Therapy (PT, OT and ST) Minutes Before and After PDPM

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Therapy (PT, OT and ST) Minutes Before and After PDPM- Top 8 Things to Know:

The recent McKnight’s article (see download below) reinforces the importance of ensuring that the therapy programs within nursing homes are patient-centered versus payment centered. There should not be an unexplainable drastic or even nominal decline in therapy minutes since the inception of PDPM (10.1.2019).

 

OBRA ’87 reinforces that a resident's abilities in activities of daily living do not diminish unless circumstances of the resident's clinical condition demonstrate that diminution is unavoidable" (483.25(3) (1))."

 

Retrospective governmental audits will easily uncover any shifts in therapy service delivery and deviations in minute patterns. Facilities that render less therapy services will be susceptible to a targeted audit exploring for noncompliance with Federal and State Regulations.

 

Top 8 Things to Know about Therapy Minutes Before and After PDPM:

patientcenteredcare

1.  Therapy programs and associated treatment minutes should not decrease secondary to a new payment model.

 

2. Therapists positively impact the overall quality of life of residents. Through therapeutic interventions and the establishment of therapist to resident rapport, therapists enhance the resident’s overall function and reduce the rate or incidence of functional decline.

 

3. OBRA ’87 regulations require facilities to provide services to meet “the highest practicable physical, medical and psychological well-being” of every resident.

 

4. Any decline in the resident's physical, mental or psychological well-being must be demonstrably unavoidable. (483.25).

 

5. OBRA ’87 expects that the facility develops restorative and rehabilitative care goals and to provide the care and treatment to meet these goals.

 

6. Nursing home staff are required be aware of and respond to a change in the resident's condition, intervening as appropriate.

 

7. Personal mastery of ADL and mobility are as crucial to human existence in the nursing home as they are in the community. The nursing home is unique only in that most residents require a degree of help with some self-care functions.

8. ADL dependence can lead to intense personal distress, invalidism, isolation, diminished self-worth, and a loss of control over one's destiny. As inactivity increases, complications such as pressure ulcers, falls, contractures, and muscle-wasting can be expected.

 

HHI reinforces the importance developing treatment plans that are individualized and patient specific. OBRA ’87 is intended to focus more on actual performance in meeting residents’ needs in a safe and healthful environment instead of on paper compliance or on the capacity or potential to provide such care.

 

Click below to download the McKnight’s Article: "Therapy carnage at start of PDPM not as severe as feared: study"

Therapy carnage at start of PDPM not as severe as feared: study

Therapy carnage at start of PDPM not as severe as feared: study

Download the McKnight’s Article 3.2.2021

 

Harmony Healthcare International (HHI) is hosting our 9th Annual Post-Acute and Long Term Care (PALTC) Interdisciplinary Symposium on Thursday, October 21st, 2021 and Friday, October 22nd, 2021 at the Encore Boston Harbor resort and casino.

Click below to register and for more information!

Click Here to Register for harmony21

harmony21 website
 
 

Topics: PDPM


Kris Mastrangelo, OTR/L, LNHA, MBA

WRITTEN BY

Kris Mastrangelo, OTR/L, LNHA, MBA
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