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WelcomeNew Employee Orientation
Why am I here?Goals for today.To have a good understanding of the PTC Tribe and all the  members and their responsibilities.To understand your role and responsibility.To review our core values and explain how we use those values to run our business.To begin your journey of professional development.To go through the professional development plan
Ice BreakerIntroduce  yourselfWhere are you from ?Any brothers or sisters ?Where did you go to college ?Family Hobbies
10 QuestionsWho is your favorite cartoon character?What is your favorite food?What is your favorite thing to do?What is the top thing on your bucket list?Wine or Beer – why?If a sign said, “Don’t walk on the grass.” Would you?Why did you become a PT/PTA?  Can’t say to help people.List three things to do with a blanket.What is your favorite TV show, movie or book?If you could meet one person who would it be?  Why?
My Job as CEOWe are on a journey and it is my job to climb the mountain and keep PTC moving forward.A never ending journeyI want to create change and movementAlways want to improveStatus Quo is unacceptableFailure is not an optionTrue Grit – vimeo video
Professional DevelopmentOur most valuable assets are our people. PTC takes pride in development of our future leaders.PTC will grow or die on your shoulders.Goal of the program is mentorship.This starts today with our meeting.
Who are we ?We are therapist ownedTeamworkHow we startedVideo of the early yearsWhat is to come…Why this works
Who is INC ?Centralized billing companyAdministrationHuman ResourcesHealth InsuranceIRATrainingHire and train office managers
BrandForward your  ptcentral email to any mail account you want.Brand your email signature
True Color ProfilePersonality TestTo understand insights into your personality, communication style.Insight will give you better tools to be able to communicate.Complete the profile
True ColorsWatch VideoDoes this match how you see yourself?How does your personality affect your communication?How can you use this information?
BlueFriendly, helpful, optimistic, wants harmonyThey first focus on establishing a relationshipThey want to help othersTipsAcknowledge them, show appreciationInclude themHave patience and don’t “bark” orders
GoldRespectful and responsible, they listen for detail.Purposeful, supportive of the rules, detailed oriented.Loyal and devoted.   Will have a list and check it off.TipsBe prepared and give details, be consistent.  Show respect and recognize their contributions.
GreenThey focus on the matter at hand, not on the relationship.Logical, big picture, questioning.TipsAllow them time to ponder, skip the “small” talk, avoid redundancy.  Give big picture or point first, then fill in the details.Don’t miss interrupt their need for info as interrogation
OrangeWants to share their opinion, taking action, expedient.Now oriented, fast paced, straightforward, active and involved.TipsUse sound bites to communicate, move with them and multi-task, allow options and flexibility, lighten up.Stick to business
Lamp fell to floorBlueAre you all rightEmotionally are you OKGoldOrganization modeGet a broomFill out an incident reportGreenI wonder why that fellThey will stop what they are doing to ponderOrangeLets just scoot that out of the way and let’s keep going
The clinic ownerIs very busy and has 10 things on their mindWe think about payrollReferral sourcesClinic is too busy or too slowMarketingWhen you have something on your mind – please find us, stop us and ask to talk.We are all here for you.
PTCVisionMissionTo be the provider of choice for out-patient orthopedic physical therapy services in Oklahoma.To get you….	Back to Work.	Back to Play.	Back to Life.
What are Core Values?Guide our BusinessClarify who we areArticulate what we stand forInfluence our decisionsEssential Tenets
Core ValuesBe Humble and KindBe Passionate and DeterminedBuild a Positive TeamPursue Growth and LearningBe Progressive and Embrace ChangeBe Respectful and GraciousLive with IntegrityCreate FUN and Laughter
Professional Development Training ProgramGoalTo provide mentorship and structured learning.Orientation Required to complete Level I12 Month sYou are responsible to submit the assignmentsStep OneMeet with MentorSchedule monthly meetings.1 on 1 mentoring for patient careFill in form and emailReading ListAll are due 4 months from now
NetworkPartnerWe have partnered with EIM to provide residency and fellowship training.Join the conversationSign up for a free accountwww.evidenceinmotion.com
Professional Development6 Month ReviewAppendix BEmail to meEducataDifferential DiagnosisExercise ToleranceEmail me when completeCondition Specific AlgorithmDropboxJOSPTRead for CreditTwo
APTA MembershipMandatoryAttend one APTA or OPTA event per year.Attend one Western District Meeting per year.If you do not – will reimburse the clinic 50% of your dues.
OPTABoard of DirectorsWestern DistrictJeff Jankowski – PresidentDebbie Christian – 1st VPTamara Hart – 2nd VPVince Lepak – SecretaryMike Strakal – TreasurerPeggy Newman – Chief DelegateDebbie Simmons – PTA Caucus RepSamantha Klepper – ChairTara Lindsey – Vice ChairBridgit Finley – DirectorJennifer Edwards – SecretaryRaeAnn Thomas – TreasurerAmy Lee, Christy Brashares & Shawn Houck – Nominating Committee
Clinical Review Meeting	The first Thursday of the month.7:00-8:30 PMMandatory 80% attendanceNo meeting in July or DecemberIn OKC office
PTC Employee ManualRead – p. 4-6Initial Employment Period – 90 daysWage PolicyPay day – direct depositBi-monthlyBenefitsPTO – two weeksCEHolidaysPaid DuesMentoring
Work Hours7:30 am - 7:00 pmYou will be scheduled about 38 hours of direct patient care.You will have two hours a week for paperwork.You are a professional and at times will be expected to work patients into your schedule and expand.You will be scheduled to work late to accommodate patients.If you work late you may come in late and work 11-7pmOr work a split shift
Performance Reviews6 month reviewThis is a mid term check upSet some goalsMake sure you are on trackPlan for the futureAnnual ReviewScheduled with clinic director and BridgitWill fill out performance review paperwork beforeEligible for a raise
Gift PolicySolicitation or encouragement of gifts are strictly prohibited.All gifts must be disclosed to clinic owner/manager.No gifts can be accepted >$50 value.All gifts will be shared.
Job DescriptionCustomer LoyaltyBuild a TeamExcellent CommunicationHandle StressLive by our Core ValuesMust be OPTA/APTA memberEBPWork with StudentsFlexibility in Working HoursMust be professionalHours workedFlexibility
Social MediaJoin us on FBEmployee pagesGoogle accountShared CalendarsGroupsTwitterPhThCentralReview PolicyFlip Camera When you postTo inspireTo connectTo entertainTo educateWe are embracing our customersMarketing – have to add value for customer
How to make a decisionIs it legal?Is it ethical?Is it in line with PTC core values?Am I willing to be held accountable?Is it good for the company?
Why Document?Professional responsibility and legal requirement.Support payment of service.Documentation is non-billable time.Communication tool among providers.Used to measure patient outcomes.Legal documentInternally to provide feedbackMust reflect thought process & decision making.
CMSInsufficient Documentation Top 7Identified by MedicareTherapeutic Exercise 97110Manual Therapy 97140Please read – Defensible Documentation APTA web site.Limit use of abbreviationsDate & sign all entriesDocument legiblyReport function progress- outcome measuresID note type – initial, progressInclude missed/cxl visitsDemonstrate skilled care
DocumentationSkilled CareMedical NecessityClinical decision makingWhy choose interventionFunctional limitationsComorbidities & safety issuesObservable and measurable improvement in functional ability.Outcome MeasuresUse current best evidenceInclude test & measures
DocumentationTipsAvoidUpdate goalsHighlight progressWrite progress reports“Function”Re-evaluatePatient tolerated treatment wellContinue per planAs aboveKeep charts secure & face downCharts should never be left unattended or taken from the clinic.
GoalsPoor GoalsFunctional GoalsIncrease shoulder flexion to 150 degrees Decrease pain Improve safety Increase shoulder flexion to 150 degrees to enable overhead activities. Decrease pain to 2/5 on VAS with reaching activities. Patient/client will walk with a standard walker independently within the home to complete activities of daily living.
Defensible DocumentationAPTA - resourceFAQ DocumentationChecklistTop 10Components of DocumentationSample Case – total knee
BillingStandardsChargesStandardsAverage 15 patients a dayUnits billed 4 to 5 per patientBill for your servicesTapeTENS fittingTherapeutic ExerciseManual TherapyNMS vs E-StimSelf CareVasoneumonatic Compression
MedicareExceptionException ProcessAutomatic ExceptionsCap is $ 1860 annuallyCan use for any diagnosis – justify/medically necessary.CMS has identified conditions and complexities that are appropriate.If a patient qualifies, submit KX ModifierJoint ReplacementAmputationsSurgeryDiabetesObesityPeripheral Nervous SystemInjury to Nerve RootsCVARCR, ruptured tendonOsteoporosisVertebral Fracture/FractureAbnormality of Gait
MedicareRequirementsTimed CodesEvaluationPOC90 daysProgress NotesUse outcome measuresEvery 10 treatments or30 daysDaily Treatment NotesMust include time for timed codesTotal time – time in & outTime for interventions
Thrive during Changevideo
Have Fun at WorkChoctawNewcastleChickasha
SummaryPTC is a business, but our business is personal.You are here because you can strengthen our tribe and we expect big things from you.Commit our Core Values to memory.Schedule your meeting with your MentorGet back to work….

PTC Employee Orientation

  • 1.
  • 2.
  • 3.
    Why am Ihere?Goals for today.To have a good understanding of the PTC Tribe and all the members and their responsibilities.To understand your role and responsibility.To review our core values and explain how we use those values to run our business.To begin your journey of professional development.To go through the professional development plan
  • 4.
    Ice BreakerIntroduce yourselfWhere are you from ?Any brothers or sisters ?Where did you go to college ?Family Hobbies
  • 5.
    10 QuestionsWho isyour favorite cartoon character?What is your favorite food?What is your favorite thing to do?What is the top thing on your bucket list?Wine or Beer – why?If a sign said, “Don’t walk on the grass.” Would you?Why did you become a PT/PTA? Can’t say to help people.List three things to do with a blanket.What is your favorite TV show, movie or book?If you could meet one person who would it be? Why?
  • 6.
    My Job asCEOWe are on a journey and it is my job to climb the mountain and keep PTC moving forward.A never ending journeyI want to create change and movementAlways want to improveStatus Quo is unacceptableFailure is not an optionTrue Grit – vimeo video
  • 7.
    Professional DevelopmentOur mostvaluable assets are our people. PTC takes pride in development of our future leaders.PTC will grow or die on your shoulders.Goal of the program is mentorship.This starts today with our meeting.
  • 8.
    Who are we?We are therapist ownedTeamworkHow we startedVideo of the early yearsWhat is to come…Why this works
  • 9.
    Who is INC?Centralized billing companyAdministrationHuman ResourcesHealth InsuranceIRATrainingHire and train office managers
  • 10.
    BrandForward your ptcentral email to any mail account you want.Brand your email signature
  • 11.
    True Color ProfilePersonalityTestTo understand insights into your personality, communication style.Insight will give you better tools to be able to communicate.Complete the profile
  • 12.
    True ColorsWatch VideoDoesthis match how you see yourself?How does your personality affect your communication?How can you use this information?
  • 13.
    BlueFriendly, helpful, optimistic,wants harmonyThey first focus on establishing a relationshipThey want to help othersTipsAcknowledge them, show appreciationInclude themHave patience and don’t “bark” orders
  • 14.
    GoldRespectful and responsible,they listen for detail.Purposeful, supportive of the rules, detailed oriented.Loyal and devoted. Will have a list and check it off.TipsBe prepared and give details, be consistent. Show respect and recognize their contributions.
  • 15.
    GreenThey focus onthe matter at hand, not on the relationship.Logical, big picture, questioning.TipsAllow them time to ponder, skip the “small” talk, avoid redundancy. Give big picture or point first, then fill in the details.Don’t miss interrupt their need for info as interrogation
  • 16.
    OrangeWants to sharetheir opinion, taking action, expedient.Now oriented, fast paced, straightforward, active and involved.TipsUse sound bites to communicate, move with them and multi-task, allow options and flexibility, lighten up.Stick to business
  • 17.
    Lamp fell tofloorBlueAre you all rightEmotionally are you OKGoldOrganization modeGet a broomFill out an incident reportGreenI wonder why that fellThey will stop what they are doing to ponderOrangeLets just scoot that out of the way and let’s keep going
  • 18.
    The clinic ownerIsvery busy and has 10 things on their mindWe think about payrollReferral sourcesClinic is too busy or too slowMarketingWhen you have something on your mind – please find us, stop us and ask to talk.We are all here for you.
  • 19.
    PTCVisionMissionTo be theprovider of choice for out-patient orthopedic physical therapy services in Oklahoma.To get you…. Back to Work. Back to Play. Back to Life.
  • 20.
    What are CoreValues?Guide our BusinessClarify who we areArticulate what we stand forInfluence our decisionsEssential Tenets
  • 21.
    Core ValuesBe Humbleand KindBe Passionate and DeterminedBuild a Positive TeamPursue Growth and LearningBe Progressive and Embrace ChangeBe Respectful and GraciousLive with IntegrityCreate FUN and Laughter
  • 22.
    Professional Development TrainingProgramGoalTo provide mentorship and structured learning.Orientation Required to complete Level I12 Month sYou are responsible to submit the assignmentsStep OneMeet with MentorSchedule monthly meetings.1 on 1 mentoring for patient careFill in form and emailReading ListAll are due 4 months from now
  • 23.
    NetworkPartnerWe have partneredwith EIM to provide residency and fellowship training.Join the conversationSign up for a free accountwww.evidenceinmotion.com
  • 24.
    Professional Development6 MonthReviewAppendix BEmail to meEducataDifferential DiagnosisExercise ToleranceEmail me when completeCondition Specific AlgorithmDropboxJOSPTRead for CreditTwo
  • 25.
    APTA MembershipMandatoryAttend oneAPTA or OPTA event per year.Attend one Western District Meeting per year.If you do not – will reimburse the clinic 50% of your dues.
  • 26.
    OPTABoard of DirectorsWesternDistrictJeff Jankowski – PresidentDebbie Christian – 1st VPTamara Hart – 2nd VPVince Lepak – SecretaryMike Strakal – TreasurerPeggy Newman – Chief DelegateDebbie Simmons – PTA Caucus RepSamantha Klepper – ChairTara Lindsey – Vice ChairBridgit Finley – DirectorJennifer Edwards – SecretaryRaeAnn Thomas – TreasurerAmy Lee, Christy Brashares & Shawn Houck – Nominating Committee
  • 27.
    Clinical Review Meeting Thefirst Thursday of the month.7:00-8:30 PMMandatory 80% attendanceNo meeting in July or DecemberIn OKC office
  • 28.
    PTC Employee ManualRead– p. 4-6Initial Employment Period – 90 daysWage PolicyPay day – direct depositBi-monthlyBenefitsPTO – two weeksCEHolidaysPaid DuesMentoring
  • 29.
    Work Hours7:30 am- 7:00 pmYou will be scheduled about 38 hours of direct patient care.You will have two hours a week for paperwork.You are a professional and at times will be expected to work patients into your schedule and expand.You will be scheduled to work late to accommodate patients.If you work late you may come in late and work 11-7pmOr work a split shift
  • 30.
    Performance Reviews6 monthreviewThis is a mid term check upSet some goalsMake sure you are on trackPlan for the futureAnnual ReviewScheduled with clinic director and BridgitWill fill out performance review paperwork beforeEligible for a raise
  • 31.
    Gift PolicySolicitation orencouragement of gifts are strictly prohibited.All gifts must be disclosed to clinic owner/manager.No gifts can be accepted >$50 value.All gifts will be shared.
  • 32.
    Job DescriptionCustomer LoyaltyBuilda TeamExcellent CommunicationHandle StressLive by our Core ValuesMust be OPTA/APTA memberEBPWork with StudentsFlexibility in Working HoursMust be professionalHours workedFlexibility
  • 33.
    Social MediaJoin uson FBEmployee pagesGoogle accountShared CalendarsGroupsTwitterPhThCentralReview PolicyFlip Camera When you postTo inspireTo connectTo entertainTo educateWe are embracing our customersMarketing – have to add value for customer
  • 34.
    How to makea decisionIs it legal?Is it ethical?Is it in line with PTC core values?Am I willing to be held accountable?Is it good for the company?
  • 35.
    Why Document?Professional responsibilityand legal requirement.Support payment of service.Documentation is non-billable time.Communication tool among providers.Used to measure patient outcomes.Legal documentInternally to provide feedbackMust reflect thought process & decision making.
  • 36.
    CMSInsufficient Documentation Top7Identified by MedicareTherapeutic Exercise 97110Manual Therapy 97140Please read – Defensible Documentation APTA web site.Limit use of abbreviationsDate & sign all entriesDocument legiblyReport function progress- outcome measuresID note type – initial, progressInclude missed/cxl visitsDemonstrate skilled care
  • 37.
    DocumentationSkilled CareMedical NecessityClinicaldecision makingWhy choose interventionFunctional limitationsComorbidities & safety issuesObservable and measurable improvement in functional ability.Outcome MeasuresUse current best evidenceInclude test & measures
  • 38.
    DocumentationTipsAvoidUpdate goalsHighlight progressWriteprogress reports“Function”Re-evaluatePatient tolerated treatment wellContinue per planAs aboveKeep charts secure & face downCharts should never be left unattended or taken from the clinic.
  • 39.
    GoalsPoor GoalsFunctional GoalsIncreaseshoulder flexion to 150 degrees Decrease pain Improve safety Increase shoulder flexion to 150 degrees to enable overhead activities. Decrease pain to 2/5 on VAS with reaching activities. Patient/client will walk with a standard walker independently within the home to complete activities of daily living.
  • 40.
    Defensible DocumentationAPTA -resourceFAQ DocumentationChecklistTop 10Components of DocumentationSample Case – total knee
  • 41.
    BillingStandardsChargesStandardsAverage 15 patientsa dayUnits billed 4 to 5 per patientBill for your servicesTapeTENS fittingTherapeutic ExerciseManual TherapyNMS vs E-StimSelf CareVasoneumonatic Compression
  • 42.
    MedicareExceptionException ProcessAutomatic ExceptionsCapis $ 1860 annuallyCan use for any diagnosis – justify/medically necessary.CMS has identified conditions and complexities that are appropriate.If a patient qualifies, submit KX ModifierJoint ReplacementAmputationsSurgeryDiabetesObesityPeripheral Nervous SystemInjury to Nerve RootsCVARCR, ruptured tendonOsteoporosisVertebral Fracture/FractureAbnormality of Gait
  • 43.
    MedicareRequirementsTimed CodesEvaluationPOC90 daysProgressNotesUse outcome measuresEvery 10 treatments or30 daysDaily Treatment NotesMust include time for timed codesTotal time – time in & outTime for interventions
  • 44.
  • 45.
    Have Fun atWorkChoctawNewcastleChickasha
  • 46.
    SummaryPTC is abusiness, but our business is personal.You are here because you can strengthen our tribe and we expect big things from you.Commit our Core Values to memory.Schedule your meeting with your MentorGet back to work….