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.
The power of words
By
Shelly Mesure, MS, OTR/L
Mar 25, 2014
“The pen is mightier than the sword” is an age-old adage that implies that the power of communication — in this case, written communication — is more powerful than a physical weapon. Do...
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...
Therapy patients need, and deserve, this simple self-image booster
By
Shelly Mesure, MS, OTR/L
Jan 14, 2014
Have you ever had a day when you looked great but felt depressed? Or you looked your worst but felt great? Perception of self-image is stronger than actual self-image with determining our emotions. Would...
Medically Complex Medicare Part B
By
Shelly Mesure, MS, OTR/L
May 08, 2013
While CMS tries to figure out how to proceed with the manual medical review process, we continue to track our caps and apply our modifiers. In the meantime, has anyone noticed how our typical Medicare...
A tisket, a tasket … No LPNs in the RN basket
By
Steven Littlehale
Jul 20, 2015
Reporting direct care hours is nothing new, but the Affordable Care Act takes it to the next level with mandatory quarterly electronic submission of staffing and census data. This focus on staffing ratios...
Bon appétit for therapy!
By
Shelly Mesure, MS, OTR/L
Sep 23, 2014
Once upon a time, in a faraway land, physical, occupational and speech therapy used to provide group therapy and often co-treat. This was a totally different time and place for the history of rehabilitation.
New models predict SNF hospital readmission rates
By
Steven Littlehale
Jan 21, 2015
If a skilled nursing facility were an overall Five Star performer, you would think that it would provide the best care and have the fewest rehospitalizations, right?
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...
CNA speak: Take time to learn the language
By
Lori Porter
Jan 03, 2014
In my 32 years of careful study regarding the divide between administration and certified nursing aides, I have learned many things. One of the most important discoveries is that there are two separate...