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I am in the process of moving my acute care therapists to an assignment based

model where they are assigned to a home unit which would be their primary

responsibility. We are looking at doing this on a rotation basis so that no one

gets burned out on any given unit. We have had a lot of discussion about what a

reasonable timeframe would be for a rotation. I am seeking input from you all as

to the length of your rotation schedules, if you have a similar model. Any input

would be greatly appreciated. Thanks!

Natasha Forbes-Thorne, OTR, MBA/HCM

Rehab Director

Florida Hospital Zephyrhills

7050 Gall Blvd., Zephyrhills. FL 33541

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Natasha,

We have had some experience with this within our own organization-supporting our

own Home health/Hospice Agency.

We found 2-3 months worked well for us, utilizing outpatient therapists.

Changing too soon caused problems with staff just getting used to processes etc.

and a lack of continuity for patients. Too long and staff lost some of their

enthusiasm. We worked hard to make transitions better for the outpatient

therapists, reducing # of new evals before HH rotation and helping to build up

their OP schedules quickly upon completing their HH rotations.

If a therapist was really enjoying the HH rotation, they had the option to

continue as long as they gave 4 weeks notice to us about concluding, to allow

for a smoother transition to another staff member.

Hope this experience helps!

Dan , PT

PT Manager

Vernon Memorial Hospital

Viroqua, WI 54665

dnelson@...

From: PTManager [mailto:PTManager ] On Behalf Of

Forbes-Thorne, Natasha

Sent: Friday, February 04, 2011 8:19 AM

To: ptmanager

Subject: Rotation Schedule

I am in the process of moving my acute care therapists to an assignment based

model where they are assigned to a home unit which would be their primary

responsibility. We are looking at doing this on a rotation basis so that no one

gets burned out on any given unit. We have had a lot of discussion about what a

reasonable timeframe would be for a rotation. I am seeking input from you all as

to the length of your rotation schedules, if you have a similar model. Any input

would be greatly appreciated. Thanks!

Natasha Forbes-Thorne, OTR, MBA/HCM

Rehab Director

Florida Hospital Zephyrhills

7050 Gall Blvd., Zephyrhills. FL 33541

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Thanks Dan for your feedback! That is exactly along the lines of what I was

thinking!

Natasha Forbes-Thorne, OTR, MBA/HCM

Rehab Director

Florida Hospital Zephyrhills

7050 Gall Blvd., Zephyrhills. FL 33541

From: PTManager [mailto:PTManager ] On Behalf Of

, Dan

Sent: Friday, February 04, 2011 10:50 AM

To: PTManager

Subject: RE: Rotation Schedule

Natasha,

We have had some experience with this within our own organization-supporting our

own Home health/Hospice Agency.

We found 2-3 months worked well for us, utilizing outpatient therapists.

Changing too soon caused problems with staff just getting used to processes etc.

and a lack of continuity for patients. Too long and staff lost some of their

enthusiasm. We worked hard to make transitions better for the outpatient

therapists, reducing # of new evals before HH rotation and helping to build up

their OP schedules quickly upon completing their HH rotations.

If a therapist was really enjoying the HH rotation, they had the option to

continue as long as they gave 4 weeks notice to us about concluding, to allow

for a smoother transition to another staff member.

Hope this experience helps!

Dan , PT

PT Manager

Vernon Memorial Hospital

Viroqua, WI 54665

dnelson@...<mailto:dnelson%40vmh.org><mailto:dnelson@...<mailto:dnelson%\

40vmh.org>>

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

[mailto:PTManager <mailto:PTManager%40yahoogroups.com>] On Behalf

Of Forbes-Thorne, Natasha

Sent: Friday, February 04, 2011 8:19 AM

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

Subject: Rotation Schedule

I am in the process of moving my acute care therapists to an assignment based

model where they are assigned to a home unit which would be their primary

responsibility. We are looking at doing this on a rotation basis so that no one

gets burned out on any given unit. We have had a lot of discussion about what a

reasonable timeframe would be for a rotation. I am seeking input from you all as

to the length of your rotation schedules, if you have a similar model. Any input

would be greatly appreciated. Thanks!

Natasha Forbes-Thorne, OTR, MBA/HCM

Rehab Director

Florida Hospital Zephyrhills

7050 Gall Blvd., Zephyrhills. FL 33541

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Our acute care hospital does a 3 month rotation. There are a few therapists

exempt and are in the " float " pool due to their specialties (i.e wound care team

and lymphedema certified team) so they help cover anywhere when they don't have

wounds or lymphedema patients on their caseload. Seems to work well.

Robin King, PT, C/NDT, CCCE

Therapy Manager, Rehab Therapy

Health

Robin.King@...

Phone:

__________

Health - a Top 100 Integrated Health Care Network

COXHEALTH

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Hi Natasha,

How many beds is FHZ and how many staff do you have working in acute care on any

given day? I've considered doing this at DeLand as well. It worked well at

another hospital I was at (3 month rotations, acute care staff only), but it was

a larger hospital with more staff on each day so I've been weary about starting

it here.

Thanks,

Jill Piazza, PT, DPT

Director of Rehab

Florida Hospital DeLand

On Feb 4, 2011, at 9:18 AM, " Forbes-Thorne, Natasha "

wrote:

> I am in the process of moving my acute care therapists to an assignment based

model where they are assigned to a home unit which would be their primary

responsibility. We are looking at doing this on a rotation basis so that no one

gets burned out on any given unit. We have had a lot of discussion about what a

reasonable timeframe would be for a rotation. I am seeking input from you all as

to the length of your rotation schedules, if you have a similar model. Any input

would be greatly appreciated. Thanks!

>

> Natasha Forbes-Thorne, OTR, MBA/HCM

> Rehab Director

> Florida Hospital Zephyrhills

> 7050 Gall Blvd., Zephyrhills. FL 33541

>

>

>

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