"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

Monday, April 4, 2011

Is Your Electronic Medical Record Ready for Medicare ACO's?

Never ask this question at a party with private practice physical therapist clinic owners:

"So, what's the ROI on your EMR?"

Chances are the party-like mood will end and you'll be left alone, staring at your drink, wondering what happened.

Electronic Medical Records never did promise much return even under traditional Fee-For-Service. Now, under new Medicare ACO's these old models promise to return even less.

A new report called Better to Best: Value Driving Elements of the Patient Centered Medical Home and Accountable Care Organizations calls into question the current versions of your Electronic Medical Records (EMR).

The report from the Commonwealth Fund, the Dartmouth Institute for Health Policy and Clinical Practice, and the Patient-Centered Primary Care Collaborative is a consensus statement from a meeting that took place September 8th, 2010.

Today's health IT...
"...was developed to support a traditional fee-for-service, visit-based reimbursement model, with the focus on documentation requirements to support a billing function,"
according to David Nace, MD, a McKesson executive quoted in the report."
"Health IT requires new functional capabilities, such as the following:
  • multiple team member access and permissions 
  • care management workflow support 
  • integrated personal health records
  • registry functionalities
  • clinical decision support
  • measurement of quality and efficiency
  • robust reporting.
 An interconnected health IT network with key capabilities that optimize engagement, coordinate care and support the implementation of value-based payments is required to support Patient Centered Medical Home (practice) and Accountable Care Organization (enterprise) practice transformation."
For a look at a free, functioning version of a Clinical Decision Support system I've been using in my clinic since 2006 to improve quality, such as PQRS, and guarantee Medicare compliance go to BulletproofPT.com.


  1. Interesting post! Thanks for your tips. I will surely follow it.


  2. For electronic medical record,it is necessary to make or manage the department where all the data for the patients must be kept properly.
    Physical Therapy Billing


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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"

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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.