You Don’t Know  What You Don’t Know! How to Utilize Evidence Based Patient Reported Outcome Measures to Improve Care and Market Your Practice Selena Horner, PT [email_address] www.RedCedarPhysicalTherapy.com Part 2
 
What Can Be Learned? Focus on the lumbar spine
What if…. What if you knew your outcomes?
Swim  (1/2 mile) 18:20 Bike  (12 miles) 49:46 Run  (3.1 miles) 43:46 WILLIAMSTON, MI 48895     40-44  F Bib #1748 HORNER, SELENA
Sparrow Health System 7/1/2002 through 4/1/2004
What if you knew how you reached your outcomes? Sparrow Health System 7/1/2002 through 4/1/2004
Can you change your outcomes?
Red Cedar Physical Therapy, LLC 6/1/2005 through 9/29/2008
Red Cedar Physical Therapy, LLC 6/1/2005 through 9/29/2008
Red Cedar Physical Therapy, LLC 6/1/2005 through 9/29/2008
Red Cedar Physical Therapy, LLC 6/1/2005 through 9/29/2008 33.46 (20.14) 10.02 (6.79) 1.81 12.16 (10.45) 38.16 (17.59) 77.91 (21.87) 53.84 (25.21) 61 DC Reason Goals met & Plateau 31.34 (19.89) 9.4 (6.62) 1.36 16.51 (15.29) 38.94 (17.73) 75.54 (22.48) 54 (24.04) 70 Full Data Mean Duration of Episode of Care in Days  (SD) Mean # of Visits (SD) Effect  Size Mean Discharge  SFI (SD) Mean Initial  SFI (SD) Mean Discharge PF-10  (SD) Mean Initial PF-10 (SD) n n=113 61.94% Full Data
Sparrow Health System 7/1/2002 through 4/1/2004 32.87 (21.10) 11.82 (7.30) 1.36 23.85 (17.95) 45.02 (13.39) 66.67 (26.61) 48.33 (22.72) 39 Goals Met & Minimal Progress/Plateau 27.65 (20.71) 9.87 (7.19) .93 29.82 (19.78) 45.41 (14.08) 62.06 (27.38) 47.43 (23.82) 68 Full Data Mean Duration of Episode of Care in Days (SD) Mean # of Visits (SD) Effect Size Mean DC ODI (SD) Mean Initial ODI (SD) Mean DC PF-10 (SD) Mean Initial PF-10 (SD) n
Can you change your outcomes?
Yes… outcomes can change
You Don’t Know What You Don’t Know!
Can you market a specialty and see change?
Sparrow Health System 7/1/2002 through 4/1/2004
Red Cedar Physical Therapy, LLC 6/1/2005 through 9/29/2008
 
Can you educate on services and see change?
Sparrow Health System 7/1/2002 through 4/1/2004
Red Cedar Physical Therapy, LLC 6/1/2005 through 9/29/2008
Educating physicians on balance and falls increased referrals for balance and falls increasing the “other” category.
What about marketing to consumers?
Definitely! Flyers Brochures Website Responding to phone call inquiries Responding to cost Responding to visits and duration
 
Let data drive performance and decisions
Photos http://hscweb3.hsc.usf.edu/health/now/wp-content/PT_TrainingLrg.jpg www.anapolispt.com www.ct.gov http://www.towntopics.com/aug2207/sports1.jpg http://www.eglin.af.mil/shared/media/photodb/photos/080219-F-9708M-002.JPG http://asveentraders.com/images/consumers.jpg www.cartoonstock.com http://flickr.com/photos/tuffer/1812142625/sizes/l/ http://www.flickr.com/photos/tuffer/2211040447/sizes/m/
Special Thanks Billy Horner for his  assistance with graphs Alyssa Horner for her  encouragements and “that’s cool” Grant Horner, the best nephew, who can clean a bedroom and a kitchen because his aunt just had to get this done Scott Horner who always provides support with both teasing and honest feedback
And how could this ever be done without great colleagues! Deb Wildenhaus, PT for insight, support and stories Elizabeth Dean, PT & Al Kozlowski, PT for their assistance in the 2002 project  Dennis Hart, PT, Tim Richardson, PT & other therapists who maintained their anonymity on discussion boards for the engaging conversations that made me think Mark Brett, PT who really spurred me to take action because of my complete disagreement with him (and my desire to prove him wrong) combined with my dreams of the possibilities Rob Wainner, PT, John Childs, PT, Larry Benz, PT & Josh Cleland, PT for the 10  minute phone calls, the emails and conversations on my ever-changing interests or predicaments  Mike Ross, PT and JW Matheson, PT for making this fun and memorable
And last but not least… A little over a week prior to this presentation, Randy Moore volunteered  to assist in this session.  Thank you. Thanks to the Private Practice and Orthopaedic Sections for allowing us the  opportunity to share our diverse experience in outcomes. Thanks to all of you in attendance for this early morning last day session!  We appreciate knowing others are interested in this topic.

More Related Content

PPT
Direct Access to Physical Therapists: A Solution
PPT
You Don’t Know What You Don’t Know! Part 1
PPTX
Physical Therapy in the Emergency Department
PPTX
Physical Therapy in the Emergency Department
PPTX
Thesis Defense Presentation
PDF
Using Feedback and Clinical Outcome Tools to Improve Collaborative Practice a...
PDF
Latini_PC-PEP_longitudinal_AOSW2016
PDF
INSIGHT 2015
Direct Access to Physical Therapists: A Solution
You Don’t Know What You Don’t Know! Part 1
Physical Therapy in the Emergency Department
Physical Therapy in the Emergency Department
Thesis Defense Presentation
Using Feedback and Clinical Outcome Tools to Improve Collaborative Practice a...
Latini_PC-PEP_longitudinal_AOSW2016
INSIGHT 2015

Similar to You Don’t Know What You Don’t Know! Part 2 (20)

PDF
Sat 1420-prescribing-exercise- -arbutus
PPT
European Healthy Stadia Extract of Workshop Slides from Kathryn Curran and Da...
PDF
Agenda for the HFG "Better Health Governance, Better Health Systems - The Evi...
PDF
Computer rheum April 2021
PPTX
CSM 2017 Stout
PPTX
Transforming the Patient Experience HISA EHealth NSW
PPTX
Collaborative Peer Recovery Coaching or CPRC Research for those with Substanc...
PPT
introtohealhpolicyppt.ppt
PDF
VR is Good for Your Health: The Health Promotion, Prevention, and Treatment P...
PDF
Osteopathy vs Chiropractic vs Physiotherapy vs Massage Therapy, Differences &...
PPT
youth affairs organisation
PDF
Assessment Made Incredibly Easy, 4th Edition ( PDFDrive ) (1).pdf
PPTX
Whole Health for Pain and Suffering Day 1/2
PDF
Beaufort Memorial Hospital Living Well- Winter 2013
PPTX
Capstone_Presentation
PPT
Gray Gamers meet Rhythm Games
PPTX
Thinking Out of the Box: Treatment Planning Outside the Gym
PPTX
Whole Health in Your Practice Day 1/3 Afternoon
PPTX
Whole Health in Your Practice Day 2/3 Afternoon
PPT
Validation of Global Mental Health Scale - Prize Presentation
Sat 1420-prescribing-exercise- -arbutus
European Healthy Stadia Extract of Workshop Slides from Kathryn Curran and Da...
Agenda for the HFG "Better Health Governance, Better Health Systems - The Evi...
Computer rheum April 2021
CSM 2017 Stout
Transforming the Patient Experience HISA EHealth NSW
Collaborative Peer Recovery Coaching or CPRC Research for those with Substanc...
introtohealhpolicyppt.ppt
VR is Good for Your Health: The Health Promotion, Prevention, and Treatment P...
Osteopathy vs Chiropractic vs Physiotherapy vs Massage Therapy, Differences &...
youth affairs organisation
Assessment Made Incredibly Easy, 4th Edition ( PDFDrive ) (1).pdf
Whole Health for Pain and Suffering Day 1/2
Beaufort Memorial Hospital Living Well- Winter 2013
Capstone_Presentation
Gray Gamers meet Rhythm Games
Thinking Out of the Box: Treatment Planning Outside the Gym
Whole Health in Your Practice Day 1/3 Afternoon
Whole Health in Your Practice Day 2/3 Afternoon
Validation of Global Mental Health Scale - Prize Presentation

More from Selena Horner (6)

PPT
No Freedom When it Comes to Accessing Physical Therapists
PPT
The Fabulous #solvePT Community
PPT
Physical Therapists
PPT
Value Based Purchasing for Back Pain
PPT
CSM 2009 Why Outcomes are Relevant
PPT
CSM 2009 Trailer for You Don't Know What You Don't Know
No Freedom When it Comes to Accessing Physical Therapists
The Fabulous #solvePT Community
Physical Therapists
Value Based Purchasing for Back Pain
CSM 2009 Why Outcomes are Relevant
CSM 2009 Trailer for You Don't Know What You Don't Know

Recently uploaded (20)

PPTX
CARDIOVASCULAR AND RENAL DRUGS.pptx for health study
PPTX
09. Diabetes in Pregnancy/ gestational.pptx
PPT
neurology Member of Royal College of Physicians (MRCP).ppt
PPTX
NRP and care of Newborn.pptx- APPT presentation about neonatal resuscitation ...
PDF
MNEMONICS MNEMONICS MNEMONICS MNEMONICS s
PPTX
Reading between the Rings: Imaging in Brain Infections
PPTX
Post Op complications in general surgery
PPTX
IMAGING EQUIPMENiiiiìiiiiiTpptxeiuueueur
PPTX
Wheat allergies and Disease in gastroenterology
PDF
Calcified coronary lesions management tips and tricks
PDF
The_EHRA_Book_of_Interventional Electrophysiology.pdf
PDF
Transcultural that can help you someday.
PDF
SEMEN PREPARATION TECHNIGUES FOR INTRAUTERINE INSEMINATION.pdf
PDF
OSCE Series Set 1 ( Questions & Answers ).pdf
PDF
OSCE SERIES ( Questions & Answers ) - Set 3.pdf
PPTX
Electrolyte Disturbance in Paediatric - Nitthi.pptx
PPT
Infections Member of Royal College of Physicians.ppt
PPTX
thio and propofol mechanism and uses.pptx
PPTX
Neonate anatomy and physiology presentation
PDF
B C German Homoeopathy Medicineby Dr Brij Mohan Prasad
CARDIOVASCULAR AND RENAL DRUGS.pptx for health study
09. Diabetes in Pregnancy/ gestational.pptx
neurology Member of Royal College of Physicians (MRCP).ppt
NRP and care of Newborn.pptx- APPT presentation about neonatal resuscitation ...
MNEMONICS MNEMONICS MNEMONICS MNEMONICS s
Reading between the Rings: Imaging in Brain Infections
Post Op complications in general surgery
IMAGING EQUIPMENiiiiìiiiiiTpptxeiuueueur
Wheat allergies and Disease in gastroenterology
Calcified coronary lesions management tips and tricks
The_EHRA_Book_of_Interventional Electrophysiology.pdf
Transcultural that can help you someday.
SEMEN PREPARATION TECHNIGUES FOR INTRAUTERINE INSEMINATION.pdf
OSCE Series Set 1 ( Questions & Answers ).pdf
OSCE SERIES ( Questions & Answers ) - Set 3.pdf
Electrolyte Disturbance in Paediatric - Nitthi.pptx
Infections Member of Royal College of Physicians.ppt
thio and propofol mechanism and uses.pptx
Neonate anatomy and physiology presentation
B C German Homoeopathy Medicineby Dr Brij Mohan Prasad

You Don’t Know What You Don’t Know! Part 2

  • 1. You Don’t Know What You Don’t Know! How to Utilize Evidence Based Patient Reported Outcome Measures to Improve Care and Market Your Practice Selena Horner, PT [email_address] www.RedCedarPhysicalTherapy.com Part 2
  • 2.  
  • 3. What Can Be Learned? Focus on the lumbar spine
  • 4. What if…. What if you knew your outcomes?
  • 5. Swim (1/2 mile) 18:20 Bike (12 miles) 49:46 Run (3.1 miles) 43:46 WILLIAMSTON, MI 48895   40-44 F Bib #1748 HORNER, SELENA
  • 6. Sparrow Health System 7/1/2002 through 4/1/2004
  • 7. What if you knew how you reached your outcomes? Sparrow Health System 7/1/2002 through 4/1/2004
  • 8. Can you change your outcomes?
  • 9. Red Cedar Physical Therapy, LLC 6/1/2005 through 9/29/2008
  • 10. Red Cedar Physical Therapy, LLC 6/1/2005 through 9/29/2008
  • 11. Red Cedar Physical Therapy, LLC 6/1/2005 through 9/29/2008
  • 12. Red Cedar Physical Therapy, LLC 6/1/2005 through 9/29/2008 33.46 (20.14) 10.02 (6.79) 1.81 12.16 (10.45) 38.16 (17.59) 77.91 (21.87) 53.84 (25.21) 61 DC Reason Goals met & Plateau 31.34 (19.89) 9.4 (6.62) 1.36 16.51 (15.29) 38.94 (17.73) 75.54 (22.48) 54 (24.04) 70 Full Data Mean Duration of Episode of Care in Days (SD) Mean # of Visits (SD) Effect Size Mean Discharge SFI (SD) Mean Initial SFI (SD) Mean Discharge PF-10 (SD) Mean Initial PF-10 (SD) n n=113 61.94% Full Data
  • 13. Sparrow Health System 7/1/2002 through 4/1/2004 32.87 (21.10) 11.82 (7.30) 1.36 23.85 (17.95) 45.02 (13.39) 66.67 (26.61) 48.33 (22.72) 39 Goals Met & Minimal Progress/Plateau 27.65 (20.71) 9.87 (7.19) .93 29.82 (19.78) 45.41 (14.08) 62.06 (27.38) 47.43 (23.82) 68 Full Data Mean Duration of Episode of Care in Days (SD) Mean # of Visits (SD) Effect Size Mean DC ODI (SD) Mean Initial ODI (SD) Mean DC PF-10 (SD) Mean Initial PF-10 (SD) n
  • 14. Can you change your outcomes?
  • 16. You Don’t Know What You Don’t Know!
  • 17. Can you market a specialty and see change?
  • 18. Sparrow Health System 7/1/2002 through 4/1/2004
  • 19. Red Cedar Physical Therapy, LLC 6/1/2005 through 9/29/2008
  • 20.  
  • 21. Can you educate on services and see change?
  • 22. Sparrow Health System 7/1/2002 through 4/1/2004
  • 23. Red Cedar Physical Therapy, LLC 6/1/2005 through 9/29/2008
  • 24. Educating physicians on balance and falls increased referrals for balance and falls increasing the “other” category.
  • 25. What about marketing to consumers?
  • 26. Definitely! Flyers Brochures Website Responding to phone call inquiries Responding to cost Responding to visits and duration
  • 27.  
  • 28. Let data drive performance and decisions
  • 29. Photos http://hscweb3.hsc.usf.edu/health/now/wp-content/PT_TrainingLrg.jpg www.anapolispt.com www.ct.gov http://www.towntopics.com/aug2207/sports1.jpg http://www.eglin.af.mil/shared/media/photodb/photos/080219-F-9708M-002.JPG http://asveentraders.com/images/consumers.jpg www.cartoonstock.com http://flickr.com/photos/tuffer/1812142625/sizes/l/ http://www.flickr.com/photos/tuffer/2211040447/sizes/m/
  • 30. Special Thanks Billy Horner for his assistance with graphs Alyssa Horner for her encouragements and “that’s cool” Grant Horner, the best nephew, who can clean a bedroom and a kitchen because his aunt just had to get this done Scott Horner who always provides support with both teasing and honest feedback
  • 31. And how could this ever be done without great colleagues! Deb Wildenhaus, PT for insight, support and stories Elizabeth Dean, PT & Al Kozlowski, PT for their assistance in the 2002 project Dennis Hart, PT, Tim Richardson, PT & other therapists who maintained their anonymity on discussion boards for the engaging conversations that made me think Mark Brett, PT who really spurred me to take action because of my complete disagreement with him (and my desire to prove him wrong) combined with my dreams of the possibilities Rob Wainner, PT, John Childs, PT, Larry Benz, PT & Josh Cleland, PT for the 10 minute phone calls, the emails and conversations on my ever-changing interests or predicaments Mike Ross, PT and JW Matheson, PT for making this fun and memorable
  • 32. And last but not least… A little over a week prior to this presentation, Randy Moore volunteered to assist in this session. Thank you. Thanks to the Private Practice and Orthopaedic Sections for allowing us the opportunity to share our diverse experience in outcomes. Thanks to all of you in attendance for this early morning last day session! We appreciate knowing others are interested in this topic.