Re: Treatment Plan vs. Script

[Guest guest]

Right or wrong, but for the past 10-12 years I have taught our therapist to

stand for what they belief in. Half the physicians have little to no real clue

about our profession. We need them for referral purposes beyond that it is out

obligation to the define the best possible treatment plan for what the patient

presents with. I thus hold the position that we right the plan as we deem

appropriate. We typically broadly include the various possible

modalities/treatment codes and define the appropriate number, frequency and

duration of treatment. My preference is that this is a titraded care plan.

This would go from high frequency early to less frequent over time. We have

been audited and underwent various JCAHO reviews all mostly without issue, if

any our therapists didn't document enough. So far none of the MDs have

complained, all sign off on our carelan.

van Well, PT

Henry Ford Health System

Detroit, MI

Sent from my 'new' iPad

On Apr 17, 2012, at 15:11, Trevor Huffman

wrote:

> Group:

>

> Our department had a discussion on how to handle the treatment plan vs. the

script. The question was should the treatment plan be completed based on what we

believe the patient will needs vs. the script. For example, if the patient was a

massive rotator cuff repair with all the restrictions and the doctor's script

was for 2-3 weeks until the patient saw the doctor next, do you set the

treatment plan for 2-3 weeks or how long you think the patient will need to come

knowing the patient will get an update script when he or she sees the doctor.

Another example could be the treatment plan vs. insurance approval vs. doctor

script.

>

> I would like to see what the group thinks compared to our discussion.

>

> Trevor Huffman P.T., M.S., S.C.S., A.T.,C.

> Board Certified Sports Physical Therapist

> Director of Rehabilitation Services

> Passavant Area Hospital

> ville, IL 62650

> trevor.huffman@...

>

>

[Guest guest]

Hi, Trevor -

Following a " script " might be considered to be at variance with some

parts of our Code of Ethics. I'd write the Plan of Care according to my

best judgement.

Principle #3: Physical therapists shall be accountable for making sound

professional judgments.

(Core Values: Excellence, Integrity)

3A. Physical therapists shall demonstrate independent and objective

professional judgment in the patient's/client's best interest in all

practice settings.

3B. Physical therapists shall demonstrate professional judgment informed by

professional standards, evidence (including current literature and

established best practice), practitioner experience, and patient/client

values.

3C. Physical therapists shall make judgments within their scope of practice

and level of expertise and shall communicate with, collaborate with, or

refer to peers or other health care professionals when necessary.

3D. Physical therapists shall not engage in conflicts of interest that

interfere with professional judgment.

3E. Physical therapists shall provide appropriate direction of and

communication with physical therapist assistants and support personnel.

Best regards,

Dick

Dr. Hillyer

Hillyer Consulting

700 El Dorado Pkwy W.

Cape Coral, FL 33914

Mobile

_____

From: PTManager [mailto:PTManager ] On Behalf

Of Trevor Huffman

Sent: Tuesday, April 17, 2012 3:11 PM

To: 'PTManager '

Subject: Treatment Plan vs. Script

Group:

Our department had a discussion on how to handle the treatment plan vs. the

script. The question was should the treatment plan be completed based on

what we believe the patient will needs vs. the script. For example, if the

patient was a massive rotator cuff repair with all the restrictions and the

doctor's script was for 2-3 weeks until the patient saw the doctor next, do

you set the treatment plan for 2-3 weeks or how long you think the patient

will need to come knowing the patient will get an update script when he or

she sees the doctor. Another example could be the treatment plan vs.

insurance approval vs. doctor script.

I would like to see what the group thinks compared to our discussion.

Trevor Huffman P.T., M.S., S.C.S., A.T.,C.

Board Certified Sports Physical Therapist

Director of Rehabilitation Services

Passavant Area Hospital

ville, IL 62650

trevor.huffman@...

<mailto:trevor.huffman%40passavanthospital.com>