Archive for 'Staff Management'

Got Staffing Shortages? Eliminate These 3 Management Mistakes

Posted on 12. Jun, 2010 by .

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Find out how one nursing home manager changed his style and found everything fall into place.

Does your nursing facility or rehab facility have any of these surefire strategies for causing staff to head to happier work grounds? If so, follow these tips for turning things around.

1. A finger wagging atmosphere. Consultant Barbara Frank recently heard an administrator share how he used to use a “shake the finger” approach but now “checks in with people” rather than checking up on them. By being supportive instead of punitive, he found that staff morale and performance picked up immensely. “And he said he enjoys his job a lot more,” says Frank in Warren, R.I.

Ultimate goal: Create a “we’re in this together for the residents” culture. Frank saw this concept in action when visiting two nursing homes within ashort distance of each other that were owned by the same company. The facilities had comparable resources. But one facility smelled bad and had signs posted everywhere with various dates on them “scolding people for not clocking in and out when they went outside for a smoke,” Frank reports.

By contrast, when walking into the second facility, you “heard residents laughing and conversation between staff and residents. The clinical outcomes were good. Managers were out on the floor helping with meal trays. The difference wasn’t in the staff — it was in the management. And it showed up in the care outcomes.”

The Bottom Line …

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Crank Your IRF’s Team Conference Quality Up a Notch

Posted on 11. Apr, 2010 by .

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Updating your team conference documentation template can make all the difference.

Having a rough ride with your team conferences since the new inpatient rehab facility coverage requirements went into effect? Catch the common bumps in the road now so you’re not paying later when your claims go under the microscope.

Avoid These 5 Mistakes

Getting all your team members in the same place at the same time — and on time — is only the start. What you discuss, document, and decide for the patient is key to a successful case and successful reimbursement. But many IRFs are falling short. Some of the biggest issues consultant Fran Fowler, FAAHC, managing director of Health Dimensions Group in Atlanta, has noticed are:

  1. Forgetting the big picture progress. Too many times, IRF team members use the conference to report where the patient is but not the progress the patient has made (or not made). And “CMS is looking for both the status and the progress of the patient,” Fowler says.
  2. Misuse of FIM™ scores. “Teams often use FIM™ score numbers to document status with little regard to how the current functional level relates to the plan of care that is in the chart,” Fowler says.
  3. Putting medical issues on the back burner. Frequently missing from the team conference note is how the patient’s medical conditions are impacting his progress, Fowler points out. Likewise, the notes often fail to list ways in which the rehab team will address the medical issues and produce better progress.
  4. Critical documentation voids. Many teams produce limited to no documentation that notes a change in plans to improve the patient’s progress, Fowler notes. And similarly, teams often fail to document whether the plan of care is improving the patient’s ability to function activities of daily living.

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