Is Your Data Valid Does it Measure What You Say it Does Tenet 4 Outline Define Participation Rate and Completion Rate Why are they important What rates are achievable Tips to improve ID: 570317
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Slide1
Completion Rates
Is Your Data Valid? Does it Measure What You Say it Does?
Tenet
# 4Slide2
OutlineDefine Participation Rate and Completion Rate
Why are they important?What rates are achievable?Tips to improveSlide3
Participation RateWhat
% of all patients who walk through your door get represented by a FOTO Intake?
PR = # Intakes/# New PatientsSlide4
Completion RateWhat % of all Intakes become Completed Episodes?
CR = # Completed Episodes/
# IntakesSlide5
All New Patients
Participation Rate
Completion Rate
Drop
Out RateSlide6
What’s the Big Deal About Participation and Completion Rates?
Validity
Foundation to improve outcomesSlide7
Would you trust a research study with a high drop out rate?
Does your data measure what you say it does?Slide8
Improving Outcomes
How can I improve my outcomes if I
don’t
really know what they are?Slide9
Want to Improve Your Outcomes?
Start by getting
your Sample Size as close to THIS as you can Slide10
Increasing Your Participation & Completion Rates
The odds are overwhelmingly in your favor
FOTO validation
data
e.g., lumbar
Majority (>70%) exceed MCII
Majority (85%) achieve
>
predicted FS
Controls variability of your dataSlide11
Normal Variability
93% of the patients fell between FS scores of 20 & 70
<0.1% had scores between 0 & 5
No patient had a score of 100 & <0.1% had score > 94
Sample N=17,439 LBP patients
with intake FS
Hart et al Spine 2010Slide12
What’s Achievable? Slide13
Full Sample
Participation Rate
Completion RateSlide14
5039 Completed
Maccabi
Multiple sites
N=23,999
16,141 Intakes
EMR
Deutscher 2008
New ImplementationSlide15
Completion Rates
Deutscher
et al.
Phys
Ther
2008Slide16
Maccabi Summary
23,999
PR = 67%
CR = 31% (45%)
25% Drop Out RateSlide17Slide18
Published Rates
PR
CR
Drop Out Rate
Deutscher
2008
Phys
Ther
67%
(N=23,999)
31% (45%)
25%
Deutscher 2009 APMR
(NR)
39%31%Deutscher 2014 JOSPT(NR)57%31%
Hart
2006
CMS study
78%
(N=1224)
57%
21%
Werneke
2009
APMR
81%
(N= 517)
75%
25%Slide19
Recommended
Participation Rate
80% - 90%Slide20
Published Completion Rates
57% - 75%Slide21
Completion Rate ConsiderationsSlide22
INCREASING PARTICIPATION AND COMPLETION RATESFeedback Tools
Clinical TipsManagement TipsSlide23
Feedback ToolsParticipation Rate
# New Patients –your internal data# Intakes – FOTO dataSlide24
# New PatientsSlide25
Feedback Tools
FOTO Completion Rates Report
2015
2014
12 month
Q2
Q1
Q4
Q3
Q2
Evals
(internal data)
xxxx
xxxx
xxxx
xxxx
xxxx
FOTO Intakes
xxxx
xxxx
xxxx
xxxx
xxxx
Completed Episode
(I/S/D)
xxxx
xxxx
xxxx
xxxx
xxxx
GOAL
Participation Rate
(intakes/
evals
):
83
%
xx%
xx%
xx%
xx%
xx%
Completion Rate
(ISD/I):
59%
xx%
xx%
xx%
xx%
xx%
FOTO Completion Rate
(ISD/I)
xx%
xx%
xx%
xx%
xx%
2015
2014
Quarter Only
Q2 only
Q1 only
Q4 only
Q3 only
Q2 only
Evals
(internal data)
xxx
xxx
xxx
xxx
xxx
FOTO Intakes
xxx
xxx
xxx
xxx
xxx
Completed Episode
(I/S/D)
xxx
xxx
xxx
xxx
xxxSlide26
Feedback ToolsSlide27Slide28
Feedback Tools - Outcomes Profile, Completion Rate sectionSlide29Slide30Slide31
Feedback ToolsSlide32
Clinical Tips
Don’t wait until dischargeTo get your first statusSlide33
Clinical TipsSlide34
Management TipsWhy is FOTO important?Accountability
RecognitionFOTO ChampionsSlide35
Contact your FOTO Provider Relations RepSlide36
Thank you
Any Questions?