Joint Placement

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A. Hierarchy of Business Challenges in a corporate sub-acute rehab setting with patient population mostly 65 years old and above.
1. Conflict between nursing and rehab staff - there are several occasions that rehab and nursing staff have disagreement regarding scheduling and provision of on-time patient care. The rehab team usually faces time constraints if patients are not ready on time. Productivities suffer in return when this situation arises. There are multiple situations that demonstrate nursing staff's lack of understanding regarding the financial impact of this conflict.
2. The Bundle System Payment developed by the Center for Medicare and Medicaid particularly the Comprehensive Care for Joint Placement programs- our rehab facility …show more content…
Staffing shortages - holidays and weekends are at most affected by staffing shortages. Scheduling conflict forces the manager to call the expensive per diem staff or lower the patient treatment minutes to fit in the schedule of the available staff. Overworked staff increases the chances of burning out, decreases performance level and results in subpar services provided. The financial impact of mismanaged staffing and scheduling cannot be stressed enough.
4. High or unrealistic expectations from shareholders/ business owners – Most shareholders are not healthcare providers and bottom line are only after the net profit/dividends they get to keep at the end of the day. Rehab managers are expected to produce the highest RVU level/reimbursement for any admitted patients without regard to the acuity of the case. In turn, the manager expects high productivity levels from the therapists. This is a common story we hear amongst therapists in any given clinical setting. Fortunately, this is not the case in the company that I work for.
5. Multiple business competition in the area drives the census down. Most rehab managers struggle to meet the financial projection expected in an area saturated with multiple sub-acute facilities. Having a great reputation and success stories help a lot in terms of repeat clients and word of mouth marketing. Exceeding client expectations builds long-term …show more content…
6 Value Propositions
1. Patients
a. Excellent customer service – our service focuses on team-based, coordinated, holistic care centered on the patient’s needs. We treat everyone who walks through our doors with dignity, respect, and kindness. We collaborate with our patients and their families in setting goals and explain to them thoroughly the personalized treatment plan to set the expectations early on. We call the patient 24-hour after discharge to follow up and again a week later.
b. Comprehensive range of services – our organization offers a wide range of services and we assign each client a dedicated rehabilitation team that combines skilled professionals with a caring, supportive environment. We also accept major commercial insurances, Medicare/Medicaid, worker’s comp and private pay.
c. Brand – Our sub-acute rehabilitation facility is part of the trusted Kennedy Health Organization. Our brand is recognized as a leading provider of exceptional healthcare services in the region. “We have been recognized by leading healthcare organizations including The Joint Commissions, which named us one of the nation’s Top Performers on Key Quality Measures in four major clinical
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