This is not the final action for this piece of legislation since it still needs to pass the Florida Senate.
Great job from the grassroots so far.
Let's keep it up!
"Sensitivity analyses demonstrated that the service would remain cost effective until the service costs were increased to 160% per user."More studies like this need to be done that measure the cost effectiveness of surgery, injections and pharmaceuticals in the treatment of musculoskeletal pain syndomes affecting workers.
|Rules-based medicine is the "technological enabler" that physical therapists need to "steal" physician market share|
"Work that was once intuitive and complex becomes routine, and specific rules are eventually developed to handle the steps in the process.
Abilities that previously resided in the intuition of a select group of experts ultimately become so explicitly teachable that rules-based work can be performed by people with much less experience and training...
The term "technology" that we use here refers to... mathematical equations (algorithms)...
However, at the heart of this evolution of work is the conversion of complex, intuitive processes into simple rules-based work, and the handoff of this work from expensive, highly trained experts (physicians) to less costly providers (physical therapists, nurses, physician assistants, etc.)."Clinical decision rules are available now which can help physical therapists diagnose the following patients BETTER than the unaided physician:
"To improve the efficiency of your note writing, eliminate words or phrases that don't lend to the quality of the note such as, "Patient reports they really enjoy coming to therapy".
Instead write, "Patient reports now being able to bend their knee to tie their shoe."
The first statement, who cares? The second statement is a subjective report of objective functional improvement."What's so bad about this advice?
"Although PTs are not yet required or incentivized to adopt EHR systems for such initiatives as Medicare's Meaningful Use Program, which in 2015 will penalize eligible providers that do not meet the requirements for "meaningful use," physicians and facilities that are included in the program will expect the PTs with whom they share patients use compatible EHR systems."In other words, physical therapists are not yet invited to the party but we need to get dressed like we're going anyways :)
|Rule||Author||Year||Level of Rule Development|
|Presence of Community Acquired Pneumonia||Heckerling et al||1990||Level 1 Impact Analysis|
|Ottawa Ankle and Foot Rules||Stiell et al||1992||Level 1 Impact Analysis|
|Well's Criteria for Deep Vein Thrombosis||Well's et al||1995||Level 1 Impact Analysis|
|Ottawa Knee Rule||Stiell et al||1996||Level 1 Impact Analysis|
|Canadian Cervical Spine Rule for Alert and Stable Trauma Patients||Stiell et al||2001||Level 1 Impact Analysis|
|Cancer Rule in Lower Back Pain Patients||Joines et al||2001||Cost Effectiveness study|
|Carpal Tunnel Syndrome||Wainner et al||2005||Derivation|
|Elbow Fracture in Trauma or Sports patients||Appelboam et al||2008||Level 2 Narrow Validation|
|Screening for Vertebral Fractures in Patients with Lower Back Pain||Henschke et al||2009||Derivation|
|Stroke in Dizzy Patients||Kattah et al||2011||Derivation|