Why Physical Therapy Still Isn’t Reaching 90% of People

WEBVTT

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You're listening to the PT Pinecast,

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where smart people in healthcare come to

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make noise.

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Here's your host, Jimmy McKay.

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Thanks, voiceover guy.

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David Harris,

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thanks for joining us here live at Graham

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Sessions.

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Great to be here.

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First question, where are you from?

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I am from Chattanooga, Tennessee.

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Awesome.

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And real quick, superhero backstory.

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What do you do?

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What's your role in this very vast

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profession?

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I am currently the CEO of ProPT out

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in the state of California.

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Awesome.

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And then ProPT is what?

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Paint me a picture.

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ProPT is a private practice.

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We have about twenty clinics in the

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Central Valley and looking to expand and

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grow over the next couple of years.

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Come a little closer.

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There we go.

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All right.

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So we're live streaming here.

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We're at Graham Sessions.

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Super secret conference.

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Absolutely.

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This is like we're at the top of

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Avengers Tower here.

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So we're not supposed to talk about who

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said what, but we can talk about ideas.

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With someone from your background,

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what are you excited to talk about?

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What still freaks you out?

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What are you hoping to hear?

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We're just getting started,

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so we've only heard a couple different

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things.

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So I can't really ask you what have

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you heard altogether.

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But what are you looking forward to?

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What are you afraid of here?

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You know,

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really looking forward to networking with

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this group of individuals,

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looking at physical therapy and where we

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go in the future,

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how we can make an impact.

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We've known for I've been in this

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profession for twenty six and a half years

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for you.

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We've known so much of what we can

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do.

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And now it's starting to come to fruition.

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We're starting to actually realize how

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impactful physical therapy can be in the

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medical community.

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What's getting in our way?

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You've been here for twenty six years.

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You got it.

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You have to at least seen the speed

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bumps.

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Where are we?

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We can't say it's can't say it's payment.

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You can't do that.

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You can't say that.

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What's a we thing?

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What are where are we getting in our

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way?

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We are getting in our way by making

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excuses.

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Good.

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I like that.

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Good.

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Own it.

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I think we have to get out of

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our own way.

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We have to embrace our role in the

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health care spectrum.

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And we have to actually step up to

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the front instead of lying in the back

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and just really letting people run over

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us.

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OK.

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What's something that is completely

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outside of what you do in your everyday

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that you saw on the agenda that you're

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saying, ooh, I hadn't thought about that?

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Is there anything you're looking forward

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to digging into?

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know i think i'm looking forward into

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digging into more of this primary care

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philosophy and really how we can become

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that practitioner of msk which we already

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are we just have to realize our own

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yeah we're not supposed to say who said

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what from in the room but i can

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say it if i said it i said

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this sounds great guys there's an eighty

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three word definition

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for primary care physical therapy.

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And I know that's an internal definition

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to our profession.

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And I said, this is awesome.

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I'm not questioning the research.

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I'm not questioning the policy.

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There was just a big policy win in

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Utah.

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No notes,

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except if we don't message it to the

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public.

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I made everybody look outside the room,

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look outside the building at downtown

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Alexandria, Virginia.

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I go, if we can't explain it simply,

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clearly, consistently,

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primary care doesn't mean anything.

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You've got to be able to make it

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make sense to them, not just us.

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So I think you said it very,

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very well.

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How do we make it simple?

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What is primary care?

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What is MSK?

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How do we actually take someone from not

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functioning at their highest level to

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functioning at their highest level?

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I'll say it right now.

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The practice, the organization,

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the ones that can do it clearly and

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consistently and concisely will win.

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And I don't even know what win means,

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but they're going to have more

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opportunities for success.

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I'll put it that way.

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Yeah, you know,

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I think when means how do we not

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only open up access,

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opening access is one part of it.

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How do we provide the access?

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How do we actually bring that to the

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public?

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You know,

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I think I read a paper here a

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while back that said we're seeing ten to

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twelve percent of the population of the

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United States that actually need physical

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therapy.

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We're arguing over ten percent.

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Ten percent.

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Instead of trying to reach ninety.

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That's right.

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Right.

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So I think we have to get a

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clear, concise,

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simplistic message out to the public.

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And we have to keep re-emphasizing that,

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re-emphasizing that.

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You know, it is, yes,

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we have to talk to our legislators.

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Yes, we have to talk to the public.

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But ultimately,

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we have to provide that great quality

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care.

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We have to prove ourselves day in and

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day out that we are the best of

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the best.

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We have the skill.

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We have the knowledge.

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Let's go get it.

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Let's get it out there.

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Do not disagree.

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If you were to have been...

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Is this your first time at Graham

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Sessions?

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Second.

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Second.

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All right.

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When was the last time?

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Two years ago.

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Okay.

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You've been in this profession twenty-six

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years.

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Let's pretend that you were at Graham

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Sessions fifteen years ago.

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What's...

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What are a couple of wins we have

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put on the board in the last fifteen,

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twenty six years in your career?

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Things that were let's paint a picture for

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people who are entering the profession now

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or in the next couple of years.

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What are some what are some victories

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you've had?

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Let's show them how maybe how far we've

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come.

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Not saying we don't have far to go.

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You know,

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I think one of the biggest in my

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career has been, you know,

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becoming a doctor in profession.

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Sure.

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Right.

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Improving our knowledge base,

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our research base,

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understanding what we do and why we do

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it in a better way.

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But I think the other one would be

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direct access,

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which is truly what we talked about this

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morning.

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Primary care.

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Yeah.

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Really getting the ability to see a

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patient directly.

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without having to go through two, three,

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four different avenues.

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Yeah.

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The door is open.

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Yes.

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We got to make sure people understand why

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they want to walk through our door,

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our specific clinic or our professions

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door.

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Why are they doing that?

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If you fail to do that, people

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The phrase is confused people don't.

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Confused people never show up for the

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first time.

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Confused people don't come back.

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Confused people don't insert whatever it

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is you want them to do there.

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They just don't.

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What's on the horizon?

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What are you still confused at?

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I've heard some other people say, well,

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this AI thing's a thing,

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and I'm looking at everybody else to see

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where it is and how they're going to

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play with it.

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But what's on your dry erase board now

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that you're still solving practice-wise?

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Yeah,

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I think technology has come so far in

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a very short period of time.

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It's getting what I said earlier,

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getting out of our own way.

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Big time.

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Really embracing the idea that technology

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can help us treat patients better,

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more effectively, more efficiently.

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We also have to simplify that message to

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our own teams.

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All the time.

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How many people are just terrified of AI

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helping them with their documentation?

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Yet on the other side, we're like, man,

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documentation is killing us, burnout,

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all this stuff.

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This is one of the things that can

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help us become so much more effective in

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what we do on a day-to-day basis,

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which will bring more people into our

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practices and allow them to receive the

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care that they need.

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How are you adopting that?

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Because again,

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even finding a technological solution is

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step one, then adopting it.

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What are some of the things that you're

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like, yes,

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not only is this nice to have,

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this is need to have.

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So what are the things that you're

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actually putting into play where you work?

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You know,

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right now we're putting in Scribe.

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Got to.

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And I think it's a very effective tool.

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But the most important thing is how do

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we actually develop the plan and the

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rollout?

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A poor rollout can just really mess up

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everything.

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Blow everything.

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You don't get two bites of the apple

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with the rollout.

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You don't.

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You really don't.

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And so I think we have to really

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work with our vendors that are helping us

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with these new products.

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Make sure that we have all of the

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answers that we can going in.

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Yeah.

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And we have to really kind of have

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I think John Maxwell says it very well.

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We have to have the meetings before the

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meeting.

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All right.

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We have to really get buy in and

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engagement from that small group in order

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to kind of bring it out to the

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larger group.

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How many ballpark?

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How many clinicians?

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Like what's your you know,

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we have currently we have about one

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hundred and twenty clinicians for you.

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And, you know,

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we're piloting this program right now with

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fifteen.

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Wow, see, that's smart.

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Some people listening might be like, well,

00:08:00.661 --> 00:08:02.002
if it's good, roll it out.

00:08:02.601 --> 00:08:05.064
Why are you doing it small before big?

00:08:05.824 --> 00:08:08.187
You never go big before you try small,

00:08:08.247 --> 00:08:08.466
right?

00:08:08.706 --> 00:08:11.550
I think it's extremely important that we

00:08:12.189 --> 00:08:14.031
make sure that we work out any of

00:08:14.072 --> 00:08:16.553
the unanswered questions before we roll it

00:08:16.593 --> 00:08:17.254
out to the masses.

00:08:17.274 --> 00:08:17.875
Correct.

00:08:17.995 --> 00:08:19.255
And if you find a little bit of

00:08:19.295 --> 00:08:20.637
failure in that system,

00:08:20.776 --> 00:08:22.259
now you can adjust before you go

00:08:22.379 --> 00:08:22.899
company-wide.

00:08:23.139 --> 00:08:24.880
Will you go small group everybody,

00:08:24.961 --> 00:08:26.341
or will it be smaller groups?

00:08:26.620 --> 00:08:27.600
A little bigger, a little bigger,

00:08:27.620 --> 00:08:28.081
a little bigger.

00:08:28.100 --> 00:08:29.242
Yeah, a little bigger, a little bigger.

00:08:29.262 --> 00:08:29.341
Okay.

00:08:29.762 --> 00:08:31.802
What are some of the things you're looking

00:08:31.841 --> 00:08:33.562
for in terms of feedback?

00:08:34.082 --> 00:08:35.062
And my follow-up is,

00:08:35.222 --> 00:08:37.224
how would you pick those first fifteen?

00:08:37.504 --> 00:08:38.964
Were you looking for early adopters?

00:08:39.004 --> 00:08:40.024
Were you looking for people who were

00:08:40.043 --> 00:08:41.164
crusty, thinking, hey,

00:08:41.225 --> 00:08:42.764
if I can flip this person who's a

00:08:42.865 --> 00:08:44.706
laggard, man, this will be easy.

00:08:44.725 --> 00:08:45.785
So how did you pick the fifteen,

00:08:45.826 --> 00:08:47.365
and what are you looking at?

00:08:47.385 --> 00:08:49.586
What are your sort of KPIs for a

00:08:49.647 --> 00:08:50.267
small rollout?

00:08:50.543 --> 00:08:50.802
Yeah,

00:08:50.822 --> 00:08:52.205
you're looking for a little bit of both.

00:08:52.884 --> 00:08:54.346
I want my early adopters,

00:08:54.426 --> 00:08:56.769
and then I want my naysayers,

00:08:56.788 --> 00:08:58.129
so to speak.

00:08:58.169 --> 00:08:59.350
Because if you can prove it to both

00:08:59.390 --> 00:08:59.791
groups,

00:09:00.251 --> 00:09:02.273
then they're preaching to the masses.

00:09:02.553 --> 00:09:02.734
Yeah,

00:09:02.874 --> 00:09:05.255
you know most likely you're going to get

00:09:05.275 --> 00:09:06.657
those tech forward-leaning people going,

00:09:06.677 --> 00:09:06.957
yeah, yeah.

00:09:07.197 --> 00:09:08.239
But if you can prove it to,

00:09:08.379 --> 00:09:09.399
I call them the crusty laggards,

00:09:09.419 --> 00:09:10.500
if you can prove it to them or

00:09:10.541 --> 00:09:11.822
get them championing or saying,

00:09:11.841 --> 00:09:12.482
you know what,

00:09:12.562 --> 00:09:13.683
I went in thinking this was going to

00:09:13.703 --> 00:09:14.924
be terrible, and it's not that bad.

00:09:15.384 --> 00:09:17.466
What are the things you're measuring?

00:09:17.506 --> 00:09:19.528
Are you measuring documentation time six

00:09:19.589 --> 00:09:20.789
months ago versus now?

00:09:20.850 --> 00:09:23.211
Are you measuring quality, speed?

00:09:23.272 --> 00:09:24.312
What are the different things you look

00:09:24.332 --> 00:09:24.513
for?

00:09:24.552 --> 00:09:25.394
A little bit of both.

00:09:26.455 --> 00:09:27.076
One, quality.

00:09:27.096 --> 00:09:28.576
Quality of documentation is very

00:09:28.596 --> 00:09:29.037
important.

00:09:29.277 --> 00:09:30.418
If you can't tell the story,

00:09:30.458 --> 00:09:32.139
then it's kind of worthless.

00:09:32.200 --> 00:09:34.861
So what we want to see is...

00:09:36.147 --> 00:09:38.328
is the documentation accurate?

00:09:38.928 --> 00:09:40.750
So when that therapist reads over that

00:09:41.311 --> 00:09:42.711
scribe, is it accurate?

00:09:42.751 --> 00:09:44.633
Does it pick up everything that they need?

00:09:45.374 --> 00:09:47.875
And then the other side is how effective

00:09:48.115 --> 00:09:48.895
does this,

00:09:49.476 --> 00:09:51.097
or how does this help them become more

00:09:51.118 --> 00:09:51.538
efficient?

00:09:51.837 --> 00:09:53.538
Can they do an evaluation now

00:09:54.460 --> 00:09:56.100
Can they walk in the door in that

00:09:56.160 --> 00:09:56.421
room,

00:09:56.461 --> 00:09:58.221
do the evaluation and then walk out of

00:09:58.260 --> 00:09:58.921
the evaluation?

00:09:59.542 --> 00:10:00.841
So they're not at home for an hour

00:10:00.861 --> 00:10:02.562
and a half typing notes at night.

00:10:02.643 --> 00:10:02.903
Right.

00:10:03.102 --> 00:10:04.123
And then the other side is,

00:10:05.202 --> 00:10:07.224
can that help them improve their

00:10:07.244 --> 00:10:09.745
efficiency throughout the day with their

00:10:09.804 --> 00:10:10.345
patient care?

00:10:10.404 --> 00:10:12.846
Can they spend more quality time with that

00:10:12.905 --> 00:10:13.225
patient?

00:10:13.306 --> 00:10:13.525
Yep.

00:10:13.586 --> 00:10:14.826
Looking forward, not back.

00:10:15.787 --> 00:10:17.187
If people want to get in touch with

00:10:17.226 --> 00:10:17.466
you,

00:10:17.866 --> 00:10:19.727
what's the website for the practice right

00:10:19.748 --> 00:10:19.827
now?

00:10:20.187 --> 00:10:24.090
propt.com uh and uh they can get in

00:10:24.129 --> 00:10:27.231
touch with me at david harris at propt.org

00:10:28.013 --> 00:10:28.952
and you're on the uh you're on the

00:10:29.013 --> 00:10:30.653
linkedins as we call it these days you're

00:10:30.673 --> 00:10:32.615
on the linkedin sorry yes i'm on linkedin

00:10:33.155 --> 00:10:33.975
all right uh we have a tradition on

00:10:33.995 --> 00:10:35.636
the show live from graham sessions here at

00:10:35.677 --> 00:10:39.578
apt headquarters this is the parting shot

00:10:40.120 --> 00:10:43.682
one last mic drop moment no pressure just

00:10:44.241 --> 00:10:45.562
your legacy on the line

00:10:46.808 --> 00:10:48.129
No pressure there, just your legacy.

00:10:48.149 --> 00:10:49.289
So parting shot is just, hey,

00:10:49.309 --> 00:10:50.889
just one idea, one concept.

00:10:51.289 --> 00:10:53.311
Is there something you repeat to your

00:10:53.571 --> 00:10:54.490
team, your staff,

00:10:54.551 --> 00:10:55.311
anything that you're like,

00:10:55.650 --> 00:10:56.331
don't forget this?

00:10:56.371 --> 00:10:57.211
What's your parting shot?

00:10:57.591 --> 00:10:59.111
Yeah, it's twofold.

00:10:59.893 --> 00:11:01.232
First is be the example.

00:11:01.673 --> 00:11:02.832
Second is how far can you see?

00:11:03.974 --> 00:11:05.533
What can you see in front of you?

00:11:05.614 --> 00:11:06.714
What can you see in front of this

00:11:06.774 --> 00:11:07.254
profession?

00:11:07.294 --> 00:11:07.955
And quite honestly,

00:11:07.995 --> 00:11:09.875
how can we be a part of something

00:11:10.215 --> 00:11:11.456
that is so much bigger than us?

00:11:11.755 --> 00:11:12.515
Yeah, I love that.

00:11:13.056 --> 00:11:14.277
David, appreciate you coming to this,

00:11:14.317 --> 00:11:15.197
being part of this.

00:11:15.357 --> 00:11:16.839
It's not just the people on stage.

00:11:17.259 --> 00:11:18.299
It's the people in the audience.

00:11:18.320 --> 00:11:18.921
And I got news.

00:11:19.000 --> 00:11:20.621
If you're not at Graham Sessions,

00:11:20.741 --> 00:11:22.484
you're still in the audience.

00:11:22.524 --> 00:11:25.306
We want these ideas to leave this building

00:11:25.346 --> 00:11:27.687
here in Alexandria and spread to the rest

00:11:27.727 --> 00:11:28.288
of our profession.

00:11:28.908 --> 00:11:29.729
Thanks for a little insight.

00:11:29.749 --> 00:11:30.769
This is the first time we're doing this.

00:11:30.929 --> 00:11:32.730
I usually live stream from my living room.

00:11:32.792 --> 00:11:34.493
So why not live stream from the top

00:11:34.513 --> 00:11:35.394
of APTA headquarters?

00:11:35.413 --> 00:11:35.673
That's right.

00:11:35.693 --> 00:11:36.573
Thanks for having me.

00:11:36.594 --> 00:11:36.875
Thanks, man.

00:11:38.600 --> 00:11:39.681
That's it for this one,

00:11:39.942 --> 00:11:41.621
but we're just getting warmed up.

00:11:42.082 --> 00:11:44.003
Smash follow, send it to a friend,

00:11:44.202 --> 00:11:45.864
or crank up the next episode.

00:11:46.384 --> 00:11:47.264
Want to go deeper?

00:11:47.745 --> 00:11:51.787
Hit us at pgpinecast.com or find us on

00:11:51.846 --> 00:11:54.388
YouTube and socials at pgpinecast.

00:11:54.807 --> 00:11:57.089
And legally, none of this was advice.

00:11:57.168 --> 00:11:58.929
It's for entertainment purposes only.

00:11:58.970 --> 00:11:59.509
Bulls**t!

00:12:00.571 --> 00:12:01.150
See, Keith?

00:12:01.370 --> 00:12:02.431
We read the script.

00:12:02.731 --> 00:12:03.371
Happy now?