Outcomes Management

Question 1

Outcome =

Answer 1

Results, final product, end result, goal

Question 2

Outcome management

Answer 2

managing for results
Process of continually measuring practice and program to make sure desired results are being achieved
Like taking a selfie - gives you perspective

Question 3

Outcome management assists in

Answer 3

Driving business decisions
Developing budgets and allocating resources
Assessing practice patterns
Inc understanding of practice variables
Determining if clinic is effective and efficient

Question 4

Why outcomes management is needed

Answer 4

Provide needed evidence on impacts
Create learning organizations
Pt and 3rd party payer demanding quality of care
Identify issues
Assist in providing right care for every pt

Question 5

Questions outcomes management can ansuwer

Answer 5

Is there a need for change
Should clinic start a new service, stop one, hire new

Improving performance should be congruent with established practice patterns

Question 6

Adv to outcomes management

Answer 6

Inc knowledge of processes
Improved care
Improved functional outcomes
Identifies training opportunities

Question 7

Disadv to outcomes management

Answer 7

Infrigement on tx time
Pressure to inc productivity
Difficulty ensuring reliability during data colelction

Question 8

3 key areas of outcome management

Answer 8

Financial outcomes
Satisfaction outcomes
Clinical performance

Question 9

Financial outcomes - goal

Answer 9

Provide services customers want
Cost effective
Revenue meets expenses and provides profit

Question 10

Financial outcomes - useful data - key financial indicators

Answer 10

Gross profits
Net profits
Accounts receivable (money that a clinic is owed

Question 11

Financial outcomes - standardization

Answer 11

Work relative value (WRV) to standardize comparison between clinicians/clients
Weight of procedures which accounts for variations in skill, effort, payment rates

Question 12

Financial outcomes - standardization - Work relative value - Timed CPT code

Answer 12

weight of 1

Question 13

Financial outcomes - standardization - Work relative value - Initial eval

Answer 13

Weight of 3

Question 14

Financial outcomes - standardization - Work relative value - modalities

Answer 14

weight of 0.5

Question 15

Financial outcomes - standardization - Work relative value - hot/cold packs

Answer 15

weight of 0.25

Question 16

Satisfaction outcomes - foal

Answer 16

Identify actions to provide services that are satisfactory to patient

Question 17

Satisfaction outcomes - key factors

Answer 17

Communication
Consistency
Respect
Attention
Understanding
Competency

Question 18

Clinical performance (functional outcomes) goals

Answer 18

Improved care or optimal service (effective and efficient)
Can guide learning/training
Evaluate clinical performance
Target continuing education
Market effectiveness to payers, referral sources and consumers
Prepare for value based care
Differentiate self and negotiate payer contracts in regards to quality rather than lower price

Question 19

Clinical performance (functional outcomes) - useful data

Answer 19

Need adequate measurement of baseline, intervention performed, condition of pt after intervention

Question 20

Clinical performance (functional outcomes) - Standardization of care

Answer 20

Done by clinical practice guidelines, critical pathways, care maps and protocols

Question 21

Process of measuring and managing outcomes

Answer 21

Identify population to be studied
Choose outcome measurement tool
Collect admission data
Collect clinical intervention data
Collect discharge data
Analyze and interpret data
Develop actions based on data analysis
Implement the actions
Evaluate the outcomes program

Question 22

Commercial outcome systems - AM PAC

Answer 22

Activity measure for post acute care
Measures in 3 areas
- basic mobility
- daily activities 
- applied cognitive

Question 23

Commercial outcome systems - Care connections

Answer 23

Measures

• functional improvement
• decrease in pain
• return to work and utilization

Question 24

Commercial outcome systems - FOTO

Answer 24

Focus on therapeutic outcomes inc
3 scores (initial, during, final)
Score 0 to 100 functional ability
Uses 10 risk adjusted factors to assist in accuracy for benchmarking

Question 25

Commercial outcome systems - OPTIMAL

Answer 25

Outpatient PT improvement in movement assessment log
Measures 22 movements in functional activities
Recommended by CMS as an assessment tool to document objective and measurable function

Question 26

Commercial outcome systems - PROMIS

Answer 26

Pt reported outcome measurement information system

Measures adult and children physical, mental and social health