INPA

TIENT

SETTIN

GS

ACUTE, I

NPT R

EHAB, SNF

PTP

641 MED

SURGIC

AL PT

EXAM A

ND POC

SPRIN

G/SUMMER

2012

THE H

OSPITA

L SYS

TEM

The System:

Best Hospital is a small 400 bed hospital just built in the thumb area of Michigan.

The hospital would like to expand to include an inpatient rehab unit and SNF.

Need to have orientation of approximately 60 New Graduate Physical Therapists to the hospital setting along with the inpatient and SNF settings.

WELCOME TO BEST HOSPITAL

INTRODUCTION

Accommodate a wide variety of routine, urgent, or emergent patient care needs

Settings to provide therapy services along with provide 24 hour care

Physical, psychosocial, emotional sequalea of illness and hospitalization

Change in daily routine Lack of privacy or independence Change in lifestyle Medial crisis Critical illness Long-term effects End of life

THE SYSTEM

Mission

Strategic Plan

Community Involvement

Partnerships

MISSION STATEMENT FOR BEST HOSPITAL

BEST HOSPITALMISSION STATEMENT:To promote healthy and happy lifestyles with

the BEST care, based on research, experience, and compassion.

  PHYSICAL THERAPY DEPARTMENT

MISSION STATEMENT:To restore and promote healthy and happy

lifestyles of both patients and employees by addressing the health needs of society with research, experience, and compassion.

 

ORGANIZATION

Administration

CEO COO CFO

VP of Ancillary Services

PT, OT, SLP, Rec Therapy,

Resp Therapy, Dieticians, Tissue Trauma, Dialysis,

Case Managers, Social Workers, Departments

Physical Medicine and Rehabilitation – Acute, Inpt Rehab, SNF

PT, OT, SLP, Ther Rec Therapists

EXPENSES

Revenue

Acute: 10 PTs x 7 days 10 pt/day 24 units 24x$60

Rehab: 10 PTs x 7 days 4 pt/day 24 units 24x$60

SNF: 10 PTs x 7 days 6 pt/day 36 units 36x$60

Expenses

60 PTs 60 x $32.00 x 2080

Benefits 30% of each salary

Training 4.5 hrs x 9 weeks x $32.00

APTA dues 60 x $500

Cont Ed 60 x $1000

FINANCIAL/REIMBURSEMENT

Revenue Hospital PM&R

State 1.5 Mil 250,000

Insurance 30 mil 17,136,000

DRG 16,890,467

Endowment

Oncology Wing

SNF Wing

Fund Raising

1 mil 17,140,467

Expenses Hospital PM&R

EmployeeSal/ben/train

587,740

FacilityHeat, light, main

100,000

Equipment 20,000

Supplies 15,000

16,663,260

Balance 477,207

REIMBURSEMENTAcute Care – DRGDRG = Diagnosis Related Group

Inpt Rehab – PPS and FIMPPS = Prospective Payment SystemFIM=Functional Independence MeasureAcute Hospitals reduced payment if d/c early to SNF or Rehab

SNF – RUGsRUGs = Resource Utilization Group

REIMBURSEMENTICD-9 Code = Medical diagnosis code

Guide Pattern = PT diagnosis code

CPT Code = Treatment code

Third Party Payers

BCBS – Master Medical

Complete Insurance Plan – HMO

Medicare, Medicaid

Private Pay

Charity Pay

Combination Insurance and Private Pay Coordination of Benefits

POLIC

IES A

ND

PROCEDURES

POLICIES AND PROCEDURES

Primary Focus: Patient Safety

Facility Policy and ProceduresJCAHOState

Medical

POLICY & PROCEDURE - FACILITY

Community Injury

Fire

Bomb

Child Abduction

Violent Situation

Weather

Hazardous Material

SAFE ENVIRONMENTUniversal PrecautionsSpecial Room WarningsNosocomial InfectionsWash handsLinenEquipmentJewelry and Fingernails

TrashEquipment

SAFE BODY MECHANICS

Equipment working properly Equipment adjustable heights Safe lifting

POLICY & PROCEDURE - PATIENTPatient RightsAdvanced DirectivesLiving WillsMedical Power of AttorneyOrder of Hierarchy for DecisionsMedical Power of AttorneySpouseMajority of Adult ChildrenParentsNearest Relative If conflict, Ethics Committee or State

POLICY & PROCEDURE - PATIENT

Identity of Correct Patient

Consent for Treatment

Refusal of Treatment

Informed of Risks and Benefits

Alternative Resources

POLICY & PROCEDURE - PATIENT

Respect – Privacy - Confidentiality

Safe Environment Call light system Clean

Abuse

Restraints

POLICY & PROCEDURE - PTCustomer ServiceDimensions of Patient CareRespect Me As A PersonRelieve My FearsProvide Me Comfort and Pain Relief Involve My Family and FriendsCoordinate My CareTreat Me As A Person, Not As An EpisodeGive Me Predictive InformationProvide Me Access

DISCHARGE FROM ACUTE

Home

Inpatient Rehab

Sub acute inpatient rehab

Adult foster care

Assistive living

Skilled nursing facility

Extended care facility

POLICY & PROCEDURE - PTMichigan Right to Know

MSDS - Label chemicals

Electronics

PPE – Blood and Airborne Pathogens

Reaction to emergencies

Standards of Conduct

Quality Care

Law and Regulations

HR Policy and Procedures

Business and Ethical Practices

Confidentiality

Conflict of Interest

PT RESPONSIBILITIESProvide and maintain a safe environment Equipment you use , responses to codes, infection

Informed of legal responsibilities and limitations

Good Samaritan, no code vs adv directives

Acuity of patient Dx, vitals stable

Recognize situation and be ready to respond CPR, Heimlich, call for assist

Know patient’s rights and wishes Adv directives, confidentiality, no code