1. 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?

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

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

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

5. Completion Rate
Drop Out Rate
Participation Rate
All New Patients

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

7. 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?

8. 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?

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

10. 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

11. 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

12. What’s Achievable?

13. Completion Rate
Participation Rate
Full Sample

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

15. Completion Rates
Deutscher et al. Phys Ther 2008

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

18. 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%

19. Recommended Participation Rate
80% - 90%

20. Published Completion Rates
57% - 75%

21. Completion Rate Considerations

22. INCREASING PARTICIPATION AND COMPLETION RATES
Feedback Tools
Clinical Tips
Management Tips

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

24. # New Patients

25. 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): %
xx%
Completion Rate (ISD/I): %
FOTO Completion Rate (ISD/I)
Quarter Only
Q2 only
Q1 only
Q4 only
Q3 only
xxx

26. Feedback Tools

28. Feedback Tools - Outcomes Profile, Completion Rate section

31. Feedback Tools

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

33. Clinical Tips

34. Management Tips Why is FOTO important? Accountability Recognition
FOTO Champions

35. Contact your FOTO Provider Relations Rep

36. Thank you
Any Questions?