2) Outcome Approach to PT Care Management

Question 1

Health Care Outcomes

Answer 1

Refer to categories of measurement or observation that service providers attempt to improve

Question 2

Outcome Measures

Answer 2

Tools/procedures used to quantify progress toward an expected outcome (goal)

Question 3

Meaningful Result

Answer 3

Has relevance to at least 2 people/parties

Question 4

Episode of Intervention

Answer 4

Activities that occur within a specified time (can be a single session or a series of sessions); All the patient management or services that occur between the initial and final follow-up measures

Question 5

Intervention

Answer 5

Activities performed in the delivery of service; Activities used by the clinician to advance the pt towards the goals

Question 6

Therapeutic Indicators

Answer 6

Observations of patient characteristics; Used by clinicians to determine the impact of interventions

Question 7

Patient Outcomes

Answer 7

Changes in the consequences of illness/injury that occur as a result of intervention and are meaningful to the pt

Question 8

Fix-It Approach

Answer 8

A stereotype of practice in which the focus of care is on curing, alleviating, or modifying pt problems. Uses normal health as the standard of comparison

• Unidirectional PT-pt interaction where the pt presents w/a problem and PT presents ways to fix it
• Does not include a specific time-limit so care continues until the problem is fixed –> Often not feasible because we can’t always fully fix them

Question 9

Outcome Approach

Answer 9

Approach to pt care in which meaningful goals are identified and resources and interventions are chosen to manage the pt towards those goals

• Does not necessarily look to restore normal function as the main focus
• Starts w/pt’s fxnl limitations and only the impairments that effect the pt’s fxn are addressed
• Emphasizes measurable changes in fxn that use the pt’s perspective to judge the appropriateness of the outcome

Question 10

Evaluate-And-Treat Approach

Answer 10

Approach to pt care that is oriented toward the identification of impairments and/or deviations from normal fxn and the linking of those deviations to interventions to address them

• More common in rehab settings than medical settings
• Begins w/establishing a list of impairments during the IE
• Emphasis is on ID’ing deviations that can be improved to improve the pt’s fxnl status
• Eval and intervention is usually unidirectional
• Time constraints typically don’t influence which impairments will be addressed
• Emphasized in PT education

Question 11

Predict and Manage

Answer 11

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Question 12

Reflective Practitioner

Answer 12

PT who is always evaluating their effectiveness