"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, June 12, 2012

Treatment Based Classification: Where Does it Fit In?

A recent webinar from the Healthcare Information Management Systems Society (HiMSS) called Improving Care with Predictive Analytics: The Next Generation of Clinical Decision Support offered this nice schematic of where decision rules fit into the "black box" that we call clinical decision making.

I've circled in red the "Rule Based" decision format used by TBC

CDS = clinical decision support, ANN = artifical neural network

Individual, idiosyncratic clinician decision making is not pictured in this schematic - just computer based.

I'm hopeful that, going forward, that these types of decision support will continue to expand to incorporate more of physical therapist practice.

I believe that handing off some of the automatic functions, such as documentation, will enable physical therapists to spend more time face-to-face with their patients.

My new book, pictured in the upper left hand corner of this page, describes the current state of Clinical Decision Support in  physical therapy and where we can go from here.

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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American Physical Therapy Association

American Physical Therapy Association
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.