scholarly journals Use of Quality Indicators in Physical Therapist Practice: An Observational Study

2012 ◽  
Vol 92 (4) ◽  
pp. 507-524 ◽  
Author(s):  
Diane U. Jette ◽  
Dianne V. Jewell
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Observational Study ◽  
Secondary Prevention ◽  
Quality Indicators ◽  
Health Care Quality ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Care Quality ◽  
Published Evidence

AbstractBackgroundThe Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 contain provisions specific to health care quality that apply to physical therapists. Published evidence examining gaps in the quality of physical therapy services is limited.ObjectiveThe primary purpose of this study was to determine the use of quality indicators in physical therapist practice.DesignThis was an observational study.MethodsAll members of the Orthopaedic and Private Practice sections of the American Physical Therapy Association were invited to participate by completing an electronic survey. The survey included 22 brief patient descriptions, each followed by questions regarding the use of examinations and interventions based on the 2009 list of Medicare-approved quality measures. Separate multivariate logistic regression models were used to determine the odds ratios related to the performance of each examination and intervention on more than 90% of patients, given perceptions of its importance to care, the burden of performing it, and the level of evidence supporting its use.ResultsParticipants (n=2,544) reported a relatively low frequency of performing examinations and interventions supporting primary and secondary prevention (3.6%–51.3%) and use of standardized measures (5.5%–35.8%). Perceptions of high importance and low burden were associated with greater odds of performing an examination or intervention. Importance and burden were more influential factors than the perceived availability of evidence to support use of identified techniques.LimitationsThe survey was not assessed for test-retest reliability. A low response rate was a source of potential bias.ConclusionThe study findings suggest that physical therapists may not see themselves as providers of primary or secondary prevention services. Patient management strategies associated with these types of services also may be perceived as relatively unimportant or burdensome.

scholarly journals Quality indicators of dental health care in Serbia

2019 ◽  
Vol 66 (1) ◽  
pp. 36-42
Author(s):  
Svetlana Jovanović ◽  
Maja Milošević ◽  
Irena Aleksić-Hajduković ◽  
Jelena Mandić
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health System ◽  
Quality Indicators ◽  
Health Care Quality ◽  
Care Quality ◽  
System Quality ◽  
Quality Health Care ◽  
Quality Health

Summary Health care has witnessed considerable progresses toward quality improvement over the past two decades. More precisely, there have been global efforts aimed to improve this aspect of health care along with experts and decision-makers reaching the consensus that quality is one of the most significant dimensions and features of health system. Quality health care implies highly efficient resource use in order to meet patient’s needs in terms of prevention and treatment. Quality health care is provided in a safe way while meeting patients’ expectations and avoiding unnecessary losses. The mission of continuous improvement in quality of care is to achieve safe and reliable health care through mutual efforts of all the key supporters of health system to protect patients’ interests. A systematic approach to measuring the process of care through quality indicators (QIs) poses the greatest challenge to continuous quality improvement in health care. Quality indicators are quantitative indicators used for monitoring and evaluating quality of patient care and treatment, continuous professional development (CPD), maintaining waiting lists, patients and staff satisfaction, and patient safety.

scholarly journals Value-Based Care for Musculoskeletal Pain: Are Physical Therapists Ready to Deliver?

2019 ◽  
Vol 100 (4) ◽  
pp. 621-632 ◽  
Author(s):  
Trevor A Lentz ◽  
Adam P Goode ◽  
Charles A Thigpen ◽  
Steven Z George
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Musculoskeletal Pain ◽  
Clinical Decision Making ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Great Promise ◽  
Health Care Environment ◽  
Early Physical Therapy ◽  
Analytical Approaches

Abstract Early physical therapy models hold great promise for delivering high-value care for individuals with musculoskeletal pain. However, existing physical therapist practice and research standards are misaligned with value-based principles, which limits the potential for growth and sustainability of these models. This Perspective describes how the value proposition of early physical therapy can be improved by redefining harm, embracing a prognostic approach to clinical decision making, and advocating for system-wide guideline-adherent pain care. It also outlines the need to adopt a common language to describe these models and embrace new, rigorous study designs and analytical approaches to better understand where and how early physical therapy delivers value. The goal is to define a clear path forward to ensure physical therapists are aligned within health care systems to deliver on the American Physical Therapy Association’s vision of high-value care in a rapidly changing health care environment.

scholarly journals The Continuum of Care for Individuals With Lifelong Disabilities: Role of the Physical Therapist

2014 ◽  
Vol 94 (7) ◽  
pp. 1043-1053 ◽  
Author(s):  
Margo N. Orlin ◽  
Nancy A. Cicirello ◽  
Anne E. O'Donnell ◽  
Antonette K. Doty
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Health Care Services ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Functional Limitations ◽  
Insurance Coverage ◽  
Comprehensive Health ◽  
Earning Power ◽  
Smooth Transitions

Many individuals with lifelong disabilities (LLDs) of childhood onset are living longer, participating in adult roles, and seeking comprehensive health care services, including physical therapy, with greater frequency than in the past. Individuals with LLDs have the same goals of health and wellness as those without disabilities. Aging with a chronic LLD is not yet well understood; however, impairments such as pain, fatigue, and osteoporosis often present earlier than in adults who are aging typically. People with LLDs, especially those living with developmental disabilities such as cerebral palsy, myelomeningocele, Down syndrome, and intellectual disabilities, frequently have complex and multiple body system impairments and functional limitations that can: (1) be the cause of numerous and varied secondary conditions, (2) limit overall earning power, (3) diminish insurance coverage, and (4) create unique challenges for accessing health care. Collaboration between adult and pediatric practitioners is encouraged to facilitate smooth transitions to health practitioners, including physical therapists. A collaborative client-centered emphasis to support the transition to adult-oriented facilities and promote strategies to increase accessibility should become standard parts of examination, goal setting, and intervention. This perspective article identifies barriers individuals with selected LLDs experience in accessing health care, including physical therapy. Strategies are suggested, including establishment of niche practices, physical accessibility improvement, and inclusion of more specific curriculum content in professional (entry-level) doctorate physical therapy schools.

scholarly journals Reaching the Masses: Physical Therapist Students Learn to Use YouTube to Share Clinical Information with Patients and the Public

2010 ◽  
Author(s):  
Wayne Moore
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Health Care Providers ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Clinical Skill ◽  
Care Providers ◽  
Physical Therapist Students ◽  
Educational Videos ◽  
Students Attitudes

Purposes: This pilot study (1) assessed physical therapist students’ attitudes toward using YouTube to share health-related videos on the Internet, and (2) determined whether a cohort of physical therapist students would use YouTube, or similar technologies, to share educational information with other health care providers and health care consumers once they enter practice. Methods: A cohort of 28-second-year Doctor of Physical Therapy students completed a project to produce and share educational videos on YouTube. Students, working in small groups, selected a clinical skill introduced and practiced during the Cardiopulmonary Physical Therapy course as the focus of their videos. A survey completed at the conclusion of the project collected data about students’ attitudes and experiences regarding the use of YouTube. Results: Tabulation of students’ responses revealed that 85% of the students enjoyed making videos and 96% of the students felt that physical therapists should share physical therapy-related information with the largest possible audience. Nineteen percent of the students reported that they are likely to share additional videos online. Conclusion:YouTube and other online video sites allow physical therapists to reach a large audience of people interested in the services and education they provide. However, some students may be reluctant to take advantage of this relatively new technology. Future research may focus on the relationship between the obligation students feel to produce educational videos and their reported reluctance to produce educational videos once they enter clinical practice.

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