Rehab administrators answer questions regarding efficiency. IPRC archives information collected by the Pediatric Rehab Administrator’s ListServ as a public service to the entire Pediatric Rehabilitation Community. All information is posted in summary format and has been de-identified. Search through past queries for responses to rehabilitation related questions.

Original Question(s): I know we have had several requests for information around productivity in both acute and outpatient settings. I have a few clarifying questions around how staff spend their time/day.   In 2023, we moved our staff to an exempt status which has had its pros and cons and we are trying to figure out how to have productivity expectations and also allow for professional growth and development.  These questions are for those mainly in an acute care setting.  

1. Do your staff work only in acute care?
2. What are productivity expectations?
3. Is productivity weighted based on evaluation difficulty?
4. Do your acute care therapists cover the entire hospital or are they assigned by rotations, service lines, or other?
5. Do your acute care therapists rotate?  If so, is there a way to specialize?
6. Do you have a clinical ladder?  How many rungs in the clinical ladder?
7. What are expectations of experience for promotion to each of the rungs?
8. Are productivity standards different for therapists based on their job title (e.g. therapist 1, 2 or 3)?
9. How many direct reports do your team leaders have?
10. What are your team leaders’ clinical expectations?  Do they spend a percentage of their time in admin vs clinical care?

Summary of Responses (de-identified)