It seems everyone wants a physical therapy consult prior to the discharge of a patient. With diminishing resources, declining reimbursement and industry push to decrease length of stay in our acute sites, our physical therapy departments is under an increasing amount of pressure to align our department strategies with the broader acute strategy. We have seen an uptick in more and more patients, many of whom may not be an appropriate referral in the through sense. Therapists spend an over-abundant amount of time doing evaluations on patients who don’t qualify for therapy intervention.
More referrals increase volume, but lowers productivity, and prevents therapists from working with patients who truly will benefit from therapy?How do we cultivate a culture that focuses on the right interventions for the right situations? How do we build a therapy driven protocol. Have other organizations built successful protocols? Finally, how do organizations move the cultural needle to a place where these protocols are utilized?