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J Multidiscip Healthc. 2016 Oct 03;9:493-497. doi: 10.2147/JMDH.S113045. eCollection 2016.

Same-day physical therapy consults in an outpatient neuromuscular disease physician clinic.

Journal of multidisciplinary healthcare

Evan M Pucillo, Nancy Christensen-Mayer, Shelly D Poole, Denise M Whitten, Danielle Freeman, Blake R Bohe, Brandon R Swensen, A Gordon Smith, Nicholas E Johnson

Affiliations

  1. Department of Neurology, School of Medicine.
  2. Department of Physical Medicine & Rehabilitation.
  3. Outpatient Neurology, University of Utah Hospitals and Clinics.
  4. Business Support, University of Utah Information Technology, Salt Lake City, UT, USA.

PMID: 27757040 PMCID: PMC5055114 DOI: 10.2147/JMDH.S113045

Abstract

BACKGROUND: Team-based care has been shown to offer more comprehensive benefits to patients when compared to standard physician-based care alone in clinics for chronic conditions. However, apart from grant-funded multidisciplinary clinics, there are no reports on the usage of same-day physical therapy (PT) consults within a daily outpatient neuromuscular disease (NMD) physician clinic.

OBJECTIVE: To determine the impact of same-day PT consults at the University of Utah's outpatient Clinical Neurosciences Center.

DESIGN: A qualitative assessment and survey of patient satisfaction.

METHODS: An eight question Health Insurance Portability and Accountability Act-compliant patient satisfaction survey using a 5-point Likert scale was administered. Demographic data and Press-Ganey Provider Satisfaction surveys were retrospectively collected from electronic medical records for patients receiving same-day PT encounters in the neuromuscular division over 1 year.

RESULTS: Mean (standard deviation) age was 54.22 (19.81) years for 134 patient encounters, median age was 60 years, with 76 male (57%) and 58 female (43%) patients. Mean Likert score for 61 self-reported patient satisfaction surveys for same-day PT consults was 4.87 (97.4%). Press-Ganey Provider Satisfaction scores improved from 89.9% (N=287) for the year prior to 90.8% (N=320) for the corresponding year (

CONCLUSION: Same-day PT consults in an outpatient NMD physician clinic demonstrated excellent patient satisfaction and improved access to specialty care. This model could potentially be implemented in other academic medical centers to improve access to rehabilitation services for patients with NMD.

Keywords: neuromuscular care; neuromuscular therapy; patient satisfaction; physical therapy consults; physician clinics; same-day physical therapy; team-based health care

Conflict of interest statement

The authors report no conflicts of interest in this work.

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