Daley KN, Krushel D, Chevan J. The physical therapist
informatician as an enabler of capacity in a data-driven environment: an administrative case report.
Physiother Theory Pract 2018;
36:1153-1163. [PMID:
30590975 DOI:
10.1080/09593985.2018.1548045]
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Abstract
Background and purpose: Many professions including nursing and medicine have developed subspecialties in the field of clinical informatics to assist in the management of patient outcomes. This report describes the development of a physical therapist-informatician (PT-I) that occurred concurrently with the introduction of an electronic health record (EHR). Case description: A physical therapist supervisor participated in professional development to become a full-time PT-I within the Department of Physical Medicine and Rehabilitation (DPMR) of an academic medical center. Cycles of needs assessment and gap analysis produced a nimble process that evolved to meet a shifting environment and to incorporate lessons learned. Outcomes: The development of a full-time PT-I enabled the DPMR to become the stewards of mobility data across the enterprise. The benefits that accrued, as a result, included enhanced success of EHR adoption, decreased revenue loss, and actionable, meaningful data use. Discussion: Having a PT-I facilitate the adoption of informatics into DPMR culture enabled participation in enterprise-level EHR optimization. Standardized data from the EHR was used to improve the performance of clinicians throughout the hospital. The field of physical therapy could benefit from a targeted use of informatics to articulate the EHR workflow and data needs.
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