REHABILITATION IN TRANSITION By Constance J Herold OTR L INTRODUCTION The Balanced Budget Act mandates a new payment system for rehabilitation beginning Oct 1 2001 The administrators of XYZ Rehabilitation Hospital realize that the manner in which rehabilitation services are currently being provided will not be financially viable under the new system This Web Quest has been designed to solicit employee input in devising new strategies for providing therapeutic services Participation is voluntary but strongly encouraged The administrators highly value the experience insight and expertise of the therapeutic staff and will strongly consider their recommendations This is your opportunity to design a system that will be effective and professionally rewarding for you TASK Your mission is to develop a written plan to be submitted to administration for recommended changes to service provision PROCESS Organize yourselves into the following groups the federal perspective the state perspective the professional perspective the management perspective perspectives from related groups resources PROCESS Each group has 2 months to research their topic At the end of 2 months reconvene as a large group to discuss findings Develop a plan for completion of the project Written proposal to be submitted to administration Nov 1 2000 FEDERAL PERSPECTIVE QUESTIONS Answer the following questions How will Medicare payment for rehabilitation hospitals be determined What will the implications be for this hospital Are there other federal reimbursement mechanisms that can be accessed How will reimbursement impact practice and or organizational structure in this hospital FEDERAL PERSPECTIVE RESOURCES The following resources may be helpful to begin your research You are free to add to this list Www hanys org newsview issues balbud htm explanation of Balanced Budget Act Administration Billing STATE PERSPECTIVE QUESTIONS Answer the following questions What are factors specific to this state that impact the provision of health care What are the implications for this hospital What state reimbursement mechanisms are available How will factors specific to this state impact practice and or organizational structure in this hospital STATE PERSPECTIVE RESOURCES The following resources may be helpful to begin your research You are free to add to this list Www klprc net What Next for Kentucky Health Care Medicaid program Administration PROFESSIONAL PERSPECTIVE QUESTIONS What are the national associations recommending for these changing times Are there any examples of non traditional service models or creative approaches to service provision PROFESSIONAL PERSPECTIVE RESOURCES The following resources may be helpful to begin your research You are free to add to this list Www aota org www apta org www asha org professional publications state associations peers MANAGEMENT PERSPECTIVE QUESTIONS What management models exist to facilitate organizational change Will organizational structure need to change in order to deliver service more efficiently and effectively MANAGEMENT PERSPECTIVE RESOURCES The following resources may be helpful to begin your research You are free to add to this list Www prosci com reengineering ahd change management online learning center www tompeters com administration peers other facilities RELATED SOURCES QUESTIONS Are there other environmental factors impacting the delivery of service is this hospital Are there other perspectives resources that would be helpful to this hospital as we redesign service delivery RELATED SOURCES RESOURCES The following resources may be helpful to begin your research You are free to add to this list Http amrpa firminc com American Rehabilitation Providers Association www ahcpr gov Agency for Healthcare Research and Quality State associations I e Kentucky Hospital Association Kentucky Association of Health Care Facilities Kentucky Home Health A i i EVALUATION This activity is voluntary and as such is above and beyond your assigned job duties There will be no formal evaluation or implications to salary or benefits Upon review of the final project the administrators may request further assistance research for questions that have not been fully answered or implications that have not been fully studied Participants will be asked to perform self evaluation of the project for their own learning purposes CONCLUSION This unit has been an attempt to solicit and utilize the talent available in this hospital It has also been an opportunity for the therapeutic staff to participate in the redevelopment of service delivery methods It is the intent of the administrators that this experience serve as a beginning to opening the lines of communication between staff and administration so that we can work together to continue to provide the quality service that the community has come to expect from us
View Full Document
Unlocking...