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Plan of Care form
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Plan of Care form - February 16, 2007 3:17:00 AM
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ysumpt2006
Posts: 113
Joined: March 31, 2005
From: Youngstown, Ohio
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For you outpatient folks, when you send a plan of care to a doc, do you send the whole eval?
That is the protocol at my current workplace--and I instituted it when I started here.
The problem now is our transcriptionist is getting backed up as her backup is out sick. I just got an eval back after 3 weeks of the patient being in therapy. By the time I sent the eval/generic POC form over, the patient was released from therapy by the orthopod. This is just bad on our part because it looks like we are just too far out of the loop.
What I'm thinking is just sending the form stating the doc approves of my POC and the actual POC.
Is this commom practice? I just want some back up when I approach the other therapists here.
Sorry for the "dumb question".
_____________________________
Ken Shearer, PT
Certified Strength and Conditioning Specialist
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Re: Plan of Care form - February 16, 2007 4:19:00 AM
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yarringtonpt
Posts: 112
Joined: July 4, 2006
From: Waynesville, NC
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Ken:
In my experience, most docs are not interested in all that we have to say, even though we know that what we do and document is valuable. So, a plan of care for them to sign is probably not going to ruffle any feathers. Especially, as you know, a lot of docs just sign stuff without reading anyway. But, if you could just provide some objective numbers of ROM, strength, swelling, and pain on the POC it would probably satisfy most.
Depending on your setting, you may want to check out TheraOffice. I have used the system for a year and I am able to produce nice documentation, fell evals, etc and the start up / subscription fees are minimal. Especially if you consider cost vs. transcription.
Eric
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Eric Yarrington, PT, MPT, OCS
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Re: Plan of Care form - February 16, 2007 5:21:00 PM
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Karie
Posts: 107
Joined: August 14, 2006
From: Wisconsin
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Ken,
Yes I do, plan of care is based on my evaluation so it's all one document and then I give them a scrip to send back signing they agree with the plan of care as stated on the evaluation dated....
I use documentation software as well and thus I don't have down time with transciptionists.
Karie
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Re: Plan of Care form - February 17, 2007 4:32:00 AM
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ysumpt2006
Posts: 113
Joined: March 31, 2005
From: Youngstown, Ohio
Status: offline
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The down time with the transcriptionist is what is killing me. Our transcriptionist has to handle daily notes, evals, progress notes, etc for 12 therapists. Now we don't all work on the same day, but she gets backed up a lot. Heck, evals have a 2 or 3 week back log.
Of course, I work for a hospital system outpatient clinic so a change is almost never gonna happen.
_____________________________
Ken Shearer, PT
Certified Strength and Conditioning Specialist
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Re: Plan of Care form - February 18, 2007 2:34:00 AM
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SJBird55
Posts: 2309
Joined: May 10, 2004
From: Michigan
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Maybe it's time for changes in your system to compare the cost of going electronic (and there might be financial incentives awarded based on Bush's goal)?
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Re: Plan of Care form - February 18, 2007 4:24:00 AM
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ysumpt2006
Posts: 113
Joined: March 31, 2005
From: Youngstown, Ohio
Status: offline
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I would love to do a change, that's for sure. This is my first experience with dictation and the back-up associated with it.
The other parts of the clinic I'm in either types in their own evals or uses electronic dictation.
Daily notes aren't bad, but evals are.
I've already made good changes to this clinic (and I'm a new grad), but not sure how to approach the changes I think would be good for dictation.
_____________________________
Ken Shearer, PT
Certified Strength and Conditioning Specialist
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Re: Plan of Care form - February 18, 2007 5:38:00 AM
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Andrew M. Ball PT PhD
Posts: 855
Joined: July 28, 2002
From: Charlotte, NC
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We use digital transcription, encript the data with HIPPA compliant software, send the audio file over the internet, and the transcriptionist usually has the eval back within 24 to 48 hours. We happen to use someone local who works through the night and sleeps during the day, but given appropriate adherance to legal and data protection standards, there's no reason why someone in a different time zone (or around the world for that matter), couldn't transcribe while the therapist is otherwise fast asleep. That way your turn-around might be overnight.
My bigger problem is the speed with which MD's/DO's sign off on procedures that, at least in my state, I can't do without MD/DO prior authorization . . . such as ionto, phono, or spinal manipulation.
Drew
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Dr. Andrew M. Ball, PT, DPT, Ph.D.
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