In a culture that calls for more person-centered and person-directed care, we often have to caution our patients to not call themselves "safe," before they are discharged out of our care.
I haven't perched in a tree waiting for Bigfoot, or spent a morning with binoculars in a rowboat on Loch Ness. But I recently had a ringside seat for one of those elusive rehab therapy triumphs — the kind I always hear about, but had never personally witnessed.
In our post-acute world if we depend on basics alone, we limit ourselves in the specificity of measures we can achieve.
Dan Ciolek has spent some 30 years in long-term care, and though he's become adept at quite a few topics in the field, one thing he's still trying to make sense of is quality measures.
Motherhood and its life lessons take the cake when it comes to making connections with therapy patients.
Perhaps you think that the new therapy-payment bombshell (RCS-1) has turned out to be a dud. I hope to make the point that it was not.
What is your preferred writing tool? Pen? Pencil? Do you take notes in color? Use highlighters? I'm sure I'm not the only one judging you by this.
Daring to dream with her team: Resident completes mother-son dance with help from nursing home staffApril 11, 2018
It's not unusual for nursing home staff to help a resident walk again. But when that resident has a rare neurodegenerative disease and wants badly not to just walk but to dance at her son's wedding, that's a goal requiring true teamwork.
"Mommy, I hurt all over." Day 2 of the stomach virus last week and my sweet Isaac was seeing no relief. Day 3 of the stomach virus and Isaac realized how much he missed school.
We need to better understand our dementia residents and learn how to enter their world to make them comfortable, maintain their dignity and improve the quality of their lives.
Therapy documentation should tell a story.
Is there anything more thrilling on a winter day than sledding down the neighborhood's steepest hill, across freshly fallen snow, in an inner tube? I think not.
In case it hasn't registered yet, the cultural shift from provider-directed care to person-directed care has carried over effectively into the updated state survey processes being implemented secondary to the Phase 2 Requirements of Participation.
Middle daughters around the world still relate to the fictional Jan Brady's exasperation with her TV big sister — "Marcia! Marcia! Marcia!" So too should long-term care operators. But instead of being jealous of an older sibling, this field's indignation might be better directed at nearby hospitals.
Procedural memory is a fascinating mechanism, a construct of long-term memory and is the form of memory which "we learn by doing," including singing, riding a bike — and saluting, for some.
LAS VEGAS - The Centers of Medicare & Medicaid Services' recent advanced notice of proposed rulemaking could bring a total overhaul of therapy payment rules and be in place as early as October 2018 in a "worse case scenario," an official with the American Health Care Association/National Center for Assisted Living shared at the group's annual meeting on Tuesday.
Organizers are putting the final touches on preparations for the 28th annual meeting of the National Association for the Support of Long-Term Care, which will be held Oct. 15-17 in Las Vegas. Registration is ongoing.
Therapists across the nation had reason to celebrate their varied and respected skills last week. It was National Rehab Awareness Week after all. My, how the celebrations went down.
With the shift from volume in RUGs IV to a goal of value and patient characteristics in RCS-I, rehab providers should ask themselves a number of frank questions.
With how much positive press and research surrounding the benefit music can bring to people with dementia, it came as somewhat of a shock to me to find there had never been a nationwide study of the Music & Memory program — until now.
Therapy utilization will be as scrutinized as much as it ever has been, even though the "improvement standard" has once again been deemed deceased.
I've had the privilege to speak with two different medical entities today and wanted to share the experience with my readers and colleagues.
I've been in a fight with my computer monitor for the past couple of days. The screen was crisp and bright looking, but after a few hours I'd start getting a headache. I had been blaming that on a lack of coffee, until I started doing some research.
There are many myths surrounding rehab services in skilled nursing facilities. They often come from a lack of understanding of skilled care and a need to increase knowledge of Medicare regulations. I'll bet we have all encountered at least some of these.
January 1 will put new evaluation codes for physical and occupational therapy into effect and we all better be paying close attention.
In this world of RACs, ADRs, denials and incentivized payback demands, it behooves us as providers to stare back at The Abyss and defy the illogical and irrational edicts of "PLOF" as the determining factor for payment.
Working in the SNF environment as long as I have (don't ask) I have encountered lots of myths, rumors, fables and tales about how therapy should operate in our very limited community.
Some necessary conversations tend to be awkward and uncomfortable. They include talking to our children about baby making. Or convincing our parents to give up the car keys. Or talking to government investigators about those astronomical therapy billings.
The 2016 Office of Inspector General work plan calls for increased scrutiny of the Ultra High therapy billing category because the amount of this therapy delivered has increased over time, despite resident characteristics not having changed. This work plan is a reminder that providers need to have all of their processes in order.