Subacute care: creating alternatives. Reengineering: the key to survival and growth under PPS

Many postacute care providers are concerned about the effects of the prospective payment system on skilled nursing facilities. To retain their contractual arrangements, physical, occupational and speech therapists are trying to develop services within the financial constraints the PPS imposed. Management and staff of SNFs also are struggling with the Resource Utilization Groups III and the Minimum Data Set that will be the basis for the predetermined, per diem, all-inclusive fixed rate to be paid. The most logical approach to dealing with this crisis is to reengineer all of the SNFs' processes.