Challenges and Opportunities in Sub-Acute Rehabilitation-Challenges and Opportunities in Sub-Acute Rehabilitation

Video Transcription

Video Summary

In the first video, Dr. Steve Nats discusses the importance of physiatrists being involved in skilled nursing facility (SNF) based rehabilitation. He highlights the increasing trend of inpatient rehabilitation occurring in SNFs and the need for standardized protocols and pathways in these settings. Dr. Nats presents data showing the positive impact of physiatrists in SNFs, including reduced hospital readmissions and length of stay. He also addresses the payment model of PDPM, which is based on patient characteristics rather than therapy minutes. Dr. Nats emphasizes the importance of maximizing quality rehab programs, minimizing lengths of stay, maximizing discharges home, and avoiding unnecessary hospital readmissions in SNFs. He also mentions the role of physiatrists in guiding rehab in all post-acute settings.<br /><br />In the second video, Dr. Aslan Tariq discusses setting up a subacute physiatry practice. He emphasizes the importance of building relationships with the facility, medical director, nursing staff, and rehab team for effective collaboration. Dr. Tariq explains the logistics involved in subacute practice, such as credentialing, creating rounding lists, EMR systems, pharmacy, and imaging services. He describes the patient population typically seen in subacute settings, including orthopedic, stroke, brain injury, chronic pain, and dementia patients. Dr. Tariq also addresses the impact of COVID-19 on subacute rehab practice and how he adapted his practice during the pandemic. He highlights the rewards and flexibility of working in the subacute setting and encourages others to consider this area of practice.<br /><br />No specific credits are mentioned in the summaries.

Keywords

physiatrists

skilled nursing facility

inpatient rehabilitation

standardized protocols

PDPM

reduced hospital readmissions

length of stay

post-acute settings

subacute physiatry practice

COVID-19 impact