Hello Brent:

The  question  of  home  health  being  the  best  practice  setting  is
complicated.

In  a perfect world, I say unequivocally "yes", but in the real world, I
say  "no".  It  seems to me that in home health, like other settings, OT
has  no  TRULY  unique  and  HIGHLY  valued role. There seems to be very
little that OT does which isn't already covered by either PT, nursing or
the aide.

Ron

--
Ron Carson MHS, OT
www.OTnow.com

----- Original Message -----
From: Brent Cheyne <[email protected]>
Sent: Saturday, February 21, 2009
To:   [email protected] <[email protected]>
Subj: [OTlist] hello company...it's misery calling!

BC> RON:   I related so well to your well written response to Ilene (Message
BC> 4,2/21/09),  I  have  a similar history to you and worked in the SNFs in
BC> the  late  1990's,  but woe is me... I still do today. As you stated the
BC> business  model  doesn't foster the best that OT can be as a profession.
BC> It is very inflexible and stifles innovation, creativity, and quality in
BC> favor  of  effeciency,  profit,  and bureaucratic compliance to Medicare
BC> rules  and regs which set the system up to be as lame as it is. Some how
BC> I have found a way continue in this practice setting for almost 15 years
BC> and have sought out the most high quality employers and facilities with 
BC> a  bit  of  luck  had  good  results.  But  I  too am growing VERY WEARY
BC> of all the issues you so effectively stated.  I even spent one week as a
BC> Rehab  Manager  and  quit..it  made  me  physically  ill, tried o/p hand
BC> therapy  for  6months  and  was  quite  unsatisfied. I  have  thought of
BC> leaving the  SNF setting, but every now and then I get a patient or case
BC> or  two  that  goes  so  well and is so satisfying that it draws me back
BC> in...it's  like  trying  to  leave  the  Mafia :), Ron do you think home
BC> health is the best OT practice setting?


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