FOTO Rehab Outcomes Blog

Outcomes Conference Wrap Up: Who Said This?

Written by Selena Horner | Apr 28, 2016 7:54:51 PM

I spend a lot of time online: learning, "meeting" others and in meetings. Conferences are special to me. Conferences are great opportunities to catch up, meet, and converse face to face. I am finding it more and more difficult to actually spend quality time with all the people I enjoy being around during conferences. There are only so many hours in a day! Lots of smiles and waves, but so little time to spend with each individual. 

After a really good conference, it takes time to digest everything that happened. It's almost like my brain file cabinet reshuffles information around by changing the organization of information into different levels of priority and even cleans house and trashes old, no longer useful information. I think my brain has settled into its normal rhythm (if there is such a thing) and I'm ready to begin sharing my thoughts about the outcomes conference.

I had the fantastic pleasure of meeting Dianne Jewell. It happened to be one of those serendipitous moments really. Friday's Back2Basics session was totally packed. This relieved me of my duties and allowed me to spend some quality time with Dianne. I enjoyed hearing about her professional journey, learning about her current endeavor and taking the opportunity to learn from her. 

Speaking of Back2Basics.... I was able to attend the second half of the session.

Who Said This?

If you guessed Jody Swearingen at Results Physiotherapy, you were correct! Jody shared how Results Physiotherapy began using FOTO in 2013 in 21 clinics and by 2016 had FOTO implemented in 100 clinics. Although many clinicians speak about outcomes and measuring outcomes, reality: it isn't easy to implement measuring and managing outcomes. Both clinician and patient buy-in is required along with streamlined implementation processes and continual communication. I can't imagine what it takes to continually implement FOTO concurrently in multiple clinics and maintain processes to consistently obtain data.

Jody also highlighted initial outcome failures noted way back with the initial 21 clinics. Personally, I believe what Results Physiotherapy experienced was typical: clinicians are highly focused on achieving the best results possible for their patients. What we don't realize or easily pay attention to is the time it takes to attain the final outcome. Results Physiotherapy has definitely improved the quality of their care by focusing on both the effectiveness and the effiency of the results of their care.

What I really appreciated hearing was Jody's discussion on processes. I'm truly happy to hear how processes are key. I mean, there are many companies that focus on managing people. I believe it is better to create processes and manage processes. I like to believe the majority of clinicians really don't need managing and prefer defined processes.

Who Said This?

If you guessed Nikki Rasmussen at Tomah Memorial Hospital, you were correct! A few years ago, Nikki presented on how Tomah Memorial Hospital implemented FOTO. This year, Nikki was able to continue the story. Over the last few years, Tomah learned that they needed every rehabilitation patient to be in the FOTO system with a complete set of data. It is absolutely imperative that processes are in place to consistently obtain patient intake assessments and status assessments. Without patients sharing their perception of their functional level, there is no data.

Nikki spent some time discussing how important it was to maintain standardization in scripting for patient buy-in, maintain standardization in assisting patients and create enhanced patient engagement via both verbal and non-verbal communication. One huge area that had conversation generated during the conference revolved around standardization in assisting patients. Nikki highlighted the three R's: re-read, re-emphasize, re-state. Now that Tomah Memorial Hospital has data on the quality of care provided, Tomah's CEO has been in discussions with Blue Cross Blue Shield.

I gained something quite clinically relevant that I am really, really working on to help me be a better physical therapist. At the end of my initial evaluations, I am really trying to ask, "what questions do you have?" Thanks, Nikki, for that pearl! I know Nikki mentioned this little pearl when discussing satisfaction, but for me, I really, really think it does two other important things: 1) engages the patient and 2) enhances the relationship. So, thank you, Nikki, I need all the help I can get as I continually grow!

In the event you are curious about presentations from previous years, you can find them here. I have LOTS more to share from the most recent conference! Stay tuned!

Until next time,

~Selena