Wednesday, August 15, 2018

From RUGs to Patient Driven: 4 Ways to Prepare for What's to Come

Writing today because you just never know what is coming around the a week, a month, a year.  Time travels faster than we know what to do with it.  That's why I want to give you options when change is on the horizon.  Change can be annoying and scary. We can sit back and take a "wait and see" approach to change or shift how we do things; including how we practice OT.  Either way, it is important to:


Stay in the know of changes and knowledge. Knowing all details of the good, bad and ugly gives you power to make decisions.  ...and in this case with shift from RUG driven payment models in skilled nursing settings to a patient driven one (in just over a year from now), it helps us best prepare for how we desire to practice OT.

You can do so much in one year; preference of how you want to practice is in your hands: 
--> to practice OT while abiding by (and advocating OT's inclusion for) what is coming in Oct 2019 
--> you have the choice to prepare to transition out if this isn’t what you truly want to do.

Ultimately, the decision (and actions) are up to you.
Here are some different routes you can chose from:


Daily; this is an investment to be certain you will be utilized
(if you decide to stay, each of the over 365 days, each day counts to make this effort... to sustain your utilization, the time and energy to speak to be heard is non-negotiable)


ask of each (the DOR, the administration, the owner, the supervisor and managers) of their perspectives (separate from one another) regarding the upcoming changes...
this will help you make an informed decision about whether it’s the facility (and setting) you want to continue to work at.
If they don’t know how they feel about it yet, give time to continue to gather their developing perspectives.


Start studying for that different population or service setting. Learn about the ins and outs of something unfamiliar. Pick up per diem work. Get a trusted mentor in those settings.
Remember: just because you have little to no experience in another setting, does not mean you do not know how to practice OT. It’s just a different shade of what you do (it’s not easy but not impossible. It takes practice, exposure and willingness to try).


research what it is like to start your own; this is actually the wave of our future.
(and to be honest, it’s where we would thrive being our creative selves).
Where there is more control over our circumstances...where our hands are tied by rules and restrictions of insurance...and what feels like it dictates how we practice, the more you will see OT practitioners stepping into their own businesses.
There are so many opportunities to develop your own thing. 

Service, invention, product.

Don’t be mistaken; those who do it started afraid (or will be when they do).
They will do it unprepared but will learn and grow overtime.
They may start off inexperienced but they will grow in skill with practice and time.
One important thing, they will be happy.

We get so bogged down by the limitations in front of us that we miss the opportunities there as well.   It’s just a matter of believing you deserve it more than believing you can’t do it.

To sum up, there are always options in uncertainty:
* Do OT, show OT, be OT - AlexisJoelle
* Stay informed.
* Research, investigate, explore.
* Do something that aligns with your OT spirit and do it scared anyways
* Be limitless

Appreciate you for stopping by.  
To stay informed of upcoming resources, courses and support to decrease barriers in your day to day activity of practicing OT like those mentioned above, be sure to sign up with to stay informed

To review the article referencing the Oct 2019 change from RUGs to Patient Driven Payment Model:…/CMS-SNF-PPS-Patient-Driven-Payment-M…

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