EvidenceBased Practice Implementation Case Report of the Evolution

Evidence-Based Practice Implementation: Case Report of the Evolution of a Quality Improvement Program in a Multicenter Physical Therapy Organization by Joel M. Stevans, Christopher G. Bise, John C. Mc. Gee, Debora L. Miller, Paul Rockar, and Anthony Delitto ptjournal Volume 95(4): 588 -599 April 2, 2015 © 2015 American Physical Therapy Association

Iterative cycle of implementation. Joel M. Stevans et al. PHYS THER 2015; 95: 588 -599 © 2015 American Physical Therapy Association

Minimum data set (MDS) submission compliance. Joel M. Stevans et al. PHYS THER 2015; 95: 588 -599 © 2015 American Physical Therapy Association

Low back management protocol adherence—October 2007–July 2009. Joel M. Stevans et al. PHYS THER 2015; 95: 588 -599 © 2015 American Physical Therapy Association

Mean Total Health Care, Physical Therapy, and Patient Out-of-Pocket Costs per Episode of Carea Based on Low Back Quality Initiative Management Protocol Adherence. Joel M. Stevans et al. PHYS THER 2015; 95: 588 -599 © 2015 American Physical Therapy Association

University of Pittsburgh Medical Center (UPMC) Centers for Rehab Services Low Back Pain Minimum Data Set (MDS) Formaa PT=physical therapist, DOB=date of birth, LBP=low back pain, N/A=not applicable, FABQ=Fear-Avoidance Beliefs Questionnaire, FABQ–PA=Fear-Avoidance Beliefs Questionnaire–physical activity subscale, FABQ–W=Fear-Avoidance Beliefs Questionnaire–work subscale, Avg SLR=average straight leg raise, ROM=range of motion, NMES=neuromuscular electrical stimulation. Joel M. Stevans et al. PHYS THER 2015; 95: 588 -599 © 2015 American Physical Therapy Association

Joel M. Stevans et al. PHYS THER 2015; 95: 588 -599 © 2015 American Physical Therapy Association

Joel M. Stevans et al. PHYS THER 2015; 95: 588 -599 © 2015 American Physical Therapy Association