Is Your Data Valid? Does it Measure What You Say it Does? Tenet # 4 Completion Rates Is Your Data Valid? Does it Measure What You Say it Does?

Outline Define Participation Rate and Completion Rate Why are they important? What rates are achievable? Tips to improve

Participation Rate What % of all patients who walk through your door get represented by a FOTO Intake? PR = # Intakes/# New Patients

CR = # Completed Episodes/# Intakes Completion Rate What % of all Intakes become Completed Episodes? CR = # Completed Episodes/# Intakes

Completion Rate Drop Out Rate Participation Rate All New Patients

What’s the Big Deal About Participation and Completion Rates? Validity Foundation to improve outcomes

Would you trust a research study with a high drop out rate? Does your data measure what you say it does? Would you trust a research study with a high drop out rate?

How can I improve my outcomes if I don’t really know what they are? Improving Outcomes How can I improve my outcomes if I don’t really know what they are?

Want to Improve Your Outcomes? Start by getting your Sample Size as close to THIS as you can

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 data

Normal Variability Sample N=17,439 LBP patients with intake FS 93% of the patients fell between FS scores of 20 & 70 Hart et al Spine 2010 No patient had a score of 100 & <0.1% had score > 94 <0.1% had scores between 0 & 5

What’s Achievable?

Completion Rate Participation Rate Full Sample

New Implementation Maccabi Multiple sites 5039 Completed EMR 16,141 Intakes N=23,999 Deutscher 2008

Completion Rates Deutscher et al. Phys Ther 2008

Maccabi Summary CR = 31% (45%) 25% Drop Out Rate PR = 67% 23,999

Published Rates Deutscher 2008 Phys Ther 67% 31% (45%) 25% 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 57% Hart 2006 CMS study 78% (N=1224) 21% Werneke 2009 APMR 81% (N= 517) 75%

Recommended Participation Rate 80% - 90%

Published Completion Rates 57% - 75%

Completion Rate Considerations

INCREASING PARTICIPATION AND COMPLETION RATES Feedback Tools Clinical Tips Management Tips

Feedback Tools Participation Rate # New Patients –your internal data # Intakes – FOTO data

# New Patients

Feedback Tools FOTO Completion Rates Report 12 month Q2 Q1 Q4 Q3 2015 2014 12 month Q2 Q1 Q4 Q3 Evals (internal data) xxxx FOTO Intakes Completed Episode (I/S/D)   GOAL Participation Rate (intakes/evals): 83% xx% Completion Rate (ISD/I): 59% FOTO Completion Rate (ISD/I) Quarter Only Q2 only Q1 only Q4 only Q3 only xxx

Feedback Tools

Feedback Tools - Outcomes Profile, Completion Rate section

Feedback Tools

Don’t wait until discharge To get your first status Clinical Tips Don’t wait until discharge To get your first status

Clinical Tips

Management Tips Why is FOTO important? Accountability Recognition FOTO Champions

Contact your FOTO Provider Relations Rep

Thank you Any Questions?