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PT and the Greater Good

‘Can You Back That Up?'
by Dean Metz
I was asked that question last week by a board member of the NHS Trust in which I work. Rather a few members are making the rounds of different services to see how things are working (or not) and to assess if they are getting monetary value for those Read More...
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The SNF Rehab Model Must Change
by Dean Metz
I've learned immense amounts about what my American PT colleagues are going through just to work these days. It disheartened me at first, inspired me next, and now has propelled me to think more creatively. I think it may be time to throw out the baby Read More...
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Effective Agents for Change
by Dean Metz
Two weeks ago I attended, and presented a poster, at a seminar on change within the National Health Service (NHS). We were asked to present because we had excellent outcomes in our service and we got them by doing things differently than other services Read More...
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Productivity: Why Bother Speaking Out?
by Dean Metz
I was asked in a private message, "What are your goals in speaking out about the productivity issues facing therapists in nursing homes (and private practices) today?" A good question! We can whine and complain all we want; very little will come of that Read More...
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Consent for Professional Abuse
by Dean Metz
If you're thinking this is a post about patient consent, it's not. Last week I wrote about the nearly unachievable productivity levels in skilled nursing facilities . I got a lot of responses from it. A former classmate wrote to tell me he was just separated Read More...
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Productivity Woes
by Dean Metz
Many of my fellow ADVANCE bloggers have been voicing concerns over productivity standards where they work. There is concern over not being able to reach targets and still do required work that's not billable; concern over working on one's own time; concern Read More...
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My Mentor, My Inspiration
by Dean Metz
For my birthday, I've treated myself to phone calls to friends and family back in the States. I just got off the line with the person who I can say is the reason I became a PT/physiotherapist. I had been in my mid-20s and the whole starving actor gig Read More...
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Yes, There's a Need for What I'm Doing
by Dean Metz
This morning I learned that a piece of my childhood had passed on. Ann B. Davis, one of the actors in "The Brady Bunch" (new grads, ask your parents, they'll remember) slipped while getting out of the shower, hit her head and died . This is really unfortunate. Read More...
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Changing a Culture
by Dean Metz
I've just gotten back from a day trip to London. My colleague, a nurse, and I presented for a panel of judges on why our service should be awarded the National Patient Safety Award for 2014. It went well, I think. It's based on the fact that our service Read More...
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What if You Could Impact the Milliman Guidelines?
by Dean Metz
When I was working for a managed care company back in New York, the Milliman Guidelines were the book that drove levels of care and reimbursement. Treatments were approved or denied based on what was in that book. In the UK, the NHS is actually a single Read More...
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Restructuring
by Dean Metz
The very word can strike fear into many employees. In my previous experiences, that translated into layoffs, with those lucky enough to remain absorbing many of the jobs that used to be done by those laid off. The NHS has gone through a fair amount of Read More...
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Unintended Consequences
by Dean Metz
A while back there was some chatter among us ADVANCE bloggers on the public health issue of obesity. Since having an elevated BMI can cause a host of health problems, and Westernized nations on the whole are getting heavier and heavier, this is an area Read More...
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Presenting, Presenting, Presenting...
by Dean Metz
I got word today that the abstract for our study on the clinical and financial efficacy of our fall prevention clinic has been approved for a poster presentation at the annual Physiotherapy UK conference in Birmingham in October. I'm very pleased. While Read More...
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Making a 'Very Bold Statement' to Physicians
by Dean Metz
A large part of my current position involves reducing the risk of falling for people in the community as well as those residing in care homes. That's what prevention is all about -- reducing risk. Not long ago, I received a phone call from an irate physician Read More...
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Now I'm Convinced
by Dean Metz
A few months back, a member of my family was in a business meeting when suddenly his right hand became spastic. He looked at the person he was meeting with and couldn't figure out why he was there or what they had been talking about for half an hour. Read More...
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About this Blog


    Dean Metz
    Occupation: Staff Development Specialist
    Setting: New York, NY – Newcastle Upon Tyne, Great Britain
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