Alphabet Soup, Post-Acute Care, and the Speech-Language Pathologist: Surviving the Current Crisis If we dip our spoon into the current bowl of alphabet soup in post-acute care, we are served with messages of cost containment, service rationing, and quality of care issues. Our spoon is filled with initials such as BBA (Balanced Budget Act), PPS (Prospective Payment System) and RUG III (Resource ... Article
Article  |   March 01, 1999
Alphabet Soup, Post-Acute Care, and the Speech-Language Pathologist: Surviving the Current Crisis
Author Affiliations & Notes
  • Gail Neustadt
    GNI & G-NETWORKS, Inc., Pittsburgh, PA
Article Information
Articles
Article   |   March 01, 1999
Alphabet Soup, Post-Acute Care, and the Speech-Language Pathologist: Surviving the Current Crisis
SIG 2 Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, March 1999, Vol. 9, 14-20. doi:10.1044/nnsld9.1.14
SIG 2 Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, March 1999, Vol. 9, 14-20. doi:10.1044/nnsld9.1.14
If we dip our spoon into the current bowl of alphabet soup in post-acute care, we are served with messages of cost containment, service rationing, and quality of care issues. Our spoon is filled with initials such as BBA (Balanced Budget Act), PPS (Prospective Payment System) and RUG III (Resource Utilization Group, version III) which spell out tremendous challenges for our industry. This article addresses the challenges facing all rehabilitation professionals and in particular speech-language pathologists as we attempt to provide medically necessary services to residents in nursing facilities who present with neurologic communication and/or swallowing disorders. To successfully respond to these “initial challenges,” clinicians must first understand two paradigm shifts necessitating the modification of current service delivery models.
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