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WEBINAR: Creating a Clinician-Driven Quality and Outcomes Program within Outpatient Rehabilitation
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Presented by: Michael Martin, PT, MPT, OCS and Lindsay Harmon-Matthews, PT, DPT, MPH

When: 07/12/2018
1:00 - 2:00 p.m. Eastern
Where: United States
Contact: Marcus Dean

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Quality improvement programs take various forms to promote best practice within hospital systems, and similar principles can be leveraged to improve compliance, consistency, and efficiency in rehabilitation departments.  The Ambulatory Rehabilitation department within Ohio State University’s Wexner Medical Center developed and implemented a Quality Assurance Team Lead (QA) position to create a clinician-driven quality improvement program across 15 outpatient physical therapy clinics.  Using a Plan-Do-Study-Act (PDSA) framework, the QA team implemented quality improvement projects that have produced tangible results in documentation compliance, workflow efficiency, and net revenue.   

Members: $49 | Non-Members: $79
Educational objectives:
1. Describe the PDSA framework for quality improvement projects.
2. Define methods to measure the impact of quality improvement projects within a rehabilitation department. 
3. Outline steps to create a clinician-driven quality assurance program within a rehabilitation department. 
4. Cite positive outcomes resulting from the development and implementation of Quality Improvement initiatives in our organization.

The Ambulatory Rehabilitation Quality Assurance Lead position at Ohio State University’s Wexner Medical Center has facilitated efforts to improve documentation compliance, increase documentation and departmental efficiency, reduce payer denials and improve effective reimbursement rate.  Among other positive results, the following outcomes have been measured and improved with our quality improvement projects:

  • Medicare functional reporting (G-code) compliance rate at initial evaluation
  • Number of Medicare denials due to G-code errors
  • Number of Medicare denials due to KX modifier errors
  • Compliance rates in obtaining physician signature on plans of care for Medicare patients
  • Compliance rates in obtaining Patient Reported Outcomes
  • Efficiency in auditing and tracking processes to ensure compliance

Each of these quality improvement projects began with the initial phase of performing a needs assessment for the Ambulatory Rehabilitation department, which helped define the initial goals for the Quality Assurance program and projects.  A summary of the departmental needs specific to rehabilitation will be described.  Strategies for developing the business justification for the personnel and positions to manage quality improvement projects will be shared.  QA program planning and development will be outlined, including the ways in which technology was leveraged to create an iterative feedback loop for quality improvement projects.  Data sources and methods to measure the impact of projects will also be discussed.  Positive results from Ohio State’s Ambulatory Rehabilitation department’s quality improvement projects will be reviewed, including improved payer guideline compliance, decreased denials, increased effective reimbursement rate and increased revenue. 

The Department of Ambulatory Services Rehabilitation at The Ohio State University Wexner Medical Center (OSUWMC) is comprised of 15 Outpatient Therapy clinics, more than 150 Physical Therapists and 175 licensed therapy personnel.  

Michael Martin, PT, MPT, OCS
has been with OSU’s Wexner Medical Center since 2005 and has served as Senior Director of Rehabilitation and Sports Medicine since 2016.  He is a Board Certified Clinical Specialist in Orthopedic Physical Therapy and has served in various capacities in OSUWMC’s Residencies and Fellowship programs, in addition to overseeing Ambulatory Rehabilitation’s specialty clinical programs.  In his various roles at Ohio State, Michael has led the conceptualization and creation of a dedicated Quality Assurance program, staffed by a licensed physical therapist and focused on improving individual and organizational compliance, quality and outcomes.

Lindsay Harmon-Matthews, PT, DPT, MPH
serves as Ambulatory Rehabilitation’s Team Lead for Quality Assurance at OSUWMC and has been a licensed physical therapist since 2009.  She is also a Board Certified Clinical Specialist in Orthopedic Physical Therapy and earned her Master of Public Health degree at The Ohio State University in 2015.  She assumed her QA Lead role in 2016, implementing an iterative quality improvement program initially focused on documentation and regulatory compliance.  Lindsay currently oversees the Department’s multidisciplinary QA program, spanning 15 clinical locations and all outpatient neurologic, orthopedic and sports medicine therapy services.

In their current roles, Michael and Lindsay have worked together to build a clinician-driven, self-contained therapy QA program and create a foundation for future developments in outcomes collection, analysis and knowledge translation.  They are pleased to share their approach with webinar participants.

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