"Physical therapy is not a subspecialty of the medical profession and physical therapists are not medical doctors; we are a separate profession that provides a unique service that physicians are unable and untrained to provide."

Letter to the AMA from the APTA, Dec 2009

Tuesday, February 17, 2009

Get 'Bulletproof' Physcial Therapist Decisions

Get a blueprint for Bulletproof Decision Making courtesy of the Orthopedic Section of the American Physical Therapy Association (APTA).

Full disclosure: Bulletproof Decision Making is an independent project and is not endorsed by the APTA or the Orthopedic Section.

One of the 'Brand Personalities' from APTA's new Move Forward branding campaign is...
"Completing flawless and thorough documentation to insurance companies"
How do we do that?

One way to get 'flawless and thorough documentation' is the new Hip Pain and Osteoarthritis Clinical Practice Guideline from the Orthopedic Section of the APTA.

This practice guideline is special in that it is the first guideline to include measures of Activity Limitations and Participation Restrictions.

So what?

Patients can 'self report' their activity limitations using a scale such as the OPTIMAL (eg: squatting).

The new hip guideline includes measures (eg: Functional Squat Test) that objectively measure these self-reported activity limitations.

The first two guidelines (heel pain and neck pain) do not include standardized activity and participation measures.

Some Medicare experts deride patient self-report scales (like the OPTIMAL).

They say the OPTIMAL is not objective.

I think it is.

Here is evidence that OPTIMAL is objective.

If you base your Medicare compliance program on the OPTIMAL (like I do) then you may want to prepare yourself.

The new hip guidelines give you better data about patient function and are consistent with the philosophy of Bulletproof Decisions.

I can't think of a better definition for Bulletproof than "flawless and thorough".

Can you?

Free Tutorial

Get free stuff at BulletproofPT.com

Tim Richardson, PT owns a private practice at Medical Arts Rehabilitation, Inc in Palmetto, Florida. The clinic website is at MedicalArtsRehab.com.

Bulletproof Expert Systems: Clinical Decision Support for Physical Therapists in the Outpatient Setting is a manager's workbook with stories, checklists, charts, graphs, tables, and templates describing how you can use paper-based or computerized tools to improve your clinic's Medicare compliance, process adherence and patient outcomes.

Tim has implemented a computerized Clinical Decision Support (CDS) system in his clinic since 2006 that serves as a Reminder, Alerting, Prompting and Predicting CDS using evidence-based tests and measures.

Tim can be reached at
TimRichPT@BulletproofPT.com .

"Make Decisions like Doctors"

Copyright 2007-2010 by Tim Richardson, PT.
No reproduction without authorization.

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Consistent with the American Physical Therapy Association Vision Statement for Physical Therapy 2020, the American Physical Therapy Association supports exclusive physical therapist ownership and operation of physical therapy services.