FOTO Rehab Outcomes

Part 3 - Outcomes Conference Wrap Up: Who Said This?

Today's post focuses on a couple of sessions tipping toward the research side of the spectrum of things. One of the cool aspects of FOTO's Outcomes Conference is how it brings together three aspects of outcomes: business, research and clinical.

Last week I published the second in a series about the outcomes conference. 

Who Said This?

Karon_Cook_FOTO_CAT

If you guessed Karon Cook at Northwestern University Feinberg School of Medicine, you are correct! Of course, CAT refers to Computer Adaptive Testing.

Up until September 2015 if you were to search research for a patient reported outcome measure for the cervical spine that can be assessed using computer adaptive testing you would not find anything. There is now a Neck Functional Status Questionnaire computerized adaptive test. Karon reviewed the stages and processes involved in creating an item bank and the psychometric analyses involved in creating the FOTO Neck CAT. 

One thing that Karon did is illustrate what it is like to think like the FOTO CAT. She created the CAT game. Contestants were given a functional item, like say looking up to see a bird combined with the level of difficulty a patient reported for that activity. The contestant was to guess the next item the FOTO CAT would ask the patient based upon the patient's given response. It was great to see a lot of laughs combined with a broad audience "getting" how the FOTO CAT does what it does.

Who Said This?

Jason_Rodeghero_Impact_of_Education_on_Outcomes

If you guessed Jason Rodeghero at OSF HealthCare, you are correct! 

Jason presented some new research findings that have not been published as of yet. A few years back we heard from Rob Wainner about the differences in physical therapy outcomes between residency and fellowship trained physical therapists. The findings were favorable for fellowship trained physical therapists. 

You know how as clinicians we take various assessment findings and create a cluster that basically rules in or rules out a condition? Well, Jason presented upcoming research that creates educational clusters. Think of physical therapists and their educational pathways... licensed with a DPT.... certified (OCS)... fellowship trained (FAAOMPT). Physical therapists could have a mix of these credentials or none of these credentials, right? The question: does it matter?

Based on the above slide, it appears that less credentials does increase the risk of a poorer outcome. Jason was focused on DPT, OCS and FAAOMPT. I wonder if there is a recommended mix of credentials? Is there a point where adding another credential doesn't provide further bang for the buck in acquiring a better outcome? And... what if MDT were added to the mix? What does that credential add alone or in combination?

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