Archive: APTA Conference 2013 Programming: Low Back Pain: Get It Right

  • This is archived programming for APTA Conference 2013 in Salt Lake City, Utah.

    See programming for the upcoming NEXT Conference & Exposition, APTA's new annual June conference.

    Browse Low Back Pain: Get It Right sessions by day. Return to the main topic menu.

    Thursday, June 27

    Low Back Pain: Can We Start to Get It Right? Overview of Epidemiology and Natural History

    Time: 8:00 am-9:30 am (See Program for Room)

    Moderator: Gerard Brennan, PT, PhD

    Speakers: Brent James, MD; Julie Fritz, PT, PhD, ATC; Anthony Delitto, PT, PhD, FAPTA

    CEUs: .15 (1.5 contact hours/CCUs)

    Gordon Waddell labeled low back pain as "a 20th century health care disaster." Even now, there are few examples in health care where expenditures continue to rise yet health outcomes are actually becoming worse, yet this is the case for the condition of low back pain. This series will examine the process by which PTs manage low back pain in the United States and examine factors contributing to suboptimal care and worse health outcomes across the continuum of care. The speakers will highlight innovative new ideas and strategies for improving the process of care and improving the care provided by physical therapists. Dr. James is Chief Quality Officer, and Executive Director, Institute for Health Care Delivery Research at Intermountain Healthcare, based in Salt Lake City, Utah. He is known internationally for his work in clinical quality improvement, patient safety, and the infrastructure that underlies successful improvement efforts, such as culture change, data systems, payment methods, and management roles. He will address the importance of principles of quality improvement as they relate to our efforts to systematically improve care for patients with low back pain. Dr. Fritz and Dr. Delitto are recognized experts in clinical research and treatment effectiveness in the care of patients with low back pain. They will describe the impact of the recent evidence about the epidemiology and natural history of low back pain, and the emerging evidence about the value of physical therapy.

    Low Back Pain: Can We Start to Get It Right? Strategies for Evidence-Based Evaluation and Management – A Primary Care Perspective

    Time: 1:00 pm-2:30 pm (See Program for Room)

    Moderator: Julie Fritz, PT, PhD, ATC

    Speaker: Roger Chou, MD, FACP

    CEUs: .15 (1.5 contact hours/CCUs)

    A 2007 guideline from the American College of Physicians and American Pain Society provided evidence-based recommendations on evaluation and management of low back pain in primary care. New evidence has helped to further refine our understanding of optimal treatment strategies. This presentation will review newer evidence and how it informs an evidence-based approach to low back pain management, focusing on use of routine imaging strategies, risk-stratified treatment strategies, and use of opioids.

    Low Back Pain: Can We Start to Get It Right? Patient-focused Care

    Time: 3:45 pm-5:15 pm (See Program for Room)

    Speakers: Gerard Brennan, PT, PhD; Teresa Hall, PT, MBA, MHA

    CEUs: .15 (1.5 contact hours/CCUs)

    Dr. Brennan will describe the impact of shared decision-making on patient-focused care in the management of clinical conditions that are plagued with high variability and high costs in our health care system. Ms. Hall will discuss implementing shared decision making for patients with low back pain in a primary care practice. The session covers how a large primary care clinic (Intermountain Healthcare) piloted a shared-decision making process for low back pain. The process of identifying stakeholders, building a team, introducing a new process and choosing the right measures to evaluate progress will be described. .

    Friday, June 28

    Low Back Pain: Can We Start to Get It Right? Chronic Low Back Pain-Offering Insights, Developing Skills

    Time: 8:00 am-9:30 am (See Program for Room)

    Moderator: Anthony Delitto, PT, PhD, FAPTA

    Speakers: Debra K. Weiner, MD; Paula Breuer, PT

    CEUs: .15 (1.5 contact hours/CCUs)

    This series will examine the process by which PTs manage low back pain in the United States and examine factors contributing to suboptimal care and worse health outcomes across the continuum of care. The speakers will highlight innovative new ideas and strategies for improving the process of care and improving the care provided by physical therapists. In this session, the speakers will describe the role of the physical therapist in educating the patient with chronic low back pain, and the unique approach that physical therapists must take in treating the patient and central sensitization.

    Low Back Pain: Can We Start to Get It Right? Focus on Improvements in Payment Policy

    Time: 1:00 pm-2:30 pm (See Program for Room)

    Moderator: Gerard Brennan, PT, PhD

    Speakers: Stephen Hunter, PT, DPT, OCS; Anthony Delitto, PT, PhD, FAPTA; Justin D. Moore, PT, DPT

    CEUs: .15 (1.5 contact hours/CCUs)

    This series will examine the process by which PTs manage low back pain in the United States and examine factors contributing to suboptimal care and worse health outcomes across the continuum of care. In this session the speakers will describe current innovative improvements in payment policy that align incentives to deliver effective care.

    Low Back Pain: Can We Start to Get It Right? Examples of Attempts to Improve Physical Therapy/ Continuum of Care

    Time: 3:45 pm-5:15 pm (See Program for Room)

    Moderator: Gerard Brennan, PT, PhD

    Speakers: Kristen Van Dinter, PT; William Koch, PT; Jason Rodeghero, PT, DPT, OCS, FAAOMP; Stephen Hunter, PT, DPT, OCS

    CEUs: .15 (1.5 contact hours/CCUs)

    This series will examine the process by which PTs manage low back pain in the United States and examine factors contributing to suboptimal care and worse health outcomes across the continuum of care. In this session hear how new innovative systems of value-based care in physical therapy are succeeding in today's current market.

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