diagnose at the bedside. You can NOT diagnose dysphagia and certainly not aspiration at the bedside. You must have an instrumental
—  Martin Brodsky, PhD