A Pilot Study of the Delivery of Occupational Therapy in Long Term Care Settings Under the Medicare Prospective Payment System

Abstract

This pilot survey may indicate some problematic trends in occupational therapists' perceptions of practice in skilled nursing facilities. There may be a relationship between these trends and the implementation of prospective payment in these settings. Further studies are recommended to more deeply assess occupational therapists' practice perceptions, as well as the quality of life of patients in skilled nursing facilities. Research is also needed to determine if occupational therapists' perceptions of practice in skilled nursing facilities changes or stabilizes under the prospective payment system.

A Descriptive Study on Level II Fieldwork Supervision in Hospital Settings

“…Several research studies have focused on how the changes in health care reimbursement in the United States have influenced occupational therapists' decisions to accept fieldwork students (Brayford et al, 2002;Casares et al, 2003;Vogel et al, 2004). Brayford et al (2002) examined the perceptions of occupational therapists working in skilled nursing facilities since the Medicare Prospective Payment System (PPS) was introduced.…”

“…Brayford et al (2002) examined the perceptions of occupational therapists working in skilled nursing facilities since the Medicare Prospective Payment System (PPS) was introduced. Therapists reported less time for documentation, increased productivity and caseload expectations, decreased treatment duration, and decreased time for ancillary services and adaptive equipment issuance since the implementation of PPS.…”

“…In the profession of occupational therapy, a limited number of contemporary research studies have been conducted to specifically explore occupational therapists' perceptions of benefits, barriers, and facilities for supervising students (Brayford et al, 2002;Casares, Bradley, Jaffe, & Lee, 2003;Derdall & Urbanowski, 1995;Sloggett, Kim, & Cameron, 2003;Thomas et al, 2007;Vogel, Grice, Hill, & Moody, 2004).…”

An Investigation of Moral Distress Experienced by Occupational Therapists

“…Randomization was achieved by an Nth selection of every 12 th record from the 3,639 occupational therapists who checked geriatrics as their primary special interest and an Nth selection of every 17 th record from the 5,192 occupational therapists who checked physical disabilities as their primary special interest. These two practice areas were chosen based upon research showing the impact of reimbursement systems on the services provided in these settings (Brayford et al, 2002;DeJong, Horn, Smout, & Ryser, 2005;Hutt et al, 2001;Kennedy, Maddock, Sporrer, & Greene 2002;Zinn et al, 2003).…”