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WelcomeNew Employee Orientation

Why am I here?Goals for today.

To have a good understanding of the PTC Tribe and all the members and their responsibilities.

To understand your role and responsibility.To review our core values and explain how we

use those values to run our business.To begin your journey of professional

development. To go through the professional development plan

Ice BreakerIntroduce yourselfWhere are you from ?Any brothers or sisters ?Where did you go to college ?Family Hobbies

10 QuestionsWho is your favorite

cartoon character?What is your favorite

food?What is your favorite

thing to do?What is the top thing on

your bucket list?Wine or Beer – why?If a sign said, “Don’t walk

on the grass.” Would you?

Why did you become a PT/PTA? Can’t say to help people.

List three things to do with a blanket.

What is your favorite TV show, movie or book?

If you could meet one person who would it be? Why?

My Job as CEOWe are on a journey and it is my job to climb

the mountain and keep PTC moving forward.A never ending journeyI want to create change and movementAlways want to improveStatus Quo is unacceptableFailure is not an optionTrue Grit – vimeo video

Professional DevelopmentOur most valuable assets are our people. PTC takes pride in development of our

future leaders.PTC will grow or die on your shoulders.

Goal of the program is mentorship.This starts today with our meeting.

Who are we ?

PTC,

Inc.

PTC of Chickash

a

PTC of Choctaw

PTC of OKC

PTC of Newcastl

e

PTC of Norman

PTC of PV

PTC of Stillwate

r

We are therapist owned

TeamworkHow we started

Video of the early years

What is to come…Why this works

Who is INC ?

Dana Martin, V-

P

Mindy Martin,

CFO

Bridgit Finley, CEO

Karry Williams

Gayle Sanders

Ashley Ransom

Karla Kowardy, Clinic Administrator

Centralized billing company

AdministrationHuman Resources

Health Insurance IRA

TrainingHire and train office

managers

BrandForward your ptcentral email to any mail account you want.Brand your email signature

True Color ProfilePersonality Test

To understand insights into your personality, communication style.

Insight will give you better tools to be able to communicate.

Complete the profile

True ColorsWatch VideoDoes this match how you see yourself?How does your personality affect your

communication?How can you use this information?

BlueFriendly, helpful, optimistic, wants harmonyThey first focus on establishing a

relationshipThey want to help othersTips

Acknowledge them, show appreciationInclude themHave patience and don’t “bark” orders

GoldRespectful and responsible, they listen for

detail.Purposeful, supportive of the rules, detailed

oriented.Loyal and devoted. Will have a list and

check it off.Tips

Be prepared and give details, be consistent. Show respect and recognize their contributions.

GreenThey focus on the matter at hand, not on the

relationship.Logical, big picture, questioning.Tips

Allow them time to ponder, skip the “small” talk, avoid redundancy. Give big picture or point first, then fill in the details.

Don’t miss interrupt their need for info as interrogation

OrangeWants to share their opinion, taking action,

expedient.Now oriented, fast paced, straightforward,

active and involved.Tips

Use sound bites to communicate, move with them and multi-task, allow options and flexibility, lighten up.

Stick to business

Lamp fell to floorBlue

Are you all rightEmotionally are you

OKGold

Organization modeGet a broomFill out an incident

report

GreenI wonder why that

fellThey will stop what

they are doing to ponder

OrangeLets just scoot that

out of the way and let’s keep going

The clinic ownerIs very busy and has 10 things on their mind

We think about payrollReferral sourcesClinic is too busy or too slowMarketing

When you have something on your mind – please find us, stop us and ask to talk.

We are all here for you.

PTCVision Mission

To be the provider of choice for out-patient orthopedic physical therapy services in Oklahoma.

To get you….Back to Work.Back to Play.Back to Life.

What are Core Values?Guide our BusinessClarify who we areArticulate what we stand forInfluence our decisionsEssential Tenets

Core ValuesBe Humble and KindBe Passionate and DeterminedBuild a Positive TeamPursue Growth and LearningBe Progressive and Embrace ChangeBe Respectful and GraciousLive with IntegrityCreate FUN and Laughter

Professional Development Training Program

GoalTo provide

mentorship and structured learning.

Orientation Required to

complete Level I 12 Month s You are responsible to

submit the assignments

Step OneMeet with Mentor

Schedule monthly meetings.

1 on 1 mentoring for patient care

Fill in form and emailReading List

All are due 4 months from now

NetworkPartner

We have partnered with EIM to provide residency and fellowship training.

Join the conversation

Sign up for a free account

www.evidenceinmotion.com

Professional Development

6 Month ReviewAppendix BEmail to me

EducataDifferential

DiagnosisExercise ToleranceEmail me when

complete

Condition Specific AlgorithmDropbox

JOSPTRead for CreditTwo

APTA MembershipMandatoryAttend one APTA or OPTA event per year.Attend one Western District Meeting per

year.If you do not – will reimburse the clinic 50%

of your dues.

OPTABoard of Directors Western District

Jeff Jankowski – President

Debbie Christian – 1st VPTamara Hart – 2nd VPVince Lepak – SecretaryMike Strakal – TreasurerPeggy Newman – Chief

DelegateDebbie Simmons – PTA

Caucus Rep

Samantha Klepper – Chair

Tara Lindsey – Vice Chair

Bridgit Finley – DirectorJennifer Edwards –

SecretaryRaeAnn Thomas –

TreasurerAmy Lee, Christy

Brashares & Shawn Houck – Nominating Committee

Clinical Review MeetingThe first Thursday of the month.7:00-8:30 PMMandatory 80% attendanceNo meeting in July or DecemberIn OKC office

PTC Employee Manual

Read – p. 4-6Initial Employment

Period – 90 daysWage Policy

Pay day – direct deposit Bi-monthly

BenefitsPTO – two weeksCEHolidaysPaid DuesMentoring

Work Hours7:30 am - 7:00 pm

You will be scheduled about 38 hours of direct patient care.

You will have two hours a week for paperwork.

You are a professional and at times will be expected to work patients into your schedule and expand.

You will be scheduled to work late to accommodate patients.

If you work late you may come in late and work 11-7pm

Or work a split shift

Performance Reviews

6 month reviewThis is a mid term

check upSet some goalsMake sure you are

on trackPlan for the future

Annual ReviewScheduled with

clinic director and Bridgit

Will fill out performance review paperwork before

Eligible for a raise

Gift PolicySolicitation or encouragement of gifts are

strictly prohibited.All gifts must be disclosed to clinic

owner/manager.No gifts can be accepted >$50 value.All gifts will be shared.

Job DescriptionCustomer LoyaltyBuild a TeamExcellent

CommunicationHandle StressLive by our Core

ValuesMust be OPTA/APTA

member

EBPWork with StudentsFlexibility in

Working HoursMust be professional

Hours workedFlexibility

Social MediaJoin us on FB

Employee pagesGoogle account

Shared CalendarsGroups

TwitterPhThCentral

Review PolicyFlip Camera

When you postTo inspireTo connectTo entertainTo educate

We are embracing our customers

Marketing – have to add value for customer

How to make a decisionIs it legal?Is it ethical?Is it in line with PTC core values?Am I willing to be held accountable?Is it good for the company?

Why Document?Professional

responsibility and legal requirement.

Support payment of service.

Documentation is non-billable time.

Communication tool among providers.

Used to measure patient outcomes.

Legal documentInternally to provide

feedbackMust reflect thought

process & decision making.

CMSInsufficient Documentation

Top 7

Identified by MedicareTherapeutic Exercise

97110Manual Therapy 97140Please read – Defensible

Documentation APTA web site.

Limit use of abbreviations

Date & sign all entriesDocument legiblyReport function

progress- outcome measures

ID note type – initial, progress

Include missed/cxl visitsDemonstrate skilled care

DocumentationSkilled Care Medical Necessity

Clinical decision makingWhy choose interventionFunctional limitationsComorbidities & safety

issues

Observable and measurable improvement in functional ability.Outcome Measures

Use current best evidence

Include test & measures

DocumentationTips Avoid

Update goalsHighlight progressWrite progress reports“Function”Re-evaluate

Patient tolerated treatment well

Continue per planAs aboveKeep charts secure &

face downCharts should never be

left unattended or taken from the clinic.

GoalsPoor Goals Functional Goals

Increase shoulder flexion to 150 degrees

Decrease pain Improve safety

Increase shoulder flexion to 150 degrees to enable overhead activities.

Decrease pain to 2/5 on VAS with reaching activities.

Patient/client will walk with a standard walker independently within the home to complete activities of daily living.

Defensible DocumentationAPTA - resourceFAQ DocumentationChecklistTop 10Components of DocumentationSample Case – total knee

BillingStandards Charges

StandardsAverage 15 patients a

dayUnits billed 4 to 5 per

patientBill for your services

TapeTENS fittingTherapeutic ExerciseManual TherapyNMS vs E-StimSelf CareVasoneumonatic

Compression

MedicareException

Exception Process Automatic Exceptions

Cap is $ 1860 annuallyCan use for any

diagnosis – justify/medically necessary.

CMS has identified conditions and complexities that are appropriate.

If a patient qualifies, submit KX Modifier

Joint Replacement Amputations Surgery Diabetes Obesity Peripheral Nervous System Injury to Nerve Roots CVA RCR, ruptured tendon Osteoporosis Vertebral Fracture/Fracture Abnormality of Gait

MedicareRequirements Timed Codes

EvaluationPOC90 days

Progress NotesUse outcome measuresEvery 10 treatments or30 days

Daily Treatment NotesMust include time for

timed codes

Total time – time in & out

Time for interventions

Thrive during Changevideo

Have Fun at WorkChoctawNewcastleChickasha

SummaryPTC is a business, but our business is

personal.You are here because you can strengthen

our tribe and we expect big things from you.Commit our Core Values to memory.Schedule your meeting with your MentorGet back to work….