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. 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...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.