Taking the Mystery out of SNF Practice-Taking the Mystery out of SNF Practice

Video Transcription

Video Summary

Dr. Steve Nock and Dr. Aslan Tariq, experts in the field of physiatry, discuss the significance of practicing in skilled nursing facilities (SNFs). They highlight the role of physiatrists in maximizing the quality of rehab programs, reducing hospital readmissions, and supporting patients in SNFs. Dr. Nock emphasizes the need for physiatrists' expertise in a setting where the rehab team often lacks specialized skills. Dr. Tariq expands on different models of practicing in SNFs, addressing challenges such as staff turnover, peer-to-peer denials, and liability issues. Both speakers stress the importance of establishing communication and collaboration with the primary care team, therapists, and patients' families. They advise on developing a reasonable and realistic plan for patient care, documenting encounters in a timely manner, and customizing visits based on the nursing home's schedule. Building a consult service in SNFs requires buy-in from the administration and rapport building with various healthcare team members. The speakers also discuss the current state of SNFs, including their financial challenges and the impact of COVID-19. They acknowledge the increasing interest of physiatry residents in SNF care and the need for better education in this area. Transitioning to value-based care and remaining flexible in practice models are also highlighted. Overall, the speakers stress the importance of physiatrists in SNFs and the potential for growth and fulfillment in this practice area.

Keywords

physiatry

skilled nursing facilities

rehab programs

specialized skills

models of practicing

staff turnover

communication

collaboration

COVID-19

physiatry residents

value-based care