Documentation/Kinesitherapy
Module guide · Clinical
Kinesitherapy
Physiotherapy as a course rather than a series of appointments: a referral, a bilan, a prescribed number of sessions to deliver against, measures that make progress a fact rather than an impression, and a discharge that says how it ended.
What this module is for
The physiotherapy department end to end, from the request for treatment to the discharge summary.
Who uses it
Physiotherapists and physical therapists, occupational therapists, referring clinicians, plus administrators and directors for the analytics.
Where to find it
Open Kinesitherapy from the sidebar. Six screens: a dashboard, Referrals, Assessments, Courses of treatment, Sessions and Today's diary, plus Analytics and Import & export.
- 1
Take the referral
From a colleague here or from an outside practice; accept it or decline it with a reason.
- 2
Do the bilan
What the patient reports, what you find, what you conclude. A clinical impression is required before it can be finalised.
- 3
Open a course
The prescribed number of sessions is what progress is measured against.
- 4
Book and deliver
Book the rest of the course in one action, then record each session as it happens.
- 5
Measure and discharge
Record standardised outcome measures against a baseline, and close the course with how it ended.
A few terms you'll see throughout
Dashboard
The department over a chosen window, with the three lists that decide its throughput and its income.
Counters and queues
| Field | What it means |
|---|---|
| Wait | From referral to the first session actually attended — not to the first one booked. |
| Pain reduction | Mean points of pain a session removes. |
| Red flags | Findings that may not be musculoskeletal at all. Read these before treating. |
| Waiting list | Accepted or pending, with no course opened yet. Most urgent and longest-waiting first. |
| Nearing completion | Eighty per cent delivered or more — a discharge decision is due. |
| Unbilled | Delivered, billable, never charged. A quarter's worth of these is a quarter of lost income. |
Figures cover care recorded at this establishment only.
Referrals
Requests for treatment, and what became of them.
A referral names either an in-house clinician or an outside practice. Leave the external referrer blank when the request comes from a colleague here and your own name is recorded instead. Referrals are accepted or declined, and a decline carries its reason.
The bilan
What the patient reports, what you find, what you conclude.
The assessment
| Field | What it means |
|---|---|
| Subjective | The patient's own account: the complaint, its history, what makes it better and worse. |
| Objective | What you measured and observed. |
| Red flags | Findings that may point away from a musculoskeletal cause. They surface on their own queue. |
| Clinical impression* | Required before the assessment can be finalised — an assessment with findings and no conclusion is notes, not a bilan. |
An assessment is saved as a draft until finalised. A draft can be deleted; a finalised one can only be amended, and the amendment is kept with it.
Courses of treatment
What was prescribed, how much has been delivered, and how it ended.
Opening a course
| Field | What it means |
|---|---|
| Prescribed sessions* | The number progress is measured against; the dashboard's completion figures come from it. |
| Goals | What the course is for, in terms the patient recognises. |
| Home programme | Written one exercise per line: it is printed large for the patient to follow at home. |
| Sessions per week | Used to space the bookings when no weekdays are chosen. |
Book the rest of the course spreads the outstanding sessions over a weekly rhythm. Leave the weekdays unset and the sessions-per-week figure decides, spacing them for recovery.
Sessions and the diary
Every session, and the four things that can happen to one.
Booked — scheduled and not yet worked
Attended — delivered and recorded, with a progress note
Moved — rescheduled to another slot
Missed — the patient did not come
Today's diary shows one day's appointments in the order they will be worked, filterable by therapist.
Outcome measures and discharge
Standardised scores are what make progress a fact rather than an impression.
The first reading of a measure within a course becomes its baseline automatically. Change is signed so a positive figure always means the patient got better, whichever way the instrument runs.
Lost to follow-up is an outcome
Analytics, import and export
How the department performed over the selected period.
Wait from referral to first attended session, mean pain reduction per session, patients lost mid-course, and outcome improvement signed so positive always means better. Referrals can be imported in bulk for outreach and campaign work; extracts come as CSV, Excel or PDF — CSV round-trips with the import, Excel keeps numbers as numbers for pivoting, and PDF is the document you sign and file.
Good practices
Book the whole course at once
Measure twice, at least
Watch the unbilled queue weekly