How to get your team to buy into concurrent/group treatments?

  • Lead by example and put concurrentable patients on your schedule so your team can observe how you manage it
  • Discuss the benefits to the patient and financial impact to the facility at your weekly rehab meetings
  • Utilize rehab optima to schedule concurrent and group treatments to help therapists
  • Initiate a contest for your team (e., the therapist with the highest monthly concurrent use gets a gift card)

Why does this need to be a focus for my team?

  • With the purposed PDPM payment model, effective group/concurrent programs will be needed for departments to continue to have good margins
  • Purposed PDPM payment model allows 25 percent concurrent/group use for Medicare patients
  • Payment tapers after day 21 and is a set payment/day despite minutes or mode of treatment provided
  • Concurrent/group treatment will lower your cost per minute ($1.31 in 2016, $1.19 in 2017)

What if I do not have a Rehab Tech?

  • No tech? No problem!
  • Granite Creek developed “Appointment Cards” that we give to our group/concurrent so patients know when to be ready
  • Utilize your CNA staff! Our CNAs communicate with therapy to ensure patients are ready at a scheduled time. They also help us coordinate the best time of day to ensure they have proper time to ensure our patients are up and ready to go
  • Try to schedule sessions back to back so the patient is already in the gym
  • It’s OK if a planned concurrent falls through! Just try again the next day. The goal is a max of 25 percent.

Patient feedback and productivity impact

  • Per our patient satisfaction surveys, we have not received any complaints about concurrent or group use.
  • Patients enjoy being near others who are rehabbing and feel a connection with someone who is in a similar situation.
  • Patients enjoy getting slightly longer treatment sessions (e., 40 to 45 minutes concurrent versus 30 minutes individual).
  • Increased concurrent/group use has correlated with an overall productivity increase, despite the fact it is sometimes harder to document POS during concurrent/groups.

View poster: Increasing Concurrent Treatment Delivery (PDF format)

By Larissa Osio, DOR/ MS OTR/L, Granite Creek Health and Rehabilitation, Prescott, AZ