Re: Acute Care Occupational Therapy On Weekends?

[Guest guest]

possibly incorporate a screen with a check off of self care and other tasks

and if there are not any needs then an eval is not necessary. It would be

quick, less expensive and there would be documentation in place that these

things

were addressed and not needed.

Bubba Klostermann OT, CVE, CEAS

CEO, WORK & REHAB

4546 South 14 th

Abilene, Texas 79605

phone:

fax:

email: bubklo@...

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[Guest guest]

Ty,

Our hospital only covers weekends with PT services and SLP services when

a pt. is NPO and in need of a swallow study. PT's are regularly

scheduled and SLP's are " on-call " . We do not provide any weekend

coverage for OT at all and this works fine from both patient and

physician standpoint.

Hope this helps.

Chad

Chad W. Yoakam, MS, PT

Manager of Rehabilitation Services

Livingston HealthCare Orthopedic and Rehabilitation Institute

________________________________

From: PTManager [mailto:PTManager ] On

Behalf Of Tyler

Sent: Monday, December 11, 2006 11:07 PM

To: PTManager

Subject: Acute Care Occupational Therapy On Weekends?

A little background:

* 160 bed Acute Care hospital with one full-time and one on-call OT on

the weekdays, and one on-call OT on the weekends.

* When ordering therapies, most of our physicians write " PT/OT

Evaluate and Treat " . The implication is that, perhaps, there is an

overutilization of overall therapy services - weekends notwithstanding.

* Over the last year or so, our " on call " OT's have always been called

in on the weekends, especially if there are new Evals.

* Some are questioning the value(good or bad) to our patients,

hospital, and staff of calling in the OT's on the weekends -

especially if another clinician (such as a PT) determines that the OT

Eval order can wait until the weekday.

This post is to ask what other facilities are doing relative to OT

coverage on the weekends. You can see some of the above considerations

involved.

Thank you!

Ty Keeter DPT, MHA

Providence Health & Services

[Guest guest]

Ty,

We do the same at our facility. In our policy, we have a 48-72 hour

window (there is also a gero-pysch unit at our facility) to address OT

evaluations which we are usually able to meet without OT coverage on the

weekends.

Thanks!

DiMarino, PT

Operations Coordinator

Lake Hospital System-LakeWest

________________________________

From: PTManager [mailto:PTManager ] On

Behalf Of Chad Yoakam

Sent: Tuesday, December 12, 2006 6:50 PM

To: PTManager

Subject: RE: Acute Care Occupational Therapy On Weekends?

Ty,

Our hospital only covers weekends with PT services and SLP services when

a pt. is NPO and in need of a swallow study. PT's are regularly

scheduled and SLP's are " on-call " . We do not provide any weekend

coverage for OT at all and this works fine from both patient and

physician standpoint.

Hope this helps.

Chad

Chad W. Yoakam, MS, PT

Manager of Rehabilitation Services

Livingston HealthCare Orthopedic and Rehabilitation Institute

________________________________

From: PTManager <mailto:PTManager%40yahoogroups.com>

[mailto:PTManager <mailto:PTManager%40yahoogroups.com> ]

On

Behalf Of Tyler

Sent: Monday, December 11, 2006 11:07 PM

To: PTManager <mailto:PTManager%40yahoogroups.com>

Subject: Acute Care Occupational Therapy On Weekends?

A little background:

* 160 bed Acute Care hospital with one full-time and one on-call OT on

the weekdays, and one on-call OT on the weekends.

* When ordering therapies, most of our physicians write " PT/OT

Evaluate and Treat " . The implication is that, perhaps, there is an

overutilization of overall therapy services - weekends notwithstanding.

* Over the last year or so, our " on call " OT's have always been called

in on the weekends, especially if there are new Evals.

* Some are questioning the value(good or bad) to our patients,

hospital, and staff of calling in the OT's on the weekends -

especially if another clinician (such as a PT) determines that the OT

Eval order can wait until the weekday.

This post is to ask what other facilities are doing relative to OT

coverage on the weekends. You can see some of the above considerations

involved.

Thank you!

Ty Keeter DPT, MHA

Providence Health & Services

[Guest guest]

Ty and Chad,

Our hospital staffs OT's in the same manner as PT's on the weekend

except that there is no " OT on-call " on Sunday, as there is for PT. It

has worked well for us and for the pt's, ensuring that the full spectrum

of needs have been addressed prior to d/c. Furthermore, we are better

able to iron out any kind of d/c considerations that may be appropriate

from a self-care standpoint.

Thanks,

Curtis

>>> chad.yoakam@... 12/12/06 05:50PM >>>

Ty,

Our hospital only covers weekends with PT services and SLP services

when

a pt. is NPO and in need of a swallow study. PT's are regularly

scheduled and SLP's are " on-call " . We do not provide any weekend

coverage for OT at all and this works fine from both patient and

physician standpoint.

Hope this helps.

Chad

Chad W. Yoakam, MS, PT

Manager of Rehabilitation Services

Livingston HealthCare Orthopedic and Rehabilitation Institute

________________________________

From: PTManager [mailto:PTManager ] On

Behalf Of Tyler

Sent: Monday, December 11, 2006 11:07 PM

To: PTManager

Subject: Acute Care Occupational Therapy On Weekends?

A little background:

* 160 bed Acute Care hospital with one full-time and one on-call OT on

the weekdays, and one on-call OT on the weekends.

* When ordering therapies, most of our physicians write " PT/OT

Evaluate and Treat " . The implication is that, perhaps, there is an

overutilization of overall therapy services - weekends

notwithstanding.

* Over the last year or so, our " on call " OT's have always been called

in on the weekends, especially if there are new Evals.

* Some are questioning the value(good or bad) to our patients,

hospital, and staff of calling in the OT's on the weekends -

especially if another clinician (such as a PT) determines that the OT

Eval order can wait until the weekday.

This post is to ask what other facilities are doing relative to OT

coverage on the weekends. You can see some of the above considerations

involved.

Thank you!

Ty Keeter DPT, MHA

Providence Health & Services

[Guest guest]

HI Chad,

I was wondering, how do you justify this to JCAHO? Meaning, how do you justify

that you are not providing different levels of care to OT patients based off the

day of the week? I have a feeling that this situation of not having coverage on

the weekend will become more commonplace with the staffing shortages most of the

country is starting to see.

Thanks,

Jill Piazza

Florida Hospital DeLand

Acute Care Occupational Therapy On Weekends?

A little background:

* 160 bed Acute Care hospital with one full-time and one on-call OT on

the weekdays, and one on-call OT on the weekends.

* When ordering therapies, most of our physicians write " PT/OT

Evaluate and Treat " . The implication is that, perhaps, there is an

overutilization of overall therapy services - weekends notwithstanding.

* Over the last year or so, our " on call " OT's have always been called

in on the weekends, especially if there are new Evals.

* Some are questioning the value(good or bad) to our patients,

hospital, and staff of calling in the OT's on the weekends -

especially if another clinician (such as a PT) determines that the OT

Eval order can wait until the weekday.

This post is to ask what other facilities are doing relative to OT

coverage on the weekends. You can see some of the above considerations

involved.

Thank you!

Ty Keeter DPT, MHA

Providence Health & Services