Jessy, I’ve been the ALS clinic OT here at the Carolinas clinic for 15 years. We have full time of every allied team member (OT, SLP, PT, RT, Dietician, SW) at the clinic, and see other neuro, MDA, and other clients other days of the month. To answer your questions:

- Streamline clinic visits (e.g. do you send out surveys prior to clinic visit, what do you focus on during clinic visits...)- We have 2 all day clinic visits a month. Our team sends out one survey, and there are OT things on it (changes, pain, dressing, equipment needs, etc.). I focus on whatever the new needs are, trying to be proactive, and to give loaners as I can. Tons of education. We house a large loaner closet a couple miles away, so there are things brought over that day.  I do most of the wheelchair changes/seating issues too, although there are reps there to assist those days. Generally there are 12-18 clients on Thurs, and 25-40 on Fri (I have a 2^nd OT to assist on Fri).

- Driving screens (I use one that was presented at conference a few years back)- I don’t use an official screen, although I should. I try to offer adaptations, other transportation solutions, and discuss safety issues- our MD’s makes decision, or I can recommend cessation.

- Common handouts you give to clients- ROM for the weakened UE (multiple ways to perform), PROM, AROM, energy conservations/work simplification, clothing adaptations, vans and other PWC transport options, homemade ceiling lift plans, ramp and home modification ideas/plans, etc., etc.

- Documentation- We have an EMR, but since I am not generally charging nor doing a formal visit most of the time, I write a short contact note. Since it can be hard for the whole team to have the EMR for a particular client open at the same time, the allied team document all on one Word doc, which gets entered into EMR the next week. Easier to send to PCPs and referring MDs that way too with the other notes since one form.

Does this help? Feel free to email offline too- xxxxxx@atriumhealth.org