1. Hospital (acute care and subacute care): person is requiring medical
assistance 24 hours per day, medically fragile
-Main goal= medical stability
2. Inpatient Rehabilitation Units: -Considered a hospital
-Thrust is quality and functionality for life
-Therapy is main reason someone is admitted
-Minimum of three hours of therapy a day
3. Skilled Nursing Facilities (SNF): -65 years and older
-Similar to inpatient rehab
-Often covered by medicare
-Main Difference: may not be able to tolerate as much therapy
4. Nursing homes: Facility for the care of individuals who do not require
hospitalization but who do need general nursing care and assistance
performing daily living activities
-Long term
5. Home health: provide care in a patient's home
-Huge employer for pediatrics
, Introduction to neuro 2
6. Outpatient Clinics: usually operated by hospitals or large medical groups;
provide care for outpatients
7. Day Neuro Programs: specialized therapy activities to promote recovery of
cognitive skills, communication, physical and social problems.
-Spend a whole day here but go home at night
-Community reentering training
-Functional applicable training
8. Residential Neuro Facilities: provides long-term support for patients who are
unable to live independently and are unlikely to do so in the future. It is
especially suited for patients who are in one or more of these situations: They
require assistance with day-to-day activities due to cognitive and/or physical
disabilities.
9. Healthcare is a: business/service and is regulated by various insurance and
government agencies to assure quality and cost effective care for all individuals
10. SLPs are ethically and legally: responsible to provide quality and cost
effective
11. Quality Care Includes:: Evidenced based care which will determine:
- Intensity of treatment: how much time for each session
, Introduction to neuro 2
- Duration of treatment: how long to see the patient
- Frequency of treatment: how often to see the patient
- What type of treatment: what approach to provide
12. Reimbursement/Payment Issues: - clinicians are responsible to track time
spent in treatment and evaluations
- all settings will have productivity expectations (number of patients or number
of treatments per day)
- in most settings, clinicians will bill for 5-7.5 hours of therapy per day (not
including documentation and planning time)
- all adult settings (and most pediatric settings) must comply with medicare
and third party insurance guidelines
13. Main Reimbursement/Payment Options for Adults: - managed care
- medicare
- medicaid
- veteran's benefits
14. Managed Care: Private Insurance or third party
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