Effective Utilisation of Your Allied Health Team to Increase Income & Reduce Expenses CEO: Nick...

Effective Utilisation of Your Allied Health Team to Increase Income & Reduce Expenses

CEO: Nick Heywood-Smith

© W&L Aged Care Services 2015 wellnesslifestyles.com.au

BACKGROUND OF W&L


Top 6 allied health tips


In this session we will cover

How your physiotherapists should be reporting to you providing real data on profit achieved

Why it is important to have an allied health assistant/physiotherapy aide and how to monitor their performance

Why you should be utilising occupational therapists at your facility to work in collaboration with your physiotherapists

How to get your podiatry visits for your residents down to $10 per consult

How to get your speech pathologists to minimise your accreditation risk

How to reduce supplement usage & improve wound care using your dietician

W&L ALLIED HEALTH INPUT




Treatment Hours 22.00Base Hours 8.00Total Hours 30.00Annual Increase $ 445,592.00 Annual Cost $ 119,402.40 Annual Profit $ 326,189.60



SITE’SCHC CLAIM

CHC CLAIMED WITH W&L INPUT

ADMINISTRATION

Reside

nt

Q11

(Medic

ation)

Q12 Directives

Q12

Points

Q12 Rat

e (A,B

,C,D)

CHC

Rate

withou

t W&

L

W&L’s Q1

2 Dir

ectives

New

Q12

Total

New

Q12

Rate

(A,B,C,D)

CHC

Rate

with

W&L

Input

Increas

e due

to W&

L

$ Incre

ase due

to W&L

Documentati

on Complet

ed

Treat

ment

mins/week

Confirme

d wit

h site staf

f

Submiss

ion date

X C 3,5 4 B L 4b 10 D H L-H $49.92

Yes 60 Yes 12/01

Y B 3,5,12

7 C M 4a 10 D H M-H $20.28

Yes 20 Yes 24/11

DELEGATION


Senior Therapist

PT/OT

Junior PT/OT

4a’s, 4b’s

Site RN

4a’s only

PTA’s- 12.3’s- Exercises classes- Falls & balance- Mobility training

• Reduce cost• Spread risk• Staff leave cover – Annual, sick,

maternity

WHY?

OCCUPATIONAL THERAPISTS


Many aged care facilities have difficulty finding the time to complete

ADL’s & cognitive assessments

Many facilities are unable to

provide all residents that

need it with pain management interventions



• Cheaper than physiotherapists – W&L History

• Increase resource capacity • More suited to the ACFI than

physiotherapists PAS, Cornell, ADLs

• Can reduce nursing staff workload• Can conduct pain management

treatments• Increases treatment options

Most importantly – Better outcomes!

WHY?



Senior Therapist

PT/OT

Junior PT/OT

4a’s, 4b’s

Site RN

4a’s only

PTA’s- 12.3’s- Exercises classes- Falls & balance- Mobility training

• Reduce cost• Spread risk• Staff leave cover – Annual, sick,

maternity• Cost analysis – no blanket 4b’s• Individual resident analysis

WHY?

PHYSIOTHERAPY & OCCUPATIONAL THERAPY


By completing 4a & 4b pain management

treatments, facility funding should increase greater

than the cost of the service!

W&L’s KPI Cost neutral within 1

month!

PHYSIOTHERAPY & OCCUPATIONAL THERAPY


CHC Audits

• Every resident assessed for pain & identified for potential 4a, 4b, 12.3 (plus 12.5 & 12.12 if not claimed)

• Optimum level of allied health input identified • Resourced using combination of internal & external

physiotherapists, occupational therapists, physiotherapy aides & registered nurses

• Prioritised for facility staff to re-submit

Benefits• Easier to resource from day 1• Review of performance of insourced allied health staff• Maximised ACFI income generated

PHYSIOTHERAPY AIDES


12.3 = Pain Management involving therapeutic massage or application of

heat packs AND frequency at least weekly AND at least 20 minutes

Nil to a low $16.04 per day $ 5,854 per year

Low to a medium $29.64 per day $10,818 per year

Medium to a high $20.28 per day $ 7,402 per year

PHYSIOTHERAPY AIDES


1 day = 8 hours = 24 treatments (hot packs or massage)

$140,000$260,000$178,000

….All from just 1 day of work!

Cost = $20K per year ($48 per hour – contracted)

= $11K per year ($26 per hour - employed)

Question:

Is your physiotherapy aide paying for itself with ACFI increases?

PODIATRY


An exceptional Podiatry service in Aged Care Facilities

• Should be regular & scheduled (not every 6 or 8 weeks)

Number of

residents

528X /

52 week

s=

Number of podiatry

Consults per week

• Should have a communication book for referrals & new residents

• Should access Medicare CDM rebates for ALL eligible residents (high or low care)

• Should have a quality documentation system specifically designed to support accreditation standards & infection control practices to decrease risk

PODIATRY


W&L Podiatry Costs

Target = 77% of all podiatry to be bulk billed

SPEECH PATHOLOGY


Exceptional speech pathology service in aged care facilities

• Tracks your speech pathology usage & recommends ways to reduce costs

• Keeps track of residents who need follow up & calls to remind you (reducing your accreditation risk)

• Ideally works in collaboration with a dietician to manage swallowing & nutrition issues

• Guarantees to visit the facility within 24 hours for emergencies

• Provides online education tools for aged care staff unable to be present following a resident assessment

DIETETICS


Exceptional dietetics service in aged care facilities

• Inexpensive – Will track usage then recommend ways to reduce cost

• Can reduce your supplement usage and wound care (and hence cost) by using alternate strategies

• Educative – Provides access to online & offline education

SPEECH PATHOLOGY & DIETETICS


Track your usage of these services

$170 per resident = 3 x per week = $510

versus $85 per hour (contracted services)

For the same dollar spend the SP/OT can see

6 residents

RISKS IF ALLIED HEALTH IS NOT MANAGED


MOST IMPORTANTLY:POOR RESIDENT OUTCOMES!

• Poor productivity• Poor ACFI funding• Poor validation results• Accreditation risks• Money wasted – Poor return on

investment• Not accessing Medicare rebates

CONCLUSION


QUESTIONS

Effective Utilisation of Your Allied Health Team to Increase Income & Reduce Expenses CEO: Nick...

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