FOTO Rehab Outcomes

Oct 08, 2017 | Selena Horner

Physitrack or FOTO for Your Rehabilitation Outcomes

The world of rehabilitation outcomes and all it entails: measuring, managing, marketing, negotiating and engaging now has value to clinicians and leaders within the walls in which rehabilitation services are provided.  Products are being created to jump into the outcomes world. Products that were originally created to serve a specified purpose are now being designed with add-ons to increase diversity.

Earlier this summer, I read something in MedCity News that had me contemplating why Physitrack would be compared with FOTO.

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Oct 01, 2017 | Selena Horner

Musculoskeletal Service Delivery in Primary Care

Typically when I voice my thoughts on working with physicians, the immediate response is negative in nature. The responder's immediate thought is physician self-referral and that conflict of interest. This sadly limits the conversation and also limits the ability to think of possibilities. The physician shortage is real and affecting patients. In my little town, patients may wait 3-6 weeks before being seen by their primary care physician for an acute condition. A patient scheduling for a preventative care physical typically waits about 6 months for that particular appointment. I have worked on educating my patients about patient self-referral (direct access). The physicians have been supportive. I continue to wonder "what if?" What if physical therapists were in primary care physician offices to be part of the team to help improve access to care so care is delivered in a more timely manner? Now that times have changed, the idea of physician self-referral is not really an issue in that setting because most physicians have sold out to hospital organizations.

The study I am sharing digs into the "what if" I've been wondering about for years.

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Sep 24, 2017 | Selena Horner

What Makes a Good Clinical Prediction?

When it comes to predicting outcomes, one of the most important questions you can ask is, "how much variance is explained?" The savvy person focuses on this question because the accuracy of the prediction depends on the response to this question.  If a prediction is used for future decisions, like quality payment programs, then you want the most accurate prediction possible.

To have 100% variance explained is quite improbable.  Teams creating prediction models are focused on as high amount of variance explained as possible.

How much information should patients be providing to help explain variance?

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Sep 21, 2017 | Selena Horner

Total Knee Arthroplasty and Blood Flow Restriction Training

I know a physical therapist who is highly involved in blood flow restriction training research.  The results of blood flow restriction training are quite impressive for the individuals in which it was intended: for those who have severe exercise restrictions due to procedures the soldiers have underwent.

This study has me pause and wonder. Do you have similar thoughts?

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Sep 20, 2017 | Selena Horner

Patients' Perceptions and Expectations

Although many hang their hats on quantitative studies and randomized controlled trials, I appreciate qualitative studies. I find the thoughts and perspectives that people have to be quite interesting. Qualititative studies that shed light on what people think are golden insights that can be used to improve delivery of services and outcomes.

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Sep 18, 2017 | Selena Horner

Can You Defend Your Value?

Quite a bit has been on my mind recently. My specialty is working with older adults.  My FOTO profile compares my patient demographics with FOTO's large database. My profile indicates my practice is quite different and is heavily weighted with a really high percentage of patients who are 65+.  This was great to see because I have worked at ensuring I target those who are 65+ in my community and with local physicians.  

As I was looking at my company's profile data, my gut dropped when I saw how many of the patients treated have a lot of co-morbidities. My initial gut response was a bit of worry. You see, I am categorized as an individual provider by a company called Evicore. Evicore has a contract with Blue Cross Blue Shield of Michigan to categorize the level of care I provide to patients.  Evicore is also contracted to be a gatekeeper and provides authorization for physical therapy services based on a provider's category. 

My initial gut response was because Evicore doesn't really base a provider's category on a strong risk adjustment process. If my patients take more time to achieve outcomes, how can I 1) show that my patients are different than the typical practice and 2) provide real outcomes of care for patients who have a specific payer?

Do you know how you can use FOTO to be your defender?

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