80 research outputs found

    CONTEMPLATING HEALTH ECONOMICS, CODING AND REIMBURSEMENT IN ORTHOTICS, PROSTHETICS AND PEDORTHICS

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    Reimbursement to U.S. healthcare service providers is largely transitioning from fee for service to fee for value for those clinicians who code using current procedural terminology and through their coding, describe their professional services. The Orthotic, Prosthetic and Pedorthic profession (O&P), currently codes using a system that describes the devices they evaluate for, fabricate, fit and maintain and their professional services are incorporated into their codes. These O&P codes, in contrast to those for other healthcare disciplines, are predominantly product based rather than service based, focusing on product features and function more than clinical service. This editorial manuscript provides a brief overview of the system the US O&P profession uses currently, particularly in the context of other healthcare professions transitioning to value based coding and reimbursement and culminates in a call to action for the profession to academically consider the strengths and weaknesses of the current system relative to alternative systems. Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/36125/28316 How To Cite: Highsmith MJ, Fantini CM, Smith DG. Contemplating health economics, coding and reimbursement in orthotics, prosthetics and pedorthics. Canadian Prosthetics & Orthotics Journal. 2021; Volume 4, Issue 2, No.5. https://doi.org/10.33137/cpoj.v4i2.36125 Corresponding Author: M. Jason Highsmith, PhD, DPT, CP, FAAOPSchool of Physical Therapy & Rehabilitation Sciences, Morsani College of Medicine, University of South Florida. Florida, USA.E-Mail: [email protected] ID: https://orcid.org/0000-0001-8361-734

    BENEFITS OF GENIUM MICROPROCESSOR CONTROLLED KNEE ON AMBULATION, MOBILITY, ACTIVITIES OF DAILY LIVING AND QUALITY OF LIFE: A SYSTEMATIC REVIEW

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    INTRODUCTION Several years ago, a new microprocessor controlled knee (MPK), Genium, was introduced containing sensors, algorithms and technical solutions that enable a range of new functions to lower limb amputees. We conducted a systematic review to evaluate the effect of the knee on ambulation, mobility, activities of daily living (ADLs) and quality of life (QoL). Abstract PDF  Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/32033/24449 How to cite: Mileusnic M, Rettinger L, Highsmith M.J, Hahn A. BENEFITS OF GENIUM MICROPROCESSOR CONTROLLED KNEE ON AMBULATION, MOBILITY, ACTIVITIES OF DAILY LIVING AND QUALITY OF LIFE: A SYSTEMATIC REVIEW. CANADIAN PROSTHETICS & ORTHOTICS JOURNAL, VOLUME 1, ISSUE 2, 2018; ABSTRACT, ORAL PRESENTATION AT THE AOPA’S 101ST NATIONAL ASSEMBLY, SEPT. 26-29, VANCOUVER, CANADA, 2018. DOI: https://doi.org/10.33137/cpoj.v1i2.32033                                                                           Abstracts were Peer-reviewed by the AOPA 2018 National Assembly Scientific Committee

    BENEFITS OF GENIUM MICROPROCESSOR CONTROLLED KNEE ON AMBULATION, MOBILITY, ACTIVITIES OF DAILY LIVING AND QUALITY OF LIFE: A SYSTEMATIC REVIEW

    No full text
    Abstract INTRODUCTION Several years ago, a new microprocessor controlled knee (MPK), Genium, was introduced containing sensors, algorithms and technical solutions that enable a range of new functions to lower limb amputees. We conducted a systematic review to evaluate the effect of the knee on ambulation, mobility, activities of daily living (ADLs) and quality of life (QoL). Abstract PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/32033/24449 How to cite: Mileusnic M, Rettinger L, Highsmith M.J, Hahn A. BENEFITS OF GENIUM MICROPROCESSOR CONTROLLED KNEE ON AMBULATION, MOBILITY, ACTIVITIES OF DAILY LIVING AND QUALITY OF LIFE: A SYSTEMATIC REVIEW. CANADIAN PROSTHETICS & ORTHOTICS JOURNAL, VOLUME 1, ISSUE 2, 2018; ABSTRACT, ORAL PRESENTATION AT THE AOPA’S 101ST NATIONAL ASSEMBLY, SEPT. 26-29, VANCOUVER, CANADA, 2018. DOI: https://doi.org/10.33137/cpoj.v1i2.32033Canadian Prosthetics & Orthotics Journal web site: https://jps.library.utoronto.ca/index.php/cpoj/inde

    Cervical Arthroplasty

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    3D Printed Tooling for Thermoforming of Medical Devices

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    Purpose: The purpose of this paper is to evaluate the performance of 3D printed materials for use as rapid tooling (RT) molds in low volume thermoforming processes such as in manufacturing custom prosthetics and orthotics. Design/methodology/approach: 3D printed specimens of different materials were produced using the Z-Corp process. The parts were post processed using both standard and alternative methods. Material properties relevant to the 3D printed parts such as pneumatic permeability, flexural strength and wear rate were measured and compared to standard plaster compositions commonly used. Findings: Three-dimensional printing (3DP) can replicate the performance of the plaster materials traditionally used in prosthetic/orthotic applications by using modified post process techniques. The resulting 3D printed molds can still be modified and adjusted using traditional methods. The results show that 3D printed molds are feasible for thermoforming prosthetic and orthotic devices such as prosthetic sockets while providing new flexibility. Originality/value: The proposed method for RT of a mold for prosthetic/orthotic manufacturing provides great flexibility in the manufacturing and fitting process while maintaining proven materials in the final device provided to patients. This flexibility increases the value of digital medical records and efforts to develop model-based approaches to prosthetic/orthotic device design by providing a readily available process for recreating molds. Depending on the needs of the practitioners and patients, 3DP can be incorporated at a variety of points in the manufacturing process
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