Brain Health and Neuro-Regeneration Monitoring

• At Oak Mountain Outdoor Healthcare (OMOHC), we are redefining what’s possible for neurological recovery. Our Brain Health & Neuroregeneration Intensive Outpatient Program (IOP) combines nature-based therapeutic immersion, epigenetics-informed behavioral health, and evidence-based neurological rehabilitation to help patients restore function, reduce symptoms, and improve long-term quality of life.

  Built within the Value-Based Outdoor Healthcare (VBOHC™) framework, our programs strengthen brain resilience by addressing the environments that shape neural expression:
  movement, air quality, light exposure, natural sensory regulation, nutrition, relational safety, and stress biology.

  This is healthcare that heals at the level of the nervous system—one environment at a time.

  Conditions We Support

  • Migraine & Chronic Headache Syndromes

  • Multiple Sclerosis (MS)

  • Parkinson’s Disease

  • Alzheimer’s & Early-Stage Cognitive Decline

  • Post-Stroke Syndromes

  • Neuropathy (including diabetic)

  • Behavioral Health Conditions linked to Neuro-Immune Dysregulation (anxiety, depression, trauma-related stress)

  Programs are delivered by a multidisciplinary care team—neurology, behavioral health, physical therapy, exercise physiology, nutrition, and outdoor-based clinical specialists.

  CMS / Payer-Facing Version (Homepage Summary)

  VBOHC-Aligned Neuroregeneration IOP: A CMS-Ready, Outcomes-Driven Care Model

  Oak Mountain Outdoor Healthcare offers a Nature-Based Neuroregeneration IOP, structured to operate as a Value-Based Care (VBC) alternative payment model consistent with CMS innovation priorities:

  1. Multi-modal, interdisciplinary neurological care integrating PT/OT, behavioral health, functional neurology, and environmental regulation methods.
  2. Quantifiable outcomes across symptom reduction, functional restoration, healthcare utilization, and patient-reported measures.
  3. Environment-first health metrics including green/blue space exposure, air-quality improvements, autonomic stabilization, and stress-biomarker trends.
  4. Cost-reduction potential through fewer ED visits, reduced specialty utilization, lower pharmaceutical burden, and improved disease self-management.
  5. CMS Model Test Alignment:

  • Behavioral Health Integration

  • Chronic Care Management

  • Rehabilitation Innovation

  • Community-Based Health Equity Models

  • Epigenetics-informed prevention and recovery

  OMOHC’s IOP can be piloted within 1115 demonstrations, CMMI model tests, or hospital-partnered care redesign.

  2. CONDITION-SPECIFIC PROGRAM DESCRIPTIONS

  Each condition includes Pathway Focus, Interventions, and Expected Outcomes (CMS-ready language).

  A. Migraine & Chronic Headache Syndromes

  Pathway Focus

  Reducing neuro-inflammation, stabilizing autonomic states, improving sleep architecture, and removing environmental triggers.

  Core Interventions

  • Nature-based sensory regulation protocols

  • Vagal-toning movement practices

  • Light exposure therapy (morning sunlight entrainment)

  • Nutrition for neuro-inflammation

  • Biofeedback & stress-biomarker monitoring

  • Neurology-directed care pathway

  Expected Outcomes

  • Reduced migraine frequency & duration

  • Increased functional days

  • Decreased ED utilization

  • Improved sleep, mood, and pain modulation

  B. Multiple Sclerosis (MS)

  Pathway Focus

  Anti-inflammatory environments, neuro-plasticity activation, mobility preservation, fatigue reduction.

  Interventions

  • Outdoor-based gait training

  • Cold-warm environmental modulation protocols

  • Cognitive rehabilitation

  • Nature-based fatigue management strategies

  • MS-specific strength & stabilization programs

  • Stress-biology reduction (epigenetic supportive)

  Expected Outcomes

  • Improved mobility scores

  • Reduced fatigue severity

  • Stabilized stress biomarkers

  • Enhanced quality of life and independence

  C. Parkinson’s Disease

  Pathway Focus

  Rhythm-based neural entrainment, environmental cue-based motor support, autonomy preservation.

  Interventions

  • Outdoor rhythmic gait cueing

  • LSVT-informed voice/movement practices

  • Terrain-based balance training

  • Dopamine-regulation behavior protocols

  • Stress-biology / autonomic regulation

  Expected Outcomes

  • Reduced fall risk

  • Improved gait fluidity

  • Enhanced executive function

  • Reduced motor “off” periods

  D. Alzheimer’s Disease & Cognitive Decline (Early Stages)

  Pathway Focus

  Environmental neuroprotection + relational, sensory, and cognitive activation.

  Interventions

  • Nature-based memory activation

  • Multi-sensory enrichment protocols

  • Light-dark cycle entrainment for sleep

  • Caregiver coaching

  • Cognitive stimulation therapy (CST)

  Expected Outcomes

  • Slowed cognitive decline trajectory

  • Reduced agitation, anxiety, and wandering

  • Improved caregiver functioning

  • Stabilization of behavioral symptoms

  E. Post-Stroke Syndromes

  Pathway Focus

  Environmental neuro-plasticity, functional regaining, bilateral coordination.

  Interventions

  • Outdoor PT/OT neuromotor programming

  • Terrain-based step challenge training

  • Bilateral arm and gait retraining

  • Sensory enrichment

  • Mood and depression management

  Expected Outcomes

  • Increased functional mobility

  • Improved ADL performance

  • Reduced re-hospitalization risk

  • Enhanced confidence and independence

  F. Neuropathy (including diabetic)

  Pathway Focus

  Circulation improvement, sensory signaling restoration, metabolic support.

  Interventions

  • Low-impact outdoor movement pathways

  • Sensory re-education

  • Metabolic counseling

  • Biofeedback for pain modulation

  • Terrain challenges for proprioception

  Expected Outcomes

  • Reduced neuropathic pain

  • Improved sensory function

  • Better glycemic control

  • Increased movement tolerance

  G. Integrative Behavioral Health (across all neurological conditions)

  Focus

  The brain changes when environments change. Behavioral health is integrated to address stress biology, autonomic dysregulation, depression, anxiety, trauma, and sleep.

  Interventions

  • Outdoor psychotherapy

  • Group regulation practices

  • Epigenetics-informed trauma treatment

  • Nervous-system stabilization protocols

  Outcomes

  • Improved mood and functioning

  • Reduced symptom severity

  • Stronger engagement in neurological rehab

  3. OUTCOMES DASHBOARD (VBOHC + CMS-READY)

  Dashboard Categories

  A. Clinical Outcomes

  Neurological Measures

  • Migraine days / month

  • ED visits avoided

  • Mobility score improvements (Timed Up & Go, 6-Minute Walk Test)

  • Cognitive scores (MoCA, SLUMS)

  • Parkinson’s UPDRS subscale changes

  • MS Fatigue Severity Scale

  • Neuropathy sensory scores

  B. Functional Outcomes

  • ADLs & IADLs

  • Return-to-work / return-to-function

  • Walking tolerance

  • Sleep architecture improvements

  C. Patient-Reported Outcomes (PROs)

  • PROMIS Pain

  • PROMIS Fatigue

  • PROMIS Emotional Distress

  • Caregiver Burden Scale

  • Quality of Life (Neuro-QoL)

  D. Environmental Health Metrics (VBOHC-Critical)

  • Daily green/blue space exposure minutes

  • Heart-rate variability (HRV) changes

  • Noise pollution exposure

  • Outdoor movement minutes

  • Light exposure (morning, afternoon)

  • Air quality (AQI during sessions)

  E. Cost & Utilization Outcomes

  • ED visits avoided

  • Reduced specialist visits

  • Medication reduction

  • Reduced inpatient days

  • Total cost of care savings (projected & actual)

  4. HEALTH-TECH DEVICE CONCEPT (Environment-First Neuro-Regulation Wearable)

  Device Name (suggested):

  NeuroTerrain™ Sensor Suite

  Purpose

  To track how environmental inputs affect neurological functioning in real time and guide personalized neuroregeneration pathways.

  Core Features

  1. Environmental Sensing

  • Light exposure

  • Temperature

  • Humidity

  • Terrain type & slope

  • Sound levels

  • Air quality index (AQI)

  2. Physiological Sensing

  • HRV (autonomic stability)

  • Gait symmetry

  • Muscle tremor detection

  • Sleep/Wake cycles

  • Stress biomarkers (non-invasive trends)

  3. Epigenetic-Influence Modeling (non-genomic prediction)

  • Algorithms predicting shifts in inflammatory load

  • Stress-response profiles

  • Mitochondrial resilience trends

  4. Clinical Interface for Providers

  • Risk alerts

  • Therapy optimization recommendations

  • Data-driven progress charts

  • Predictive analytics for relapse or symptom flare

  5. Integrated CMS-ready data outputs
  Structured to map to:

  • HEDIS behavioral health metrics

  • Chronic Condition Management codes

  • Remote Physiological Monitoring (RPM)

  • Remote Therapeutic Monitoring (RTM)

  5. IP CLAIMS LANGUAGE (Protecting VBOHC Neuroregeneration Technology & Protocols)

  A. Method Claim (Nature-Based Neuroregeneration Framework)

  A method for improving neurological functioning using an environment-first care pathway, comprising:

  1. Identifying environmental stressors and biological response patterns using multimodal sensors;

  2. Delivering personalized outdoor-based therapeutic interventions that modify autonomic state, inflammatory load, and neuroplastic capacity;

  3. Monitoring environmental and physiological data to update treatment plans;

  4. Generating predictive models linking environmental exposure to improvements in neurological symptoms;

  5. Integrating the outputs into clinical decision-making within a value-based care model.

  B. Device Claim (NeuroTerrain™ Sensor Suite)

  A wearable or portable device configured to collect synchronized environmental and physiological data to guide neurological rehabilitation, comprising:

  • At least one environmental sensor (light, air quality, sound, temperature, terrain detection);

  • At least one physiological sensor (HRV, gait analysis, tremor analysis);

  • A machine-learning engine predicting neurological symptom fluctuations;

  • A therapeutic recommendation engine to support clinical pathways;

  • A data architecture aligned to CMS quality and utilization metrics.

  C. Software Claim

  A software system for generating neuroregeneration recommendations based on environment-linked biometrics, comprising:

  • A data ingestion module;

  • An environmental-biological correlation engine;

  • A patient-specific intervention optimizer;

  • A CMS outcome reporting module;

  • A clinician dashboard for individualized care planning.

  D. Trade Secret Language

  OMOHC’s proprietary advantage includes:

  • Environment-first neurological recovery algorithms

  • Biopsychosocial-epigenetic treatment sequencing

  • VBOHC outcomes-mapping logic

  • Terrain-based neuromotor protocols

  • Multi-sensory neuroregeneration curriculum pathways

  • Predictive symptom-flare modeling

  These constitute confidential, non-public, commercially valuable know-how central to OMOHC’s competitive position.

✅ Remote Monitoring: Track BP, heart rate, ECG, and activity outside clinical visits — feeding into your outcomes dashboard and care planning tools.
✅ Data Integration: Bluetooth-enabled models sync with apps and EHRs, supporting CMS-aligned quality reporting and VBOHC outcomes.
✅ Behavioral Insights: Some wearables also capture activity, sleep, and stress proxies — useful for anxiety and lifestyle interventions