Our Blog
We enjoy letting our clients and employees know about helpful tidbits, interesting articles, and topics that affect the way we work. Our blog is a home for Therapy Center information of all kinds, and we welcome topic suggestions and comments!
February 20, 2012
Therapy Center Student News: Joanne Doan, PTA Student
Joanne Doan is currently studying the Physical Therapy Assistant program at Our Lady of the Lake College in Baton Rouge. Joanne is completing a student rotation with the Therapy Center team at River Oaks Retirement Manor in Lafayette, Louisiana and told us a little bit about herself and what she has learned during her rotation.
Why did you choose the field you are studying in?
The reason I chose physical therapy is because of my brother. He was in a motor vehicle accident 4 years ago that lead to him having a traumatic brain injury. He was in a coma for many months and when he woke up, he had to start from scratch. He couldn’t walk, eat, talk or even remember who we were. Through his many months of recovering, the one main thing I recall the most is when he took his first step in the hospital. My family and I were all in tears because it was such a big accomplishment for him. Because of that day, I decided to go to school for physical therapy. I want to be able to give someone that feeling that I experienced and be able to help others achieve their fullest potential.
What is the biggest thing that you learned while on rotation with the Therapy Center?
I learned that teamwork plays a big role. Not just between physical therapy, but with all of the health care members, such as the speech therapist, occupational therapist/assistant, physical therapy technician and the nurses. By working all together, so much gets achieved which in return helps the patients’ progress towards their goals.
Favorite part of working with Therapy Center staff?
I love working with the Therapy Center staff at River Oaks Retirement Manor because they are so friendly, funny and helpful! These past weeks have flown by so quickly because I got along so great with all the workers here. If I had any questions, they would do their best to help me. They made me feel as part of their group and would always try to include me in everything, even lunch! They didn’t make me feel at all an outcast or a student who didn’t know any better. Even though they are the silliest people you may meet, they are the best therapists I’ve ever met.
See more Therapy Center student spotlights here…
February 7, 2012
A Story of Courage & Determination
Article written by Gisele Menard, PTA with the Therapy Center
“Our strength will continue if we allow ourselves to feel scared, weak, and vulnerable”-Melody Beattie
Lovenia Abshire’s story is one of courage and determination. When illness struck this winter, she found herself hospitalized for an extended period of time. When she returned home, she was very weak, bedbound, and had every reason to give up. But she was nearing her 92nd birthday, and family members were determined not to let her continue to decline physically. Mrs. Abshire’s daughters set up an around the clock schedule to care for her, teaming with physical therapy to receive training in bed mobility and transfers to sitting bedside.
In just two weeks, she has made miraculous progress. She is now transferring to her wheelchair and is able to walk short distances with minimal assistance from family and therapists. The Abshire family is a wonderful example of what can happen when a team approach to recovery is made. As home health therapists, Amy Deloach and I feel that every patient should be given the encouragement and support to get stronger, even in the later years of life.
Mrs. Abshire is so excited to begin each day, ready to show off her new skills to anyone who comes to visit; she is not ready to give up trying. She is looking forward to the spring time and is determined she will be able to walk outside and enjoy her plants and flowers once again.
Learn more about Therapy Center’s nursing home services, clinic services & mission.
January 31, 2012
Therapy Center News: Wade McFadden, PTA Student
Wade McFadden, PTA student from the University of Arkansas State tells about his experience at Therapy Center’s outpatient clinic in Jennings, LA. Stay tuned for more student interviews and news updates…
Watch more Therapy Center News student spotlights…
January 24, 2012
Therapy Center Student News: Marianne Daigle, PT student
Marianne Daigle, PT student from LSU-HSC in Shreveport tells about her clinical rotation at Therapy Center’s outpatient clinic in Jennings, LA. Stay tuned for more student interviews and news updates…
Watch more Therapy Center News student spotlights…
January 17, 2012
Therapy Center Student News: Jeremy Johnson, PTA Student
Jeremy Johnson, PTA student from the University of Arkansas State tells about his experience at Therapy Center’s outpatient clinic in Jennings, LA. Stay tuned for more student interviews and news updates…
Watch more Therapy Center News student spotlights…
January 10, 2012
Therapy Center Student News: Kimberly Morris, PT Student
Kimberly Morris, PT student from the University of St. Augustine, tells about her experience at Therapy Center’s outpatient clinic in Jennings, LA & what she’s learned! Stay tuned for more student interviews and news updates…
Watch more Therapy Center News student spotlights…
January 3, 2012
Therapy Center Student News: Spotlight on Lauren Quinn
Lauren Quinn, from Lafayette, Louisiana is attending the University of Louisiana at Lafayette. She recently completed a clinical rotation at our partner facility, Maison Teche Nursing Center in Jeanerette, Louisiana and Lauren shares what she has learned from her experience.
Why did you choose the field you are studying in? I love working with people, especially those in need of assistance in some way. Speech Pathology has always interested me.
What is the biggest thing that you learned while on rotation with us?
I learned firsthand, how to work with the geriatric population and those cognitively impaired.
Favorite part of working with Therapy Center staff?
I thoroughly enjoyed the personalities of each of the team members working in close relation with speech therapy. They had unique characteristics and ways of doing their job that contributed and expanded my overall knowledge base. The atmosphere was light hearted, and I felt comfortable being there.
Hobbies/other areas of interest:
I am relieved to say that after working this semester, I am still just as interested and maybe even more so, in working with this population and in the nursing facility. I am interested in the medical aspect of Speech Pathology, especially in the areas of swallowing and cognition.
Anything interesting about yourself that you want others to know:
I will be graduating from graduate school in May 2011 with a readiness to get into the work force and enthusiasm to put into practice the knowledge I’ve acquired throughout my educational years.
See more Therapy Center News student spotlights…
The Truth Behind Speech Therapy
December 15, 2011
Therapy Center Student News: Spotlight on Jennifer Champagne
Jennifer Champagne, PTA student from Our Lady of the Lake tells about her experience at Therapy Center’s partner skilled nursing facility, Maison Teche, in Jeanerette & what she’s learned! Stay tuned for more student interviews and news updates…
Read more Therapy Center News student spotlights…
December 13, 2011
Therapy Center Student News: Spotlight on Teela Faircloth
Teela Faircloth, from Lafayette, Louisiana is currently studying Speech Language Pathology at the University of Louisiana at Lafayette. Teela is completing a student rotation with the Therapy Center team at Jeff Davis Living Center in Jennings, Louisiana and told us a little bit about herself and what she has learned during her rotation.
Why did you choose to be a speech therapist?
To be perfectly honest, I have always enjoyed helping others. I know this sounds cliché for one to say; however it is what describes me the best. Speech therapists help individuals from many different populations improve quality of life and regain the ability to communicate. They possess the ability each and every day to make a positive difference in the life of a patient, whether it is regaining speech after a stroke or speaking for the first time with a speaking valve after a tracheotomy or eating foods by mouth following return of a functional swallow with elimination of tube feeding. This career I have chosen will benefit me just as much as the people I will treat. There is no better feeling than knowing you have made a positive impact on another person’s life. My grandmother would always tell me the way to lead a fulfilling and meaningful life is created through service to others in need and as a future Speech Language Pathologist, I intend to keep this in perspective.
What is the biggest thing that you learned while on rotation with us?
This past semester I had the honor of completing my rotation with the Therapy Center at Jeff Davis Living Center. As a student, working with the elderly and older adults has taught me many things. Foremost, the greatest thing I have learned from this rewarding experience is my dedication to this population. Daily life becomes a challenge as people age and I want to help alleviate their burdens.
Favorite part of working with Therapy Center staff?
The Therapy Center staff provides meaning to the old saying “respect your elders” as it is demonstrated in their admirable delivery of services to each and every resident. I had the privilege to shadow the facility’s Speech Therapist, Candice Cooley, who in my eyes possesses all the positive qualities a future clinician should strive to acquire. Her knowledge about the field, dedication, and empathy for others is communicated through her work. Her willingness to take the time and talk to patients to find out what is bothering them is admirable. Often times I watched as she would peek her head in a resident’s room just to say hi, providing the idea that yes someone cares and hasn’t forgotten about them. She listens and asks questions to understand each individual’s concerns. She has shown me to always implement laughter and love as an objective in each therapy session. Not only will this improve the quality of life in others, but I too have felt in just a short period of time the fulfillment in life that is created through service to others. I will follow in the footsteps of this great clinician.
What are your hobbies and other areas of interest?
I am very interested in observing and learning more about Modified Barium Swallow Studies. These studies are designed to test the safety of different foods and liquid consistencies. I enjoy viewing the anatomic structures, the motions of these structures, and passage of the food through the oral cavity, pharynx and esophagus. The results of an MBS help determine the safest foods/liquids that patients can consume orally as well as appropriate exercises to be utilized in therapy. I am also fascinated by individuals with memory loss and overall cognitive impairments. I look forward to helping those with dementia use strategies to preserve communication and cognitive functioning for as long as possible. Below is a beautiful poem I found online and wanted to share with the Therapy Center.
Anything interesting about yourself that you want others to know?
I am the first person in my family to attend, graduate, and further my education in college. I have held a full time job since I was old enough to work and have paid my way through college while obtaining some debt along the way. I have experienced hardship and struggle; however the experience I obtained while working has taught me responsibility, courage, compassion, appreciation, teamwork, and humility. These are qualities I will demonstrate in my future career as a Speech Language Pathologist.
Dedicated to every family whose parent is suffering with dementia or Alzheimer’s disease.
Living With Dementia
© Annabel Sheila
She’s trapped inside the prison walls
That used to be her mind.
The woman that she used to be,
Has long been left behind.
There are times she’s quite alert,
Her memory’s still intact.
Then there are days when she disappears,
And we know it’s not an act.
No longer able to care for herself,
We couldn’t leave her alone.
Her safety had to be assured,
So we placed her in a home.
Good days are when we visit her,
And she calls us by our name.
She’s grateful for the company,
And thankful that we came.
Most of the time it’s difficult,
To see our Mom that way.
All we can do is love her now,
As we take life day by day.
Source: Living With Dementia, Aging Poem, 5 Stories http://www.familyfriendpoems.com/poem/living-with-dementia#ixzz1fBUOL42m
Family Friend Poems
Other related Articles:
- The Truth Behind Speech Therapy
- Check out other student blogs here
December 8, 2011
Is Your Facility Ready if Targeted for a RAC Audit?
Article posted by RACMONITOR.com (visit their site here...)
CMS Announces New Demonstrations to Help Curb Improper Medicare, Medicaid Payments
The Centers for Medicare & Medicaid Services (CMS) has announced it will launch demonstration programs beginning in January 2012 targeting some of the most common factors that lead to improper payments. The cost saving projects will help protect Medicare and Medicaid, according to a news release posted on its site yesterday.
Beginning on January 1, 2012, CMS will conduct demonstration projects that will strengthen Medicare by aiming at eliminating fraud, waste, and abuse. Reductions in improper payments will help ensure the sound future of the Medicare Trust Fund and protect Medicare beneficiaries who depend upon it, CMS said. Additionally, noted the agency:
• Recovery Audit Prepayment Review: The Recovery Audit Prepayment Review demonstration will allow Medicare Recovery Auditors (RACs) to review claims before they are paid to ensure that the provider complied with all Medicare payment rules. The RACs will conduct prepayment reviews on certain types of claims that historically result in high rates of improper payments. These reviews will focus on seven states with high populations of fraud- and error-prone providers (FL, CA, MI, TX, NY, LA, IL) and four states with high claims volumes of short inpatient hospital stays (PA, OH, NC, MO) for a total of 11 states. This demonstration will also help lower the error rate by preventing improper payments rather than the traditional “pay and chase” methods of looking for improper payments after they have been made.
• Prior Authorization for Certain Medical Equipment: The second demonstration announced yesterday will require Prior Authorization for certain medical equipment for all people with Medicare who reside in seven states with high populations of fraud- and error-prone providers (CA, FL, IL, MI, NY, NC and TX). This is an important step toward paying appropriately for certain medical equipment that has a high error rate. This demonstration will help ensure that a beneficiary’s medical condition warrants their medical equipment under existing coverage guidelines. Moreover, the program will assist in preserving a Medicare beneficiary’s right to receive quality products from accredited suppliers.
CMS said the Prior Authorization demonstration would be implemented in two phases. During the first phase (the first three to nine months), the Medicare Administrative Contractors will conduct prepayment reviews on certain medical equipment claims. The second phase, for the remainder of this three-year demonstration, will implement prior authorization, a tool utilized by private-sector health care payers to prevent improper payments and deter the fraudulent provision of items or services.
• Part A to Part B Rebilling: The third initiative will allow hospitals to re bill for 90 percent of the Part B payment when a Medicare contractor denies a Part A inpatient short stay claim as not reasonable and necessary due to the hospital billing for the wrong setting. Currently, when outpatient services are billed as inpatient services, the entire claim is denied in full.
This demonstration will be limited to a representative sample of 380 hospitals nationwide that volunteer to be part of the program. This demonstration will allow hospitals to resubmit claims for 90 percent of the allowable Part B payment when a Medicare Administrative Contractor, Recovery Auditor, or the Comprehensive Error Rate Testing Contractor finds that a Medicare patient met the requirements for Part B services but did not meet the requirements for a Part A inpatient stay. In addition, this demonstration is expected to lower the appeals rate which will protect the trust fund and reduce hospital burden. Beneficiaries will be held harmless with respect to changes in hospital coinsurance liability.
New Projects Build on 2011 Savings
The 2012 projects announced yesterday will build on accomplishments in 2011 to reduce Medicare and Medicaid improper payment rates.
For example, the Medicare fee-for-service improper payment rate dropped to 8.6 percent, or $28.8 billion in estimated improper claims payments. This rate was calculated using a refined methodology, after consulting with the Office of the Inspector General, that reflects the impact of late documentation and the results of appeal activities that typically occur after the cut-off date. For consistency and comparison purposes, CMS adjusted the 2010 error rate to 9.1 percent or $29.7 billion. When comparing the adjusted rates, the 8.6 percent error rate for 2011 represents a 0.5 percentage point reduction in the improper payment rate from 2010.
In addition, for 2011, CMS noted the following:
• The Medicare Advantage (Part C) improper payment rate, based on the 2009 payment year, is 11.0 percent, or $12.4 billion, a reduction from last year’s rate of 14.1 percent, or $13.6 billion. The Part C improper payment rate dropped 3.1 percentage points (or 21 percent) from 2010, a result of the Administration’s aggressive corrective actions, including ongoing audits – with an emphasis on contract-level risk adjustment data validation audits – designed to recover over payments to Part C plans.
• The Medicaid improper payment rate is 8.1 percent, or $21.9 billion in estimated improper payments. This rate reflects a three-year average of the 2009, 2010, and 2011 cycle rates. The Medicaid improper payment rate declined by 1.3 percentage points, reflecting ongoing efforts by the States and the Department of Health and Human Services (HHS) to educate providers on the root causes of improper payments.
CMS also reported for the first time a composite improper payment rate for the Medicare Part D prescription drug program. Based on payment year 2009, the improper payment rate is 3.2 percent, or $1.7 billion. The Part D payment improper payment rate combines five component payment error measures: Medicare Advantage prescription drug payment system error; payment error related to low income subsidy status; payment error related to incorrect Medicaid status; payment error related to prescription drug event data validation; and payment error related to direct and indirect remuneration.
The improper payment rate for the Children’s Health Insurance Program (CHIP) will not be published until 2012, CMS stated. The agency said it was prohibited from calculating or publishing a rate until six months after the August 2010 Payment Error Rate Measurement (PERM) program rules went into effect. Due to the timing, HHS began measuring CHIP improper payments under the new program rules in 2011, and will publish the results in 2012, CMS said.
While improper payment rates are not necessarily an indicator of fraud in Medicare, Medicaid or CHIP, they do provide HHS, CMS and states with a more complete assessment of factors leading to error rates and new ways to help prevent them, noted CMS.
The CMS announcement coincided with a news release from the White House yesterday reporting that the Office of Management and Budget (OMB) announced that the Administration had cut improper payments by $17.6 billion dollars in 2011 as part of the Obama Administration’s Campaign to Cut Waste, fueled by decreases in payment errors in Medicare, Medicaid, Pell Grants, and Food Stamps.
Read other related blogs here…
December 6, 2011
Occupational Therapists… Hmm, what exactly do they do?
Article written by Ava Hebert, Recruitment Manager for Therapy Center
After being surrounded by the world of therapy lately, I realized something… Growing up in a small town, I was simply not exposed to many professions and completely unaware of occupational therapy, for one. From that, I have drawn the conclusion that it is simply unfair to make an 18 year old choose what profession they should pursue and study in college as they begin a life of their own. Looking back, maybe I would have chosen a career as an occupational therapist (Nah, too much science involved; anatomy, physiology, kinesiology, oh my! That’s why I stuck with a good ole business degree).
Until recently, I’d never had any personal dealings with an occupational therapist. That all changed on June 19th, when my husband decided to stick his hand under the lawn mower while it was running. After a trip to the emergency room, several x-rays and doctor visits, surgery to repair a nail bed and tendon, many stitches, three pins, and a husband with injured pride, we met an occupational therapist. My husband tells me that the therapy has been very challenging due to the amount of pain and loss of motion. After exercising his right ring finger for 30 minutes of attempting to write, type, and make a fist, he is dripping with sweat as though he were attempting to run a marathon. But I’m here to say that after a couple of visits to his therapist, several at-home exercises and a lot of determination, he is now using that finger as though the accident never happened. This is why occupational therapists are so very important.
The Difference Between an Occupational Therapist and a Physical Therapist
Many people struggle to understand the difference between an occupational therapist and a physical therapist. I sat down with Lauren Lemoine McCraine, an occupational therapist and Mentor with Therapy Center. She has been with Therapy Center for over seven years and she was very informative regarding the difference between the two professions. “The best way to describe the difference between occupational therapist and physical therapist is that PTs will teach you to walk to the kitchen, but OTs will teach you what to do once you get there. OTs are considered “holistic” therapists, in that we not only treat physical ailments, but we also address the social and psychological aspects of one’s life. We wear many hats on any given day– from OT to social worker, patient advocate to nurse, friend, or family.”
Where and How Occupational Therapists Treat
Occupational therapy is defined as the therapeutic practice of everyday actions in order to establish, recover, or maintain a person’s typical daily living activities. Occupational therapists help others to improve their basic motor functions and/or compensate for permanent loss of function. They are especially helpful to people who have a disabling condition or those recovering from an injury, as they can work with them to regain skills. Occupational therapists can also make the smallest adaptations, and with simple training techniques can give your loved ones the independence they need. For example, OTs can provide assistance for school aged children who suffer from disabilities by helping them to fully participate in school or social situations. In a skilled nursing facility, an OT is well known for providing support to the elderly population who may be experiencing physical or cognitive changes. Activities such as self-feeding, picking out clothes for dressing themselves, and performing grooming/hygiene tasks are all ways occupational therapists help to improve the patient’s quality of life and maintain a sense of dignity. In all clinical settings, the main goal of an OT is to provide a better quality of life for the patient by helping them to achieve independent and productive daily functions.
Common Conditions Occupational Therapists Treat
Within her 7+ years of skilled nursing experience, Lauren tells me that the most common conditions she has worked with include strokes, osteoarthritis, Alzheimer’s disease, Parkinson’s disease, fractures, poor vision, COPD, depression, and age related decline. I wanted to know what types of exercises are commonly incorporated into an OT treatment plan, and what purpose these exercises serve. Just like other therapists, an occupational therapist will conduct assessments and evaluations to determine the areas in which a person may need help. But from there, how does an OT treat these conditions if they aren’t all physical? As Lauren explains it, “The thought behind this is that if an OT can discover an activity that is purposeful and meaningful to someone through conversations or evaluations, then there is more commitment to the task, it’s useful and familiar to the patient in regards to returning to prior level of function, and it can help build rapport between the therapist and patient. A simple task such as folding clothes while standing is something familiar, yet purposeful to the patient and can help to build motor skills, balance, and range of motion, among other things.”
Through my time with Therapy Center, my knowledge about occupational therapy has grown tremendously. I’ve learned that therapists in this field can develop a treatment plan out of almost any daily task; whether it be sweeping a room, putting a golf ball, painting, fishing, writing letters, brushing teeth, and even making coffee, all of these activities are purposeful and meaningful to someone. Occupational therapy truly helps patients, young and old alike, maintain dignity and develop skills that help them live more independently.
To learn more about occupational therapy as a career, see the following articles.
• Check out the following link to learn why occupational therapy was named one of the best careers of 2009: http://money.usnews.com/money/careers/articles/2008/12/11/best-careers-2009-occupational-therapist
• To learn more about occupational therapy and find a school program near you, visit this link: http://www.aota.org/
• And, if you’re an occupational therapist who is looking to expand your career and learn from the best, please visit this link: http://www.therapyctr.com/employment-opportunities/current-job-openings
December 2, 2011
Who is Appropriate for Women’s Health Physical Therapy?
In continuation of our focus on women’s health PT, the article, “Physical Therapy for Your Lady Parts“, discusses what situations may warrant intervention from a women’s health physical therapist …
Here are six situations where a women’s health PT might be able to help you.
Incontinence
“Fifty percent of adult women will have incontinence at some point,” says Jennifer Klestinski, MPT, communications director for the Section on Women’s Health of the American Physical Therapy Association, who has a private practice in Madison, Wisconsin. “Because of anatomic differences, the effects of pregnancy and childbirth, and the effects of decreasing estrogen, women leak far more often than men. But with proper strengthening, the data shows there’s an 85-percent chance of complete resolution.”
The regimen: Weak pelvic muscles are a major factor in incontinence, so in addition to Kegel exercises, Klestinski recommends doubling up: “Engage the pelvic floor muscles while doing other daily core exercises—like Pilates—to strengthen the abs, back and hips.” Another surprising cause is osteoporosis, because a rounded back causes our thoracic cavity and abdomen to press on the bladder. A WHPT would recognize this during an evaluation and could prescribe appropriate exercises for bone density loss.
Organ Prolapse
Think of prolapse as a hernia that mostly affects women. When the muscles that hold the pelvic organs become weak or stretched, the organs—the bladder, uterus, small bowel, rectum—can drop from their normal spot and push against the wall of the vagina. As many new mothers know, pregnancy is the most common cause of prolapse. However, it’s not just the trauma of the childbirth that’s a factor—it’s also the extra pounds. “There could be 15 to 25 pounds plus the weight of a baby pushing on the perineum,” says Klestinski. This means that excessive weight gain (no baby necessary) can also put you at risk. Weight maintenance is key to avoid risk of prolapse.
The regimen: Klestinski explains how a WHPT would take a holistic approach to address organ prolapse. “We work from the top down and from the bottom up. From above you may have extra body weight and extra downward pressure from poor posture, dysfunctional bladder habits or from adhesions due to prior surgeries or injuries. From the bottom up, we have the pelvic floor muscles, which act as a supportive hammock to the pelvic organs.” Many WHPTs can help women work on weight management through exercise. To further improve the “top down” issues, the therapist would use manual techniques, patient education and posture training. At the other end of the, um, spectrum, she’d put the patient through workouts to strengthen and tone the pelvic muscles. This gives us yet another reason to do those darn Kegels.
Pregnancy and Recovery
Pregnancy causes profound anatomical and hormonal changes to our bodies. “Some women’s bodies accommodate those changes quite well, and some women require a fair amount of work and assistance,” says Jill Boissonnault, WCS, PT, PhD, past president and founder of the International Organization of Physical Therapists in Women’s Health.
The prenatal regimen: Pushing out a baby is never going to be easy, but some WHPTs say that massaging the perineum with a lubricant, as well as stretching the hip and pelvic muscles, can help a woman “open up” during delivery, which could make her less likely to tear. There’s also evidence that pregnant women can be taught how to bulge and flex their pelvic muscles correctly during labor, which can help avoid C-sections.
The postpartum regimen: “There are things a woman can do to mitigate some of the risk for future dysfunction, like strengthening her pelvic floor with Kegels throughout her pregnancy and after she delivers,” says Boissonnault. She adds that in France, where postpartum wellness visits are included under national health coverage, new mothers are likely to be advised by a WHPT about strengthening their pelvic floor muscles, their abs and their posture.
Pelvic Pain
Because many women avoid talking about this with their friends, family members and even their sexual partners, pelvic pain can be emotionally exhausting as well as physically unbearable.
Vulvodynia: An excruciating affliction of the vulva which affects an estimated 16 percent of women at some point in their lives, vulvodynia is described in this video from the Dr. Oz show as feeling like “acid burning the skin” or a “constant, knife-like pain.” It can be caused by trauma to the pelvis, which may result from chronic yeast or bacterial infections, physical force, accidents, surgery, or physical or sexual abuse.
I know a woman in her mid-20s who has suffered from vulvodynia since childhood. She suspects the cause may have had something to do with an ill-fitting waist harness on a forceful carnival ride. In her quest for relief, she was referred to gynecologists, dermatologists and psychologists, and tried topical anesthesia, antidepressants, talk therapy and the patronizing advice to “have a glass of wine and you’ll be fine.” She was finally told that pain-free sex would require surgery, and her doctor advised her to visit a women’s health physical therapist to prepare for the procedure.
“Many doctors assume that women’s health physical therapy can only take you to a certain point,” says my friend’s therapist, Gopi Jhaveri, PT, DPT, co-owner of Brooklyn Health Physical Therapy, “but we know it can take you all the way to recovery.” Jhaveri discouraged the surgery and instead worked with my friend to develop a rehab program. Four months later, my friend joyfully credits Jhaveri with her “cure.”
The regimen: This varies depending on the patient’s anatomy and type and severity of symptoms, but treatment often includes regular in-office manual therapy, at-home stretching using dilators, exercising daily to strengthen the pelvic muscles, avoiding harsh cleansers like soap in favor of sweet almond oil, and using a local anesthetic like lidocaine during sex.
Vaginismus: A 2010 episode of MTV’s True Life featured three women in their 20s whose pelvic conditions prevented them from having intercourse. Tali, an aspiring singer, had a condition called vaginismus, which involves painful, involuntary spasms and tightening of the vagina. As part of Tali’s treatment, Isa Herrera, MSPT, clinical director of Renew Physical Therapy in Manhattan, showed Tali and her boyfriend how to manually stretch Tali’s vagina (it was more clinical than kinky).
Herrera specializes in intra-vaginal massages to release tight or uncooperative muscles, and also in teaching patients and their partners to do this as home. “One out of three women has some sort of pelvic pain,” says Herrera, who is also the author of Ending Female Pain: A Woman’s Manual. However, she says, many women don’t admit it. “I’ve heard excuses like ‘it hurts unless I keep changing positions’ or ‘it hurts because my partner is so big.’ But the vagina is a wonderful thing and should be able to accommodate just about any man.” Herrera says WHPTs empower women to recognize and alleviate their physical discomfort.
The regimen: Techniques vary, but Herrera says she often follows a full pelvic muscle evaluation with manual massage, including trigger-point release technique to “release knots.” Herrera stressed that although the pain may occur in the pelvic area, the most successful approaches are holistic and involve the entire body. “Pain during sex can cause enormous anxiety, which results in the tensing up of different muscles groups, from the pelvis and the legs to the neck and back.” An important aspect of treatment includes diaphragmatic breathing and relaxation techniques to help the patient deal with the anxiety as well as the pain.
Contact one of our clinics today if you are interested in talking with one of our women’s health professionals.
Visit our Women’s Health section on our blog…click here
November 30, 2011
Pet Therapy: Helping Residents Live Healthier & Happier, the Story of Abbey & Jeanne
Article written by Jeanne LeBeouf, Speech Therapist for Therapy Center.
On Thursday, July 7th, I noticed an article in the Gueydan newspaper about a dog who was looking for a “forever home”. Her foster parents were concerned that she may never be adopted, and resorted to putting an ad and photo in the newspaper seeking a family for her. I’ve never owned a dog, and didn’t consider myself to be a “dog person”; however, I was wrong. It was love at first sight. I learned that Abbey, the Border Collie mix, had been surrendered by her owner at the local animal shelter and was scheduled to be put to sleep due to her age and the need for space at the shelter. Second Chance Paws, a volunteer organization dedicated to help give rescued dogs a second chance, pulled Abbey from the shelter the day she was scheduled to be euthanized. She was given that second chance.
Abbey immediately displayed love and affection for her new family. She was very attentive when spoken to and was easily trained in basic obedience skills. With 3 children, I quickly noticed that Abbey preferred to be in a calm, quiet room of the house where she could nap in peace. At times when the children accidentally stepped on her tail or bumped into her, Abbey was able to walk away without showing aggression toward them. Abbey was reliable with her good manners and social skills. Although I thought Abbey was going to be our family dog, Abbey decided that she wanted more…
After a wonderful weekend of getting to know and love Abbey, I returned to work on Monday raving about her! The Gueydan Nursing home had a “pet” once before, a cocker spaniel who lived outside the therapy room. However, he was so mischievous and rambunctious that he hardly stepped a paw into the nursing home. Fortunately he was adopted by a family and loves his new home! Knowing the kind of dog my Abbey was, I spoke with our administrator and staff at the nursing home about the possibility of Abbey joining me at work. With their blessing, Abbey has been coming daily to Gueydan Memorial Guest House with me for the past four months! Upon veterinary exam, Abbey was guessed to be about 8-10 years of age. And as a senior citizen herself, Abbey fit right in at the nursing home!
Abbey’s expressive eyes confirmed what I felt all along. She wanted to be a part of something bigger. In the nursing home, Abbey was embraced by dog lovers of all ages, and she was able to become part of the Gueydan Memorial family. Abbey’s story quickly spread throughout the nursing home, and many residents brought their families and loved ones by the therapy room to see her. Abbey’s presence in the nursing home had many residents reminiscing of their former pets and sparked a joy for animal lovers. At that time, Abbey’s role in the therapy setting was both casual and unstructured. Abbey was able to “socialize” within the nursing home community as a companion to those around her.
With her changing role in the nursing home, both Abbey and I will be participating in a series of tests in order to become a “trained human-animal team” through Pets for Health and Delta Society Pet Partners. These organizations provide strict guidelines, training, evaluations, registration and liability insurance for Abbey and I to become a registered therapy team. As a therapy team, we will be trained and tested in the Canine Good Citizen Test, which consists of nine parameters including accepting a friendly stranger, sitting politely for petting, appearance and grooming, walking on a loose leash, walking through a crowd, sit and down on command/staying in place, coming when called, reaction to another dog, and reactions to distractions. As Abbey’s handler, I must complete either a Delta Pet Partner Weekend Workshop or a Home Study Course, pass a written exam, and pass the Aptitude and Skills Test with Abbey. In addition to re-evaluation every two years, and continuing education requirements, Abbey will be required specific inoculations as suggested by LSU Veterinary School, and a systemic medication regime for heart worms, fleas, etc. As a team, we will be trained to provide volunteer services including Animal Assisted Activities (AAA) and Animal Assisted Therapy (AAT). Typically AAA involves visiting in hospitals, nursing homes, pediatric units, emergency rooms and intensive care units where we would bring joy, comfort and compassion to those in need, while AAT is typically goal oriented. In my case, as a Speech Therapist, I would direct the interaction between Abbey and the patient as a therapeutic modality, such as assisting with memory skills and increasing social interactions. Examples of these human-animal teams are seen during the week in places such as Lafayette General Medical Center’s inpatient rehabilitation unit, Our Lady of the Lake, Women’s and Children’s Outpatient Rehabilitation, as well as several other hospitals and nursing homes.
Every morning when we arrive at Gueydan Memorial, Abbey greets the residents with a friendly sniff and a wagging tail! In the past four months, several residents in Gueydan have purposefully participated in Abbey’s care by supervising her outdoor activities, brief dog-sitting, and grooming. Because we work in the “Duck Capital”, Abbey has been invited on several hunting trips in the marsh and has posed with resident hunters and their trophies for photos. In a way no medication or no one else could, Abbey has brought meaning and purpose as well as joy to one particular woman suffering from depression. Another patient suffering from severe Alzheimer’s disease and has difficulty expressing meaningful speech, was able to speak directly to Abbey with love and was easily understood.
Abbey has a huge heart and just wants to give love to those around her. Although it would be easy for me to take the credit in Abbey’s good behavior and mannerisms, the truth is, she is so attentive and eager to please that she simply trained herself to be the perfect dog for both my family and the Gueydan Memorial family. Every time I think about the joy she brings to all of those around her, and how grateful I am for finding her, I know Abbey is even more grateful to continue her life and share it with those around her.
A special thank you to my employers at Therapy Center, the administration and staff at Gueydan Memorial Guest Home, the volunteers at Second Chance Paws, and the volunteer coordinator at Pet’s for Health, Ms. Merlyn C. Hering. Abbey and I are grateful to have this opportunity to increase public awareness of the therapeutic benefits of human-animal teams in the rehabilitation setting.
Please continue to follow Abbey and Jeanne’s story on our blog.
Here are a few other interested links to the therapeutic benefits of pets.
The Therapeutic Benefits of Pets
5 Ways Pets Can Improve Your Health
November 28, 2011
Therapy Center News: ST Student Spotlight on Lindsey Winder
We are excited to introduce you to Lindsey Winder, speech language pathology student at UL Lafayette. He recently completed a clinical rotation with us and tells about his experience at Therapy Center’s partner skilled nursing facility in Lafayette! Stay tuned for more student interviews and news updates…
November 23, 2011
Is your current therapy provider prepared for 2012 PPS changes?
As expected, the month of October has brought great change to the landscape of therapy reimbursement in Skilled Nursing Facilities. The 2012 PPS changes primarily impact the way therapy providers deliver services and hold therapists to a higher standard if current RUG rate reimbursement is to be maintained. Here is a breakdown of what these changes will mean for SNFs and therapy providers:
New Calculation of Group Therapy Minutes
The new calculation system on group therapy requires that, regardless of group size, the minutes provided to a group of 2-4 patients be divided by 4, making group therapy an inefficient way to deliver treatment unless absolutely necessitated by the patient’s condition. In addition, the new rule calls for increased documentation requirements requiring therapists to justify the use of group as opposed to individual treatment. This regulation could result in the need for increased staff to provide the same level of care.
End of Therapy Tracking (EOT)
New 2012 PPS rules now consider all SNF providers to be 7 day per week facilities, meaning if therapy is missed on a Monday or Friday without any therapy over the weekend, the SNF is required to perform an EOT OMRA resulting in the patient’s RUG level to fall into a Nursing PPS RUG. If therapy is not resumed within 5 consecutive days, therapy must discharge their patient and a SOT OMRA will be required to continue the patient under Part A therapy. Planning patient care and appointment tracking are critical to ensure avoidance of EOT OMRA situations. Weekend, holiday, or evening coverage may be required to avoid these default situations.
Change of Therapy OMRA (COT OMRA)
The Change of Therapy (COT) OMRA forces the monitoring of delivered days and minutes every 7 days beginning the day after the last scheduled or unscheduled PPS assessment. Under this new regulation, patients are essentially in perpetual assessment and if a patient falls into a lower or higher RUG category in each 7 day look-back, and additional assessment will be required. Payment will be impacted for the previous 7 days and potentially into the future.
Increased flexibility and availability of full-time therapists is a MUST!
Has your current therapy provider discussed their pans for coverage at your facility to ensure that you will be minimally impacted by these changes?
Therapy Center has remained proactive in preparation of the changes and has provided on-going training to our partner facilities and team members.
Call us to find out how we can help your facility.
Kristi Fredieu
Business Development & Marketing Manager
337-384-9791
kfredieu@therapyctr.com
November 17, 2011
Nursing homes report SNF PPS rule to result in layoffs; reduced wages, benefits
The following article was published by Long-Term Living Magazine on 11/7/11.
Nursing homes plan to lay off an estimated 20,000 workers nationally in light of the final SNF PPS rule for FY2012 that went into effect on October 1, according to a new Avalere Health survey conducted for the Alliance for Quality Nursing Home Care.
The facilities surveyed also reported cancellations of facility expansions or renovations, and nearly 50 percent expect to make cuts in staff benefits. An earlier analysis by Avalere Health LLC, also found the new CMS regulation will reduce Medicare funding to the nation’s SNF sector by $79 billion over 10 years.
The survey, held from October 3-17, generated 292 responses representing at least 2,932 facilities, according to Avalere. Small providers (fewer than 100 beds) comprised 37 percent of the respondents; medium providers (100-1,000 beds) 44 percent of respondents; and large providers 19 percent of respondents.
Specifically, the new survey of SNFs reports the following:
● Staff reductions. More than one-third (36 percent) of facilities plan layoffs, which include a reported 113 registered nurses, 125 licensed practical nurses and 458 certified nursing assistants.
● Postponed hiring. More than one-third (37 percent) of facilities replied “yes” regarding the postponement of hiring direct service staff; 40 percent of facilities replied “yes” regarding corporate or other non-direct service staff.
● Postponed/canceled expansions and renovations. Almost one-fourth (24 percent) of facilities will put off an expansion or renovation project in light of the PPS rule, which represents a delay or cancellation of 80-85 facility projects.
● Changes to staff wages. Almost three-fourths (74 percent) of facilities will modify staff wages, including wage freezes, across-the-board percentage cuts to wages, cuts to therapy wages, reductions to starting salaries for new employees and elimination of bonus plans. Fifty-eight percent of those respondents indicated that they were already under, or were likely to implement, a wage freeze or reduction in annual increases.
● Changes to staff benefits. Nearly half (48 percent) of facilities will reduce or eliminate contributions to 401(k) plans, reduce or freeze contributions to health insurance premiums, and increase cost-sharing for employee health insurance plans, among other changes.
Avalere noted that survey respondents were self-selected and the survey itself distributed via associations representing nursing facility providers, therefore casting doubt on whether the findings are a representative sample of all facilities nationwide.
November 15, 2011
Therapy Center News: OT Student Spotlight on Sara Taylor
Sara Taylor grew up in Grand Lake, Louisiana, a small town south of Lake Charles. She is currently pursuing a Master’s degree in Occupational Therapy at the LSU Health Sciences Center in New Orleans. Sara recently completed a one week rotation with Therapy Center in the in-patient rehab at the Rehabilitation Hospital of Jennings. We asked Sara to tell us about her experience while on her first rotation and here is what she had to say!
Why did you choose Occupational Therapy for your career?
“From a very young age, I knew that I had a desire to work with people in the medical field, but I wanted to choose a field in which I could interact with others on a personal level to reach their goals. Enabling clients to recognize their worth and their abilities, even in the presence of disease or disability, is very important to me. Occupational therapy strives to be client-centered and recognizes the needs of the client in their everyday environment – in the home, workplace, school, or community – to guide each client’s therapy goals. Utilizing this approach, occupational therapists must remain dedicated to the unique situation of each client and form creative approaches to best treat each individual.”
What is the biggest thing that you learned while on rotation with us?
“During my rotation, I learned so much about therapeutic activities and interventions, but the lesson that will remain with me the most is the importance of communication – both with clients and among staff members – to deliver the best possible treatment to each client.”
What was your favorite part of working with the Therapy Center team?
“Every Therapy Center staff member that I had the opportunity to work with treated me with a great deal of respect and was eager to answer my questions, teach me something new, and guide me to discover things about myself and how I worked with others. More importantly, each staff member treated his or her clients with the same level of respect and enabled them to play an active part throughout their rehabilitation process.”
What else you should know about Sara Taylor!
When Sara is not in school, she enjoys running, water sports, golfing, spending time with her family, and going to festivals and community events in New Orleans. She has a special interest in community wellness promotion, and hopes to someday incorporate her experience and knowledge into working with families or corporations who desire to lead healthier lives.
Read more Therapy Center News student spotlights…
November 10, 2011
Music: Food for the Mind, Body and Soul
Article Written By student guest blogger: Tess Autin
Music Therapist, Board-Certified
Master of Occupational Therapy Student, LSU-HSC New Orleans
Music has long been a fundamental part of each and every culture across the globe as a means of interaction and expression. Therapeutic benefits of music were first noted after World War I and World War II when musicians began singing and playing at hospitals for war veterans with physical and emotional trauma. Administrators observed noticeable positive changes in patients and commenced hiring musicians to deliver “therapy” using music. Since then, music therapy has formed into a profession with formal training through an accredited college curriculum, and the scope of practice has expanded to nearly every healthcare and educational setting. Although music therapy is now recognized as a credentialed and specialized occupation, there are several ways that anyone may utilize music in daily life to enhance experiences.
The next time you need to remember something, try singing it out loud or to yourself to a familiar tune. Chances are that you will be able to remember exactly what it is and it will remain engrained in your memory for some time. Why is this? Certain pathways of the brain are stimulated by music. These same pathways are responsible for memory and learning. That is why we often associate familiar songs with specific events in our lives. Even individuals with dementia are often able to sing along to familiar songs although communication may be impaired and they are unable to remember much else. Music may be used to promote wellness, manage stress, alleviate pain, express feelings, improve memory and communication, and promote physical rehabilitation.
Suggestions for therapeutic activities using music include, but are not limited to: music listening for meditation and distraction; lyric discussion; singing of routines for memory retention; movement to music for range of motion and exercise; and instrument playing. Not only can the above goals be achieved, participants will have opportunities for social participation, emotional expression, positive reinforcement, and relaxation. Make an effort to encourage the use of music in everything you do, after all, it is the only language that binds all of us through the gift of rhythm and melody.
For more information on the profession of music therapy, please visit the American Music Therapy Association’s website at www.musictherapy.org
November 7, 2011
Therapy Center News: Student OT Spotlight on Tess Autin
Tess Autin is from Baton Rouge, LA and is currently studying at LSUHSC- New Orleans for a Master’s degree in occupational therapy. She recently completed a rotation with us at our partner skilled nursing facility, Maison Teche in Jeanerette, with mentor/OT Danielle Keyser.
Why did you choose the field you are studying in?
“I found occupational therapy as an undergrad through my experience in music therapy. I have always wanted to work in the therapeutic setting to provide services that pursued the highest quality of life possible in each individual. As soon as I learned about occupational therapy, I was hooked. I like that occupational therapists work in a variety of settings, and the scope of practice is focused on treating the whole person, and not just the specific problem or disability.”
What is the biggest thing that you learned while on rotation with us?
“I learned a lot about the recent changes in Medicare and how it affects healthcare professionals. That was extremely important to me, because I haven’t been exposed to it in any of my other fieldwork experiences. I now feel more informed on how to advocate for the importance of reimbursement for therapy services.”
What is your favorite part of working with the Therapy Center team? “Every team member I encountered was eager to include and educate me on everything he or she was doing. It is obvious that the employees love what they do and are passionate about quality patient care!”
What else you should know about Tess!
Tess has a huge passion for music. She sings, plays guitar, and plays piano. Tess also a chorister with the New Orleans Opera! She pursued music therapy as an undergrad and is now a board-certified music therapist. She hopes to utilize music-based interventions in future roles as an occupational therapist. Tess says she is almost equally as passionate for New Orleans Saints and LSU football!
November 4, 2011
Employee of the Quarter: Bo Deal
Our first Employee of the Quarter is Bo Deal.
Bo Deal, PT/OT, has filled a gap in the Jennings area by covering both rehab and OT home health in a very large radius. Bo has always been a team player and filled whatever need the Jennings area presented. Despite the challenges of his new environment, Bo’s attitude has been positive and his adventures in swimming, biking, and running have been an inspiration to all. He is training for an Iron Man competition in the near future. We wish him well and thank him for his commitment as a team player for the Therapy Center.
November 3, 2011
Landmark Study: Direct Access to PTs Associated With Lower Costs, Fewer Visits
The following was announced by the APTA on October 13, 2011.
On behalf of APTA and its sections on Health Policy and Administration (HPA) and Private Practice (PPS), we’re pleased to announce the release of a new study that we expect will have positive implications for our profession and the association’s efforts to achieve direct access to physical therapists. Funded by a grant from APTA, PPS, and HPA, this study examined non-Medicare claims data and compared self-referred episodes of physical therapy to physician-referred episodes of physical therapy.
Published ahead of print September 23 in the journal Health Services Research (HSR), the study suggests that “the role of the physician gatekeeper in regard to physical therapy may be unnecessary in many cases.” Patients who visited physical therapists directly for outpatient care had fewer visits and lower overall costs on average than those who were referred by a physician, after adjusting for age, gender, diagnosis, illness severity, and calendar year. In addition, overall related health care use — or care related to the problem for which physical therapy was received, but not physical therapy treatment — was lower in the self-referred group after adjustment. Examples of this type of care might include physician services and diagnostic testing. The study also found that individuals were similarly engaged with the medical care system during and after their course of physical therapy care, suggesting that continuity of care did not differ between the 2 groups. A news release on this study was distributed to the national media earlier today and provides more detailed information.
We believe the results of this study will support our efforts to work with legislators and physician groups to establish policies that reduce unnecessary regulations, improve access, and build models of delivery that best serve our patients and the health care system.
Earlier research has supported direct access to physical therapists as safe and cost effective, but the new HSR study is by far the most comprehensive to date. Not only did it look at a far more extensive number of episodes than previous research, but it also controlled for illness severity and other factors that could have affected the patients’ outcomes.
In the coming weeks, you will be hearing more about this landmark study as APTA, HPA, and PPS roll out a comprehensive communications plan to members, the media, and the public. In addition to our news release referenced above, we will be developing sample presentations and talking points for you to use in your community outreach. You also will learn more through interviews, podcasts, and other educational opportunities for members.
We hope you are as excited about this new research as we are, and we look forward to working with you to educate decision makers on this study and its positive implications for patients and the health care system.
Sincerely,
R. Scott Ward, PT, PhD
President, American Physical Therapy Association
Thomas DiAngelis, PT, DPT
President, Private Practice Section
Rick Gawenda, PT
President, Section on Health Policy and Administration
October 31, 2011
Introducing Our Women’s Health Professional: Katherine Prevost
Katherine Prevost originally from Rayne, Louisiana received her Bachelor’s of Science degree in Kinesiology from University of Louisiana Lafayette and attended LSU-HSC in Shreveport for her Doctorate of Physical Therapy.
Katherine recently joined the Therapy Center team in 2011 as a PT in our Jennings outpatient clinic. She also works in the inpatient rehab and home health settings in Jennings. Katherine has a passion for women’s health and is excited for the opportunity to be able to pursue that through the Therapy Center.
When asked what the most rewarding part of her job is, she says, “It’s when my patients tell me that I have helped them overcome something in their life or helped them with something that they thought was impossible. It is the most rewarding feeling to know that you had an impact in someone’s life.”
Katherine chose this career after she had to get physical therapy herself. “I was hurt when I was in high school and had to go to a physical therapist. I loved my therapist, all the staff, and the atmosphere of the clinic. I felt that this would be the perfect job for me because I love being around people and making a positive impact in people’s lives,” says Katherine.
Favorite part of working at Therapy Center? The staff. Everyone is so supportive and willing to help me accomplish my goal of pursuing a Women’s Health specialization.
Hobbies/other areas of interest: I love sports, working out, and the outdoors, but I also love to go shopping and spend money every now and then.
Do you need help with what questions to ask your doctor? Do you want to know if physical therapy can help you? Katherine is available Monday – Thursday from 8-5 and Friday 7-12 at Therapy Center Clinic in Jennings, 337-824-4547. A referral from your physician is needed for these services.
October 26, 2011
Introducing Our Women’s Health Professional: Alayna Brewer
Alayna Brewer, originally from Plaquemine, Louisiana received her Bachelor’s degree from Louisiana College and went on to pursue a Doctorate of Physical Therapy from the University of St. Augustine in Florida.
Alayna began working for Therapy Center in 2010 and currently works as a clinician in Therapy Center’s partner skilled nursing facilities in Avoyelles Parish. She is also our women’s health professional at Lemoine Therapy Services in Marksville, one of Therapy Center’s outpatient clinics.
Why did you choose the field you work in? I have always wanted to be involved in patient care and the healing process. I wanted to make a difference in people’s lives. I enjoy interacting with people on a daily basis. I chose the field of women’s health because there is such a need for therapists in this area. It is a specialized area that is very challenging. Each patient is different and requires one-on-one care. These patients are looking for help and are very grateful to find therapists who are knowledgeable in their condition as well as compassionate.
What is the most rewarding part of your job? Seeing patient’s to the end of their treatment program and knowing that I made a difference even in the smallest way. It’s very rewarding to know that I was able to help improve the patient’s condition and restore their function. The most rewarding part of all is watching a patient achieve a personal goal or do something they didn’t think was possible. For my women’s health patients, the best part is restoring their independence and decreasing symptoms of their condition that are limiting daily activity.
Favorite part of working at Therapy Center? One of my favorite parts of TTC is the camaraderie that is formed with my co-workers especially, as well as the mentors and owners. The owners have gone above and beyond in my opinion to keep employees happy despite necessary changes in Medicare reimbursements and increased scrutiny of documentation. They are willing to listen to our individual ideas and concerns and I always feel like my voice is heard.
Hobbies/other areas of interest: Reading my e-reader (I love that thing), taking my daughter swimming, horseback riding, SHOPPING (especially for shoes), photography (but I’m not very good at it yet), watching movies with my daughter and husband, I like killing time in Baton Rouge and trying new restaurants.
Anything interesting about yourself that you want others to know: I love the people that I work with! While in college, I worked at Blue Bayou as a Lifeguard, Supervisor, and Instructor, we have a total of 8 dogs and 2 cats at home, I love QVC! I’m a part of a Krewe in Alexandria and I have a blast with those women, I am not much of a runner but I hope complete a 5K soon (like complete it and not pass out)!
Do you need help with what questions to ask your doctor? Do you want to know if physical therapy can help you? Alayna is available Monday – Thursday from 8-5, and Friday from 8:00am – Noon at Lemoine Therapy Services in Marksville, 318-240-7680. A referral from your physician is needed for these services.
October 24, 2011
What is Women’s Health Physical Therapy?
Oprah.com recently focused on a topic that is rarely discussed…”Physical Therapy for the Lady Parts” ! In conjunction with our October celebration of PT month, we want to explore the profession of women’s health physical therapy and introduce two of our very own practitioners whose passion is helping women of all ages who might suffer from conditions that affect their daily living. Future blog articles will also address who is appropriate for treatment and what conditions can be treated using women’s health PT.
Origin of Women’s Health Physical Therapy (WHPT)
According to the APTA, “the Section on Women’s Health of the American Physical Therapy Association was formed in 1977 by Elizabeth Noble. Originally called the Section on Obstetrics and Gynecology, it was founded to serve as a resource for physical therapists interested in the healthcare of women before, during, and after pregnancy.” The popularity of Women’s Health specialty grew in 1995, when a group of orthopedic physical therapists recognized that their clinics were filling up with women whose concerns weren’t being addressed. Most women think that when they have problems like pelvic pain or incontinence that the only person who can help is their doctor. In many occasions, practitioners of women’s health physical therapy are called in to problem solve for women (and some men) who have problems with sexual intercourse, urination, fertility, pregnancy preparedness, postpartum recovery and cancer recovery.
Why is Women’s Health Rarely Talked About?
Information on this topic is not easily found so it’s no wonder why many individuals have never heard of it. “Women’s Health PT is not well publicized in the U.S. and many women are not familiar with what WHPTs can do to help them. Many issues that women face are delicate topics and not many people like to discuss their incontinence or sexual dysfunction problems with just anyone,” explains Alayna Brewer, WH PT for Therapy Center.
Fortunately though, Women’s Health PT is a growing practice. According to the APTA, many physical therapists have specialized training that can benefit women with a variety of medical conditions. Today’s emphasis on fitness and wellness has brought to women’s attention a need to pay closer attention to their bodies during recreation, work, and throughout life.
Physical Therapy is a less invasive solution
In talking with two of Therapy Center’s very own Women’s Health PTs, its remarkable the passion that both Alayana Brewer and Katherine Prevost have for this field of work. Both agree that physicians and physical therapists can work together to provide the best solution for the patient.
Many people assume surgery is the only fix for their problem. The fact is that surgery isn’t the only solution! “Our goal as WHPTs is to treat these individuals before going under the knife. Much research has been done in the past 10 years in regards to women’s health PT and how it may be beneficial to our patient population,” Brewer says.
Doctors and Physical Therapists are trained differently in how they treat pelvic floor issues.”I also think it’s very important to have a close relationship with physicians during the course of treatment. Physical therapists evaluate the pelvic floor for mechanical or muscular issues that may be causing pain or dysfunction, but it’s important to also have patients see a physician first to rule out any alternative disease process that may be contributing to the pain,” explains Katherine Prevost, WHPT.
Physical Therapists are trained muscle specialists who know how to strengthen, stretch, and relax muscles in way that the physician may not. PT’s can teach patient’s techniques, exercises and stretches that will allow for the relief of symptoms without relying on drugs, which may have negative side effects. Therapy can also help a client become more independent while teaching them to manage their condition and symptoms on their own.
To schedule an appointment or for more information, please contact one of the following women’s health professionals located at Therapy Center’s outpatient clinics: (Physician referrals are needed for these services)
Therapy Center-Jennings, LA: Katherine Prevost, 337-824-4547
Lemoine Therapy Services-Marksville, LA: Alayna Brewer, 318-240-7680
October 20, 2011
Everyone Has a Dream: Man in Black is Back
Roy Doiron, of Jeanerette, was first treated by Therapy Center therapists at Maison Teche Nursing Center. He was able to return home, following rehabilitation, and achieved a personal goal on September 23rd, when he auditioned for Rox Star at Cypress Bayou Casino. The Man in Black serenaded the audience with an acapella version of Jambalaya. Roy will perform again on November 18th, as his performance qualified him for semi-finals. The Therapy Center congratulates you Roy Doiron! We are proud to see you benefit from all of your hard work! See Mr. Doiron’s performance below.
Story submitted by Danielle Keyser, OT/Mentor, and is pictured left with Mr. Doiron. Danielle accompanied Mr. Doiron to the competition and was part of making his dream a reality. Also pictured left is Mr. Doiron with his supporters and fans!
October 17, 2011
PT Spotlight: Jeff Person
In celebration of Physical Therapy Month in October, we would like to spotlight some of our very own PT’s.
Jeff Person is from Jennings, Louisiana, where the Therapy Center was born! He graduated from the University of Louisiana at Lafayette and then pursued his career as a physical therapist at Texas Women’s University. Jeff joined Therapy Center’s team in 2002 and works in our outpatient clinic in Jennings as a clinician.
Jeff is a certified clinical instructor through the APTA and has taken many PT students under his wing. He likes to share the passion that he has for his profession with PT interns and says that his career as a physical therapist “is a perfect fit”.
When asked what his favorite part of working at Therapy Center is, Jeff said, “I have an incredible team who I am able to work with and continue to grow and learn with. I feel every day we grow as a team and become a stronger clinic. I also really enjoy the fun we are able to have working together.”
What is the most rewarding part of Jeff’s job? Patient satisfaction. He also enjoys gaining knowledge in his profession, whether its through continuing education seminars, learning from others, or sometimes just figuring something out for himself.
Hobbies/other areas of interest: My family comes first! I am a huge Ragin’ Cajun sports fan and just a sports fan in general. I enjoy golf and any social activity or gatherings.
Anything interesting about yourself that you want others to know: I think it is funny that people assume since I am a sports fan that I am a LSU fan. Couldn’t be further from the truth. No way, no how. I bleed red. Geaux Cajuns! I am also nearing completion of my Manual Therapy Certification.
October 13, 2011
Legislative Action Alert: Therapy Cap
Posted by APTA, October 4, 2011: Click here for full PDF version.
Only 88 days remain for Congress to take action on the therapy cap and Medicare payment cuts. It is critical that Congress pass legislation before December 31, 2011 to extend the therapy cap exceptions process and to avoid the scheduled 29.5% cut in provider payments under the Medicare physician fee schedule.
This year, the opportunity to have this devastating payment cut and expiring therapy cap exceptions process resolved will require targeted messaging to the Joint Select Committee on Deficit Reduction. The Joint Select Committee on Deficit Reduction, also known as the Supercommittee, is a joint select committee of the US Congress, created by the Budget Control Act of 2011 on August 2, 2011. The 12-member panel, divided evenly among Democrats and Republicans, has until November 23, 2011 to propose at least $1.2 trillion in 10-year budget savings. If it does not propose a package or if Congress doesn’t approve it, $1.2 trillion in automatic budget cuts will be triggered. The Medicare payment cut and the extension of the therapy cap exceptions process will need to be taken care of within the Supercommittee’s package. While APTA is working tirelessly with congressional offices on the hill to protect the profession and our patients from these impending budget cuts, we need your help.
In conjunction with the efforts driven by APTA’s lobby team, APTA Vice President of Government and Payment advocacy Justin Moore, PT, DPT was invited to testify before the United States House of Representatives on Ways and Means Health Subcommittee on the detrimental effect the therapy cap can have on Medicare beneficiaries. In his testimony Dr. Moore provided background on the therapy caps and described the types of patients who are most affected by the caps. Dr. Moore also highlighted several cost saving proposals to address the therapy cap and payment reform under Medicare Part B. Subcommittee ranking member Fortney Pete Stark (D-CA) said some of the provisions, such as the therapy cap exceptions process, “ensure critical access to needy Medicare beneficiaries.”
Help us reinforce our message by contacting your legislator today.
Message:
• Ask your member of Congress to sign onto the Dear Colleague letter initiated by Representative Allyson Schwartz which urges the Supercommittee to include the SGR fix in the Supercommittee’s proposal.
• Request that your Congressman sign onto the Therapy Cap Repeal legislation (H.R. 1546) and support addressing the therapy cap as part of the Supercommittee package.
What You Can Do
• Send an email to your Members of Congress TODAY. For sample letters and easy access to contacting your Members of Congress by electronic means or download and print letters, utilize APTA’s Legislative Action Center.
• Request your patients to contact Congress on this issue through APTA’s Patient Action Center. This site is designed to educate patients on the issue and to provide easy access to form emails and letters for them to contact Congress.
Keep Your Colleagues Informed – Request that your colleagues take action through APTA’s Legislative Action Center and sign up for APTA’s Grassroots Network, PTeam. PTeam will be the main source of information for legislative updates and breaking news on the effort to pass legislation to extend the therapy cap exceptions process and avoid the 29.5% cut.
Thanks for your help in getting the message through to Congress!
October 11, 2011
Life is Always Worth Living
Article was written by Gisele Menard, PTA for Therapy Center. (Gisele is pictured left with Mary Thibodeaux)
Mary Thibodeaux has been my home health patient off and on for over three years. Because her age is a factor, Mary is not eligible for joint replacement and she needs assistance from physical therapy. As part of her home exercise program, Mary has learned to stretch her hamstrings daily for relief from pain. At first, she could only reach halfway between her knees and ankles, but now Mary can reach her toes on both sides!
At age 100, she is so proud of her accomplishments and the relief from chronic pain she receives from stretching.
I had the pleasure of celebrating Mary’s 100th birthday with her on April 13, 2011 in Egan. What a precious lady! My co-worker, Amy Deloach (PT), and I feel so honored to serve this wonderful woman who inspires us in so many ways. Most of all, Mary’s tremendous faith that life, even in the midst of pain, is always worth living.
October 7, 2011
The New COT OMRA: How Will Your Facility Manage?
This article was written by Harmony Healthcare in the October 5th Newsletter Issue:
Effective October 1st, a COT OMRA will be required for patients classified into a RUG-IV therapy category whenever the intensity of therapy changes to such a degree it no longer reflects the RUG-IV classification and payment assigned based on the most recent assessment used for Medicare payment. CMS stresses that SNFs would be required to complete a COT OMRA only if the intensity of therapy changes to such an extent that the patient’s RUG classification, based on their last PPS assessment, is no longer an accurate representation of the patient’s current clinical condition. This change in the therapy intensity may be due to scheduled changes or unscheduled changes. The COT is indicated when the different RUG category is higher or lower than the RUG category in which the resident is currently placed.
If a therapy discipline is discontinued and this results in a patient no longer meeting the required number of therapy disciplines for the patient’s current RUG category then a COT OMRA would be required. In addition, if a patient fails to receive the requisite number of days of therapy required for classification into the RUG category, then a COT OMRA would be required to change the patient’s RUG category as appropriate.
The ARD for the COT OMRA would be set for day 7 of a COT observation period. Beginning on the day following the ARD set for the most recent scheduled or unscheduled PPS assessment (or the day therapy resumes in cases where an EOT-R OMRA is completed) there will be a rolling 7-day look-back. For example, if the facility uses PPS day 13 as the ARD for the 14 day assessment, the end of the rolling 7-day look-back period will be PPS day 20. If on PPS day 20 the minutes are no longer an accurate representation of the previous RUG score, a COT OMRA will be required.
Payment begins the day after the ARD, the beginning of the COT look back period and remains in effect until the end of the payment window for the previous assessment or until a new unscheduled assessment (an OMRA, SCSA, or SCPA) is completed.
Example:
The 14 day PPS assessment ARD was 10/8 day 13, with a RUG category of RU (720 minutes) representing the payment category. The start of the COT observation period begins the day after the ARD of the 14 day PPS assessment (COT day 1= PPS day 14, 10/9/11) and continues to COT day 7 (10/15/11), which is PPS day 20.
The patient may achieve the represented RUG at any time during the look back period (think of it as the same look back period when completing a PPS assessment). However, the minutes and days may only be looked back upon during that seven day COT look back period. If a COT is not completed, the next COT observation period will begin the day following day 7 of the previous COT period. Harmony stresses that it is imperative to monitor the therapy disciplines, days and minutes that are captured within each 7 day look back period for determining if a COT is required.
October 5, 2011
Every Person Has a Story
For most of us, it’s safe to say that we get caught up in the hustle and bustle of our day and our brief interaction with others doesn’t allow us to get to know their story. How many people do we come in contact with on a daily basis that are going through a rough time? How about those who are most excited about a new life event? We never know the impact that a simple “hello” or even a compliment can have on a stranger!
Some of us have a daily reminder of the importance of these stories. For example, when visiting our partner skilled nursing facilities, I have noticed the relationships that our therapists build with the patients they are treating. They see and understand who these patients were before they were admitted into the nursing home…No matter if these patients are there for a short stay solely to receive therapy, or if they have chosen to make the nursing home their permanent residence, our therapists recognize that the dignity and independence these individuals have enjoyed most of their lives should be restored and appreciated so their stories can continue on.
The video below can serve as a reminder that no matter how busy we get or sometimes how frustrated we may become with others, we have the opportunity to positively impact their lives.
October 3, 2011
Therapy Tech Spotlight: Monique Lawless
Join us as we highlight our longest-tenured therapy techs during therapy tech month:
Monique Lawless, originally from Welsh, LA began working with Therapy Center in 2003 as a massage therapist and therapy tech. Monique attended Welsh High School and the Louisiana Institute of Massage Therapy. She chose this field of work because she truly enjoys helping patients feel better by reducing their pain. Monique says that the patients she has worked with are very grateful and express to her how much she has made them feel better, which is the most rewarding part of her job! Her favorite part about working for the Therapy Center is “that we are one big, happy family!”
All of Monique’s co-workers agree that she has been a great team player and always has a smile on her face! Her positive attitude is always recognized by those around her and Therapy Center is grateful to have her on our team!
September 30, 2011
Maintaining Stable RUG Levels with New MDS Schedule
Beginning October 1st the new MDS schedule for PPS remains the same for the 5 day assessment with days 1 through day 5 with grace days extending out to day 8. Possible assessments dates for the 14 day assessment have been reduced to achieve compliance with the 2012 SNF Final Rule. The new window for ARD selection for the 14 day assessment will now be day 13 and 14 with a grace allowance to day 18; an overall reduction of 3 potential assessment days. The 30, 60 and 90 day assessments have been shorten by 7 days each.
The following ARD options will be effective October 1, 2011:
30 Day: 27-29 with grace a grace day allowance to day 33
60 Day: 57-59 with grace a grace day allowance to day 63
90 Day: 87-89 with grace a grace day allowance to day 93
Will your therapy company be able to provide adequate staffing and management to maintain stable RUG levels?
September 29, 2011
Care Not Cuts: Let’s Take Action
Cuts to Medicare and Medicaid threaten access to quality care for America’s growing population of seniors.
Nursing homes, skilled nursing facilities and assisted living are all part of the solution to both rising health care costs and local job creation.
Take action today — call your Member of Congress and tell them to preserve, protect and defend quality skilled nursing and rehabilitative care for seniors and people with disabilities.
Learn more at www.carenotcuts.org
September 27, 2011
Therapy Tech Spotlight: Shelly Gatte
Join us as we highlight our longest-tenured therapy techs during therapy tech month:
Shelly Gatte
Where is your hometown? Crowley, LA
Year you started working with Therapy Center: 2003
Areas you work/Main job responsibilities: I work at the Therapy Center Outpatient Clinic in Jennings where I am responsible for patient care, some billing and medical records. I also work at the Basile Care Center as a therapy tech.
Why did you choose the field you work in? I always wanted to work in the medical field and helping people is a top priority!
What is the most rewarding part of your job? Seeing people get better!!
Favorite part of working at Therapy Center? The family orientation. It is like family away from home!!
Hobbies/other areas of interest:
Spending time with family and friends is my biggest hobby.
We are lucky to have Shelly on our team! Thank you for all that you do and for being dedicated and very compassionate.
September 22, 2011
Therapy Tech Spotlight: Melinda Chenevert
Join us as we highlight our longest-tenured therapy techs during therapy tech month:
Melinda Chenevert has been with Therapy Center since 2004 and is originally from Plaucheville, LA. Melinda says that her responsibility as a floating tech allows her a career where she gets to work with people and help them at the same time. The most rewarding part of her job is seeing the residents improve their function and seeing their smile when they take their first steps. Melinda’s favorite part of working for Therapy Center is her wonderful co-workers! In her spare time, Melinda loves to do anything outside, especially gardening.
We are proud to have Melinda as part of the Therapy Center team!
September 20, 2011
The Truth Behind Speech Therapy
Article written by Ava Hebert, Recruitment Manager for Therapy Center.
A common misconception about speech therapy is that it only addresses problems with the act of speaking. Not so. As someone new to the therapy industry, I have found it particularly interesting that there are so many facets to speech therapy and what a speech therapist does as part of treatment. My first observation of a speech therapist left me with many questions. I was in the therapy room of a skilled nursing facility and my expectations were blown out of the water. As I quietly watched, I thought to myself, “Why is she asking the patient to give her today’s date? Why is the patient doing a puzzle? Why are they using a deck of cards to play a memory game? What does any of this have to do with speech?” Afraid to ask too many questions, I did a little research of my own and found many things that people may be surprised to learn about a speech therapist.
What is a speech therapist? How can speech therapy benefit me or my loved one?
When trying to educate an individual on therapy services in a skilled nursing facility, there is a good possibility that they may not see the value in working with a speech therapist. In my dealings with case managers and social workers, I understand that they face objections from patients and their families quite often when it comes to seeing a speech therapist. They think, “Why? I already know how to speak.” What most people do not realize is that a speech therapist is a communication specialist; educated in the study of human communication, they are knowledgeable in many different areas. Speech therapists, also known as Speech Language Pathologists, are trained in areas of oral motor skills such as swallowing, cognitive communication and orientation such as memory and problem solving, fluency such as stuttering, literacy, social skills, articulation, and most obviously… speech. They can treat patients with any condition that could hinder their ability to communicate. A speech therapist working in a skilled nursing facility would be less likely to treat literacy, stuttering, and articulation, yet more likely to treat memory and swallowing problems. They can teach individuals how to improve swallowing by working and strengthening their muscles thereby reducing the chances of choking or inhaling food or liquid, a problem seen frequently within skilled nursing facilities.
I recently visited with one of our own speech therapists, Leslie Lemoine, who works in our partner facility, Courtyard Manor Nursing Home in Lafayette, Louisiana. She has been with Therapy Center for over three years and had some very insightful information about her profession. “We treat patients with dementia, Alzheimer’s, stroke patients, and several other diagnoses that can affect the patient’s cognition, memory, and speech. We also treat patients that have swallowing problems, also known as dysphagia. We collaborate with physical therapists, occupational therapists, nursing, and family members regarding ways to improve the patient’s cognition, communication, and swallowing function.” Who knew that you could seek help from a speech therapist for help with cognitive problems? I didn’t.
“The main misconception is that we treat only patients that have speech problems, like stuttering for example. Many people don’t know that we can recommend diet modifications and teach patients ways to increase safety with swallowing to reduce the risk of aspiration. Also, many people are surprised to know that we help to teach patients how to increase their orientation and safety awareness and independence, whether in the nursing home or if they are planning on returning to home,” Leslie explained.
When I asked Leslie about a typical day and the treatment plans for her patients, I learned that there is no cookie cutter treatment plan that can be applied to all patients. Each patient is different; they each require different levels of care and focus in various areas. Working in a skilled nursing facility, therapists notice that needs change frequently. It is not uncommon for an elderly person to have the occasional bout of confusion, but when a therapist or family member begins to notice a change in behavior, communication, or weight loss, this could be a red flag and a sign that speech therapy is needed.
Weight loss can be a sign speech therapy might be needed? Really?
If a patient shows signs of sudden weight loss, this could indicate that he/she is having difficulty with swallowing, therefore is not maintaining a sufficient caloric intake in order to maintain a healthy weight. Leslie says that she has seen this many times in the nursing home and she “communicates with nursing regarding ways to maintain the patient’s nutrition and hydration when necessary.” That is why in a skilled nursing facility, it is important for the speech therapist to conduct regular screenings in order to notice if a patient has had a sudden decline of any sort. Sometimes, this may require a little troubleshooting. Leslie, as do many speech therapists, conducts her own assessments using various methods to determine and identify the area in which the problem lies. She then sets a goal and treatment plan. Patients are always treated on a case by case basis, as some may need work on swallowing, others with orientation. The treatment plans are individualized and created to fit the needs of the individual, and a speech therapist focuses a lot of time to developing a treatment plan that is most likely to be successful.
When asked if there was a specific tool or method of treatment that Leslie found particularly helpful, she gave me an answer that I was not expecting to hear. “As a therapist, I often like to use newspapers and magazines as part of treatment to increase my patients’ orientation and knowledge of current events for opportunities for conversation with peers and family members,” Leslie says. Yet again, I was unaware that this seemingly obvious daily activity was something that speech therapists incorporate into treatment.
After learning so much about the profession and expertise of a Speech Language Pathologist, I find myself very impressed with their work and I’m am very happy to know that such a unique and specialized therapist exists. Even Leslie has to educate her patients on what she can do to help them and gaining their trust is typically half of the battle. “When I am able to create a comfortable, home-like environment for my patients and they begin to trust me and allow me to address their needs, I know that I can make a difference. I feel very rewarded and successful when I see that my patient is following my direction and making strides of improvement for an increased quality of life. It’s a good feeling,” says Leslie.
If you are ever in a position where you’ve got to explain what a speech therapist does, or why someone needs to see a speech therapist, remember, a speech therapist is a communication specialist, trained and educated in the study of human communication.
September 14, 2011
Therapy Center News: Christina Melendreras, DPT Student
We are excited to be part of the University of St. Augustine job fair today and want to introduce you to Christina Melendreras, DPT student from University of St. Augustine. She recently completed a clinical rotation with us and tells about her experience at Therapy Center’s outpatient clinic in Jennings! Stay tuned for more student interviews and news updates…
September 13, 2011
Final Rule for 2012: What does it mean?
SNF Medicare Rules Finalized for FY2012
ASHA, American Speech-Language-Hearing Association, posted the following Final Rule breakdown on their website. This article effectively explains details from the final regulations and how ASHA has served as an advocate for therapy services in SNFs. To read more on this subject, please visit www.ASHA.org.
The Centers for Medicare and Medicaid Services (CMS) issued final regulations for Part A services in skilled nursing facilities (SNFs) on July 29, 2011, effective October 1, 2011. Overall payments to SNFs in FY2012 will be reduced by 11.1%, mainly due to the over utilization of therapy payment categories compared to expected projections.
Reduced supervision of therapy students. CMS has removed specific student supervision restrictions in SNFs because hospitals have no such restrictions for Part A patients. The objective was to promote greater conformity with other inpatient settings. As stated in the proposed rule, the new requirement is that “each SNF will determine for itself the appropriate manner of supervision of therapy students consistent with applicable state and local laws and practice standards.” CMS emphasized that a new, different method of supervision would in no way alter the individual’s basic status as a student operating under the therapist’s supervision and “the time the student spends with a patient will continue to be billed as if it were the supervising therapist alone providing the therapy.”
Group therapy. The CMS proposal that defines optimal group treatment as requiring four-persons remains unchanged in the final regulation. Thus, if a group therapy session consists of two or three patients, the session length must be divided by four (e.g., a 30-minute session with three patients yields 30 ÷ 4 = 7 minutes counted toward the Resource Utilization Group (RUG) level of care). The proposed four-person group treatment standard was protested by ASHA, noting that there is no research to support the assumption that four persons are optimal. A longstanding SNF Part A rule remains, allowing up to 25% of therapy per discipline per week to be group therapy.
End of therapy OMRAs. Changes also affect Other Medicare Required Assessments (OMRAs). CMS proposed that an interruption of three days of therapy would require that the patient be discharged from therapy and require an OMRA when restarting therapy, whether or not the SNF maintained a five-day or seven-day therapy schedule. For example, if the patient received no therapy on Friday, Saturday, and Sunday then an assessment would be required, even though such an OMRA serves no purpose as a clinical management tool. ASHA pointed out that there are many reasons for a missed treatment on the last day of the work week – Friday (e.g., patient illness, therapist illness, patient refusal, visit to physician’s office), extending the interrupted therapy to three days. We recommended the requirement be revised to four days to avoid many unnecessary discharges and reassessments, but the minimum missed treatment period will stand at three days.
The final rule is posted on the Office of the Federal Register’s website [PDF].
Please contact us today to find out how we can help your facility through the October 1st changes!
Therapy Center partners with nursing homes to deliver high quality, cost-effective rehabilitation services. Our services are designed to provide our partner facilities with the highest standard of patient care, increased revenues, reduced responsibility, elimination of staffing problems and ease of compliance. Unlike staffing agencies, Therapy Center welcomes the responsibility of operating and managing a profit-generating rehabilitation department for our partner facilities. We provide highly skilled therapists and a full spectrum of rehabilitation services including physical therapy, occupational therapy, speech therapy and more. Our goal is to enhance clinical outcomes while maximizing financial reimbursements for our partner facilities.
September 8, 2011
Therapy can help increase your facility’s revenue.
Did you know that successfully managing your CMI can yield high value with little cost?
Did you also know that your therapy team can play a significant role in improving your facility’s bottom line if they are proactive and knowledgeable about how to effectively impact your CMI score?
At Therapy Center, it’s our business to make your rehab run better. We’re not just therapy providers, we’re business partners and we know how to help the facilities we work with improve their CMI scores and watch their revenues grow.
Therapy Center stresses the importance of knowing every resident in our partner facilities, whether on caseload or not, by completing accurate, timely, and effective quarterly screenings. This screening process can not only help identify potential fall risks, weight loss concerns, contractures/positioning problems, and other declines impacting Quality Indicators, but it can also dramatically affect CMI scores.
In addition to screens, Therapy Center plays an active role in referral of patients, training of staff, and assisting in competency checks in relation to Restorative Nursing Programs. We know the importance of communication between our therapists and nursing home staff and we strive to consistently educate and train staff to facilitate accurate reporting and optimal quality of life for patients.
With a full-time, dedicated compliance department, Therapy Center is able to stay on top of the ever-changing laws and regulations that determine CMI, along with other standards for appropriate reimbursement. We assist staff in understanding these changes as they occur, decreasing stress and maximizing productivity by avoiding unnecessary paperwork.
Don’t let precious reimbursement dollars leave your facility. Contact Therapy Center and let us help you succeed in maximizing your CMI.
Please feel free to contact me to discuss how Therapy Center can serve your business needs: Kristi Fredieu, Business Development & Marketing Manager, 337-384-9791 / kfredieu@therapyctr.com.
Therapy Center partners with nursing homes to provide high quality, cost-effective rehabilitation services. Our services are designed to provide our partner facilities with the highest outcomes of patient care, increased revenues, convenience, elimination of staffing problems and ease of compliance. Our goal is to provide the best rehabilitation care possible while maximizing financial reimbursements for our partner facilities.
September 6, 2011
What should you be doing? 2012 SNF PPS
From the desk of Harmony Healthcare’s CEO Kris Mastrangelo:
SNF Leaders do not have a long lead time between July 27 and October 1 when SNF PPS changes posted in the Final Rule go into effect. The next two months will be filled with reading and re-reading the SNF PPS Final Rule, working on assimilating and interpreting the planned changes as well as participating in the CMS ODFs and web education to confirm each facet of this complex reimbursement program. Language in the Final Rule regarding MDS 3.0 guidance, billing allowances and documentation requirements can easily be misinterpreted.
Team meetings are essential at this time to allow the Medicare Team to review new requirements, strategies for implementation and schedule education for the entire SNF staff.
What to Consider?
1. How will the team incorporate the new the MDS assessment window schedule to avoid payment of default days?
2. Who will be primarily responsible for tracking rehab provision of care to monitor minutes, days and RUG classification requirements?
3. What type of systems will need to be implemented to monitor rehab service delivery?
4. Who should the Facility or Center contact to get answers to questions left unclear in Final Rule language? CMS directly, the MAC, state RAI Coordinator, software vendor or outside consulting agency?
5. Skilled therapy delivery and nursing skilled care oversight to maintain the Medicare Part A revenue stream.
6. Where to begin?
How to Prepare:
• Schedule on a minimum, biweekly meetings to outline and discuss upcoming systems changes.
• Review and post the new MDS assessment schedule options for the team to memorize immediately.
• Educate Therapy professionals on the new definition for group therapy, documentation requirements and mode of therapy billing revisions scheduled to be implemented October 1.
• Select a leader to begin auditing rehab minutes and days of delivery to identify patterns which will impact reimbursement come October 1 under the new guidelines.
• Obtain and implement the tools necessary to accurately track therapy minutes and days that fall below or exceed the planned RUG category. (Tools should flag significant overages or missed minutes that will effect reimbursement levels).
• Track and analyze therapy productivity.
• Schedule mandatory education for all nursing staff focused on Medicare Part A skilled care coverage criteria including RUG classifications and Medicare eligibility and entitlement.
CMS has posted a transition document for implementation of changes scheduled for October 1, 2011. To access this document follow the link below: http://www.cms.gov/snfpps/03_RUGIVedu12.asp
To read the full article, please visit Harmony Healthcare’s website.
Please contact us today to find out how we can help your facility through the October 1st changes!
Therapy Center partners with nursing homes to deliver high quality, cost-effective rehabilitation services. Our services are designed to provide our partner facilities with the highest standard of patient care, increased revenues, reduced responsibility, elimination of staffing problems and ease of compliance. Unlike staffing agencies, Therapy Center welcomes the responsibility of operating and managing a profit-generating rehabilitation department for our partner facilities. We provide highly skilled therapists and a full spectrum of rehabilitation services including physical therapy, occupational therapy, speech therapy and more. Our goal is to enhance clinical outcomes while maximizing financial reimbursements for our partner facilities.
August 30, 2011
The Final Rule for The Medicare Program
The following article on the Final Rule was published on Harmony Healthcare’s website.
In time to meet the July 31 deadline, CMS posted the Final Rule for The Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2012. The Press has taken hold of one aspect of this Rule and has been reporting overall estimated payments for SNFs in FY 2012 are projected to decrease by $3.87 billion, or 11.1 percent, compared with those in FY 2011. This reflects a $600 million increase from the update to the payment rates and a $4.47 billion reduction from the recalibration of the case-mix adjustment. CMS estimates that under RUG-IV, SNFs in urban areas would experience, on average, an 11.3 percent decrease. In the Final Rule CMS points out that the FY 2012 payment rates are still 3.4 percent higher than the FY 2010 rates. Additionally, CMS strongly states “We do not believe that the recalibration constitutes a rate cut but instead represents a return to the appropriate level of SNF payments, which have been found to be more than adequate for SNFs and small entities within the SNF industry.” CMS continues “It is also important to note that this recalibration would serve to remove an unintended spike in payments rather than decreasing an otherwise appropriate payment amount; thus, we do not believe that the recalibration should negatively affect facilities, beneficiaries, or quality of care, or create an undue hardship on providers.”
The important information providers need to extract from this Final Rule is the clinical implications the new rules will have on patient care and retention of the Medicare Part A rate and revenue.
The Final Rule states the following changes will be instituted as of October 1, 2011:
• Changes to the Medicare required assessment schedule. This was not posted in the Final Rule and will need to be accessed in the Proposed Rule until the updated RAI manual is posted.
• Allocation of Group therapy minutes equally between 4 participants.
• Limiting Group therapy to sessions with 4 patients.
• Plan of care for therapy must contain the rational for Group therapy.
• EOT OMRA – Any three day break in provision of therapy services, including Rehab Low plan of treatment requires completion of an EOT – no exceptions.
• EOT Resumption assessment to be used when therapy resumes within 5 days of the EOT OMRA at the same RUG level.
• Eliminate the distinction between 5 day and 7 day a week therapy programs in facilities for setting the ARD for EOT OMRA.
• Each SNF will determine for itself the appropriate manner of supervision of therapy students consistent with State and local laws and practice standards.
Therapy Center partners with nursing homes to deliver high quality, cost-effective rehabilitation services. Our services are designed to provide our partner facilities with the highest standard of patient care, increased revenues, reduced responsibility, elimination of staffing problems and ease of compliance. Unlike staffing agencies, Therapy Center welcomes the responsibility of operating and managing a profit-generating rehabilitation department for our partner facilities. We provide highly skilled therapists and a full spectrum of rehabilitation services including physical therapy, occupational therapy, speech therapy and more. Our goal is to enhance clinical outcomes while maximizing financial reimbursements for our partner facilities.
August 25, 2011
Therapy Center News: Jamie Partridge, DPT Graduate
We love when students come back to see us!! Jamie Partridge, recent DPT graduate from Texas Women’s in Houston visited with us recently to talk about her observation time with Therapy Center while she was an undergraduate at LSU. Stay tuned for more student interviews and news updates…
If you are interested in completing a clinical rotation with our company, please contact your university’s Director of Clinical Education for information on Therapy Center’s program offerings.
Pardon the low volume, you may need to use headphones for part of the video. We are currently working to resolve the low volume.
Read more Therapy Center News student spotlights…
August 12, 2011
CMS’ Decision to Slash $3.87 Billion of Skilled Nursing Payments Has Dire Implications
The following abstract was taken from the American Health Care Association/National Center for Assisted Living’s page.
“In response to the announcement that the Centers for Medicare and Medicaid Services would be reducing payments to skilled nursing facilities by 11.1% beginning in October, American Health Care Association president and CEO Mark Parkinson stated, “The CMS rule makes reductions beyond what is necessary for budget neutrality. Coupled with changes in group therapy definitions, this drastic reduction will be especially challenging for skilled nursing facilities to manage.” Alan G. Rosenbloom, President of the Alliance for Quality Nursing Home Care weighed in also, saying, “The SNF sector has contributed heavily to advancing health care reform and deficit reduction, and is confronted by multiple ongoing threats to funding stability. The ill-considered nature of the Rule and its dire implications to seniors, providers and jobs are significant, immediate and dangerous. Lawmakers will now be placed in the unfortunate position of having to deal with an increased threat to local seniors’ access to care as a result of this egregious regulatory action.” Rosenbloom’s statement continues, “Never in the history of the Medicare program has either CMS or Congress implemented such a large correction in one year.”
To read more, visit AHCA/NCAL’s facebook page and you can always follow Therapy Center’s facebook for this and other articles!
July 27, 2011
Therapy Center News: Jessica Verret, PT Student
We are proud to announce “Therapy Center News”.
Jessica Verret, PT student from LSUHSC-New Orleans tells about her experience at Therapy Center’s outpatient clinic in Jennings & what she’s learned! Stay tuned for more student interviews and news updates…
Read more Therapy Center News student spotlights…
July 20, 2011
Dementia Care Training is Critical for Appropriate Identification
Are your therapists providing optimal care for your patients and family members with dementia?
The article “Speech therapy is beneficial to people with dementia” post by the Fremont Tribune, explains that each person with dementia is affected differently by the disease. Speech therapists have the ability to design a unique plan of care for dementia patients and can also provide adequate training with caregivers and families. The following are listed as behaviors that can be indicators of dementia and that should also trigger a referral to speech therapy:
* Difficulty selecting appropriate words and remembering names.
* Exhibits socially inappropriate behavior.
* Difficulty with concepts of time or money.
* Difficulty counting to 10.
* Difficulty anticipating consequences of own actions.
* Limited eye contact.
* Limited social behaviors (e.g., expressions of courtesy and facial expressions).
Read more of indicators here.
At Therapy Center it is our mission that our therapists are properly prepared to assess and stage dementia patients. This training ensures that the highest level of independence is maintained for these patients and ultimately reduces the burden of care on loved ones or staff. Therapy Center provides in-house training for our staff in an effort to have all of our therapists aware of and utilizing appropriate staging and intervention strategies. Appropriate dementia care and documentation of those services is critical to maximizing patient dignity and independence, reducing level of assistance required by caregivers, and capturing appropriate reimbursement for services provided.
For more information on dementia staging, visit the Alzheimer’s Association website at
http://www.alz.org/alzheimers_disease_stages_of_alzheimers.asp
This article was written by Rachel Manuel, Mentor & Speech Therapist for Therapy Center.
July 18, 2011
Is your therapy company maximizing YOUR Case Mix Index?
Every Skilled Nursing Facility knows the value of Medicare Part A revenue. However, did you know that successfully managing your CMI can yield high value with little cost?
CMI, or Case Mix Index, is the reimbursement system for Louisiana State Medicaid. As explained during its introduction to Louisiana back in 2002, the Case Mix payment system is a program where pennies turn into big dollars very quickly. Proper management of your facility’s CMI can significantly improve your bottom line! Your therapy team can play a significant, active role in helping to improve your CMI score. It is imperative that your therapy company be proactive and also possess the knowledge to understand how to effectively impact CMI.
At Therapy Center, we regulate quarterly screens, fall screens, weight loss, and more to ensure that patients are evaluated in a timely manner when declines are noted. We remain in conversation at all times with our the case mix personnel at each of our partner facilities to foster open lines of communication when setting ARDs that will most appropriately capture an accurate view of each resident and the services that are being provided to them.
Our assistance in establishing Restorative Nursing Programs, regularly screening residents with contractures, and working with high level residents to maximize quality of life within the nursing home and various activity settings are just a few examples of ways that we help provide the best care to our residents, while assisting our rehabilitation partners in maximizing CMI.
How confident are you that your therapy company has the knowledge and skill to help you successfully maximize your Case Mix Index? We know our business; the business of therapy; the business of Customer Partnership, and we can help your facility maximize CMI and improve the bottom line!
Contact us today to discuss how The Therapy Center can serve your business needs: Kristi Fredieu Business Development & Marketing Manager 337-384-9791 kfredieu@therapyctr.com.
July 12, 2011
Augmentative Communication Devices Aid in Stroke Patients
My loved one is no longer able to speak due to aphasia resulting from a stroke. We have been to a speech therapist but she still cannot speak clearly. What can I do?
Augmentative communication devices are readily available and frequently reimbursable by Medicare, Medicaid and/or private insurance both in the home and nursing home settings. A speech language pathologist can recommend an appropriate device like those available through DynaVox. Computer technology has helped patients, even those with no prior knowledge of computers, to communicate both in person and via telephone so that they can share their thoughts and feelings with loved ones. Your Therapy Center therapist can assist in determining if you or your loved one is appropriate for this technology.
For more information on Therapy Center’s services and locations, browse our website, therapyctr.com, or contact our corporate office at 337-824-8287.
If you would like to view some of the options available by DynaVox, log on to http://www.dynavoxtech.com/conditions/aphasia/solutions/.
This article was written by Rachel Manuel, Mentor & Speech Therapist for Therapy Center.
Therapy Center News: Interview with Our Student Tyler Brady
We are proud to announce “Therapy Center News”.
Tyler Brady, PT student from LSUHSC-New Orleans tells about his experience with Therapy Center & what he’s learned! Stay tuned for more student interviews and news updates…
Read more Therapy Center News student spotlights…
Therapy Center News: Interview with Our Student Spencer Wallace
We are proud to announce “Therapy Center News”.
Our first interview is with Spencer Wallace, COTA student from UL Monroe. Watch his video interview below to learn about his experience with Therapy Center & see what he’s learned so far! Stay tuned for more student interviews and news updates…
Read more Therapy Center News student spotlights…
July 11, 2011
Therapy Center Creative Cooking Therapy
Amelia Manor’s Cheese and Tomato Grilled Sandwiches Recipe
by: Barbara Miller
(Amelia Manor patient who plans to return home Independently upon completion of therapy)
Ms. Barbara lead our group and is pictured below with Judy Duplechien, COTA and her physician and Medical Director of Amelia Manor, Dr. Kothapolli (whom is very impressed with her progress).
I. Supplies:
- Paper plates
- Plastic knives
- 1 sharp knife (for cutting tomatoes)
- Spreadable Margarine
- Wrapped cheese
- Tomatoes
- Toaster oven
- Paper towels
- Bread
II. Preparations:
- Distribute plates, napkins, and plastic knives
- Give each patient a slice of bread
- Give each patient a slice of cheese to unwrap
- Have a few higher level patients slice tomatoes with a sharp knife
- Have each patient reach for a slice of tomato to add to their plate
- Heat toaster oven to 400 degrees (or toast setting)
- When time to bring sandwiches to toaster oven, have ambulatory patients bring them to their destination.
- Have any patient that can stand to perform the task, or portions of the task, complete activities in standing position
III. Directions:
- Spread margarine on top of bread with a plastic knife
- Place unwrapped slice of cheese atop buttered bread
- Top cheese with a slice of tomato
- Place bread directly on wire rack of toaster oven
- Enjoy hot, open face, grilled cheese and tomato sandwich!
IV. Skills Addressed Through this Activity:
A. Occupational Therapy:
- Bilateral Integration
- Visual perception
- Eye-hand coordination
- UE strengthening
- Self-feeding
- Functional Grasp
- Meal prep if patient plans to return home
B. Physical Therapy:
- Standing tolerance
- Gait training
- Core strengthening with reaching
- Negotiating obstacles during gait
C. Speech Therapy:
- Sequencing
- Following commands
- Naming
- solving
- Safety awareness
- Decision making
- Providing descriptions
- Swallowing (compensatory strategies and safe swallow precautions)
Please check back as we post more recipe’s and list the skills addressed when conducting cooking groups in our partner facilities.
Therapy Center News: Interview with Our Student Nathan Calloway
We are proud to announce “Therapy Center News”.
Nathan Calloway, COTA student from UL Monroe tells about his experience with Therapy Center & what he’s learned! Stay tuned for more student interviews and news updates…
Read more Therapy Center News student spotlights…
July 1, 2011
Join Our Team in the Lafayette, LA Area
Between the food and music, festivals and museums, outdoor fun, shopping, restaurants, and night life, there is definitely something that everyone can enjoy in Lafayette, Louisiana!
In the heart of Cajun Country, Lafayette is notorious for its undeniable French heritage, wide variety of delicious food, and highly anticipated music festivals. Don’t miss “Rhythms on the River” or “Downtown Alive”, two of Lafayette’s signature events, happening weekly and uniting community and culture while offering great entertainment in the form of FREE, family-friendly, outdoor concerts.
The charm of Lafayette is the big city feel with tons of arts and culture, yet you’re only minutes away from some of the greatest hunting and fishing spots in the nation — perfect for any outdoors man! A recent issue of Southern Business and Development Magazine has named Lafayette as a Top 10 place in the South for the “creative class” – citing Lafayette’s risk-taking spirit and technological advantages. Lafayette is the perfect blend of all interests, making it a great place to live and enjoy life!
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Click here to read a detailed job description for our Nursing Home setting Occupational Therapist and submit your resume today to recruiting@therapyctr.com.
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Why Therapy Center?
WE OFFER:
Salaried Positions
Health/Dental/Life Insurance
Disability
Workers Comp Insurance
Professional Liability Insurance
401K Plan
Generous Paid Time Off
Continuing Education Allowance
Management Growth Opportunities
Health Savings Account
And Much More….
We are a group of fun-loving professionals who strive to always remain proactive and on the cutting edge of industry developments. We are dedicated to education, integrity, and superior patient care and always have room on our team for the BEST of the BEST!
Call today to discuss what Therapy Center can offer you!
Therapy Center is a leading provider of comprehensive therapy services offering physical, occupational and speech therapy in nursing homes, outpatient clinics, home health and hospitals.
June 28, 2011
Therapy OMRA’s: Change is Not Always a Good Thing
If allowed to proceed unchecked or unaltered Change of Therapy OMRA’s as outlined in the SNF 2012 Proposed Rule will greatly impact how therapy services are delivered. Rural facilities are even more at risk. More importantly, however, is the effect that this will have on the already overworked and overstretched MDS coordinators, and ultimately how services are delivered to the elderly. As this Long-Term Living article details, Change of Therapy OMRA’s or COT’s will prove to be a logistical nightmare not only for therapy, but nursing and most importantly the patient! Already faced with increased assessment requirements under MDS 3.0, MDS coordinators nationwide are reporting that they have seen the numbers of required Medicare assessments increase by as much as 50% compared to MDS 2.0. Many complaints and comments relating to this dramatic increase in required MDS assessments have fallen on the deaf ears of Medicare officials on several SNF Open Door Forums. Given the increased detail required by the MDS 3.0, this has stretched the resources of every facility serving the elderly under Medicare. The documentation requirements have grown so dramatically that we are quickly reaching a point that patient care is at risk in order to “Dot the I’s and Cross the T’s”. The COT OMRA if left unchanged will once again tax these resources that are already stretched too thin. It may prove to be the straw that breaks the camel’s back.
This article was written by Lance Hill, Director of Compliance for Therapy Center. Lance started his career in Occupational Therapy in 1993 and has been in therapy management since 1996. Lance helps Therapy Center respond quickly to regulatory changes within Medicare to avoid the risk of reviews or denials. As Director of Compliance, Lance also ensures that Therapy Center managers and field staff have the resources they need to excel in their job duties, keeping Therapy Center a leader in rehabilitation services.
June 24, 2011
Reducing Avoidable Rehospitalizations Among Seniors
The rehospitalization of senior patients within 30 days of discharge from a skilled nursing facility (SNF) has risen dramatically in recent years, at an estimated annual cost of more than $17 billion. A new study from Hebrew Rehabilitation Center (HRC), an affiliate of Harvard Medical School, demonstrates improvements in discharge disposition following a three-pronged intervention that combines standardized admission templates, palliative care consultations, and root-cause-analysis conferences.
June 23, 2011
Is There a Disconnect Between Departments in Your Facility?
We’re Bridging the Gap.
Medicare requirements and constantly changing regulations have, through years of constant scrutiny, facilitated an environment of accountability, demand for quality, and an expectation of excellence within the skilled nursing setting. However, strenuous and detailed paperwork demands alone are enough to create tension and disconnect between departments and disciplines.
The result: a distorted, inaccurate view of the patient in the medical record, making it very easy for auditors to deny claims for services provided.
At Therapy Center, we recognize the heavy demands placed on each department in order to provide accuracy in reporting. We’ve implemented methods, individualized for each of our partner facilities, to open the lines of communication between all departments. Therapy Center provides CNA training to understand and interpret the definition of assistance given to patients, and how to accurately record this on ADL flow sheets. We participate in facility staff meetings to discuss caseloads and patient deficits, in order to pinpoint areas of concern, as well as to identify inconsistencies noted between disciplines.
In fulfillment of our guarantee for quality and excellence to our customers, staff education and program development are areas of constant focus. Whether it be reviewing charts, collaborating with staff, or serving on committees – Therapy Center believes that building strong relationships is not only our responsibility has also been a great strength for our company. Ensuring the best clinical outcomes for our patients and best financial outcomes for our clients remains our top priority!
June 1, 2011
Senate Rejects House Medicare, Medicaid Proposal
According to a news story posted by HMFA, the Senate rejected the highly publicized House budget passed in April that proposed $6.2 trillion in spending cuts, including major cuts and changes in Medicare and Medicaid.
The budget proposal, authored by Rep. Paul Ryan (R-Wis.), was rejected 57-40 and was opposed by all Democratic senators voting and five Republicans. The measure needed 51 votes to pass. Ryan’s proposal called for privatizing Medicare and giving beneficiaries subsidies to buy private health plans. Known as “premium support,” the plan would help pay for insurance premiums and would begin for people turning 65 in 2022. Ryan’s version would drop the original fee-for-service version of Medicare, rather than preserving it as an alternative, the Washington Post reports.
Republicans said the proposed Medicare changes are necessary to keep Medicare’s trust fund from going insolvent in 2024, as predicted by Medicare trustees. But Senate Majority Leader Harry Reid (D-Nev.) said the Republican plan would “balance the budget on the backs of seniors.”
The Senate also rejected a proposal that would convert Medicaid from an open-ended program in which the government pays about 60 percent of the cost of services into a block grant program. Each state would determine how to spend grant money on health care for low-income residents using block grants. Republicans estimated that move would cut federal spending by $1 trillion over the next decade.
About 60 percent of Americans want Congress to keep Medicaid in its current form with the federal government guaranteeing coverage and setting minimum benefits for states to follow, according to a survey by the Kaiser Family Foundation.
Blog story provided by Healthcare Financial Management Association http://www.hfma.org/
May 31, 2011
Speech Therapist Spotlight: Corrie Walton
Join us as we highlight our longest-tenured Speech therapists:
Where is your hometown? Church Point, LA
School/University you received your degree(s): Louisiana Tech University Ruston, LA
Year you started working with Therapy Center: 2005
Areas you work/Main job responsibilities: Treating speech therapist in Church Point
Certifications: DPNS
Why did you choose the field you work in? Provide care to others.
What is the most rewarding part of your job? Facilitating positive change in patients’ daily lives.
Favorite part of working at Therapy Center? Flexibility and supportive administration
Hobbies/other areas of interest: Teach children’s Bible class, jogging and shopping
May 30, 2011
Speech Therapist Spotlight: Linda Roy
Join us as we highlight our longest-tenured Speech therapists:
Name: Linda Roy
Where is your hometown? Marksville, LA
School/University you received your degree(s): LSU at Baton Rouge (BS) and USL (University of Southwestern Louisiana) Lafayette (MS)…this was before they change the name to ULL
Year you started working with Therapy Center: 2004
Areas you work/Main job responsibilities: Speech Therapist in Hessmer Nursing Home and work at Lemoine Therapy Outpatient Clinic as needed.
Certifications: DPNS
Why did you choose the field you work in? I chose this field because I wanted to work with children but knew that I did not want to be tied to a class room setting.
What is the most rewarding part of your job? Working with a client who has been unable to eat and is now able to eat without relying on PEG tube feedings. Also, having family members saying that they can now understand what their loved ones are saying.
Favorite part of working at Therapy Center? The people that I work with. Most of them are the same age as my own girls, yet they treat me like one of them. They keep me feeling young.
Hobbies/other areas of interest: Reading and cooking
Anything interesting about yourself that you want others to know: I have to wonderful daughters, Alexis and Leslie and 2 beautiful granddaughters who are the love of my life, Ainsley and Abigail.
May 27, 2011
Meet our Director of Compliance: Lance Hill
Lance Hill, OTR/L, RAC-CT, heads up the Therapy Center Compliance Department and Director of Regulatory and Clinical Compliance. With over 20 years combined experience in Operations and Clinical Training as well as Therapy Consulting, Lance was a successful owner/operator of his own therapy company before joining Therapy Center in 2009 and becoming certified as a Resident Assessment Coordinator in 2010.
Understanding both the financial and clinical sides of the long-term care business has proven valuable in educating customers and therapists as to “why” a proactive approach to therapy compliance is so important for success. Lance believes that once we understand “why” change is occurring it is much easier to move on to the solution of “how” to successfully respond to that change. Knowing that remaining static is never a long-term strategy for success, Lance has built safeguards into the compliance program to ensure that it too constantly evolves to continuously meet the changes in long-term care.
A little lagniappe about Lance:
Where is your hometown? EDMONTON ALBERTA CANADA
School/University you received your degree(s): UNIVERSITY OF ALBERTA
Year you started working with Therapy Center: 2009
Areas you work/Main job responsibilities: CLINICAL AND REGULATORY COMPLIANCE; THERAPY AND NURSING AUDITING; THERAPY CONSULTING; OPERATIONS
Certifications: RAC CERTIFICATION (RAC-CT); CLINICAL SPECIALIST IN CONTRACTURE MANAGEMENT
Why did you choose the field you work in? I WANTED A CAREER THAT WAS DYNAMIC, ONE THAT WOULD CONSTANTLY CHALLENGE ME AND MY SKILL SET. I CHOSE OCCUPATIONAL THERAPY AS A CAREER FOR 2 REASONS; 1) I WANTED TO WORK IN A PROFESSION THAT HELPED PEOPLE AND 2) I WANTED A CAREER THAT WOULD ALLOW ME TO THINK OUTSIDE OF THE BOX AND USE MY CREATIVE SIDE; OT HAS DONE BOTH.
What is the most rewarding part of your job? HELPING PEOPLE AND GIVING BACK TO THE PROFESSION THAT HAS GIVEN ME SO MUCH.
Favorite part of working at Therapy Center? THE PEOPLE….. HANDS DOWN. I LOVE THE ENERGY, THE PERSONALITIES, AND THE COMMITMENT TO ALWAYS WANT TO BE BETTER, TO ALWAYS IMPROVE.
Hobbies/other areas of interest: SPENDING QUALITY TIME WITH MY FAMILY, HOCKEY, FOOTBALL, RUNNING, COLLECTING CIVIL WAR ERA PHOTOGRAPHY
May 25, 2011
Why is Therapy Compliance So Important?
Does your therapy company provide you with a full-scale therapy compliance program, complete with outcome measures?
If you contract with Therapy Center, the answer is Yes! So, why is therapy compliance so important?
In 2010, over 90% of the SNF claims filed with Medicare involved therapy. Faced with ever-increasing scrutiny from federal, state, and private auditing agencies, your reimbursement has never been more at risk than it is today. The quality of your therapy documentation is a target – both from proprietary data mining as well as complex medical review.
Remember, RAC auditors can go back 3 years to audit claims and your local MAC 4 years. It is critical that your therapy provider is proactive and does its part to ensure that therapy documentation not only meets, but exceeds regulatory standards.
Maximizing profitability while competing for patients and dwindling Medicare dollars is a challenge faced by all SNF’s. Staying ahead of trends through research and education as well as providing constant monitoring of therapy practies and documentation is the foundation of Therapy Center’s compliance program. Staff, not only therapists but nursing, CNA’s and administration receive real-time consultation to changes in our industry. Together we develop facility-specific strategies to adapt to change before it occurs. Our therapists receive multiple comprehensive internal audits each year. Established criteria is measured and scored and each therapist receives feedback on how to improve documentation to better weather audits. Our goal is to always improve, always move forward.
Therapy Center recently underwent a mock RAC audit in one of its contracted facilities and scored 100% ensuring “therapy documentation supported services provided.”
May 23, 2011
Speech Therapist Spotlight: Brooke Normand
Join us as we highlight our longest-tenured Speech therapists:
Where is your hometown? Bunkie
School/University you received your degree(s): University of Louisiana at Lafayette
Year you started working with Therapy Center: May 2007
Areas you work/Main job responsibilities: Speech Therapist-Marksville and Mansura Area
Certifications: Masters of Science
Why did you choose the field you work in? Love working with people and helping people out who are in need.
What is the most rewarding part of your job? Helping the resident achieve a better quality of life and able to return home.
Favorite part of working at Therapy Center? Great co-workers to work with daily, fun atmosphere and a very fulfilling job.
Hobbies/other areas of interests: shopping and spending time with my kids
May 19, 2011
Speech Therapist Spotlight: Dona Dietlein
Join us as we highlight our longest-tenured Speech therapists:
Where is your hometown? Opelousas, LA
School/University you received your degree(s): USL both BA and MS
Year you started working with Therapy Center: 2006
Areas you work/Main job responsibilities: Staff SLP at Maison Teche Nursing Center in Jeanerette, LA. Focusing on treatment of communication and swallowing improvement with adult and geriatric populations.
Certifications: Deep Pharyngeal Neuromuscular Stimulation, Electrical Stimulation, Lee Silverman Voice Treatment, Tracheoesophageal Puncture Voice Prosthesis Placement, Beckman OM Treatment
Why did you choose the field you work in? A friend of mine a little older than me went into the field of “Speech and Hearing Science” as it was referred to at one point, and while observing her in clinicals one day, I became intrigued with this “Helping Profession”. Speech Language Pathology has truly evolved into a fabulous field that is so very diversified for a myriad of populations and disorders from neonatals/pediatrics to geriatrics.
What is the most rewarding part of your job? Oh My Word! What a difficult question!! Let’s see….With this current population, Geriatrics, I find Wisdom that is unmatched with any other treating population. My patients provide me with humility, laughter, encouragement, strength , a strong sense of morality and a hefty dose of humanity each day. While I know that I am helping them to improve function and quality of life, I am pretty sure that they have no idea how my life is elevated to a higher level just because of them.
Favorite part of working at Therapy Center? I just LOVE being able to dial a phone number to call another therapist and bounce ideas around for treatment. We at the Therapy Center, have such a variety of treating professionals with various work histories, that, heck, we’re our own “ Storehouse of Knowledge”. I also enjoy being able to develop a program, if desired, and then being able to implement that program.
Hobbies/other areas of interest: I am a runner, gardener, love to cook, and adore reading.
May 16, 2011
Speech Therapist Spotlight: Jeanne LeBeouf
Join us as we highlight ou
r longest-tenured Speech therapists:
Jeanne Lambousy LeBeouf, from Crowley, began with Therapy Center in January 2006. She works in Gueydan mostly, but assists in our Lafayette facilities and Jennings, and with home health as needed.
Why did you choose the field you work in? When I was younger, I had a cousin who was receiving speech therapy in the school system. I was able to see his speech improve drastically. From there, I began to look into speech therapy in high school and college; the more I learned about the speech therapist’s role in various settings, the more I became interested in becoming a speech therapist.
What’s the most rewarding part of her job? “Helping someone with swallowing techniques to increase their ability to swallow our good southern food!”
Favorite part of working at Therapy Center? I feel like Therapy Center is part of my extended family, and I am grateful for their “family first” mentality. In the past 5 years that I have worked with them, they have provided me with the flexibility to be a part of my children’s lives while working full-time! To me, that is priceless!
May 13, 2011
Speech Therapist Spotlight: Rachel Manuel
Join us as we highlight our longest-tenured Speech therapists:
Where is your hometown? Basile, LA
School/University you received your degree(s): UL Lafayette
Year you started working with Therapy Center: 2007
Areas you work/Main job responsibilities: Basile Care Center and Jeff Davis Living Center as a mentor and treating therapist
Certifications: DPNS, Estim
Why did you choose the field you work in? Helping individuals to communicate their wants and needs and share their feelings with loved ones is a privilege as is being able to help elderly individuals return to normal eating.
What is the most rewarding part of your job? Hearing an aphasic say a family members name for the first time after a stroke or eating their first bite of food after PEG placement.
Favorite part of working at Therapy Center? Teamwork!!! From management to support staff everyone here is enrolled as part of the team.
Hobbies/other areas of interest: Reading, chauffeuring children to dance, baseball and other activities, and spending time with family and friend
Anything interesting about yourself that you want others to know: My husband, Sean, and I have 3 children, Ava, Cole, and Claire.
We are proud to have Rachel as part of the Therapy Center team! She has been an integral part of our success and a huge asset in insuring quality patient care.
Employee of the Month: Rene Bult
May Employee of the month:
Renee Bult has been with our Therapy Center family since March of 2007. Renee is an amazing therapy tech and truly sets the bar of what therapy tech should be. She continues to provide great guidance to fellow techs and newly hired techs. She is a wonderful support system. Renee is very dependable and you can always count on her to get the job done. Not only is she an asset at Acadia-St. Landry Guest House, but also helps out at Basile Care Center. We are very thankful to have her on our team!! Congrats Renee!!!!!
To see more Therapy Center activities, please follow us on facebook or twitter!
April 29, 2011
OT Highlight: Lauren McCraine
Join us as we highlight our longest-tenured occupational therapists:
Lauren Lemoine McCraine, originally from Cottonport, LA, began working with Therapy Center in 2004. She chose OT as her profession for two reasons: she witnessed a young cousin with cerebral palsy receiving therapy and she read in a magazine that OT was the #1 profession for women who wanted to be moms! Along with treating patients, Lauren serves as a mentor to our staff in the Avoyelles parish area. The most rewarding part of her job is “seeing patients surprise themselves the first time they’re able to perform a task that they previously couldn’t perform”. What’s her favorite part of working for Therapy Center? “It’s the people that I work with that make working for TTC so great!” Lauren has been a huge asset to our team since day one! She truly believes in quality patient care and supporting her teammates when needed.
OT Highlight: Erica Rozas
Join us as we highlight our longest-tenured occupational therapists:
Erica Rozas, originally from Eunice, LA, began working with Therapy Center in 2004. She chose Occupational Therapy as her profession because she wanted to make a positive impact on people’s lives. Erica says that OT “is a unique way to restore someone’s dignity through helping them learn or re-learn daily activities, such as feeding and dressing again”…What’s the most rewarding part of her job? “At the end of the day, it’s very rewarding to see your patients smile and laugh, especially when they make an accomplishment.” Currently Erica works in our partner skilled nursing facilities as a treating therapist and Mentor. She also assists in other areas, such as inpatient rehab and home health in the Jennings area. Her favorite part of working for Therapy Center is the people she works side-by-side with on a daily basis, including her bosses. Erica says “My co-workers are amazing!” Because of her flexibly, positive attitude, caring nature and willingness to be a true team player, Erica Rozas is a huge asset to Therapy Center!
COTA Highlight: Scott Guillory
Join us as we highlight our longest-tenured occupational therapists:
Scott Guillory, COTA, is from Cottonport, LA. He received his degree from University of Louisiana at Monroe (Northeast Louisiana University) and began working for Therapy Center in 2004. Scott chose occupational therapy as his career so that he could help patients improve both physically and mentally. His ultimate goal is to assist them in building confidence with daily tasks not only in our partner facilities, but also when they get out in the community. The most rewarding part of Scott’s job is to see patients improve and to also see patient families and facility staff excited about the progress that has been made through therapy. Scott says that along the rewards of his job, his co-workers are the favorite part of working for Therapy Center. “We are a close-knit group who help one another; I definitely would not function effectively without the support of my great co-workers throughout the region…they’re not just great co-workers, but great friends!” Scott is a huge New Orleans Saints fan and spent 8 years in the National Guard where he achieved the rank of sergeant. We are proud to have Scott on our team!!
OT Highlight: Amber La Prairie
Join us as we highlight our longest-tenured occupational therapists:
Amber Strong LaPrairie, Occupational Therapist, started with Therapy Center in 2003. Not only does she serve as a treating therapist, but Amber also is one of Therapy Center’s mentors in Avoyelles parish. She chose this profession because “I liked the creativity and the holistic approach of occupational therapy”. The most rewarding part of her job is “helping her patients maintain a sense of dignity and independence” and she is also rewarded by “seeing her co-workers learn, grow and gain confidence in themselves as professionals”. What does she like most about working for Therapy Center? “Even when things get stressful, I can always count on the most understanding, selfless, compassionate, and hard-working individuals that I have ever met working with this company.” Amber’s strong work ethic and compassionate nature have helped Therapy Center become what we are today!
COTA Highlight: Amy Juneau
Join us as we highlight our longest-tenured occupational therapists:
Amy Juneau, originally from Cottonport, LA, began working with Therapy Center in 2002 as a COTA. She chose this career because she “wanted to be able to help individuals return to their maximum independence”. Amy currently works in our partner facility, Courtyard Nursing Home & Assisted Living and considers her main responsibility to “be the voice for her patients”! The most rewarding part of her job is “seeing patients return home”. Amy’s dedication to her patients, profession and to us has made her an invaluable team member!
