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Skilled Nursing Facility Considerations

Introduction | Current Status of SLP Employment | Retention vs. Recruitment | SLPs' Prioritization of Job Satisfaction Factors | Recruitment and Retention Strategies | Home Care Recruitment and Retention | Hospital Considerations | Outpatient Facility Considerations | Skilled Nursing Facility Considerations | Appendix

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According to data collected by ASHA in 2004, approximately 7% of ASHA-certified SLPs work in skilled nursing facilities (SNFs). These SLPs are presented with a varied caseload that has become more acutely ill than in the past. They also face numerous staffing and reimbursement challenges that are unique to this setting.
 
The 2007 Health Care Survey asked the following question: "What are the greatest challenges you face in health care?" In rank order, respondents from SNFs reported the following challenges:

  1. High productivity requirements (65.4%)
  2. Paperwork (clinical and reimbursement) (58.1%)
  3. Insufficient reimbursement (for clinical services) (38.2%)
  4. Keeping current with advances in clinical information (31.8%)
  5. Managing caseloads at multiple sites (29%)
  6. Not being valued by other disciplines/administration (24.7%)
  7. Unsatisfactory salary/benefits (18.3%)
  8. Resources to respond to diversity within caseload (10.3)

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