Collaboration takes place in this PPS environment in a "case management" type
of structure between clinicians. Simultaneous hands -on treatment may not be as
common as pre-PPS, yet the care/coordination and management of minutes and
treatment strategies still happens daily.
Carmen
----- Original Message -----
From: Jimmie Arceneaux<mailto:[EMAIL PROTECTED]>
To: [email protected]<mailto:[email protected]>
Sent: Friday, March 25, 2005 7:28 AM
Subject: [OTlist] Collaboration
I just finished reading a piece in Advance for PTs and PT assistants titled
"Lets Get Together: A Review of the Perceived Benefits, Challenges of
Collaborative Practices." The writer reports results of a questionnaire which
was mailed to PTs and "other clinicians." The questions asked reportedly were
about time collaborating with others, whom they collaborated with, their
feelings about collaboration and the effects of collaboration on the patient.
One result reported was that almost 100% of respondents "believed there were
definite benefits of collaboration." Most respondents reported that the
majority of their collaboration was with physicians. Which lends itself to a
question by the author, "Is this really true collaboration? I would wonder if
it is really shared decision making and response for care delivery, rather than
merely sharing information or interacting." The author of the piece cites a
Dr. Cleary who states, "..collaboration lends itself to efficiency..it reduces
length of stay for patients, in many cases, and creates well-delivered services
that overlap and reduce costs."
Personally, I was wondering what others on the list feel of collaborative
treatment as it exists at this time. Prior to moving from a cost based
reimbursement system to CPT billing under Medicare, PTs and OTs often
co-treated with severely involved brain injured and post CVA patients. It is
seen less often in the States now because CPT billing does not allow for
multiple disciplines to bill for the same full time period.
I am also interested in the input of those outside the US and their response
to how collaborative efforts exist in their respective countries. What other
strategies exist other than co-treatment for collaboration? How well do list
serve members interact with other disciplines. Do you feel you truly
collaborate with physicians?
One point in the article is that their is a misunderstanding of scopes of
practice and knowledge deficitsbetween disciplines that lends itself to less
effective medical care. They also site competition and territorialism as
limiting patient care outcomes.
I am interested to read others reaction to the above statements and their
perspective on the issues above.
Jimmie
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