Timothy W. Flynn, PT, PhD
This is 1 of 4 collaborative care models APTA is supporting as part of Innovation 2.0. Starting in April 2016, APTA and the 4 models' member experts are conducting online Learning Labs to share the results of the models. The learning lab for this model was held November 15, 2016. Review the recording (Free for APTA Members).
Below is a brief description of the model:
Low back pain (LBP) is prevalent in the elderly population and is associated with high economic costs, significant disability, and lost productivity. Costs for surgical procedures are extremely high and carry substantial risks particularly in the Medicare population. Most patients with an episode of LBP access care initially through a primary care provider. Given the volume of patients with LBP managed in primary care, suboptimal management in this setting has substantial implications on both the cost and quality of care. Research examining the outcomes of primary care management for patients with LBP supports this concern, with studies indicating a majority of patients go on to experience persistent and/or recurrent symptoms, and up to a one-third report moderate to severe pain one year following the initial primary care encounter. Suboptimal initial management for patients with an acute episode of LBP leads to use of increasingly invasive and costly interventions. Starting January 1, 2014, select medical providers in Northern Colorado are participating in the Medicare Shared Savings Program through the Mountain and Plains Division of Central US Accountable Care Organization, Inc. The research is designed to evaluate the role of early access to physical therapists for patients with musculoskeletal complaints specifically lower back pain.