Using a "Shark Tank" setup, in May 2014, APTA hosted the Innovation 2.0 workshop, in which 21 proposed models were presented to expert panelists for questions and critique. These 21 finalists, chosen before the workshop from 60 submitted models, used the advice to finalize detailed proposals in hopes of being among those chosen by APTA to receive funding and in-kind services to advance their models. In return, APTA is accessing model data that potentially helps the association develop and disseminate resources that enable members to promote the impact of physical therapy in the emerging health care environment.
Innovation 2.0 Awardees
After rigorous assessment from an esteemed group of member experts, APTA selected the following awardees:
- Pay for Quality Program to Improve Value-Based Care for Patients with Low Back Pain – Gerard Brennan, PT, PhD
- Facilitating Access Improving Care - PTs as Integral ACO Members – Timothy W. Flynn, PT, PhD, OCS, FAAOMPT
- Adding Value to Post-Acute Care Settings Through Evidence-Based Physical Therapy Services – Robyn Marcus, PT, PhD, OCS
- Patient-Centered Medical Home: An Innovative Model for Childhood Obesity Prevention with the Physical Therapist as a Key Player to Improve Quality of Care and Reduce Costs – Brian Wrotniak, PT, PhD
APTA also selected 2 models for honorable recognition, which received a financial award to advance the project but did not work with APTA in its efforts.
The Innovation 2.0 project was highly competitive; APTA received almost 60 proposals to participate. APTA was only able to accept about one third of the proposals submitted. To ensure that the selection process was objective and fair, APTA convened a group of highly qualified and unbiased physical therapists to review the proposals that were submitted by February 13, 2014. Nine individuals—composed of clinicians, researchers, administrators, and educators—served on the review panel representing various physical therapy settings across the continuum of care. The review panel members were carefully selected and vetted for any conflicts of interest and appropriately recused from review of any such proposals.
Dianne V. Jewell, PT, DPT, PhD, CCS (Chair)
Antony Delitto, PT, PhD, FAPTA
Pamela W. Duncan, PT, PhD, FAPTA
Stephen J. Hunter, PT, DPT, OCS
Diane U. Jette, PT, DSc, FAPTA
Colleen M. Kigin, PT, DPT, MS, MPA, FAPTA
Aimee B. Klein, PT, DPT, DSc, OCS
Kornelia Kulig, PT, PhD, FAPTA
First, APTA conducted a technical review of the proposals to ensure all requirements of the call for proposals were met. Innovation 2.0 proposals were accepted in the following categories:
- Integration of physical therapy and the physical therapist as an essential member of a collaborative care model such as an Accountable Care Organization (ACO) or patient-centered medical home (PCMH) aimed at meeting specific quality metrics and improving health outcomes
- Integration of physical therapy into a new payment model such as a bundled, episodic, or pay-for-performance aimed at lowering health care expenditures, improving health outcomes and meets specific quality metrics
- Utilization of physical therapy in patient care management of chronic/ noncommunicable diseases with a focused effort on reducing hospital readmissions or other avoidable costly interventions
- Advancement of the role of physical therapy in population health; this includes models that measure the impact of physical therapy on health outcomes for a defined group of individuals based on social, economic/physical environments, and personal health practices
- Collaboration of physical therapy providers with commercial insurers, employers and/ or state/local government entities to provide direct access to physical therapy services in order to improve outcomes and lower health care expenditures
- Novel models of interprofessional collaboration in which physical therapy is a key component
After the initial technical review, each proposal was reviewed and scored by 2 different reviewers on the panel. The review panel then discussed the results thoroughly and came to a consensus on the top 21 projects with the highest scores that would be invited to attend the workshop on May 8-9, 2014, where the models received feedback from researchers and other clinicians. After the workshop, final proposals were submitted with further detail to be considered for funding and in-kind services to advance the models and promote the impact of physical therapy in the emerging health care environment.
"In-kind services" may include:
- Drafting environmental scans to help determine feasibility of proposed model;
- Analyzing proposed models for clinical and regulatory considerations;
- Monitoring and reporting on federal and state policy;
- Connecting physical therapists and organizations to researchers;
- Support for data collection, surveys, statistical analyses, and aggregation of results; and
- Providing information on applicable clinical guidelines and research articles,
Innovation 2.0 Webinar
This webinar discusses how APTA took the ideas from Innovation Summit 2013 to create funding and mentoring opportunities for innovators in the field of physical therapy.