Managed IT

Managed IT services for physical therapy clinics

Managed IT services for physical therapy clinics, built for a day of back-to-back visits where the note, the visit count and the next appointment all have to be right before the next patient walks in.

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Managed IT services for physical therapy clinics are judged by the schedule. Patients return several times in a plan of care, visits run close together and every visit needs a note. A slow tablet at 10:40 doesn’t just irritate a therapist. It pushes back the next four people.

The count that nobody should do by hand

A plan of care often comes with an authorized number of visits. Somebody has to know how many have been used, and when to ask for more.

Twelve visit boxes with nine filled in to show the count used, and a marker where the clinic asks for more authorization
An example only. Your plans, payers and rules will differ, so the count should live where the front desk already looks.

When the count lives in a personal spreadsheet, it is only right until the person is sick. We look at how your practice management or billing software tracks visits and whether the front desk gets a warning in time. If your system can’t do that, we write down the workaround and who owns it.

Notes while the patient is still warm

Documentation is the hidden half of the workday. Where and when notes get written changes how long the day feels.

Two timelines of the same eight-patient day, one with all notes in a block at night and one with a short note after each visit
The tablet isn't what shortens the evening. A device fast enough to be used between visits is.

For notes between patients, the technology has to be fast and boring. That means Wi-Fi that covers the gym floor and the corners of the treatment rooms, tablets that wake instantly, a charging shelf where therapists can reach it and a chart that opens in seconds.

What’s on the gym floor

  • Tablets or laptops on carts, locked when set down.
  • Exercise video and program software, so patients leave with a plan they can follow.
  • Modality equipment with its own controls, often from a separate maker.
  • A music or TV system that shouldn’t share a network with patient records.
  • A check-in kiosk or tablet for the front, with nothing else installed.

The record system, the guest Wi-Fi and the equipment should live on different networks, so a visitor’s phone never sits beside a patient chart.

Home exercise programs

Patients get a program on their phone or in an email. Treat that as a messaging channel, because it often carries a name and a diagnosis. Choose one approved way to send programs. Decide what goes in the message and what stays in the chart, and keep staff from using personal texting for the purpose.

What the Security Rule asks for

For a practice that is a covered entity, the HIPAA Security Rule’s administrative safeguards call for an accurate and thorough assessment of risks to electronic health information, and for a contingency plan made of a data backup plan, a disaster recovery plan and an emergency mode operation plan. We explain those headings in plain words and handle the technical parts, such as listing your systems, backing them up and testing a restore. We never say that a practice or a tool is compliant.

Questions to ask any IT provider

  1. How quickly does a tablet get replaced when one fails mid-day?
  2. Who tests the backup, and when did they last restore something?
  3. What happens when a therapist leaves, from account to device to messages?
  4. How do you handle updates around our busiest hours?

What we need from you

  • Your practice management and charting tools, and who administers them.
  • A floor plan marking where devices sit and where the Wi-Fi is weak.
  • Your busiest weekday hours.
  • How patients receive exercise programs.

Monthly care covers access controls, backups and updates. We start with the free IT check, which ends in a plan and a fixed quote.

A clinic runs on minutes between patients. IT should give them back, not take them.

Common questions

Therapists and clinic managers ask us these.

Should therapists chart on tablets on the gym floor?

Many do, and it saves the evening rewrite. The tablet needs a quick-lock screen, a charging spot, strong Wi-Fi across the whole floor and a rule that the chart stays open only for the patient in front of you.

How can the front desk track authorized visits without a spreadsheet?

Put the count in the practice management system, where it updates as visits are checked in, and show a warning when a few visits remain. A side spreadsheet drifts out of date within a week.

What do we do when the electronic record is slow or down?

Keep a short paper kit: a day sheet, blank visit notes and a list of who is booked. Decide who enters the paper notes afterwards and in what order. Run the drill once when the clinic is quiet.

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