George Barnes MS CCC SLP

George Barnes MS CCC SLP Med SLP specialist in MBSS, trach/vent, and aspiration pneumonia management. Mobile FEES provider. Making Swallowing Simpler

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Comment “SLP” for access to full article! 👇
08/19/2026

Comment “SLP” for access to full article! 👇

What do you want to learn next???
08/18/2026

What do you want to learn next???

According to a recent national survey, 90% of healthcare clinicians have a formal productivity goal. The vast majority f...
08/12/2026

According to a recent national survey, 90% of healthcare clinicians have a formal productivity goal.

The vast majority find these corporate quotas “difficult” or “very difficult” to meet.

But this isn’t just a nuisance for SLPs. There is a direct, statistical correlation between unrealistic productivity goals and unethical behavior on the clinic floor.

Respondents in the survey reported observing an average of 3.3 ethical violations in their facility.

What do these look like in reality? Check out these 3...

1. Treating patients who objectively do not need skilled care just to generate revenue.

2. Limiting evaluation time because thorough diagnostics aren’t financially rewarded.

3. Falsifying or altering records to misrepresent the exact time spent with a patient.

In fact, 16% of practicing clinicians openly admit to changing documentation to appease reimbursement policies.

Yikes!

When 70% of clinicians report facing negative consequences (including losing their jobs) for missing their targets, it becomes clear that the system is set up for failure.

You are not failing. You are working inside a rigged game.

Learn more by commenting “SLP” for this week’s full article.

Today, corporate landlords known as REITs own 1 out of every 6 nursing homes in America. They claim to just be “property...
08/05/2026

Today, corporate landlords known as REITs own 1 out of every 6 nursing homes in America.

They claim to just be “property owners,” but court documents tell a very different story.

The Reality: 2/3 of facility value goes straight to real estate profits.

The Cost: Less staff, less care time, and impossible standards for overworked clinicians.

Read more in this week’s article. Comment “SLP” for instant access.

Take your guess and write it in the comments before scrolling: 20%40%60%80%The answer? 80%Picture 5 grandparents in a ho...
08/04/2026

Take your guess and write it in the comments before scrolling:
20%
40%
60%
80%

The answer?

80%

Picture 5 grandparents in a hospital ward. 4 out of those 5 are at risk of food, liquid, or saliva going down the wrong pipe and causing a serious lung infection.

Aspiration pneumonia is one of the most common—and preventable—hospital complications for seniors.

I’ll leave you with another question. With this in mind, is your team referring to you enough?

Researchers found that as productivity expectations increase, the rate of unethical behavior rises right alongside them....
07/29/2026

Researchers found that as productivity expectations increase, the rate of unethical behavior rises right alongside them.

One clinician said, “Even when the session is going well, part of my mind is already on the next appointment.”

Sound familiar? You’re not alone. And this stress can have a real impact...

90% of survey respondents reported observing unethical behaviors in their clinics—like keeping patients on caseloads too long, or billing for inappropriate treatment intensities just to survive the day.

Clinicians in nursing facilities are over four times more likely to witness these unethical pressures.

And over half of these clinicians report having absolutely zero say in setting these targets in the first place.

Learn more in this week’s article. Comment “SLP” for instant access.

Reference: Mason RM. Myths That Persist About Orofacial Myology. International Journal of Orofacial Myology and Myofunct...
07/28/2026

Reference: Mason RM. Myths That Persist About Orofacial Myology. International Journal of Orofacial Myology and Myofunctional Therapy. 2011; 37(1):26-38. https://doi.org/10.52010/ijom.2011.37.1.2

False! Very false, in fact...In terms of raw horsepower, your tongue is actually pretty weak. When you swallow, it press...
07/23/2026

False!

Very false, in fact...

In terms of raw horsepower, your tongue is actually pretty weak. When you swallow, it presses upward with a force roughly the weight of a roll of quarters.

Swallowing isn’t a game of brute strength; it’s a game of surgical precision. To slide food safely down, your tongue acts like a perfect suction cup, sealing tightly against the roof of your mouth.

Its strength is in its style.

But when that suction cup loses its grip and drops below a critical safety threshold (~30 kPa), that’s when residue and aspiration become an issue.

Learned something new? What else would you like to learn about?

References:
Ichibayashi, R., Sekiya, H., Kaneko, K., & Honda, M. (2022). Use of Maximum Tongue Pressure Values to Examine the Presence of Dysphagia after Extubation and Prevent Aspiration Pneumonia in Elderly Emergency Patients. Journal of Clinical Medicine, 11(21), 6599. https://doi.org/10.3390/jcm11216599

Mason, R. M. (2011). Myths that persist about orofacial myology. International Journal of Orofacial Myology and Myofunctional Therapy, 37(1), 26–38. https://doi.org/10.52010/ijom.2011.37.1.2

What did you think?

In the battle against corporate healthcare metrics, most clinicians feel completely unarmed.We are told to quietly accep...
07/22/2026

In the battle against corporate healthcare metrics, most clinicians feel completely unarmed.

We are told to quietly accept impossible productivity standards, and when we start to break, we are handed a wellness seminar.

But you don’t need a meditation app. You need clinical weapons of self-defense.

In my latest article, I break down how you can reclaim your clinical authority and stand up to profit-driven pressures.

Here are three things to get you started:

The Shield 🛡️: Embodying the Just Culture framework to demand shared accountability for system designs, ensuring you aren’t punished for human errors caused by impossible metrics.

The Sword ⚔️: Leveraging your professional Code of Ethics to formally decline compromised care directives.

The Bridge 🌉: Formally inviting an administrator into the clinical trenches to shadow your day and witness the reality behind their spreadsheets.

Learn more in this week’s article. Comment “SLP” for instant access.

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