All Airrosti providers adhere to a disciplined approach that focuses on quality and evidenced-based processes. By implementing these standards, we have greatly reduced the variability in clinical practice and improved the outcomes for our patients.
Airrosti's Quality Care Standards
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Provider Expertise
- Provider Vetting and Hiring
- All Airrosti providers undergo a rigorous standardized interview process, thorough background checks, reference reviews, and education verification.
- Mandatory Provider Training
- Before practicing, all Airrosti providers must complete 5-6 weeks minimum of intensive training at Airrosti's Clinical Development Center, including a Patient Clinic beginning the third week of training.
- Provider Oversight and Quality Assurance
- Airrosti's Clinical Development Team provides ongoing management and coaching based on individual provider metrics and to maintain quality assurance.
Adherence to Manual Medicine Guidelines for Musculoskeletal Injuries
- Evaluation, Assessment and Diagnosis
- Emphasis is placed on quality time with patient to perform a complete medical history, evaluation, and assessment that includes orthopedic, neurologic, motor, and functional/activity specific testing. The time spent with each patient is critical to rendering an accurate orthopedic diagnosis, potential differential diagnosis, and any possible contraindications.
- Documentation
- Detailed clinical documentation is an integral part of practice to ensure safe and effective care. Providers must adhere to HIPAA policies, guidelines, and security rules as it relates to all clinical documentation.
- Medical Necessity
- Determinations of medical necessity must relect the effectiveness and cost-efficiency of patient care. Providers are required to closely monitor patient improvement and adherence to medical necessity through outcome data analysis and episodic claims review. Treatment is only prescribed when a significant therapeutic improvement over a clearly defined period of time is present.
- Conservative Decision Making for Imaging, Advanced Imaging, and Specialist Referrals
- Testing is performed with best clinical judgment to establish or support the diagnosis or for the necessary treatment of the patient; decisions are based on documented clinical guideline contraindications.
- Manual Therapy/Myofascial Release
- Soft tissue and joint mobilization is delivered through a hands-on approach (manual therapy), using skilled manual/physical medicine to effect changes in the soft tissues (including muscles, connective tissue as well as fascial tissue, and joint structures) with the purpose of improving function and range of motion.
- Active Care
- Active care includes methods of treatment requiring active involvement, participation and responsibility on the part of the patient. Individualized active care will be supervised in office, and the patient will be provided with instructions for home self-care. Active care in each phase of treatment begins when, in the treating provider's judgment, it is appropriate to do so. This would be based upon, among other things, the severity of the injury, the injured area, the patient's age, and other limiting factors.
- Patient Education
- All patients are fully educated on their diagnosis and treatment options. Providers clarify reasonable expectations for the resolution of symptoms and return to work or other activities. Providers are required to document all aspects of active care. Self-care is reinforced with patient through specific provider-prescribed instruction and exercises.
- Post-Treatment Functional Testing on Every Patient Visit
- Further visits require demonstrable improvement with post-treatment functional testing.
- Case Management/Treatment Planning
- Treatment plans always include quantifiable, attainable short-term and long- term goals, and documented progress toward significant functional gains and/or improved activity tolerances. If a contraindication or medical red flag is present, patient will be referred to the proper specialist. Treatment planning is prescribed solely on an outcome basis, not by benefit design or allowable visits.
- Differential Diagnosis
- Based on clinical findings, differential diagnosis is determined when two or more conditions with similar symptoms to the chief complaint are present. The provider will perform a systematic comparison and contrasting of the clinical findings.
- Contraindications
- Prior to treatment, the patient is evaluated for any underlying conditions that, based on the provider's licensure, experience and expertise, would modify or contradict the procedure.
- Review of Current Research and Evidence-Based Practice
- Clinical directors engage in ongoing systematic review of the evidence supporting the diagnosis and treatment planning for a condition by clinicians and patients. When new guidelines and evidence emerge that improve quality and/or results, the clinical team incorporates appropriate clinical guideline changes.
- Outcome Measurement and Reporting
- Providers are required to obtain outcome measurements during every patient visit. This requirement provides real-time reporting on patient results, cost efficiency, and ROI relative to actual episodic claims data. Episodic claims analyses are routinely performed to validate that outcome-based care is both effective and efficient.
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