Guest guest Posted February 18, 2011 Report Share Posted February 18, 2011 Hi, - That's a difficult situation, partly because no one in his residency or later on helped him learn how PT really works. Too bad there's not a DVD of " Who PTs are and What Do They Do " to take off the shelf to share with the medical staff. Maybe someday. And your Administrator may believe that the doc should have whatever he wants, " anytime, anyway. " Meanwhile, the Medical Records (or Health Information Management = HIM) department may be helpful. The doc is asking for unusual " special " record reports, declining to use the institution's standard records, so the HIM manager may need to clarify how your institution's medical records committee has decided to do things. It isn't easy. Good luck. You may want to (in your own private thoughts) set up a 1-3 year plan for how to begin communicating to everyone how PT is practiced and comunicated in the 21st Century. So should the rest of us! Oh, yeah! That's Marketing! Dr. Dick Hillyer, PT,DPT,MBA,MSM _____ From: PTManager [mailto:PTManager ] On Behalf Of G Sent: Friday, February 18, 2011 5:07 PM To: PTManager Subject: Physician relations Need some advice and a listening ear... I have a physician that is being very " doctorish " over PT communicating with him regarding patient progress. He is the only physician that has this problem. He is wanting bi-weekly communication of how his patient's are progressing while in the hospital. he is adamant about not reading PT notes or learning any " PT " oriented abbreviations i.e. min assist, CGA, etc. He now wants PT to document on a seperate sheet on patient progression. Needleess to say I am frustrated by his stance and obstinance. any suggestions, ideas or previous experience with similar matters is appreciated. Gwilliam, PT, CWS Director of Rehabiliation Bowie Memorial Hospital Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 18, 2011 Report Share Posted February 18, 2011 I have run across a Doctor who hated our abbreviations and asked us to quit abbreviating. However, our hospital had a list of approved abbreviations that not only PT, but nursing, etc. used. ( CGA, etc. are not just PT abbreviations.) I usually would try to limit abbreviations when writing him a note just to keep the peace, but it was impractical to document differently in chart just for his patients. If you have tried to talk reason to him and did not get anywhere, do you have a medical director who would go to bat for you and talk to him? I feel like you kind of have to balance customer/physician relations with practicality and time restraints and decide if this is a battle worth fighting. There seems to always be that one guy who has to make things difficult for everyone else. Greg Noel, PT,MS,SCS  ________________________________ To: PTManager Sent: Fri, February 18, 2011 4:07:07 PM Subject: Physician relations  Need some advice and a listening ear... I have a physician that is being very " doctorish " over PT communicating with him regarding patient progress. He is the only physician that has this problem. He is wanting bi-weekly communication of how his patient's are progressing while in the hospital. he is adamant about not reading PT notes or learning any " PT " oriented abbreviations i.e. min assist, CGA, etc. He now wants PT to document on a seperate sheet on patient progression. Needleess to say I am frustrated by his stance and obstinance. any suggestions, ideas or previous experience with similar matters is appreciated. Gwilliam, PT, CWS Director of Rehabiliation Bowie Memorial Hospital Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 18, 2011 Report Share Posted February 18, 2011 Just say " No " . You already document in the chart for A good reason. Say no and be ready to stand your ground. Situations like that are a prized situation, if you ask me, to do some teaching to an ignorant physician. Respectfully; Armin Loges, PT Tampa,FL This email and all it's contents is private & confidential to the addressee. If you received it in error, please contact me for remedial action. Thank you. Sent from iPhone. > Need some advice and a listening ear... > > I have a physician that is being very " doctorish " over PT communicating with him regarding patient progress. He is the only physician that has this problem. > > He is wanting bi-weekly communication of how his patient's are progressing while in the hospital. he is adamant about not reading PT notes or learning any " PT " oriented abbreviations i.e. min assist, CGA, etc. > > He now wants PT to document on a seperate sheet on patient progression. > > Needleess to say I am frustrated by his stance and obstinance. > > any suggestions, ideas or previous experience with similar matters is appreciated. > > Gwilliam, PT, CWS > Director of Rehabiliation > Bowie Memorial Hospital > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 19, 2011 Report Share Posted February 19, 2011 Suggestion: Give him a 3x5 index card with the common abbreviations. He can stick it in his pocket and have it accessible when reading charts. Added touch: laminate it. You are doing your job and having to write separate is simply ludicrous. You may have to take him to the side and talk to him. Stand your ground. Good Luck! Tony Abrahano, PT Abrahano Physical Therapy Services, Inc. Physician relations Need some advice and a listening ear... I have a physician that is being very " doctorish " over PT communicating with him regarding patient progress. He is the only physician that has this problem. He is wanting bi-weekly communication of how his patient's are progressing while in the hospital. he is adamant about not reading PT notes or learning any " PT " oriented abbreviations i.e. min assist, CGA, etc. He now wants PT to document on a seperate sheet on patient progression. Needleess to say I am frustrated by his stance and obstinance. any suggestions, ideas or previous experience with similar matters is appreciated. Gwilliam, PT, CWS Director of Rehabiliation Bowie Memorial Hospital Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 19, 2011 Report Share Posted February 19, 2011 Many facilities (including mine) are totally eliminating abbreviations. That might help as well. Sent from my iPad > Suggestion: Give him a 3x5 index card with the common abbreviations. He can stick it in his pocket and have it accessible when reading charts. > Added touch: laminate it. > > You are doing your job and having to write separate is simply ludicrous. You may have to take him to the side and talk to him. Stand your ground. > > Good Luck! > > Tony Abrahano, PT > Abrahano Physical Therapy Services, Inc. > > Physician relations > > Need some advice and a listening ear... > > I have a physician that is being very " doctorish " over PT communicating with him regarding patient progress. He is the only physician that has this problem. > > He is wanting bi-weekly communication of how his patient's are progressing while in the hospital. he is adamant about not reading PT notes or learning any " PT " oriented abbreviations i.e. min assist, CGA, etc. > > He now wants PT to document on a seperate sheet on patient progression. > > Needleess to say I am frustrated by his stance and obstinance. > > any suggestions, ideas or previous experience with similar matters is appreciated. > > Gwilliam, PT, CWS > Director of Rehabiliation > Bowie Memorial Hospital > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 19, 2011 Report Share Posted February 19, 2011 Many facilities (including mine) are totally eliminating abbreviations. That might help as well. Sent from my iPad > Suggestion: Give him a 3x5 index card with the common abbreviations. He can stick it in his pocket and have it accessible when reading charts. > Added touch: laminate it. > > You are doing your job and having to write separate is simply ludicrous. You may have to take him to the side and talk to him. Stand your ground. > > Good Luck! > > Tony Abrahano, PT > Abrahano Physical Therapy Services, Inc. > > Physician relations > > Need some advice and a listening ear... > > I have a physician that is being very " doctorish " over PT communicating with him regarding patient progress. He is the only physician that has this problem. > > He is wanting bi-weekly communication of how his patient's are progressing while in the hospital. he is adamant about not reading PT notes or learning any " PT " oriented abbreviations i.e. min assist, CGA, etc. > > He now wants PT to document on a seperate sheet on patient progression. > > Needleess to say I am frustrated by his stance and obstinance. > > any suggestions, ideas or previous experience with similar matters is appreciated. > > Gwilliam, PT, CWS > Director of Rehabiliation > Bowie Memorial Hospital > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 19, 2011 Report Share Posted February 19, 2011 I would guess this is about more than abbreviations, etc. Perhaps the physician is looking for something that better summarizes-in simple terms-how the pt is doing. Instead of just " pt min assist bed to chair' " for example, perhaps what the provider really wants to know is, " estimate pt will be safe for d/c from a mobility standpoint by.... " Maybe if this type of statement was in the EMR under assessment one could just print it off for the provider as is and it might satisfy him? And then again, probably not, but I would try to stress the inefficiency of the process, and ask him respectfully how much he personally likes extra paperwork, and if there is any other way to help him with his patients. A worse issue is a provider who never reads the notes-- in any form. Pierre H. Rougny, PT, OCS Director of Rehab Services Sebasticook Valley Hospital 141 Leighton St Pittsfield, Me 04967 , 487-4072(direct line) ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of Tmabrahano Sent: Saturday, February 19, 2011 12:00 PM To: PTManager Subject: Re: Physician relations Suggestion: Give him a 3x5 index card with the common abbreviations. He can stick it in his pocket and have it accessible when reading charts. Added touch: laminate it. You are doing your job and having to write separate is simply ludicrous. You may have to take him to the side and talk to him. Stand your ground. Good Luck! Tony Abrahano, PT Abrahano Physical Therapy Services, Inc. Physician relations Need some advice and a listening ear... I have a physician that is being very " doctorish " over PT communicating with him regarding patient progress. He is the only physician that has this problem. He is wanting bi-weekly communication of how his patient's are progressing while in the hospital. he is adamant about not reading PT notes or learning any " PT " oriented abbreviations i.e. min assist, CGA, etc. He now wants PT to document on a seperate sheet on patient progression. Needleess to say I am frustrated by his stance and obstinance. any suggestions, ideas or previous experience with similar matters is appreciated. Gwilliam, PT, CWS Director of Rehabiliation Bowie Memorial Hospital Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 19, 2011 Report Share Posted February 19, 2011 I would guess this is about more than abbreviations, etc. Perhaps the physician is looking for something that better summarizes-in simple terms-how the pt is doing. Instead of just " pt min assist bed to chair' " for example, perhaps what the provider really wants to know is, " estimate pt will be safe for d/c from a mobility standpoint by.... " Maybe if this type of statement was in the EMR under assessment one could just print it off for the provider as is and it might satisfy him? And then again, probably not, but I would try to stress the inefficiency of the process, and ask him respectfully how much he personally likes extra paperwork, and if there is any other way to help him with his patients. A worse issue is a provider who never reads the notes-- in any form. Pierre H. Rougny, PT, OCS Director of Rehab Services Sebasticook Valley Hospital 141 Leighton St Pittsfield, Me 04967 , 487-4072(direct line) ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of Tmabrahano Sent: Saturday, February 19, 2011 12:00 PM To: PTManager Subject: Re: Physician relations Suggestion: Give him a 3x5 index card with the common abbreviations. He can stick it in his pocket and have it accessible when reading charts. Added touch: laminate it. You are doing your job and having to write separate is simply ludicrous. You may have to take him to the side and talk to him. Stand your ground. Good Luck! Tony Abrahano, PT Abrahano Physical Therapy Services, Inc. Physician relations Need some advice and a listening ear... I have a physician that is being very " doctorish " over PT communicating with him regarding patient progress. He is the only physician that has this problem. He is wanting bi-weekly communication of how his patient's are progressing while in the hospital. he is adamant about not reading PT notes or learning any " PT " oriented abbreviations i.e. min assist, CGA, etc. He now wants PT to document on a seperate sheet on patient progression. Needleess to say I am frustrated by his stance and obstinance. any suggestions, ideas or previous experience with similar matters is appreciated. Gwilliam, PT, CWS Director of Rehabiliation Bowie Memorial Hospital Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 21, 2011 Report Share Posted February 21, 2011 " What happened to the Cliff Notes " ... Maybe the Doctor has a good point with his need for info. I don't know what the physician is searching for in his private notes but maybe it can be incorporated into your notes. As therapists, we can write volumes on test and measures and our style may be geared more toward defending notes and explaining to co-workers what we are doing so they can repeat or build on the data. Our assessments explain some of the data and may even group the patient into a diagnostic category. Something is often missing in the above note format. We are missing the " cliff notes " . the summary of what does this mean to the patient or physician. The physician has to interpret the data of ROM, balance tests, diagnostic tests, etc. when he may really be searching for a quick summary. Does the assessment provide some critical discharge data which he is having to assimilate from the data. Is this patient ready to go home. Do they need some type of assistance or different care setting. When will the patient be ready for discharge. When I was in the hospital, I avoided these statements since we were just running the program with the team until the patient went home. I don't pretend to know what the physician is asking for in his private note but just offer this as one example. Steve Passmore PT, MS Healthy Recruiting Tools spass@... Phone: Fax: " What We Did For You Yesterday Is History. What Can We Do For You Today " Recruiting Tools: Cold Calls ~ List Enhancement ~ Direct Mailers ~ Card Design ~ Recruiting Software From: PTManager [mailto:PTManager ] On Behalf Of Rougny, Pierre Sent: Saturday, February 19, 2011 1:52 PM To: PTManager Subject: RE: Physician relations I would guess this is about more than abbreviations, etc. Perhaps the physician is looking for something that better summarizes-in simple terms-how the pt is doing. Instead of just " pt min assist bed to chair' " for example, perhaps what the provider really wants to know is, " estimate pt will be safe for d/c from a mobility standpoint by.... " Maybe if this type of statement was in the EMR under assessment one could just print it off for the provider as is and it might satisfy him? And then again, probably not, but I would try to stress the inefficiency of the process, and ask him respectfully how much he personally likes extra paperwork, and if there is any other way to help him with his patients. A worse issue is a provider who never reads the notes-- in any form. Pierre H. Rougny, PT, OCS Director of Rehab Services Sebasticook Valley Hospital 141 Leighton St Pittsfield, Me 04967 , 487-4072(direct line) ________________________________ From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On Behalf Of Tmabrahano Sent: Saturday, February 19, 2011 12:00 PM To: PTManager <mailto:PTManager%40yahoogroups.com> Subject: Re: Physician relations Suggestion: Give him a 3x5 index card with the common abbreviations. He can stick it in his pocket and have it accessible when reading charts. Added touch: laminate it. You are doing your job and having to write separate is simply ludicrous. You may have to take him to the side and talk to him. Stand your ground. Good Luck! Tony Abrahano, PT Abrahano Physical Therapy Services, Inc. Physician relations Need some advice and a listening ear... I have a physician that is being very " doctorish " over PT communicating with him regarding patient progress. He is the only physician that has this problem. He is wanting bi-weekly communication of how his patient's are progressing while in the hospital. he is adamant about not reading PT notes or learning any " PT " oriented abbreviations i.e. min assist, CGA, etc. He now wants PT to document on a seperate sheet on patient progression. Needleess to say I am frustrated by his stance and obstinance. any suggestions, ideas or previous experience with similar matters is appreciated. Gwilliam, PT, CWS Director of Rehabiliation Bowie Memorial Hospital Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 21, 2011 Report Share Posted February 21, 2011 " What happened to the Cliff Notes " ... Maybe the Doctor has a good point with his need for info. I don't know what the physician is searching for in his private notes but maybe it can be incorporated into your notes. As therapists, we can write volumes on test and measures and our style may be geared more toward defending notes and explaining to co-workers what we are doing so they can repeat or build on the data. Our assessments explain some of the data and may even group the patient into a diagnostic category. Something is often missing in the above note format. We are missing the " cliff notes " . the summary of what does this mean to the patient or physician. The physician has to interpret the data of ROM, balance tests, diagnostic tests, etc. when he may really be searching for a quick summary. Does the assessment provide some critical discharge data which he is having to assimilate from the data. Is this patient ready to go home. Do they need some type of assistance or different care setting. When will the patient be ready for discharge. When I was in the hospital, I avoided these statements since we were just running the program with the team until the patient went home. I don't pretend to know what the physician is asking for in his private note but just offer this as one example. Steve Passmore PT, MS Healthy Recruiting Tools spass@... Phone: Fax: " What We Did For You Yesterday Is History. What Can We Do For You Today " Recruiting Tools: Cold Calls ~ List Enhancement ~ Direct Mailers ~ Card Design ~ Recruiting Software From: PTManager [mailto:PTManager ] On Behalf Of Rougny, Pierre Sent: Saturday, February 19, 2011 1:52 PM To: PTManager Subject: RE: Physician relations I would guess this is about more than abbreviations, etc. Perhaps the physician is looking for something that better summarizes-in simple terms-how the pt is doing. Instead of just " pt min assist bed to chair' " for example, perhaps what the provider really wants to know is, " estimate pt will be safe for d/c from a mobility standpoint by.... " Maybe if this type of statement was in the EMR under assessment one could just print it off for the provider as is and it might satisfy him? And then again, probably not, but I would try to stress the inefficiency of the process, and ask him respectfully how much he personally likes extra paperwork, and if there is any other way to help him with his patients. A worse issue is a provider who never reads the notes-- in any form. Pierre H. Rougny, PT, OCS Director of Rehab Services Sebasticook Valley Hospital 141 Leighton St Pittsfield, Me 04967 , 487-4072(direct line) ________________________________ From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On Behalf Of Tmabrahano Sent: Saturday, February 19, 2011 12:00 PM To: PTManager <mailto:PTManager%40yahoogroups.com> Subject: Re: Physician relations Suggestion: Give him a 3x5 index card with the common abbreviations. He can stick it in his pocket and have it accessible when reading charts. Added touch: laminate it. You are doing your job and having to write separate is simply ludicrous. You may have to take him to the side and talk to him. Stand your ground. Good Luck! Tony Abrahano, PT Abrahano Physical Therapy Services, Inc. Physician relations Need some advice and a listening ear... I have a physician that is being very " doctorish " over PT communicating with him regarding patient progress. He is the only physician that has this problem. He is wanting bi-weekly communication of how his patient's are progressing while in the hospital. he is adamant about not reading PT notes or learning any " PT " oriented abbreviations i.e. min assist, CGA, etc. He now wants PT to document on a seperate sheet on patient progression. Needleess to say I am frustrated by his stance and obstinance. any suggestions, ideas or previous experience with similar matters is appreciated. Gwilliam, PT, CWS Director of Rehabiliation Bowie Memorial Hospital Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2011 Report Share Posted February 22, 2011 A good portion of what he is asking for is communicated to the nurses, our MDS coordinator and our social worker, i.e. anticipated discharge, equipment neededs, services or setting needs. Often times this physician wants to hear the same information from PT vs second hand from someone else. Is anyone willing to share their documentation forms with my for references? I am trying to redo our inpatient documenation know to make sure we are clear to the physicians Irony of this whole situation is that this physician asked that we put things in " layman " terms for him to understand... Gwilliam, PT, CWS, MHA Director of Rehabilitation Bowie Memorial Hospital > > " What happened to the Cliff Notes " ... > > > > Maybe the Doctor has a good point with his need for info. I don't know what > the physician is searching for in his private notes but maybe it can be > incorporated into your notes. As therapists, we can write volumes on test > and measures and our style may be geared more toward defending notes and > explaining to co-workers what we are doing so they can repeat or build on > the data. Our assessments explain some of the data and may even group the > patient into a diagnostic category. > > > > Something is often missing in the above note format. We are missing the > " cliff notes " . the summary of what does this mean to the patient or > physician. > > > > The physician has to interpret the data of ROM, balance tests, diagnostic > tests, etc. when he may really be searching for a quick summary. Does the > assessment provide some critical discharge data which he is having to > assimilate from the data. Is this patient ready to go home. Do they need > some type of assistance or different care setting. When will the patient be > ready for discharge. When I was in the hospital, I avoided these > statements since we were just running the program with the team until the > patient went home. I don't pretend to know what the physician is asking for > in his private note but just offer this as one example. > > > > Steve Passmore PT, MS > > Healthy Recruiting Tools > > spass@... > > Phone: > > Fax: > > > > " What We Did For You Yesterday Is History. What Can We Do For You Today " > > > > Recruiting Tools: Cold Calls ~ List Enhancement ~ Direct Mailers ~ Card > Design ~ Recruiting Software > > > > From: PTManager [mailto:PTManager ] On Behalf > Of Rougny, Pierre > Sent: Saturday, February 19, 2011 1:52 PM > To: PTManager > Subject: RE: Physician relations > > > > > > I would guess this is about more than abbreviations, etc. Perhaps the > physician is looking for something that better summarizes-in simple > terms-how the pt is doing. Instead of just " pt min assist bed to > chair' " for example, perhaps what the provider really wants to know is, > " estimate pt will be safe for d/c from a mobility standpoint by.... " > Maybe if this type of statement was in the EMR under assessment one > could just print it off for the provider as is and it might satisfy him? > > And then again, probably not, but I would try to stress the > inefficiency of the process, and ask him respectfully how much he > personally likes extra paperwork, and if there is any other way to help > him with his patients. A worse issue is a provider who never reads the > notes-- in any form. > > Pierre H. Rougny, PT, OCS > Director of Rehab Services > Sebasticook Valley Hospital > 141 Leighton St > Pittsfield, Me 04967 > , 487-4072(direct line) > > ________________________________ > > From: PTManager <mailto:PTManager%40yahoogroups.com> > [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On > Behalf Of Tmabrahano > Sent: Saturday, February 19, 2011 12:00 PM > To: PTManager <mailto:PTManager%40yahoogroups.com> > Subject: Re: Physician relations > > Suggestion: Give him a 3x5 index card with the common abbreviations. He > can stick it in his pocket and have it accessible when reading charts. > Added touch: laminate it. > > You are doing your job and having to write separate is simply ludicrous. > You may have to take him to the side and talk to him. Stand your ground. > > Good Luck! > > Tony Abrahano, PT > Abrahano Physical Therapy Services, Inc. > > Physician relations > > Need some advice and a listening ear... > > I have a physician that is being very " doctorish " over PT communicating > with him regarding patient progress. He is the only physician that has > this problem. > > He is wanting bi-weekly communication of how his patient's are > progressing while in the hospital. he is adamant about not reading PT > notes or learning any " PT " oriented abbreviations i.e. min assist, CGA, > etc. > > He now wants PT to document on a seperate sheet on patient progression. > > Needleess to say I am frustrated by his stance and obstinance. > > any suggestions, ideas or previous experience with similar matters is > appreciated. > > Gwilliam, PT, CWS > Director of Rehabiliation > Bowie Memorial Hospital > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 22, 2011 Report Share Posted February 22, 2011 Hi everyone, I will play devil's advocate here and express my opinion that there may be good in this physician's request in that he/she is trying to improve communication. After being in various health care jobs over the last 30 + including the last 21 in PT, I have always been amazed in how poor communication is especially in institutions. I have talked to many good physicians who get frustrated by poor communication including from PT's. Take the extra work burden out of the picture and look at what is really at stake: effective patient care. Good communication, which is all this physician appears to be asking for, is an essential part of that. If that is the reason for this physician's request then he/she should be applauded for the effort. This must be taken into account when trying to improve the process by which the physician is trying to get that effective communication because if no-one buys into the method due to its burdensome requirements, then it won't be effective. In my opinion, you should do whatever is possible now to meet the physician's request BUT only if management is committed to a CQI project to improve physician communication including getting that physician involved in the process. Ultimately for me it comes down to whether that little extra bit of time helps patient care or not. From the outside, it looks to me that it would so that is the primary concern here, not how burdensome it is for the PT. The best resolution is that management would help create a better system that all parties would compromise and agree to so that communication is improved, the physician is getting the information needed and is satisfied with it and the PT's have less paperwork to do and more time to focus on patient care. Tom Howell, P.T., M.P.T. Howell Physical Therapy Eagle, ID thowell@... This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email. _____ From: PTManager [mailto:PTManager ] On Behalf Of G Sent: Tuesday, February 22, 2011 10:57 AM To: PTManager Subject: Re: Physician relations A good portion of what he is asking for is communicated to the nurses, our MDS coordinator and our social worker, i.e. anticipated discharge, equipment neededs, services or setting needs. Often times this physician wants to hear the same information from PT vs second hand from someone else. Is anyone willing to share their documentation forms with my for references? I am trying to redo our inpatient documenation know to make sure we are clear to the physicians Irony of this whole situation is that this physician asked that we put things in " layman " terms for him to understand... Gwilliam, PT, CWS, MHA Director of Rehabilitation Bowie Memorial Hospital > > " What happened to the Cliff Notes " ... > > > > Maybe the Doctor has a good point with his need for info. I don't know what > the physician is searching for in his private notes but maybe it can be > incorporated into your notes. As therapists, we can write volumes on test > and measures and our style may be geared more toward defending notes and > explaining to co-workers what we are doing so they can repeat or build on > the data. Our assessments explain some of the data and may even group the > patient into a diagnostic category. > > > > Something is often missing in the above note format. We are missing the > " cliff notes " . the summary of what does this mean to the patient or > physician. > > > > The physician has to interpret the data of ROM, balance tests, diagnostic > tests, etc. when he may really be searching for a quick summary. Does the > assessment provide some critical discharge data which he is having to > assimilate from the data. Is this patient ready to go home. Do they need > some type of assistance or different care setting. When will the patient be > ready for discharge. When I was in the hospital, I avoided these > statements since we were just running the program with the team until the > patient went home. I don't pretend to know what the physician is asking for > in his private note but just offer this as one example. > > > > Steve Passmore PT, MS > > Healthy Recruiting Tools > > spass@... > > Phone: > > Fax: > > > > " What We Did For You Yesterday Is History. What Can We Do For You Today " > > > > Recruiting Tools: Cold Calls ~ List Enhancement ~ Direct Mailers ~ Card > Design ~ Recruiting Software > > > > From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On Behalf > Of Rougny, Pierre > Sent: Saturday, February 19, 2011 1:52 PM > To: PTManager <mailto:PTManager%40yahoogroups.com> > Subject: RE: Physician relations > > > > > > I would guess this is about more than abbreviations, etc. Perhaps the > physician is looking for something that better summarizes-in simple > terms-how the pt is doing. Instead of just " pt min assist bed to > chair' " for example, perhaps what the provider really wants to know is, > " estimate pt will be safe for d/c from a mobility standpoint by.... " > Maybe if this type of statement was in the EMR under assessment one > could just print it off for the provider as is and it might satisfy him? > > And then again, probably not, but I would try to stress the > inefficiency of the process, and ask him respectfully how much he > personally likes extra paperwork, and if there is any other way to help > him with his patients. A worse issue is a provider who never reads the > notes-- in any form. > > Pierre H. Rougny, PT, OCS > Director of Rehab Services > Sebasticook Valley Hospital > 141 Leighton St > Pittsfield, Me 04967 > , 487-4072(direct line) > > ________________________________ > > From: PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com> > [mailto:PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com> ] On > Behalf Of Tmabrahano > Sent: Saturday, February 19, 2011 12:00 PM > To: PTManager <mailto:PTManager%40yahoogroups.com> <mailto:PTManager%40yahoogroups.com> > Subject: Re: Physician relations > > Suggestion: Give him a 3x5 index card with the common abbreviations. He > can stick it in his pocket and have it accessible when reading charts. > Added touch: laminate it. > > You are doing your job and having to write separate is simply ludicrous. > You may have to take him to the side and talk to him. Stand your ground. > > Good Luck! > > Tony Abrahano, PT > Abrahano Physical Therapy Services, Inc. > > Physician relations > > Need some advice and a listening ear... > > I have a physician that is being very " doctorish " over PT communicating > with him regarding patient progress. He is the only physician that has > this problem. > > He is wanting bi-weekly communication of how his patient's are > progressing while in the hospital. he is adamant about not reading PT > notes or learning any " PT " oriented abbreviations i.e. min assist, CGA, > etc. > > He now wants PT to document on a seperate sheet on patient progression. > > Needleess to say I am frustrated by his stance and obstinance. > > any suggestions, ideas or previous experience with similar matters is > appreciated. > > Gwilliam, PT, CWS > Director of Rehabiliation > Bowie Memorial Hospital > > Quote Link to comment Share on other sites More sharing options...
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