Re: Pediatric Speech 30 minute Appointments

[Guest guest]

Hi, Mark -

I'm interested in whether you believe that you are " losing money " because

of:

1) Missed opportunities because of limited capacity? or,

2) Spending more than you take in?

Which situation best describes your practice?

Dr. Dick Hillyer

Dr. Hillyer, PT, DPT, MBA, MSM

Hillyer Consulting

700 El Dorado Pkwy W.

Cape Coral, FL 33914

Mobile

_____

From: PTManager [mailto:PTManager ] On Behalf

Of manualmark1

Sent: Monday, August 15, 2011 9:35 AM

To: PTManager

Subject: Pediatric Speech 30 minute Appointments

Problem: We have a waiting list for our Pediatric Speech Therapist and we

are loosing money.

Proposed Solution: Reduce visits from 60 minutes to 30 minutes.

Problem: My therapist is afraid of the case load and states this is not good

care. I have heard most private practices do 30 minute appointments. I do

not have any data from hospital based therapist.

What I need: Is it appropriate to expect my Speech therapist to do 30 minute

appointments?

Thanks,

Mark

[Guest guest]

Hi, Mark -

I'm interested in whether you believe that you are " losing money " because

of:

1) Missed opportunities because of limited capacity? or,

2) Spending more than you take in?

Which situation best describes your practice?

Dr. Dick Hillyer

Dr. Hillyer, PT, DPT, MBA, MSM

Hillyer Consulting

700 El Dorado Pkwy W.

Cape Coral, FL 33914

Mobile

_____

From: PTManager [mailto:PTManager ] On Behalf

Of manualmark1

Sent: Monday, August 15, 2011 9:35 AM

To: PTManager

Subject: Pediatric Speech 30 minute Appointments

Problem: We have a waiting list for our Pediatric Speech Therapist and we

are loosing money.

Proposed Solution: Reduce visits from 60 minutes to 30 minutes.

Problem: My therapist is afraid of the case load and states this is not good

care. I have heard most private practices do 30 minute appointments. I do

not have any data from hospital based therapist.

What I need: Is it appropriate to expect my Speech therapist to do 30 minute

appointments?

Thanks,

Mark

[Guest guest]

The answer depends on the make up of your pediatric caseload. In general your

therapist is correct in providing hour treatment sessions. It is very difficult

to make any progress with speech and language kids in a half hour session. If

you would like to disscuss the types of patients that would be most appropriate

for half hour sessions you can call me or email me offline.

A.

Coordinator

Outpatient Neuro Rehabilitation

Glendale Adventist Medical Center

>>> " manualmark1 " 8/15/2011 6:34 AM >>>

Problem: We have a waiting list for our Pediatric Speech Therapist and we are

loosing money.

Proposed Solution: Reduce visits from 60 minutes to 30 minutes.

Problem: My therapist is afraid of the case load and states this is not good

care. I have heard most private practices do 30 minute appointments. I do not

have any data from hospital based therapist.

What I need: Is it appropriate to expect my Speech therapist to do 30 minute

appointments?

Thanks,

Mark

[Guest guest]

The answer depends on the make up of your pediatric caseload. In general your

therapist is correct in providing hour treatment sessions. It is very difficult

to make any progress with speech and language kids in a half hour session. If

you would like to disscuss the types of patients that would be most appropriate

for half hour sessions you can call me or email me offline.

A.

Coordinator

Outpatient Neuro Rehabilitation

Glendale Adventist Medical Center

>>> " manualmark1 " 8/15/2011 6:34 AM >>>

Problem: We have a waiting list for our Pediatric Speech Therapist and we are

loosing money.

Proposed Solution: Reduce visits from 60 minutes to 30 minutes.

Problem: My therapist is afraid of the case load and states this is not good

care. I have heard most private practices do 30 minute appointments. I do not

have any data from hospital based therapist.

What I need: Is it appropriate to expect my Speech therapist to do 30 minute

appointments?

Thanks,

Mark

[Guest guest]

Mark

I cannot answer what is or isn't appropriate for speech therapy treatments. But

I would ask if you have thought about not participating with insurance companies

on the speech therapy treatments? Instead, bill the patients and let them file

their own insurance.

Jim <///><

Pediatric Speech 30 minute Appointments

Problem: We have a waiting list for our Pediatric Speech Therapist and we are

loosing money.

Proposed Solution: Reduce visits from 60 minutes to 30 minutes.

Problem: My therapist is afraid of the case load and states this is not good

care. I have heard most private practices do 30 minute appointments. I do not

have any data from hospital based therapist.

What I need: Is it appropriate to expect my Speech therapist to do 30 minute

appointments?

Thanks,

Mark

[Guest guest]

Mark

I cannot answer what is or isn't appropriate for speech therapy treatments. But

I would ask if you have thought about not participating with insurance companies

on the speech therapy treatments? Instead, bill the patients and let them file

their own insurance.

Jim <///><

Pediatric Speech 30 minute Appointments

Problem: We have a waiting list for our Pediatric Speech Therapist and we are

loosing money.

Proposed Solution: Reduce visits from 60 minutes to 30 minutes.

Problem: My therapist is afraid of the case load and states this is not good

care. I have heard most private practices do 30 minute appointments. I do not

have any data from hospital based therapist.

What I need: Is it appropriate to expect my Speech therapist to do 30 minute

appointments?

Thanks,

Mark

[Guest guest]

Mostly high cancel and no show rate, low reimbursement.

Mark

> **

>

>

> Hi, Mark -

> I'm interested in whether you believe that you are " losing money " because

> of:

> 1) Missed opportunities because of limited capacity? or,

> 2) Spending more than you take in?

>

> Which situation best describes your practice?

>

> Dr. Dick Hillyer

>

>

>

> Dr. Hillyer, PT, DPT, MBA, MSM

> Hillyer Consulting

> 700 El Dorado Pkwy W.

> Cape Coral, FL 33914

>

> Mobile

>

>

> _____

>

> From: PTManager [mailto:PTManager ] On

> Behalf

> Of manualmark1

> Sent: Monday, August 15, 2011 9:35 AM

> To: PTManager

> Subject: Pediatric Speech 30 minute Appointments

>

>

> Problem: We have a waiting list for our Pediatric Speech Therapist and we

> are loosing money.

>

> Proposed Solution: Reduce visits from 60 minutes to 30 minutes.

>

> Problem: My therapist is afraid of the case load and states this is not

> good

> care. I have heard most private practices do 30 minute appointments. I do

> not have any data from hospital based therapist.

>

> What I need: Is it appropriate to expect my Speech therapist to do 30

> minute

> appointments?

>

> Thanks,

> Mark

>

>

[Guest guest]

Mostly high cancel and no show rate, low reimbursement.

Mark

> **

>

>

> Hi, Mark -

> I'm interested in whether you believe that you are " losing money " because

> of:

> 1) Missed opportunities because of limited capacity? or,

> 2) Spending more than you take in?

>

> Which situation best describes your practice?

>

> Dr. Dick Hillyer

>

>

>

> Dr. Hillyer, PT, DPT, MBA, MSM

> Hillyer Consulting

> 700 El Dorado Pkwy W.

> Cape Coral, FL 33914

>

> Mobile

>

>

> _____

>

> From: PTManager [mailto:PTManager ] On

> Behalf

> Of manualmark1

> Sent: Monday, August 15, 2011 9:35 AM

> To: PTManager

> Subject: Pediatric Speech 30 minute Appointments

>

>

> Problem: We have a waiting list for our Pediatric Speech Therapist and we

> are loosing money.

>

> Proposed Solution: Reduce visits from 60 minutes to 30 minutes.

>

> Problem: My therapist is afraid of the case load and states this is not

> good

> care. I have heard most private practices do 30 minute appointments. I do

> not have any data from hospital based therapist.

>

> What I need: Is it appropriate to expect my Speech therapist to do 30

> minute

> appointments?

>

> Thanks,

> Mark

>

>

[Guest guest]

Mark,

We treat pediatric pts for 30 min unless the therapist deems more is necessary.

Most of our kiddos see more than one discipline as well so 30min with each

therapist is enough. We do have a high no-show/cancel rate in peds greater than

our adults. However, the therapists (not front office) are encouraged to call

the family 10-15min after their missed appt time. This has helped and keeps the

families accountable. Hope this helps!

Hodges, MPT

Sacred Heart Rehabilitation at Panama City Beach

Sent from my iPhone

On Aug 15, 2011, at 7:50 PM, " Mark Randell "

> wrote:

Mostly high cancel and no show rate, low reimbursement.

Mark

On Mon, Aug 15, 2011 at 12:35 PM, Dick Hillyer

<<mailto:RHillyer%40comcast.net>RHillyer@...<mailto:RHillyer@...\

>> wrote:

> **

>

>

> Hi, Mark -

> I'm interested in whether you believe that you are " losing money " because

> of:

> 1) Missed opportunities because of limited capacity? or,

> 2) Spending more than you take in?

>

> Which situation best describes your practice?

>

> Dr. Dick Hillyer

>

>

>

> Dr. Hillyer, PT, DPT, MBA, MSM

> Hillyer Consulting

> 700 El Dorado Pkwy W.

> Cape Coral, FL 33914

>

> Mobile

>

>

> _____

>

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

PTManager <mailto:PTManager >

[mailto:<mailto:PTManager%40yahoogroups.com>PTManager <mailto:PTM\

anager >] On

> Behalf

> Of manualmark1

> Sent: Monday, August 15, 2011 9:35 AM

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

PTManager <mailto:PTManager >

> Subject: Pediatric Speech 30 minute Appointments

>

>

> Problem: We have a waiting list for our Pediatric Speech Therapist and we

> are loosing money.

>

> Proposed Solution: Reduce visits from 60 minutes to 30 minutes.

>

> Problem: My therapist is afraid of the case load and states this is not

> good

> care. I have heard most private practices do 30 minute appointments. I do

> not have any data from hospital based therapist.

>

> What I need: Is it appropriate to expect my Speech therapist to do 30

> minute

> appointments?

>

> Thanks,

> Mark

>

>

[Guest guest]

We also have a large wait list and a few years ago it mushroomed due to some

clinics closing, some not taking Medicaid, etc. We did a survey of other

clinics, both private and hospital based to determine

what other clinics were doing regarding the same issues of huge wait lists and

the 60 minute, 45 minute and 30 minute treatment sessions.

What we found was that most clinics offered the 30 minutes for " non-complex "

patients and then the majority of appointments were 45 minutes. We moved to

this type of treatment and we were able to see more patients and found that the

quality of care did not diminish. We also added a lot to the home programs, and

this has helped.

We are now working on our cancellation policy, and if it really isn't working

after 2 - 3 misses, and the therapists discretion, we take them off the

schedule.

It is a challenge. Melinda

Melinda J. Glass, OT

Director, Rehab Services

400 S. 43rd Street

Mailing Address: P.O. Box 50010

Mail Stop: NWP-002

Renton, WA 98058-5010

Phone: ext. 5864

FAX:

Email: melinda_glass@...