Hand Therapy EMR (Upper Extremity)

How hand therapy sessions flow in PBS EMR

• Prep: surface surgeon protocol, phase criteria, precautions (e.g., dorsal blocking, no active flexion), red flags, orthosis status, and prior outcomes.
• Session: warm‑up → wound/edema/scar care → ROM (blocked/active‑assist as indicated) → strengthening/neuromuscular control → dexterity & task simulation → orthosis fit/education → wrap‑up/HEP.
• Note: AI drafts SOAP with citations and inclusion/stop criteria. Plan/HEP and orthosis instructions update automatically for home and work settings.

Outcomes tied to function

Track ROM, edema, pain, grip/pinch dynamometry, and dexterity tests (Jebsen, 9‑Hole Peg, Purdue), plus patient‑reported measures like QuickDASH/DASH, PRWE, MHQ, BCTQ, and UEFI. Interventions link to outcomes so progress and plateaus are obvious and defensible.

Orthoses & surgeon protocols

Document orthosis type (static, dynamic, static‑progressive), wear schedule, skin checks, education, and adjustments with time tracking. Protocol‑aware templates help you keep phase criteria and precautions in view—always defer to the surgeon‑specific protocol.

Work capacity & return‑to‑work

Capture essential job demands, duty modifications, splinting for protection, and gradual loading targets. Generate clear return‑to‑work notes tied to measurable capacity.

Practice management built for UE clinics

• Scheduling: time blocks for orthosis fabrication/adjustments, post‑op windows, and progress checks.
• Eligibility & authorizations: verify benefits, track visit limits, visits remaining, and expirations.
• Billing: claim scrubber and direct‑to‑payer routing where supported, with ERA auto‑posting for speed to cash.
• Payments: accurate patient responsibility, statements, and secure links.

Education only; protocols vary by surgeon and payer. Follow current orders, clinic policy, and payer rules.