Managing with FOTO Outcomes

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Managing with FOTO Outcomes

• Deanna Hayes, PT, MS
• St.Vincent Rehabilitation Services
• Indianapolis, IN

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ObjectivesThe participants will understand

• Relevant background information on St.Vincent
  Rehabilitation Services
• Strategies to enhance staff compliance with FOTO
  data collection
• Benefits of FOTO outcomes assessment from a
  leadership perspective

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St.Vincent Health Organizational Structure
Ascension Health
St. Vincent Health
St.Vincent Frankfort
St.Vincent Jennings
St.Vincent Williamsport
St.Vincent Carmel
St.Vincent Randolph
St.Vincent Madison Co. Health System
St.Vincent Clay
St.Vincent Indianapolis Hospital
St.Joseph Hospital Kokomo
Seton Specialty Hospital
St.Vincent New Hope
St.Vincent Mercy
Saint Johns Anderson
Rehab Hospital of Indiana
The Heart Center of Indiana
St.Vincent Rehabilitation Services
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St.Vincent Indianapolis HospitalOutpatient
Rehabilitation Services

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FOTO Outcomes

• Outcomes Data
• Functional Health Score
• Patient Satisfaction (standard and custom)
• Duration and Number Visits
• Cost (billed)
• Population Data
• Patient characteristics
• Number of patients captured, lost

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FOTO Outcomes

• Reports
• Overall (1)
• Clinic (13)
• Individual therapist
• Individual physician

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Data Collection Strategies to Enhance Compliance

• How Compliance is Monitored
• How Compliance is Encouraged

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Data Collection Strategies to Enhance Compliance

• Monitoring compliance
• Intake surveys
• Status and Discharge Surveys

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Data Collection Strategies to Enhance Compliance

• Encouraging Compliance
• Framing
• Education
• Access to data
• Job Expectations

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Data Collection Strategies to Enhance Compliance

• Encouraging Compliance
• Framing
• Education
• Access to data
• Job Expectations

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Data Collection Strategies to Enhance Compliance

• Encouraging Compliance
• Framing
• Education
• Address perceptions
• Share success tips
• Access to data
• Job Expectations

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Data Collection Strategies to Enhance Compliance

• Encouraging Compliance
• Framing
• Education
• Access to data
• Job Expectations

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FOTO Summary Report - Clinic
Loss to Follow Up 16
Number of Patients 81
denotes statistically significant difference
plt0.05






Missing data reflects sample size less than 5
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Data Collection Strategies to Enhance Compliance

• Encouraging Compliance
• Framing
• Education
• Access to data
• Job Expectations

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Benefits of FOTO Outcomes

• Quality Assurance/Improvement
• Professional Development
• Associate Satisfaction
• Marketing
• Functioning in Large Hospital System
• Preparation for the Future

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Benefits of FOTO Outcomes

• Quality Assurance/Improvement
• Patient treatment outcomes
• Patient satisfaction
• Utilization
• Expert Therapists
• Allocation of resources to improve quality
  (e.g., continuing education)

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Benefits of FOTO Outcomes

• Professional Development

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Benefits of FOTO Outcomes

• Associate Satisfaction
• Internal motivation

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Benefits of FOTO Outcomes

• Marketing
• Flyers (graphs) and letters
• Website
• Press releases (internal and external)
• Word of mouth (medical director)
• Targets physician customers, consumers, hospital
  leadership

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Benefits of FOTO Outcomes

• Successful Functioning in Large Hospital
  Organization
• Communication of our results to leadership of
  hospital and hospital-system
• Hospital-mandated patient satisfaction indicators

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Benefits of FOTO Outcomes

• Preparation for the Future
• Pay for Performance
• What else is to come???

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