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Showing page 4 of 12 (115 total posts)
  • Consent for Professional Abuse

    If you're thinking this is a post about patient consent, it's not. Last week I wrote about the nearly unachievable productivity levels in skilled nursing facilities. I got a lot of responses from it. A former classmate wrote to tell me he was just separated from his employer due to saying ''no'' to unreasonable productivity levels. Professionals ...
    Posted to PT and the Greater Good (Weblog) on June 24, 2014
  • Productivity Woes

    Many of my fellow ADVANCE bloggers have been voicing concerns over productivity standards where they work. There is concern over not being able to reach targets and still do required work that's not billable; concern over working on one's own time; concern over patient outcomes; and concern of personal burnout and exhaustion. They are not alone. ...
    Posted to PT and the Greater Good (Weblog) on June 18, 2014
  • The Productivity Push

    Once upon a time, not but a short few months ago, I worked in a large corporate-run skilled nursing facility where the productivity of the rehab staff was considered top priority. Even above the recovery of the patients, you may ask? Almost -- with productivity expectations a very close second. Every week our rehab meeting would lead with our ...
    Posted to Life of a PTA (Weblog) on June 13, 2014
  • My Mentor, My Inspiration

    For my birthday, I've treated myself to phone calls to friends and family back in the States. I just got off the line with the person who I can say is the reason I became a PT/physiotherapist. I had been in my mid-20s and the whole starving actor gig was more starving than acting and it really wasn't much fun. I figured that if I wasn't having ...
    Posted to PT and the Greater Good (Weblog) on June 10, 2014
  • Yes, There's a Need for What I'm Doing

    This morning I learned that a piece of my childhood had passed on. Ann B. Davis, one of the actors in ''The Brady Bunch'' (new grads, ask your parents, they'll remember) slipped while getting out of the shower, hit her head and died. This is really unfortunate. I've read that she needed a walker to get around. I wonder if she had assistance in ...
    Posted to PT and the Greater Good (Weblog) on June 3, 2014
  • Changing a Culture

    I've just gotten back from a day trip to London. My colleague, a nurse, and I presented for a panel of judges on why our service should be awarded the National Patient Safety Award for 2014. It went well, I think. It's based on the fact that our service succeeded at reducing falls by 81% in a cohort of 142 people for six months after discharge. ...
    Posted to PT and the Greater Good (Weblog) on May 28, 2014
  • What if You Could Impact the Milliman Guidelines?

    When I was working for a managed care company back in New York, the Milliman Guidelines were the book that drove levels of care and reimbursement. Treatments were approved or denied based on what was in that book. In the UK, the NHS is actually a single payor insurer with each local Clinical Commissioning Group (CCG) deciding which treatments, ...
    Posted to PT and the Greater Good (Weblog) on May 21, 2014
  • HIPAA Violations Can Be Overheard Too

    The other day, I was sitting at a nursing station and overheard a conversation between a patient and a physician. I wasn't trying to eavesdrop. The patient was very hard of hearing and the doctor had to yell to be heard. The patient was yelling back. I realized I was overhearing a major HIPAA violation. Between the two of them, they were ...
    Posted to Toni Talks about PT Today (Weblog) on May 20, 2014
  • Restructuring

    The very word can strike fear into many employees. In my previous experiences, that translated into layoffs, with those lucky enough to remain absorbing many of the jobs that used to be done by those laid off. The NHS has gone through a fair amount of restructuring in the past four years, so it has become nearly commonplace. Since 2009, I have ...
    Posted to PT and the Greater Good (Weblog) on May 14, 2014
  • She Loves Her Job

    I always enjoy talking to the therapists who come to my course. Last week I met a PT I'll call Dottie. I don't want to use her real name, but she reminds me of someone named Dottie. Dottie has been a therapist since back in the day. She graduated years before I even thought about PT school and is still going strong. Dottie is a home health ...
    Posted to Toni Talks about PT Today (Weblog) on May 13, 2014
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