Having outcomes data at your fingertips does not mean you lose your autonomy. The majority of the products out there to help you capture your outcomes do just that. They give you an initial score and updated scores. The science of rehabilitation outcomes includes more than just a score. Thanks to technology, predictive analytics is possible in the rehabilitation world.
I've been educating every patient about direct access in a creative way that takes little talking time. This gentleman took advantage of direct access and wanted me involved with a new problem he was having. Earlier this year I worked with him after he had a total hip arthroplasty. Just recently he was having knee pain. People can surprise you. This gentleman surprised me.
Let's take a look at this patient specific report. This patient began physical therapy with an initial score equal to other men just like him. I knew from looking at the initial report that he'd need 6 points of change to be a real amount of change. I also saw that it should take 12 visits over 40 days to have this patient reach a predicted discharge score of 68 (which was predicted based upon data in the system).
When piecing together his initial FOTO report with his story, I decided he didn't require traditional services. His son had given him a FitBit. The main issue: he had been increasing his number of steps at too fast of a rate and wasn't wearing shoes that provided enough shock absorption. What he needed from me was my expertise in how to progress activity levels to keep joint pain and inflammation at a minimum.
Unlike most patients, this gentleman is a very active participant. He also requested my expertise in resistive exercises specific to the knee. He was interested in both isotonic and functional strengthening.
Obtaining a status update is crucial when it comes to having data to help make clinical decisions. This report was definitely helpful. I saw immediately that the small amount of intervention (recommendations and advice) had gone a long way in improving his function. I could also immediately see that no further services were warranted.
Outcomes data should not eliminate your clinical expertise. Outcomes data provides additional information to assist you.
Do you have particular data you appreciate having at your fingertips?