- Professional Standards in (ICRC) Exercise
- ICRC Exercise Standard Action Cycle
- ICRC Physiotherapy Standards Rehab Cycle
PT is a process and decisions about therapeutic intervention are negotiated between the therapist and the client/provider. Every patient’s experience will be different so PT can be difficult to measure and often the focus is on clinical outcomes. ICRC Physical Rehabilitation Programming (PRP) has examined the feasibility of measuring the quality of actual physical activity participation. ICRC physiotherapists are trained in many different countries and healthcare systems and work in the most demanding conditions. This means that PT involvement is likely to be high variability in field conditions and their consequences are difficult to measure validly and reliably.
The ICRC Physiotherapy Standards
The ICRC is committed to ensuring that ‘the highest quality of care consistent with appropriate standards’ is integrated into all health care. To achieve this the ICRC has developed a set of international standards adapted to the humanitarian context defined by the ICRC 23 PT Standards (PTS) (PTS) available. Their aim is to achieve a threshold standard of quality as a first step towards improving exercise outcomes for service users in ICRC-supported projects inter alia – patients look straight; maintenance of care; employment and education.
The ICRC PT standards are international standards adapted to the humanitarian context. Their standards cover all aspects of PT practice including:
- User/Patient related – Respect confidentiality of informed consent
- Processes (rehab cycle) related – research treatment program implementation research eliminated
- Therapist (service provider) related – Communication lifelong learning professional moral development
- Service Provision relationship – data management security and safety Human Resources.
A solid foundation was laid for the second phase of the project (implementation). Impact assessments are necessary to maximize learning from the program. The process can either be replicated or transferred to other professions and other humanitarian organizations where physical therapy is Often still unrecognized and underappreciated. Below is a summary of each standard.
User/Patient Related (Service User)
- Standard 1 – Respect Viewing service users as individuals is at the heart of physical therapy and is always represented
- Standard 2 – Users of the Informed Consent Service are provided with information about the proposed exercise programme. This should take into account their age gender cultural emotional state and understanding ability to allow informed consent. The most appropriate method of reporting service user must be used
- Standard 3 – Confidentiality Information provided to the physiotherapist by service users is kept strictly confidential by the physiotherapist
Therapist Related (Service Provider)
- Criterion 4 MDT assessment information is collected from a variety of sources to determine the health status of service users
- Criterion 5 Analysis and treatment planning Following information collection and evaluation analysis, clinical decisions are made to develop a treatment plan
- Standard 6 Implementation Treatment is tailored to meet the individual needs of service users and delivered in a manner that benefits service users. Where applicable, this should be done in the MDT context
- Standard 7 Assessment Review service user’s physical therapy progress when possible
- Standard 8 Assessment Service user response to physical therapy is measured using service user-centred outcome measures
- Criterion 9 Transfer/Discharge Arrange transfer care or discharge with MDT after completion of treatment
- Standard 10 Communication Physiotherapists communicate effectively with service users and/or their carers/relatives
- Standard 11 Communication Physiotherapists communicate effectively with MDTs and other relevant professionals to provide effective and efficient services to service users
- Standard 18 Human Resources Each member of the team should have clearly defined roles and expectations
- Standard 19 Lifelong Learning The physical therapist assesses the plan to implement and assess his/her formal and informal lifelong learning
- Standard 20 Professional Conduct Physiotherapists demonstrate ethical and professional conduct and adhere to guidelines and regulations
- Standard 21 Quality Improvement
- Standard 22 Physiotherapists encourage and respond to service user feedback
- Standard 23 Physiotherapy based on review of best available evidence
Service Provision (Service)
- Standard 12 Data Management To facilitate service user management and meet legal requirements, each service user receiving physical therapy must have a record
- Standard 13 Data Management Services User Records Retained Per Existing Policy
- Standard 14 Data management Record relevant information Organize and report to stakeholders as required Explanation Clear reports as required
Service user therapists and service related personnel
- Standard 15 Physical Environment and Safety of Service Users and Physiotherapists The physical setting of the clinic must have sufficient space and treatment equipment to enable the physical therapist to provide physical therapy services throughout the practice of the service
- Standard 16 Physical environment and safety of service users and physiotherapists Service users receive treatment in a clinical setting that is safe for service user physiotherapists and caregivers
- Standard 17 Physical Environment and Safety of Service Users and Physiotherapists All equipment is safe and suitable for the safety of service user carers and physiotherapists.
Monitoring and Evaluating the Standards
These standards are used to guide the competence and growth of service providers and the satisfaction of service users. To ensure that all requirements are met, it is important to use tools and implement systems to monitor and evaluate the effectiveness of the standards. The ICRC recommends using the result Strategies based on a management (RBM) approach focus on the impact of an intervention on service delivery and patient satisfaction, not just the intervention itself. It takes into account other aspects such as the relevance of the intervention to service users and assessing whether it Is effective cost and time efficiency. Does it meet the goals set and have a positive impact on the communities it serves?
Project Cycle vs Rehab Cycle
PTS is divided into two parts: project cycle and rehabilitation cycle. Both cycles are based on the following system:
- Assessment and analysis
- Formulate and Plan
- Implement and Monitor
- Evaluate and Learn
Many of the criteria are related to the project, others are related to the rehabilitation cycle.
(from Intro to PTS)
Cycle Phases Rehabilitation Cycle Tools Project Cycle Tools Assessment and Analysis Assessment and Treatment Guidance Outcome Measures Situation Analysis Gap Analysis PT Competency Inventory Development and Planning Assessment and Treatment Guidance; Smart Goal Setting; tx Protocol Action Plan; SMART Goal Setting Implementation and Monitoring App EIP/EBP; Progress Diary; Phone App; Workout Tracker (Watch) Action Plan and other Monitoring Tools (Reporting Tool Database..) Assess and Learn Same Assessment and Outcome Measures User Feedback Same Assessment Tool (SA GA Capability Checklist) Action Plan (Validation Indicators)
- Introduction to PTS.pptx
- 23 PT Standards Explained
- Holey L; Rau B From fragile to sustained physiotherapy practice: improving quality of care and patient outcomes through enhanced standards of practice. [Internet] February 2018. [Accessed 18 February 2021] Available from https://odihpn.org/blog/fragile-sustained-physiotherapy-practice-improving-quality-care-patient-outcomes-enhanced-standards-practice/