Therapy

Cutting with a plan — it applies to you too

Cutting with a plan — it applies to you too

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With all the buzz, excitement, and, need I say, even moments of panic around the final rule and clarifications for the Patient Driven Payment Model (PDPM), we as an industry need to remain purposeful in our planning.

Caregiving full circle

Caregiving full circle

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The cancer was extensive and had spread fast. As a result of this and after a multitude of hospital stays, he ended up in a skilled nursing facility in a small town in Kentucky.

Calling safe! Before you are ... OUT!

Calling safe! Before you are ... OUT!

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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.

Sacred moments in the therapy gym

Sacred moments in the therapy gym

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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.

Head, shoulders, curbs and elbows

Head, shoulders, curbs and elbows

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In our post-acute world if we depend on basics alone, we limit ourselves in the specificity of measures we can achieve.

Making sense out of quality measures in long-term care

Making sense out of quality measures in long-term care

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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, the job that gets you somewhere

Motherhood, the job that gets you somewhere

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Motherhood and its life lessons take the cake when it comes to making connections with therapy patients.

Payment reform: Ready! Set! Don't go! No, I mean go!

Payment reform: Ready! Set! Don't go! No, I mean go!

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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.

Therapy plans shouldn't be written in stone

Therapy plans shouldn't be written in stone

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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 staff

Daring to dream with her team: Resident completes mother-son dance with help from nursing home staff

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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.

Hurts all over: pain in dementia

Hurts all over: pain in dementia

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"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.

Just the facts? No way. Managing agitation and behaviors in dementia

Just the facts? No way. Managing agitation and behaviors in dementia

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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.

Whose story does your therapy documentation tell?

Whose story does your therapy documentation tell?

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Therapy documentation should tell a story.

Beware frog holes and 'I don't knows'

Beware frog holes and 'I don't knows'

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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.

Treat yourself to a person-directed 2018

Treat yourself to a person-directed 2018

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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.

Long-term care operators, meet Jan Brady

Long-term care operators, meet Jan Brady

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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.

Standing tall for veterans

Standing tall for veterans

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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.

CMS could overhaul therapy pay rules in 2018

CMS could overhaul therapy pay rules in 2018

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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.

28th Annual NASL meeting around the corner

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.

Rehab Week 2017: Where's the skill?

Rehab Week 2017: Where's the skill?

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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.

RCS-I: Where will your rehab patients fall?

RCS-I: Where will your rehab patients fall?

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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.

A milestone for Music & Memory

A milestone for Music & Memory

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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.

Have you met Jimmo's stepbrother Jimmo?

Have you met Jimmo's stepbrother Jimmo?

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Therapy utilization will be as scrutinized as much as it ever has been, even though the "improvement standard" has once again been deemed deceased.

Customer service at its finest?

Customer service at its finest?

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I've had the privilege to speak with two different medical entities today and wanted to share the experience with my readers and colleagues.

Why so blue?

Why so blue?

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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.

SNF Therapy Myths: Busted!

SNF Therapy Myths: Busted!

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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.

Cracking new PT and OT evaluation codes

Cracking new PT and OT evaluation codes

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January 1 will put new evaluation codes for physical and occupational therapy into effect and we all better be paying close attention.

Staring into the abyss when the abyss won't make eye contact

Staring into the abyss when the abyss won't make eye contact

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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.

When your inpatient is an outpatient

When your inpatient is an outpatient

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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.