PT and OT News

Alternative Careers for PT’s and OT’s

I’m hearing from a lot of Senior PT’s and OT’s who are concerned about productivity trumping patient care in every setting. In Long-term care facilities, I hear that pressure is being put on therapists to produce high RUG scores for patients and provide therapies that are not realistic or beneficial to the patient. In Outpatient, I’m hearing about unworkable patient quotas. From all settings I’m hearing concerns that recent graduates are being introduced to their profession in ways that do not uphold the ethical standards of the past and, knowing no better, they are complying.   At the bottom of these concerns are the financial realities that drive organizations to seek to maintain ever-increasing profits even as Medicare and Private insurers alike make it more difficult to get reimbursed for treatments.   Currently I’m working with several senior clinicians to figure out alternative career routes that use their skills and education but do not compromise their ethical standpoints and patient care standards.   There is no “cookie cutter” solution, every person is different in what they bring to the table in terms of skills, past experience and personality. For most, a drop in salary is not something they want to consider so I’m advising many to make long term plans that might involve working 2 jobs for a while. For example – putting 10 hours per week into developing a consulting business or working some per diem hours in a different setting, or taking classes to get qualified in a needed specialty such as Hand Therapy, or finding a niche area for patients willing to pay directly for specific therapies that insurance does not cover.   One thing is sure – the aging baby boomers […]

Productivity Curse – Revisited

I’ve posted about the Productivity Curse before, but recently had another conversation with a Healthcare clinician who is sick of the pressures and unrealistic expectations of complying with insurance regulations. She told me about treating a terminal cancer patient whose insurance company had authorized both Physical and Occupational Therapy, but mandates that this poor patient, competed an hour of each every day – unless this goal was met, the insurance company would not approve payments for any therapy. As the clinician pointed out – even a healthy person would find it difficult to do 2 hours of exercise every day! The Skilled Nursing facility needed the OT and PT revenue and the treatment had to take place regardless of how the patient was feeling.   What seems to have happened in every industry where productivity has taken over as the most important business criteria is that regard for human well-being is a distant second criteria. The fact that this has happened in Healthcare is alarming, to say the least.   Often businesses run on efficiency models first formulated for manufacturing. I’m primarily thinking of the Six Sigma philosophy that seems to have spread like a virus through every kind of industry. It’s one thing to find ways to turn out more widgets from a factory conveyor belt, but to apply these management philosophies to the care of human beings seems, well, inhumane.   Am I wrong in thinking businesses should put Human beings first and profits second? Can we ever reverse this trend? What do you think?

Jersey Shore Dream Job! – Director of PT

This job could be just what you need to bump up your lifestyle happiness.  Live and work on the beautiful Jersey Shore.  Work in a state of the art outpatient clinic for an established PT owned practice group.  Bring your Outpatient Physical Therapy experience, management and marketing skills and surf board! High base salary with bonus incentives paid monthly and yearly.  Great benefits and all the Sun, Sea and Sand you could want! Call Anne at 201-940-7376 or email: anne@careerselections.com

Outpatient PT and OT positions

Our clients in outpatient practice are starting to gear up for September. We have a number of full-time and part-time Physical and Occupational Therapy jobs in Bergen, Union and Middlesex Counties. Are you ready to start planning for a change? Contact us to get help finding the right fit in time for the Fall. info@careerselections.com

Hand Therapist – OT or PT

Hand Therapists are special! That’s what this Westfield based OT and PT outpatient practice thinks. So much so that they are investing in expanding their Hand Therapy team and are willing to offer top salaries, excellent benefits and working conditions to anyone with a Hand Therapy certification who is interested in joining their team. For more information please contact Anne – 201-940-7376 anne@careerselections.com

Summer 2014 Newsletter and Competition

Click “read more” below then click on the link to download a PDF of our first Newsletter.  Be sure to check out the competition – win $250 of Career Counseling and CEU classes.   Newsletter Summer 2014 issue 1  

Outpatient PT in Morris County

My client is looking for a business minded PT who has relevant experience in outpatient orthopedic and sports therapy.  Have you been working for a few years?  Maybe, you are even considering opening your own practice.  You have a demonstrated interest in sports PT and prefer to operate in a low-volume, high-quality environment.  Your patients are loyal to you and you get frequent referrals from them.  Your reputation has been building and you know your services are highly valued.  The only thing stopping you from going out on your own is that you don’t want all the administrative headaches of running a business. Consider joining my client’s practice.  You’ll be treated like a business partner, have profit sharing as well as an excellent salary.  State of the art facilities and no micro-management.  You’ll see 2 patients per hour, work to a flexible schedule and build a long-term happy relationship with the owner who is a PT himself. Contact Anne for more information.  

Allied Healthcare jobs hit by productivity curse

  Well, it’s happened.  The last bastion of reasonable working conditions has fallen.  I’ve watched as profession after profession has fallen to the curse of ever higher demands of productivity.  Lawyers were afflicted with the curse of the billable hour in the 80s and their quality of life has slowly eroded since then.  In a recent news article, I read that a lawyer is facing disciplinary action after billing for 29 hours in one day!  There’s a whole industry set up to help lawyers find work away from the pressure of unreasonable billable hour quotas!  When I was working with the Office Administrative population I frequently heard complaints that employers cut back on staff but were still expecting the reduced workforce to do as much work as the larger workforce.  I was told “I’m doing the job of 3 people” by an alarmingly large number of people. I know the patient quota has been going up steadily in Allied Healthcare jobs.  I have spoken to PT and OT staff who routinely see 4-6 patients per hour.  Then, yesterday I spoke with someone who says that 8 patients per hour is going to become more and more common!!  So, it’s finally happened.  In an industry where one-on-one interaction with patients/clients is standard and hands-on care is the only way to treat  patients/clients it is still possible to squeeze out even higher levels of productivity from already hard-working professionals.  When is this going to end?  Will we have surgeons running from OR to OR performing multiple procedures at a time.  Already anesthesiologists in some hospitals will leave the patient in the care of a nurse anesthetist so that they can deal with another patient in another OR.  I […]

My Role as a Motivator

While in training for my first ever management position, I had to write an essay on “My Role as a Motivator”.  It didn’t have to be a long essay, or even that profound but it did get me thinking about what motivates people.   I came to the conclusion that it wasn’t always money – even in a sales based job.  So I was a little surprised to come across an article in Medical News Today that cites a study done in Toronto which claims that as little as $5 per week seemed to help motivate sedentary adults to stick with their exercise regimes. (You can read the full article at: http://www.medicalnewstoday.com/releases/266260.php ).   Of course the article raises more questions than it answers and the study was a small one.  I wonder if anyone has used similar motivators on their patients/clients.  What does it tell us about instant gratification?  Does the weekly money incentive provide instant gratification in a way that the long-term benefits of exercise cannot?   Would other incentives help too?  For example, my kids’ orthodontist gives them points when they arrive on-time and when they have taken good care of their teeth and braces between appointments.  The points add up over time and can be redeemed for small gift cards to a number of different stores.   What incentives have you tried with your patients/clients?  Did they work?

By |September 23rd, 2013|PT and OT News|0 Comments

Changes to EMG Medicare payments

I just read on the APTA website that approval for Medicare to pay for professional services as well as technical administration of EMG by Physical Therapists has been granted. Once again, APTA has successfully campaigned for a improvement to the scope of PT services that Medicare will cover! This is good news for medical practices and PTs alike and a step in the right direction for increasing the professional standing of PTs in the eyes of the medical community. Congratulations to all at APTA who worked to get this change approved!

By |September 10th, 2013|PT and OT News|0 Comments