RE: Re: Productivity/weighted charging in acute & IPR

[Guest guest]

How do account for those meetings, calls to families, MD, discussions with case

managers, MDs, and/or nurses, into your daily productivity, some days are full

of those.

L., PT

>>> " Vosler, " 4/6/2011 12:50 PM >>>

Do any of the group members report through the Premier Company for productivity

benchmarking? If so, I would be interested to visit about how this product has

helped you manage your productivity, staffing, etc.

Vosler, PT

Holy ry Healthcare

________________________________

From: PTManager [mailto:PTManager ] On Behalf Of

Brownrigg, M

Sent: Wednesday, April 06, 2011 11:35 AM

To: PTManager

Subject: RE: Re: Productivity/weighted charging in acute & IPR

ìOur productivity expectations for acute care and inpatient rehab are

very similar to what Dan outlined below, expect our acute care

productivity is 22 units and our inpatient rehab productivity is 24

units based on a full day available for patient care. We do adjust for

meetings, inservices and then the productivity for that day is lower

since there is less time available for patient care. We do weight

evaluations in the same way Dan does but we do not adjust a lower

expectation for PTAs. We have considered adjusting our productivity

expectations higher for our orthopedic service on acute care but we now

have a joint center program and see those patients in groups, so it is a

different program altogether. Our budget is built with both service

lines and all disciplines including manager and support staff.

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 Dan

Sent: Wednesday, April 06, 2011 9:34 AM

To: PTManager <mailto:PTManager%40yahoogroups.com>

Subject: Re: Productivity/weighted charging in acute & IPR

In Inpt Rehab our productivity expectation is 75% (actually, 0.33 as we

use a ratio) for PT/OT and a little less for Speech. That's 24 units in

an 8-hr day. In acute it's 62.5% (0.45, or 20 units). Speech is again a

little lower. Another exception is that we expect our PT's on our acute

ortho unit to achieve 69% (0.40, or 22 units). We also have a slightly

lower expectation for assistants than therapists (56%/0.45/18 units),

because the therapists come out ahead due to evaluations.

We do weight evaluations in 3 increments, 0-30 (2 units), 31-60 (4

units) and 61-90 (6 units). Most other charges are per 15-minute

increment (exceptions include some related to wound care).

A couple years back we were visited by consultants who recommended

increasing our productivity requirements in acute, and the current

numbers are a split between what they recommended and what we used to

require. At that time I did some extensive comparisons with other

organizations to see if what I could find out jibed with what the

consultants claimed, and they mostly did, except that there was wide

variability in how things are calculated. For example, a place might say

their expectation is 28 units in 8 hrs in acute, but that meetings or

in-services would be subtracted out of the time worked and adjust down

the expected figure. Or, they'd count such meetings as " units of

service " for purposes of tracking productivity, even though it wasn't

included in their financial reporting.

I'm happy to share the details of what I learned then with anyone if you

want to contact me separately. I'm always interested to hear from others

trying to come up with the best way to manage this fun stuff.

Dan Gaskell

Carilion Clinic

Roanoke, Virginia

>

> Group,

>

> What are your productivity expectations for staff in an acute care and

in IPR setting? Our acute hospital is ~600 bed, level I trauma, stroke &

LVAD certified facility, and our IPR is 22 beds. Currently we are

reevaluating our charging methods to determine the best, if any,

appropriate weight for evaluations (service based) vs treatments (time

based for OT & PT) and service based SLP charges. For example, if an

average evaluation takes 45 minutes, are your evaluation charges

weighted to account for the time beyond 15 minutes? we have historically

used unit of service counters with $0 to weight them equally in terms of

time with treatments. This has helped us reach productivity expectations

for numbers of UOS per day, but we are reevaluating whether this is the

best method.

>

> Appreciate any input or suggestions, thanks.

>

> Kari V. Voll, OTR/L, Therapy Manager

> Norfolk, VA

>

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