Inpatient Rehab Flashcards

1
Q

what is inpatient rehab?

A

provides the highest level of rehab a patient can receive when compared to skilled nursing, home health, or other therapy facilities

multi disciplinary approach

daily physician visits

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2
Q

what is the average length of stay at an IRF?

A

12-35 days

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3
Q

what is the role of PT in management in an IRF?

A

managing and scheduling staff

working directly with patients or overseeing other PT’s in the clinic

ensuring that all organizational and government regulations are followed

managing the departments budget and implementing new fiscals policies

evaluating the effectiveness of the department’s programs

maintaining records and reports that are compliant with all applicable laws

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4
Q

t/f: inpatient settings requires a team of healthcare professionals with different backgrounds working towards the same goal

A

true

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5
Q

what are the benefits of interprofessional collaboration (IPC)?

A

helps avoid difficulties with communication and organization

improves job satisfaction, and increases patient outcomes by reducing risk of readmission by putting the patient first and not their diagnosis

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6
Q

who is involved in the interdisciplinary team?

A

Physician

Physical Therapist

Occupational Therapist

Speech and Language Pathologist

Licensed Practical Nurse

Registered Nurse

Certified Nursing Assistant

Psychologist

Social Worker

Case Manager

Recreational Therapist

Registered Dietician

Vocational Therapist

P&O

Respiratory Therapist

Maintenance Services

Billing Services

Nutritional Management

Chaplain

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7
Q

what are the staffing responsibilities in PT management?

A

balancing duties between PTs, PTAs, & PT aides in a cost effective manner

recruitment and hiring (weighing the effects of productivity)

employee retention (incentivizing work and rewarding staff)

recruiting and retaining the staff members to enhance productivity

staff development

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8
Q

what is involved in staff development?

A

offering continued education courses and further resources to become “super users” of specific equipment

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9
Q

how do we help employee retention?

A

incentivize work and reward staff

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10
Q

what are the aspects of revenue management?

A

revenue cycle management

services and charges

claim submission and denial management

report generation

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11
Q

what is revenue cycle management?

A

patient arrival to full payment of services rendered

efficiency and resource allocation

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12
Q

what falls under services and charges in revenue management?

A

billable charges and medical codes

documentation efficiency

delays and denials

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13
Q

t/f: even if that particular pt costs more or less, the flat rate is what is charged

A

true

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14
Q

what is the inpatient prospective payment system (IPPS)?

A

pt pays a flat rate based on the avg charges across all hospitals for a specific diagnosis

payment is adjusted for differences in area wage costs, teaching status, high percentage of low-income patients, use of new technology, and extremely costly cases

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15
Q

what are roadblocks to success for a PT?

A

the 3 hour rule

quick d/c from acute care

time management

steady decline in patient volume/population due to Medicare restriction to 13 populations

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16
Q

what is the problem with the 3 hour rule?

A

inaccurate placement

too much for goals

session cramming

17
Q

what are the challenges from current rehab therapists?

A

increased risk of on job injuries

therapist burnout

employee retention

18
Q

what accounts for 54% of all on job injuries for IRF PTs?

A

manual transfers/lifts

19
Q

what % of IRF PTs experience burnout?

A

45-70%

20
Q

why are there employee retention challenges?

A

bc of holiday/weekend drawbacks