Effects of a Bundled Payment Model on Employment Status: A Survey of Occupational Therapy Practitioners
Event Type
Presentation
Start Date
12-1-2021 9:00 AM
End Date
12-1-2021 12:00 PM
Description
Importance: This study sought to describe OTPs perception of the effects of CJR on SNF settings in order to evaluate whether this reimbursement methodology negatively impacted the quality-of-care OTPs were able to provide.
Objective: To determine if adverse changes in employment have occurred during the implementation of CJR in the state of Florida for OTPs working in SNFs.
Design: A mixed methods designed survey.
Setting: No specific setting.
Participants: Participants were OTPs licensed and practicing in Florida from January 1, 2016, to January 1, 2020, and were identified through the Health Care Practitioner Data Portal—Florida Licensure Data. A total of 83 participants between the two groups, SNF OTPs and non- SNF OTPs, were included in the study.
Intervention: All participants were asked to complete an online survey: The Effects of a Mandated Total Joint Replacement Bundled Payment Model on Florida Occupational Therapists Employment Status.
Outcomes and Measures: Descriptive data analysis supports the hypothesis that SNF OTPs faced more adverse employment changes than non-SNF OTPs did during the period that CJR was implemented.
Results: SNF OTPs had higher frequencies in every variable except no changes in employment as compared to non-SNF OTPs. A MannWhitney U test found a statistically significant difference between both groups (U = 312, P < 0.001).
Conclusions and Relevance: SNF OTPs reported a higher frequency of adverse employment changes and a higher level of agreement that changes were associated with the implementation of CJR compared to non-SNF OTPs.
What This Article Adds: Since SNF OTPs reported a higher level of adverse employment changes and agreement that these changes were associated with the implementation of CJR when compared to non-SNF OTPs, the results of this study may serve as a call to action and education on how payment models may affect the quality of care and services provided by occupational therapy as well as occupational therapy employment, which ultimately impacts client outcomes.
Recommended Citation
Kane, C., Townsend, H., Lake, J., Leiter, C., Crespo, A. V., Derequito, T. R., D'Annunzio, G., Burgdorf, A., & Reinoso, G. (2021), Effects of a Bundled Payment Model on Employment Status: A Survey of Occupational Therapy Practitioners, Presentation, Eighth Annual Research Colloquium, https://nsuworks.nova.edu/ot_colloquium/eighth/events/4
Effects of a Bundled Payment Model on Employment Status: A Survey of Occupational Therapy Practitioners
Importance: This study sought to describe OTPs perception of the effects of CJR on SNF settings in order to evaluate whether this reimbursement methodology negatively impacted the quality-of-care OTPs were able to provide.
Objective: To determine if adverse changes in employment have occurred during the implementation of CJR in the state of Florida for OTPs working in SNFs.
Design: A mixed methods designed survey.
Setting: No specific setting.
Participants: Participants were OTPs licensed and practicing in Florida from January 1, 2016, to January 1, 2020, and were identified through the Health Care Practitioner Data Portal—Florida Licensure Data. A total of 83 participants between the two groups, SNF OTPs and non- SNF OTPs, were included in the study.
Intervention: All participants were asked to complete an online survey: The Effects of a Mandated Total Joint Replacement Bundled Payment Model on Florida Occupational Therapists Employment Status.
Outcomes and Measures: Descriptive data analysis supports the hypothesis that SNF OTPs faced more adverse employment changes than non-SNF OTPs did during the period that CJR was implemented.
Results: SNF OTPs had higher frequencies in every variable except no changes in employment as compared to non-SNF OTPs. A MannWhitney U test found a statistically significant difference between both groups (U = 312, P < 0.001).
Conclusions and Relevance: SNF OTPs reported a higher frequency of adverse employment changes and a higher level of agreement that changes were associated with the implementation of CJR compared to non-SNF OTPs.
What This Article Adds: Since SNF OTPs reported a higher level of adverse employment changes and agreement that these changes were associated with the implementation of CJR when compared to non-SNF OTPs, the results of this study may serve as a call to action and education on how payment models may affect the quality of care and services provided by occupational therapy as well as occupational therapy employment, which ultimately impacts client outcomes.