Re: Re: Productivity expectations for hospital based SLP's

January 18, 2008

How do you charge 2-3 units per eval when this is a service based code (at least

for Part ? Do you have billing units for inpatient based on 15 minute

increments?

M. Trevor Huffman, P.T., M.S., S.C.S., A.T.C.

Director of Rehabilitation Services

Passavant Area Hospital

ville, IL

trevor.huffman@...<mailto:trevor.huffman@...\

>

________________________________

From: PTManager [mailto:PTManager ] On Behalf Of

davecirene

Sent: Friday, January 18, 2008 3:23 PM

To: PTManager

Subject: Re: Productivity expectations for hospital based SLP's

We expect 10 - 12 visits per day with 22-24 billable units.

Generally we expect 2 - 3 units per evaluation on average. Sometimes

the inpatient eval takes only 30 " but outpatient can often take 45 " .

Our therapists do Speech and Swallow evaluations on inpatients, and

Modified Barium Swallow studies for inpatients and outpatients. The

hospital therapists do not see outpatients -- we have an off-site

location for PT, OT & ST outpatients.

Irene Bartlett

Mercy Medical Center - Des Moines

>

> Dear group,

> I am looking for some information to establish/justify productivity

standards for my acute care SLP's who provide inpatient and

outpatient speech therapy coverage. I am concerned that they are

spending an excessive amount of time to complete their evaluations

and swallow studies. They have multiple responsibilities which

include Speech and Swallow evaluations, Modified Barium Swallow

studies for inpatients and outpatients, and some outpatient

evaluation and follow-up treatment. I am looking for expectations and

industry standards for acute care SLP's for # pt's seen per day,

expected # of units to complete assessments, and total productive

time for an 8 hour day.

> If anyone could provide standards/expectations for similar hospital

based positions it would be very helpful.

> Thanks

>

> Trinque

> Inpatient Rehab Supervisor

> Saint Hospital

> Worcester, MA

>

January 27, 2008

I know this is a topic that seems to surface regularly - but I am hoping to

get some feedback from the group on productivity and staffing to census needs

for Acute Rehab

1. Historically, I believe the Acute Rehab productivity standard has often

been quote as 80% - given the rising CMI and patient mix that in Acute Rehab -

is that number changing at all? or is 80% still an industry benchmark for

this part of the continuum of care?

2. As stated above, with the rising CMI and patient mix for Acute Rehab -

what is the nursing/PCT staff ratio to patient doing these days in the Acute

Rehab part of the continuum? And are there any standard/benchmark formulas for

therapy staffing to census?

3. On the staffing to census and on the productivity front - are there

differences between the disciplines - PT OT ST?

thanks in advance for helping us to keep our finger on the industry

benchmark -

Hosking PT/MPT

Administrative Director

RIC/ian Brothers Rehab Hospital

Elk Grove Village Illinois

In a message dated 1/18/2008 4:13:50 P.M. Central Standard Time,

Ibartlett@... writes: