Private physical therapy practice implementation of direct referral for radiograph imaging: an administrative case report.

Prior research indicates physical therapists make appropriate, judicious diagnostic imaging referrals, but have not described how to implement imaging referral processes in organizations without an imaging department. This administrative case report describes the implementation of a direct referral...

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Publicado en:Physiotherapy Theory & Practice Vol. 39; no. 10; pp. 2234 - 2241
Autores principales: Nelson, Evan O., Freeman, Jd, Worth, Rob, Brody, Lori Thein
Formato: case study tables/charts Journal Article
Publicado: Taylor & Francis Ltd Oct2023
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        atl: Private physical therapy practice implementation of direct referral for radiograph imaging: an administrative case report.
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        au:
          Nelson, Evan O.
          Freeman, Jd
          Worth, Rob
          Brody, Lori Thein
        affil: Department of Family Medicine and Community Health,School of Medicine and Public Health, Doctor of Physical Therapy Program, University of Wisconsin-Madison, Madison, WI, USA
      sug:
        subj:
          Physical Therapy Practice Wisconsin
          Private Practice
          Referral and Consultation
          Diagnostic Imaging
          Implementation Science
          Physical Therapists
          Ambulatory Care Facilities
          Collaboration
          Business
          Radiologists
          Insurance, Health, Reimbursement
          Decision Making, Clinical
          Sports Medicine
          Wisconsin
          Organizational Policies
      ab: Prior research indicates physical therapists make appropriate, judicious diagnostic imaging referrals, but have not described how to implement imaging referral processes in organizations without an imaging department. This administrative case report describes the implementation of a direct referral process for radiographic imaging in a private physical therapy practice. Guided by the Interactive Systems Framework, a collaborative business agreement between a physical therapist-owned practice, musculoskeletal urgent care clinic, and radiology practice provided a clinical process for physical therapists to directly refer patients for radiographic imaging. When clinically appropriate, physical therapists signed referrals for radiographic imaging that was acquired by qualified urgent care clinic staff, interpreted by a radiologist, and reported to the physical therapist. The physical therapist, urgent care clinic, and radiologist bill for the physical therapy evaluation, technical component, and professional component, respectively. In the 5 months following implementation, 5 referrals were acquired within 15 minutes, the interpretation was returned within 30 minutes, and all entities received insurance reimbursement. This clinical process allows the physical therapist to execute clinical decision making within the scope of physical therapist practice, yet expeditiously acquire imaging studies to facilitate appropriate patient care. Formal collaboration between discrete organizations provided a system to deliver the necessary imaging services.
      pubtype: Academic Journal
      doctype:
        case study
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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