Physiatry in Skilled Nursing Facilities – What It Takes to Be Successful (Free)-Physiatry in Skilled Nursing Facilities

Video Transcription

Video Summary

In the video, the speaker discusses the role of physiatrists in subacute physiatry or skilled nursing facility (SNF) physiatry, emphasizing the need for physiatrists in these settings due to the high volume of rehab needed. Subacute physiatry involves providing rehabilitation care in SNFs, and the speaker shares their personal experience and career in subacute physiatry. They highlight the advantages of subacute physiatry over inpatient rehab, such as the multidisciplinary team approach and lower cost for certain diagnoses. Challenges in subacute physiatry are also mentioned, including limited exposure and residency, inconsistent primary care physician visits, and lack of specialized rehab programs. The future of physiatry in SNFs is discussed, including the increasing number of physiatrists working in this setting and the importance of demonstrating value in post-acute care. The role of physiatrists in managing patients in SNFs using standardized rehab pathways, personalized approach, and regular team meetings is explored. The payment system for SNF care, including the patient-driven payment system (PDPM), is briefly touched upon. Two case studies are shared to illustrate the role of physiatrists in SNF physiatry, including peer-to-peer reviews and managing complex conditions like ALS. The video highlights the value of physiatrists in subacute rehab and the importance of being adaptable, skilled, and proactive in patient care in these settings. The need for education, effective communication, and embracing technology is also emphasized.

Keywords

physiatrists

subacute physiatry

SNF physiatry

rehabilitation care

multidisciplinary team approach

lower cost

challenges

limited exposure

primary care physician visits

specialized rehab programs

post-acute care

patient-driven payment system

ALS