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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! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Let data drive performance and decisions
Photos ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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.

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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.
  • 27.  
  • 28. Let data drive performance and decisions
  • 29.
  • 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.