Raising children, like providing patient care, requires a plan. The older our children become, like when patients show progress, the more freedom they should be allowed. The guide book for plan of care...
‘Plateaued’ is not a medical description
By
Jean Wendland Porter
May 28, 2024
I’m starting to sound like a broken record (vinyl is coming back; the kids know what I mean), but I recently heard a therapist say the patient’s progress plateaued, so we have to stop therapy. Again. ...
Therapy should be more than productivity
By
Jean Wendland Porter
Apr 22, 2024
“I’m too sick for therapy today.” “Come back later.” “Leave me alone.” If you’ve worked in long-term care (or hospitals or LTACHs or acute rehab hospitals), you’ve heard...
Fiscal molehill for rehab providers
By
Shelly Mesure, MS, OTR/L
Jan 02, 2013
Well, we didn’t completely go off the “fiscal cliff,” but we’re definitely heading for a downward slope.
Cutting Medicare to nursing homes is poor healthcare policy
By
Alan G. Rosenbloom
Sep 15, 2009
Congress is considering healthcare reform legislation that proposes deep cuts to Medicare spending for nursing home care. Such a bill would not be the way to achieve meaningful reform.
CMS did more than ‘just’ cut Medicare pay by 11.1%
By
Shelly Mesure, MS, OTR/L
Aug 19, 2011
Have you started your COT trending analysis? On Aug. 8, the Centers for Medicare & Medicaid Services released the final ruling and commentary for the new implementation of the MDS changes set to take effect...
Advance directives are not a proxy for euthanasia
By
Sherry Parrish
Aug 25, 2009
It is a mistake to think that advance care planning in any way hurts seniors. Such discussions may lead to more end-of-life care instead of less and help preserve individuals’ decision-making rights.
Should ‘auld acquaintance be forgot?’ A thought for nursing homes in the new year
By
Anthony Cirillo
Jan 11, 2011
Nursing homes are at their core residential communities for the elderly.
New payment models present opportunities for SNFs
By
Jeff Terkowitz
Jun 18, 2014
For skilled nursing facilities, the Medicare SNF 3-day rule can make it difficult to place the right patients in the right setting at the right time. The 3-day rule requires that a Medicare beneficiary...
The Sales Manager in Chief
By
Gary Tetz
Jan 30, 2013
I recently watched the presidential inauguration from the comfort of a fake leather couch at a car dealership. Over the din of overhead pages for the service department, Sales Manager in Chief Barack Obama...