Value. What is it? How do acute care physical therapists provide value for patients when the discussion is all about productivity and volume? How do we change the ideology from productivity or volume to value? Acute physical therapy value should be measured by the outcomes produced for the patient divided by the cost of services to produce those outcomes. Although acute physical therapy practice continues to progress toward consistent outcome measurement, widespread application of outcomes to quantify value is rare. This lack of a quantifiable measurement leaves acute care practitioners’ value measured primarily in terms of how many units or visits a therapist can code in a certain number of hours worked. Unfortunately, quantities of units or visits are not synonymous with value. The purpose of this course is to provide the science, theory and practical tools to shift the discussion from productivity to a value based practice. The speakers developed a way to measure value in acute practice using readily available data and called it the Therapy Value Quotient. They piloted the measurement in a large hospital system. The speakers will discuss the published Therapy Value Quotient tool and review a case study demonstrating its promising application.

Brian Hull, PT, DPT,MBA is the Director of Rehabilitation for Baylor Institute for Rehabilitation overseeing Baylor University Medical Center in Dallas, Baylor Sammons Cancer Center, and Baylor Medical Center at Waxahachie. He works with the system leadership to help develop and implement the strategic planning and operations for the Baylor Hospital therapy programs. Dr. Hull received his Physical Therapy degree from Bradley University, his MBA from the University of Texas at Dallas, and his Doctor of Physical Therapy from University of New England. He has served in various leadership roles within Baylor for more than13 years and various community service leadership roles with the United Way of Metropolitan Dallas for the last 8 years. Dr. Hull has published, taught graduate classes, and presented nationally on various leadership topics including strategic planning, healthcare reform, finance, negotiation, and organizational behavior.

Cathy Thut, PT, DPT, MBA is a former Director of Rehab Services at Baylor Scott and White - Irving, a 200 bed community hospital and Baylor Scott and White-Grapevine. Currently she is a partner in Sanus Vivere Health and Wellness – a home based health and wellness practice. Dr. Thut received her BS-Biology from Lubbock Christian University, physical therapy degree from University of Texas Medical Branch-Galveston, MBA-Finance from West Texas A and M University, and Doctor of Physical Therapy from University of New England. She is an active member of the American Physical Therapy Association having served on both the Finance Committee and the Risk Management Committee. Dr. Thut has been an invited lecturer at Southwestern Medical School, Texas Woman’s University. She has been a practicing Physical Therapist for over 35 years.

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Completion Instructions

Review course, complete assessment with at least a 70% score, download and save certificate

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Brian Hull, PT, DPT, MBA; Cathy Thut, PT, DPT, MBA

Learning objectives

  1. Discuss the science and theories about value and productivity in the acute care setting.
  2. Demonstrate effective tools to measure value.
  3. Conceptualize ways to change the ideology from Productivity to Value.


Academy of Acute Care Physical Therapy

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1Productivity vs. Value_ Why We Need to Change the Discussion, and How You Can! .mp4
Type:E-Learning Course
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