Show Time<br />
Welcome<br />New Employee Orientation<br />
Why am I here?<br />Goals for today.<br />To have a good understanding of the PTC Tribe and all the  members and their res...
Ice Breaker<br />Introduce  yourself<br />Where are you from ?<br />Any brothers or sisters ?<br />Where did you go to col...
10 Questions<br />Who is your favorite cartoon character?<br />What is your favorite food?<br />What is your favorite thin...
My Job as CEO<br />We are on a journey and it is my job to climb the mountain and keep PTC moving forward.<br />A never en...
Professional Development<br />Our most valuable assets are our people. <br />PTC takes pride in development of our future ...
Who are we ?<br />We are therapist owned<br />Teamwork<br />How we started<br />Video of the early years<br />What is to c...
Who is INC ?<br />Centralized billing company<br />Administration<br />Human Resources<br />Health Insurance<br />IRA<br /...
Brand<br />Forward your  ptcentral email to any mail account you want.<br />Brand your email signature<br />
True Color Profile<br />Personality Test<br />To understand insights into your personality, communication style.<br />Insi...
True Colors<br />Watch Video<br />Does this match how you see yourself?<br />How does your personality affect your communi...
Blue<br />Friendly, helpful, optimistic, wants harmony<br />They first focus on establishing a relationship<br />They want...
Gold<br />Respectful and responsible, they listen for detail.<br />Purposeful, supportive of the rules, detailed oriented....
Green<br />They focus on the matter at hand, not on the relationship.<br />Logical, big picture, questioning.<br />Tips<br...
Orange<br />Wants to share their opinion, taking action, expedient.<br />Now oriented, fast paced, straightforward, active...
Lamp fell to floor<br />Blue<br />Are you all right<br />Emotionally are you OK<br />Gold<br />Organization mode<br />Get ...
The clinic owner<br />Is very busy and has 10 things on their mind<br />We think about payroll<br />Referral sources<br />...
PTC<br />Vision<br />Mission<br />To be the provider of choice for out-patient orthopedic physical therapy services in Okl...
What are Core Values?<br />Guide our Business<br />Clarify who we are<br />Articulate what we stand for<br />Influence our...
Core Values<br />Be Humble and Kind<br />Be Passionate and Determined<br />Build a Positive Team<br />Pursue Growth and Le...
Professional Development Training Program<br />Goal<br />To provide mentorship and structured learning.<br />Orientation <...
NetworkPartner<br />We have partnered with EIM to provide residency and fellowship training.<br />Join the conversation<br...
Professional Development<br />6 Month Review<br />Appendix B<br />Email to me<br />Educata<br />Differential Diagnosis<br ...
APTA Membership<br />Mandatory<br />Attend one APTA or OPTA event per year.<br />Attend one Western District Meeting per y...
OPTA<br />Board of Directors<br />Western District<br />Jeff Jankowski – President<br />Debbie Christian – 1st VP<br />Tam...
Clinical Review Meeting	<br />The first Thursday of the month.<br />7:00-8:30 PM<br />Mandatory 80% attendance<br />No mee...
PTC Employee Manual<br />Read – p. 4-6<br />Initial Employment Period – 90 days<br />Wage Policy<br />Pay day – direct dep...
Work Hours7:30 am - 7:00 pm<br />You will be scheduled about 38 hours of direct patient care.<br />You will have two hours...
Performance Reviews<br />6 month review<br />This is a mid term check up<br />Set some goals<br />Make sure you are on tra...
Gift Policy<br />Solicitation or encouragement of gifts are strictly prohibited.<br />All gifts must be disclosed to clini...
Job Description<br />Customer Loyalty<br />Build a Team<br />Excellent Communication<br />Handle Stress<br />Live by our C...
Social Media<br />Join us on FB<br />Employee pages<br />Google account<br />Shared Calendars<br />Groups<br />Twitter<br ...
How to make a decision<br />Is it legal?<br />Is it ethical?<br />Is it in line with PTC core values?<br />Am I willing to...
Why Document?<br />Professional responsibility and legal requirement.<br />Support payment of service.<br />Documentation ...
CMS<br />Insufficient Documentation <br />Top 7<br />Identified by Medicare<br />Therapeutic Exercise 97110<br />Manual Th...
Documentation<br />Skilled Care<br />Medical Necessity<br />Clinical decision making<br />Why choose intervention<br />Fun...
Documentation<br />Tips<br />Avoid<br />Update goals<br />Highlight progress<br />Write progress reports<br />“Function”<b...
Goals<br />Poor Goals<br />Functional Goals<br />Increase shoulder flexion to 150 degrees <br />Decrease pain <br />Improv...
Defensible Documentation<br />APTA - resource<br />FAQ Documentation<br />Checklist<br />Top 10<br />Components of Documen...
Billing<br />Standards<br />Charges<br />Standards<br />Average 15 patients a day<br />Units billed 4 to 5 per patient<br ...
MedicareException<br />Exception Process<br />Automatic Exceptions<br />Cap is $ 1860 annually<br />Can use for any diagno...
Medicare<br />Requirements<br />Timed Codes<br />Evaluation<br />POC<br />90 days<br />Progress Notes<br />Use outcome mea...
Thrive during Change<br />video<br />
Have Fun at Work<br />Choctaw<br />Newcastle<br />Chickasha<br />
Summary<br />PTC is a business, but our business is personal.<br />You are here because you can strengthen our tribe and w...
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PTC Employee Orientation

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PTC Employee Orientation

  1. 1. Show Time<br />
  2. 2. Welcome<br />New Employee Orientation<br />
  3. 3. Why am I here?<br />Goals for today.<br />To have a good understanding of the PTC Tribe and all the members and their responsibilities.<br />To understand your role and responsibility.<br />To review our core values and explain how we use those values to run our business.<br />To begin your journey of professional development.<br />To go through the professional development plan<br />
  4. 4. Ice Breaker<br />Introduce yourself<br />Where are you from ?<br />Any brothers or sisters ?<br />Where did you go to college ?<br />Family <br />Hobbies<br />
  5. 5. 10 Questions<br />Who is your favorite cartoon character?<br />What is your favorite food?<br />What is your favorite thing to do?<br />What is the top thing on your bucket list?<br />Wine or Beer – why?<br />If a sign said, “Don’t walk on the grass.” Would you?<br />Why did you become a PT/PTA? Can’t say to help people.<br />List three things to do with a blanket.<br />What is your favorite TV show, movie or book?<br />If you could meet one person who would it be? Why?<br />
  6. 6. My Job as CEO<br />We are on a journey and it is my job to climb the mountain and keep PTC moving forward.<br />A never ending journey<br />I want to create change and movement<br />Always want to improve<br />Status Quo is unacceptable<br />Failure is not an option<br />True Grit – vimeo video<br />
  7. 7. Professional Development<br />Our most valuable assets are our people. <br />PTC takes pride in development of our future leaders.<br />PTC will grow or die on your shoulders.<br />Goal of the program is mentorship.<br />This starts today with our meeting.<br />
  8. 8. Who are we ?<br />We are therapist owned<br />Teamwork<br />How we started<br />Video of the early years<br />What is to come…<br />Why this works<br />
  9. 9. Who is INC ?<br />Centralized billing company<br />Administration<br />Human Resources<br />Health Insurance<br />IRA<br />Training<br />Hire and train office managers<br />
  10. 10. Brand<br />Forward your ptcentral email to any mail account you want.<br />Brand your email signature<br />
  11. 11. True Color Profile<br />Personality Test<br />To understand insights into your personality, communication style.<br />Insight will give you better tools to be able to communicate.<br />Complete the profile<br />
  12. 12. True Colors<br />Watch Video<br />Does this match how you see yourself?<br />How does your personality affect your communication?<br />How can you use this information?<br />
  13. 13. Blue<br />Friendly, helpful, optimistic, wants harmony<br />They first focus on establishing a relationship<br />They want to help others<br />Tips<br />Acknowledge them, show appreciation<br />Include them<br />Have patience and don’t “bark” orders<br />
  14. 14. Gold<br />Respectful and responsible, they listen for detail.<br />Purposeful, supportive of the rules, detailed oriented.<br />Loyal and devoted. Will have a list and check it off.<br />Tips<br />Be prepared and give details, be consistent. Show respect and recognize their contributions.<br />
  15. 15. Green<br />They focus on the matter at hand, not on the relationship.<br />Logical, big picture, questioning.<br />Tips<br />Allow them time to ponder, skip the “small” talk, avoid redundancy. Give big picture or point first, then fill in the details.<br />Don’t miss interrupt their need for info as interrogation<br />
  16. 16. Orange<br />Wants to share their opinion, taking action, expedient.<br />Now oriented, fast paced, straightforward, active and involved.<br />Tips<br />Use sound bites to communicate, move with them and multi-task, allow options and flexibility, lighten up.<br />Stick to business<br />
  17. 17. Lamp fell to floor<br />Blue<br />Are you all right<br />Emotionally are you OK<br />Gold<br />Organization mode<br />Get a broom<br />Fill out an incident report<br />Green<br />I wonder why that fell<br />They will stop what they are doing to ponder<br />Orange<br />Lets just scoot that out of the way and let’s keep going<br />
  18. 18. The clinic owner<br />Is very busy and has 10 things on their mind<br />We think about payroll<br />Referral sources<br />Clinic is too busy or too slow<br />Marketing<br />When you have something on your mind – please find us, stop us and ask to talk.<br />We are all here for you.<br />
  19. 19. PTC<br />Vision<br />Mission<br />To be the provider of choice for out-patient orthopedic physical therapy services in Oklahoma.<br />To get you….<br /> Back to Work.<br /> Back to Play.<br /> Back to Life.<br />
  20. 20. What are Core Values?<br />Guide our Business<br />Clarify who we are<br />Articulate what we stand for<br />Influence our decisions<br />Essential Tenets<br />
  21. 21. Core Values<br />Be Humble and Kind<br />Be Passionate and Determined<br />Build a Positive Team<br />Pursue Growth and Learning<br />Be Progressive and Embrace Change<br />Be Respectful and Gracious<br />Live with Integrity<br />Create FUN and Laughter<br />
  22. 22. Professional Development Training Program<br />Goal<br />To provide mentorship and structured learning.<br />Orientation <br />Required to complete Level I<br />12 Month s<br />You are responsible to submit the assignments<br />Step One<br />Meet with Mentor<br />Schedule monthly meetings.<br />1 on 1 mentoring for patient care<br />Fill in form and email<br />Reading List<br />All are due 4 months from now<br />
  23. 23. NetworkPartner<br />We have partnered with EIM to provide residency and fellowship training.<br />Join the conversation<br />Sign up for a free account<br />www.evidenceinmotion.com<br />
  24. 24. Professional Development<br />6 Month Review<br />Appendix B<br />Email to me<br />Educata<br />Differential Diagnosis<br />Exercise Tolerance<br />Email me when complete<br />Condition Specific Algorithm<br />Dropbox<br />JOSPT<br />Read for Credit<br />Two <br />
  25. 25. APTA Membership<br />Mandatory<br />Attend one APTA or OPTA event per year.<br />Attend one Western District Meeting per year.<br />If you do not – will reimburse the clinic 50% of your dues.<br />
  26. 26. OPTA<br />Board of Directors<br />Western District<br />Jeff Jankowski – President<br />Debbie Christian – 1st VP<br />Tamara Hart – 2nd VP<br />Vince Lepak – Secretary<br />Mike Strakal – Treasurer<br />Peggy Newman – Chief Delegate<br />Debbie Simmons – PTA Caucus Rep<br />Samantha Klepper – Chair<br />Tara Lindsey – Vice Chair<br />Bridgit Finley – Director<br />Jennifer Edwards – Secretary<br />RaeAnn Thomas – Treasurer<br />Amy Lee, Christy Brashares & Shawn Houck – Nominating Committee<br />
  27. 27. Clinical Review Meeting <br />The first Thursday of the month.<br />7:00-8:30 PM<br />Mandatory 80% attendance<br />No meeting in July or December<br />In OKC office<br />
  28. 28. PTC Employee Manual<br />Read – p. 4-6<br />Initial Employment Period – 90 days<br />Wage Policy<br />Pay day – direct deposit<br />Bi-monthly<br />Benefits<br />PTO – two weeks<br />CE<br />Holidays<br />Paid Dues<br />Mentoring<br />
  29. 29. Work Hours7:30 am - 7:00 pm<br />You will be scheduled about 38 hours of direct patient care.<br />You will have two hours a week for paperwork.<br />You are a professional and at times will be expected to work patients into your schedule and expand.<br />You will be scheduled to work late to accommodate patients.<br />If you work late you may come in late and work 11-7pm<br />Or work a split shift<br />
  30. 30. Performance Reviews<br />6 month review<br />This is a mid term check up<br />Set some goals<br />Make sure you are on track<br />Plan for the future<br />Annual Review<br />Scheduled with clinic director and Bridgit<br />Will fill out performance review paperwork before<br />Eligible for a raise<br />
  31. 31. Gift Policy<br />Solicitation or encouragement of gifts are strictly prohibited.<br />All gifts must be disclosed to clinic owner/manager.<br />No gifts can be accepted >$50 value.<br />All gifts will be shared.<br />
  32. 32. Job Description<br />Customer Loyalty<br />Build a Team<br />Excellent Communication<br />Handle Stress<br />Live by our Core Values<br />Must be OPTA/APTA member<br />EBP<br />Work with Students<br />Flexibility in Working Hours<br />Must be professional<br />Hours worked<br />Flexibility<br />
  33. 33. Social Media<br />Join us on FB<br />Employee pages<br />Google account<br />Shared Calendars<br />Groups<br />Twitter<br />PhThCentral<br />Review Policy<br />Flip Camera <br />When you post<br />To inspire<br />To connect<br />To entertain<br />To educate<br />We are embracing our customers<br />Marketing – have to add value for customer<br />
  34. 34. How to make a decision<br />Is it legal?<br />Is it ethical?<br />Is it in line with PTC core values?<br />Am I willing to be held accountable?<br />Is it good for the company?<br />
  35. 35. Why Document?<br />Professional responsibility and legal requirement.<br />Support payment of service.<br />Documentation is non-billable time.<br />Communication tool among providers.<br />Used to measure patient outcomes.<br />Legal document<br />Internally to provide feedback<br />Must reflect thought process & decision making.<br />
  36. 36. CMS<br />Insufficient Documentation <br />Top 7<br />Identified by Medicare<br />Therapeutic Exercise 97110<br />Manual Therapy 97140<br />Please read – Defensible Documentation APTA web site.<br />Limit use of abbreviations<br />Date & sign all entries<br />Document legibly<br />Report function progress- outcome measures<br />ID note type – initial, progress<br />Include missed/cxl visits<br />Demonstrate skilled care<br />
  37. 37. Documentation<br />Skilled Care<br />Medical Necessity<br />Clinical decision making<br />Why choose intervention<br />Functional limitations<br />Comorbidities & safety issues<br />Observable and measurable improvement in functional ability.<br />Outcome Measures<br />Use current best evidence<br />Include test & measures<br />
  38. 38. Documentation<br />Tips<br />Avoid<br />Update goals<br />Highlight progress<br />Write progress reports<br />“Function”<br />Re-evaluate<br />Patient tolerated treatment well<br />Continue per plan<br />As above<br />Keep charts secure & face down<br />Charts should never be left unattended or taken from the clinic.<br />
  39. 39. Goals<br />Poor Goals<br />Functional Goals<br />Increase shoulder flexion to 150 degrees <br />Decrease pain <br />Improve safety <br />Increase shoulder flexion to 150 degrees to enable overhead activities. <br />Decrease pain to 2/5 on VAS with reaching activities. <br />Patient/client will walk with a standard walker independently within the home to complete activities of daily living. <br />
  40. 40. Defensible Documentation<br />APTA - resource<br />FAQ Documentation<br />Checklist<br />Top 10<br />Components of Documentation<br />Sample Case – total knee<br />
  41. 41. Billing<br />Standards<br />Charges<br />Standards<br />Average 15 patients a day<br />Units billed 4 to 5 per patient<br />Bill for your services<br />Tape<br />TENS fitting<br />Therapeutic Exercise<br />Manual Therapy<br />NMS vs E-Stim<br />Self Care<br />Vasoneumonatic Compression<br />
  42. 42. MedicareException<br />Exception Process<br />Automatic Exceptions<br />Cap is $ 1860 annually<br />Can use for any diagnosis – justify/medically necessary.<br />CMS has identified conditions and complexities that are appropriate.<br />If a patient qualifies, submit KX Modifier<br />Joint Replacement<br />Amputations<br />Surgery<br />Diabetes<br />Obesity<br />Peripheral Nervous System<br />Injury to Nerve Roots<br />CVA<br />RCR, ruptured tendon<br />Osteoporosis<br />Vertebral Fracture/Fracture<br />Abnormality of Gait<br />
  43. 43. Medicare<br />Requirements<br />Timed Codes<br />Evaluation<br />POC<br />90 days<br />Progress Notes<br />Use outcome measures<br />Every 10 treatments or<br />30 days<br />Daily Treatment Notes<br />Must include time for timed codes<br />Total time – time in & out<br />Time for interventions<br />
  44. 44. Thrive during Change<br />video<br />
  45. 45. Have Fun at Work<br />Choctaw<br />Newcastle<br />Chickasha<br />
  46. 46. Summary<br />PTC is a business, but our business is personal.<br />You are here because you can strengthen our tribe and we expect big things from you.<br />Commit our Core Values to memory.<br />Schedule your meeting with your Mentor<br />Get back to work….<br />

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