2016 HME Handbook
How to Assess a Client's Ramp Needs
Approaching a ramp install starts with an assessment that should incorporate various elements.
- By David Kopf
- Jun 01, 2016
For a certified home access provider with the right
expertise, ramps represent a cornerstone product offering when it comes to their home access
services. Simply put, mobility patients need access to their homes, and ramps are a mainstay
method for accomplishing that.
But understanding how to approach ramp install starts with assessment, and that assessment must incorporate various elements to ensure the client not only has safe and easy access to his or
her home, but that the access is safe and will hold up over the long haul. This means that a provider
should develop and follow a set of standardized ramp assessment criteria when approaching an
installation. Bearing that in mind, here are some important considerations that come into play
when assessing a customer’s ramp needs and installation:
Truly grasp the patient’s needs. The goal of assessment is a holistic understanding
of the patient’s circumstances, so take some time and ask questions to
get a solid sense of your patients’ condition, needs and how they plan to use their
ramps and how often. For instance, there is a good deal of difference between
a younger person with an athletic build using a manual chair, and a patient in a
powered complex rehab chair with a seating solution. The weights are different, the
centers of gravity are different and the user capabilities are different.
That said, don’t let your eyes fool you. A young person might seem totally fine
to go up a long ramp using his or her manual chair, but if he or she is entering and
leaving the home repeatedly then the patient still might get tired as the day wears
on, so a ramp with some landings might be advisable from a safety and convenience
standpoint. Also, what if the patient has a degenerative condition? There are
many factors involved in each patient’s need. This is why a good place to start with
patients is to get a broad sense of their situation.
Safety is the top priority. Starting with the basics, there must be a foot of ramp
for every inch of rise between the ground the entry way. But the ground in front
of a house is rarely flat, so the provider will need to survey the lay of the land, and
adjust accordingly. For example, let’s say there is 12 inches of rise. The provider can
simply go 12 feet out and start installing the ramp, it needs to see what the terrain
is like over that 12 feet. A good way to do that is through a string level. The provider
might discover, for example, that the ground falls away by that 12 feet by another 8
inches, so the provider will actually need to install 20 feet of ramp. Furthermore, the
ramp can’t simply butt up to the front door. There needs to be ample space for the
patient to come to a stop, open the door and enter.
Make economic use of the available space. That last thing a patient
wants is a ramp that completely dominates the front of the home. The ramp
should have as small a “footprint” as feasible. A simple corner with a landing can
radically reduce the space a ramp takes up. Likewise, it can also decrease the
amount of “visual space” that a ramp consumes, which can be important in terms
of aesthetics. That means the provider needs to have a solid understanding of
the modular ramp offerings available so that an installation takes up as little
space as possible.
Aesthetics are an important consideration. Chances are, your client place a
good deal of emphasis on the ephemeral concept of “curb appeal” — how a home
looks from the street. That shouldn’t come as a surprise, given that it is there home.
For instance, a patient might not like how a lot of aluminum ramp might look in the
front yard. Also if there is a home owners association, then there might be rules in
place governing the look and placement of home access devices, and obtaining
approval for a ramp or VPL might be required. Likewise, if the patient is renting,
then the landlord will need to approve.
That means you want to offer a range of solutions that will complement the
residences in the areas you are serving. The goal is to provide something that pairs
well with the exterior looks of the home while still providing serviceable access to
it. Regularly take the time to review what is available from various ramp vendors
and consider whether or not your businesses should expand its range of offerings.
Also, make sure you’re up to speed on local homeowners associations’ covenants,
conditions, and restrictions, as some might have specific rules regarding access
equipment and installations.
Durability is a key factor. If you’re looking to build a client relationship that will
last for years, then the ramp has to stand up to years of abuse. That means you have
to balance your patients’ design sensibilities with durability priorities. The ramp
must stand up to the elements. Make sure the materials and fittings will stand up
to the local weather, and that high-traction, no-slip surfaces are installed to ensure
safety. Bearing this in mind, have solid familiarity of each product’s suitability for
the weather, and each vendor’s warranty in this regard.
Understand the patient’s complete access situation. While you’re there
to assess the patient’s ramp needs, that doesn’t mean you should stop at the ramp.
For instance, starting at the front door, you will need to install a threshold ramp to
ensure a mobility patient can safely get through the front door and into the home.
And, in some cases the patient might need a wider doorframe.
And that’s just at the front door. Access to other parts of the home, bath safety
and related accessibility concerns could be factors as well. Take a careful study
and ask probing questions, but at the same time, don’t overwhelm the patient with
upsales attempts. Focus on the ramp, and consider how you might make a proposal
Points to Remember:
- Start by asking questions in order to learn more about the patient’s overall
condition and needs.
- When approaching the installation, remember that safety is the top priority.
- The last thing you want is for the ramp to dominate the front of the home.
Carefully review the client’s aesthetic desires and make economic use of
the space available.
- Ensure the ramp will stand up the elements and last. Your customer relationship
hinges on the ramp’s long-term durability.
- When assessing the ramp installation, also get a sense of the client’s other
home access needs in order to suggest options at a later time.
- To read more features and to get the latest company and product news for
ramps and other home access options, visit HMEB’s Home Access Solution
This article originally appeared in the June 2016 issue of HME Business.
David Kopf is the Executive Editor of HME Business and DME Pharmacy magazine. Follow him on Twitter at @postacutenews.