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.
Entitlement or over utilization?
By
Shelly Mesure, MS, OTR/L
Oct 07, 2014
Many of our therapy patients are medically complex and we, unfortunately, are not able to predict the future, as it sometimes seems that regulators want us to do.
Long-term care and therapy: It’s complicated
Sep 09, 2014
There is an option in Facebook to mark your relationship status as, “It’s complicated.” This is a great way to sum up everything, without getting too personal. Even though posting your...
Have we lost our connection to what’s important?
By
Shelly Mesure, MS, OTR/L
Aug 15, 2014
We sometimes use high-minded phrases to describe our work and our hopes for our patients. But have we lost our connection to important words? Do they still hold meaning they once did, and if so, how strongly?
Dehydration: Therapy should help fight it
By
Shelly Mesure, MS, OTR/L
Jul 15, 2014
The elderly are very vulnerable to dehydration and more than just the nursing staff have to be concerned about it. Not keeping an eye on appropriate hydration can cause a variety of serious problems.
Pay for performance, medical necessity and Jimmo
By
Shelly Mesure, MS, OTR/L
Jun 04, 2014
Why would anyone mention value-based reimbursement, medical necessity and the Jimmo lawsuit in the same sentence? I feel they are all related, but it will be difficult to find the perfect balancing act...
Palliative possibilities: Therein lies the rub
By
Shelly Mesure, MS, OTR/L
Apr 22, 2014
When a patient is referred to therapy, and they are receiving hospice care, then therapy needs to seek permission from the hospice company to provide any treatment. Hospice is required to reimburse the...
Defining tolerance in therapy
By
Shelly Mesure, MS, OTR/L
Feb 12, 2014
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...
Feature: All together now
By
John Hall
Feb 01, 2014
Rehabilitation professionals still are navigating challenges of providing group, concurrent therapies in a world that has come to value individual therapy more
Personal stories every therapist should know
By
Shelly Mesure, MS, OTR/L
Dec 17, 2013
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,...