What is the purpose of a rehabilitation screen? Very simply, we attempt to identify long-term residents' needs and possible rehab potential. Somehow, we don't really have an industry standard on what should take place during a screen.
How do you define tolerance? Is tolerance measurable? Is tolerance too subjective? What about activity tolerance? We love to document how patients are improving activity tolerance, but many times that's all we state in our documentation. So what have we said? Very little.
Have you started your countdown clocks yet? It looks like it's definitely happening this year on Oct. 1, 2014. The transitions from ICD-9 to ICD-10 coding will 100% absolutely take effect for the entire healthcare system, including therapy. So what is this big change all about? Per CMS, here are a couple of key facts everyone should be preparing for.
Have you ever had a day when you looked great but felt depressed? Or you looked your worst but felt great? Perception of self-image is stronger than actual self-image with determining our emotions. Would you be able to survive an entire day, week or month without looking into a mirror?
What's the point of all of our treatment interventions and plans of care if we can't relate to our patients? If you can put a face and personality behind your justification for therapy services, you'll be way ahead of the game.
How many of you will agree with me that we never fully turn off the internal therapist mode when we're in public, outside of work hours?
Well, it's that time of year already. Hectic schedules, extra weekend shifts and holiday planning. It's also time for rehab to spend some extra time discussing holiday plans with their patients. Whether it's a short family trip home on the holiday or out to eat at a favorite restaurant, added stress and poor safety judgment can lead to a slew of new and bigger problems.
On Jan. 24 of this year, the Jimmo vs. Sebelius class action lawsuit was settled. This was a significant win for us, the healthcare providers. As we continue to work out the details, I feel now is a good time for a reminder of the ins and outs the lawsuit. No doubt about it, it was a blockbuster decision.
Can anyone guess what the title to this blog is stating? In the current culture of text messaging and abbreviations for everything, it can be a danger zone for medical documentation. Unfortunately, I have not made up this one.
Well, Oct. 1 has passed, and we're all still hanging in. The biggest changes we saw to rehab were the addition of reporting co-treatment minutes on our billing logs and Section O on the MDS. And, the new question of "how many DISTINCT calendar days" were received between SLP, OT, and PT.
Rehab Realities is written by Shelly Mesure, MS, OTR/L. She is the senior vice president of Orchestrall Rehab Solutions and owner of A Mesured Solution Inc., a rehabilitation management consultancy with clients nationwide.