Correct Answers
On the job training evolved to formalized educational programs / licensure / standards
for providers....result? - Answer *Formalized professional standards
1.Development of OT and PT as professions
2.State practice acts enacted
3.Professional codes of ethics
4.Licensing and disciplinary standards created
*evolved job to profession
Rising demand for services based on - Answer 1.growing demands at all ages and
wellness levels
2.less invasive care/self-management
3.diseases now managed as lifespan conditions
Volume mentality results in.. - Answer more patients=more revenues (minus expenses
which can be managed with care extenders)
*shifting to JIT service delivery with outcome measurement to assess impact on overall
health of services provided
Health reform law emphasizes prevention to lower overall health care spending and
improve health indicators.
,Impact: Employer-based wellness programs (BUT often managed by non-therapists);
screening services covered (but provided by physician, NP, PA and not us)
opportunity for PTs? - Answer Therapists need to identify expertise areas in function,
prevention and wellness to capture the incentives provided in health reform
1)Consolidation
2). Capitation
3). Communication
4). Cost
5). Customer
6). Capital
What do all have in common? - Answer Require support of identified mission through
cost effective methods (actual $, materials, reputation, & human resources)
collaborative arrangements are the norm. - Answer consolidation
a contractual agreement to provide specified health-care services to specific populations
for a specified prospective payment that does not always reflect actual cost - Answer
Capitation
interpersonal interactions and written and electronic data transfer/record/storage -
Answer communication
balancing fluctuating expenses against dwindling reimbursements - Answer Cost
management
, Cost containment goal - Answer provide essential services in an effective, ethical, and
fiscally efficient manner
stakeholder ...and maybe more than equal partner? - Answer Customer
Is the healthcare customer changing? - Answer Lots of old people!
1900-94: >65 increased 11%
1995-2050: >65 increase 135%
US population predicted to increase by almost 50% from 1995 to 2050, while the 65+
age group will increase by 135%.
Currently: more than 3 million Americans are >85
Expected: >8 million Americans over 85 by 2030
2011: the Baby boomers will be Medicare eligible (this group includes more than 75
million people)
the startup investment and the ongoing 'big costs' to stay competitive - Answer Capital
Changing priorities for providers - Answer Traditional:
-Treating isolated illness and injury
-Care of each patient
-High volume of patient care
-Filling inpatient beds