oy dbc solutions ltd. introduction

AN INTRODUCTION TO

DOCUMENTATION BASED CARE (DBC)

DBC - #physiogym #DBCBusiness

1. CLINIC NEEDS

2. DBC CONCEPT

3. DBC OUTCOMES

4. BUSINESS CASE

5. STRATEGIC FIT

6. REFERENCES

CONTENTS

#physiogym #DBCBusiness

1. CLINIC NEEDS

DBC

CLINICAL EXCELLENCE OUTCOME DRIVEN CUTTING EDGE TECHNOLOGY

Evidence-based treatment

strategy and protocols

Information systems to

document, measure and report

outcomes

Purpose-built proprietary

technology

EDUCATION AND RESEARCH

Cooperation on education

and research to enhance skills

and motivation

RETURN ON INVESTMENT

Business model to increase profit

MODERN CLINICAL REQUIREMENTS


BRANDINFORMATION SYSTEMS TREATMENT DEVICES TRAINING

SERVICE MODEL• Treatment Strategy

• Treatment Protocols

2. DBC CONCEPT

• Clinical Information System

• Questionnaires

• Physiotools

• Quality Assurance System

• Treatment Devices (12)

• Assessment Devices (2)

• Initial Training

• Additional Training

• Brand Book

• Clinic Design

• Material Bank

NECK

SHOULDER

BACK

KNEE

RESTORING RANGE OF MOTION

RESTORING MUSCLE CO-ORDINATION AND MOVEMENT CONTROL

IMPROVING MUSCLE ENDURANCE AND STRENGTH

IMPROVING GENARAL CONDITION

RE-EDUCATION BETWEEN NORMAL LOADING AND PAIN

REDUCING FEARS AND AVOIDANCE BEHAVIOUR

TACKLING PSYCHOSOCIAL OBSTACLES

ENCOURAGING CONTINUED ACTIVITY


DBC TREATMENT STRATEGY

57 %

Office work Physical work

NO SYMPTOMS

SHORT PERIOD(S) WITH SYMPTOMS

(OCCASIONAL SICKNESS ABSENCE PERIODS)

PROLONGED OR RECURRENT PROBLEM

(RECURRENT SICKNESS ABSENCES)

SEVERE PROBLEM / COMORBIDITIES

RISK FOR PERMANENT DISABILITY

NEED FOR SURGICAL INTERVENTION; TEMPORARY WORK DISABILITY

100 %

50 %

0 %

SEVERITY AND CONSEQUENCESPREVALENCE


DBC TREATMENT STRATEGY

NO SYMPTOMS

SYMPTOM-ORIENTED PHYSIOTHERAPYSYMPTOMS

MULTIDISCIPLINARY

REHABILITATION

REDUCED

WORK ABILITY

MAINTENANCE PLAN

LIMITATIONS IN

FUNCTION

FUNCTIONAL RESTORATION


COCHRANE REVIEW

COCHRANE REVIEW (WHAT IT IS)

• The world leader in Evidence-Based health care

• The summary and interpretation of the results of recent and up-to-date medical research

COCHRANE REVIEW OF EVIDENCE-BASED PHYSIOTHERAPY

• Current Research does not provide Evidence-Based support for the majority of traditional physiotherapy treatments

WHAT DOES CURRENT RESEARCH SUPPORT FOR MUSCULOSKELETAL PHYSIOTHERAPY?

• Progressive Exercise

• Treatment implementation in association with a Cognitive Behavioral Approach

• Mobilizations

WHAT DBC PROVIDES

• Individualized Progressive Exercise Therapy

• 10 years experience in the application of a Cognitive Behavioral Approach to Physiotherapy

• Area specific active mobilization

DBC TREATMENT STRATEGY #physiogym #DBCBusiness

COCHRANE BEST PRACTICE VS. DBC (FOR LBP)

HEREANIMATED GRAPHS

PAIN REDUCTION FUNCTIONAL GAIN

DBC

(>60 000 PATIENT CASES)

23,3

DBC

(>60 000 PATIENT CASES)13,6

DBC

(>60 000 PATIENT CASES)

MOST EFFECTIVE

INTERVENTION

CHARACTERISTICS

(HAYDEN ET AL.)

18,1

MOST EFFECTIVE

INTERVENTION

CHARACTERISTICS

(HAYDEN ET AL.)

MOST EFFECTIVE

INTERVENTION

CHARACTERISTICS

(HAYDEN ET AL.)

5,5


TREATMENT PROTOCOLS

DBC TREATMENT PROTOCOLS

BACK NECK SHOULDER

• Inflammatory

• Post-traumatic

• Post-operative

• Nerve root compression

• Narrowing of the spinal canal

• Pelvic and low back pain

• Spondylolisthesis / -lysis

• Non-specific pain

• Inflammatory

• Post-traumatic

• Whiplash associated disorder

• Post-operative

• Narrowing of the spinal canal

• Nerve root /cervicobrachial

plexus compression

• Shoulder dislocation

• Shoulder instability

• Impingement and rotator

cuff tear

• AC separation

• Shoulder arthritis

• Frozen shoulder

• Post surgery rehabilitation

KNEE

• Ligament injuries

• Meniscal injuries

• Soft tissue injuries (patellar

tendon,

pre-patellar bursitis etc.)

• Osteoarthritis and cartilage

injuries

• Post-surgery rehabilitation

LOCAL PROTOCOLS

NECK

SHOULDER

BACK

KNEE

RESTORING RANGE OF MOTION

RESTORING MUSCLE CO-ORDINATION AND MOVEMENT CONTROL

IMPROVING MUSCLE ENDURANCE AND STRENGTH

IMPROVING GENERAL CONDITION

RE-EDUCATION BETWEEN NORMAL LOADING AND PAIN

REDUCING FEARS AND AVOIDANCE BEHAVIOUR

TACKLING PSYCHOSOCIAL OBSTACLES

ENCOURAGING CONTINUED ACTIVITY


DBC TREATMENT PROCESS

DBC TREATMENT PROTOCOLS

INITIAL ASSESSMENT TREATMENT PLANNING TREATMENT (1:1-3)

• Initial Questionnaire

• Clinical Assessment

• DG/Pain Pattern

• Functional Impairment

Sub-classification

• Choice of Treatment

Direction

• Treatment Content; Plan and

Patient Contract

• Instruction

• Device Training

• Functional Training

• Symptom Treatment

• Progress check

OUTCOME ASSESSMENT

• Outcome Questionnaire

• Clinical Assessment

• Treatment Outcome

Assessment

• Maintenance Program

FOLLOW UP

• Assessment

• Instruction

• Health Coaching


1 DAY

TOOLS AND SERVICES

Extended modules for

DBC Approved Trainers

1 DAY

1 DAY

1 DAY

1 DAY

PRE-TRAINING

MATERIAL

UNDERSTANDING

DBC

BACK

NECK

SHOULDER

KNEE

CO

NC

EP

TC

LI

NI

CA

L

TRAIN

ING

INFORMATION SYSTEMS

INITIAL TRAINING STRUCTURE

DOCUMENTATION BRANDTREATMENT DEVICES TRAINING

SERVICE MODEL• Treatment Strategy

• Treatment Protocols

• Clinical Information System

• Questionnaires

• Physiotools

• Quality Assurance System

• Treatment Devices (12)

• Assessment Devices (2)

• Initial Training

• Additional Training

• Brand Book

• Clinic Design

• Material Bank


OUTCOMES, BACK


OUTCOMES, NECK


OUTCOMES, SHOULDER


LONG-TERM OUTCOMES


STRATEGIC FIT


DBC OFFERS THE MODERN PHYSIOTHERAPY CLINIC A PROVEN CONCEPT ADDRESSING

NON-SURGICAL AND POST-OPERATIVE MUSCULOSKELETAL TREATMENT AND

REHABILITATION:

• CLINICAL EXCELLENCE

• OUTCOME DRIVEN

• CUTTING EDGE TECHNOLOGY

• EDUCATION AND RESEARCH

• RETURN ON INVESTMENT

DBC

CLINICAL EXCELLENCE OUTCOME DRIVEN CUTTING EDGE TECHNOLOGY

Evidence-based treatment

strategy and protocols

Information systems to

document, measure and report

outcomes

Purpose-built proprietary

technology

EDUCATION AND RESEARCH

Cooperation on education

and research to enhance skills

and motivation

RETURN ON INVESTMENT

Business model to increase profit

MODERN PHYSIOTHERAPY CLINIC

THANK YOU

www.dbc.fi #physiogym #DBCBusiness

oy dbc solutions ltd. introduction

Healthcare