Page 38 - Mobility Management, March 2017

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how [my] actual end user is going to map on it, and also how they are going to use it.
I look at evidence if I’m trying to get funding, because the funding world doesn’t necessarily understand clinical best prac- tice. They don’t understand how the person looks, and they don’t care how [a product] works. They want numbers. So I will pull
up evidence for that. I know evidence has been very helpful in getting standers approved. Also, you will run across families who have tried everything and are tired of theories. They’re being told, try this, try that. More intellectual users will want to know why you’re recommending that. — Angie Kiger, M.Ed, CTRS, ATP/ SMS, clinical education specialist, Sunrise Medical
When there are available, measurable, evidence-based outcomes for the patient I’m seeing, I feel it is very important to use them. Outcomes measures let me know if I’m truly making a difference in my interventions. Also, I’m part of the project collecting data on outcomes so that we can better establish the efficacy of what we do. This should help with funding as well as buy-in from
advertisers’ index
Company Name Page #
Abilities Expo. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 American Association for Homecare (AAHomecare) . . . . . . . . . . . . . . . . . 31 Amysystems......................................................... 5 Aquila Corp. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Clarke Health Care Products. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Columbia Medical/Inspired by Drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 ConvaidProductsLLC/R82........................................... 9 Diestco Manufacturing Corp.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Freedom Designs Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 HealthlineMedicalProducts ........................................28 Ki Mobility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Leggero . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Motion Composites. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 NMEDA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Permobil/TiLite . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 PinDot Custom Seating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Prairie Seating/The ROHO Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 PrideMobilityProducts/QuantumRehab............................. 3 Q’Straint. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 The ROHO Group.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Stealth Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 SunriseMedical.....................................................11 SymmetricDesigns.................................................33 U.S.Rehab..........................................................10 Vicair...............................................................20
38 march 2017 | mobilitymanagement
referral sources and patients.
Unfortunately, there are no good measurable outcome tools for
some patient populations. These would be dependent clients. In most cases our intervention is simply to better position them and prevent pressure injuries. For those clients, I wish we had better tools that could show positive benefits of our interventions.
The more multifaceted the problem of movement, the more difficult to design and measure specific parameters in the research
—Missy Ball
That said, with the use of G codes in the adult population and the likelihood that they are coming to pediatrics once funding starts to pay based on those codes, we need to find better tools for all populations that are going to show the benefits of what we do. If we, as therapists, don’t show that we make a difference, the ability to work with this population may go away. — Lauren E. Rosen, PT, MPT, MSMS, ATP/SMS, Motion Analysis Center Program coordinator, St. Joseph’s Children’s Hospital
I would not say [evidence] is “critical” for determining product [choices], but it helps. In my clinics we strive to choose the best equipment to meet the needs of the patient. We ask, “What do you like and dislike about the old piece of equipment you have, and what are your goals with the new piece of equipment?” Pitt’s Functional Mobility Assessment is by far the best I
have seen as far as outcome measures go, but with any outcome measure, suppliers always want the highest ratings, and many times you can’t obtain high ratings if you can’t supply (usually because of insurance coverage) something they really feel they need (and you do also).
For instance, seat elevators are rarely covered (they should
be) and that can skew the whole assessment, which is still very important to track, but has nothing to do with the supplier doing a good job or not.
One of the questions asks about transferring from one surface to another. Without a seat elevator, that may be very difficult or even impossible. That will get a “completely disagree” answer. That one item can skew many questions.
I think the outcome measures try, for the most part, to prove that rehab suppliers and clinicians are doing good work, making patients more comfortable, functional and healthier. Good seating can keep patients out of the hospital, which is very expensive and can be dangerous. — John Zona, ATP, CRTS, rehab & seating specialist, Reliant Medical Group, Durable Medical Equipment, Inc. l
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