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ACUTE CARE - Exploring the Relationship Between Perceived Value and Provision of Physical Therapist Services in the Hospital

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Sub-Section:

Sessions for Clinicians

Learning Objectives:

  • Examine the influence of patient- and system-driven thinking on physical therapists’ perceptions of value in acute care practice.
  • Recognize the distinct contributions of patient- and system-driven thinking on variation in care delivery in acute care.
  • Discuss the current state of value assessment in acute care physical therapy.
  • Identify opportunities for future collaboration to define and articulate the value of acute care physical therapy in the broader health care community.

Course Outline:

  1. Session/presenter introduction (5 minutes).
  2. The state of the shift from volume to value in health care – its impact on acute care physical therapy practice (10 minutes).
  3. A review of work to date illuminating the understanding of acute care physical therapists’ role in value-based care (30 minutes).
    1. A description from the perspective of professional societies (APTA, American Geriatrics Society, American Medical Association).
    2. A description of findings in recent peer-reviewed publications.
  4. Review of a recent qualitative study – An Explanatory Model for the Relationship Between Physical Therapists’ Self-perceptions of Value and Care Prioritization Decisions in the Acute Hospital (20 minutes).
    1. Review of study methods.
    2. Study findings—The role of patient- and system-driven thinking.
    3. Implication of findings—Aligning patient- and system-level priorities.
  5. Highlighting the benefits of professional discourse on this topic – An introduction to the “Community of Practice” (5 minutes).
  6. Instructions and objectives for breakout discussions (5 minutes).
    1. Plan to include 5-10 breakout groups of approximately 10 people each (depending on attendance).
    2. Facilitated breakout discussions – each group to focus on the following questions: (25 minutes).
    3. How have you observed the concept of value currently informing acute care physical therapist practice?
    4. How are we defining the value of acute care physical therapy in our local health systems?
    5. How are we articulating the value of acute care physical therapy in our local health systems?
  7. Facilitated large group discussion (20 minutes).
    1. Synthesizing the breakout discussions.
    2. Focus on the question: What should we be doing now to align acute care physical therapy practice with shifts toward value-based care?

Joshua Kurt Johnson, PT, DPT, PhD

Cleveland Clinic

Dr. Johnson is Assistant Staff in the Department of Physical Medicine and Rehabilitation at Cleveland Clinic where he is also a Clinical Specialist in Rehabilitation and Sports Therapy and an Investigator in the Center for Value-Based Care Research. He completed his PhD in Rehabilitation Science at the University of Utah and his DPT at Arcadia University. In his current roles, he is an embedded clinician scientist, working to identify opportunities for optimal utilization of physical therapist services in the Cleveland Clinic Health System in order to improve patient outcomes. He is a member of the APTA, including the Health Systems Council, the Academy of Acute Care Physical Therapy, the Health Policy and Administration Section, the Section on Research, and the Academy of Orthopedic Physical Therapy. He serves on the Research Committee for the Academy of Acute Care Physical Therapy and is a co-chair of the Quality Subcommittee for the Health Systems Council of Physical Therapy.

Daniel L. Young, PT, DPT, PhD

University of Nevada, Las Vegas

Dr. Young received his Bachelor of Science in Biology from Southern Utah University in Cedar City, Utah, his Doctor of Physical Therapy degree and a Health Services Administration Certificate from Creighton University in Omaha, Nebraska, and his PhD in Epidemiology & Biostatistics from the University of Nevada, Las Vegas. He does Health services research related to acute care rehabilitation efforts. Dr. Young's clinical experience is primarily in intensive care rehabilitation. His academic position has allowed him to publish manuscripts and present at national conferences and meetings on acute care issues. Among other courses, Dr. Young teaches Physical Therapy Administration, Measurement Theory, and Directed Research.

Tamra Keeney, PT, DPT

Dr. Keeney received her Bachelor of Science in Exercise Science and her Doctor of Physical Therapy degree from Saint Louis University in St. Louis, MO. She completed her PhD in Rehabilitation Sciences from the MGH Institute of Health Professions in Boston, MA and recently completed a postdoctoral fellowship funded, in part, by the Center on Health Services Training and Research (CoHSTAR). As a clinician scientist and ABPTS board-certified cardiovascular and pulmonary clinical specialist at Massachusetts General Hospital, Dr. Keeney’s research agenda is focused on optimizing rehabilitation delivery and outcomes for patients living with serious illness, such as advanced heart failure. Dr. Keeney is a member of the APTA, including the Academy of Acute Care Physical Therapy, the Section on Research, and the Academy of Cardiovascular and Pulmonary Physical Therapy.

Robin L. Marcus, PT, PhD, FAPTA

University of Utah, Department of PT

Dr. Marcus is a Professor of Physical Therapy and Associate Dean for Clinical Affairs in the College of Health at the University of Utah. She has been a physical therapist for over 30 years and has a PhD in Exercise Science. She is interested in the transformation of health care and of the responsibility that health care professionals have in helping to find solutions to the health and wellness challenges of our communities. Dr. Marcus is uniquely positioned at the crossroads between academic training programs, a clinical health care delivery system, and the community, putting her in an ideal position to collaborate with the rehabilitation operations team at University of Utah Health. Together, Dr. Marcus and her colleagues are using system data to learn and change delivery of rehabilitation services across the acute and post-acute settings. She is a longtime member of the APTA, Academies of Research, Orthopaedic and Acute Care Physical Therapy. Dr. Marcus was recently honored as a Catherine Worthingham Fellow of the APTA.

Course Instructions

  1. Click on the Contents tab to watch the course recording.
  2. Click the Take Quiz button to complete the assessment. Learners will have 3 attempts to pass and must answer at least 70% of questions correctly.
  3. Click Fill Out Survey under the Evaluation listing to provide valuable course feedback. Scroll down on all questions as there may be answer options that expand past the size of the window.
  4. Click the View/Print Your Certificate button under the Certificate listing. You can view/print your certificate at any time by visiting the APTA Learning Center and clicking the CEU Certificate/Transcript link on the left-hand side of the page. 

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Assessment
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CEU Certificate
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