Impact of the Patient Driven Payment Model on Occupational Therapy Services in Skilled Nursing Facilities

Using an exploratory, cross-sectional, mixed methods approach, 579 occupational therapists provided input regarding the impact of the Patient Driven Payment Model on employment factors. Respondents were recruited through targeted social media sites and contract rehabilitation companies to complete an anonymous Qualtrics online survey. Targeted questions included demographic information (gender, age, race/ethnicity, state of employment, previous and current employment status) length of practice, and contract versus in-house employment. The data shows that respondents indicated adverse changes in employment including increased productivity requirements, reduced hours, pay cuts, and loss of benefits.