Re: Work Comp question for Private Practice

[Guest guest]

We strive to get ALL patients in with in 48-72 hours, no longer than 1

week………WC too.

How in the world do you get away with 2-3 weeks out? Are you short staffed?

What keeps your patients from going elsewhere to get in sooner?

Intereseted,

Kevyn Soupiset, PT, MPT

" Success often comes from taking a misstep in the right direction. "

Progressive Therapy & Sports Medicine

117 W. 6th

Larned, KS 67550

Ph:

Fax

www.progressive-larned.com

<http://www.elocallink.tv/vp6/spon-fcsa_a.php?fvm=1 & sponid=AjUFMg5rVjtUYg== & v>

http://www.elocallink.tv/vp6/spon-fcsa_a.php?fvm=1 & sponid=AjUFMg5rVjtUYg== & v

From: PTManager [mailto:PTManager ] On Behalf Of

Schweitzer

Sent: Thursday, January 20, 2011 10:19 AM

To: ptmanager ; PTManager

Subject: Work Comp question for Private Practice

Hi Group,

I recently fought for 2 years to get my practice on a WC panel and succeeded.

They require a 24-48 hour eval scheduling timeframe. I'm currently 2-3 weeks

out for an eval slot.

Is this quick eval standard in WC?

Do you all accomodate this request?

How? seems like if you left time available, you might get burned.

Thanks!

Schweitzer, DPT

Florida

From: andrew priestap <apriestap@... <mailto:apriestap%40msn.com> >

Subject: RE: Coccyx pain

To: ptmanager <mailto:ptmanager%40yahoogroups.com>

Date: Wednesday, January 19, 2011, 7:49 PM

Dave,

A good resource may be a trained PT in Pelvic Pain. Is the pain related to

muscle spasm? What was the mechanism of injury? As therapists I think we

sometimes forget about the pelvic floor and the impact on pain and function.

Have you tried any manual techniques yet, either lumbar or Thieles massage?

Where are you located? Good luck!

Priestap, MS, PT

Centric Therapy

Michigan

To: PTManager <mailto:PTManager%40yahoogroups.com>

From: hitendave@... <mailto:hitendave%40comcast.net>

Date: Thu, 20 Jan 2011 00:24:12 +0000

Subject: Coccyx pain

To the group: I haven't seen one for quite some time and suddenly I have 3

patients with the same problem. Any ideas what has worked for this type of

patients you have seen in your practice? Donut Pillow etc has been tried

already. Any information would be appreciated.

Hiten Dave' PT

[Guest guest]

:

Where in Florida are you. That is good for you I guess that you are 2-3 weeks

out, but I have to agree, we have a standard to get everyone in for an

evaluation in 48 to no longer than 72 hours. My MD gets me in quicker than 3

weeks. I do not think that is an unreasonable request at all (24-48 hours).

Ric Baird, MS, PT, ATC

Working. Better. Together.

Interactive Physical Therapy & Fitness

3405 NW Hunters Ridge Terrace

Suite 300

Topeka, KS 66618

(785)246-2300 (P)

(785)246-2301 (F)

Interactive Physical Therapy

1709 SE 29th Street

Suite 300-400

Topeka, KS 66605

(785)266-4600 (P)

(785)266-4601 (F)

www.interactiveptandfitness.com

www.ipt.tsfl.com

Sent from my iPhone

> Hi Group,

> I recently fought for 2 years to get my practice on a WC panel and succeeded.

They require a 24-48 hour eval scheduling timeframe. I'm currently 2-3 weeks

out for an eval slot.

> Is this quick eval standard in WC?

> Do you all accomodate this request?

> How? seems like if you left time available, you might get burned.

>

> Thanks!

> Schweitzer, DPT

> Florida

>

>

>

>

> Subject: RE: Coccyx pain

> To: ptmanager

> Date: Wednesday, January 19, 2011, 7:49 PM

>

>

>

> Dave,

> A good resource may be a trained PT in Pelvic Pain. Is the pain related to

muscle spasm? What was the mechanism of injury? As therapists I think we

sometimes forget about the pelvic floor and the impact on pain and function.

Have you tried any manual techniques yet, either lumbar or Thieles massage?

Where are you located? Good luck!

>

> Priestap, MS, PT

> Centric Therapy

> Michigan

>

> To: PTManager

> From: hitendave@...

> Date: Thu, 20 Jan 2011 00:24:12 +0000

> Subject: Coccyx pain

>

> To the group: I haven't seen one for quite some time and suddenly I have 3

patients with the same problem. Any ideas what has worked for this type of

patients you have seen in your practice? Donut Pillow etc has been tried

already. Any information would be appreciated.

>

> Hiten Dave' PT

>

>

[Guest guest]

Hi ,

Considering the delays caused by various elements of the medical system and

the impact on costs and potential outcomes on work comp, I think it is at

least important to know where this standard likely comes from.

If you look at a number of guidelines for " time out of work " , many

standards have a goal of 2 days or less of " time loss " . I realize many of us

can't

impact care that fast, but what is the current/average " time loss " of your

clients?

If you rule out traumatic (fracture/amputation, etc.) and " red flag "

conditions, there should be few limitation to return to work through

determining

appropriate job modifications, etc. Decade old guidelines for LBP note

that care should involve encouraging activity and not waiting for pain free

status for RTW.

Research has shown decreased overall time out of work with an early

(appropriate) return to work philosophy. While not all employers are prepared

for modified duty, etc., the " job matching " needs to start with a

determination of what a worker can do safely. I have worked in communities

where the

physician would see an injured worker the same day as the problem and

expect PT evaluation the same day, with eval/basic functional testing.... then

the person reported back to the MD office for a work ability form stating

safe abilities for RTW. This was certainly not much fun from a scheduling

perspective, but the clients and employers loved it since the process was

transparent and everyone felt some sense of clear direction of care.

If a client is kept out of work until they see a physician (and the wait

is several days), and then it takes over a week to get into therapy......

even if the therapist made immediate work modification recommendations and

the workplace could clarify/implement in 2 days, the " time loss costs " have

functionally extended to 2 weeks with higher comp costs, replacement

workers, etc. It is one thing if the person " must be out of work " medically,

but

another if the delay is " needless " . If a therapist in your practice

" sprained their back " , would you want to wait 2-3 weeks to find out the status

of the therapist and conditions to allow return to work in a modified

capacity?

Many employers are looking at appointment wait (and communication) as a

standard for which medical providers " get " work comp and are desirable to

work with (including physician appt wait times). Taking this positively,

depending on the business available, this could be a great way to expand your

business, instead of extending appointment times.

Regards,

Dee

PS, there have also been some interesting studies from the UK on how

dropping the wait time for a PT eval from something like 4-5 weeks to under a

week had a pretty big impact on care (especially physician " belief " in early

access to PT)

Deirdre Daley, PT, DPT

WorkWell Systems

New Ipswich, NH

In a message dated 1/20/2011 6:11:21 P.M. Eastern Standard Time,

ericschweitzer2@... writes:

Hi Group,

I recently fought for 2 years to get my practice on a WC panel and

succeeded. They require a 24-48 hour eval scheduling timeframe. I'm currently

2-3 weeks out for an eval slot.

Is this quick eval standard in WC?

Do you all accomodate this request?

How? seems like if you left time available, you might get burned.

Thanks!

Schweitzer, DPT

Florida

From: andrew priestap <_apriestap@..._ (mailto:apriestap@...) >

Subject: RE: Coccyx pain

To: _ptmanager _ (mailto:ptmanager )

Date: Wednesday, January 19, 2011, 7:49 PM

Dave,

A good resource may be a trained PT in Pelvic Pain. Is the pain related to

muscle spasm? What was the mechanism of injury? As therapists I think we

sometimes forget about the pelvic floor and the impact on pain and function.

Have you tried any manual techniques yet, either lumbar or Thieles

massage? Where are you located? Good luck!

Priestap, MS, PT

Centric Therapy

Michigan

To: _PTManager _ (mailto:PTManager )

From: _hitendave@..._ (mailto:hitendave@...)

Date: Thu, 20 Jan 2011 00:24:12 +0000

Subject: Coccyx pain

To the group: I haven't seen one for quite some time and suddenly I have 3

patients with the same problem. Any ideas what has worked for this type of

patients you have seen in your practice? Donut Pillow etc has been tried

already. Any information would be appreciated.

Hiten Dave' PT

[Non-text portions of this message have been removed]

[Non-text portions of this message have been removed]

[Non-text portions of this message have been removed]