Hello Jimmie:

Every  time  I've  approached  a  home  health  agency, they insist on
contracting with me as an individual provider, not my company. In some
ways,  HH  is  a  competitor  so I don't blame them for not wanting to
contract with my company.

Every  nursing  home  I've  approached  already  has  a  complement of
OT/PT/SLP  services.  I've  yet to find one that is willing to hire an
"outside" OT.

I'm  not  trying  to  be  overly  negative  about your ideas; I'm just
sharing my experience/perceptions.

Thanks,

Ron

----- Original Message -----
From: Jim Arceneaux <[EMAIL PROTECTED]>
Sent: Wednesday, October 25, 2006
To:   OTlist@OTnow.com <OTlist@OTnow.com>
Subj: [OTlist] Another Question

<cut>
   
JA>   In regards to your question about ways to rejuvinate your
JA> business:  Have you tried contracting with home health agencies to
JA> provide OT services for them?  Key points to discuss witth them: 
JA> Have a thorough knowledge of the payment structure of home care. 
JA> Let them know how aware you are of the benefits a home health
JA> agency receives from competent OT care.  Specifically address how
JA> OT services can help them to meet the obligations of M0825.  This
JA> is the OASIS question that asks if a patient will meet a high
JA> therapy utilization or not.  It is a major add on to the home care
JA> agencies bottom line if therapy is indicated at a high utilization
JA> rate.  Let them know how you can help to reduce costs i.e.
JA> decreasing home care aide visits by making patients more
JA> independent or by reducing twice a day nursing visits for a
JA> diabetic that can't self medicate.
   
JA>   Another idea might be to provide services to nursing homes
JA> that are having difficulty with behavioral management issues on
JA> their dementia units.  That is an avenue that I am exploring right
JA> now.  It seems that most OTs working in nursing homes are not
JA> strong at providing interventions for dementia patients.  Nursing
JA> homes, even ones contracted with contracted therapy agencies, in
JA> my area are requesting training and services to assist them in
JA> handling behavioral management issues.
   
JA>   Jimmie


JA>   Jimmie earlier posted a question from the website:

JA> http://welcome.to/occupationaltherapy.com


JA> Here's another interesting question and partial answer from the site:

JA> ========================================

question>> When a patient is recovering from an injury, what does he
question>> want to do?

answer>>> He wants to go back to doing the activities and occupations
answer>>> that made his life enjoyable.

JA> ========================================

JA> Is this true? Not in my experience! What I've found is that when a
JA> person is is actively recovering from their injury, that's IS what
JA> they want to do. They want to recover! In other words, the person
JA> wants their pain to decrease, or their body to work better -- that's
JA> what they want to get better.

JA> In my opinion, a person with an injury is primarily focusing on just
JA> that, the injury (or illness). Not that people don't think about
JA> getting back to their "activities and occupations", but in my
JA> experience most people see lost "activities and occupations" as a
JA> by-product of their injury or illness, not as the problem(s) to be
JA> addressed.

JA> I know that as a profession, we want to believe that people recovering
JA> from injury want to get back to doing their "activities and
JA> occupations" but I just don't think that is the way in which our
JA> patients generally think. At least not in my experience. If it was the
JA> way people think, our profession would be flourishing, both internally
JA> and externally.

JA> Ron


JA> -- 
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JA> Archive?
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JA> 
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JA> your career.
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JA> 
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