Make this a 2012 challenge and then use the information to spark a needed debate within your clinic as a quality improvement project for the upcoming year. After all, it is time for New Year’s resolutions; make one that will impact the care of your patients in a positive way!
Start these discussion with your staff:
- How do you presently determine frequency in your plan of care?
- Is frequency a stable number – starts at a level not changed in the plan?
- Does acuteness of a condition determine greater frequency at the start of care?
- Payer’s often dictate visits; how do staff utilize limited visits when establishing the plan?
- How often is the established frequency adhered to by the patient?
- Does staff modify the plan if the original plan is not maintained?
- Did the patient meet stated goals that adhered to the frequency plan?
- Did the patient meet stated goals that did not adhere to frequency plan?
- How often was the outcome unknown because the patient did not return to complete visits?
I believe these are enough questions to begin a review. Pull the last 50 to 100 persons discharged from your clinic and be sure you gather standard demographic information (gender, age) along with the primary diagnosis code (there is no magical number, however the greater the sampling, the more data to base future decisions).
Share information with staff and discuss the impact of your findings on developing frequency. Are there any patterns given a specific diagnosis. Can staff use this information to improve realistic frequency plans? Can you help provide patients with expected outcomes based on their behavior/adherence to the plan?
Let us know how your discussions went!
What is the Next Model of Rehab Care? Read that blog from Darlene to find out!