Tag Archives: mike billings

Senior Housing News Interviews Infinity Rehab President About IBM Research Project

Watson, the IBM cognitive computing system that gained fame for beating human Jeopardy! champions at the game, soon could enable more precise care and services in senior living. The technology currently is being piloted by Wilsonville, Oregon-based Avamere Family of Companies, in its independent living, assisted living, and skilled nursing settings, as well as through its Infinity Rehab arm. “For Infinity, bundled payment programs such as the Comprehensive Care for Joint Replacement (CJR) program already have raised the stakes. In these programs, hospitals are responsible for controlling costs over a whole acute/post-acute care episode for certain orthopedic patients, making it … Continue reading

What’s on the Horizon for 2017?

niels-bohr

“Predictions are hard, especially about the future.” Niels Bohr Nobel Laureate in Physics   Some would call it foolish to try to predict how the Trump administration and the 115th Congress will shape health care in 2017, but here it goes anyway! I think it is safe to assume that value-based payment is likely to survive, but it may look different in terms of structure. The HHS secretary-nominee, Dr. Tom Price, is not a fan of mandatory initiatives, such as the Comprehensive Care for Joint Replacement (CJR) bundled payment program which began in April last year. The CMS Innovation Center … Continue reading

ENCOURAGING SELF-MANAGEMENT

In 2010, I attended a conference on exercise and physical activity in aging.  The programming, which was excellent, focused almost exclusively on the impact of aging on body systems, as well as the latest evidence on exercise prescription. This conference inspired me to pursue the Certified Exercise Expert for Aging Adults (CEEAA) course series offered through the Academy of Geriatric Physical Therapy. At the end of the conference in 2010, the final keynote speaker posed a “so what” question to the audience. While the science supports everything we do as therapists in terms of exercise prescription, the keynote speaker asked, … Continue reading

Plane Crash or Car Accident?

This video caught my attention. Though it addresses medical errors in the hospital setting, it made we wonder about medical errors in all health care settings.   Safety is a prerequisite to quality and is defined as freedom from accidental injury (Institute of Medicine, 2000). Unfortunately, the U.S. health care system is far from safe. The committee in this landmark IOM report cited 98,000 deaths annually because of medical errors, or as the authors put it, equivalent of the death toll of a jumbo jet crashing each and every day in the U.S. However, this estimate appears to be grossly underestimated. … Continue reading

DISRUPTION! The Rapid Change from Fee-for-Service to Value-Based Reimbursement Models

ahrq expenditures

The transformation from volume to value-based health care is happening at an amazingly fast pace. Consider these facts as evidence. In 2014, Medicare paid providers and physicians $362 billion in the traditional, non-Medicare Advantage program. Earlier this year, HHS Secretary Burwell articulated bold goals of having 85% of all Medicare fee-for-service payments tied to quality or value by 2016, and 90% by 2018. Even more significantly, their goal is to have 30% of Medicare payments tied to quality or value through alternative payment models such as accountable care organizations (ACO), medical homes, and bundled payment arrangements by the end of … Continue reading

Influencing Therapy through Transtheoretical Stages of Change

Transtheoretical Stages of Change

We are nearly one month into 2015 and I need you to be honest. Raise your hand if you have already begun to slip on one or more of your New Year resolutions. If you are like most people, your hand is in the air. I know I’m struggling with one or two goals on my list. However, like a good Physical Therapist, I’ve written down my 2015 goals in my planner (yes, I still use a written planner) so they serve as a constant reminder to keep me on track. As a PT, I am confident in my ability … Continue reading

Infinicast Vol.13 — IMPACT Act and the Changing Landscape of Post-Acute Therapy

ImpactAct2014

Mike and Derek sit down to discuss some major legislative changes that will have an IMPACT on many aspects of Post-Acute Therapy. Specifically, they go into detail on the IMPACT Act of 2014 which will “Amend title XVIII of the Social Security Act to provide for standardized post-acute care assessment data for quality, payment, and discharge planning, and for other purposes.” Here is a summary of the bill: http://www.finance.senate.gov/imo/media/doc/IMPACT%20Summary.pdf Click the play button to view this highly informative Infinicast.