FOTO Releases Shorter Surveys To Measure Functional Limitation For Patients With Pelvic Floor Dysfunction

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FOTO introduces shorter surveys for patients with Pelvic Floor Dysfunction (PFD) that automatically calculate the correct G-codes and severity modifiers Medicare requires for functional limitation reporting. By employing computer adaptive testing (CAT) and item response theory (IRT) methodologies, FOTO's Patient Inquiry® web based application reduces the number of questions the patient must answer to obtain a valid functional status measure.

Focus on Therapeutic Outcomes, Inc.

Focus on Therapeutic Outcomes, Inc., (FOTO) releases shorter surveys for measuring functional status and functional limitation in patients suffering from Pelvic Floor Dysfunction (PFD). According to FOTO, the goals were to make the PFD surveys easier to complete for patients, requiring significantly less time, yet retain accuracy and validity. Based on feedback from expert PFD therapists, and the research work led by Inga Wang Ph.D., FOTO developers employed the use of computer assisted testing (CAT) and item response theory (IRT) methodologies to shorten the number of questions a patient must answer to obtain a valid measure of functional status. The improved surveys include the Urinary Functional Status Measure, the Bowel Leakage Functional Status Measure, the Bowel Constipation Functional Status Measure, and include the Pelvic Prolapse Distress Inventory, the Pain Disability Index, and the Pelvic Floor Impact Questionnaire. According to Curtis Jones, FOTO's COO, the improvement gained by adding the CAT and IRT methodology to the PFD surveys provides FOTO customers with a more complete line of the industry's most efficient surveys for measuring functional status, complementing FOTO's existing line of orthopedic, industrial, and neurological functional status surveys.

Jones continued:

"Improving the efficiency of our Patient Inquiry® surveys always pays dividends for our customers and their patients. And, like all our surveys, we are automatically calculating and assigning the proper severity modifier and G-Code for functional limitation reporting that Medicare now requires. Being able to collect and track this data in an efficient manner to track outcomes is key - patients can take the surveys in the office or at home with minimal staff time required. Our customers have collected survey data with non-CAT, full-length pelvic floor dysfunction survey instruments for about two years, but had noted the process was too lengthy for the patient. These improvements will shorten the survey for the patient dramatically without sacrificing accuracy."

FOTO’s CEO, Ben Johnston, PT, adds:

"FOTO recognizes the growing importance of PFD in orthopedic physical rehabilitation and has been working for years to develop these efficient surveys for the Pelvic Floor specialist. Providers now can employ our cost-effective, PFD patient report surveys with our automated web based survey system - Patient Inquiry® - to save significant patient, staff and therapist time. Providers will also find Patient Inquiry's reporting an efficient guide to correct coding compliance with the functional reporting requirements now imposed by Medicare."

About FOTO:
FOTO is a Knoxville, TN, based corporation that has been continuously improving solutions that efficiently and reliably measure and report functional outcomes for the Rehab industry for 20 years. FOTO’s web-based solutions are risk-adjusted to enable fair and accurate measurement and predictions of the expected improvement in a patient’s functional status. Approximately 5 million patient surveys have been compiled in the FOTO database, and researchers have utilized FOTO data to publish over 85 articles on functional outcomes in refereed medical journals. These publications have led the way in enhancing the science of measuring outcomes and the use of outcomes in payment methodologies. FOTO is considered the standard in measuring functional outcomes in Rehabilitation.

To learn more about the Patient Inquiry® product, visit, or contact Judy Holder at 1-800-482-3686 x238

a. Wang YC, Hart DL, Cook KF, Mioduski JE. Characteristics of patients seeking outpatient rehabilitation for pelvic floor dysfunction. Phys Ther. 2012;92(9):1160-74.
b. Wang YC, Hart DL, Deutscher D, Yen SC, Mioduski JE. Psychometric properties and practicability of the self-report Urinary Incontinence Questionnaire (UIQ) in patients with Pelvic Floor Dysfunction (PFD) seeking outpatient rehabilitation. Phys Ther. (in press)

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Judy Holder
FOTO, Inc.
800-482-3686 238
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