The differences across sites may suggest center differences in:
(1) informing patients of and engaging them in their therapy plan;
(2) logistical approaches to scheduling therapies, transporting
patients, preparing staff for therapy sessions, preparing patients for
therapy, therapy staffing, and focusing staff and patient’s attention
around punctuality; (3) staffing ratios, use of therapy assistants,
and service availability (eg, TR and PSY availability); and (4) use
of PSY cotreatment. In addition, 4 of the centers are IRFs paid
under PPS, and they may be under more pressure than the other 2,
which are classified as long-term acute care hospitals. One IRF
site also had state-imposed requirements of delivering 4 hours per
day of therapy for traumatic SCI. However, this difference is not
expected to have influenced the amount of missed time, just the
amount of made-up timedlost time that was recovered by
scheduling a new session on the same day or a subsequent day.
Made up time was not a part of the present study.
The differences across sites may suggest center differences in:
(1) informing patients of and engaging them in their therapy plan;
(2) logistical approaches to scheduling therapies, transporting
patients, preparing staff for therapy sessions, preparing patients for
therapy, therapy staffing, and focusing staff and patient’s attention
around punctuality; (3) staffing ratios, use of therapy assistants,
and service availability (eg, TR and PSY availability); and (4) use
of PSY cotreatment. In addition, 4 of the centers are IRFs paid
under PPS, and they may be under more pressure than the other 2,
which are classified as long-term acute care hospitals. One IRF
site also had state-imposed requirements of delivering 4 hours per
day of therapy for traumatic SCI. However, this difference is not
expected to have influenced the amount of missed time, just the
amount of made-up timedlost time that was recovered by
scheduling a new session on the same day or a subsequent day.
Made up time was not a part of the present study.
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