cathy eberhart, m.b.a. improving patient outcomes through comprehensive staff training
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Cathy Eberhart, M.B.A.
Improving Patient Outcomes through Comprehensive Staff Training
Chiropractic Technology Program
Associate of Applied Science Degree
PACE-Recognized Provider
Outcomes-Based Approach
Improved Patient
Outcomes
Clinical Skills Critical Thinking
Communication Business
Chiropractic Technology
Program
Clinical Outcomes
Anatomy & Physiology
Adjusting Techniques
History & Exams Radiography
TherapeuticModalities
Clinical Outcomes Regulation in area of physiotherapy1
Newer doctors placed higher importance on physiotherapy and legal issues2
Staff utilized for physiotherapy and vital signs3
Course Didactic Hours Lab HoursAnatomy & Physiology 88 56History & Exams 30 28Radiography 168 56Physiotherapy 30 28Externship 120 Hours
Critical Thinking Outcomes
Identification&
management problems
Synthesis
Application of current & accurate information
Respond to ethical
challenges
Critical Thinking Outcomes
Incorporation of critical thinking into curricula5
Curriculum
Critical Thinking4
Improved patient care
Resolution of problems
Staff moraleLess turnover
Patient satisfaction
Communication and Business Outcomes
Written, verbal, and non-verbal Front office
Documentation, recordkeeping, insurance claim
filing
Communication Outcomes
Ineffective communication is the root of 66% of medical errors12
26.3% of time spent documenting patient care13
Curriculum Cultural diversity, Patient education, Documentation14
Communication
Patient Satisfaction6,7,8
Patient Compliance9,10,11 and Self-Assessed Health Improvement6,7
References
1. Holloway L, Eberhart C, Martel S. Changes in state regulation pertaining to chiropractic staff. Poster Presentation, ACC-RAC, Las Vegas, NV, March 2015.
2. Eberhart CA, Martel SS. Utilizing doctors' attitudes toward staff training to inform a chiropractic technology curriculum. J Chiropr Educ. 2014 May.
3. Christensen M, Kollasch M, Hyland J. National Board of Chiropractic Examiners. Practice analysis of chiropractic 2010: a project report, survey analysis, and summary of the practice of chiropractic within the United States. Greeley, CO: 2010.
4. Hanston, R.I, & Jackson, M. (2004). Clinical delegation skills: a handbook for professional practice. Sudbury, MA: Jones & Bartlett Publishers.
5. Azizi-Fini, Hajibagheri A, Adib-Hajbaghery M. Critical thinking skills in nursing students: a comparison between freshman and senior students. Nurs Midwifery Stud. 2015 Mar;4(1):e25721. Epub2015 Mar 10.
References6. Verhoef MJ, Page SA, Waddell SC. The chiropractic outcome study: pain,
functional ability and satisfaction with care. J Manipulative Physiol Ther 1997;20:235-40.
7. RP Hertzman-Miller, H Morgenstern, EL Hurwitz, F Yu, AH Adams, P Harber, et al. Comparing the satisfaction of low back pain patients randomized to receive medical or chiropractic care: results from the UCLA low-back pain study. Am J Public Health, 92 (2002), pp. 1628–1633.
8. Gaumer G. Factors associated with patient satisfaction with chiropractic care: survey and review of the literature. J Manipulative Physiol Ther, Vol 29, Issue 6, July-August 2006, pp. 455-462.
9. Bartlett EE, Grayson M, Barker R, Levine DM, Golden A, et al. (1984) The effects of physician communications skills on patient satisfaction; recall, and adherence. Journal of chronic diseases 37: 755–764. doi: 10.1016/0021-9681(84)90044-4.
10. Dunbar J. Predictors of patient adherence: patient characteristics, in The Handbook of Health Behaviour Change, Shumaker S, Schroon E, Ockene J, Editors. 2004, Springer New York. pp. 348–360.
References11. Titilola M, Henock T, Booth A. Factors associated with adherence to
treatment with isoniazid for the prevention of tuberculosis amongst people living with HIV/AIDS: a systematic review of qualitative data. Published: Feb 3, 2014. DOI: 10.1371/journal.pone.0087166.
12. Team strategies and tools to enhance performance and patient safety (TeamSTEPPS), Department of Defense and Agency for Healthcare Research and Quality http://www.ahrq.gov/qual/teamstepps/.
13. Christensen M, Hyland J, Goertz C, Kollasch M. National Board of Chiropractic Examiners. Practice analysis of chiropractic 2015: a project report, survey analysis, and summary of the practice of chiropractic within the United States. Greeley, CO: 2015.
14. Towers, Adele L. "Clinical Documentation Improvement—A Physician Perspective: Insider Tips for getting Physician Participation in CDI Programs." Journal of AHIMA 84, no.7 (July 2013): 34-41.
THANK YOU
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