Gerard P. Brennan, 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. Below is a brief description of the model:
Intermountain Healthcare is intent on preparing physical therapists to function effectively within an organizational model of "shared accountability" and to prepare for "episode of care" payments for low back pain. Our integrated payer, Select Health, has developed a "Pay for Quality" program to incentivize improvements in process of care and clinical outcomes for patients with low back pain (LBP). The program goal is to align best clinical practice with a financial incentive to physical therapists to deliver cost effective care consistently. Purposes of the project are to achieve a meaningful reduction in the rate of patients with LBP who "fail to progress" with physical therapy, to develop a severity adjustment formula within a web application to predict a priori patients who have a less than 50% likelihood chance to achieve an MCID, and to examine costs of care over the year following the physical therapy episode in patients who fail to progress.