Good Health and The Process of Profitability. Elvonda

Physical therapists can learn from this highly successful company. They sell 10% af all the furniture in the world, they made $30 BILLION in revenue in 2010 and their estimated profit margin is 10%.

This company has created a process for customers to buy their products, become loyal customers, leave their stores highly satisfied and eagerly look forward to coming back and spending more money.

The customer is encouraged to browse the store, selecting what they want to purchase while following a SPECIFIC PATHWAY.

Who is this company? Follow the arrows to find out.

The "process" is easy - this company paints arrows on the floor of their HUGE stores to help customers navigate through the thousands of products they offer.

Not every product is costly - you can spend as little as 50 cents on some items. You may also spend thousands of dollars in their store. The average customer spend $85 dollars per visit. A single trip to one of their stores may take 3-4 hours so the company has a full-service, sit-down gourmet restaurant for when you get hungry.

What does this company have to do with physical therapists? Physical therapists can learn from them how to make the process of physical therapy easier, more fun and more rewarding for our patients. And, not mention, more profitable for physical therapists.

The "process" of physical therapy is one of the quality measures defined by the National Quality Measures Clearinghouse (NQMC) of Clinical Quality Measures. The five domains are generally described as follows:

Process
Access
Outcome
Structure
Patient Experience

The process-of-care is defined as a health care-related activity performed for, on behalf of, or by a patient.

"Process measures are supported by evidence that the clinical process�that is the focus of the measure�has led to improved outcomes.

These measures are generally calculated using patients eligible for a particular service in the denominator, and the patients who either do or do not receive the service in the numerator.

Example: The percentage of patients with chronic stable coronary artery disease (CAD) who were prescribed lipid-lowering therapy."

Physical therapy in the United States is unusual in that many of the processes we traditionally perform, such as the following:

Physician certification of the Plan of Care
Written Progress Notes
Discharge Summaries
Episodic treatment for chronic conditions (eg: three time per week for 1 month)
etcetera

...are NOT supported by evidence that they lead to better outcomes, lower costs or a better patient experience.

Innovative physical therapists will need to find a way to get these Medicare-mandated processes performed while improving the patient experience.

Innovation is what drives this company. They are the global arbiters of style in home furnishing.

Additionally, they have discovered that customers don't really want furniture - we want a place to sleep, something to write on and something to sit on. The actual pieces of wood that this company sells are not the highest "quality" - as defined by contemporary standards of furniture quality.

But, customers buy them.

Who is this company?

Ikea.

What innovations can physical therapists propose, within the Medicare-mandated process-of-care, to improve the patient experience in the United States?

Please comment.

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