Impact of Medicare Changes on Occupational Therapy in Skilled Nursing Facilities: Pilot Study

2002 ◽  
Vol 21 (2) ◽  
pp. 1-13 ◽  
Author(s):  
Jennifer Kennedy ◽  
Bethany Maddock ◽  
Becky Sporrer ◽  
David Greene
Keyword(s):  
Pilot Study ◽  
Occupational Therapy ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Skilled Nursing

scholarly journals Peripherally Inserted Central Catheter Use in Skilled Nursing Facilities: A Pilot Study

2015 ◽  
Vol 63 (9) ◽  
pp. 1894-1899 ◽  
Author(s):  
Vineet Chopra ◽  
Ana Montoya ◽  
Darius Joshi ◽  
Carol Becker ◽  
Amy Brant ◽  
...  
Keyword(s):  
Pilot Study ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Skilled Nursing

Analysis of Touch Used by Occupational Therapy Practitioners in Skilled Nursing Facilities

2014 ◽  
Vol 21 (3) ◽  
pp. 133-142 ◽  
Author(s):  
Douglas Morris ◽  
J. Henegar ◽  
S. Khanin ◽  
G. Oberle ◽  
S. Thacker
Keyword(s):  
Occupational Therapy ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Skilled Nursing ◽  
Occupational Therapy Practitioners

Therapy Assistant Staffing and Patient Quality Outcomes in Skilled Nursing Facilities

2021 ◽  
pp. 073346482110334
Author(s):  
Rachel A. Prusynski ◽  
Bianca K. Frogner ◽  
Susan M. Skillman ◽  
Arati Dahal ◽  
Tracy M. Mroz
Keyword(s):  
Physical Therapy ◽  
Occupational Therapy ◽  
Physical Therapist ◽  
Hospital Readmissions ◽  
Skilled Nursing Facilities ◽  
Functional Improvement ◽  
Nursing Facilities ◽  
Quality Outcomes ◽  
Skilled Nursing ◽  
Physical Therapist Assistants

Therapy staffing declined in response to Medicare payment policy that removes incentives for intensive physical and occupational therapy in skilled nursing facilities, with therapy assistant staffing more impacted than therapist staffing. However, it is unknown whether therapy assistant staffing is associated with patient outcomes. Using 2017 national data, we examined associations between therapy assistant staffing and three outcomes: patient functional improvement, community discharge, and hospital readmissions, controlling for therapy intensity and facility characteristics. Assistant staffing was not associated with functional improvement. Compared with employing no assistants, staffing 25% to 75% occupational therapy assistants and 25% to 50% physical therapist assistants were associated with more community discharges. Higher occupational therapy assistant staffing was associated with higher readmissions. Higher intensity physical therapy was associated with better quality across outcomes. Skilled nursing facilities seeking to maximize profit while maintaining quality may be successful by choosing to employ more physical therapy assistants rather than sacrificing physical therapy intensity.

Reducing Hospital Readmissions of Older Adults Pursuing Postacute Care at Skilled Nursing Facilities: A Scoping Review

2022 ◽  
Vol 76 (1) ◽  
Author(s):  
Antoinette Shaw ◽  
Pamela Talero Cabrejo ◽  
Abby Adamczyk ◽  
MJ Mulcahey
Keyword(s):  
Older Adults ◽  
Occupational Therapy ◽  
Scoping Review ◽  
Early Identification ◽  
Hospital Readmissions ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Clinical Practices ◽  
Skilled Nursing ◽  
Postacute Care

Importance: Unplanned hospital readmissions can profoundly affect older adults’ quality of life and the financial status of skilled nursing facilities (SNFs). Although many clinical practices focus on reforming these issues, occupational therapy’s involvement remains unclear. Objective: To explore clinical practices aimed at reducing hospital readmissions of older adults pursuing postacute care (PAC) at SNFs and describe how they align with occupational therapy’s scope of practice. Data Sources: We searched CINAHL, Scopus, PubMed, and OTseeker for articles published from January 2011 to February 2020. Study Selection and Data Collection: We conducted a scoping review of peer-reviewed articles with functional outcomes of clinical practices reducing unplanned hospital readmissions of patients older than age 65 yr pursuing PAC services in SNFs. Trained reviewers completed the title and abstract screens, full-text reviews, and data extraction. Findings: Thirteen articles were included and focused on five areas: risk and medical disease management and follow-up, hospital-to-SNF transition, enhanced communication and care, function, and nutrition. Early coordination of care and early identification of patients’ needs and risk of readmission were common features. All clinical practices aligned with occupational therapy domains and processes, but only 1 study specified occupational therapy as part of the research team. Conclusions and Relevance: Comprehensive, multipronged clinical practices encompassing care coordination and early identification and management of acute conditions are critical in reducing preventable readmissions among older adults pursuing PAC services in SNFs. Further research is needed to support occupational therapy’s value in preventing hospital readmissions of older adults in this setting. What This Article Adds: This scoping review maps the presence of occupational therapy’s domains and processes in the clinical practices that reduce hospital readmissions of older adults pursuing PAC services in SNFs. Findings provide occupational therapy practitioners with opportunities to assume roles beyond direct patient care, research, advocate, and publish more, thereby increasing their presence and adding value to occupational therapy interventions that reduce hospital readmissions.

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