Comper Care Outpatient Physical Therapy with Michael Black DPT

Our Passion is Physical Therapy and We Prove It

Mike's Clinical Work spans two decades

Before opening this clinic, Mike spent over 20 years refining his approach to physical therapy through changing practice settings. He’s worked every type - from outpatient geriatrics to pediatrics, skilled rehabilitation to long term care, assisted and independent living facilities and home health. He's also managed an outpatient clinic and a home health/outpatient hybrid clinic to gain more experience.

Mike has several accomplishments. He integrated outpatient and home health at Alegent by giving lectures on how low back pain management differed not only between settings, but by therapist graduation year. Following this, Mike created an exercise software sharing program between the two departments to make not only treatment approach, but resources, comparable. For this endeavor, Mike won the Employee of the Year award.

Mike's Keystone Ridge project was more time consuming. It's a project over 10 years in the making that he would use for research in teaching, or for a clinical role, or to author a CEU.

Mike established a therapy to DON relationship to obtain physician orders on his custom templates. He spent years training the therapy team (by providing his documentation samples and explaining them over lunch-and-learns), to use his direct access progress reports for the following categories:

  1. Orthopedic communication for weight bearing status order requests after acute fracture detection via mobilex or post-operative surgery appointment followup
  2. Orthopedic communication for post-operative protocol phase clarification
  3. Orthopedic communication for imaging and interventional recommendations including when musculoskeletal differential diagnosis is different from the referral diagnosis
  4. In-house physician imaging or lab recommendations
  5. Medical red flags (In the nursing home, therapy doesn't run and call 911)
  6. Vital sign red flags 

This project is more than any single category (like vital signs); it encompasses years of changing practices and devising a physical therapy approach that is an amalgam of skills from different settings combined with the doctoral scope of practice from direct access. The goal is to create a defined process for therapy to operate as a medical partner with nursing in the rehabilitation setting - in addition to exercise specialist. Keystone was Mike's proof of concept, with success because red flags don't impact PDPM payment like RUG categories. Thank you Kelly, Rosie, Barry, David, and Ramen for making this project so rewarding! 



Musculoskeletal Expertise: Click the blue box to see his forms!

Mike’s Post Operative Physical Therapy approach emphasizes orthopedic physician communication, including post operative and differential diagnosis findings, using his custom templates. This allows PT to clarify weight bearing status and surgery specific protocols as well communicate special test findings and recommend procedures to ensure a safe yet effective progression of your rehabilitation. Click on the button for examples!

Medical Red Flags: Click the blue box to see his forms!

The following is a sample of positive red flag screening tests Mike used from the direct access inherent to a doctoral level of education to rule out medical pathology. This includes physician communication using his custom therapy-to-MD/NP/PA forms (With patient identifiers removed for HIPPA compliance). Click on the button for examples!

Vital Sign Initiative: Click the blue box to see his forms!

Monitoring vital signs and referencing contraindication values was common in cardiac and ICU settings, 20 years ago, compared to skilled and outpatient practice. Even home health documentation mandated vital sign baseline values. But the prevalence of red flag vital signs that could not be stabilized pharmacologically was naturally more prevalent in more acute settings. So the question for the skilled therapist is, if vital signs are not monitored continually, and repeated contraindication values at rest or with exertion are present, is the therapy course of action exclusive to cessation of treatment, informing nursing, discharging services, and recommending hospitalization or hospice?

So Mike developed therapy order forms to raise the ceiling and lower the floor of established contraindication ranges that could accomplish the following: 1. Allow physician signature to order new values 2. Function in concert with nursing in the skilled setting 3. Become scanned into the electronic medical record 4. Expedite medical treatment and patient care 5. Provide therapist licensure protection.

After he established this routine, he taught a skilled therapy team over a 3 year time period, and entered this strategy into the company contest. His submission tied for first place in the country. Click on the button for examples!

Prosthetic/Orthotic Recommendations

One of the keys to prosthesis assessment is pylon analysis to “prevent limping” by neutralizing leg length discrepancy. And Mike has developed a way to do that. One of the keys to orthotic prescription is knowing when a custom brace is needed instead of an over-the-counter model. And I have examples of both, because insurance only wants to pay for one (that’s the first one you receive). Let us help you decide what you need! Click on sample forms to see that thought process!

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Real stories.
Real result.

Mike is the best physical therapist around. He did everything he could to get my knee going after surgery, and what I can do know, that’s because of him. Go see Mike if you can.

Kelly Former patient