Hospitals can be classified by:
Size
Type
Ownership
Length of stay
4 categories that classify healthcare facilities
- Size
- type
- Ownership
- Length of Stay
Size
Number of bed available
Ranges from 24-500
Type
- Acute: stay is 3-5 days. St. David’s, Scott and White
- Subacute: long term acute care. LOS is 2 weeks to several months
- Rehab: High intensity focus on rehab, 3-4 hours per day. ELOS days to weeks
- Specialty: specific population catered to
Ownership
Private: for profit Not for profit: church based Public: local govt owned County: Federal: VA
Length of stay
Short term: less than 60 days
Long term: longer than 60 days
5 benefits of interdisciplinary approach
- Enhance knowledge
- Utilization of time
- Better direction of goals and treatment
- Encourages communication between team members
- Leadership opportunities
Philosophy and 3 statements in a PT department philosophy
Statement of purpose, common goal or mission.
- Physical therapy is a valued profession.
- The patient as the focus of physical therapy.
- Physical therapists play an essential role in healthcare
Definition and purpose of an organizational chart
Diagram that shows the structure of an organization and relationships and relative ranks of its parts and positions/jobs
How can a PT facility make a profit
- Developing effective collection strategies
- Using evidence based practice to justify interventions
- Standardized documentation language so everyone in reimbursement process can understand
- Understand cost to provide PT
- Advocating for PTs as primary care practitioners or practitioners of choice
- Support APTA efforts to influence health care policy changes
- Create a good payor mix
- Develop strategies for reimbursement in preventative programs and Sevices
3 areas a quality assurance system may assess
- Structure: physical plant, records, policies, procedures, equipment, licensure, staff.
- Process: provision of services (intensity, intervals, efficiency, approach)
- Outcome: status at discharge relative to admission
5 objectives of a QA system
- Evaluate level of pt care by department or staff member.
- Relate results of care to specific diagnosis, interventions, intensity of services
- Relate levels of pt care to productivity
- Improve documentation
- Assist in management decisions (hire more staff, move staff around, change equipment).
3 requirements for a QA system
- Assess patient care
- Monitor patient care
- Improve patient care
List 4 quality improvement strategies for therapists
- Make patient and family partners
- Treat whole patient
- Hold yourself accountable to areas facility is falling short
- Enhance employee contribution
Temperature
- 6-99.3
98. 6 most generally accepted single value
Respiration
At rest:
12-18 breaths per min.
Above 20 and below 10 abnormal.
Pulse
Resting:
60-100 BPM
Blood pressure
Normal range:
4 measures to prevent pressure ulcers
- Identify high risk patients
- Patient education
- Recognize skin breakdown (non/blanchable ertythemia
- Eliminate pressure
Explain rational for positioning
- Prevents soft-tissue injury, pressure, and joint contracture.
- Patient comfort
- Access and exposure to areas to be treated.
- Promotes efficient function of body systems
- Relives excessive pressure on soft tissue, bony prominences, and circulatory neurological structures
Reimbursement is on a fee for service basis
Subscriber can use any doctor, hospital or health care facility
Deductible and subscriber pays %
Private health insurance
Combines delivery of services with financing concerning affordability, accountability and accessibility. Managed care organizations: HMO PPO POS
Independent Health Plans–managed care
Administered by federal government
Government health insurance
4 factors when designing a PT facility
Safety
Efficiency
Space
Environment
