Podcasts about snfs

Let's face it: Hospitals and post-acute providers can find themselves at odds. Post-acute is an area of the industry that is often misunderstood and sometimes villainized. But when post-acute care struggles, it directly impacts hospital operations. The industry needs a solution. It starts with understanding that the post-acute space is not a monolith. Because only by understanding how different facilities struggle—and how systems can support or partner with them—can we unlock their potential. That's why this week, host Abby Burns invites Advisory Board expert Monica Westhead, and Optum Advisory post-acute care expert Jennifer Skaggs to unpack the post-acute landscape and break down what effective acute-post-acute partnerships looks like. Throughout the discussion, they explore why post-acute facilities are struggling to stay afloat, and why partnering with post-acute facilities is better avenue than building or buying. Links: The Playbook for Hospital/Post-Acute Care Collaboration Optum Advisory partners with hospitals nationwide to improve efficiency and optimize resource utilization to reduce labor expenses. New staffing mandates for SNFs will have broad effects. Here's how to prepare. Post-acute care Landing Page 2025 Nursing Survey A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.

The new Lunder CareForce Institute makes no small plans: It aims to be a driving force behind solving the nation's frontline healthcare worker shortage. Established by Hebrew SeniorLife, a Harvard Medical School-affiliate, the institute opened for business last week with sector veteran Tammy Retalic at the helm. It will employ a mix of technology and elite caregiving expertise, as well as online modules that inject experts into training and education cycles. The first nurse-aide students should be enrolled by mid-summer, Retalic told McKnight's Executive Editor James M. Berklan in this McKnight's Newsmakers podcast. An LPN track will be added within 18 months, she added. The concept uses a “hub” model that extends into the local greater Boston community. If that can be successfully grown around the state, Retalic is confident its influence can blossom further from there. “If that is something we can accomplish, which we are confident we can … we'll have the ability to go throughout the country and replicate this type of model, and that's really our big vision,” said Relatic, who switched from Hebrew Senior Life's chief nursing officer and vice president of patient care services to the Lunder CareForce Institute's executive vice president last week. “We don't want to just solve it just for our own needs.” The secret, she says, is finding individuals who are motivated and are filled with compassion. Students will undergo paid six-week nurse-aide training periods, and might not necessarily think of themselves as aide-candidates when first approached. They could be high school students, under- or unemployed individuals, military veterans, parents returning to the workforce, or many others who may thrive with steady caregiving employment, noted Retalic, an award-winning longtime educator. “If we can create some kind of training option that produces the most amazing students when they are done, students who are motivated and accountable, who really want to make a difference, then we need to be able to lead that way nationally,” she said. “You can't teach compassion. You can't teach motivation. But when you have those two things, you pretty much can teach any other skill set,” she added. “We believe that. We've seen that time and time again … They flourish. They thrive.” Listen in to hear Retalic explain the genesis of the Lunder CareForce Institute, how it will work and the way officials will flex to create a thriving program to produce thousands of high-quality caregivers over the next decade.

Immense pressure on hospitals from the COVID-19 pandemic prompted CMS to waive its three-day rule for skilled nursing facility (SNF) care. Effective March 1, 2020, this waiver allowed patients to transfer to SNFs without the usual inpatient criteria or a three-day hospital stay. A recent study by Northwestern Medicine published in the Journal of American Geriatrics Society explores the trends in hospital discharges to SNFs during this period.Join study authors Lee A. Lindquist, MD, MPH, and Marianne Tschoe, MD, on this episode of the Better Edge podcast as they discuss their research and findings.

TRIGGER/CONTENT WARNING: weight, dieting Dina and fellow Registered Dietitian Lisa Ciarametaro, founder of The Wellness RD, dish about working with the senior population, the unique nutritional needs and treatments for healthy aging, and the importance of advocating for both patients and the dietetics profession. Lisa Ciarametaro, RD has been working with the adult population for over 20 years in a variety of settings including hospitals, SNFs (skilled nursing facilities), and long-term care communities. She currently works at a Continuing Care Retirement Community as the Director of Nutritional Wellness for the campus. Learn more about Lisa on her website: www.thewellnessrd.com ---- DISCLAIMER: The purpose of this podcast is to entertain, educate, and inform, but it is not to be taken as medical advice. Please seek prompt, qualified medical care for any specific health issues and consult your physician or health practitioner before starting a new fitness regimen, herbal therapy, or other self-directed treatment. Join our mailing list to stay connected, stay informed, receive exclusive offers, and be a part of the DishWithDina community: ⁠⁠⁠⁠⁠⁠⁠https://forms.gle/VgDMkU8JDnBPywvh9⁠⁠⁠⁠⁠⁠⁠ If you enjoyed this podcast, please subscribe, leave a review, and share it with others! You can also submit listener feedback or request to be a guest on a future episode by completing this form: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://forms.gle/7UZ2kEPDHjBgLhRU9⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Help support this podcast for as little as $0.99/month: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://podcasters.spotify.com/pod/show/dishwithdina/support⁠⁠ --- Support this podcast: https://podcasters.spotify.com/pod/show/dishwithdina/support

Skilled Nursing Facilities vs. Nursing Homes: What You Need to KnowOften skilled nursing facilities (SNF) and nursing homes are used interchangeably as many facilities offer both services, however, they are two separate things. With the negative stigma surrounding nursing homes, it is important to know the difference between the two and use proper terms when communicating with your patients and their families. That's why this week on The Amplify OT Podcast, I am talking about the differences between skilled nursing facilities and nursing homes so you can better communicate the right care with your patients!Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It's time to become your own best resource on Medicare and advocacy.In this episode, I cover:The fundamental differences between SNFs and nursing homes come down to the reimbursement, type of services provided, and length of stay. Statistics on SNFs and nursing homes, including ownership, profit status, and services offered. Medicare and Medicaid's role in funding these facilities and how this affects the services that patients receive. Practical tips on discussing care options with patients, alleviating common fears, and overcoming the stigmas associated with these facilities.Thanks for listening! If you found this episode helpful, don't forget to follow, rate and review the show. To learn more about Amplify OT head to https://amplifyot.com/ Have a question or just want to say hello? Call or text +1 (919)-341-9289 to have your questions answered on the podcast! *Message and Data Rates May ApplyAmplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!CLICK HERE to save 40% off Medbridge Today! CONNECT WITH AMPLIFY OT:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokLINKS MENTIONED IN THIS EPISODE:CMS.gov State Operations Manual- Survey and Enforcement Process for Skilled Nursing Facilities and Nursing FacilitiesU.S. Bureau of Labor Statistics: Occupational Employment and Wage Statistics for SNFs (May 2023)

Dr. Ahzam Afzal, Co-Founder and CEO of Puzzle Healthcare, aims to reduce readmission rates to hospitals and skilled nursing facilities by focusing on discharge planning and post-acute care. High readmission rates can result in financial penalties and are often caused by the complexity of the patient's condition and social determinants of health. Puzzle is working with health systems and SNFs to implement a readmission prevention program that includes physiatry and care coordination 90 days after discharge.  Ahzam explains, "Hospital readmissions have become a focal point for our healthcare systems for several reasons. First and foremost, they are a key indicator of the quality of care being provided by these facilities. High readmission rates often suggest that patients may not be receiving the comprehensive care they need during their hospital stay or the necessary support post-discharge. This could be due to inadequate discharge planning, insufficient patient education on their conditions, or a lack of effective follow-up care."   "Additionally, readmissions place a substantial financial burden on healthcare facilities. Under the Affordable Care Act, hospitals with higher than expected readmission rates for certain conditions face significant penalties including reduced Medicare reimbursements. This policy was also extended to skilled nursing facilities through the Skilled Nursing Facility Value-Based Purchasing program, which penalizes SNF facilities based on their readmission rates starting in 2024."  #PuzzleHealthcare #ReadmissionPrevention #Hospitals #SkilledNursingFacilities #ValueBasedCare #PostAcuteCare #SDOH puzzlehealthcare.com Download the transcript here

Dr. Ahzam Afzal, Co-Founder and CEO of Puzzle Healthcare, aims to reduce readmission rates to hospitals and skilled nursing facilities by focusing on discharge planning and post-acute care. High readmission rates can result in financial penalties and are often caused by the complexity of the patient's condition and social determinants of health. Puzzle is working with health systems and SNFs to implement a readmission prevention program that includes physiatry and care coordination 90 days after discharge.  Ahzam explains, "Hospital readmissions have become a focal point for our healthcare systems for several reasons. First and foremost, they are a key indicator of the quality of care being provided by these facilities. High readmission rates often suggest that patients may not be receiving the comprehensive care they need during their hospital stay or the necessary support post-discharge. This could be due to inadequate discharge planning, insufficient patient education on their conditions, or a lack of effective follow-up care."   "Additionally, readmissions place a substantial financial burden on healthcare facilities. Under the Affordable Care Act, hospitals with higher than expected readmission rates for certain conditions face significant penalties including reduced Medicare reimbursements. This policy was also extended to skilled nursing facilities through the Skilled Nursing Facility Value-Based Purchasing program, which penalizes SNF facilities based on their readmission rates starting in 2024."  #PuzzleHealthcare #ReadmissionPrevention #Hospitals #SkilledNursingFacilities #ValueBasedCare #PostAcuteCare #SDOH puzzlehealthcare.com Listen to the podcast here

Have you ever thought about starting a coaching-based private practice? You're going to love this episode! I sat down with Emily Gavin who decided to take the leap into private practice with encouragement from her peers and spouse after being laid off from her job.In this episode, she talks about her journey from SNFs and inpatient rehab to owning her own dementia-focused business. Emily shares how caring for her mother-in-law with dementia inspired her special interest. Emily S. Gavin, MS, OTR/L, came to occupational therapy as a second career in 2012 at the age of 41. After a few years of clinical work in geriatrics, she transitioned into a management position at a Program of All-Inclusive Care for the Elderly (PACE) in Philadelphia, PA. This non-traditional setting allowed her the freedom to develop specialized knowledge in dementia care training, though she always felt the vulnerability of being a middle manager. Being laid off in May of 2023 seemed like the perfect time to start PhillyCare Coaching LLC, the private practice she'd always thought of as the next thing.Emily hopes to complete her Post-Professional OTD at Thomas Jefferson University in late 2025. She has also earned an Advanced Practice Certificate in Coaching, and will soon be a certified practitioner of Skills2Care®, an evidence-based program supporting caregivers of people living with dementia. She uses the Allen Cognitive Disabilities Model to inform her treatment plans.Emily lives in the Germantown section of Philadelphia with her wife and four cats. Someday she will have time to knit again.In Today's Episode, We Discuss:The moment that brought Emily to become an OT and start a private practiceWhen she realized her passion for dementia patientsHow she kicked imposter syndrome to the curbHow long it took Emily to get her first private practice clientThe types of clients Emily works withHow she networked to grow her private practiceThe power of referrals in growing your private practiceI hope you enjoyed this episode with Emily! I love how she overcame imposter syndrome and remained persistent in opening her private practice. If you would like to know more about our Programs and how we help YOU - just like we helped Emily - please visit www.IndependentClinician.com/resources.Whether you want to start a private practice or grow your existing private practice, I can help you get the freedom, flexibility, fulfillment, and financial abundance that you deserve. Visit my website www.independentclinician.com to learn more.Resources Mentioned: Visit Emily's website: https://phillycarecoaching.com/Follow Emily on Facebook: https://www.facebook.com/profile.php?id=100093197558689Follow Emily on Instagram: https://www.instagram.com/phillycarecoachingConnect with Emily on LinkedIn: https://www.linkedin.com/in/emily-s-gavin-ms-otr-l-94966454/Listen to her podcast:

In caring for our communities, a carefully designed Care Continuum Blueprint becomes the roadmap to enhanced population health outcomes—a testament to the profound impact of integrated care and strategic coordination.  There has never been a more compelling time to adopt a system of care based on population health management. The COVID-19 pandemic revealed substantial health disparities and compels us to take action. The population is aging, and the Medicare insolvency crisis is looming. Now is the time to move away from fee-for-service care and toward an approach that prioritizes quality, outcomes, and affordability for all populations. In this week's episode, we interview Dr. Mark Angelo, a senior administrator of a large accountable care organization and a leader in population health and palliative medicine.  He is the author of the new book Caring for Our Communities: A Blueprint for Better Outcomes in Population Health, that provides tactical guidance for developing effective population health programs and explores value-based care models. Dr. Angelo is an inspirational leader to the health value movement, providing a road map for creating an equitable, outcomes-focused system, using the right resources to nurture the health of our communities. Dr. Mark Angelo currently serves as CEO and President for the Delaware Valley ACO (DVACO). In this role, he oversees clinical strategy and operations, including quality, population health pharmacy, clinical integration, care coordination, post-acute networks and practice transformation. In addition to serving patient communities as an executive with the ACO, he is a practicing palliative care doctor who continues to see patients.  DVACO has participated in the MSSP since 2014 and also works with commercial and Medicare Advantage payers in an effort to grow and expand the mission of value-based care in the Greater Philadelphia area. Episode Bookmarks: 01:30 Introduction to Delaware Valley ACO and Mark Angelo, MD, MHA, FACP. 04:30 Referencing Dr. Angelo's new book Caring for Our Communities:  A Blueprint for Better Outcomes in Population Health. 05:00 “Never doubt that a small group of thoughtful committed citizens can change the world; indeed, it is the only thing that ever has.”  -- Margaret Mead 06:00 Dr. Angelo provides his perspective on population health underpinned by his clinical practice of palliative care. 07:30 A care continuum strategy that ensures care continuity, collaborative planning, and case management for complex patients. 09:30 The post-acute care journey at DVACO that began in 2014. 10:30 The Skilled Nursing component of DVACO's post-acute care strategy. 11:30 Using claims data and real-time readmission tracing to monitor performance of SNF partners. 12:30 Graduating from a post-acute care focus to an overall care continuum strategy. 13:45 Optimizing home health to prevent avoidable hospitalizations. 14:30 How to identify suboptimal hospice care (e.g. length of stay greater than 180 days). 16:30 Home-based therapy as part of the care continuum to reduce TCOC in a frail elderly population. 18:00 An optimal zone of therapy between 12 and 32 therapy units over the course of a year. 19:00 Medicare reimbursement differentials across the different settings in a post-acute care continuum. 20:30 Building a population health playbook in post-acute care begins with SNFs. 22:00 Assessing performance data in developing a small SNF network to guide steerage decisions. 23:30 Applying the SNF assessment strategy in the vetting of preferred providers in home health and hospice. 26:00 Are partnering PAC facilities communicating with you in a meaningful way? 26:45 “Discharge planning shouldn't happen in the last 24 hours of discharge. It should be happening all along. This is an important factor when it comes to creating partnerships across the care continuum.” 28:00 DVACO (in partnership with Main Line Health) developed a palliative care program that red...

Welcome to the Healthcare Compliance Insights podcast, a series focused on healthcare regulatory, revenue integrity, compliance, and risk management topics. In this episode, BerryDunn's Robyn Hoffmann and Olga Gross-Balzano discuss the Skilled Nursing Facility (SNF) Medicare 5-Claim Probe and Educate Review. Learn what SNFs and hospital swing bed facilities need to know to help ensure an efficient and successful review, including timely submission and accurate documentation. To skip the introductions and get right to the podcast, please go to 1:50 of the episode.

There are substantial new changes to the minimum data set (MDS) assessment, including how functional abilities and goals are scored, the introduction of tracking of indications for medication use, and the addition of new measures for tracking communication of transfer-of-health information. The recent changes became effective Oct. 1, the start of the government's fiscal year.The MDS assessment is a standardized assessment used in skilled nursing facilities (SNFs) and some swing beds to capture administrative and clinical data for residents. The information compiled in the MDS assessment is used to create resident care plans and determine reimbursement, and it impacts quality measures.As a warning, SNF personnel should be on the lookout for any denials related to the new ICD-10 codes, according to Deanna Peterson, the special guest during the next live edition of Talk Ten Tuesdays. Peterson, senior vice president of operations and LTPAC services for First Class Solutions and the featured guest on the next upcoming edition of Talk Ten Tuesdays, will report that residents with invalid ICD-10 codes will need those codes to be updated to avoid denials.The weekly live broadcast will also feature these outstanding segments and thought leaders:• Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report on the latest coding news.• SDoH Report: Tiffany Ferguson, a subject-matter expert on the social determinants of health (SDoH), will report on the news that's happening at the intersection of coding and the SDoH.• News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk.• TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment.

Hannah and Leigh Ann discuss the bad rap SNFs get. Skilled Nursing Facilities (SNFs) often have a negative stereotype and are considered a less prestigious setting of the Med SLP continuum of care. This artificial hierarchy of Med SLP practice limits our potential to provide high quality care in these settings if we feed into stereotypes. Just like any other Med SLP setting, there are challenges and great opportunities with plenty of room to practice at the top of your scope and provide high quality and evidenced based SLP intervention in a SNF. Hannah shares the story of how she has achieved career goals and advanced her practice skillset while working in SNFs - including starting an in-house FEES protocol and obtaining her BCS-S. Check out the show notes for more information and resources at https://www.speechuncensored.com/podcastepisodes/157

Joey Fonseca DPT was a travel PT during the COVID-19 pandemic at three different SNFs. This episode is from the archives prior to PT school from the original host of the Pre-PTs Talking PT. You get to hear the change in communication from before PT school to now as a new grad. Power of Words as a PT Advocate for yourself as a new graduate Physical Therapist Challenges of Travel PT after graduate school Joey's Joys of Being a Travel PT Pandemic and SNFs A glimpse into a PT program experience and starting PT school during a pandemic CEUs Goals after traveling (OCS??)

Thinking about how starting a private practice could give you more flexibility and time with your family? In this episode of Private Practice Success Stories, I sat down with one of my students, Olivia Rae Jones, to talk about how she started her private practice on her homestead so that she could have more work-life balance. Olivia shares about her recent resignation from her job, where she gets her clients, the home office that she's building is part of their recent renovation, and how she eventually wants to create a multidisciplinary clinic with multiple clinicians to serve her community locally.Olivia Jones is a speech-language pathologist in rural south central Wisconsin. She earned her Masters degree in Speech Language Pathology from Midwestern University - Downers Grove. Private practice was the dream from the very beginning. Olivia developed her experience in SNFs, acute care, adult and pediatric outpatient, inpatient rehab, and finally, schools before making the leap into her own practice just 6 years into her career.Olivia is focused on growing Marigold Speech Pathology Services to a full-time career with the support of her family on her multigenerational homestead. In Today's Episode, We Discuss:When and why Olivia started thinking about private practiceWhat kept Olivia focused and driven during the Start programThe need that Olivia filled in her community and the clients she gets to serve nowThe home office Olivia is building for her practiceWhat Olivia's private practice has done for her familyThe huge demand for speech servicesWhy it's okay to grow slow or at the pace that's comfortable for youOlivia's plan for growing her private practice I hope you enjoyed this conversation with Olivia! There are so many communities across the US where people simply don't have access to therapy services. Even in big cities where there actually are private practices, many of them have waitlists, which means there aren't enough providers. Olivia was able to scale from 0 to 20 clients and will have many more than that with the help of both the Start and Grow Your Private Practice programs!Want to learn how to start a private practice - just like Olivia? Visit www.StartYourPrivatePractice.com to learn how we can help you!Whether you want to start a private practice or grow your existing private practice, I can help you get the freedom, flexibility, fulfillment, and financial abundance that you deserve. Visit my website www.independentclinician.com to learn more.Resources Mentioned: Visit Olivia's website: https://www.marigoldspeech.com/Follow Olivia on Facebook: https://www.facebook.com/MarigoldSpeech/Follow Marigold Speech on Instagram: https://www.instagram.com/marigold_speech/Follow Olivia on Instagram: https://www.instagram.com/mrsoliviajones/Where We Can Connect: Follow the Podcast:

Post-acute care clinicians are facing a wave of challenges that impact how they deliver care. Patients are arriving with increasingly complex needs, while an already overtaxed staff must adapt to regulatory changes and the demands of a new reimbursement model. Meeting these challenges requires a fundamental shift in the model of care delivery in the post-acute setting. SNFs and senior living communities are turning to advanced practice clinicians, who are engaged in hands-on, day-to-day patient care, while also adopting specialty clinical services, like on-call coverage to ensure the staff is supported and equipped to manage patient care throughout all shifts, including the highest-risk shift for readmissions, 11 p.m. to 7 a.m. On this podcast, Jon Raffesberger, DNP, APRN, NP-C, Director of Clinical Specialty Services, Post-Acute Care for TeamHealth, will discuss these challenges, as well as how facilities are overcoming them with new care services, new specialty clinical approaches and an entirely new level of thinking for the growth of post-acute care.

At Viviant Healthcare of Murfreesboro, located in rural TN, 25% of residents are short stay. When they leave, Lisa Lugo, Director of Social Services, worries. Lacking transportation makes it hard for many to fill prescriptions. Some in need of pain medications can't get an appointment with a pain clinic for days. Others return home and don't follow up with their healthcare providers. Without support, residents may experience health mishaps that land them back in the hospital. To avoid these complications, Lugo opted to take part in a pilot program for Continue Care, a suite of services from PharMerica designed to help keep patients healthy at home. It worked: the rehospitalization rate for Viviant during the pilot was 10%, a significant improvement over the average rate among SNFs of 23%-31%. And residents weren't the only ones who benefitted. By eliminating manual processes and calls or faxes to the pharmacy to get prescriptions filled, Continue Care saves a lot of staff time and frustration and frees caregivers up to spend more time with residents. Plus, with a three on/three off schedule, there's no risk of orders falling through the cracks between shifts. Hear firsthand from Lugo when she joins hosts John O'Connor and TJ Griffin along with PharMerica's Bill Deane, whose team operationalized the program, to discuss her facility's previous processes that prompted her to adopt Continue Care and the positive impacts it has had on outcomes and her team alike.

In this episode, we will learn from Amber Edwards, OTR/L, RKC (she/her) an occupational therapist specializing in Fitness & Kettlebell Training. Amber graduated from Ithaca College from the BS/MS Occupational Therapy program in 2018 and 2019, respectively. Currently, she is a Travel Occupational Therapist in NYC working with the geriatric population in SNFs. In addition to being an OT, Amber is also passionate about fitness. At Ithaca College, Amber was a 2x All-American hurdler and captain on the Women's Track and Field team and currently enjoys strength training with kettlebells as a Certified Russian Kettlebell Coach (RKC) and Dynamic Sports Performance Certified Coach (DSPCC). Amber is also a podcaster as she created her own podcast in 2020 called “Reaching your pOTential”. The initial mission of the podcast was to present her individual experiences as a new grad OT, but has transitioned now to empower and highlight other people of color (POC) in OT and beyond. Overall, the vision of the podcast is to engage and inspire all OTPs and others to reach their fullest potential in life.Show Key Points:· Amber tells us about her background and favorite occupations· She describes what inspired her to do this work and her path· She describes her uncommon OT work and whom she serves· She provides OT practitioners with valuable career advice· She provides direction, resources and contact information CONTACT & RESOURCES:IG: @thick.amb.fit Email: a.edwards.otrl@gmail.com Website: www.thickambfit.comTurkish Get Up Manual: https://www.thickambfit.com/shop/p/turkish-get-up-manual Training Consultation: https://www.thickambfit.com/shop/p/training-consultationAs always, I welcome any feedback & ideas from all of you or if you are interested in being a guest on future episodes, please do not hesitate to contact Patricia Motus at transitionsot@gmail.com or DM via Instagram @transitionsotTHANK YOU for LISTENING, FOLLOWING, DOWNLOADING, RATING, REVIEWING & SHARING “The Uncommon OT Series” Podcast with all your OTP friends and colleagues! Full Episodes and Q & A only available at: https://www.wholistic-transitions.com/the-uncommon-ot-seriesSign Up NOW for the Transitions OT Email List to Receive the FREE Updated List of Uncommon OT Practice Settingshttps://www.wholistic-transitions.com/transitionsot For Non-Traditional OT Practice Mentorship w/ Patricia: https://docs.google.com/forms/d/e/1FAIpQLSeC3vI5OnK3mLrCXACEex-5ReO8uUVPo1EUXIi8FKO-FCfoEg/viewformBIG THANKS to our sponsor Picmonic. Follow the link below and USE DISCOUNT CODE “TransitionsOT” to Score 20% OFF Your PICMONIC Membership today! https://www.picmonic.com/viphookup/TRANSITIONSOTLBL23Happy Listening Friends!Big OT Love!All views are mine and guests own.Be a Patron to support The Uncommon OT Series Podcast project via Patreon.

In this episode, we delve into the Doctor of Science in Physical Therapy (DScPT) program, with our guest Janise Alcantara, who is currently completing the program. Janise shares her firsthand experiences of the DScPT program, discussing both the challenges and rewards of pursuing this advanced degree. She provides an overview of the program's curriculum, highlighting the importance of balancing coursework with clinical practice, as well as navigating research. Drawing on her own experiences, Janise offers valuable advice and tips for colleagues who are considering pursuing a DScPT program. She shares the lessons she's learned, and the most significant takeaways from her journey thus far. Janise Alcantara is a physical therapist and the owner of Movement Medicine Physical Therapy. She has a BS in Physical Therapy, magna cum laude, and is completing a DSc in Physical Therapy with a concentration in orthopedic manual therapy. Janise has comprehensive training in Pilates and Redcord/Neurac, is a Certified Kinesiotaping Practitioner and is a clinical instructor with Physical Therapy Advancement Seminars. She has worked in various settings, including SNFs, home health, acute care, subacute, wound care, and outpatient therapy. --- Support this podcast: https://anchor.fm/ptmealpodcast/support

What's the latest guidance on immunizations? In today's episode, we'll discuss flu, COVID, and pneumococcal vaccinations, as well as Minimum Data Set (MDS) coding on immunizations.Related links: View webinar video recordingDownload “Pneumococcal Vaccination Decision Tree”Download “Boost Your Rates Protocol”Download “Get the Shot, Not the Flu”CDC, “Post-Acute and Long-Term Care Facility Toolkit: Influenza Vaccination Among HCP” CDC, “Operational Guidance for SNFs to Report Annual Influenza Vaccination Data…”NHSN Manual, “Healthcare Personnel Vaccination Module: Influenza Vaccination Summary”CDC, “Pneumococcal Vaccine Timing for Adults”Check out our other interviews by visiting https://www.qualityinsights.org/qin/multimedia This material was prepared by Quality Insights, a Quality Innovation Network - Quality Improvement Organization under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (HHS). Views expressed in this material do not necessarily reflect the official views or policy of CMS or HHS, and any reference to a specific product or entity herein does not constitute endorsement of that product or entity by CMS or HHS. Publication number 12SOW-QI-GEN-012623-CC-A 

For the 200th episode of Private Practice Success Stories, I am sharing a very special interview!Laura Shaw started her private practice in one of the most innovative ways ever. She started while she was a travel SLP, which helped exponentially grow her income on the side while traveling for work. Laura was a student of my Start Your Private Practice program and my Grow Your Private Practice program, and in this episode, she shares why she chose travel therapy, how she decided to get private clients on the side, how she started her blog, and how she's grown her private practice. If you've been thinking about adding private practice as a side hustle, either as a traveler or on the side of your regular job as a way to grow your income, this is a must-listen episode.Laura is an SLP with a passion for all things speech pathology. Unable to pick just one setting to work in, Laura jumped into the world of travel therapy after her CF and experienced as much as she could—from inpatient and outpatient, to schools, SNFs, and early intervention. After discovering that no one setting would ever give her the flexibility, freedom, and financial stability she wanted, she decided to dip her toes into the world of private practice. Laura built her practice as a side gig initially, but after turning a school-based travel position into a contracting job through her practice, she hasn't looked back! Additionally, Laura is the owner of The Travel SLP, a community focused on connecting and educating current, future, and former travel SLPs. In Today's Episode, We Discuss:Travel therapyWhy Laura started seeing clients on the sideHow she created multiple streams of incomeThe way that she created her dream private practiceSchool contractsHow the Grow program helped her level upThe unexpected way she gets referralsBefore I had Laura on one of the panels for the Start Your Private Practice program, I didn't realize that the job that she was seeing private clients on the side of was her traveling SLP job. This was basically the most creative way to date that I have ever heard of people exploding their income. Laura is a kind person and an amazing clinician who found a super creative way to earn exponentially more than she would be able to in traditional settings. If you want to learn more from her, make sure to visit her website and follow her on Instagram. To learn more about how we can help you start or grow your private practice (just like we helped Laura!) please visit www.IndependentClinician.comResources Mentioned: Visit Laura's website: https://www.balancedspeech.com/Visit the Travel SLP website: https://www.thetravelslp.com/Follow Laura on Instagram: https://www.instagram.com/the.travelslp/Follow Laura's practice on Instagram: https://www.instagram.com/balanced.speechtherapy/Join the Travel SLP Facebook group:

Episode 30 of Manchester Living Podcast is here! Today we discuss skilled nursing facilities (SNFs) and rehabs. What is the difference between an SNF and a rehab? What services are included and how is it paid form? What should a loved one expect out of an SNF or rehab? Join us to learn these answers and more! Our guests today are:Joni WatsonDirector of Healthcare OperationsPresbyterian Village NorthRoland CastilloDirector of Business Development for HealthcareCC YoungYour host is Brian Levy.http://www.ManchesterLivingPodcast.com

Two market forces emerging into the health care arena are poised to play a huge role in the future. The so-called market disruptors, in the words of our guest expert, “are better funded, better capitalized, and … have that knowledge and expertise in how you deliver on an excellent consumer experience.” Payers represent the other force growing stronger in health care delivery, as they move out of their traditional role. Both forces bring strong technology infrastructures to pose critical challenges to conventional health care organizations that are trying to succeed in the future, and this episode examines new models, particularly moving of care to the home, that organizations can adopt to meet these challenges.   Guest speaker: Brianna Motley, MBA Principal, Sg2 Intelligence Vizient   Moderators: Crystal Mullis, RN, MBA, MHA Vice President, Member Backed Ventures Vizient   Heather Ramirez, MS Ventures Director Vizient   Show Notes: [03:05] Moving care to the home: key insights on an emerging force [04:21] Competing in the new market [05:00] Digitization and technology [05:27] Staffing [07:11] Projecting trends: rising length of stay [08:38] Projecting trends: SNFs, oncology and home care [10:13] What providers can do to meet the trends [12:34] Embracing the new care model   Links | Resources: Vizient Member-Backed Ventures email: mbv.info@vizientinc.com Brianna Motley's email: brianna.motley@vizientinc.com Sg2 website: www.sg2.com   Subscribe Today! Apple Podcasts Amazon Podcast Spotify Google Podcasts Stitcher RSS Feed

In Season 2, Episode 13 of Driving the Deal, Farragut Square Group's (FSG) Brian Fortune and Jackie Williams are joined by FSG's Assistant Vice President Hope Amsterdam. In this episode, they discuss recent reimbursement-related developments for Medicare and Medicaid on the state level, as well as: Major Medicare and Medicaid investments made by states during the most recent budget cycle Positive July rulemaking for post-acute care and inpatient psychology Reimbursement adjustments for hospice, inpatient rehabilitation facilities and inpatient psychology Case-mix adjustments to the positive skilled nursing facility (SNF) patient-driven payment model Centers for Medicare & Medicaid Services' (CMS) final rule for SNFs Home Health proposed "Temporary” and “Permanent” adjustments

In this episode, we will learn about two occupational therapists who are Captains in the United States Air Force, Capt. Andrew Antonio, OTR/L, CHT, and Capt. Alain Pierre Eloi, OTD, OTR/L. Capt. Antonio is an occupational therapist at the Special Warfare Human Performance Squadron, Kirtland Air Force Base, N.M. He leads a multidisciplinary team of military and civilian personnel across six functional areas in support of the sole Pararescue pipeline for six commands. He supports the Human Performance Optimization Program, providing sports medicine consultation to providers, independent medical technicians, athletic trainers and embedded Squadron leadership. He runs the Special Operations Forces-centric Training Squadron Occupational Therapy Clinic, conducting same-day evaluations and treatment in support of 138 staff, 135 trainees. He also integrates performance and injury data to optimize training, and develops and executes policies with coordination for two Wings and three medical facilities. He is also the Occupational Therapy Career Recruitment Officer responsible for inspiring, engaging, and recruiting diverse, highly qualified occupational therapists to serve as officer candidates to sustain the combat capability of the United States Air Force. Capt. Antonio received his postgraduate degree in occupational therapy at the University of St. Augustine in April 2015 and entered the Air Force in April 2017 through direct commission as a distinguished graduate. He also earned a board specialty certification as a Certified Hand Therapist in December 2020. Since then he has held a variety of positions within the medical treatment facility and line operations including directing the first Occupational Therapy/Orthopedics Post-operation Hand Clinic, leading the first KC-10 Pilot Ergonomic Program for the 6 Air Refueling Squadron, and drafting the inaugural Medical Group Instruction for Management of Emergent Suicide Risk Patients as the Group National Patient Safety Chair at Travis, AFB, Calif. He also served as the sole Surgical and Hand Therapy Fellow serving the Greater Philadelphia, Pa. area into and post-COVID-19 shutdown. Prior to his current position, Capt. Antonio was a Surgical and Hand Therapy Fellow at the Philadelphia Hand to Shoulder Center, in Philadelphia, Pennsylvania. Capt. Eloi is a native of Montreal, Canada who moved to California to study Occupational Therapy at Loma Linda University. After several years of working in various settings such as outpatient hand, home health, and SNFs, Capt. Eloi made the decision to go back to school in 2018 at Rocky Mountain University, where he obtained his OTD in the hand therapy track. During the pandemic, he made yet another life-changing decision; he decided to commission into the United States Air Force as an active-duty officer. Capt. Eloi is now stationed at Wright-Patterson Air Force Base since March 2022 as he currently sees a varied population of active-duty members, family members, and retirees.Show Key Points:· Capt. Antonio and Capt. Eloi gives us a glimpse of their backgrounds and interests· They describe their Uncommon OT work and whom they serve· They shared what inspired them to do this work and their paths· They explain their wide variety of services and benefits · They provide OT practitioners with valuable career advice· They provide resources and their contact information RESOURCES: Air Force Occupational Therapy Informationhttps://www.airforce.com/careers/detail/occupational-therapistAir Force OT Facebook Page- Give us a LIKE :)https://www.facebook.com/profile.php?id=100064544897984As always, I welcome any feedback & ideas from all of you or if you are interested in being a guest on future episodes, please do not hesitate to contact Patricia Motus at transitionsot@gmail.com or DM via Instagram @transitionsot THANK YOU for LISTENING, FOLLOWING, DOWNLOADING, RATING, REVIEWING & SHARING “The Uncommon OT Series” Podcast with all your OTP friends and colleagues! Full Episodes and Q & A only available at: https://www.wholistic-transitions.com/the-uncommon-ot-seriesSign Up NOW for the Transitions OT Email List to Receive the FREE Updated List of Uncommon OT Practice Settingshttps://www.wholistic-transitions.com/transitionsot For Non-Traditional OT Practice Mentorship w/ Patricia: https://docs.google.com/forms/d/e/1FAIpQLSeC3vI5OnK3mLrCXACEex-5ReO8uUVPo1EUXIi8FKO-FCfoEg/viewformHappy Listening Friends!Big OT Love!All views are mine and guests own.Be a Patron to support The Uncommon OT Series Podcast project via Patreon.

Join panelists Eduardo Diaz, MD; Amina Dubuisson, DNP, MSN, RN, PCNS-BC; Karen Goldsmith, Esq.; Gregory A. Sullivan, MD; and your host, Diane Sanders-Cepeda, DO, CMD; for this special episode of FMDA's Journal Club, Best Practices for Applying the Baker Act in SNFs. Our learning objectives for this session were: Describe the nuances and complexities around Baker Acts in PALTC facilities. Define the roles that we play in executing Baker Acts in our PALTC facilities. Address the challenges that PALTC facilities and providers face with Baker Acting residents. Review legal and regulatory updates and challenges surrounding Baker Acts. Discuss the appropriate assessment and evaluation that should be conducted prior to initiating a Baker Act. Recorded: September 21, 2022 Panelists: Eduardo Diaz, MD; Amina Dubuisson, DNP, MSN, RN, PCNS-BC; Karen Goldsmith, Esq.; Gregory A. Sullivan, MD Hosted by: Diane Sanders-Cepeda, DO, CMD   Available Credit: The American Board of Post-Acute and Long-Term Care Medicine (ABPLM) issues CMD credits for AMDA On-The-Go and affiliate podcast episodes as follows: Claim CMD Credit

In this episode, we welcome special guest, Erin Romanski MA, CCC-SLP, to discuss switching SLP settings and working in skilled nursing. We discuss an SLP's day in the life of working at a skilled nursing facility, co-treating with PTs and OTs, tips for working in a skilled nursing facility as an SLP, and more!We Discuss(0:00) Introduction(2:15) Erin Romanski's Professional Background(4:30) Why Erin became interested in traveling(9:15) What areas was Erin must confident when starting as an SLP(13:20) Utilizing mentors(16:50) An SLP's Day in the Life Working at a Skilled Nursing Facility(20:15) Skilled Nursing Facility Patient Population(28:36) Co-treating with PTs and OTs.(30:30) Tips for Working in a Skilled Nursing Facility as a Speech Pathologist(39:32) Advice for Speech Pathologists Wanting to Work in a Skilled Nursing Facility (44:43) Lightning Question Round!(49:20) Do you fear getting older?About Erin Romanski MA, CCC-SLPErin grew up in Cleveland, Ohio—the only girl in a family with four children. She studied communication sciences and disorders as an undergrad at the University of Cincinnati and then earned an MA in speech-language pathology from Eastern Michigan University. Between undergrad and graduate school, Erin obtained her nursing assistant license working as an STNA during grad school, prior to getting a job as an SLP. Erin has spent her whole career in SNFs across four states, though she's lost count of the number of facilities. Since moving to Minnesota, she's found my inner country girl—picking up gardening, canning, and chopping wood. Erin also enjoys biking, camping, kayaking, and reading when she's not keeping her puppy out of trouble. Follow Erin on Instagram: https://www.instagram.com/irishila21/About the ShowProducer – Jonathan Cary Assistant Producers – Katie Schrauben & Sam MacKay Powered by Med Travelers 

This episode is related to the WOCNext® 2023 Call for Abstracts, which is accepting submissions through November 1, 2022, at 11:00 AM EST. Everyone is encouraged to submit an abstract for the chance to showcase their work in the biggest WOC care Poster Hall at WOCNext® 2023. Visit wocnext.org/abstracts for complete information on the abstract submission process.Episode Resources:Learn more about the WOCNext 2023 call for abstracts processView a PowerPoint on abstracts FAQsClick here to watch a Bite Size course (30-minutes or less!) on how to submit an abstractClick here to watch a Bite Size course (30-minutes or less!) on how to turn your abstract into a posterRead this short blog on abstracts written by the WOCNext® Abstracts Review Committee ChairView accepted abstracts published in an online supplement the Journal of Wound, Ostomy, and Continence Nursing (JWOCN®)View the accepted abstracts/ePosters from WOCNext® 2022If you are interested in finding a mentor to help you with your abstract, send an email to abstracts@wocn.org. About the Speakers:Carole Bauer, MSN, RN, ANP-BC, OCN, CWOCN, employed by the Beaumont Health System, Troy is a Wound and Ostomy Nurse Practitioner where she opened the first outpatient ostomy clinic in the health system. Carole has a passion for WOC nursing and in particular ostomy patients. She has worked to successfully lobby Blue Cross and Blue Shield of Michigan for changes in their allowed supplies for the ostomy patient when the supply limits did not meet the needs of the subscribers. As a champion for WOC nursing, she is an active member of the WOCN® Society. She most recently served as a co-author of the Wound, Ostomy, and Continence Nursing: Scope and Standards of WOC Practice, 2nd Edition, for which she was awarded the WOCN Society President's Award. She is the current Chair of the WOCNext® Abstract Review Committee.Barbara Dale, RN, CHHN, CWOCN, has held a WOC nursing certification since 2003. Barbara works in home health and hospice with minor per diem work in hospitals and skilled nursing facilities (SNFs). She is an active volunteer with the WOCN® Society in numerous roles. Barbara has presented posters at national conferences in 2006, 2007, 2008, and 2010, and presented poster at regional conference in 2011, 2012, and 2015. She has been a poster and abstract reviewer since 2012.  

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, and Alexis Roam, MSN, RN-BC, DNS-CT, QCP, AAPACN curriculum development specialist, talk about the revised long-term care surveyor guidance that goes into effect Oct. 24, 2022, and how skilled nursing facilities (SNFs) can get ready.

It's not uncommon that NPs approach business with the idea that they can bootstrap their business. Indeed, if you do an internet search, you'll find tons of articles on how to bootstrap your business. Indeed, there are many companies that did their startup this way. However, it just means they did not go after investors. They still have some startup capital.In episode #62 of the NP Business Matters podcast, we talk about the idea of bootstrapping and what it really means. We'll also take a look at a minimal practice startup from the perspective of a mobile practice of seeing patients in their homes, ALF, or SNFs.Ready? Let's get to it!

Melissa Brown welcomes back Irene Henrich, Vice President of Quality and Compliance for Flagship Rehabilitation, and Director of Therapy Compliance for EDGE Therapy Solutions.  In this episode they discuss the SNF proposed rule for 2023 and some of the key points that you need to be made aware of for the future. 

Episode page: https://valuecapturellc.com/he67 Welcome to Episode #67 of Habitual Excellence, presented by Value Capture. Joining us today as our guest is Denise Cardo, MD. Dr. Denise Cardo is the director of the Division of Healthcare Quality Promotion (DHQP), National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) at the Centers for Disease Control and Prevention (CDC). Dr. Cardo joined CDC in 1993 as a medical epidemiologist in the Hospital Infections Program (later named as Division of Healthcare Quality Promotion). After holding several leadership positions in DHQP, she was selected as division director in 2003. Her interests include patient safety, occupational health, prevention of healthcare-associated infections, and antimicrobial resistance. She's recently the co-author of a NEJM Perspectives piece: Health Care Safety during the Pandemic and Beyond — Building a System That Ensures Resilience In today's episode, Dr. Cardo talks with host Mark Graban, about topics and questions including: Why should we aim beyond merely “getting better” and why should we be aiming for Zero Harm? Aim for “perfect healthcare with no harm? What are some practices that are not evenly distributed across the US? Working previously with PRHI - Ken Segel and Paul O'Neill? 70% decrease in harm showed what's possible Preventing preventable infections or ALL infections?? What is the role of CDC in promoting and partnering with healthcare organizations on patient safety? How has that evolved? Policies to incentivize - transparency and accountability Aligning payment to results… most countries aren't there yet Please tell us how the CDC partners with CMS, AHRQ, and other federal agencies? With private advocacy groups? Focusing on Americans, CDC is a global leader — Collaboration or learning from similar organizations in other countries that are focused on patient safety? Lessons from the Covid pandemic? As you wrote about in the NEJM, why have we seen more patient safety problems recently, including more falls, more infections, more pressure ulcers in hospitals and SNFs? You and your co-authors wrote the recent trends “severely suggests that our health care system lacks a sufficiently resilient safety culture and infrastructure.” Disparities and equity - not just access to care, but “quality care” Moving forward, what evidence would you expect to see if we DID have a “sufficiently resilient safety culture and infrastructure”? Click to visit the main Habitual Excellence podcast page.

Host: Timothy Morgenthaler, M.D. @DrTimMorg Guest:  Anupam Chandra, M.D., Consultant, Internal Medicine, Mayo Clinic Hospitals discharge more Medicare beneficiaries to skilled nursing facilities (SNFs) than to any other post-acute care setting. Approximately 25% of those patients return to the hospital within 30 days. Many of these readmissions are preventable. In this podcast Anupam Chandra, M.D., Internal Medicine, Mayo Clinic shares how artificial intelligence is employed to determine which patients are at the highest risk for readmission and why. Dr. Chandra discusses Mayo Clinic's approach to readmission reduction for skilled nursing home patients, how it was implemented, and what factors are monitored to gain additional insights into clinical practice.  Find out more about Mayo Clinic's Quality program at https://www.mayoclinic.org/about-mayo-clinic/quality/. Connect with us on Twitter or Facebook using #mayokeyintoquality or at: https://www.facebook.com/MayoClinic https://twitter.com/MayoClinic

PTJ walks you through the complexities around multiparticipant therapy provision in SNFs.

Robin Hillier of RLH Consulting explains why this rule comment period is critical for providers to ensure their suggestions are taken seriously and ways they can still take advantage of the Patient Driven Payment Model in the future. Follow us on Twitter: @mcknightsltcn

Spending time in research can deliver the humbling, but needed, reminder that not all therapy leads to clear value for our clients. For example, in the United States, we can now see that in the 2010s therapy was being delivered in skilled nursing facilities (SNFs)—beyond what was helpful for clients. Part of the problem was the fee-for-service payment model that incentivized skilled nursing facilities to deliver high quantities of therapy minutes to as many patients as possible. (More therapy equaled more money.) The research article that we will explore in this one hour course, shows us the humbling data behind this problem. And, it reminds us of why the transition to value-based care continues to happen. The authors specifically look at data around post-acute hip fracture rehab, and compare fee-for-service Medicare versus Medicare Advantage (which is a value-based care program.)To help us make sense of the changing therapy landscape, we are thrilled to welcome Clarice Grote, MS, OTR/L, is an innovative advocate for occupational therapy and an expert on Medicare post-acute care policy. Clarice will help us understand how this research applies to your individual practice. In order to earn credit for this course, you must take the test within the OT Potential Club.You can find more details on this course here:https://otpotential.com/ceu-podcast-courses/payment-models-in-post-acute-otHere's the primary research we are discussing:Kumar, A., Rahman, M., Trivedi, A. N., Resnik, L., Gozalo, P., &; Mor, V. (2018). Comparing post-acute rehabilitation use, length of stay, and outcomes experienced by Medicare fee-for-service and Medicare advantage beneficiaries with hip fracture in the United States: A secondary analysis of administrative data. PLOS Medicine, 15(6).Support the show (https://otpotential.com)

Marie is a licensed speech-language pathologist with a graduate degree in speech-language pathology from the University of North Carolina- Greensboro. She also possesses the national accreditation, certificate of clinical competency, from the American Speech and Hearing Association. She is a recent graduate of The Myo Method, an orofacial myofunctional therapy course and is a private practice owner currently going through the credentialing process. She has also created “My Speech Sounds” which are a line of coloring books designed to accompany therapy by providing simple  practice steps at the word, phrase and sentence levels. Myofunctional therapy, early intervention, pediatrics and multicultural aspects (since she is half Asian and grew up in a bilingual home) are just a few of her clinical interests. Prior to becoming an SLP, Marie had two previous careers. Her first career and love was fine jewelry. Growing up, she often accompanied her mother to gem shows. Then her mom would draw out designs and have these items made by jewelers that were close friends of her family overseas. After spending approximately seven years in fine jewelry professionally and even owning a small jewelry store of her own, she changed careers into finance. Marie landed a position as a financial specialist and was promoted to a small business licensed financial specialist with a large national bank based out of North Carolina. In this role, she acquired her Series 6 and 63 investment and insurance licenses. With a focus on small business, she handled businesses ranging from $0 - $3 million in annual revenue. Being a one point of contact for business owners meant helping to manage their deposit accounts, lines of credit, commercial property lending, equipment leasing, as well as investment needs such as SEP IRAs,  and 401k plans for their employees, along with all personal banking needs too. The link between all these careers she loved the most was building relationships with clients and making them feel valued. When she found speech pathology, she knew she found her home. A career where she could build a myriad of skills and a variety of settings to choose from. After experiencing acute care, SNFs, private practice and the school system, she finally decided to follow her heart and take the leap into private practice and being a business owner once again. We get into all the things! You'll hear us talk about: -Untraditional SLP path-Sets boundaries in the working environment while maintaining good relationships -Applying her non SLP skills to her SLP job-Why SLP is her favorite careerHere's where to find Marie:Instagram: speech.culture.positivityMarie's Book:My Speech Sounds: Coloring Book, A Therapeutic Companionhttps://www.amazon.com/My-Speech-Sounds-Therapeutic-Companion/dp/B09M4QV4PW/ref=sr_1_1?crid=7QL3CKY4ESW6&keywords=my+speech+sounds&qid=1643610775&sprefix=my+speech+sounds%2Caps%2C75&sr=8-1#nav-topFind and support Danni below for more contents:Instagram: https://www.instagram.com/speechgoods/Youtube: https://www.youtube.com/channel/UCyCX...Podcast: https://podcasts.apple.com/us/podcast...Enroll in the Start Your Private Practice Program with this link and get 50% off a 1:1 with Danni!https://www.startyourprivatepractice.com/jv?affiliate=danni21 --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

The future of work has arrived. With the gig economy in full swing, workers are choosing when and where they want to work. That goes for bellhops, for contractors, and increasingly, for healthcare workers. In this episode, we talk with Todd Walrath, CEO of HomeCare.com and ShiftMed, about the healthcare workforce management platform that's capitalizing on this emerging trend, while delivering quality, credentialed healthcare on-demand to hospitals, assisted living providers, and SNFs. We discuss: Todd's transition from consumer products to the heavily-regulated vertical of healthcare How quality of care remains consistent on a platform like ShiftMed The quest to revolutionize the underlying economics of homecare Exciting innovations happening in healthcare data   Stay connected with In the Worx by subscribing on Apple Podcasts, Spotify, or your favorite podcast player. Check out our website at healthworx.com. If you have any suggestions for topics to feature or innovators who are pushing healthcare forward, contact us at comms@healthworx.com. 1.Guests invited to speak on the podcast are not employees of Healthworx, LLC (hereinafter, “Healthworx”) or its affiliates. The views and opinions of guests are their own and do not necessarily reflect the views and opinions of Healthworx, its management or company as a whole, or its affiliates. 2. [If you have medical professionals on the podcast] Information provided is not medical advice, is not meant to be interpreted as medical advice, and should not be accepted as such. Listeners should consult with their own physician or other medical provider if they have any health concerns or questions. 3. The mention of any products, methodologies or companies does not constitute an endorsement by Healthworx or any of its affiliated entities of such product, methodology or company. 4. Except for personal use or education, no one should reuse, republish or reprint the information contained in this podcast or the podcast itself without Healthworx's consent. Please contact comms@healthworx.com with your request.

On Episode 16 we talk to Luis Ramos, a Physical Therapist Assistant, Licensed Massage Therapist, and personal trainer. Luis grew up in Puerto Rico, joined the Marine Corps out of high school, and has since been working in training and rehab with a very diverse clientele. The things we chatted about included -his military background and the places he's been -going to PTA school, massage school, and becoming a trainer all within 3 years -working with patients in SNFs versus working with them in their homes -finding the balance between manual therapy and exercise -getting into pole fitness and aerials -does flexibility matter and how to get more flexible? -trying new things and getting out of your comfort zone

Long-term care expert Stefanie Corbett discusses COVID vaccine mandates, boosters, and other infection control compliance to keep in mind. We also discuss where SNFs should focus their efforts to avoid dips in revenue and compliance issues, specifically the False Claims Act. Stefanie is a health policy educator, consultant, researcher, and author. She is the owner of Corbett Healthcare Solutions, a private consulting firm for postacute care facilities.

The traditional definition of post-acute care (PAC) represents the legacy of a fragmented approach to healthcare that segments care into “silos” and finances institutions to care for a “slice” of the patient instead of incentivizing whole-person, coordinated care. As post-acute care is the largest driver of overall Medicare spending variation, establishing a coordinated, whole-person care network across the PAC continuum is essential for organizations to successfully operate under value-based payment models and to optimize patient outcomes. However, without transparent, market-wide data with longitudinal analytics, a comprehensive network, and relationships with hospitals, it seems like an  insurmountable challenge to overcome. Our guest this week is Ian Juliano, founder and CEO of Trella Health. Trella Health, is dedicated to creating optimal care networks that yield superior outcomes and greater efficiencies. Employing sophisticated longitudinal analytics on its massive, proprietary database, Trella enables providers and payers to compete and thrive in the new world of Value Based Care. For Ian, value-based care and PAC network optimization is a personal calling. His individual commitment provides a clear path to follow in the race to value! Episode Bookmarks: 05:00  Advocating the benefit of data democratization in VBC to Andy Slavitt 06:00 Working with Niall Brennan, the Chief Data Officer of CMS from 2010-2017 07:00 Building one of the largest proprietary databases of CMS claims data through a partnership with the CMS Virtual Research Data Center (VRDC) 08:40 “Transparency in data can lead to better treatment decisions that result in improved outcomes and lower costs” 09:40 How Trella's massive database is helping hospital systems, post-acute providers, and ACOs make better decisions 11:30 The challenge of ineffective transitions of care post-discharge and the cost differentials between different PAC settings 13:00 Ian speaks about how hospital ownership of home health agencies or IRFs leads to inappropriate referrals post-discharge 14:40 “As a nation, we have been overly, myopically focused on the cost of a post-acute care setting versus the impact and cost trajectory of the patient.” 16:00 Ian provides an eye-opening example of how $1million in costs were saved (along with better outcomes) through appropriate transitions to home health instead of SNFs 18:30 Ian provides another example of a system saving $1-2M in spend by sending patients to on-time hospice at the  end-of-life 21:00 “In some academic medical centers, over two-thirds of inpatient discharges that meet high-acuity guidelines receive no post-acute care whatsoever! And one-third of those patients are back in the hospital within two days, leading to higher costs.” 23:00  Ian speaks about how ACOs and DCEs can ensure access to outstanding SNF and home health agencies by aligning incentives 25:00 “Developing the right post-acute care provider network is not all about narrowing.  It's about finding the right network that meets all of the specialized needs, to get best-in-class care for all of the different categories of patients.” 25:50 The importance of physician training in building an optimized PAC network 26:20 Using data to look at patient flows, identify gaps in care, and monitor cost performance KPIs over time 28:40 Ian speaks about the future of the skilled nursing industry in relationship to value-based care 30:30 “If I were an ACO, I would be quite mindful anytime a hospital recommends a hospital IRF. I would make sure to see whether a SNF is more appropriate.” 31:30 How did occupancy rates in long-term care impact SNFs during COVID-19? 32:00 How do increased referral rates to home health instead of SNFs lead to lower adherence rates? How can home health agencies ensure that patients actually receive care? 34:40 Primary PAC Optimization Strategies: 1) Sending appropriate patients to SNF instead of IRF.

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MT, AAPACN vice president of education and certification strategy talks about quality measures for skilled nursing facilities (SNFs) with Pat Newberry. Specifically, they address the differences between the SNF QRP and Five Star measures, and clarifications around claims-based quality measures. 

With us today is Maureen McCarthy. Maureen is president of Celtic Consulting, LLC, and CEO and founder of Care Transitions, LLP, a care coordination service provider. We chat about the proposed FY 2022 payment rule for SNFs.

Long-term care Reta Underwood joins us today to help prepare SNFs for upcoming surveys.

With us today is Maureen McCarthy. Maureen is president of Celtic Consulting, LLC, and CEO and founder of Care Transitions, LLP, a care coordination service provider. We discuss how reimbursement avenues have changed in the past year, and how SNFs need to consider what might change as the pandemic hopefully improves.

Long-term care expert Reg Hislop looks back on how SNFs fared over the first year of PDPM, and discusses the Part B therapy rate cut by 9%.

Stefanie Corbett, owner of Corbett Healthcare Solutions, joins us today to talk about OIG recommendations to CMS, and what SNFs need to keep an eye out for.

Long-term care expert Reg Hislop chats with us about recent CMS guidance on testing, reporting, and the particularly new guidance on visitation policies.

Expert Jodi Eyigor, Director of Nursing Home Quality & Policy at LeadingAge, joins us to talk about implementing Trauma-Informed Care in SNFs.

I love professionals like Michael Smith. Mike climbed the ladder from a CNA to housekeeper to nurse to RNAC to director of nursing to administrator and now to director of operations. He really knows this industry well and has an excellent understanding of home this complex puzzle comes together. In this episode we discuss the effectiveness of a telehealth program in the nursing home setting. A good telehealth program empowers the nurses to effectively communicate and actually show the on call physicians exactly what's going on in real-time.The system is manned by hospitalists that are trained to provide remote care in the nursing home setting. This has dramatically reduced the rehospitalization rates for these facilities and the residents are being effectively treated in the SNFs.Linkedin - Mike  SmithFacebook - Marquis Health Services Linkedin - Marquis Health Services Marquis Health Services 

What does Zimmet Healthcare actually do? Zimmet Healthcare is a consulting support firm specializing in skilled nursing facility reimbursement, compliance and strategic planning. Initially started as a service vendors creating cost reports and appeals for Medicare and expanded as the industry has matured. Zimmet Healthcare currently employs about 60 people servicing about 300 facilities across the country. Do you see a significant trend in the reimbursement method for SNFs from when you started out to today? There's a complete shift in SNF reimbursement. To be frank, clinical reimbursement is a complex topic and the goal of this conversation is to get a better understanding of the big picture, the coming changes and how they will affect day to day operations of your nursing home. With that in mind, let's go back to Marc's answer. In the earlier days, reimbursement was based on the costs a facility incurred when caring for a particular resident. The more the facility spent on the resident, the more was their reimbursement within reason. This is now changing to a model that is based on price and not cost. There is a fixed rate per day for a residents' condition, diagnosis and plan of care. The facility will get reimbursed at that rate regardless of the actual costs incurred by the facility. Why is Medicare Changing the Reimbursement Methods? One of the biggest challenges with the current PPS/RUG method of reimbursement is that there is too much of an emphasis on the therapy received by the resident. For example, if there are to residents who receive the same level of therapy, the facility will receive similar reimbursement for them even if one has significant other clinical challenges (such as wound care or cognitive issues etc.). PDPM - Patient Driven Payment Model PDPM which is starting October 2019, enhances the reimbursement sensitivity of the all the different payment drivers and takes the focus away from therapy as the primary driver of payment. PDPM Vs. RUGs To understand the difference in reimbursement consider the following. We are going from a RUG system which has 66 RUG scores (of which we only use 20 or so of them), to PDPM which has almost 29,000 rate composite possibilities, which boils down to 15-20,000 rate combinations that will actually be used. In simpler terms, with more words in the language we can be that much more precise. How Does This Affect the MDS Process? The MDS job description will change a bit. There will be fewer assessments, however, it will require working more extensively with the other disciplines. Whereas in the past the reimbursement was driven primarily by therapy and ADLs, now the other disciplines will play a significant role in the reimbursement process. For example, dietary will need to capture a mechanically altered diet. The psychologists, respiratory therapists and others will play a large part in this process. Who is Pushing for These Changes? The federal government is pushing for these changes. MedPac (The Medicare Payment Advisory Commission) has been almost begging congress and CMS to implement a patient specific payment model that does not recognize the frequency and duration as the payment driver because it provides an incentive to over treat the patient. Is the Government Trying to Save Money With This? Theoretically, this is supposed to be budget neutral. It's a redistribution from facilities that focus primarily on the therapy intense patients, to facilities that take the sicker, more compromised patients on the vents and trachs. The medically complex patients reimbursement will go up considerably and the therapy intense patients will go down. Will Facilities Make More Money in PDPM? Zimmet Healthcare expects that facilities will get better at taking credit for the care they provide and in the first year Medicare will actually spend more than their budgeted amount. This will be followed by a rate reduction that will recalibrate the dollars to make it budget neutral. So perhaps in year 1, the facilities that learn and implement programs to accurately take credit for the care they provide, may make some extra money. However, once the rate is adjusted, it should remain budget neutral. Who Gains by These Changes? Ultimately, these changes are indeed in the best interests of the patient. The problem with the system is that you almost have to provide a high level of therapy in order to keep your doors open. Let's take the dialysis patient as an example. In the RUG reimbursement model, the facility would lose money. The rates are simply inadequate. Facilities would try an aggressive treatment approach where they would take the resident to therapy early in the morning knowing that the resident will not be able to tolerate the therapy on their return. With PDPM, this will not be necessary because the other clinical challenges will be considered as well in the reimbursement rate. What is Changing in the Medicaid System? Being that Medicaid is not a national system, and each state runs their own program, it's difficult to speak about the specifics of the program. However, in general terms, Medicaid started out as a cost based model, many states then went to a case mix and acuity model, to a priced based system and finally to managed care. This is not universal but is the general trend. More importantly, every state has x number of dollars to spend on their Medicaid program. The main concern is not the distribution of reimbursement for the program, rather, it's the overall total funding of the program. An astute operator will learn to maximize their Medicaid reimbursement dollars in any Medicaid system. The problem lies in the total dollar amount that the state allocates to the Medicaid program. Are the Articles That State the Amount a Nursing Home Loses Per Day Accurate? It may be true that the rates are inadequate, however, the facility was never going to be profitable just by the reimbursement payments. In order for a facility to be profitable they will need a good short term rehab census as well. This together with the Medicaid payments can make the facility viable and profitable. If the facility was 100% filled with Medicaid patients with the right acuity mix, and everyone had Medicare Part B you would not be losing $37 a day. Is Owning and Operating Nursing Homes Still as Profitable Now as it was 25 Years Ago? In the early 90's it seemed like a really simple business to run. Nowadays, it's a very complex business. Today, there is tremendous potential in the post acute care continuum which SNFs are such an important part of, is where the opportunity lies. In post acute care management, there real opportunity to meet the new demands of the new nursing home residents. A stand alone nursing facility that is well managed can absolutely be a profitable business and serve the community well. Where are Those Baby Boomers? We are always being fed information by the media that with the baby boomers are coming of age and nursing homes will have to scramble to meet the need. While in reality, nursing homes are struggling to survive due to lack of patients. As mentioned earlier, there are a variety of variables that are causing this to happen, including the push to provide for these elders within the community. However, the statistics do show a sharp increase in the Altzheimers disease in the coming years of which 75% of those over 80 will need to be admitted to a SNF. That is something that will significantly increase the utilization of SNF care and should sharply affect the overall occupancy. Contact Marc Zimmet and learn more about Zimmet Healthcare at ZHealthcare.com