While some long-term care providers have been slower to look at QAPI processes, others are ready to implement. Therapy vendors also should be considering adopting and operationalizing QAPI.
SNF providers are scrambling to prepare to be "bought" by ACOs, aligned with potential bundling partners, selected as a preferred provider, and ultimately "sold" to the best, not highest, bidder.
In post-acute care, particularly the SNF future, it can be "Great" but there are so many "Perhaps" that the definition of what "Great" is going to be is unclear.
LTC therapists seem to be stuck between a rock and a hard place when it comes to patient pain. Pain management is at the forefront of surveyors and scrutinized as a CMS quality measure.
All clinicians can fall into one or more categories labeled preventer, predictor and promoter, but I suggest each has a primary role in skin and wound care and wound healing.
While research for the Holy Grail in skin and wound care "best practices" continues, I propose we start with what we "do know" as it relates to the clinicians who are providing the skin and wound care-regardless of research, product, wound type, assessment or resident population mix.
Even though this legislation ostensibly is supposed to help providers, the "Medicare Established Provider Act" may encourage facilities to react or continue to act ultra-conservatively in the therapy provisions to Medicare beneficiaries.
While I do not give hands-on care, as a director of purchasing I am acutely aware that each decision I help make touches the residents daily — it's what I am most proud of in my role. My experience in the Virtual Dementia Tour affected how I see our residents, as I don't ever want any of our residents to feel the way I felt that day in the demonstration.