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Showing page 1 of 32 (312 total posts)
  • The Obesity Issue

    Last week I heard a statistic about obesity in the United States. Currently 36% of all Americans are obese, with the number higher in the older population, according to a recent survey. I don't know if the number is accurate but it's probably close. That is a scary number for PTs since the majority of our patient population falls into the older ...
    Posted to Toni Talks about PT Today (Weblog) on December 16, 2015
  • Do All Medicare Part A Patients Need Therapy?

    Today the answer is yes, particularly if the patient is a resident of the facility who went out with a medical problem. Not only do these patients need therapy, they need to be on caseload as long as possible. It is the only way a SNF can survive. Years ago, what I refer to as ''back in the day,'' we had the same scenario. We were encouraged to ...
    Posted to Toni Talks about PT Today (Weblog) on December 3, 2015
  • APTA Takes Aim at SNF Productivity Controversy

    The American Physical Therapy Association (APTA), Alexandria, Va., issued an Oct. 8 press release detailing how the organization has spoken out in The New York Times (NYT). This initiative was precipitated by recent reports that skilled nursing facilities (SNFs) are taking advantage of Medicare billing policies. The APTA states that these ...
  • The Reimbursement Paradox

    I wish someone could explain this to me. The baby boomers are aging. Each year, millions more of them will become eligible for Medicare. Instead of increasing funding to cover everyone at current levels, the government is decreasing the funding. Everyone will still get funding but with less coverage. As physical therapists, we know the aging ...
    Posted to Toni Talks about PT Today (Weblog) on September 23, 2015
  • The Skilled Nursing Facility Conundrum

    Last week I was involved in a discussion regarding membership in the APTA. For once the topic wasn't new graduates but therapists who were members but no longer are. The question was, what would it take to bring them back in? What do they value? I responded by describing how a SNF functions. Fix that chaos and they'll return. SNFs are unique. ...
    Posted to Toni Talks about PT Today (Weblog) on September 2, 2015
  • Why Nothing Will Change at the APTA

    In my last blog, I described my concerns that nothing will change with the APTA, expensive consultant group or not. I expect them to continue with the same message but repackage with new words. I see subtlety in their future. The reason I don't expect change is simple. The same people will still be in charge. No one is stepping down from a ...
    Posted to Toni Talks about PT Today (Weblog) on August 19, 2015
  • PT Day on Capitol Hill

    The morning of June 4 started very early for more than 1,000 dedicated attendees at the American Physical Therapy Association's NEXT 2015 Conference & Exposition in National Harbor, Md. These hardy souls awoke before the sun, donned their professional best and headed downstairs by 6 a.m. for a quick breakfast before boarding shuttle buses ...
  • My Patients Are Sicker Than Ever

    We're all well aware of the fattening of our patients. Years ago facilities rented bariatric equipment. Now they own it. Obesity compounds other medical problems as well as interfering with mobilization, and the trend continues. I've noticed another trend that doesn't seem to be getting attention. Our patients are sicker than they've ever ...
    Posted to Toni Talks about PT Today (Weblog) on June 10, 2015
  • The Patient Is Always Right No Matter What

    My facility has instituted a new policy: Keep the patient happy no matter what. Staff has been instructed to think of patients and their families as clients. Happy clients tell friends about their experiences. We want those friends to choose our facility if they ever need long-term care. That way we can maintain our financial goals. Nothing is ...
    Posted to Toni Talks about PT Today (Weblog) on June 5, 2015
  • Treating a Difficult Patient

    ''I'm paying to be here and be taken care of. You will do what I tell you.'' It's bad enough we struggle for respect from physicians and occasionally other disciplines. I would say the majority of the population doesn't know what we do or the amount of education required to be a therapist. Usually if we work hard and prove ourselves, the respect ...
    Posted to Toni Talks about PT Today (Weblog) on May 20, 2015
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