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Carol,

Your goal of 140 billable 15 minute units per day for 2 PT's and 3 PTA's (28

units per therapists = 7 treatment hours per day per therapist) is close to

what we expect. We allow 6.5 hours per day for patient care and expect

25-26 units. That may change when we go under PPS, but the fact is that we

exceed 25 units fairly often. This is the expectation for PT and OT.

Mark Dwyer, MHA, PT

Kansas City, Kansas

mdwyer1@...

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You stated that you expect 25-26 units per PT or PTA. Do you have techs or aids

working with them? Is this in an acute hospital setting, or outpatient? If you

do use techs or aids, do you not include them in your productivity expectations?

We count PT's, PTA's, and Techs in a division and expect 20 units/day/person in

those 3 job classifications, because in our state, as long as the patient is

seen for one of his treatments by the PT each day, the tech can see them the

other time. Therefore, the tech is accountable for billable units each day, as

long as supervisory regs are being followed. Thanks for your input. It really

helps us to compare apples and apples, and see if we are in the ballpark.

>>> " Mark Dwyer " 09/14 10:54 PM >>>

Carol,

Your goal of 140 billable 15 minute units per day for 2 PT's and 3 PTA's (28

units per therapists = 7 treatment hours per day per therapist) is close to

what we expect. We allow 6.5 hours per day for patient care and expect

25-26 units. That may change when we go under PPS, but the fact is that we

exceed 25 units fairly often. This is the expectation for PT and OT.

Mark Dwyer, MHA, PT

Kansas City, Kansas

mdwyer1@...

______________________________________________________________________

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Carol,

> Do you have techs or aids working with them?

Sometimes. I have only two (2) techs working with 4 PT's and 4 OT's, so you

can imagine that each therapist does not get a whole lot of one to one help

with techs. Mainly, the techs finish treatments that were started by

therapists or bring patients from their rooms to the clinic (on the same

floor). This has changed drastically from a year ago, when I had nine (9)

techs and most therapists had one-to-one assistance (of course, I had more

therapists back then, too!).

> Is this in an acute hospital setting, or outpatient?

The staff I listed above is for our inpatient hospital setting that inlcudes

a 12 bed rehab center, 10 bed subacute unit, and 25 bed skilled nursing

unit. For those units we have satallite clinics on each floor. We also

have three acute floors, and all of those patients are seen in the room.

> If you do use techs or aids, do you not include them in your productivity

expectations?

Our calculations are very simple. I calculate the total number of units

charged per day and multiply it by a my target multiplier to get the number

of hours we should have staffed for. Currently in P.T. that target

multiplier is 0.441. So if we charge 100 units that day we should have

staffed 44.1 hours. Then of course I compare the number of actual hours to

that. This is the system that Columbia/HCA uses for all departments, with

each department having different target multipliers.

> in our state, as long as the patient is seen for one of his treatments by

the PT each day, the tech can see them the other >time.

I am assuming you mean that your practice act states this. Does it state it

that clearly? Ours in Kansas is very open to interpretation and makes no

direct statements about non-PT or PTA help.

Mark Dwyer, MHA, PT

Kansas City, Kansas

mdwyer1@...

>

>>>> " Mark Dwyer " 09/14 10:54 PM >>>

>Carol,

>

>Your goal of 140 billable 15 minute units per day for 2 PT's and 3 PTA's

(28

>units per therapists = 7 treatment hours per day per therapist) is close to

>what we expect. We allow 6.5 hours per day for patient care and expect

>25-26 units. That may change when we go under PPS, but the fact is that we

>exceed 25 units fairly often. This is the expectation for PT and OT.

>

>Mark Dwyer, MHA, PT

>Kansas City, Kansas

>mdwyer1@...

>

>

>

>

>______________________________________________________________________

>

>

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