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.
Skilled therapy documentation traditionally focuses on prior level of function, current level of function and ultimately desired discharge level of function. Outcomes are typically measured in short and long term spans of time with a focus on a reduction in level of assistance whether physical or verbal and ultimately patient centered goals met as they relate to functional independence.
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.