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COTA Thoughts

Holiday Wishes 2009
December 19, 2009 11:25 AM by Tim Banish
At this time I would like to wish all of our Advance blog readers a joyous and peaceful Holiday Season. I hope that every one of you enjoy a prosperous and healthy New Year. It has been very enjoyable writing these Advance blogs for the past two years Read More...
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The Revolving Door
December 19, 2009 11:13 AM by Tim Banish
One of the most common occurrences seen in Long Term Care therapy is the repeat offenders, or the Part B patients that seem to need therapy every few months. Some may have a hospital stay which places them back to a Part A, or skilled status, patient. Read More...
277 views     4 comments »     
Our Hands are Tied
December 1, 2009 10:42 PM by Tim Banish
One of the following lines is something I'm sure everyone has heard at one time or another; "increase your productivity", "screen the Part B residents", "expand your caseload" or "find more therapy patients". Whether you are the OTR or COTA in a long Read More...
367 views     4 comments »     
The Future of the COTA
October 22, 2009 3:46 PM by Tim Banish
Healthcare reform, the economic depression, reduced insurance reimbursements, Medicare and Medicaid cutbacks, how will this affect the future of the COTA? Some people are quite nervous right now, thinking that Obama's healthcare reform will eliminate Read More...
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Healthcare Reform Issues
August 22, 2009 1:51 PM by Tim Banish
News from some of the town hall meetings that have been happening around the country reminds me of the Vietnam War protests of the late 60's. Large organized groups of people protesting issues with proposed government actions. There were protesters carrying Read More...
399 views     1 comments »     
A Day in the Life, Part II
August 9, 2009 10:59 PM by Tim Banish
Well, here is Part Two of the typical day of mine. Sorry there were a few blogs between since I promised this as the next one when I wrote Part One. Issues that I thought were more important than one of my boring days got blogged about first though. The Read More...
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Another Hit on Medicare Funding
July 19, 2009 10:47 PM by Tim Banish
Well, I see that Congress has cut another $40 Billion out of Medicare funding. That is for 2010, and over the next ten years the cuts will total $556 Billion! It sure sounds to me like PPS II is here, and it's hitting just as the baby boomer generation Read More...
768 views     6 comments »     
1000 Excuses
June 6, 2009 3:40 PM by Tim Banish
Do you ever have those patients that have an excuse for everything? Why they can't do this, why they can't do that. The ones who have more excuses than Fred Sammons has reachers? You probably know the type of person I'm talking about. They are usually Read More...
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What’s Our Job?
June 4, 2009 10:09 PM by Tim Banish
As a COTA, I've always thought my job was to get people better so they can resume their life. What ever they need that I, as an OT, can offer to help them achieve that goal is what I want them to have. Of course with geriatric rehab, most of the patients' Read More...
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Ethics and Dealing with Consultants
April 18, 2009 5:12 PM by Tim Banish
This week has been a challenging one for the therapy team I work with. We currently have a team of consultants reviewing our patient caseload and the therapy minutes being delivered. They then recommend ways to maximize profits. All of this is well and Read More...
547 views     4 comments »