Presentations text content in Completion Rates
Slide1
Completion Rates
Is Your Data Valid? Does it Measure What You Say it Does?
Tenet
# 4
Slide2Outline
Define Participation Rate and Completion Rate
Why are they important?
What rates are achievable?
Tips to improve
Slide3Participation Rate
What % of all patients who walk through your door get represented by a FOTO Intake?
PR = # Intakes/# New Patients
Slide4Completion Rate
What % of all Intakes become Completed Episodes?
CR = # Completed Episodes/
# Intakes
Slide5All New Patients
Participation Rate
Completion Rate
Drop
Out Rate
Slide6What’s the Big Deal About Participation and Completion Rates?
Validity
Foundation to improve outcomes
Slide7Would you trust a research study with a high drop out rate?
Does your data measure what you say it does?
Slide8Improving Outcomes
How can I improve my outcomes if I
don’t
really know what they are?
Slide9Want to Improve Your Outcomes?
Start by getting
your Sample Size as close to THIS as you can
Slide10Increasing Your Participation & Completion Rates
The odds are overwhelmingly in your favor
FOTO validation
data e.g., lumbar Majority (>70%) exceed MCIIMajority (85%) achieve > predicted FS
Controls variability of your data
Slide11Normal 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 2010
Slide12What’s Achievable?
Slide13Full Sample
Participation Rate
Completion Rate
Slide145039 Completed
Maccabi
Multiple sites
N=23,999
16,141 Intakes
EMR
Deutscher 2008
New Implementation
Slide15Completion Rates
Deutscher
et al.
Phys
Ther
2008
Slide16Maccabi Summary
23,999
PR = 67%
CR = 31% (45%)
25% Drop Out Rate
Slide17Slide18Published 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%
Slide19Recommended Participation Rate
80% - 90%
Slide20Published Completion Rates
57% - 75%
Slide21Completion Rate Considerations
Slide22INCREASING PARTICIPATION AND COMPLETION RATES
Feedback Tools
Clinical Tips
Management Tips
Slide23Feedback Tools
Participation Rate
# New Patients –your internal data
# Intakes – FOTO data
Slide24# New Patients
Slide25Feedback 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
xxx
Slide26Feedback Tools
Slide27Slide28Feedback Tools - Outcomes Profile, Completion Rate section
Slide29Slide30Slide31Feedback Tools
Slide32Clinical Tips
Don’t wait until discharge
To get your first status
Slide33Clinical Tips
Slide34Management Tips
Why is FOTO important?
Accountability
Recognition
FOTO Champions
Slide35Contact your FOTO Provider Relations Rep
Slide36Thank you
Any Questions?
Completion Rates
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