Determine the indications for therapy Select appropriate modalities for providing high-quality, cost- roves patient.

The Therapist-Driven Protocol Program and SOAP
Modified for educational purposes. D. Jardins T & Burton GG. Clinical Manifestations and Assess mwent of Respiratory Disease. Copyright © 2020 by Elsevier Inc. All rights reserved.
Affordable Care Act (ACA) effective 2014 )- Hospitals penalized for conditions subject to wasteful excess – “Readmission Penalties” Seven “index conditions” monitored 6 involve significant use of respiratory care services: 1. Acute pneumonia 2. COPD exacerbations 3. Post-operative infections 4. Ventilator-associated pneumonia (VAP) 5 Congestive heart failure/pulmonary edema 6 Myocardial infarction Saw a dramatic rise in patient-driven protocols (PDPs) and RT driven protocols (RTDP or TDP)
Copyright ©2020 by Elsevier Inc. All rights reserved. 2
RTDPs Purposes of RTDPs are to: Deliver individualized diagnostic and therapeutic RC to patients Assist physicians evaluating patients’RC needs to optimize the allocation of RC services.

Determine the indications for therapy Select appropriate modalities for providing high-quality, cost- roves patient.

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