5.0 Professional Services

5.0    Professional Services

Definition: Services which promote care but do not involve direct interaction with the patient.   These services, while they don’t involve direct interaction with the patient, contribute to successful patient outcomes.

Code             Procedure Description
1 Clinic attendance (Multidisciplinary) To evaluate prosthetic/orthotic suitability, review patient progress, review wound care issues, assess eligibility for new prosthesis/orthosis, discuss prescription in a multidisciplinary clinic environment.
2 Patient medical records Record all events and adjustments that have taken place during all patient communications and visits.

Describe technical specifications of prosthetic/orthotic treatment and document verification of implementation of treatment plan and outcome evaluation.

Document patient satisfaction, concerns and future expectations.

3 Hospital ward rounds Required bedside visits to in-patients by Prosthetist/Orthotist with or without health care team to review recent progress, identify concerns, monitor body segment healing, inspect prosthesis/orthosis pressures.
4 Patient management Team meeting to discuss patient progress. May include, but not restricted to, post discharge-planning, barriers to treatment plan, gait lab results.
5 Future cost of care report With patient approval, estimate future projected prosthetic/orthotic treatment requirements and associated costs as requested by legal/insurance representatives.
6 Professional consulting Provide professional opinion on issues related to prosthetic/orthotic treatment on a fee–for-service basis.
7 Cost estimates Itemize costs pertaining to a particular course of prosthetic/orthotic treatment
8 Letters/Reports writing Write legal report pertaining to prosthetic/orthotic management of a patient, with patient approval.

Report is directed to lawyer, funding agency, or insurance representative.

9 Out of office/ house call Visit to patient’s location to provide prosthetic/orthotic care and/or consultation.
10 Preparation as expert witness Meetings and research involved in the preparation to attend court as an expert witness.
11 Court appearance as expert witness Attendance in court as an expert witness.
12 Third party funding administration Written and verbal discussions of treatment plan with third party funding administrations or their agents.
13 Missed or cancelled appointment When insufficient notice given or patient did not cancel appointment
14 Consult with family member or caregiver In person, email or phone consultation to discuss patient’s treatment with family member or caregiver.
15 Consult with patient. Consult with family member or caregiver Consultation in person, by e-mail, or phone to answer patient inquiries or to help resolve problems.

Consultation in person, by email or phone to discuss patient’s treatment with family member or caregiver.

16 Healthcare professional consults Discuss prosthetic/orthotic care issues or treatment plan for a particular patient in person or by phone.
17 Educator (academic / community) Provide education to students, colleagues, patients, caregivers and allied health colleagues.
18 Case presentation Describe assessment, treatment, management and outcome(s) pertaining to a particular patient for the purpose of education.
19 Professional mentor Provide mentoring of knowledge & skills.  These are critical tasks performed by all practitioners who are involved in training prosthetic/orthotic residents and allied health professionals.
20 Practice management Develop, implement and monitor policies/procedures with respect to human resources, physical environment, business and financial practices and organizational management.
21 Continuing education Promote competency and enhanced professional practice by participating in professional development, MCE.
22 Research Justification of outcome measures and advancement of clinical and technical practices.
23 Urgent procedure coordination Coordinate the immediate treatment plan created by an urgent incident. May include referral for emergency medical treatment to appropriate health professional, coordination of services to restore normal function and patient safety.
24 Treatment summary Information communicated to referring physician or inter-professional to document final prosthetic/orthotic treatment.
25 In service Presentation to colleagues on the subject of prosthetic/orthotic treatment e.g. new technology/procedures/methodology.
26 Coordinate technical procedures Communicate the details of prosthetic/orthotic design and fabrication with technician to ensure optimum patient treatment.



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