Top Clinical Reasons for Active Care

Transcription

1 Top Clinical Reasons for Active Care Improve Patient Outcomes Evidence supports combining exercise with manipulation Evans R, Bronfort G, Nelson B, Goldsmith CH. Two-year follow-up of a randomized clinical trial of spinal manipulation and two types of exercise for patients with chronic neck pain. Spine Nov 1;27(21): Hayden JA, van Tulder MW, Tomlinson G. Systematic review: strategies for using exercise therapy to improve outcomes in chronic low back pain. Ann Intern Med May 3;142(9): Avoid the Passive Care Trap Over utilization Patient dependence Increase Patient Engagement and Satisfaction Patients play an active role and team up with their Doctor for wellness and healing

2 Top Practice Reasons for Active Care Strengthen Reimbursement Compliance Evidence supported functional outcomes Eliminate the post-treatment audit triggers Add Reimbursable Activities with In-Clinic Rehab For in-clinic rehab and guided Home Exercise Program explanation, possible codes are 97110, 97112, Add Cash Based Revenue with Guided Home Exercise Dispensing Professional Grade Products for guided Home Exercise Programs is a service and convenience

3 Two Different Ways to Add Active Care 1. Provide Rehab in Your Clinic This is ideal for: Doctors/Staffs who have the expertise and/or certification for Rehab Clinics interested in hiring the expertise Clinics interested in additional reimbursement and cash-based revenue Clinics with enough space (minimally 6 x 6 ) 2. Provide Rehab With Doctor-guided Professional Home Exercise Programs This is ideal for: Clinics focused on Passive Modalities but seeking benefits of Active Care Clinics that don t have the expertise or certification or can t hire it Clinics interested in additional cash-based revenue

4 Two Different Ways to Add Active Care 1. Provide Rehab in Your Clinic 2. Provide Rehab with Doctor-guided Professional Home Exercise Programs Passive Modalities Passive Modalities Rehab Services Assess In Clinic Assess In Clinic At Home Progress At Home Progress Doctor-guided Professional Home Exercise Programs Doctor-guided Professional Home Exercise Programs

5 General Implementation Steps 1. Buy Equipment or Products Commercially available turn key options are easy to implement 2. Design Treatment Protocols Pre-configured Exercise Programs and Protocols are extremely helpful 3. Document Treatment Written, Doctor-guided Programs and Protocols are necessary Time, sets, reps, and progression Use standardized, well-respected Outcome Measures 4. Bill for Products and Services Use Appropriate reimbursement codes for In-Clinic 97110, 97112, Guided Home Exercise Program products are Cash-based 5. Progress Patients Through Treatment Assess and progress at every clinic visit

6 Recommended In-Clinic Rehab Features What to Look For All-in-One Rehab Appropriate Accessories Head, Waist, Extremities, Handles, etc. Suited for Strength, Balance, and Function Elastic Resistance is Ideal for Rehab, Equivalent to Weights (Colado & Triplett, JSCR, 2008) Versatile and Easy to Fit In Able to Change Setups Quickly for Maximum Use Create Visual Rehab Presence Requires Small Footprint Low Cost Includes Exercises and Protocols Wall Posters or In-Clinic Exercise Guidance Customizable Home Exercise Software Includes Products Or Purchase Separately Includes Support

7 What to Look For Turn Key Ready-to-Use Easy to Implement Doctor-Guided Recommended Home Program Features Professional Home Exercise Program Clear Handout with Pictures and Descriptions Provide Video or Do In- Clinic Demo Products Pain Solution

8 Active Care Implementation FAQ 1. At what point during treatment should I begin Active Care with a patient? 2. How do I know when to progress a patient--in terms of exercises and product resistance or stability level? 3. If I give my patients exercises will they require less in-office treatments? Why should we do exercises in both locations? 4. Don t photocopied exercises work just fine to send home? 5. Is there a difference between me offering professional grade products and my patients going to a retail store or website?

9 For More Information Visit: info.thera-bandacademy.com/chiroeco1 Turn-Key Active Care solutions from Thera-Band are available through authorized Thera-Band dealers. If you are interested, please contact your dealer for pricing information and to place an order.