PT as a Consultant chapter no 5 physical therapy

Pt consultant

1. PT as a Consultant Dr.Araib Kaleem

2. PT as a Consultant Consultation is the rendering of professional or expert opinion or advice by a physical therapist. The consulting physical therapist applies highly specialized knowledge and skills to identify problems, recommend solutions, or produce a specified outcome or product in a given amount of time on behalf of a patient/client.”

3. PT as a Consultant Consultation is the practice of providing advice for a fee. This is a two-way interaction, A process in which a person or an organization seeks help, which the consultant provides. The ultimate outcome of the process is a change in the way the person functions or an organization operates . The person or organization seeking help is the client, who may also be known as the customer, patient, or advisee.

4. PT as a Consultant Regardless of the label applied to the interaction (advising, coaching, counseling, consulting),this helping process is a key function of all professionals, including physical therapists. Given the nature of their work, most physical therapists (PTs) are familiar with the process of consultation.

5. PT as a Consultant The patient/client management role of the PT is a for the power of the advice given depends on two factors : ( 1) how much the consultant helps clients use their own knowledge, experience, and expertise to arrive at a decision or solve a problem, and ( 2) how much the client participates in the proposed course of action.

6. PT as a Consultant Fuller suggested another framework that consultants could use to clarify their responsibilities . This model identifies types of consultation in terms of client demands for the following continuum of services: ● Specialized services ● Administrative skills ● Problem solving ● Investigative studies ● Assessments ● Advice

7. Client Needs Met by Physical Therapy Consultants Inadequate human resources Make up for a shortage of a particular expertise among existing personnel Serve as an alternative when hiring restrictions are in place Help to manage a sudden increase in expectations or demand Provide services when time limits prevent existing personnel from completing the work at hand Work on a new project that does not warrant the hiring of full-time personnel

8. Objective point of view Provide guidance or insight on a particular patient or management problem Present new ideas for revitalizing the practice Devise fresh approaches for overcoming barriers to successful treatment outcomes

9. Periods of change Serve as a catalyst to help generate change in a health care organization Lend credibility to a change already determined to be necessary Provide seminars for or coaching of personnel to provide information and new skills to improve clinical practice Provide rapid access to latest technology and its application Serve as an independent mediator to resolve differences when two health care organizations merge

10. Business management Improve referrals to the physical therapy service Research sources of capital funding to initiate a physical therapy practice Improve an organization’s efficiency and scope of practice Ensure compliance with regulatory and accreditation demands or third-party payer rules for reimbursement Help with a complete turnaround in a practice resulting from a change in mission or organizational structure so that the practice remains competitive as health care changes occur

11. Consulting Fees Method 1 1. Calculate the amount you need to cover living and business expenses for 1 year. 2. Calculate the number of billable days in a year: ● With 2 weeks of vacation, holidays, and weekends, a year has about 245 billable days. ● Subtract 2 or 3 days per week for marketing activities, networking, handling the administrative aspects of the business, writing proposals, and engaging in professional development.

12. Consulting Fees Typically 120 days per year are available for billable work (this number is affected by the scheduling of available days when clients are available; for example, a client may find it difficult to engage a consultant around the holidays in December. Consider the following example of estimated expenses and income for 1 year:

13. Consulting Fees Salary $50,000 Taxes $20,000 Retirement $7,500 Insurance $6,000 Overhead business expenses $25,200 Profit $10,000 Total $118,700 3. For this example, if you plan 80 billable days per year, your daily consulting fee would be about $1,500 a day.

14. Method 2 1. Determine the fee potential clients are willing to pay (e.g., find out the fee paid to other consultants in the area). 2. Determine your living and business expenses. 3. Calculate the number of consulting days per year you need to break even. For example, let’s say the current daily fee for PT consultants in your area is $750, and your annual income goal is $118,700: $118,700 ÷ 750 = 158.26 You will need to work about 159 billable days per year to meet your income goal

15. The Consulting Process The proposal should include the following sections, which are based on an outline by Hoyt13: 1. Purpose of the proposal [or an objective]: A brief statement, couched in general terms, of what the client wants. 2. Solution or action steps: Presented perhaps as a bulleted list or a table, this section specifies the sequential actions to be taken, including dates for submission of periodic progress reports.

16. The steps may include information and data gathering, design, content to be included, materials needed, and the implementation strategy. 3. Anticipated benefits: The improvements the client can expect as a result of the consultation. 4. Evaluation: A plan for measuring the effectiveness of the consultation.

17. Phases in consulting Data Collection Identifying problems through diagnostic analysis Setting goals and planning for action Taking action, cycling feedback, and completing the project Evaluation

18. The Skills of a Good Consultant Respond to each item using a 1−4 scale. 1 = definitely true; 2 = possibly true; 3 = unlikely; 4 = definitely false 1. I am willing to work sixty to eighty hours a week to achieve success. 1 2 3 4 2. I love risk; I thrive on risk. 1 2 3 4 3. I have a thick skin. 1 2 3 4 4. I am good at understanding and interpreting the big picture. 1 2 3 4 5. I pay attention to details. 1 2 3 4 6. I am an excellent communicator. 1 2 3 4

19. The Skills of a Good Consultant 7. I am a good writer. 1 2 3 4 8. I like to sell myself. 1 2 3 4 9. I can balance logic with intuition and the big picture with details. 1 2 3 4 10. I know my limitations. 1 2 3 4 11. I can say “no” easily. 1 2 3 4 12. I am compulsively self-disciplined. 1 2 3 4 13. I am comfortable speaking with people in all disciplines and at all levels of an organization 1 2 3 4