Cathy Eberhart, M.B.A. Improving Patient Outcomes through Comprehensive Staff Training

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.

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