Post 77 keeping the doors open

“We must now have 12% to 15% of our weekly visits as new patient visit… There is an increased financial responsibility being placed on our patients to higher co-pays and adaptable, less resulting in fewer visits per week causing the potential for greater noncompliance with their prescribed plan of care.”
I guess I never really thought about this. When I was in private practice if we had 10 patients per week for me and for new evals, then we knew that we would remain busy for the next four weeks. With patients coming in for fewer and fewer visits, the rest of the week needs to still be filled with patients otherwise they will be therapist sitting around feeling their pumps. This means that we have to get more patients in the door for new evaluation. I don’t know if I agree with the fact that a patient coming into therapy for fewer days per week will lead to a lack of compliance, because compliance or better yet therapeutic alliance is more related to the communication that takes place between the therapist and clinician while the patient is in front of the therapist. I have many patients that I’ve been very compliant and active with her home exercise program even though I may only see them once every other week.
“If your therapist are not 85% efficient according to their schedule, maximizing their productivity per visited , and getting raving feedback in writing from both her patient in your referral sources, then you have found a good place to start.”
Again, it has to be said that productivity is not a bad word. Businesses need to keep their doors open. The only way that they can keep their doors open is to make money. The only way to make money, is to have your time settled with activities that actually make money. This is the definition of productivity. How much money are you making per hour for the company. When you consider that the average cost per session is $70 and the reimbursement from Medicare ranges from $9200, there is not a large margin when you are treating Medicare patients. So if your therapist is not busy making money all day long, this is a good place to start. The people who generate income must be generating income. Know the people on the team must be excellent. Period when I want their communication skills have to be excellent, their clinical skills have to be excellent, and their ability to work within a team must be excellent. Obviously, not every therapist is at that point yet. If I work for a team that has therapist that aren’t at this level, then I hope that this team is doing its best to coach everyone up to that level.
Gallagher BJ. Scheduling the next visit: Ensure your patients follow through with treatment with one simple task. Impact. Sept 2016. 33-36.

Author: Dr. Vince Gutierrez, PT, cert. MDT

After having dedicated 8 years to growing my knowledge regarding the profession of physical therapy, it seems only fitting that I join the social media world in order to spread a little of the knowledge that I have gained over the years. This by no means is meant to act in place of a one-one medical consultation, but only to supplement your baseline knowledge in which to choose a practitioner for your problem. Having completed a Master of Physical Therapy degree, the MDT (Mechanical Diagnosis and Therapy) certification and currently finishing a post-graduate doctorate degree, I have spent the previous 12 years in some sort of post-baccalalaureate study. Hopefully the reader finds the information insightful and uses the information in order to make more informed healthcare decisions. MISSION STATEMENT: My personal mission statement is as follows: As a professional, I will provide a thorough assessment of your clinical presentation and symptoms in order to determine both the provocative and relieving positions and movements. The assessment process and ensuing treatment will be based on current and relevant evidence. Furthermore, I will educate the patients regarding their symptoms and their likelihood of improving with either skilled therapy, an independent exercise program, spontaneous recovery or if the patient should be referred to a separate specialist to possibly provide a more rapid resolution of symptoms. Respecting the patient’s limited resources is important and I will provide an accurate overview of the prognosis within 7 visits, again based on current research. My goal is to empower the patient in order to take charge of both the symptomatic resolution and return to full function with as little dependence on the therapist as possible. Personally, I strive to be an example for family and friends. My goal is to demonstrate that success is not a byproduct of situations, but a series of choices and actions. I will mentor those, in any way possible, that are having difficulty with the choices and actions for success. I will continue to honor my family’s “blue-collar” roots by working to excel at my chosen career and life situations. I choose to be a leader of example, and not words, all the while reducing negativity in my life. I began working towards the professional aspect of the mission statement while still in physical therapy school. By choosing an internship that emphasized patient care and empowering the patient, instead of the internship that was either closest to home or where I knew that I would have the easiest road to graduation, I took the first step towards learning how to utilize the evidence to teach patients how to reduce their symptoms. I continued this process by completing Mechanical Diagnosis and Therapy courses A-D and passing the credentialing exam. I will continue to pursue my clinical education through CEU’s on MDT and my goal is to obtain the status of Diplomat of MDT. Returning back to school for the t-DPT was a major decision for me, as resources (i.e. time and money) are limited. My choice was between saving money for the Dip MDT course (about 15,000 dollars) and continuing on with the Fellowship of American Academy of Orthopedic Manual Physical Therapists (FAAOMPT) (about 5,000 dollars), as these courses are paired through the MDT curriculum or returning to school to work towards a Doctorate of Physical Therapy degree. I initially planned on saving for the Dip MDT and FAAOMPT, but life changes forced me to re-evaluate my situation. The decision then changed to return for the tDPT, as my employer paid for a portion of the DPT program. My goal for applying to and finishing the Dip MDT and FAAOMPT is 10 years. This is how long I anticipate that it will take to finish paying student loans and save for both programs, based on the current rate of payment. I don’t know if I will ever accomplish what I set forth in the mission statement, but I do know that it will be a forever struggle to maintain this standard that I set for myself.

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