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[DYSPHAGIA] A Question for Hospital SLPs
- Subject: [DYSPHAGIA] A Question for Hospital SLPs
- From: connorswa@ph.upmc.edu (Connors, William A)
- Date: Fri, 9 Mar 2001 14:22:41 -0500
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I have yet to hear a convincing response to the question of why SLP coverage
(given the medical nature of dysphagia work) would be anything but a 7 day a
week hospital service. Hospital care is a 24-7 deal. Why should any
patient be NPO for example for a period of time such as 24 hours
unnecessarily while waiting for us to show up sometime Monday morning? What
if Monday is a holiday? How can any of us claim to be "Medical SLPs" while
discriminating against patients who are admitted on Saturday or Sunday?
JCAHO regs are clear about consistent levels of care for all patients at all
times. I could see, perhaps, postponing evaluation and treatment of
language-impaired patients given that the literature seems to be equivocal
about early intervention benefits (e.g., AJSLP, Vol. 10, No. 1 Feb 2001).
Nutrition, however, is a bird of a different feather incorporating basic
human rights and comfort, LOS, medical care and institutional ethics. That
having been said, I'm sure that not many of us want to work on a Sunday.
We are a 240 bed community hospital with a 24 bed SNU in Western PA
Bill C
-----Original Message-----
From: Jana Rodgers [mailto:janarodgers@hotmail.com]
Sent: Thursday, March 08, 2001 10:21 PM
To: dysphagia@medonline.com
Subject: [DYSPHAGIA] A Question for Hospital SLPs
My supervisor requested that I post the following questions to the list:
1. Does your facility provide seven-day (weekend) SLP services?
we are planning on 7 day coverage soon
2. If so, do you treat all patients? only acute? only rehab? only new
consults?
unsure yet certainly new consults that are emergent in nature (e.g., NPO,
vent)
3. If not, have you had any problems with third party reimbursement due to
not providing seven days of treatment?
not yet but sooner or later the sophistication level of the reimbursement
3rd party staff will rise and they will begin to realize what is happening
I would appreciate responses from as many of you as possible. Please
include the size and general location of your hospital. Thanks in advance
for your time!
JMR
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<TITLE>RE: [DYSPHAGIA] A Question for Hospital SLPs</TITLE>
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<P><FONT SIZE=3D2>I have yet to hear a convincing response to the =
question of why SLP coverage (given the medical nature of dysphagia =
work) would be anything but a 7 day a week hospital service. =
Hospital care is a 24-7 deal. Why should any patient be NPO for =
example for a period of time such as 24 hours unnecessarily while =
waiting for us to show up sometime Monday morning? What if Monday =
is a holiday? How can any of us claim to be "Medical SLPs" =
while discriminating against patients who are admitted on Saturday or =
Sunday? JCAHO regs are clear about consistent levels of care for =
all patients at all times. I could see, perhaps, postponing =
evaluation and treatment of language-impaired patients given that the =
literature seems to be equivocal about early intervention benefits =
(e.g., AJSLP, Vol. 10, No. 1 Feb 2001). Nutrition, however, is a =
bird of a different feather incorporating basic human rights and =
comfort, LOS, medical care and institutional ethics. That having =
been said, I'm sure that not many of us want to work on a =
Sunday.</FONT></P>
<P><FONT SIZE=3D2>We are a 240 bed community hospital with a 24 bed SNU =
in Western PA</FONT>
</P>
<P><FONT SIZE=3D2>Bill C</FONT>
</P>
<P><FONT SIZE=3D2>-----Original Message-----</FONT>
<BR><FONT SIZE=3D2>From: Jana Rodgers [<A =
HREF=3D"mailto:janarodgers@hotmail.com";>mailto:janarodgers@hotmail.com</=
A>]</FONT>
<BR><FONT SIZE=3D2>Sent: Thursday, March 08, 2001 10:21 PM</FONT>
<BR><FONT SIZE=3D2>To: dysphagia@medonline.com</FONT>
<BR><FONT SIZE=3D2>Subject: [DYSPHAGIA] A Question for Hospital =
SLPs</FONT>
</P>
<BR>
<P><FONT SIZE=3D2>My supervisor requested that I post the following =
questions to the list:</FONT>
</P>
<P><FONT SIZE=3D2>1. Does your facility provide seven-day =
(weekend) SLP services?</FONT>
</P>
<P><FONT SIZE=3D2>we are planning on 7 day coverage soon</FONT>
</P>
<P><FONT SIZE=3D2>2. If so, do you treat all patients? only =
acute? only rehab? only new </FONT>
<BR><FONT SIZE=3D2>consults?</FONT>
</P>
<P><FONT SIZE=3D2>unsure yet certainly new consults that are =
emergent in nature (e.g., NPO, vent)</FONT>
</P>
<P><FONT SIZE=3D2>3. If not, have you had any problems with third =
party reimbursement due to </FONT>
<BR><FONT SIZE=3D2>not providing seven days of treatment?</FONT>
</P>
<P><FONT SIZE=3D2>not yet but sooner or later the sophistication level =
of the reimbursement 3rd party staff will rise and they will begin to =
realize what is happening</FONT></P>
<P><FONT SIZE=3D2>I would appreciate responses from as many of you as =
possible. Please </FONT>
<BR><FONT SIZE=3D2>include the size and general location of your =
hospital. Thanks in advance </FONT>
<BR><FONT SIZE=3D2>for your time!</FONT>
</P>
<P><FONT SIZE=3D2>JMR</FONT>
</P>
<P><FONT =
SIZE=3D2>_______________________________________________________________=
__</FONT>
<BR><FONT SIZE=3D2>Get your FREE download of MSN Explorer at <A =
HREF=3D"http://explorer.msn.com"; =
TARGET=3D"_blank">http://explorer.msn.com</A></FONT>
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