RehabFAQs

when rehab directors push for productivity

by Dr. Aurore Von PhD Published 2 years ago Updated 1 year ago
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What happened to the Department of rehabilitation services?

Communication, Documentation, and Education: Directors of Rehab Weigh in on the Top Challenges in Acute Therapy The spread of the global COVID-19 pandemic has demanded drastic changes across the entire spectrum of healthcare, all of which have been implemented at an unprecedented rate.

What does a director of rehabilitation services do?

Oct 02, 2020 · A National Survey of Inpatient Rehabilitation Professionals completed by The Open Journal of Occupational Therapy revealed clinicians are concerned that growing productivity pressures are impacting the quality of care they provide. 1 According to the survey, increased pressure to improve productivity is leading to clinician burnout, decreased time spent with …

What happened to the Department of rehabilitation services at UMC?

Mar 21, 2019 · At one point, clinicians were expected to be 80-85% productive. That means that they spent about 80-85% of their time in direct patient care. The remaining 15-20% of their time included administrative work, scheduling, and documentation. Now that number has increased to at least 90% in most settings.

What lessons have we learned from lean in rehabilitation management?

The Department of Rehabilitation Services, within the University of Maryland Medical Center's 650-bed academic medical center, was experiencing difficulty in meeting productivity standards. Therapists in the outpatient division believed they were not spending enough time performing billable patient …

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What are productivity standards in physical therapy?

Productivity is a percentage of how long a physical therapist is spending with their patients doing treatments that are considered billable by the insurance companies.May 28, 2020

How is productivity calculated in therapy?

Practice-Driven Productivity Measures Clinical Staffing Efficiency – weekly or monthly measure taking total patients treated divided by the number of clinical (professional) staff hours. Target a productive range between one patient per professional hour (1:1) and 1.5 patients per professional hour (1.5:1).Oct 18, 2017

What are productivity standards in occupational therapy?

Productivity standards is a term often used to describe the expectation by a place of employment on their employees, in this case occupational therapy practitioners who are fieldwork educators, of how much work should be completed in a given timeframe.

How is productivity measured in physical therapy?

Take the number of missed appointments and divide it by the number of scheduled appointments. You'll get a decimal that you can convert into their no-show percentage. Compare this percentage to other PTs in your practice. Once established, be sure to set goals, give encouragement, and incentivize patient attendance.

What does 90 productivity look like?

For example, if you are on the clock for 8 hours and have a 90% productivity requirement, that means your goal is to work with patients for 7 hours and 12 minutes with only 48 minutes left for everything else.Nov 22, 2017

How do you calculate productivity in healthcare?

In the healthcare sector, the traditional measures of productivity are the labor output per health worker and the cost of the goods/services. Here, the two key metrics are time and financials, which directly focus on the bottom line of your operations, rather than the quality of services you provide.Sep 4, 2020

What are productivity standards?

Productivity can be defined as the ration between input or output or more explicitly ration below the amount produced and the amount of any resources used in the course of production.Jan 5, 2020

What is healthcare productivity?

Traditional measures of productivity growth define health care output as the nominal expenditures on health care by service providers (hospitals, physicians, etc.) deflated by a price index for health care. In theory, this should yield a measure of units of output over time.

What is daily productivity?

Productivity is a measure of efficiency of a person completing a task. We often assume that productivity means getting more things done each day. Wrong. Productivity is getting important things done consistently.

What are your goals as a physical therapist?

A physical therapist's goal is to optimize an individual's ability to function within society by addressing prevention, wellness and rehabilitation across the lifespan and in a variety of settings.

Harness Communication to Battle Operational Challenges

Hospital acute care therapy workers are experiencing more operational challenges than ever before, ranging from staffing issues, staff education surrounding COVID-19, real-time data reporting, and more. But at the heart of these operational challenges is one common denominator: communication.

Need for Real-Time Data to Make Acute Care Hospital Beds Available as Quickly as Possible

Throughout the pandemic, hospital staff were forced to streamline admissions, transfers, and discharges as part of a concentrated effort to make acute care hospital beds available as quickly as possible. The easiest way to do that? Utilize real-time data.

Continue to Practice Empathy While Managing COVID-19 Concerns

Above all, every panelist of the recent webinar agreed on the importance of practicing empathy while educating and managing COVID-19 concerns.

Navigate New Waters Together

The COVID-19 pandemic has altered the way hospitals must approach acute care rehab therapy, but in the words of Williamson Medical Center’s Josh Drummond, “This year has shown us that we are so much more tolerant and so much more capable of doing things so much more quickly than we ever thought possible.”

Our Shared Dilemma

Hospital Directors of Rehab manage care for a variety of settings and therapy departments. They’re often responsible for leading teams of speech-language pathologists, occupational therapists, and physical therapists.

How Poor Productivity Impacts Hospital Therapy Operations

Both outpatient rehab therapy and acute care rehab rely on high therapist productivity. Productivity in hospital therapy operations is typically measured by healthcare output, such as the quantity and quality of care. Therapists are generally held accountable for the number of patients seen each day and the quantity of billable units.

Tips to Improve Rehab Therapist Productivity

When therapist productivity declines, it’s crucial to take a step back and ask the hard questions like, “What doesn’t work?” or “Where can we improve?” Rather than ramping up longer hours, identify opportunities to improve processes and create consistency across all therapy departments instead.

What is productivity in business?

But in case you haven’t heard, productivity —according to businessdictionary.com — refers to “a measure of the efficiency of a person, machine, factory, system, etc., in converting inputs into useful outputs.”.

How did reimbursement change healthcare?

This is precisely where it all went astray: when reimbursement became directly tied to the number of treatment units —or time — a clinician spends with a patient. This fundamentally changed the dynamic of healthcare. Instead of incentivizing clinicians to be efficient and treat as many patients as possible by seeing each for only the amount of time necessary, the opposite became the norm. Incentivized by this method of reimbursement, it is more advantageous to see less patients for a longer period of time. You end up with the same amount of revenue, with less administrative burden.

Why do we have jobs in healthcare?

We all need to remember that healthcare is about one thing: the patient. The reason we have jobs is because patients need our help and treatment. The reason most of us chose healthcare as a career was to help people get better. Focusing our metrics and KPIs on time-based productivity reduces patients to numbers. It incentivizes slower work of lower quality. Clinicians burn out trying to hit productivity numbers and running patients through cookie-cutter treatment protocols. We lose the human —or person-to-person— experience and service that healthcare should be.

How long is an 8 hour day?

In an 8-hour day, that usually means roughly 432 minutes (90% of an 8 hours, or 480 minutes). Regardless of how many patients a clinician sees in a given day, time always constrains how much long a clinician can spend with patients.

What is the objective of a DOR?

Objective : To obtain a position as a DOR in order to achieve the best possible outcome for the patient while working in a challenging and dynamic environment that will utilize my teamwork and leadership abilities.

What is a responsible therapist?

I provide quality treatments to the best of my ability. An honest, caring individual who interacts well with the public and have good communication skills. Works well with speech and physical therapy and all others involved to ensure the patients are getting the best quality treatment. Have over 17 years of experience working with geriatrics, MR/DD, pediatrics, home health, and outpatient.

What is a headline for a speech pathologist?

Headline : Highly trained Director of Rehabilitation and Speech-Language Pathologist with strong clinical abilities and a successful career in Long Term Care. Proactive and organized with a passionate commitment to first-rate patient care. Demonstrated ability to balance clinical service delivery and maximizing operational costs; along with decreasing risks of reimbursement denial.

How do you explain muscle weakness to patients without offending them?

I’m still fairly new to OP ortho and have been having trouble explaining weakness to patients without occasionally offending or scaring them.

Any PT owners here

I am curious how many PTs and PTAs you have working for you? What are your ball park monthly expenditures? What is your approximate yearly take?

Chart Auditing Job

Does anyone have any experience working for an audit group or documentation reviewing? I normally work in acute care, but recently had surgery for a ruptured distal biceps and will be out of work for quite a while. I was considering looking into getting a possible job reviewing/auditing.

Options for PT moving abroad

As the title implies, I will potentially be moving abroad in the next year or two with my girlfriend who is in medical school as she was accepted into a global health concentration. She will likely be going to Africa or Central America to work for a full year.

APTA - new initiative

The doctorate isn’t working...we are not getting the respect we deserve from physicians. I think it’s time we require two doctorates. Who’s in?

Benchmark

Has anyone worked for Benchmark? How many patients were you expected to see per hour and if you were a new grad, what was the initial salary they offered you?

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