Beautifully put Joan...Thank you. Ms. Champagne (OT-innovations) is a wealth of knowledge if anyone wishes to sharpen their skills in dementia related behavior managment. Another resource is Dr. Mary Corcoran, OTR/L, PhD at George Washington University. Jimmie
Joan Riches <[EMAIL PROTECTED]> wrote: I think this is the sort of thing Jim is talking about. http://www.changingmindspdx.com/index.htm http://www.ot-innovations.com/ http://www.olinconsulting.com/32.html http://www.allencogadvisor.com/ www.DementiaCareSpecialists.com They all had a passion they could not deny, Ron. What's yours? Joan Riches > -----Original Message----- > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of > Jim Arceneaux > Sent: Monday, October 30, 2006 7:50 PM > To: OTlist@OTnow.com > Subject: Re: [OTlist] Another Question > > Hey Ron, > > No problem. Try speaking to the nursing home, not as an OT, but as a consultant > regarding for instance behavioral managment strategies for dementia patients. > What about laying your cards out on the table. Example: Ask the administator how > much therapy utilization he is seeing regarding managment of dementia related > behaviors. If the home is typical, he will report very minimal to none. Most nursing > home therapies are populated by fresh grads with no idea how to manage > dementia patients. Market yourself as a fresh and new way to address the > problem. If they have an ironclad contract with the therapy provider, market > yourself as utilization review, education, management. This will be harder in part A > (homes with skilled nursing units) homes. These homes function under > consolidated billing and must be the sole billing agent for all therapy related matters > to Medicare. > > It may be that your area is overpopulated with OT providers willing to contract for > OT services. When I was a clinical manager for a home helath agency, we used > several providers that billed under company names. Try exploring why you might > have a competitive edge over their current OT providers. Home health agencies > are all about the bottom line. Research the regs and dazzle them with your > understanding of the benefits of high therapy utilization and competent OT > services. Ask questions - do they have a problem with overutilization of aide > sevices, nursing visits or are their specific case mixes that cause them problems. > The trend in home health is to go to a pay for outcomes basis. The majority of the > outcomes being considered relate to the OASIS "functional questions." These > questions are related to basic self care tasks. The other major one will be related > to the inpatient admission question. Innovative ideas would be enabling diabetics > to self test their > glucose levels or teaching a CHF patient how to cook a healthy meal. Let them > know you are aware and up to date on this information. If you are not, then > research the topic and become an expert. Check with the Florida home health > regs. Can an OT supervise a home care aide in Florida? If so, what could you do > as a supervisor to reduce overutilization? > > On another topic, I noticed that someone on the list brought up the topic of > vestibular rehab. If you are interested, I could give you the name of a guy that sells > equipment for vestibular diagnositic testing. The codes for this type of testing pay > really well and are not part of the Stark or Anti Kickback legislation. OTs can be a > provider under general supervision (defined as reachable by telephone) of a > physician. I had looked into this in reference to opening an IDF and rehab facility at > one time. It never went through as the others involved just weren't ready to act on > it. > > Jimmie > > Ron Carson wrote: > 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 > Sent: Wednesday, October 25, 2006 > To: OTlist@OTnow.com > Subj: [OTlist] Another Question > > > > 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> -- > JA> Options? > JA> www.otnow.com/mailman/options/otlist_otnow.com > > JA> Archive? > JA> www.mail-archive.com/otlist@otnow.com > > JA> **************************************************************************** ********** > JA> Enroll in Boston University's post-professional Master of > JA> Science for OTs Online. Gain the skills and credentials to propel > JA> your career. > JA> www.otdegree.com/otn > JA> **************************************************************************** ********** > > > > JA> --------------------------------- > JA> Yahoo! Messenger with Voice. Make PC-to-Phone Calls to the US > JA> (and 30+ countries) for 2ยข/min or less. > > > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/otlist@otnow.com > > **************************************************************************** ********** > Enroll in Boston University's post-professional Master of Science for OTs Online. > Gain the skills and credentials to propel your career. > www.otdegree.com/otn > **************************************************************************** ********** > > > > --------------------------------- > Cheap Talk? Check out Yahoo! Messenger's low PC-to-Phone call rates. > > --------------------------------- > Cheap Talk? Check out Yahoo! Messenger's low PC-to-Phone call rates. > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/otlist@otnow.com > > **************************************************************************** ********** > Enroll in Boston University's post-professional Master of Science for OTs Online. > Gain the skills and credentials to propel your career. > www.otdegree.com/otn > **************************************************************************** ********** > > -- > No virus found in this incoming message. > Checked by AVG Free Edition. > Version: 7.1.408 / Virus Database: 268.13.17/505 - Release Date: 10/27/2006 > -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.408 / Virus Database: 268.13.17/505 - Release Date: 10/27/2006 -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn ************************************************************************************** --------------------------------- Low, Low, Low Rates! Check out Yahoo! Messenger's cheap PC-to-Phone call rates. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. 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