TABLE 2 - uploaded by Richard Wallace Bohannon
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This article describes a method for evaluating the productivity of therapists in a physical therapy department. I applied this method for 20 days in one department of an acute-care hospital and used the data collected to establish a standard based on the best performance by an individual therapist. I found this method could substantially improve th...
Contexts in source publication
Context 1
... daily departmental PIP ranged from 1.1 on day 2 to 1.7 on day 16. Table 2 reports the mean perform- ance of each therapist for the 20-day evaluation period. The mean number of patients treated and procedures per- formed are reported in addition to the dollar value of the procedures. ...
Context 2
... whirlpool, for instance, may or may not require super- vision and could take from 10 to 50 minutes. Table 2 does, however, dem- onstrate a similar pattern between the number of patients treated, procedures performed, and the value of the proce- dures performed. We may not find this similarity in all institutions. ...
Citations
... While demonstrating the distribution of time across various activities, the investigation fell significantly short of addressing efficient combinations of factor inputs for a given output level when factor price ratios change. Bohannon (1984) evaluated possible productivity for a physical therapist based on the highest dollar value production by a single therapist. This was argued to be what every therapist was capable of producing. ...
This paper investigates the technology cost structure in US physical therapy care. We exploit formal economic theories and a rich national data of providers to tease out implications for operational cost efficiencies. The 2008-2009 dataset comprising over 19 000 bi-weekly, site-specific physical therapy center observations across 28 US states and Occupational Employment Statistics data (Bureau of Labor Statistics) includes measures of output, three labor types (clinical, support, and administrative), and facilities (capital). We discuss findings from the iterative seemingly unrelated regression estimation system model. The generalized translog cost estimates indicate a well-behaved underlying technology structure. We also find the following: (i) factor demands are downwardly sloped; (ii) pair-wise factor relationships largely reflect substitutions; (iii) factor demand for physical therapists is more inelastic compared with that for administrative staff; and (iv) diminishing scale economies exist at the 25%, 50%, and 75% output (patient visits) levels. Our findings advance the timely economic understanding of operations in an increasingly important segment of the medical care sector that has, up-to-now (because of data paucity), been missing from healthcare efficiency analysis. Our work further provides baseline estimates for comparing operational efficiencies in physical therapy care after implementations of the 2010 US healthcare reforms. Copyright © 2012 John Wiley & Sons, Ltd.
The purpose of this study was a quantitative analysis for the influence of physician's assistants on national health insurance revenue and number of patients in clinic. The data was derived from the Korean national health insurance. That was complete enumeration. Dependent variables were measured by national health insurance revenue and number of patients. Independent variables were reported physician's assistants that the number of nurse, nurse-aid, technologist of clinical laboratory, physical therapist and radiologist in clinic. Confounding variables were classified by demand(region, number of inhabitants, number of clinics, number of bed per a hundred thousand persons) and supply(sex and age of representative, number of bed, subjective of medical treatment). On the multiple regression analyses, the physician's assistants that nurse, nurse-aid, technologist of clinical laboratory and physical therapist were statistically significant for outputs. But radiologist was statistically significant only for number of patient.
In a retrospective study problem orientated physiotherapy records were examined on 156 consecutive stroke patients admitted to medical wards and referred to the physiotherapy department. The purpose of the study was to identify from the problem lists those problems physiotherapists are dealing with in stroke care. There were 1338 problems recorded, and these were divided into 16 clinically meaningful subgroups. Three of the sixteen subgroups accounted for 60.2 percent of all the problems recorded, namely lack of voluntary movement and mobility in general (25.7%), imbalance in muscle tone (19.5%), and problems in maintaining balance (15.0%). On discharge only 34.1 per cent of all problems were reported to be resolved. There was wide variation in the success rate claimed with different problems.
This article explores changes in the organization and management of the health care system and their impact on physical therapy services. It discusses why and how the demand for physical therapy services is changing and how the practice of physical therapy is being altered. The impact of change on physical therapists is presented in terms of such effects as stress, burnout, absenteeism, and job turnover. The article develops approaches that physical therapists, individually and collectively, can pursue to position themselves more effectively in a changing health care environment. These are opportunities as well as constraints. The theme that is presented is how to adapt to change in a positive and proactive manner.
The purposes of this retrospective study were to document productivity-relevant measurements, describe the relationships between these measurements, and discuss the implications of the relationships in one physical therapy department. The department's inputs (clinician and staff hours worked), outputs (patient visits, patient procedures, hours charged, and dollars charged), and productivity (staff utilization, financially productive time, and dollars charged per staff hours worked) were monitored. Pearson product-moment correlations, partial correlations, and linear regression statistics were calculated to determine the relationships between the variables measured. During the 30-month period studied, average daily census of the institution decreased, clinician hours worked decreased, patient procedures and dollars charged increased, and the three productivity measures increased. The relationship between output measures and clinician hours worked was apparent only after the effects of increased productivity were controlled. Departmental outputs and productivity were independent of the institution's census. The findings provided no evidence that decisions regarding staffing should be based on institutional census.
This research evaluated whether quantified measures of trunk sway during clinical balance tasks are sensitive enough to identify a balance disorder and possibly specific enough to distinguish between different types of balance disorder. We used a light-weight, easy to attach, body-worn apparatus to measure trunk angular velocities in the roll and pitch planes during a number of stance and gait tasks similar to those of the Tinetti and CTSIB protocols. The tasks included standing on one or two legs both eyes-open and closed on a foam or firm support-surface, walking eight tandem steps, walking five steps while horizontally rotating or pitching the head, walking over low barriers, and up and down stairs. Tasks were sought, which when quantified might provide optimal screening for a balance pathology by comparing the test results of 15 patients with a well defined acute balance deficit (sudden unilateral vestibular loss (UVL)) with those of 26 patients with less severe chronic balance problems caused by a cerebellar-pontine-angle-tumour (CPAT) prior to surgery, and with those of 88 age- and sex-matched healthy subjects. The UVL patients demonstrated significantly greater than normal trunk sway for all two-legged stance tasks especially those performed with eyes closed on a foam support surface. Sway was also greater for walking while rotating or pitching the head, and for walking eight tandem steps on a foam support surface. Interestingly, the patients could perform gait tasks such as walking over barriers almost normally, however took longer. CPAT patients had trunk sway values intermediate between those of UVL patients and normals. A combination of trunk sway amplitude measurements (roll angle and pitch velocity) from the stance tasks of standing on two legs eyes closed on a foam support, standing eyes open on a normal support surface, as well as from the gait tasks of walking five steps while rotating, or pitching the head, and walking eight tandem steps on foam permitted a 97% correct recognition of a normal subject and a 93% correct recognition of an acute vestibular loss patient. Just over 50% of CPAT patients could be classified into a group with intermediate balance deficits, the rest were classified as normal. Our results indicate that measuring trunk sway in the form of roll angle and pitch angular velocity during five simple clinical tests of equilibrium, four of which probe both stance and gait control under more difficult sensory conditions, can reliably and quantitatively distinguish patients with a well defined balance deficit from healthy controls. Further, refinement of these trunk sway measuring techniques may be required if functions such as preliminary diagnosis rather than screening are to be attempted.
This research presents the development and implementation of a measurement model that yields the return on investment (ROI) in a physical therapy clinical program. A performance measurement model was constructed, which determined the ROI of a clinical program in physical therapy using revenue, patient outcomes, staff productivity, costs, and patient satisfaction. Implementation used archival data for 2 groups of patients in a back and neck rehabilitation program. An expert panel was formed to review the model. Based on the results, ROI provided a more comprehensive tool to measure performance than traditional evaluation measures. ROI appears beneficial, making it a useful tool for health care professionals to measure the performance of PT clinical programs.
