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Showing page 1 of 8 (75 total posts)
  • 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 PT Job Search Continues

    This week I thought I'd follow up on my friend's job search. She graduated the same year I did and lost her job last month. I'm tracking her progress because the plight of experienced therapists seeking work is completely overshadowed by how new grads are doing. As of last Friday, she had three interviews. Within three days, one told her no. It ...
    Posted to Toni Talks about PT Today (Weblog) on September 16, 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
  • 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
  • What About the Rest of Us?

    Last week, I went to a meeting of the Texas Physical Therapy Association Southeast District. Mike Conners, the TPTA president, was speaking. His topic was the future of physical therapy and increasing awareness of legislative action in the Texas congress. He touched on all the usual topics: direct access, reimbursement for outpatient services, ...
    Posted to Toni Talks about PT Today (Weblog) on March 6, 2015
  • The Criteria for Our Priority List

    Last weekend I was at a horse show, which means I was off on Friday. One of the things I do is manage our list for who gets out of bed over the weekend. We start the list on Monday, adding names as the week progresses. We have a tech who works the weekend, getting patients out of bed. Sometimes he gets to everyone and sometimes he doesn't. This ...
    Posted to Toni Talks about PT Today (Weblog) on January 14, 2015
  • I'm Not Going to CSM Next Year

    For the past few weeks, I've been receiving email reminders that early registration for the 2015 APTA Combined Sections Meeting (CSM) is underway. Separate emails inform me of how to reserve housing. Another batch tries to entice me with the various topics. Naturally I go immediately to the neurological section and see how many courses will ...
    Posted to Toni Talks about PT Today (Weblog) on November 4, 2014
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