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  • Political Confusion

    I think in previous posts when I've discussed politics, I've disclosed that as a lifelong Chicagoan, I've been brought up with a pretty liberal mindset when it comes to politics. That being said, I've also always felt that despite my liberal leanings, I've always been willing to listen to and discuss with those who disagree with me or have ...
    Posted to PT on the Run (Weblog) on July 31, 2014
  • Healthcare Economics 101

    Would you invest in the company you work for? How about an ''Improshare'' where the savings between hours worked and production are shared between the company and the worker? Can you ''feel'' the viability of your company and are they open enough to allow workers to see their bottom line? It can be difficult when you read that a company you work ...
    Posted to PTA Blog Talk (Weblog) on July 30, 2014
  • How Can This Be a Safe Discharge?

    This morning I was working on discharge planning with one of our case managers. A doctor was ready to discharge a patient and she had asked me for recommendations. I immediately said SNF. He wasn't able to safely transfer out of bed. I had yet to see him walk due to complaints of back pain. And he lacks insight into his limitations. The case ...
    Posted to Toni Talks about PT Today (Weblog) on July 30, 2014
  • Evidence-Based... Astrology?

    For the past 5 years, I've spent a fair amount of time talking to people about the reality of the National Health Service (NHS) in England. That it is actually a very good service and an organization I'm rather proud to work within. I've worked hard to convince friends, family, and readers back in the USA that every horrible thing they've heard ...
    Posted to PT and the Greater Good (Weblog) on July 29, 2014
  • Strategic Meeting

    As part of my leadership program, I attended the Texas Physical Therapy Association (TPTA) strategic planning meeting last weekend. The idea was to get newer and upcoming leaders to meet and mingle with people in leadership positions. We also got insight into how decisions are made and what is on tap for us in the future. I loved it. I chose to ...
    Posted to Toni Talks about PT Today (Weblog) on July 22, 2014
  • ‘Can You Back That Up?'

    I was asked that question last week by a board member of the NHS Trust in which I work. Rather a few members are making the rounds of different services to see how things are working (or not) and to assess if they are getting monetary value for those services. We were well prepared. We had the results of a yearlong audit showing excellent clinical ...
    Posted to PT and the Greater Good (Weblog) on July 22, 2014
  • SPT Test-Taking Skills

    One of my biggest strengths in PT school thus far has been my test-taking skills. Due to the extremely accelerated summer semester, there is simply no way to study everything to the extent you can in undergraduate studies. This means you can no longer out-study bad test-taking skills. Here are a few lessons I've learned so far: Eliminate answer ...
    Posted to Striving to Be a DPT (Weblog) on July 21, 2014
  • We're Not Going to Pay for That Brace

    A few weeks ago, a woman was admitted to our facility with a knee injury. She appeared to have ligamentous damage on top of arthritic deformities. She came to us for medical management and antibiotics prior to surgery. Before she was admitted, her orthopedist ordered a KAFO for the involved leg. I'm not a big believer in KAFOs. In my experience ...
    Posted to Toni Talks about PT Today (Weblog) on July 15, 2014
  • The SNF Rehab Model Must Change

    I've learned immense amounts about what my American PT colleagues are going through just to work these days. It disheartened me at first, inspired me next, and now has propelled me to think more creatively. I think it may be time to throw out the baby with the bathwater... and the tub... and the sink... heck let's just rip down the house! The SNF ...
    Posted to PT and the Greater Good (Weblog) on July 15, 2014
  • Delayed ICD-10

    Medicare and Medicaid announced recently that ICD-10 will go-live on October 1, 2015, which is the third time the change has been delayed since 2009. CMS states that several factors impact the delay of implementing the updated coding guidelines: software, staff training, updating policies and guidelines, as well as paperwork to reflect the ...
    Posted to Raising the Bar in Rehab (Weblog) on July 11, 2014
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