Danni, Allyn, PT, NCS, ATP, MSCS

Tremblay, Sandra M, PT, MS, CWS, MSCS

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of MedicineNovel Model of Care for the Person with MultipleSclerosis: Physical Therapist in the NeurologyOfficeAllyn Danni PT, NCS, ATP, MSCSLehigh Valley Health Network, Allyn.Danni@lvhn.orgSandra M. Tremblay PT, MS, CWS, MSCSLehigh Valley Health Network, Sandra.Tremblay@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/medicinePart of the Medical Sciences Commons, and the Physical Therapy CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtDanni, A., & Tremblay, S. (2013). Novel model of care for the person with multiple sclerosis: Physical therapist in the neurology office. Posterpresentation.Lehigh Valley Health Network, Allentown, PennsylvaniaNovel Model of Care for the Person with Multiple Sclerosis: Physical Therapist in the Neurology OfficeAllyn Danni, PT, NCS, ATP, MSCS; Sandra Tremblay PT, MS, CWS, MSCSModel: Description:In support of the multidisciplinary care provided in our Multiple Sclerosis (MS) Center of Excellence, Lehigh Valley Health Network (LVHN) Rehabilitation Services has introduced a Physical Therapist (PT) as a member of the Neurology office team.  The PT partners with the Neurologists and physician extenders to provide direct patient care, consultation, education, and facilitation of referrals to all Rehabilitation Services disciplines and providers.•		At	the	office	visit,	either	before,	during	or	after	the	provider	interaction•		Resource	for	patient	phone	inquiries	or	follow-up•		Communication	liaison	between	the	Neurology	office	team	and	Rehab	Services	providers•		Integral	part	of	multidisciplinary	events	and	meetingsReferral Patterns to LVHN Rehab ServicesThe multidisciplinary team caring for the MS patient population functions most effectively in an integrated model of care.  The physical therapist has proven to be a valuable part of the medical office team. Per qualitative feedback, use of the Novel Model of Care has resulted in:	 •		Improved	physician	satisfaction	 •		Improved	patient	satisfaction	 •		Improved,	more	appropriate	utilization	of	Rehabilitation	Services	with	partner	facilities.Conclusion:© 2013 Lehigh Valley Health NetworkThe PT interacts with the Neurology Team and patients in a variety of ways, depending on the needs of the provider, patient and family: MS Center Referrals Total Neurological VisitsBenefits ofNovel ModelOf Care•	 	Can	focus	on	medical	management•	 	Has	resource	for	all	rehab	questions•	 	Has	improved	communication	with	rehab	providers•	 	One	office	visit	can	address	both	medical	and	functional	issues/changes•	 	Encourages	establishment	of	therapeutic	partnershipPATIENT:•	 	Improved	utilization	of	rehab	services•	 	Improved	provider/rehab	communication•	 	Ability	to	chronicle	disease	progression	and	provide	early	interventionREHAB SERVICES:PROVIDER:Utilization Chart     Presenting Problem Screen Intervention Possible ReferralGait dysfunction Fall risk assessment, Gait analysisGait training, Assistive device trial, Safety educationPTFitnessFunctional mobility deficits/eating issues Wheeled mobility screen Education, Communication with DME supplierWheelchair clinicSwallowing/speech dysfunction Interview patient/family Education STADL dysfunction Dressing, Grooming, Bathing, Household tasksEducation, Adaptive equipment trials, Home safety evaluationOTPain Orthopedic evaluation Education, HEP PTOTFitnessNewly diagnosed Lifestyle, Fitness presenting deficitsEducation, HEP PTOTFitness0501001502002503002008 2009 2010 2011 201201000200030004000500060002010 2011 2012

Novel Model of Care for the Person with Multiple Sclerosis: Physical Therapist in the Neurology Office

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1354&context=medicine

Novel Model of Care for the Person with Multiple Sclerosis: Physical Therapist in the Neurology Office

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