Prevention is Key

Prevention of onsite work injuries is the key to keeping employees safe, healthy, and productive. In the manufacturing setting, common injuries include overuse or repetitive injuries and overexertion injuries often associated with lifting. Education and vigilance helps to decrease these injuries.

Lifting using proper body mechanics should be taught during the orientation process along with different ways the manufacturer has provided to reduce or avoid lifting in the first place. Many employers provide high-low tables, pallet jacks, and rollers to decrease pushing and pulling force required along with other tools to reduce strain. An on-site physical therapist can provide the lifting education in tandem with the employer providing information on lifting or force reduction tools provided by the company.

Training team leaders to watch for repetitive use injuries can also go a long way to keeping employees pain-free and on the job. When an employee is bending or reaching in the same way over and over again, hour after hour, this can lead to injury. Training the leaders to recognize the signs of overuse and alert the employee of alternate ways to complete the task can decrease the repetitive strain on muscles and joints. An example could be alternating which arm reaches for a particular part or shifting body weight from one foot to the other every few minutes for stationary tasks. A physical therapist can provide this training to the team leaders, help brainstorm ideas for reducing the strain, provide education, and assist with periodic observations of the task.

Jessica Tharp, PT, MPT is a Physical Therapist in the Employer Based Clinic setting. Jessica received her Master’s Degree in Physical Therapy from the University of Indianapolis. Throughout her career, she has treated a variety of various orthopedic and neurological diagnoses. Jessica has significant experience in treating back and neck pain as well as hip, knee, ankle, and shoulder injuries, including post-surgical rehab of the hip, knee, shoulder, and spine.

Meet Katie Guerdan

Tx:Team turns 40 in 2023!

Founded in 1983, Tx:Team will celebrate a big anniversary in May, 40 years in business. Because it is such a major milestone, we felt we should celebrate this achievement throughout the year.

Thank you to all Tx:Team associates throughout the decades for his or her part in our success.

Meet Katie Guerdan, Manager of Human Resources and hear her story of her time with Tx:Team:

Physical Therapy to Reduce MSK Spend

Over the past several years, MSK spend has been on the rise and in many employers’ health plans, it is the number one expense. It is our mission at Tx:Team to alter this trend by recommending the addition of physical therapy solutions. Physical therapy has been shown to reduce the need for imaging, medications, and unnecessary primary care and specialist visits, all of which have a massive impact on MSK spend.

Tx:Team’s outcomes are consistently in the top 10% in the U.S; we average a Net Promoter Score of 97; and our costs are 25-40% less than retail. If you’re interested in using physical therapy as a way to reduce MSK spend for not only your health plan, but for your employees and their family members as well, contact Tx:Team today using the form below.


    Please provide your email below to continue the conversation with Tx:Team.

    Patients Love Us and We Know Why

    Since 1983, Tx:Team has focused on providing our partners and our patients the best in quality services. 

    “We believe that everyone should have the opportunity to live the healthiest life possible. By harnessing the collective power of our therapists’ hands and minds to heal, we create an environment of health, wellness, and vitality for our patients, our associates, our partners, and our communities.”

    It is easy to assume or make statements that we give great care. Without the data, how do we know? Tx:Team takes great pride in the fact that our therapists deliver the highest in quality rehabilitation services. So, how do we know? We can prove it.

    Tx:Team uses numerous systems to measure patient satisfaction and patient outcomes. These systems include Focus on Therapeutic Outcomes (FOTO), CMS Merit-based Incentive Payment System (MIPS), patient satisfaction scores, goal attainment, and net promoter scores. The information we collect helps us to measure how we are doing and if necessary, where we can make improvements.

    Why do we do this? We want to be sure we are continually providing the best clinical services with the highest form of customer service.

    FOTO – Focus On Therapeutic Outcomes is an outcomes tracking platform used by our Employer Based Clinics, Frederick Health outpatient clinics, and our team at Putnam County Hospital. Similar to standardized outcome measures like the DASH and the Oswestry, FOTO looks at the change in score on surveys completed by patients throughout the episode of care. FOTO is unique in that they use their database of over 7 million episodes to provide a risk adjusted comparison of outcomes. Our results are compared to the average change and number of visits of patients who are similar based on 13 risk adjustment criteria. FOTO also collects patient satisfaction and net promoter scores as well as any comments patients want to submit. Results are ranked by clinic and therapist against all other 23,500 therapists using their platform.

    MIPS – Merit-based Incentive Payment System. A “gift” from CMS, MIPS measures functional outcomes. The patient is given a survey to measure what their current function is and then fills out the same survey when  progress reports are due and at discharge. Our final score is based on the percentage of cases that fail to progress above the minimum threshold for each measure. MIPS also measures change in pain from start to finish with an expected 2 point decrease. In place of automatic increases to the MPFS for all providers, CMS implemented MIPS as the only way providers can receive an increase. However, participation doesn’t guarantee a positive adjustment. MIPS is a budget neutral system which means providers who produce better outcomes are awarded positive fee schedule adjustments funded by the negative adjustments assigned to weaker performers.

    Patient Satisfaction – These scores measure several different things and most importantly give us a measure of overall satisfaction. How satisfied a patient was with their therapist by asking if they would recommend them to another person? Are we courteous, responsive? Do we respect patient privacy? Are our associates professional? Is there a limited amount of waiting time for patient appointments? Surveys also provide an opportunity for the patient to leave comments about their therapy visit.

    Goal Attainment – We have been addressing goals since the day we saw our first patient. These goals are a key in measuring and attaining patient satisfaction. Our goals must be patient centered, involve their input and celebrated when they are achieved. The patient must be aware of how they are performing in relation to the goals and educated when the goals are in “Therapy Speak” as to how they relate to making the patient’s life better. A best practice is to use the MIPS and FOTO tools to write functional goals where the patient may be having difficulty.

    Net Promoter Score – These scores are all very important and deserve a pat on the back, but they are also helpful in exposing where we may have some room for improvement. Digging deeper, into scores by individual therapist can help us learn from each other and develop company-wide “best practices.”

    The big question is…how do we stack up? The answer? Very well!

    1. Tx:Team has received the award of “Exceptional Performer” by the Center of Medicare Services (CMS) for the past 3 years (2020, 2021, 2022). The most recent score of 100 in 2022 places us in the top 1 percent of Outpatient Physical Therapy clinics in the country.
    2. In 2022, our Patient satisfaction scores have been recorded as a consistent 98% – 99% throughout the year.
    3. “Would you recommend your therapist to others?” 100% of our patients said they would definitely recommend.
    4. Awards – One of our employer-based clinics, IU13 Clinic in Pennsylvania has earned the top level of recognition within FOTO (Focus on Therapeutic Outcomes). This is an impressive accomplishment since this award requires meeting 12 months of consistent outcomes performance benchmarks. The award is called The Center of Excellence Award.

    Patient outcomes and patient satisfaction. There is a correlation!

    It has been said that a happy patient has better outcomes, participates in his or her therapy sessions, and has fewer cancellations. Happy patients can actually get better faster. The goal of all associates at Tx:Team is to provide the best clinical therapy services and delivering those services with the highest form of customer service. See why “working with us is good therapy.”

    Ask an Expert: What Do I Need for My First Appointment?

    What do I need to wear for therapy?

    We suggest wearing comfortable clothing to therapy as you will be doing some exercise and testing during your appointments. We also recommend bringing either shorts or t-shirt/tank top with you depending on the area we are evaluating.

    For example, someone coming in post knee surgery may want to bring shorts with them as the therapist will want to take a look at the surgical site and potentially do some scar management work. If you are going to be getting into the pool we will ask that you bring a bathing suit or clothes that you will be comfortable wearing in the pool and then a change of clothes for after your appointment.

    The last thing that we ask is that you wear appropriate shoes to therapy. If you are coming in to work on gait and balance, we would prefer for the patient to wear sneakers and not come to therapy in slippers or shoes that do not have traction to them.

    What should I bring with me to my first appointment?

    For your first appointment please bring with you your photo ID, insurance card, medication list if you have one, and the order from the doctor that is referring you to therapy. You can also bring any doctor’s notes or images that you have pertaining to why you are coming in for therapy.


    Kayla is a front office supervisor in an outpatient setting in Frederick, MD. She manages systems and processes to ensure our patients are getting the best experience from the minute they walk in the door.

    New Roles and Promotions at Tx:Team

    We are pleased to announce the promotion of several associates into new positions at Tx:Team. Please join us in congratulating them on their new roles!

    Bob Haan has been elevated to the position of Vice President of Clinical Operations and Quality. Bob started with Tx:Team in July of 1999 as a PRN Physical Therapist in the skilled setting. He was later promoted to Senior Team Leader and in 2009, was named Director of Rehabilitation Services. Bob’s extensive knowledge and experience as Director of Rehab, along with his involvement and oversight of our quality assurance systems throughout the company, have prepared him for this new role. He will be responsible for overseeing our employer-based clinics and Indiana hospitals, and will manage quality, compliance, clinical and operational reporting, and operational excellence for all business units.

    Ann Hightower has been elevated to the position of Vice President of Internal Operations. Ann joined Tx:Team in May of 2002 as part-time help for the education department. Over the years, she has worked in accounting, education, human resources, information technology, and marketing for Tx:Team. When it became evident that this was going to be more than a summer job, she was promoted to Director of Marketing, and later to Director of Internal Operations. In her new role, she will continue to look for ways to streamline Tx:Team’s marketing and human resources processes, focusing specifically on company growth, efficiency, measuring outcomes, and maintaining effective internal systems.

    Mike Holway has been elevated to the position of Director of Senior Living. Mike joined Tx:Team in March of 2019 as the Manager of Senior Living and has been responsible for all clinical and administrative operations, client engagement, and personnel oversightwithin the Bridge Senior Living portfolio of communities. He is passionate about our industry. Mike’s hard work and track record of success as Regional Manager have prepared him for his new role as Director. He will continue to oversee our growth andinnovation as a leading provider of rehab services within the Senior Living Community setting.

    We are proud of Bob, Ann, and Mike, and look forward to working with them closely in their new roles. Congratulations, all!