The recent battle over the SGR passage with the Cardin Amendment brought forth glaring differences in outpatient therapy providers and their priorities. While I, along with the entire therapy world, dream of the day that the arbitrary therapy caps are repealed, the SGR "doc fix" bill simply was not the right time.
If you are like me and have children who are required to contribute to science fairs, then you understand that the method in a science project is as important as the topic .It is difficult to explain to my children this importance when they hear me talk about my industry and agencies that "audit," and how these agencies freely manipulate or ignore data to derive results they want versus results that are real.
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.
To say skilled nursing facilities have come a long way would be, well, surprisingly refreshing. Public opinion polls show there is still a wide-spread misunderstanding of what SNFs do, how they are paid for what they do, and why it is so important to preserve the setting.