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Rehabilitation and Physiotherapy

This section describes how to manage rehabilitation and physiotherapy services within 4Geeks Health. This module supports the planning, delivery, and tracking of rehabilitation programs for patients recovering from injuries, illnesses, or surgeries.

Overview

The Rehabilitation and Physiotherapy module provides tools for:

  • Creating and managing rehabilitation plans: Defining individualized treatment plans for patients.
  • Scheduling therapy sessions: Booking appointments for physiotherapy, occupational therapy, or other rehabilitation services.
  • Documenting progress: Tracking patient progress over time, including assessments, exercises performed, and outcomes.
  • Reporting: Generating reports on patient progress, therapist caseloads, and service utilization.

Accessing Rehabilitation and Physiotherapy

You can typically access this module in the following ways:

  1. From the Navigation Menu:

    • Look for a “Rehabilitation,” “Physiotherapy,” “Therapy,” or similar option in the main navigation menu.
    • Click this option.

  2. From a Patient Record:

    • While viewing a patient’s record, there may be a section or tab for “Rehabilitation,” “Therapy,” or similar.
    • You might find a button to create a new rehabilitation plan or view existing plans.

  3. From an Outpatient Visit or Inpatient Encounter:

    • If rehabilitation services are ordered as part of a visit or encounter, there may be a link to the Rehabilitation module.

Creating a Rehabilitation Plan

A rehabilitation plan outlines the specific goals, interventions, and schedule for a patient’s therapy.

1. Initiate the Process

  • Navigate to the Rehabilitation and Physiotherapy section.
  • Click a “New Plan,” “Create Rehabilitation Plan,” or similar button. Alternatively, you may initiate the plan from the patient’s record.

2. Fill Out the Plan Form

The rehabilitation plan form will likely include the following fields:

  • Patient *: Select the patient from the patient list. Mandatory.
  • Referring Practitioner: (Optional) The physician who referred the patient for rehabilitation.
  • Therapist/Provider *: Select the therapist(s) who will be providing the services. Mandatory.
  • Start Date: The date the rehabilitation plan begins.
  • End Date (Optional): The expected end date of the plan. This may be adjusted as needed.
  • Diagnosis: The patient’s diagnosis or condition requiring rehabilitation.
  • Goals: Define specific, measurable, achievable, relevant, and time-bound (SMART) goals for the patient’s rehabilitation. Examples:
    • “Increase range of motion in right shoulder to 180 degrees of flexion within 4 weeks.”
    • “Improve gait speed to 1.0 m/s within 8 weeks.”
    • “Return to independent performance of activities of daily living (ADLs) within 6 weeks.”
  • Interventions: Specify the types of therapy and exercises that will be used. Examples:
    • “Manual therapy techniques (joint mobilization, soft tissue mobilization)”
    • “Therapeutic exercises (range of motion, strengthening, balance training)”
    • “Gait training”
    • “Activities of daily living (ADL) training”
    • “Modalities (e.g., ultrasound, electrical stimulation)”
  • Frequency and Duration: Specify how often and for how long therapy sessions will occur (e.g., “3 times per week for 60 minutes”).
  • Notes: Any additional notes or instructions for the therapist.

3. Saving the Plan

  • Review: Carefully review all entered information.
  • Save: Click the “Save,” “Create Plan,” or similar button.

Scheduling Therapy Sessions

Once a rehabilitation plan is created, you can schedule individual therapy sessions.

  • Integration with Appointments: The Rehabilitation module should integrate with the Appointments module.
  • Scheduling Process: The scheduling process is likely similar to scheduling other appointments (see the “Appointments” documentation). You will typically:
    • Select the patient.
    • Select the therapist.
    • Select the date and time.
    • Select the type of therapy session (this may be linked to the interventions defined in the rehabilitation plan).
    • Specify the duration of the session.

Documenting Progress

Regularly documenting patient progress is essential for tracking outcomes and adjusting the rehabilitation plan as needed.

1. Progress Notes

  • Access: Progress notes are typically accessed from the patient’s rehabilitation plan or from individual therapy session records.
  • Content: Progress notes should document:
    • Date and Time: The date and time of the therapy session.
    • Therapist: The therapist who provided the service.
    • Subjective: The patient’s report of their symptoms, progress, and any concerns.
    • Objective: Objective findings from assessments, measurements, and observations. Examples:
      • Range of motion measurements
      • Strength assessments
      • Functional performance measures
      • Pain levels
    • Assessment: The therapist’s assessment of the patient’s progress and response to treatment.
    • Plan: The plan for the next session or any modifications to the overall rehabilitation plan.
    • Exercises Performed: A list of the specific exercises performed during the session, including sets, repetitions, and resistance levels.
    • Modalities Used: Any modalities used (e.g., ultrasound, electrical stimulation), including settings and duration.
    • Patient Education: Any education or instructions provided to the patient.

2. Assessments

  • Regular Assessments: Conduct regular assessments to objectively measure the patient’s progress toward their goals.
  • Standardized Outcome Measures: Use standardized outcome measures whenever possible to ensure consistency and allow for comparison over time.
  • Documentation: Record assessment results in the patient’s rehabilitation record.

Reporting

The Rehabilitation and Physiotherapy module may provide reporting capabilities to:

  • Track Patient Progress: Generate reports showing a patient’s progress over time, including changes in assessments and outcome measures.
  • Monitor Therapist Caseloads: See how many patients each therapist is treating and the types of services being provided.
  • Analyze Service Utilization: Track the number of therapy sessions, types of interventions, and overall utilization of rehabilitation services.
  • Billing and Reimbursement: Generate reports to support billing and reimbursement claims.

Important Considerations

  • Individualized Plans: Rehabilitation plans should be individualized to meet the specific needs of each patient.
  • Goal Setting: Involve the patient in setting realistic and achievable goals.
  • Regular Monitoring: Regularly monitor patient progress and adjust the rehabilitation plan as needed.
  • Documentation Standards: Follow your organization’s documentation standards for rehabilitation services.
  • User Permissions: Different user roles may have different levels of access to features.
  • Integration: The module should be integrated with Appointments, Billing and Patient Records.
  • Compliance: Ensure that all practices and documentation comply with relevant regulations.
  • Training: Provide adequate training for the therapist and staff.

This documentation provides a comprehensive overview of managing rehabilitation and physiotherapy services in 4Geeks Health. Remember to adapt any specific field names, button labels, or steps to match your organization’s customized configuration and specific workflows.