Guest guest Posted December 29, 1998 Report Share Posted December 29, 1998 Could anyone give me an idea of what a PT can reasonably expect to produce per hour in the way of revenue. We are trying to make some projections and " guesstimates " about adding a PT to our office staff. We are an Occ-med clinic with mostly neck/back related injuries/complaints. I understand there are many variables but a good ball park # would b e helpful at this point. Thanks! Ray Foxworth ConservaCareCorp ------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 1998 Report Share Posted December 29, 1998 In a message dated 12/29/98 1:49:43 PM Central Standard Time, CCCms@... writes: << Could anyone give me an idea of what a PT can reasonably expect to produce per hour in the way of revenue. We are trying to make some projections and " guesstimates " about adding a PT to our office staff. We are an Occ-med clinic with mostly neck/back related injuries/complaints. I understand there are many variables but a good ball park # would b e helpful at this point. Thanks! Ray Foxworth ConservaCareCorp >> The standard we use and which I've seen posted here before is that 70% of a therapist's day should be spent in patient care. We use this standard in the outpatient setting with primarily orthopedic cases. The number should be adjusted according to your patient population. B. Memorial Hospital El Dorado, KS ------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 1998 Report Share Posted December 29, 1998 A PT alone should be able to treat two patients per hour, in an outpatient- type setting. With one full-time Aide, three to three 1/2 pts/hr. Revenue varies with reimbursement/contracts (dah), but it should cruise around 30% above the cost of running the clinic (per patient, per hour) ------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 1998 Report Share Posted December 29, 1998 Standards for PT's today should be 100% of time spent with patients. Period. The concept of spending 30% of professional time on paperwork and other non- revenue producing activities is an absolutely preposterous and antiquated idea that belongs to the pre- " managed care " days (except whne that time can be spent on revenue producing report-writing). Now, ask me what I really think about this issue... Position these PT's, who demand to work on a 70/30 basis, as if they were in independent private practice, and watch what happens to their productivity. ------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 1998 Report Share Posted December 29, 1998 P Kovacek wrote- > Please spend some time reading The Guide to Physical Therapist Practice. > Physical Therapy is much more than just treatment. In today's complex > environment, good hands are just not enough - no matter how good. We need > more > time to be self-analytical and in communicating our worth and value. Realistically the below comments are commonly heard at state and national meetings when managers get together- not quite to the extreme- but I believe in response to factors of oppurtunities for reflective practitioners that turn into pleas by practitioners not to be involved in what it considered " administrative dimensions " of practice, and trends toward a what I call a " consultative orientation " , versus a professional orientation. The below point of practitioners that are willing to invest beyond an 8 hour day for quality seems to have been going by the wayside- even in situations where the time/projects can be taken on in limited doses. The truth is probably between the two, unless you have built and maintained a fantastic systems oriented staff. While we all aspire to this- a profession of fully reflective/self inquiring/cognitive dissonance resolution seeking providers is still some time away. We all know someone who turns independent reflective time into a longer lunch hour. > Previous comments- > > > > Standards for PT's today should be 100% of time spent with patients. > Period. > > The concept of spending 30% of professional time on paperwork and other > non- > > revenue producing activities is an absolutely preposterous and antiquated > idea > > that belongs to the pre- " managed care " days (except whne that time can be > > spent on revenue producing report-writing). Now, ask me what I really > think > > about this issue... > > Position these PT's, who demand to work on a 70/30 basis, as if they were > in > > independent private practice, and watch what happens to their > productivity. > ------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 1998 Report Share Posted December 30, 1998 A consistent target from many OP facilities is 75% of working time should be direct billable time. This is not just for the PT. You have to inckude any PTA, aids, or any other extender. I have PTs who can personally do 7 units (unit=15 min) per worked hour. That is 175% productivity. They use aids regularly for many tasks. When total units (everything billed) are divided by total worked hours (everyone who actually worked), the result is still around 3 units per worked hour. This result can go higher by double/triple booking similar ortho patients, but you better have good patient relations going so that people feel they are getting their money's worth. It almost doesn't matter what you bill, actual payment falls in the $18-$22 a unit range. Contracts may really drop that amount. I know there are managed care contracts that call for $25 a visit. I also have seen practices promise 7 visits or it's free. Tom Frederick St. Health System Knoxville TN To: ptmanageregroups cc: (bcc: Tom Frederick/SMHS/CHP) Subject: Re: PT production/hour Could anyone give me an idea of what a PT can reasonably expect to produce per hour in the way of revenue. We are trying to make some projections and " guesstimates " about adding a PT to our office staff. We are an Occ-med clinic with mostly neck/back related injuries/complaints. I understand there are many variables but a good ball park # would b e helpful at this point. Thanks! Ray Foxworth ConservaCareCorp ------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 1998 Report Share Posted December 30, 1998 I assume from the scenario below that each therapist has a full time aide working directly with them. What a nice dream this would be for a lot of outpatient clinics. This scenario also assumes that patient volume is the greatest predictor of staff productivity. I disagree and feel that pt diagnosis and acuity are necessary components of any productivity standards that are established and will be different for every setting.. Patient case management, usually not billable time, but important for good outcomes, also needs to be factored in. I support that 70% of time is billable, but 100% of a staff therapists time should be geared towards patient care issues. > A PT alone should be able to treat two patients per hour, in an outpatient- > type setting. With one full-time Aide, three to three 1/2 pts/hr. Revenue > varies with reimbursement/contracts (dah), but it should cruise around 30% > above the cost of running the clinic (per patient, per hour) > > ------------------------------------------------------------------------ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 1998 Report Share Posted December 30, 1998 I would like to echo 's sentiments regarding this productivity issue. While I agree that all therapists must be much more attuned to the financial issues surrounding patient care, they must be even more attuned to patient management issues rather than just treatment. This is what the Guide addresses. If you were to rephrase your answer to state that therapists should spend 100% of their time on " patient management " rather than " patient treatment' I would be more inclined to agree. As to your final point about " positioning the therapist " as if they were in a private practice so that they have a greater appreciation for their financial performance, I couldn't agree more. As far as I am concerned, we are way behind the times in modeling PT practice in a logical fashion. I feel strongly that we should fashioning our 'employment' relationships along the lines of a legal practice where one has partners and associates. Even better, make every PT a provider of care rather than a supplier. Sounds a lot like a lobbying effort doesn't it? Ken Mailly, PT Re: PT production/hourPlease spend some time reading The Guide to Physical Therapist Practice. Physical Therapy is much more than just treatment. In today's complex environment, good hands are just not enough - no matter how good. We need more time to be self-analytical and in communicating our worth and value. If you are interested in studying the clinical aspects of productivity - I can suggest " The Productivity Quiz " which is download able in Adobe Acrobat Format from <www.ptmanager.com/productivityquizintro.htm>.At 09:06 PM 12/29/98 , you wrote: Standards for PT's today should be 100% of time spent with patients. Period. The concept of spending 30% of professional time on paperwork and other non- revenue producing activities is an absolutely preposterous and antiquated idea that belongs to the pre- " managed care " days (except whne that time can be spent on revenue producing report-writing). Now, ask me what I really think about this issue... Position these PT's, who demand to work on a 70/30 basis, as if they were in independent private practice, and watch what happens to their productivity. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 1998 Report Share Posted December 30, 1998 I'll go along with the concept of " patient management " . Good point. I am in agreement with matching the model of law practices where associates and partners have to be accountable for their time. ------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
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