Quality Outcomes

At Advanced Care Physical Therapy, it’s about results for our patients, referring physicians, partners, participating insurance companies, our staff and our community.

Surgery versus Physical Therapy?

 According to a 2013 federally funded study published in the New England Journal of Medicine, physical therapy (PT) is as effective as knee surgery for a torn meniscus. This study compared the results of arthroscopic surgery versus physical therapy at seven major U.S. universities and orthopedic surgery centers, according to The Washington Post.  Its 351 subjects had meniscus tears and osteoarthritis, a common knee injury.  After six months, both the PT group and the group who initially had surgery reported similar rates of functional improvement. They also submitted similar pain scores. Researchers reported similar results at 12 months.

Advanced Care Physical Therapy uses FOTO (Focus On Therapeutic Outcomes) to evaluate and track patient progress throughout their treatment process.  FOTO is a web-based patient assessment system that efficiently determines three primary measurements to drive the most successful outcomes for every new patient who is treated in our clinics:

1) Initial Functional Status Measurement

At the first evaluation, we have our patients complete a short assessment about the functional level of the body part or impairment that needs treatment. From these answers and the use of FOTO, we calculate a functional status measure. This measure is a score usually on a scale of 0 – 100, that represents functional ability.

For example, if your functional status measure for a knee injury is 20, we might say you have only 20% of the ability that the perfectly healthy knee should have.

2) Predicted Change in Functional Status Measurement

We know that every patient is unique, so our treatment plan is customized based on a number of measurable variables and conditions. During the assessment at the first evaluation, we ask our patients a few “risk adjustment” questions. These are questions about age, acuity, severity, co-morbidities, etc.  This outlines risk factors we employ to calculate a predicted change in functional statistics (or predicted outcome) just after the assessment is completed. The predicted outcome is the average amount of change in function similar patients have achieved after treatment with us. This allows us to track and adjust your treatment plan.

How do we know what works? Our extraordinarily large database of over six million cases enables us to identify large sets of patients with identical risk adjusted profiles to nearly every condition. This modeling allows us to develop the optimum treatment program and keep you on track every step of the way.

3) Actual Change in Functional Status Measurement

We typically ask patients to complete an assessment once every 4 or 5 visits and at the end of their treatments to track the improvement of functional ability. A patient’s actual change in functional status measure (or actual outcome measure) is determined by simply subtracting the score at the first evaluation from the score at the patient’s last treatment. This outcome score represents the improvement of functionality, and how far you have come from start to finish.

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