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  • 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
  • Team-Based Care

    Over the past few months, I've heard more and more about the patient-centered medical home (PCMH) model of healthcare. I typically think about healthcare models in the silos my physical therapy clinical rotations were centered on: inpatient, outpatient, or a skilled nursing facility. The idea of healthcare facilities as a ''home'' elicits a ...
    Posted to Raising the Bar in Rehab (Weblog) on March 14, 2014
  • What Do Scores Really Mean?

    The National Health Service was in the news again this weekend, and not for good reasons.  The children's hospital in Bristol has a high mortality rate. The medical director of NHS England, Sir Bruce Keogh, has ordered an independent review of the matter, which is remarkable in that normally investigations have to go through numerous levels ...
    Posted to PT and the Greater Good (Weblog) on February 18, 2014
  • What's Your Tipping Point?

    In the year I was back in the US, a very important paper came out here in the UK; the Francis Report, which details the failings of one institution in caring for its patients. This report is having ripple effects through the entire country in terms of lots of bureaucrats creating lots of forms and ticky-box exercises to ensure their Trust doesn't ...
    Posted to PT and the Greater Good (Weblog) on January 7, 2014
  • I Don't Know Much About Politics

    Really, I don't know that much. Politics to me is complicated and deceiving, and by not knowing which reports to trust or even believing any candidate will follow through with his promises, I find myself avoiding the issues more often than not. But as I've grown older and recognized how these elections will ultimately impact my life, profession, ...
    Posted to Raising the Bar in Rehab (Weblog) on August 23, 2012
  • CSM 2011

    This year I made it to CSM. Everything fell into place. New Orleans is 6 hours from Houston. My facility paid my registration. I found a cheap hotel room close to the convention center. Now that I'm back I'm still working on defining my perceptions and experiences. My attention span gradually decreased as the conference continued. By the last ...
    Posted to Toni Talks about PT Today (Weblog) on February 15, 2011