Life of the Health Care SLP: Trends and Paradigm Shift Gennith Johnson, MCD CCC-SLP Associate...

Life of the Health Care SLP:

Trends and Paradigm Shift

Gennith Johnson, MCD CCC-SLPAssociate Director, Health Care Services

ASHA

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Disclosure

• Financial ASHA employee

Per diem employee of MedStar Washington Hospital Center

• Non financial relationships None

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Learner Objectives

• Describe current issues about professional issues related to health care-based services

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Topics

2013 SLP Health Care Survey

International Classification of Functioning, Disability and Health (ICF)

Interprofessional Education/Interprofessional Practice (IPE/IPP)

Productivity Pressures

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• Fielded to 3,827 SLPs in health care

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Salary

33%

67%

Part-time Full-time

33%

56%

11%

Annual HourlyPer visit

Employment Status

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$70,000

$75,0002011

2013

Salary Trend

7%

Hospital Rehab hospital

Pediatric hospital

SNF Home health

Outpatient

$71,387$64,721

$69,144

$81,681

$69,095$64,000

Salary by Setting

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Hospital Rehab hospital Pediatric hospital SNF Home health Outpatient

19%17%

37%

16%

24%

18%

Funded, Unfilled by Setting

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ICF

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ICF Awareness and Use by SLPs

• ICF framework (body part/function, activity and participation, environmental factors) vs. coding system

• Adoption by other countries and professions• Considered for adoption by national electronic

data reporting• SLPs with no awareness: 51%• SLPs using ICF in documentation: 14%

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Focus on FunctionUsing the ICF for Functional Goal Setting

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Interprofessional Practice

• Evolving to improve patient care Physicians, nurses, pharmacists Understanding of other professionals’ roles

• Requires interprofessional education so incoming professionals are aware

• NOT merging scopes of practice• 31% report daily interprofessional collaboration for

treatment• Current reimbursement system is negative reinforcer

for IPP

Issues in Health Care Service Delivery

• Employer pressures 71% did not feel pressured Varied by setting

• Greatest: SNF• Least: Home health,

outpatient Provide inappropriate

frequency or intensity of services (5%-33%)

Provide services that are not clinically appropriate (2%-18%)

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Consensus Statement on Clinical Judgment in Health Care Settings

http://www.asha.org/uploadedFiles/AOTA-APTA-ASHA-Consensus-Statement.pdf

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Reporting Options

• Know Medicare guidelines!• Manager• Compliance officer in facility• ASHA Code of Ethics violation?• State licensure violation?• Medicare fraud hotline• State health department

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ASHA Resources

Gennith Johnson

gjohnson@asha.org

301-296-5681Healthservices@asha.org

http://www.asha.org/practice/