Guest guest Posted March 3, 2011 Report Share Posted March 3, 2011 We have 12 beds in our IFR...our FTE varies depending on census but we are averaging 9 for the daily census...we cover both acute care and inpatient rehab with the same pool of FTE. We do have staff dedicated/trained for rehab and each patient is assigned a primary team of PT and OT...we have one SLP for rehab. Each therapist generally see 4 patients each day, depending on meetings, team conferences etc. The rehab staff work on acute care when census is low and acute care therapists help on rehab when the census is high or there are vacations/sick calls. We cover 7 days per week (using a rolling week as well, with admit day as day 1) with patients getting full therapy 5 of 7 days and one full day off and one short day with whatever therapy is needed. We had been using speech in addition to the 3 hours and now we decide at the initial team conference if that is warranted or is speech is to count to the 3 hours/day. Please feel free to call or email with any additional questions. Brownrigg Inpatient Therapy Manager Acute Care and Inpatient Physical Rehabilitation Therapies PeaceHealth St. ph Medical Center 2901Squalicum Parkway Bellingham, WA 98225 sbrownrigg@... www.peacehealth.org our success is in the being, not just the doing From: PTManager [mailto:PTManager ] On Behalf Of jjatwts Sent: Wednesday, March 02, 2011 3:25 PM To: PTManager Subject: IRF staffing ratios We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 3, 2011 Report Share Posted March 3, 2011 We have 12 beds in our IFR...our FTE varies depending on census but we are averaging 9 for the daily census...we cover both acute care and inpatient rehab with the same pool of FTE. We do have staff dedicated/trained for rehab and each patient is assigned a primary team of PT and OT...we have one SLP for rehab. Each therapist generally see 4 patients each day, depending on meetings, team conferences etc. The rehab staff work on acute care when census is low and acute care therapists help on rehab when the census is high or there are vacations/sick calls. We cover 7 days per week (using a rolling week as well, with admit day as day 1) with patients getting full therapy 5 of 7 days and one full day off and one short day with whatever therapy is needed. We had been using speech in addition to the 3 hours and now we decide at the initial team conference if that is warranted or is speech is to count to the 3 hours/day. Please feel free to call or email with any additional questions. Brownrigg Inpatient Therapy Manager Acute Care and Inpatient Physical Rehabilitation Therapies PeaceHealth St. ph Medical Center 2901Squalicum Parkway Bellingham, WA 98225 sbrownrigg@... www.peacehealth.org our success is in the being, not just the doing From: PTManager [mailto:PTManager ] On Behalf Of jjatwts Sent: Wednesday, March 02, 2011 3:25 PM To: PTManager Subject: IRF staffing ratios We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 3, 2011 Report Share Posted March 3, 2011 We have 12 beds in our IFR...our FTE varies depending on census but we are averaging 9 for the daily census...we cover both acute care and inpatient rehab with the same pool of FTE. We do have staff dedicated/trained for rehab and each patient is assigned a primary team of PT and OT...we have one SLP for rehab. Each therapist generally see 4 patients each day, depending on meetings, team conferences etc. The rehab staff work on acute care when census is low and acute care therapists help on rehab when the census is high or there are vacations/sick calls. We cover 7 days per week (using a rolling week as well, with admit day as day 1) with patients getting full therapy 5 of 7 days and one full day off and one short day with whatever therapy is needed. We had been using speech in addition to the 3 hours and now we decide at the initial team conference if that is warranted or is speech is to count to the 3 hours/day. Please feel free to call or email with any additional questions. Brownrigg Inpatient Therapy Manager Acute Care and Inpatient Physical Rehabilitation Therapies PeaceHealth St. ph Medical Center 2901Squalicum Parkway Bellingham, WA 98225 sbrownrigg@... www.peacehealth.org our success is in the being, not just the doing From: PTManager [mailto:PTManager ] On Behalf Of jjatwts Sent: Wednesday, March 02, 2011 3:25 PM To: PTManager Subject: IRF staffing ratios We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 3, 2011 Report Share Posted March 3, 2011 my responses are below in red Lori Stoddart, OTR/L Inpatient Therapy Manager Physical Rehabilitation Services Henry Ford Wyandotte Hospital 2333 Biddle Avenue Wyandotte, MI 48192 734/246-8963 lstodda1@... Be kinder than necessary because everyone you meet is fighting some kind of battle From: PTManager [mailto:PTManager ] On Behalf Of Brownrigg, M Sent: Thursday, March 03, 2011 11:00 AM To: PTManager Subject: RE: IRF staffing ratios We have 12 beds in our IFR...our FTE varies depending on census but we are averaging 9 for the daily census...we cover both acute care and inpatient rehab with the same pool of FTE. We do have staff dedicated/trained for rehab and each patient is assigned a primary team of PT and OT...we have one SLP for rehab. Each therapist generally see 4 patients each day, depending on meetings, team conferences etc. The rehab staff work on acute care when census is low and acute care therapists help on rehab when the census is high or there are vacations/sick calls. We cover 7 days per week (using a rolling week as well, with admit day as day 1) with patients getting full therapy 5 of 7 days and one full day off and one short day with whatever therapy is needed. We had been using speech in addition to the 3 hours and now we decide at the initial team conference if that is warranted or is speech is to count to the 3 hours/day. Please feel free to call or email with any additional questions. Brownrigg Inpatient Therapy Manager Acute Care and Inpatient Physical Rehabilitation Therapies PeaceHealth St. ph Medical Center 2901Squalicum Parkway Bellingham, WA 98225 sbrownrigg@...<mailto:sbrownrigg%40peacehealth.org> www.peacehealth.org our success is in the being, not just the doing From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com>] On Behalf Of jjatwts Sent: Wednesday, March 02, 2011 3:25 PM To: PTManager <mailto:PTManager%40yahoogroups.com> Subject: IRF staffing ratios We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 38 beds with an average census of 28 We divide the unit into four teams with each team having: 1 PT, 1 PTA, 1 OTR, .25 COTA 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? same as you there are times we provide more than 3 hrs or 15 hours a week. Depends on the staff recommendations and patients needs. The " usual " schedule is that PT provides 2 hours and OT provides 1 hour. SP is extra but there are times we have to fall back onto if patient missed time with PT or OT. We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 3, 2011 Report Share Posted March 3, 2011 my responses are below in red Lori Stoddart, OTR/L Inpatient Therapy Manager Physical Rehabilitation Services Henry Ford Wyandotte Hospital 2333 Biddle Avenue Wyandotte, MI 48192 734/246-8963 lstodda1@... Be kinder than necessary because everyone you meet is fighting some kind of battle From: PTManager [mailto:PTManager ] On Behalf Of Brownrigg, M Sent: Thursday, March 03, 2011 11:00 AM To: PTManager Subject: RE: IRF staffing ratios We have 12 beds in our IFR...our FTE varies depending on census but we are averaging 9 for the daily census...we cover both acute care and inpatient rehab with the same pool of FTE. We do have staff dedicated/trained for rehab and each patient is assigned a primary team of PT and OT...we have one SLP for rehab. Each therapist generally see 4 patients each day, depending on meetings, team conferences etc. The rehab staff work on acute care when census is low and acute care therapists help on rehab when the census is high or there are vacations/sick calls. We cover 7 days per week (using a rolling week as well, with admit day as day 1) with patients getting full therapy 5 of 7 days and one full day off and one short day with whatever therapy is needed. We had been using speech in addition to the 3 hours and now we decide at the initial team conference if that is warranted or is speech is to count to the 3 hours/day. Please feel free to call or email with any additional questions. Brownrigg Inpatient Therapy Manager Acute Care and Inpatient Physical Rehabilitation Therapies PeaceHealth St. ph Medical Center 2901Squalicum Parkway Bellingham, WA 98225 sbrownrigg@...<mailto:sbrownrigg%40peacehealth.org> www.peacehealth.org our success is in the being, not just the doing From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com>] On Behalf Of jjatwts Sent: Wednesday, March 02, 2011 3:25 PM To: PTManager <mailto:PTManager%40yahoogroups.com> Subject: IRF staffing ratios We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 38 beds with an average census of 28 We divide the unit into four teams with each team having: 1 PT, 1 PTA, 1 OTR, .25 COTA 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? same as you there are times we provide more than 3 hrs or 15 hours a week. Depends on the staff recommendations and patients needs. The " usual " schedule is that PT provides 2 hours and OT provides 1 hour. SP is extra but there are times we have to fall back onto if patient missed time with PT or OT. We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 3, 2011 Report Share Posted March 3, 2011 my responses are below in red Lori Stoddart, OTR/L Inpatient Therapy Manager Physical Rehabilitation Services Henry Ford Wyandotte Hospital 2333 Biddle Avenue Wyandotte, MI 48192 734/246-8963 lstodda1@... Be kinder than necessary because everyone you meet is fighting some kind of battle From: PTManager [mailto:PTManager ] On Behalf Of Brownrigg, M Sent: Thursday, March 03, 2011 11:00 AM To: PTManager Subject: RE: IRF staffing ratios We have 12 beds in our IFR...our FTE varies depending on census but we are averaging 9 for the daily census...we cover both acute care and inpatient rehab with the same pool of FTE. We do have staff dedicated/trained for rehab and each patient is assigned a primary team of PT and OT...we have one SLP for rehab. Each therapist generally see 4 patients each day, depending on meetings, team conferences etc. The rehab staff work on acute care when census is low and acute care therapists help on rehab when the census is high or there are vacations/sick calls. We cover 7 days per week (using a rolling week as well, with admit day as day 1) with patients getting full therapy 5 of 7 days and one full day off and one short day with whatever therapy is needed. We had been using speech in addition to the 3 hours and now we decide at the initial team conference if that is warranted or is speech is to count to the 3 hours/day. Please feel free to call or email with any additional questions. Brownrigg Inpatient Therapy Manager Acute Care and Inpatient Physical Rehabilitation Therapies PeaceHealth St. ph Medical Center 2901Squalicum Parkway Bellingham, WA 98225 sbrownrigg@...<mailto:sbrownrigg%40peacehealth.org> www.peacehealth.org our success is in the being, not just the doing From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com>] On Behalf Of jjatwts Sent: Wednesday, March 02, 2011 3:25 PM To: PTManager <mailto:PTManager%40yahoogroups.com> Subject: IRF staffing ratios We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 38 beds with an average census of 28 We divide the unit into four teams with each team having: 1 PT, 1 PTA, 1 OTR, .25 COTA 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? same as you there are times we provide more than 3 hrs or 15 hours a week. Depends on the staff recommendations and patients needs. The " usual " schedule is that PT provides 2 hours and OT provides 1 hour. SP is extra but there are times we have to fall back onto if patient missed time with PT or OT. We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 3, 2011 Report Share Posted March 3, 2011 We are a 38 bed rehab freestanding hospital heavily TBI, CVA, and SCI. We have 5 PTs, 1 PTA, 3 OTRs, 3 COTAs, 4 SLPs, 1 TR - plus a therapy supervisor who is a PT and treats about 50%. All of these individuals are full time. We also have a ½ time activities assistant for TR. This staffing is based on an occupancy of 30 beds. Right now we have been running full at 37-38 and are having to up-schedule some of our part time outpatient staff and use our prn heavily to cover. Re; therapist/ asisstant model- I would prefer that the model be 3 therapist/2 assistant or more heavily PT/OT and am working to get there because of eval load, team reporting requirements, supervision requirements for the COTAs and students, etc. It is a hard sell to our upper administration but I did just recently manage to convert a COTA position to an OTR position. We do have a very hard time hiring OTRs in our area. Speech is counted in the 3 hour complement, not as an addition. We distribute hours based on the patient's needs- occasionally a patient may get 1-1/2 hours of speech, 1 hour OT, and ½ our of PT if their needs are primarily cognitive. Recently we have started over-scheduling a little early in the patients' individual weeks to help with the inevitable missed time for whatever reasons. We are a " 6 ½ " ( so I think technically that means 7 ) day department with Sunday PT only as needed. We made a clinical decision to see all patients with total knees on Sundays their first week or two. To date that is has been the only population we feel don't benefits from a Sunday rest. They do not get 3 hours on the Sunday and we don;t staff every Sunday if there are no patients with TKAs to see. We can call in OT and Speech if needed. The exception to this is holiday weeks where Sundays become the regular day to replace the Holi-day ( Thanks giving, Memorial and Labor Day Christmas, etc...) Then is it a regular staffing day. Hope that helps. Marcy Marcy Stalvey, PT, NCS Edwin Shaw Rehabilitation Institute Cuyahoga Falls, OH 44221 >>> jjatwts 3/2/2011 6:25 PM >>> We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio ------------------------------------ In ALL messages to PTManager you must identify yourself, your discipline and your location or else your message will not be approved to send to the full group. Physician Self Referal/Referral for Profit {POPTS} is a serious threat to our professions. PTManager is not available to support POPTS-model practices. The description of PTManager group includes the following: " PTManager believes in and supports Therapist-owned Therapy Practices ONLY " Messages relating to " how to set up a POPTS " will not be approved PTManager encourages participation in your professional association. Join APTA, AOTA or ASHA and participate now! Follow Kovacek, PT on Facebook or Twitter. PTManager blog: http://ptmanager.posterous.com/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 4, 2011 Report Share Posted March 4, 2011 For any of you who participate with Premier for benchmarking and have a CARF accredited IRF with 20 beds or more: what is your wrkd hrs/uos stat? does it include administrative and support staff in the calculation? Also, Do you break out stat by department or is it a rollup of all therapies AND IP/OP or just IP? Carol Rehder, PT Manager, Physical Therapy Genesis Medical Center rehder@... A J.D. Power and Associates Distinguished Hospital for providing " An Outstanding Patient Experience " >>> " Marcia Stalvey " 3/3/2011 2:10 PM >>> We are a 38 bed rehab freestanding hospital heavily TBI, CVA, and SCI. We have 5 PTs, 1 PTA, 3 OTRs, 3 COTAs, 4 SLPs, 1 TR - plus a therapy supervisor who is a PT and treats about 50%. All of these individuals are full time. We also have a ½ time activities assistant for TR. This staffing is based on an occupancy of 30 beds. Right now we have been running full at 37-38 and are having to up-schedule some of our part time outpatient staff and use our prn heavily to cover. Re; therapist/ asisstant model- I would prefer that the model be 3 therapist/2 assistant or more heavily PT/OT and am working to get there because of eval load, team reporting requirements, supervision requirements for the COTAs and students, etc. It is a hard sell to our upper administration but I did just recently manage to convert a COTA position to an OTR position. We do have a very hard time hiring OTRs in our area. Speech is counted in the 3 hour complement, not as an addition. We distribute hours based on the patient's needs- occasionally a patient may get 1-1/2 hours of speech, 1 hour OT, and ½ our of PT if their needs are primarily cognitive. Recently we have started over-scheduling a little early in the patients' individual weeks to help with the inevitable missed time for whatever reasons. We are a " 6 ½ " ( so I think technically that means 7 ) day department with Sunday PT only as needed. We made a clinical decision to see all patients with total knees on Sundays their first week or two. To date that is has been the only population we feel don't benefits from a Sunday rest. They do not get 3 hours on the Sunday and we don;t staff every Sunday if there are no patients with TKAs to see. We can call in OT and Speech if needed. The exception to this is holiday weeks where Sundays become the regular day to replace the Holi-day ( Thanks giving, Memorial and Labor Day Christmas, etc...) Then is it a regular staffing day. Hope that helps. Marcy Marcy Stalvey, PT, NCS Edwin Shaw Rehabilitation Institute Cuyahoga Falls, OH 44221 >>> jjatwts 3/2/2011 6:25 PM >>> We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio ------------------------------------ In ALL messages to PTManager you must identify yourself, your discipline and your location or else your message will not be approved to send to the full group. Physician Self Referal/Referral for Profit {POPTS} is a serious threat to our professions. PTManager is not available to support POPTS-model practices. The description of PTManager group includes the following: " PTManager believes in and supports Therapist-owned Therapy Practices ONLY " Messages relating to " how to set up a POPTS " will not be approved PTManager encourages participation in your professional association. Join APTA, AOTA or ASHA and participate now! Follow Kovacek, PT on Facebook or Twitter. PTManager blog: http://ptmanager.posterous.com/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 4, 2011 Report Share Posted March 4, 2011 For any of you who participate with Premier for benchmarking and have a CARF accredited IRF with 20 beds or more: what is your wrkd hrs/uos stat? does it include administrative and support staff in the calculation? Also, Do you break out stat by department or is it a rollup of all therapies AND IP/OP or just IP? Carol Rehder, PT Manager, Physical Therapy Genesis Medical Center rehder@... A J.D. Power and Associates Distinguished Hospital for providing " An Outstanding Patient Experience " >>> " Marcia Stalvey " 3/3/2011 2:10 PM >>> We are a 38 bed rehab freestanding hospital heavily TBI, CVA, and SCI. We have 5 PTs, 1 PTA, 3 OTRs, 3 COTAs, 4 SLPs, 1 TR - plus a therapy supervisor who is a PT and treats about 50%. All of these individuals are full time. We also have a ½ time activities assistant for TR. This staffing is based on an occupancy of 30 beds. Right now we have been running full at 37-38 and are having to up-schedule some of our part time outpatient staff and use our prn heavily to cover. Re; therapist/ asisstant model- I would prefer that the model be 3 therapist/2 assistant or more heavily PT/OT and am working to get there because of eval load, team reporting requirements, supervision requirements for the COTAs and students, etc. It is a hard sell to our upper administration but I did just recently manage to convert a COTA position to an OTR position. We do have a very hard time hiring OTRs in our area. Speech is counted in the 3 hour complement, not as an addition. We distribute hours based on the patient's needs- occasionally a patient may get 1-1/2 hours of speech, 1 hour OT, and ½ our of PT if their needs are primarily cognitive. Recently we have started over-scheduling a little early in the patients' individual weeks to help with the inevitable missed time for whatever reasons. We are a " 6 ½ " ( so I think technically that means 7 ) day department with Sunday PT only as needed. We made a clinical decision to see all patients with total knees on Sundays their first week or two. To date that is has been the only population we feel don't benefits from a Sunday rest. They do not get 3 hours on the Sunday and we don;t staff every Sunday if there are no patients with TKAs to see. We can call in OT and Speech if needed. The exception to this is holiday weeks where Sundays become the regular day to replace the Holi-day ( Thanks giving, Memorial and Labor Day Christmas, etc...) Then is it a regular staffing day. Hope that helps. Marcy Marcy Stalvey, PT, NCS Edwin Shaw Rehabilitation Institute Cuyahoga Falls, OH 44221 >>> jjatwts 3/2/2011 6:25 PM >>> We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio ------------------------------------ In ALL messages to PTManager you must identify yourself, your discipline and your location or else your message will not be approved to send to the full group. Physician Self Referal/Referral for Profit {POPTS} is a serious threat to our professions. PTManager is not available to support POPTS-model practices. The description of PTManager group includes the following: " PTManager believes in and supports Therapist-owned Therapy Practices ONLY " Messages relating to " how to set up a POPTS " will not be approved PTManager encourages participation in your professional association. Join APTA, AOTA or ASHA and participate now! Follow Kovacek, PT on Facebook or Twitter. PTManager blog: http://ptmanager.posterous.com/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 4, 2011 Report Share Posted March 4, 2011 Lori, Can you tell me what your worked hours /uos is? For comparative purposes: Fiscal yeart to date: All of your inpatient physical therapy worked FTE's hours (productive and non-produtive; any hours where they are physically at work whether or not they are providing direct patient care) divided by your billable volume in 15 minute units. Carol Rehder, PT Manager, Physical Therapy Genesis Medical Center rehder@... A J.D. Power and Associates Distinguished Hospital for providing " An Outstanding Patient Experience " >>> " Stoddart, Lori " 3/3/2011 1:15 PM >>> my responses are below in red Lori Stoddart, OTR/L Inpatient Therapy Manager Physical Rehabilitation Services Henry Ford Wyandotte Hospital 2333 Biddle Avenue Wyandotte, MI 48192 734/246-8963 lstodda1@... Be kinder than necessary because everyone you meet is fighting some kind of battle From: PTManager [mailto:PTManager ] On Behalf Of Brownrigg, M Sent: Thursday, March 03, 2011 11:00 AM To: PTManager Subject: RE: IRF staffing ratios We have 12 beds in our IFR...our FTE varies depending on census but we are averaging 9 for the daily census...we cover both acute care and inpatient rehab with the same pool of FTE. We do have staff dedicated/trained for rehab and each patient is assigned a primary team of PT and OT...we have one SLP for rehab. Each therapist generally see 4 patients each day, depending on meetings, team conferences etc. The rehab staff work on acute care when census is low and acute care therapists help on rehab when the census is high or there are vacations/sick calls. We cover 7 days per week (using a rolling week as well, with admit day as day 1) with patients getting full therapy 5 of 7 days and one full day off and one short day with whatever therapy is needed. We had been using speech in addition to the 3 hours and now we decide at the initial team conference if that is warranted or is speech is to count to the 3 hours/day. Please feel free to call or email with any additional questions. Brownrigg Inpatient Therapy Manager Acute Care and Inpatient Physical Rehabilitation Therapies PeaceHealth St. ph Medical Center 2901Squalicum Parkway Bellingham, WA 98225 sbrownrigg@...<mailto:sbrownrigg%40peacehealth.org> www.peacehealth.org our success is in the being, not just the doing From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com>] On Behalf Of jjatwts Sent: Wednesday, March 02, 2011 3:25 PM To: PTManager <mailto:PTManager%40yahoogroups.com> Subject: IRF staffing ratios We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 38 beds with an average census of 28 We divide the unit into four teams with each team having: 1 PT, 1 PTA, 1 OTR, .25 COTA 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? same as you there are times we provide more than 3 hrs or 15 hours a week. Depends on the staff recommendations and patients needs. The " usual " schedule is that PT provides 2 hours and OT provides 1 hour. SP is extra but there are times we have to fall back onto if patient missed time with PT or OT. We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 4, 2011 Report Share Posted March 4, 2011 Carol- We have an IRF that is licensed for 17 beds. We have averaged a census of 9-12, however. Our corporation hired an independent consultant that set productivity targets for us, which are set according to industry standard. For an IRF, the standard is .40 hrs/unit billed. Hours included are all paid hours of clinical and support staff, excluding paid time off and off site education hours. I hope that helps. Engesether, MPT Director Inpatient Rehab Services Sanford Bemidji Sent from my iPad On Mar 4, 2011, at 11:28 AM, " Carol Rehder " > wrote: Lori, Can you tell me what your worked hours /uos is? For comparative purposes: Fiscal yeart to date: All of your inpatient physical therapy worked FTE's hours (productive and non-produtive; any hours where they are physically at work whether or not they are providing direct patient care) divided by your billable volume in 15 minute units. Carol Rehder, PT Manager, Physical Therapy Genesis Medical Center <mailto:rehder%40genesishealth.com>rehder@...<mailto:rehder@genesi\ shealth.com> A J.D. Power and Associates Distinguished Hospital for providing " An Outstanding Patient Experience " >>> " Stoddart, Lori " <<mailto:lstodda1%40hfhs.org>lstodda1@...> 3/3/2011 1:15 PM >>> my responses are below in red Lori Stoddart, OTR/L Inpatient Therapy Manager Physical Rehabilitation Services Henry Ford Wyandotte Hospital 2333 Biddle Avenue Wyandotte, MI 48192 734/246-8963 <mailto:lstodda1%40hfhs.org>lstodda1@... Be kinder than necessary because everyone you meet is fighting some kind of battle From: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager > [mailto:<mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTM\ anager >] On Behalf Of Brownrigg, M Sent: Thursday, March 03, 2011 11:00 AM To: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager > Subject: RE: IRF staffing ratios We have 12 beds in our IFR...our FTE varies depending on census but we are averaging 9 for the daily census...we cover both acute care and inpatient rehab with the same pool of FTE. We do have staff dedicated/trained for rehab and each patient is assigned a primary team of PT and OT...we have one SLP for rehab. Each therapist generally see 4 patients each day, depending on meetings, team conferences etc. The rehab staff work on acute care when census is low and acute care therapists help on rehab when the census is high or there are vacations/sick calls. We cover 7 days per week (using a rolling week as well, with admit day as day 1) with patients getting full therapy 5 of 7 days and one full day off and one short day with whatever therapy is needed. We had been using speech in addition to the 3 hours and now we decide at the initial team conference if that is warranted or is speech is to count to the 3 hours/day. Please feel free to call or email with any additional questions. Brownrigg Inpatient Therapy Manager Acute Care and Inpatient Physical Rehabilitation Therapies PeaceHealth St. ph Medical Center 2901Squalicum Parkway Bellingham, WA 98225 <mailto:sbrownrigg%40peacehealth.org>sbrownrigg@...<mailto:sbrownrig\ g@...><mailto:sbrownrigg%40peacehealth.org> <http://www.peacehealth.org>www.peacehealth.org<http://www.peacehealth.org> our success is in the being, not just the doing From: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager ><mailto:PTManager%40y\ ahoogroups.com> [mailto:<mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTM\ anager ><mailto:PTManager%40yahoogroups.com>] On Behalf Of jjatwts Sent: Wednesday, March 02, 2011 3:25 PM To: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager ><mailto:PTManager%40y\ ahoogroups.com> Subject: IRF staffing ratios We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 38 beds with an average census of 28 We divide the unit into four teams with each team having: 1 PT, 1 PTA, 1 OTR, .25 COTA 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? same as you there are times we provide more than 3 hrs or 15 hours a week. Depends on the staff recommendations and patients needs. The " usual " schedule is that PT provides 2 hours and OT provides 1 hour. SP is extra but there are times we have to fall back onto if patient missed time with PT or OT. We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 4, 2011 Report Share Posted March 4, 2011 It is per 15 minute billing increment. Engesether, MPT Director Inpatient Rehab Services Sanford Bemidji Bemidji, MN 56601 Sent from my iPad On Mar 4, 2011, at 2:14 PM, " Marcia Stalvey " > wrote: - How do you define a " unit " - is that per 15 minute billing increment, per ½ hour treatment session? Thanks Marcy Stalvey, PT, NCS Edwin Shaw Rehabilitation Institute Cuyahoga Falls, OH 44221 >>> Engesether <<mailto:tengesether%40nchs.com>tengesether@...<mailto:tengesether@...\ >> 3/4/2011 2:54 PM >>> Carol- We have an IRF that is licensed for 17 beds. We have averaged a census of 9-12, however. Our corporation hired an independent consultant that set productivity targets for us, which are set according to industry standard. For an IRF, the standard is .40 hrs/unit billed. Hours included are all paid hours of clinical and support staff, excluding paid time off and off site education hours. I hope that helps. Engesether, MPT Director Inpatient Rehab Services Sanford Bemidji Sent from my iPad On Mar 4, 2011, at 11:28 AM, " Carol Rehder " <<mailto:rehder%40genesishealth.com>rehder@...<mailto:rehder@genes\ ishealth.com><mailto:<mailto:rehder%40genesishealth.com>rehder@...\ >> wrote: Lori, Can you tell me what your worked hours /uos is? For comparative purposes: Fiscal yeart to date: All of your inpatient physical therapy worked FTE's hours (productive and non-produtive; any hours where they are physically at work whether or not they are providing direct patient care) divided by your billable volume in 15 minute units. Carol Rehder, PT Manager, Physical Therapy Genesis Medical Center <mailto:rehder%40genesishealth.com><mailto:rehder%40genesishealth.com>rehder@gen\ esishealth.com<mailto:<mailto:rehder%40genesish\ ealth.com>rehder@...> A J.D. Power and Associates Distinguished Hospital for providing " An Outstanding Patient Experience " >>> " Stoddart, Lori " <<mailto:lstodda1%40hfhs.org><mailto:lstodda1%40hfhs.org>lstodda1@...<mailt\ o:lstodda1@...><mailto:<mailto:lstodda1%40hfhs.org>lstodda1@...<mailto\ :lstodda1@...>>> 3/3/2011 1:15 PM >>> my responses are below in red Lori Stoddart, OTR/L Inpatient Therapy Manager Physical Rehabilitation Services Henry Ford Wyandotte Hospital 2333 Biddle Avenue Wyandotte, MI 48192 734/246-8963 <mailto:lstodda1%40hfhs.org><mailto:lstodda1%40hfhs.org>lstodda1@...<mailto\ :lstodda1@...><mailto:<mailto:lstodda1%40hfhs.org>lstodda1@...<mailto:\ lstodda1@...>> Be kinder than necessary because everyone you meet is fighting some kind of battle From: <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTManager@y\ ahoogroups.com><mailto:<mailto:PTManager%40yahoogroups.com>PTManager@yahoogroups\ ..com<mailto:PTManager >> [mailto:<mailto:PTManager%40yahoogroups.com><mailto:PTManager%40yahoogroups.com>\ PTManager <mailto:PTManager ><mailto:<mailto:PTMan\ ager%40yahoogroups.com>PTManager <mailto:PTManager@...\ m>>] On Behalf Of Brownrigg, M Sent: Thursday, March 03, 2011 11:00 AM To: <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTManager@y\ ahoogroups.com><mailto:<mailto:PTManager%40yahoogroups.com>PTManager@yahoogroups\ ..com<mailto:PTManager >> Subject: RE: IRF staffing ratios We have 12 beds in our IFR...our FTE varies depending on census but we are averaging 9 for the daily census...we cover both acute care and inpatient rehab with the same pool of FTE. We do have staff dedicated/trained for rehab and each patient is assigned a primary team of PT and OT...we have one SLP for rehab. Each therapist generally see 4 patients each day, depending on meetings, team conferences etc. The rehab staff work on acute care when census is low and acute care therapists help on rehab when the census is high or there are vacations/sick calls. We cover 7 days per week (using a rolling week as well, with admit day as day 1) with patients getting full therapy 5 of 7 days and one full day off and one short day with whatever therapy is needed. We had been using speech in addition to the 3 hours and now we decide at the initial team conference if that is warranted or is speech is to count to the 3 hours/day. Please feel free to call or email with any additional questions. Brownrigg Inpatient Therapy Manager Acute Care and Inpatient Physical Rehabilitation Therapies PeaceHealth St. ph Medical Center 2901Squalicum Parkway Bellingham, WA 98225 <mailto:sbrownrigg%40peacehealth.org><mailto:sbrownrigg%40peacehealth.org>sbrown\ rigg@...<mailto:<mailto:sbrownrig\ g%40peacehealth.org>sbrownrigg@...<mailto:sbrownrigg@...\ >><mailto:sbrownrigg%40peacehealth.org> <<http://www.peacehealth.org>http://www.peacehealth.org>www.peacehealth.org<<htt\ p://www.peacehealth.org>http://www.peacehealth.org> our success is in the being, not just the doing From: <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTManager@y\ ahoogroups.com><mailto:<mailto:PTManager%40yahoogroups.com>PTManager@yahoogroups\ ..com<mailto:PTManager >><mailto:PTManager%40yahoogroups.com> [mailto:<mailto:PTManager%40yahoogroups.com><mailto:PTManager%40yahoogroups.com>\ PTManager <mailto:PTManager ><mailto:<mailto:PTMan\ ager%40yahoogroups.com>PTManager <mailto:PTManager@...\ m>><mailto:PTManager%40yahoogroups.com>] On Behalf Of jjatwts Sent: Wednesday, March 02, 2011 3:25 PM To: <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTManager@y\ ahoogroups.com><mailto:<mailto:PTManager%40yahoogroups.com>PTManager@yahoogroups\ ..com<mailto:PTManager >><mailto:PTManager%40yahoogroups.com> Subject: IRF staffing ratios We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 38 beds with an average census of 28 We divide the unit into four teams with each team having: 1 PT, 1 PTA, 1 OTR, .25 COTA 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? same as you there are times we provide more than 3 hrs or 15 hours a week. Depends on the staff recommendations and patients needs. The " usual " schedule is that PT provides 2 hours and OT provides 1 hour. SP is extra but there are times we have to fall back onto if patient missed time with PT or OT. We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 4, 2011 Report Share Posted March 4, 2011 - How do you define a " unit " - is that per 15 minute billing increment, per ½ hour treatment session? Thanks Marcy Stalvey, PT, NCS Edwin Shaw Rehabilitation Institute Cuyahoga Falls, OH 44221 >>> Engesether 3/4/2011 2:54 PM >>> Carol- We have an IRF that is licensed for 17 beds. We have averaged a census of 9-12, however. Our corporation hired an independent consultant that set productivity targets for us, which are set according to industry standard. For an IRF, the standard is .40 hrs/unit billed. Hours included are all paid hours of clinical and support staff, excluding paid time off and off site education hours. I hope that helps. Engesether, MPT Director Inpatient Rehab Services Sanford Bemidji Sent from my iPad On Mar 4, 2011, at 11:28 AM, " Carol Rehder " > wrote: Lori, Can you tell me what your worked hours /uos is? For comparative purposes: Fiscal yeart to date: All of your inpatient physical therapy worked FTE's hours (productive and non-produtive; any hours where they are physically at work whether or not they are providing direct patient care) divided by your billable volume in 15 minute units. Carol Rehder, PT Manager, Physical Therapy Genesis Medical Center <mailto:rehder%40genesishealth.com>rehder@...<mailto:rehder@genesi\ shealth.com> A J.D. Power and Associates Distinguished Hospital for providing " An Outstanding Patient Experience " >>> " Stoddart, Lori " <<mailto:lstodda1%40hfhs.org>lstodda1@...> 3/3/2011 1:15 PM >>> my responses are below in red Lori Stoddart, OTR/L Inpatient Therapy Manager Physical Rehabilitation Services Henry Ford Wyandotte Hospital 2333 Biddle Avenue Wyandotte, MI 48192 734/246-8963 <mailto:lstodda1%40hfhs.org>lstodda1@... Be kinder than necessary because everyone you meet is fighting some kind of battle From: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager > [mailto:<mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTM\ anager >] On Behalf Of Brownrigg, M Sent: Thursday, March 03, 2011 11:00 AM To: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager > Subject: RE: IRF staffing ratios We have 12 beds in our IFR...our FTE varies depending on census but we are averaging 9 for the daily census...we cover both acute care and inpatient rehab with the same pool of FTE. We do have staff dedicated/trained for rehab and each patient is assigned a primary team of PT and OT...we have one SLP for rehab. Each therapist generally see 4 patients each day, depending on meetings, team conferences etc. The rehab staff work on acute care when census is low and acute care therapists help on rehab when the census is high or there are vacations/sick calls. We cover 7 days per week (using a rolling week as well, with admit day as day 1) with patients getting full therapy 5 of 7 days and one full day off and one short day with whatever therapy is needed. We had been using speech in addition to the 3 hours and now we decide at the initial team conference if that is warranted or is speech is to count to the 3 hours/day. Please feel free to call or email with any additional questions. Brownrigg Inpatient Therapy Manager Acute Care and Inpatient Physical Rehabilitation Therapies PeaceHealth St. ph Medical Center 2901Squalicum Parkway Bellingham, WA 98225 <mailto:sbrownrigg%40peacehealth.org>sbrownrigg@...<mailto:sbrownrig\ g@...><mailto:sbrownrigg%40peacehealth.org> <http://www.peacehealth.org>www.peacehealth.org<http://www.peacehealth.org> our success is in the being, not just the doing From: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager ><mailto:PTManager%40y\ ahoogroups.com> [mailto:<mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTM\ anager ><mailto:PTManager%40yahoogroups.com>] On Behalf Of jjatwts Sent: Wednesday, March 02, 2011 3:25 PM To: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager ><mailto:PTManager%40y\ ahoogroups.com> Subject: IRF staffing ratios We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 38 beds with an average census of 28 We divide the unit into four teams with each team having: 1 PT, 1 PTA, 1 OTR, .25 COTA 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? same as you there are times we provide more than 3 hrs or 15 hours a week. Depends on the staff recommendations and patients needs. The " usual " schedule is that PT provides 2 hours and OT provides 1 hour. SP is extra but there are times we have to fall back onto if patient missed time with PT or OT. We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 8, 2011 Report Share Posted March 8, 2011 Hi, Can you clarify where you found the IRF industry standard of 0.4 hours worked/billable unit? Is that documented anywhere? Thank you, Gunning, PT, MS Director of Therapy Mount Sinai Rehabilitation Center The Mount Sinai Hospital 1 Gustave Levy Place Box 1674 NY, NY 10029 From: PTManager [mailto:PTManager ] On Behalf Of Engesether Sent: Friday, March 04, 2011 2:54 PM To: PTManager Subject: Re: IRF staffing ratios Carol- We have an IRF that is licensed for 17 beds. We have averaged a census of 9-12, however. Our corporation hired an independent consultant that set productivity targets for us, which are set according to industry standard. For an IRF, the standard is .40 hrs/unit billed. Hours included are all paid hours of clinical and support staff, excluding paid time off and off site education hours. I hope that helps. Engesether, MPT Director Inpatient Rehab Services Sanford Bemidji Sent from my iPad On Mar 4, 2011, at 11:28 AM, " Carol Rehder " <rehder@... <mailto:rehder%40genesishealth.com> <mailto:rehder@... <mailto:rehder%40genesishealth.com> >> wrote: Lori, Can you tell me what your worked hours /uos is? For comparative purposes: Fiscal yeart to date: All of your inpatient physical therapy worked FTE's hours (productive and non-produtive; any hours where they are physically at work whether or not they are providing direct patient care) divided by your billable volume in 15 minute units. Carol Rehder, PT Manager, Physical Therapy Genesis Medical Center <mailto:rehder%40genesishealth.com>rehder@... <mailto:rehder%40genesishealth.com> <mailto:rehder@... <mailto:rehder%40genesishealth.com> > A J.D. Power and Associates Distinguished Hospital for providing " An Outstanding Patient Experience " >>> " Stoddart, Lori " <<mailto:lstodda1%40hfhs.org>lstodda1@... <mailto:lstodda1%40hfhs.org> <mailto:lstodda1@... <mailto:lstodda1%40hfhs.org> >> 3/3/2011 1:15 PM >>> my responses are below in red Lori Stoddart, OTR/L Inpatient Therapy Manager Physical Rehabilitation Services Henry Ford Wyandotte Hospital 2333 Biddle Avenue Wyandotte, MI 48192 734/246-8963 <mailto:lstodda1%40hfhs.org>lstodda1@... <mailto:lstodda1%40hfhs.org> <mailto:lstodda1@... <mailto:lstodda1%40hfhs.org> > Be kinder than necessary because everyone you meet is fighting some kind of battle From: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> > [mailto:<mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> >] On Behalf Of Brownrigg, M Sent: Thursday, March 03, 2011 11:00 AM To: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> > Subject: RE: IRF staffing ratios We have 12 beds in our IFR...our FTE varies depending on census but we are averaging 9 for the daily census...we cover both acute care and inpatient rehab with the same pool of FTE. We do have staff dedicated/trained for rehab and each patient is assigned a primary team of PT and OT...we have one SLP for rehab. Each therapist generally see 4 patients each day, depending on meetings, team conferences etc. The rehab staff work on acute care when census is low and acute care therapists help on rehab when the census is high or there are vacations/sick calls. We cover 7 days per week (using a rolling week as well, with admit day as day 1) with patients getting full therapy 5 of 7 days and one full day off and one short day with whatever therapy is needed. We had been using speech in addition to the 3 hours and now we decide at the initial team conference if that is warranted or is speech is to count to the 3 hours/day. Please feel free to call or email with any additional questions. Brownrigg Inpatient Therapy Manager Acute Care and Inpatient Physical Rehabilitation Therapies PeaceHealth St. ph Medical Center 2901Squalicum Parkway Bellingham, WA 98225 <mailto:sbrownrigg%40peacehealth.org>sbrownrigg@... <mailto:sbrownrigg%40peacehealth.org> <mailto:sbrownrigg@... <mailto:sbrownrigg%40peacehealth.org> ><mailto:sbrownrigg%40peacehealth.org> <http://www.peacehealth.org>www.peacehealth.org<http://www.peacehealth.org> our success is in the being, not just the doing From: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> ><mailto:PTManager%40yahoogroups.com> [mailto:<mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> ><mailto:PTManager%40yahoogroups.com>] On Behalf Of jjatwts Sent: Wednesday, March 02, 2011 3:25 PM To: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> ><mailto:PTManager%40yahoogroups.com> Subject: IRF staffing ratios We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 38 beds with an average census of 28 We divide the unit into four teams with each team having: 1 PT, 1 PTA, 1 OTR, .25 COTA 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? same as you there are times we provide more than 3 hrs or 15 hours a week. Depends on the staff recommendations and patients needs. The " usual " schedule is that PT provides 2 hours and OT provides 1 hour. SP is extra but there are times we have to fall back onto if patient missed time with PT or OT. We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 8, 2011 Report Share Posted March 8, 2011 Hi, Can you clarify where you found the IRF industry standard of 0.4 hours worked/billable unit? Is that documented anywhere? Thank you, Gunning, PT, MS Director of Therapy Mount Sinai Rehabilitation Center The Mount Sinai Hospital 1 Gustave Levy Place Box 1674 NY, NY 10029 From: PTManager [mailto:PTManager ] On Behalf Of Engesether Sent: Friday, March 04, 2011 2:54 PM To: PTManager Subject: Re: IRF staffing ratios Carol- We have an IRF that is licensed for 17 beds. We have averaged a census of 9-12, however. Our corporation hired an independent consultant that set productivity targets for us, which are set according to industry standard. For an IRF, the standard is .40 hrs/unit billed. Hours included are all paid hours of clinical and support staff, excluding paid time off and off site education hours. I hope that helps. Engesether, MPT Director Inpatient Rehab Services Sanford Bemidji Sent from my iPad On Mar 4, 2011, at 11:28 AM, " Carol Rehder " <rehder@... <mailto:rehder%40genesishealth.com> <mailto:rehder@... <mailto:rehder%40genesishealth.com> >> wrote: Lori, Can you tell me what your worked hours /uos is? For comparative purposes: Fiscal yeart to date: All of your inpatient physical therapy worked FTE's hours (productive and non-produtive; any hours where they are physically at work whether or not they are providing direct patient care) divided by your billable volume in 15 minute units. Carol Rehder, PT Manager, Physical Therapy Genesis Medical Center <mailto:rehder%40genesishealth.com>rehder@... <mailto:rehder%40genesishealth.com> <mailto:rehder@... <mailto:rehder%40genesishealth.com> > A J.D. Power and Associates Distinguished Hospital for providing " An Outstanding Patient Experience " >>> " Stoddart, Lori " <<mailto:lstodda1%40hfhs.org>lstodda1@... <mailto:lstodda1%40hfhs.org> <mailto:lstodda1@... <mailto:lstodda1%40hfhs.org> >> 3/3/2011 1:15 PM >>> my responses are below in red Lori Stoddart, OTR/L Inpatient Therapy Manager Physical Rehabilitation Services Henry Ford Wyandotte Hospital 2333 Biddle Avenue Wyandotte, MI 48192 734/246-8963 <mailto:lstodda1%40hfhs.org>lstodda1@... <mailto:lstodda1%40hfhs.org> <mailto:lstodda1@... <mailto:lstodda1%40hfhs.org> > Be kinder than necessary because everyone you meet is fighting some kind of battle From: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> > [mailto:<mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> >] On Behalf Of Brownrigg, M Sent: Thursday, March 03, 2011 11:00 AM To: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> > Subject: RE: IRF staffing ratios We have 12 beds in our IFR...our FTE varies depending on census but we are averaging 9 for the daily census...we cover both acute care and inpatient rehab with the same pool of FTE. We do have staff dedicated/trained for rehab and each patient is assigned a primary team of PT and OT...we have one SLP for rehab. Each therapist generally see 4 patients each day, depending on meetings, team conferences etc. The rehab staff work on acute care when census is low and acute care therapists help on rehab when the census is high or there are vacations/sick calls. We cover 7 days per week (using a rolling week as well, with admit day as day 1) with patients getting full therapy 5 of 7 days and one full day off and one short day with whatever therapy is needed. We had been using speech in addition to the 3 hours and now we decide at the initial team conference if that is warranted or is speech is to count to the 3 hours/day. Please feel free to call or email with any additional questions. Brownrigg Inpatient Therapy Manager Acute Care and Inpatient Physical Rehabilitation Therapies PeaceHealth St. ph Medical Center 2901Squalicum Parkway Bellingham, WA 98225 <mailto:sbrownrigg%40peacehealth.org>sbrownrigg@... <mailto:sbrownrigg%40peacehealth.org> <mailto:sbrownrigg@... <mailto:sbrownrigg%40peacehealth.org> ><mailto:sbrownrigg%40peacehealth.org> <http://www.peacehealth.org>www.peacehealth.org<http://www.peacehealth.org> our success is in the being, not just the doing From: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> ><mailto:PTManager%40yahoogroups.com> [mailto:<mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> ><mailto:PTManager%40yahoogroups.com>] On Behalf Of jjatwts Sent: Wednesday, March 02, 2011 3:25 PM To: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> ><mailto:PTManager%40yahoogroups.com> Subject: IRF staffing ratios We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 38 beds with an average census of 28 We divide the unit into four teams with each team having: 1 PT, 1 PTA, 1 OTR, .25 COTA 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? same as you there are times we provide more than 3 hrs or 15 hours a week. Depends on the staff recommendations and patients needs. The " usual " schedule is that PT provides 2 hours and OT provides 1 hour. SP is extra but there are times we have to fall back onto if patient missed time with PT or OT. We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 8, 2011 Report Share Posted March 8, 2011 Hi, Can you clarify where you found the IRF industry standard of 0.4 hours worked/billable unit? Is that documented anywhere? Thank you, Gunning, PT, MS Director of Therapy Mount Sinai Rehabilitation Center The Mount Sinai Hospital 1 Gustave Levy Place Box 1674 NY, NY 10029 From: PTManager [mailto:PTManager ] On Behalf Of Engesether Sent: Friday, March 04, 2011 2:54 PM To: PTManager Subject: Re: IRF staffing ratios Carol- We have an IRF that is licensed for 17 beds. We have averaged a census of 9-12, however. Our corporation hired an independent consultant that set productivity targets for us, which are set according to industry standard. For an IRF, the standard is .40 hrs/unit billed. Hours included are all paid hours of clinical and support staff, excluding paid time off and off site education hours. I hope that helps. Engesether, MPT Director Inpatient Rehab Services Sanford Bemidji Sent from my iPad On Mar 4, 2011, at 11:28 AM, " Carol Rehder " <rehder@... <mailto:rehder%40genesishealth.com> <mailto:rehder@... <mailto:rehder%40genesishealth.com> >> wrote: Lori, Can you tell me what your worked hours /uos is? For comparative purposes: Fiscal yeart to date: All of your inpatient physical therapy worked FTE's hours (productive and non-produtive; any hours where they are physically at work whether or not they are providing direct patient care) divided by your billable volume in 15 minute units. Carol Rehder, PT Manager, Physical Therapy Genesis Medical Center <mailto:rehder%40genesishealth.com>rehder@... <mailto:rehder%40genesishealth.com> <mailto:rehder@... <mailto:rehder%40genesishealth.com> > A J.D. Power and Associates Distinguished Hospital for providing " An Outstanding Patient Experience " >>> " Stoddart, Lori " <<mailto:lstodda1%40hfhs.org>lstodda1@... <mailto:lstodda1%40hfhs.org> <mailto:lstodda1@... <mailto:lstodda1%40hfhs.org> >> 3/3/2011 1:15 PM >>> my responses are below in red Lori Stoddart, OTR/L Inpatient Therapy Manager Physical Rehabilitation Services Henry Ford Wyandotte Hospital 2333 Biddle Avenue Wyandotte, MI 48192 734/246-8963 <mailto:lstodda1%40hfhs.org>lstodda1@... <mailto:lstodda1%40hfhs.org> <mailto:lstodda1@... <mailto:lstodda1%40hfhs.org> > Be kinder than necessary because everyone you meet is fighting some kind of battle From: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> > [mailto:<mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> >] On Behalf Of Brownrigg, M Sent: Thursday, March 03, 2011 11:00 AM To: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> > Subject: RE: IRF staffing ratios We have 12 beds in our IFR...our FTE varies depending on census but we are averaging 9 for the daily census...we cover both acute care and inpatient rehab with the same pool of FTE. We do have staff dedicated/trained for rehab and each patient is assigned a primary team of PT and OT...we have one SLP for rehab. Each therapist generally see 4 patients each day, depending on meetings, team conferences etc. The rehab staff work on acute care when census is low and acute care therapists help on rehab when the census is high or there are vacations/sick calls. We cover 7 days per week (using a rolling week as well, with admit day as day 1) with patients getting full therapy 5 of 7 days and one full day off and one short day with whatever therapy is needed. We had been using speech in addition to the 3 hours and now we decide at the initial team conference if that is warranted or is speech is to count to the 3 hours/day. Please feel free to call or email with any additional questions. Brownrigg Inpatient Therapy Manager Acute Care and Inpatient Physical Rehabilitation Therapies PeaceHealth St. ph Medical Center 2901Squalicum Parkway Bellingham, WA 98225 <mailto:sbrownrigg%40peacehealth.org>sbrownrigg@... <mailto:sbrownrigg%40peacehealth.org> <mailto:sbrownrigg@... <mailto:sbrownrigg%40peacehealth.org> ><mailto:sbrownrigg%40peacehealth.org> <http://www.peacehealth.org>www.peacehealth.org<http://www.peacehealth.org> our success is in the being, not just the doing From: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> ><mailto:PTManager%40yahoogroups.com> [mailto:<mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> ><mailto:PTManager%40yahoogroups.com>] On Behalf Of jjatwts Sent: Wednesday, March 02, 2011 3:25 PM To: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> ><mailto:PTManager%40yahoogroups.com> Subject: IRF staffing ratios We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 38 beds with an average census of 28 We divide the unit into four teams with each team having: 1 PT, 1 PTA, 1 OTR, .25 COTA 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? same as you there are times we provide more than 3 hrs or 15 hours a week. Depends on the staff recommendations and patients needs. The " usual " schedule is that PT provides 2 hours and OT provides 1 hour. SP is extra but there are times we have to fall back onto if patient missed time with PT or OT. We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 9, 2011 Report Share Posted March 9, 2011 And what all is included in the worked hours? I am finding all kinds of differences. Some include conference time, some document at the bedside so they can include that. Some rollup all the therapy departments rather than different stats for OT, PT, SP, etc. We are trying to compare our actual stat with Premier Peer partners and it's all over the place. Some rehab units are heavily neuro, others are seeing mainly bilateral hips and knees. What a difference that makes in manpower and other efficiencies. Some include manager and support hours, others do not. So I too, am curious as to how they arrived at the " industry standard " of .4 wh/uos. Is it by 15 minute RVU's or by CPT4 codes? Carol Rehder, PT Manager, Physical Therapy Genesis Medical Center rehder@... A J.D. Power and Associates Distinguished Hospital for providing " An Outstanding Patient Experience " >>> " Gunning, " 3/8/2011 3:08 PM >>> Hi, Can you clarify where you found the IRF industry standard of 0.4 hours worked/billable unit? Is that documented anywhere? Thank you, Gunning, PT, MS Director of Therapy Mount Sinai Rehabilitation Center The Mount Sinai Hospital 1 Gustave Levy Place Box 1674 NY, NY 10029 From: PTManager [mailto:PTManager ] On Behalf Of Engesether Sent: Friday, March 04, 2011 2:54 PM To: PTManager Subject: Re: IRF staffing ratios Carol- We have an IRF that is licensed for 17 beds. We have averaged a census of 9-12, however. Our corporation hired an independent consultant that set productivity targets for us, which are set according to industry standard. For an IRF, the standard is .40 hrs/unit billed. Hours included are all paid hours of clinical and support staff, excluding paid time off and off site education hours. I hope that helps. Engesether, MPT Director Inpatient Rehab Services Sanford Bemidji Sent from my iPad On Mar 4, 2011, at 11:28 AM, " Carol Rehder " <rehder@... <mailto:rehder%40genesishealth.com> <mailto:rehder@... <mailto:rehder%40genesishealth.com> >> wrote: Lori, Can you tell me what your worked hours /uos is? For comparative purposes: Fiscal yeart to date: All of your inpatient physical therapy worked FTE's hours (productive and non-produtive; any hours where they are physically at work whether or not they are providing direct patient care) divided by your billable volume in 15 minute units. Carol Rehder, PT Manager, Physical Therapy Genesis Medical Center <mailto:rehder%40genesishealth.com>rehder@... <mailto:rehder%40genesishealth.com> <mailto:rehder@... <mailto:rehder%40genesishealth.com> > A J.D. Power and Associates Distinguished Hospital for providing " An Outstanding Patient Experience " >>> " Stoddart, Lori " <<mailto:lstodda1%40hfhs.org>lstodda1@... <mailto:lstodda1%40hfhs.org> <mailto:lstodda1@... <mailto:lstodda1%40hfhs.org> >> 3/3/2011 1:15 PM >>> my responses are below in red Lori Stoddart, OTR/L Inpatient Therapy Manager Physical Rehabilitation Services Henry Ford Wyandotte Hospital 2333 Biddle Avenue Wyandotte, MI 48192 734/246-8963 <mailto:lstodda1%40hfhs.org>lstodda1@... <mailto:lstodda1%40hfhs.org> <mailto:lstodda1@... <mailto:lstodda1%40hfhs.org> > Be kinder than necessary because everyone you meet is fighting some kind of battle From: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> > [mailto:<mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> >] On Behalf Of Brownrigg, M Sent: Thursday, March 03, 2011 11:00 AM To: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> > Subject: RE: IRF staffing ratios We have 12 beds in our IFR...our FTE varies depending on census but we are averaging 9 for the daily census...we cover both acute care and inpatient rehab with the same pool of FTE. We do have staff dedicated/trained for rehab and each patient is assigned a primary team of PT and OT...we have one SLP for rehab. Each therapist generally see 4 patients each day, depending on meetings, team conferences etc. The rehab staff work on acute care when census is low and acute care therapists help on rehab when the census is high or there are vacations/sick calls. We cover 7 days per week (using a rolling week as well, with admit day as day 1) with patients getting full therapy 5 of 7 days and one full day off and one short day with whatever therapy is needed. We had been using speech in addition to the 3 hours and now we decide at the initial team conference if that is warranted or is speech is to count to the 3 hours/day. Please feel free to call or email with any additional questions. Brownrigg Inpatient Therapy Manager Acute Care and Inpatient Physical Rehabilitation Therapies PeaceHealth St. ph Medical Center 2901Squalicum Parkway Bellingham, WA 98225 <mailto:sbrownrigg%40peacehealth.org>sbrownrigg@... <mailto:sbrownrigg%40peacehealth.org> <mailto:sbrownrigg@... <mailto:sbrownrigg%40peacehealth.org> ><mailto:sbrownrigg%40peacehealth.org> <http://www.peacehealth.org>www.peacehealth.org<http://www.peacehealth.org> our success is in the being, not just the doing From: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> ><mailto:PTManager%40yahoogroups.com> [mailto:<mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> ><mailto:PTManager%40yahoogroups.com>] On Behalf Of jjatwts Sent: Wednesday, March 02, 2011 3:25 PM To: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> ><mailto:PTManager%40yahoogroups.com> Subject: IRF staffing ratios We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 38 beds with an average census of 28 We divide the unit into four teams with each team having: 1 PT, 1 PTA, 1 OTR, .25 COTA 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? same as you there are times we provide more than 3 hrs or 15 hours a week. Depends on the staff recommendations and patients needs. The " usual " schedule is that PT provides 2 hours and OT provides 1 hour. SP is extra but there are times we have to fall back onto if patient missed time with PT or OT. We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 9, 2011 Report Share Posted March 9, 2011 And what all is included in the worked hours? I am finding all kinds of differences. Some include conference time, some document at the bedside so they can include that. Some rollup all the therapy departments rather than different stats for OT, PT, SP, etc. We are trying to compare our actual stat with Premier Peer partners and it's all over the place. Some rehab units are heavily neuro, others are seeing mainly bilateral hips and knees. What a difference that makes in manpower and other efficiencies. Some include manager and support hours, others do not. So I too, am curious as to how they arrived at the " industry standard " of .4 wh/uos. Is it by 15 minute RVU's or by CPT4 codes? Carol Rehder, PT Manager, Physical Therapy Genesis Medical Center rehder@... A J.D. Power and Associates Distinguished Hospital for providing " An Outstanding Patient Experience " >>> " Gunning, " 3/8/2011 3:08 PM >>> Hi, Can you clarify where you found the IRF industry standard of 0.4 hours worked/billable unit? Is that documented anywhere? Thank you, Gunning, PT, MS Director of Therapy Mount Sinai Rehabilitation Center The Mount Sinai Hospital 1 Gustave Levy Place Box 1674 NY, NY 10029 From: PTManager [mailto:PTManager ] On Behalf Of Engesether Sent: Friday, March 04, 2011 2:54 PM To: PTManager Subject: Re: IRF staffing ratios Carol- We have an IRF that is licensed for 17 beds. We have averaged a census of 9-12, however. Our corporation hired an independent consultant that set productivity targets for us, which are set according to industry standard. For an IRF, the standard is .40 hrs/unit billed. Hours included are all paid hours of clinical and support staff, excluding paid time off and off site education hours. I hope that helps. Engesether, MPT Director Inpatient Rehab Services Sanford Bemidji Sent from my iPad On Mar 4, 2011, at 11:28 AM, " Carol Rehder " <rehder@... <mailto:rehder%40genesishealth.com> <mailto:rehder@... <mailto:rehder%40genesishealth.com> >> wrote: Lori, Can you tell me what your worked hours /uos is? For comparative purposes: Fiscal yeart to date: All of your inpatient physical therapy worked FTE's hours (productive and non-produtive; any hours where they are physically at work whether or not they are providing direct patient care) divided by your billable volume in 15 minute units. Carol Rehder, PT Manager, Physical Therapy Genesis Medical Center <mailto:rehder%40genesishealth.com>rehder@... <mailto:rehder%40genesishealth.com> <mailto:rehder@... <mailto:rehder%40genesishealth.com> > A J.D. Power and Associates Distinguished Hospital for providing " An Outstanding Patient Experience " >>> " Stoddart, Lori " <<mailto:lstodda1%40hfhs.org>lstodda1@... <mailto:lstodda1%40hfhs.org> <mailto:lstodda1@... <mailto:lstodda1%40hfhs.org> >> 3/3/2011 1:15 PM >>> my responses are below in red Lori Stoddart, OTR/L Inpatient Therapy Manager Physical Rehabilitation Services Henry Ford Wyandotte Hospital 2333 Biddle Avenue Wyandotte, MI 48192 734/246-8963 <mailto:lstodda1%40hfhs.org>lstodda1@... <mailto:lstodda1%40hfhs.org> <mailto:lstodda1@... <mailto:lstodda1%40hfhs.org> > Be kinder than necessary because everyone you meet is fighting some kind of battle From: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> > [mailto:<mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> >] On Behalf Of Brownrigg, M Sent: Thursday, March 03, 2011 11:00 AM To: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> > Subject: RE: IRF staffing ratios We have 12 beds in our IFR...our FTE varies depending on census but we are averaging 9 for the daily census...we cover both acute care and inpatient rehab with the same pool of FTE. We do have staff dedicated/trained for rehab and each patient is assigned a primary team of PT and OT...we have one SLP for rehab. Each therapist generally see 4 patients each day, depending on meetings, team conferences etc. The rehab staff work on acute care when census is low and acute care therapists help on rehab when the census is high or there are vacations/sick calls. We cover 7 days per week (using a rolling week as well, with admit day as day 1) with patients getting full therapy 5 of 7 days and one full day off and one short day with whatever therapy is needed. We had been using speech in addition to the 3 hours and now we decide at the initial team conference if that is warranted or is speech is to count to the 3 hours/day. Please feel free to call or email with any additional questions. Brownrigg Inpatient Therapy Manager Acute Care and Inpatient Physical Rehabilitation Therapies PeaceHealth St. ph Medical Center 2901Squalicum Parkway Bellingham, WA 98225 <mailto:sbrownrigg%40peacehealth.org>sbrownrigg@... <mailto:sbrownrigg%40peacehealth.org> <mailto:sbrownrigg@... <mailto:sbrownrigg%40peacehealth.org> ><mailto:sbrownrigg%40peacehealth.org> <http://www.peacehealth.org>www.peacehealth.org<http://www.peacehealth.org> our success is in the being, not just the doing From: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> ><mailto:PTManager%40yahoogroups.com> [mailto:<mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> ><mailto:PTManager%40yahoogroups.com>] On Behalf Of jjatwts Sent: Wednesday, March 02, 2011 3:25 PM To: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> ><mailto:PTManager%40yahoogroups.com> Subject: IRF staffing ratios We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 38 beds with an average census of 28 We divide the unit into four teams with each team having: 1 PT, 1 PTA, 1 OTR, .25 COTA 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? same as you there are times we provide more than 3 hrs or 15 hours a week. Depends on the staff recommendations and patients needs. The " usual " schedule is that PT provides 2 hours and OT provides 1 hour. SP is extra but there are times we have to fall back onto if patient missed time with PT or OT. We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 9, 2011 Report Share Posted March 9, 2011 And what all is included in the worked hours? I am finding all kinds of differences. Some include conference time, some document at the bedside so they can include that. Some rollup all the therapy departments rather than different stats for OT, PT, SP, etc. We are trying to compare our actual stat with Premier Peer partners and it's all over the place. Some rehab units are heavily neuro, others are seeing mainly bilateral hips and knees. What a difference that makes in manpower and other efficiencies. Some include manager and support hours, others do not. So I too, am curious as to how they arrived at the " industry standard " of .4 wh/uos. Is it by 15 minute RVU's or by CPT4 codes? Carol Rehder, PT Manager, Physical Therapy Genesis Medical Center rehder@... A J.D. Power and Associates Distinguished Hospital for providing " An Outstanding Patient Experience " >>> " Gunning, " 3/8/2011 3:08 PM >>> Hi, Can you clarify where you found the IRF industry standard of 0.4 hours worked/billable unit? Is that documented anywhere? Thank you, Gunning, PT, MS Director of Therapy Mount Sinai Rehabilitation Center The Mount Sinai Hospital 1 Gustave Levy Place Box 1674 NY, NY 10029 From: PTManager [mailto:PTManager ] On Behalf Of Engesether Sent: Friday, March 04, 2011 2:54 PM To: PTManager Subject: Re: IRF staffing ratios Carol- We have an IRF that is licensed for 17 beds. We have averaged a census of 9-12, however. Our corporation hired an independent consultant that set productivity targets for us, which are set according to industry standard. For an IRF, the standard is .40 hrs/unit billed. Hours included are all paid hours of clinical and support staff, excluding paid time off and off site education hours. I hope that helps. Engesether, MPT Director Inpatient Rehab Services Sanford Bemidji Sent from my iPad On Mar 4, 2011, at 11:28 AM, " Carol Rehder " <rehder@... <mailto:rehder%40genesishealth.com> <mailto:rehder@... <mailto:rehder%40genesishealth.com> >> wrote: Lori, Can you tell me what your worked hours /uos is? For comparative purposes: Fiscal yeart to date: All of your inpatient physical therapy worked FTE's hours (productive and non-produtive; any hours where they are physically at work whether or not they are providing direct patient care) divided by your billable volume in 15 minute units. Carol Rehder, PT Manager, Physical Therapy Genesis Medical Center <mailto:rehder%40genesishealth.com>rehder@... <mailto:rehder%40genesishealth.com> <mailto:rehder@... <mailto:rehder%40genesishealth.com> > A J.D. Power and Associates Distinguished Hospital for providing " An Outstanding Patient Experience " >>> " Stoddart, Lori " <<mailto:lstodda1%40hfhs.org>lstodda1@... <mailto:lstodda1%40hfhs.org> <mailto:lstodda1@... <mailto:lstodda1%40hfhs.org> >> 3/3/2011 1:15 PM >>> my responses are below in red Lori Stoddart, OTR/L Inpatient Therapy Manager Physical Rehabilitation Services Henry Ford Wyandotte Hospital 2333 Biddle Avenue Wyandotte, MI 48192 734/246-8963 <mailto:lstodda1%40hfhs.org>lstodda1@... <mailto:lstodda1%40hfhs.org> <mailto:lstodda1@... <mailto:lstodda1%40hfhs.org> > Be kinder than necessary because everyone you meet is fighting some kind of battle From: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> > [mailto:<mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> >] On Behalf Of Brownrigg, M Sent: Thursday, March 03, 2011 11:00 AM To: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> > Subject: RE: IRF staffing ratios We have 12 beds in our IFR...our FTE varies depending on census but we are averaging 9 for the daily census...we cover both acute care and inpatient rehab with the same pool of FTE. We do have staff dedicated/trained for rehab and each patient is assigned a primary team of PT and OT...we have one SLP for rehab. Each therapist generally see 4 patients each day, depending on meetings, team conferences etc. The rehab staff work on acute care when census is low and acute care therapists help on rehab when the census is high or there are vacations/sick calls. We cover 7 days per week (using a rolling week as well, with admit day as day 1) with patients getting full therapy 5 of 7 days and one full day off and one short day with whatever therapy is needed. We had been using speech in addition to the 3 hours and now we decide at the initial team conference if that is warranted or is speech is to count to the 3 hours/day. Please feel free to call or email with any additional questions. Brownrigg Inpatient Therapy Manager Acute Care and Inpatient Physical Rehabilitation Therapies PeaceHealth St. ph Medical Center 2901Squalicum Parkway Bellingham, WA 98225 <mailto:sbrownrigg%40peacehealth.org>sbrownrigg@... <mailto:sbrownrigg%40peacehealth.org> <mailto:sbrownrigg@... <mailto:sbrownrigg%40peacehealth.org> ><mailto:sbrownrigg%40peacehealth.org> <http://www.peacehealth.org>www.peacehealth.org<http://www.peacehealth.org> our success is in the being, not just the doing From: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> ><mailto:PTManager%40yahoogroups.com> [mailto:<mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> ><mailto:PTManager%40yahoogroups.com>] On Behalf Of jjatwts Sent: Wednesday, March 02, 2011 3:25 PM To: <mailto:PTManager%40yahoogroups.com> PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager <mailto:PTManager%40yahoogroups.com> ><mailto:PTManager%40yahoogroups.com> Subject: IRF staffing ratios We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 38 beds with an average census of 28 We divide the unit into four teams with each team having: 1 PT, 1 PTA, 1 OTR, .25 COTA 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? same as you there are times we provide more than 3 hrs or 15 hours a week. Depends on the staff recommendations and patients needs. The " usual " schedule is that PT provides 2 hours and OT provides 1 hour. SP is extra but there are times we have to fall back onto if patient missed time with PT or OT. We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 9, 2011 Report Share Posted March 9, 2011 We are with Premier as well and my concern is the peer comparison. We combine all inpatient and one large OP service ( which has all of the support team hours) as one comparison group . Our other group consists of our OP centers as divergent as a site with adult ortho/spine with another that has a patient population under 5 years of age ( pediatric center) I am having a hard time seeing how a standard UOS can makes sense in those comparisons. Ron Barbato PT Administrative Director, Rehabilitation Services Program Director, Cancer Support Services Ephraim McDowell Health Voice: Fax: Kentucky Board of Physical Therapy rbarbato@... PRIVILEGED AND CONFIDENTIAL: This transmission may contain information that is privileged subject to attorney-client privilege or attorney work product, confidential and/or exempt from disclosure under applicable law. If you are not the intended recipient, then please do not read it and be aware that any disclosure, copying, distribution, or use of the information contained herein (including any reliance thereon) is STRICTLY PROHIBITED. If you received this transmission in error, please immediately advise me, by reply e-mail, and delete this message and any attachments without retaining a copy in any form. Thank you. IRF staffing ratios We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 38 beds with an average census of 28 We divide the unit into four teams with each team having: 1 PT, 1 PTA, 1 OTR, .25 COTA 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? same as you there are times we provide more than 3 hrs or 15 hours a week. Depends on the staff recommendations and patients needs. The " usual " schedule is that PT provides 2 hours and OT provides 1 hour. SP is extra but there are times we have to fall back onto if patient missed time with PT or OT. We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 9, 2011 Report Share Posted March 9, 2011 We are with Premier as well and my concern is the peer comparison. We combine all inpatient and one large OP service ( which has all of the support team hours) as one comparison group . Our other group consists of our OP centers as divergent as a site with adult ortho/spine with another that has a patient population under 5 years of age ( pediatric center) I am having a hard time seeing how a standard UOS can makes sense in those comparisons. Ron Barbato PT Administrative Director, Rehabilitation Services Program Director, Cancer Support Services Ephraim McDowell Health Voice: Fax: Kentucky Board of Physical Therapy rbarbato@... PRIVILEGED AND CONFIDENTIAL: This transmission may contain information that is privileged subject to attorney-client privilege or attorney work product, confidential and/or exempt from disclosure under applicable law. If you are not the intended recipient, then please do not read it and be aware that any disclosure, copying, distribution, or use of the information contained herein (including any reliance thereon) is STRICTLY PROHIBITED. If you received this transmission in error, please immediately advise me, by reply e-mail, and delete this message and any attachments without retaining a copy in any form. Thank you. IRF staffing ratios We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 38 beds with an average census of 28 We divide the unit into four teams with each team having: 1 PT, 1 PTA, 1 OTR, .25 COTA 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? same as you there are times we provide more than 3 hrs or 15 hours a week. Depends on the staff recommendations and patients needs. The " usual " schedule is that PT provides 2 hours and OT provides 1 hour. SP is extra but there are times we have to fall back onto if patient missed time with PT or OT. We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 9, 2011 Report Share Posted March 9, 2011 We are with Premier as well and my concern is the peer comparison. We combine all inpatient and one large OP service ( which has all of the support team hours) as one comparison group . Our other group consists of our OP centers as divergent as a site with adult ortho/spine with another that has a patient population under 5 years of age ( pediatric center) I am having a hard time seeing how a standard UOS can makes sense in those comparisons. Ron Barbato PT Administrative Director, Rehabilitation Services Program Director, Cancer Support Services Ephraim McDowell Health Voice: Fax: Kentucky Board of Physical Therapy rbarbato@... PRIVILEGED AND CONFIDENTIAL: This transmission may contain information that is privileged subject to attorney-client privilege or attorney work product, confidential and/or exempt from disclosure under applicable law. If you are not the intended recipient, then please do not read it and be aware that any disclosure, copying, distribution, or use of the information contained herein (including any reliance thereon) is STRICTLY PROHIBITED. If you received this transmission in error, please immediately advise me, by reply e-mail, and delete this message and any attachments without retaining a copy in any form. Thank you. IRF staffing ratios We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 38 beds with an average census of 28 We divide the unit into four teams with each team having: 1 PT, 1 PTA, 1 OTR, .25 COTA 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? same as you there are times we provide more than 3 hrs or 15 hours a week. Depends on the staff recommendations and patients needs. The " usual " schedule is that PT provides 2 hours and OT provides 1 hour. SP is extra but there are times we have to fall back onto if patient missed time with PT or OT. We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. JWeigand Aultman Woodlawn Canton, Ohio This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 11, 2011 Report Share Posted March 11, 2011 We are a 502 bed acute hospital with 34 bed rehab unit, CARF accredited in CVA, TBI, SCI for inpt and outpt. We provide inpt. rehab services and have 6 PT's 2 PTA's and 2 techs for the Rehab unit. Avg pts/team are 6-7 but get as high as 8 for a short time. Acute areas include 30 bed inpatient Ortho, 20 bed each for Neuro, MedSurg, Onc, Pulm. 10 bed ICU, OP program for Cancer Rehab and Wound care. Then at the other campus, 2 miles away, we have cardiac, surgical specialty, urology, dialysis, MICU, SICU. We have a total of 34.4 FTE's to serve all of the above areas and current are on target to produce 92,400 units this year with 30-31 worked FTE's for a worked hours stat of .71 fytd. Our direct care licensed staff are productive at a rate of about .43 to .45 worked hours per 15 min.billable unit of service generated. Does that give you an idea of what I am looking to compare? Thanks, Carol Carol Rehder, PT Manager, Physical Therapy Genesis Medical Center rehder@... A J.D. Power and Associates Distinguished Hospital for providing " An Outstanding Patient Experience " >>> " Marcia Stalvey " 3/3/2011 2:10 PM >>> We are a 38 bed rehab freestanding hospital heavily TBI, CVA, and SCI. We have 5 PTs, 1 PTA, 3 OTRs, 3 COTAs, 4 SLPs, 1 TR - plus a therapy supervisor who is a PT and treats about 50%. All of these individuals are full time. We also have a ½ time activities assistant for TR. This staffing is based on an occupancy of 30 beds. Right now we have been running full at 37-38 and are having to up-schedule some of our part time outpatient staff and use our prn heavily to cover. Re; therapist/ asisstant model- I would prefer that the model be 3 therapist/2 assistant or more heavily PT/OT and am working to get there because of eval load, team reporting requirements, supervision requirements for the COTAs and students, etc. It is a hard sell to our upper administration but I did just recently manage to convert a COTA position to an OTR position. We do have a very hard time hiring OTRs in our area. Speech is counted in the 3 hour complement, not as an addition. We distribute hours based on the patient's needs- occasionally a patient may get 1-1/2 hours of speech, 1 hour OT, and ½ our of PT if their needs are primarily cognitive. Recently we have started over-scheduling a little early in the patients' individual weeks to help with the inevitable missed time for whatever reasons. We are a " 6 ½ " ( so I think technically that means 7 ) day department with Sunday PT only as needed. We made a clinical decision to see all patients with total knees on Sundays their first week or two. To date that is has been the only population we feel don't benefits from a Sunday rest. They do not get 3 hours on the Sunday and we don;t staff every Sunday if there are no patients with TKAs to see. We can call in OT and Speech if needed. The exception to this is holiday weeks where Sundays become the regular day to replace the Holi-day ( Thanks giving, Memorial and Labor Day Christmas, etc...) Then is it a regular staffing day. Hope that helps. Marcy Marcy Stalvey, PT, NCS Edwin Shaw Rehabilitation Institute Cuyahoga Falls, OH 44221 >>> jjatwts 3/2/2011 6:25 PM >>> We are in the process of re-evaluating our staffing model in our IRF. It raises two areas of questions we feel we need asked to allow us to look at industry standards and make appropriate changes: 1. Can anyone share with me: how many beds do you have in your IRF? How many FTE's do you have to cover this? Are you a 6 or 7 day/week program? How many Therapists vs therapy assistants do you use? (PT/PTA, OT/COTA) Do you have a set staffing model or does it vary. 2. How do you look at the 3hr/5days per week rule? Do you provide ST hours in addition to 3 hrs of PT/OT or is it included in the 3 hr? Do you provide PT/OT/ST in excess to the 5 days of 3 hrs but in a modified capacity (ie. limited therapy on weekends for all patients or based on need)? We are looking at possibly some type of self scheduling model for our staffing. We use the rolling week so we are providing a 7 day/week program but the patients are receiving therapy 5 days per week within the 7 days. Currently our speech therapy is in addition to the 3 hrs because that volume varies so much. We incorporate it into the 3 hrs if the patient can't tolerate it as an addition. Thank you for any insight you are willing to share. 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