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PTA Blog Talk

Rehab Criteria

Published November 25, 2009 1:49 PM by Jason Marketti
Recently I was told if there is no denial of claims and patients are making progress, the physical therapy department is a success.  This got me to thinking about success in a rehab department.  What exactly is the criterion for success in rehab?

Good communication between disciplines should be part of that success and, of course, trust between professionals concerning the progression of patient goals has to be part of that as well. 

I don't think we can say only one or two things make a department a success.  The success is usually multifactorial and involves all of rehab, nursing and administration to ensure our success. 

If nursing is not able to pass pain meds then we have a more difficult time treating patients who are in pain. If administration decides there are too many employees, the patients needs are not attended to quickly, as we in rehab may have to wait longer to effectively treat our patients. And if we don't communicate with MDS often enough, we don't generate income that pays the bills for the facility. 

The criteria for success should be measured by all disciplines participating in patient care effectively to ensure the success of everyone else. 


Too many times there are power struggles between department heads and the patient is left out. In our facility, there is a huge power struggle and the reasoning behind it is childish. The administration is underhanding everything therapy tries to do, all because a therapist would not change the documentation to justify a device. Now there is a big target on the therapy department and the administrator is aiming those knives, arrows,a nd bullets.

We haven't had any denials of claims and our patients are progressing as well as can be expected for their conditions, however, we are not successful simply because of the lack of trust and the constant undermining of the therapy department by administration. Sucess can be measured by the contentment of staff, all staff, and the mutual respect of each as professionals. Not the income nor lack of denials.

Carla December 9, 2009 10:17 AM

No denials and progress and that equals success? You are right the success is multifactorial.  Perhaps a talk with your DOR will clear that up unless it was the DOR who told you that.  

Karen November 29, 2009 7:15 PM

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About this Blog

    Jason J. Marketti
    Occupation: Physical Therapist Assistant
    Setting: San Jacinto, CA
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