Article | June 01, 2000Advocating for Nursing Home Residents Stuart Cleary and Tammy Hopper Author Affiliations & Notes Stuart Cleary Life Care Centers of America, Tucson, AZ Tammy Hopper National Center for Neurogenic Communication Disorders, The University of Arizona, Tucson © 2000 American Speech-Language-Hearing Association Article Information Articles Article | June 01, 2000 Advocating for Nursing Home Residents SIG 2 Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, June 2000, Vol. 10, 21-22. doi:10.1044/nnsld10.2.21 SIG 2 Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, June 2000, Vol. 10, 21-22. doi:10.1044/nnsld10.2.21 View Article Figures Tables PDF PDF Supplemental Data Supplements Multimedia Share Email Twitter Facebook Pinterest Tools Get Citation Citation Cleary, S. & Hopper, T. (2000). Advocating for Nursing Home Residents. Perspect Neurophysiol Neurogenic Speech Lang Disord, 10(2), 21-22. doi: 10.1044/nnsld10.2.21. Download citation file: RIS (Zotero) EndNote BibTex Medlars ProCite RefWorks Reference Manager © 2018 American Speech-Language-Hearing Association × Alerts User Alerts You are adding an alert for: Advocating for Nursing Home Residents You will receive an email whenever this article is corrected, updated, or cited in the literature. You can manage this and all other alerts in My Account The alert will be sent to: Confirm × Sign In or Create a free account to receive alerts. × Recent changes in Medicare reimbursement systems have had a dramatic impact on speech-language pathologists and the patients that they serve. One of the most dramatic changes has been the implementation of the prospective payment system (PPS). PPS is a per-diem based reimbursement system for sub-acute patients (i.e., those coming to the nursing home following a three-night hospital stay). Under PPS, the cost of therapy is included in the overall reimbursement the facility receives for the patient. In this situation, much less money is available for many aspects of patient care, including rehabilitation. Since the implementation of PPS, therapy services for PT, OT, and SLP have been reduced by approximately 70% in many nursing homes. Currently, most patients with sub-acute conditions participate in only 65 minutes of skilled therapy per day, across all three disciplines. First Page Preview × View Large Subscribe to view more For full access to this article, log in to an existing user account, become a SIG affiliate, or purchase a short-term subscription. Become a SIG Affiliate Join a SIG Pay Per View Entire SIG 2 Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders content & archive 24-hour access $25.00 Buy Now This Issue 24-hour access $17.00 Buy Now This Article 24-hour access $10.00 Buy Now Sign In or Create an Account Please sign in using your ASHA.org login. If you do not have an ASHA login, you may register with us for free by creating a new account. Sign In or Create an Account We've Changed Our Publication Model... The 19 individual SIG Perspectives publications have been relaunched as the new, all-in-one Perspectives of the ASHA Special Interest Groups. Learn more > Related Articles Related Topics