Guest guest Posted October 18, 2005 Report Share Posted October 18, 2005 In your example, we would see PT B both days on the weekend. I guess I would ask is PT B as functional as PT A? Being discharged and being functional and understanding of DC plan are all factors to be considered. Of Course, this may not matter to the insurance execs? Ron Barbato P.T. Corporate Director , Rehabilitation Ephraim McDowell Health Voice (859 )239-1515 Fax (859 )936-7249 rbarbato@... " PRIVILEGED AND CONFIDENTIAL: This transmission may contain information that is privileged, confidential and/or exempt from disclosure under applicable law. If you are not the intended recipient, then please do not read it and be aware that any disclosure, copying, distribution, or use of the information contained herein (including any reliance thereon) is STRICTLY PROHIBITED. If you received this transmission in error, please immediately advise me, by reply e-mail, and delete this message and any attachments without retaining a copy in any form. Thank you. " Sunday Therapy > > > I am the Rehab Director at a 130 bed SNF/LTC facility with 35 beds > dedicated > to sub-acute patients with an average length of stay of 14 days. We > currently see most inpatients a minimum of Monday-Friday. Some > patients, > who need 6x/week, do receive treatment Monday-Saturday. We recently > became > a provider for a certain insurance company that says they will pay us > more > money per day, if we see their patients seven days per week. Our > current > system seems to be working for the patients benefit, the therapists job > satisfaction, and the facility from a revenue standpoint. I fear that > if > seven day a week therapy is instituted, then I will loose therapists. I > can > not afford to do this because it took us over a year to fill a full time > PT > position. Is anyone else facing this issue? And if so, how are you > handling it. I have tried to educate administration that we are not an > acute rehab hospital, but are only a sub-acute SNF. Thanks in advance > for > any responses to this topic! > > Marty Koehler, PT, MPT > Rehab Director > Ohio Valley Manor > Ripley, OH > > > > > > > Looking to start and own 100% of your own Practice? > Visit www.InHomeRehab.com. > PTManager encourages participation in your professional association. > Join and participate now! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2005 Report Share Posted October 18, 2005 In your example, we would see PT B both days on the weekend. I guess I would ask is PT B as functional as PT A? Being discharged and being functional and understanding of DC plan are all factors to be considered. Of Course, this may not matter to the insurance execs? Ron Barbato P.T. Corporate Director , Rehabilitation Ephraim McDowell Health Voice (859 )239-1515 Fax (859 )936-7249 rbarbato@... " PRIVILEGED AND CONFIDENTIAL: This transmission may contain information that is privileged, confidential and/or exempt from disclosure under applicable law. If you are not the intended recipient, then please do not read it and be aware that any disclosure, copying, distribution, or use of the information contained herein (including any reliance thereon) is STRICTLY PROHIBITED. If you received this transmission in error, please immediately advise me, by reply e-mail, and delete this message and any attachments without retaining a copy in any form. Thank you. " Sunday Therapy > > > I am the Rehab Director at a 130 bed SNF/LTC facility with 35 beds > dedicated > to sub-acute patients with an average length of stay of 14 days. We > currently see most inpatients a minimum of Monday-Friday. Some > patients, > who need 6x/week, do receive treatment Monday-Saturday. We recently > became > a provider for a certain insurance company that says they will pay us > more > money per day, if we see their patients seven days per week. Our > current > system seems to be working for the patients benefit, the therapists job > satisfaction, and the facility from a revenue standpoint. I fear that > if > seven day a week therapy is instituted, then I will loose therapists. I > can > not afford to do this because it took us over a year to fill a full time > PT > position. Is anyone else facing this issue? And if so, how are you > handling it. I have tried to educate administration that we are not an > acute rehab hospital, but are only a sub-acute SNF. Thanks in advance > for > any responses to this topic! > > Marty Koehler, PT, MPT > Rehab Director > Ohio Valley Manor > Ripley, OH > > > > > > > Looking to start and own 100% of your own Practice? > Visit www.InHomeRehab.com. > PTManager encourages participation in your professional association. > Join and participate now! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2005 Report Share Posted October 18, 2005 In your example, we would see PT B both days on the weekend. I guess I would ask is PT B as functional as PT A? Being discharged and being functional and understanding of DC plan are all factors to be considered. Of Course, this may not matter to the insurance execs? Ron Barbato P.T. Corporate Director , Rehabilitation Ephraim McDowell Health Voice (859 )239-1515 Fax (859 )936-7249 rbarbato@... " PRIVILEGED AND CONFIDENTIAL: This transmission may contain information that is privileged, confidential and/or exempt from disclosure under applicable law. If you are not the intended recipient, then please do not read it and be aware that any disclosure, copying, distribution, or use of the information contained herein (including any reliance thereon) is STRICTLY PROHIBITED. If you received this transmission in error, please immediately advise me, by reply e-mail, and delete this message and any attachments without retaining a copy in any form. Thank you. " Sunday Therapy > > > I am the Rehab Director at a 130 bed SNF/LTC facility with 35 beds > dedicated > to sub-acute patients with an average length of stay of 14 days. We > currently see most inpatients a minimum of Monday-Friday. Some > patients, > who need 6x/week, do receive treatment Monday-Saturday. We recently > became > a provider for a certain insurance company that says they will pay us > more > money per day, if we see their patients seven days per week. Our > current > system seems to be working for the patients benefit, the therapists job > satisfaction, and the facility from a revenue standpoint. I fear that > if > seven day a week therapy is instituted, then I will loose therapists. I > can > not afford to do this because it took us over a year to fill a full time > PT > position. Is anyone else facing this issue? And if so, how are you > handling it. I have tried to educate administration that we are not an > acute rehab hospital, but are only a sub-acute SNF. Thanks in advance > for > any responses to this topic! > > Marty Koehler, PT, MPT > Rehab Director > Ohio Valley Manor > Ripley, OH > > > > > > > Looking to start and own 100% of your own Practice? > Visit www.InHomeRehab.com. > PTManager encourages participation in your professional association. > Join and participate now! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2005 Report Share Posted October 19, 2005 Also a director in an acute care setting with Acute Rehab and a few specialty floors, I like Ron's comments. I have had this discussion with many friends and colleagues over the past several years. I strongly believe that therapists should be making the determination of frequency and duration of treatment and that not all patients need 6 or 7 day per week therapy, but there is thought I cannot seem to suppress ... how is it that the one (or two) day(s) off per week is the same for all patients? We have maintained 7 day per week coverage in our inpatient facilities for two primary reasons: 1. A patient's best day for participating in PT/OT/Speech might be the day you don't have any staff there 2. If you are a JCAHO accredited facility, there is a stated expectation of patients receiving the same level of care " regardless of the day of the week " (I am paraphrasing). My 2 cents Trumbull Director of Rehabilitation Services BroMenn Regional Medical Center phone: fax: " Ron Barbato " <rbarbatoemrmc (DOT) To: <PTManager > org> cc: Sent by: Subject: RE: Sunday Therapy PTManager@yahoog roups.com 10/17/2005 08:07 AM Please respond to PTManager As a director in an acute care setting, I always answer the " 7 day per week " question by keeping the patient at the center of the answer. The plan of care dictates the treatment intervention as well as frequency. That may very well be 7 days a week or 2. Until I see evidence that supports disregarding the evaluating therapist professional opinion in preference to the payers, I will hold my ground. Ron Barbato P.T. Corporate Director , Rehabilitation Ephraim McDowell Health Voice (859 )239-1515 Fax (859 )936-7249 rbarbato@... " PRIVILEGED AND CONFIDENTIAL: This transmission may contain information that is privileged, confidential and/or exempt from disclosure under applicable law. If you are not the intended recipient, then please do not read it and be aware that any disclosure, copying, distribution, or use of the information contained herein (including any reliance thereon) is STRICTLY PROHIBITED. If you received this transmission in error, please immediately advise me, by reply e-mail, and delete this message and any attachments without retaining a copy in any form. Thank you. " Sunday Therapy I am the Rehab Director at a 130 bed SNF/LTC facility with 35 beds dedicated to sub-acute patients with an average length of stay of 14 days. We currently see most inpatients a minimum of Monday-Friday. Some patients, who need 6x/week, do receive treatment Monday-Saturday. We recently became a provider for a certain insurance company that says they will pay us more money per day, if we see their patients seven days per week. Our current system seems to be working for the patients benefit, the therapists job satisfaction, and the facility from a revenue standpoint. I fear that if seven day a week therapy is instituted, then I will loose therapists. I can not afford to do this because it took us over a year to fill a full time PT position. Is anyone else facing this issue? And if so, how are you handling it. I have tried to educate administration that we are not an acute rehab hospital, but are only a sub-acute SNF. Thanks in advance for any responses to this topic! Marty Koehler, PT, MPT Rehab Director Ohio Valley Manor Ripley, OH Looking to start and own 100% of your own Practice? Visit www.InHomeRehab.com. PTManager encourages participation in your professional association. Join and participate now! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2005 Report Share Posted October 19, 2005 Also a director in an acute care setting with Acute Rehab and a few specialty floors, I like Ron's comments. I have had this discussion with many friends and colleagues over the past several years. I strongly believe that therapists should be making the determination of frequency and duration of treatment and that not all patients need 6 or 7 day per week therapy, but there is thought I cannot seem to suppress ... how is it that the one (or two) day(s) off per week is the same for all patients? We have maintained 7 day per week coverage in our inpatient facilities for two primary reasons: 1. A patient's best day for participating in PT/OT/Speech might be the day you don't have any staff there 2. If you are a JCAHO accredited facility, there is a stated expectation of patients receiving the same level of care " regardless of the day of the week " (I am paraphrasing). My 2 cents Trumbull Director of Rehabilitation Services BroMenn Regional Medical Center phone: fax: " Ron Barbato " <rbarbatoemrmc (DOT) To: <PTManager > org> cc: Sent by: Subject: RE: Sunday Therapy PTManager@yahoog roups.com 10/17/2005 08:07 AM Please respond to PTManager As a director in an acute care setting, I always answer the " 7 day per week " question by keeping the patient at the center of the answer. The plan of care dictates the treatment intervention as well as frequency. That may very well be 7 days a week or 2. Until I see evidence that supports disregarding the evaluating therapist professional opinion in preference to the payers, I will hold my ground. Ron Barbato P.T. Corporate Director , Rehabilitation Ephraim McDowell Health Voice (859 )239-1515 Fax (859 )936-7249 rbarbato@... " PRIVILEGED AND CONFIDENTIAL: This transmission may contain information that is privileged, confidential and/or exempt from disclosure under applicable law. If you are not the intended recipient, then please do not read it and be aware that any disclosure, copying, distribution, or use of the information contained herein (including any reliance thereon) is STRICTLY PROHIBITED. If you received this transmission in error, please immediately advise me, by reply e-mail, and delete this message and any attachments without retaining a copy in any form. Thank you. " Sunday Therapy I am the Rehab Director at a 130 bed SNF/LTC facility with 35 beds dedicated to sub-acute patients with an average length of stay of 14 days. We currently see most inpatients a minimum of Monday-Friday. Some patients, who need 6x/week, do receive treatment Monday-Saturday. We recently became a provider for a certain insurance company that says they will pay us more money per day, if we see their patients seven days per week. Our current system seems to be working for the patients benefit, the therapists job satisfaction, and the facility from a revenue standpoint. I fear that if seven day a week therapy is instituted, then I will loose therapists. I can not afford to do this because it took us over a year to fill a full time PT position. Is anyone else facing this issue? And if so, how are you handling it. I have tried to educate administration that we are not an acute rehab hospital, but are only a sub-acute SNF. Thanks in advance for any responses to this topic! Marty Koehler, PT, MPT Rehab Director Ohio Valley Manor Ripley, OH Looking to start and own 100% of your own Practice? Visit www.InHomeRehab.com. PTManager encourages participation in your professional association. Join and participate now! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2005 Report Share Posted October 19, 2005 Also a director in an acute care setting with Acute Rehab and a few specialty floors, I like Ron's comments. I have had this discussion with many friends and colleagues over the past several years. I strongly believe that therapists should be making the determination of frequency and duration of treatment and that not all patients need 6 or 7 day per week therapy, but there is thought I cannot seem to suppress ... how is it that the one (or two) day(s) off per week is the same for all patients? We have maintained 7 day per week coverage in our inpatient facilities for two primary reasons: 1. A patient's best day for participating in PT/OT/Speech might be the day you don't have any staff there 2. If you are a JCAHO accredited facility, there is a stated expectation of patients receiving the same level of care " regardless of the day of the week " (I am paraphrasing). My 2 cents Trumbull Director of Rehabilitation Services BroMenn Regional Medical Center phone: fax: " Ron Barbato " <rbarbatoemrmc (DOT) To: <PTManager > org> cc: Sent by: Subject: RE: Sunday Therapy PTManager@yahoog roups.com 10/17/2005 08:07 AM Please respond to PTManager As a director in an acute care setting, I always answer the " 7 day per week " question by keeping the patient at the center of the answer. The plan of care dictates the treatment intervention as well as frequency. That may very well be 7 days a week or 2. Until I see evidence that supports disregarding the evaluating therapist professional opinion in preference to the payers, I will hold my ground. Ron Barbato P.T. Corporate Director , Rehabilitation Ephraim McDowell Health Voice (859 )239-1515 Fax (859 )936-7249 rbarbato@... " PRIVILEGED AND CONFIDENTIAL: This transmission may contain information that is privileged, confidential and/or exempt from disclosure under applicable law. If you are not the intended recipient, then please do not read it and be aware that any disclosure, copying, distribution, or use of the information contained herein (including any reliance thereon) is STRICTLY PROHIBITED. If you received this transmission in error, please immediately advise me, by reply e-mail, and delete this message and any attachments without retaining a copy in any form. Thank you. " Sunday Therapy I am the Rehab Director at a 130 bed SNF/LTC facility with 35 beds dedicated to sub-acute patients with an average length of stay of 14 days. We currently see most inpatients a minimum of Monday-Friday. Some patients, who need 6x/week, do receive treatment Monday-Saturday. We recently became a provider for a certain insurance company that says they will pay us more money per day, if we see their patients seven days per week. Our current system seems to be working for the patients benefit, the therapists job satisfaction, and the facility from a revenue standpoint. I fear that if seven day a week therapy is instituted, then I will loose therapists. I can not afford to do this because it took us over a year to fill a full time PT position. Is anyone else facing this issue? And if so, how are you handling it. I have tried to educate administration that we are not an acute rehab hospital, but are only a sub-acute SNF. Thanks in advance for any responses to this topic! Marty Koehler, PT, MPT Rehab Director Ohio Valley Manor Ripley, OH Looking to start and own 100% of your own Practice? Visit www.InHomeRehab.com. PTManager encourages participation in your professional association. Join and participate now! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 20, 2005 Report Share Posted October 20, 2005 I don't believe therapy is the only answer to this situation. If SNF are going to claim they are a facility that offers rehab then the nursing staff in these facilities need to step up and get pts up and moving as well. Lynda Wick PT Gateway Rehab Hospital Re: Sunday Therapy I recently had a family member admitted in a SNF with a great M-F program. She was admitted on a Saturday and except for when I was there and helped, stayed in bed Saturday and Sunday. After an 8 day hospital stay where she was in bed 90% of the time not having therapy on Saturday and Sunday extended her bed rest time 2 days which is a 25% increase. Certainly this is not in the best interest of the patient. I would think the concern is not providing individual patients 7 day/week of therapy but having 7 days / week of therapy available for those who come in on Thursday, Friday and over the weekend. Different perspective. Marc Lacroix Quote Link to comment Share on other sites More sharing options...
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