Mimi Jacobs, PT, GCS, OCS Fox GERI Fox · PDF fileSTAFFING FOX REHAB OVERVIEW •Text Fox...

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Transcript of Mimi Jacobs, PT, GCS, OCS Fox GERI Fox · PDF fileSTAFFING FOX REHAB OVERVIEW •Text Fox...

  • Fox GERI 7 Carnegie Plaza Cherry Hill, NJ 08003

    P: 1 877 407 3469 F: 1 877 407 4329 W: foxgeri.org

    Real World

    Implementation I:

    Best Practices in

    Staffing, Training &

    Certification

    Mimi Jacobs, PT, GCS, OCS

    Fox GERI

    Fox Rehabilitation

  • STAFFING

    FOX REHAB OVERVIEW

    Text Fox GERI partnered with Fox Rehabilitation and CARAH

    to translate the ESP

    Fox GERI/Fox Rehabilitation is headquartered in Cherry

    Hill, NJ a suburb of Philadelphia

    Fox Rehabilitation is a private practice providing physical,

    occupational and speech therapy services to the older adult

    in their home, assisted living or adult medical day center

    Fox Rehabilitation currently employs 110 Occupational Therapists across 5 states in the mid-Atlantic region

  • STAFFING

    THE BIG QUESTION

    Text

    How do you translate an evidence-

    based intervention to 110 OTs across

    5 states?

    How do you climb Mt. Everest?

  • STAFFING

    OUR ANSWER

    Text A PILOT TRANSLATIONAL PHASE

    Year 01:

    15 OTs

    Geographical area immediately surrounding

    headquarters

    Year 02:

    15 OTs

    Expanded geographical area within 75 miles of

    headquarters

  • STAFFING

    YEAR 01

    Text Began internal marketing as soon as possible

    Request for volunteers sent out to 28 OTs

    17 responded

    15 met our established baseline criteria

    Employed at Fox Rehabilitation >6 months, baseline

    score on internal ongoing quality assurance

    measures such as internal documentation chart

    audits

    Both novice and experienced clinicians

  • GROUP PHOTO

    YEAR 01

    Text

  • STAFFING

    YEAR 02

    Text Of the 15 OTs who participated in Year 01:

    6 participated in Year 02

    8 did not participate due to staff turnover, company

    promotions, participation in other projects and

    medical leave

    Request for volunteers sent out to 30 additional OTs

    12 responded

    9 new OTs were added to the project in Year 02

    Both novice and experienced

  • GROUP PHOTO

    YEAR 02

    Text

  • STAFFING

    STAFF COMMITMENT

    Text

    All OTs participating in this project signed a Commitment

    Letter which outlined:

    Description of the project

    The short term and long term vision of the project

    Responsibilities and expectations of the OT

    Responsibilities and expectations of

    Fox Rehabilitation

    Responsibilities and expectations of Fox GERI

    Responsibilities and expectations of CARAH

  • STAFFING

    PILOT PHASE RECAP

    Text

    Pilot translational phase prior to full implementation to

    identify and address:

    Adoption issues

    Sustainability issues

    Over 2 years:

    24 OTs volunteered and received training

    Currently 17 (70%) are continuing its use

    OTs ranged in years of education and clinical

    experience

  • TRAINING

    Text Critical to translation was the development of training,

    monitoring, coaching and documentation processes that

    balanced company structure, culture and reimbursement

    requirements with fidelity to ESP

    While ESP builds on OT skills and knowledge, it is

    distinct from traditional practice and requires a minimum of

    20 training hours in assessments, protocols and treatment

    principles

    To assure success in translating ESP and fidelity to the

    original intervention tested, we developed a comprehensive

    training program

  • TRAINING

    YEAR 01

    Text In the research setting, interventionalists received days of

    face-to-face training to deliver ESP

    Translational Problem:

    As a private practice, this training structure was

    unacceptable for financial reasons (lost revenue, salary

    costs, etc)

    Solution: Modify the training structure

  • TRAINING

    YEAR 01

    Text

    On their own time:

    OTs repeated the Fox Rehabilitation internal

    training Dementia Module for all new hires (2 hrs)

    OTs completed selected readings (4 hrs)

    Participated in a 2 day(16 hrs )face-to-face training (Fri/Sat)

  • TRAINING PHOTO

    YEAR 01

    Text

  • TRAINING PHOTO

    YEAR 01

    Text

  • TRAINING

    YEAR 02

    Text Based on feedback from Year 01 the training program

    evolved for Year 02

    Year 02

    Fox Rehabilitation Dementia Module (2 hrs)

    Selected Readings (4 hrs)

    Self Paced Web Based Training (8 hrs)

    1 day face-to-face Training Session (8 hrs) (Saturday)

  • TRAINING PHOTO

    YEAR 02

    Text

  • TRAINING PHOTO

    YEAR 02

    Text

  • TRAINING

    YEAR 02

    Text

    Ongoing coaching / supervision and fidelity evaluation

    occurred via:

    3 individual call ins over a 5 month period

    6 monthly group conference calls

    Discuss new information / updates on project

    Celebrate success

    Brainstorm solutions to challenging cases

  • TRAINING

    COMPANY WIDE

    Text Within the geographic territories of trained OTs: all OTs not participating in project, all PTs and all SLPs received training on

    What is ESP and How to identify a patient/caregiver dyad

    appropriate for ESP / How to refer a patient/caregiver to receive

    ESP. This was repeated every 6 weeks to reinforce the

    material and reach staff new to the practice

    All OTs, PTs and SLPs, company wide, now receive training on

    basic concepts of caregiver training

    Administrative teams including customer intake, compliance,

    chart auditing, billing, accounts receivable, and marketing all

    received training on What is ESP and How it affects my

    specific job. Training repeated every 6 weeks

  • CERTIFICATION

    Text

    CARAH is continuing to develop the criteria of ESP

    certification. Fox is providing feedback to CARAH on

    possible models of the certification process

  • Text

    THANK YOU

  • Fox GERI 7 Carnegie Plaza Cherry Hill, NJ 08003

    P: 1 877 407 3469 F: 1 877 407 4329 W: foxgeri.org