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IRF staffing ratios

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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

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