—–Original Message—–
From: David Ritchie [mailto:legman01@sbcglobal.net]
Sent: Monday, May 13, 2013 1:46 PM
To: oandp-l@lists.ufl.edu
Subject: AMP Results Question
Results for AMP question. Please review. I have forwarded the attachments that I received to Paul so that he may create a link to them for your review. There are some good documents in the link so please review. I was asked about the i phone app by several people. There is an app for the iPhone and i pad addressed by Gailey in item 3.
I learned through this that the AMP has a standard deviation for each K-Level.
Go figure.
K0-1 =D 9.51
K2 =D 7.32
K3 =D 7.38
K4 =D 3.03
If this is accurate, there can be quite a variance for a test considered valid by most. I was looking for defined cut off scores for K2 vs K3. According to the standard deviation, a patient can still waffle between K2 or K3 depending on who is considering the data and the patient. Due to Medicare’s opinion that a prosthetist notes are not valid as we have a “vested interest” in providing the service, we are still in the same quandary even when we use the AMP. The K level could be argued up by the prosthetist and down by the pay source.
Thanks for your help, hope this generates good discussion. Thanks.
Sorry for the delay in re-posting the information. Buried in meetings and documentation LOL.
Responses:
1. At present, QALS (the Queensland Amputee Limb Service, Procedure No. 42084/v3/04/2011) recognizes the a?~Amputee Mobility Predictor Assessment Tool (AMPRO)a?T. http://www.worksafe.vic.gov. au/health-professionals/ treating-injured-workers/?a=3134
From this we have created a fillable PDF using Adobe Acrobat Pro that will automatically score the AMP and also includes a score card that we use for our individual clients. It is attached here: https://mega.co.nz/#! k81EwSZT!UD8x0XiZuOF6FtXHqpmWlD1E1ugsJE yCVTDxoNwP7W8
2. We are doing this as well, and someone from one of our other offices found the scoring which is really a statistical range. When you score someone they may fall into both K1/2 and/or K2/3 because they fall within that statistical range. You would then have to make a judgment call as to the appropriate K-Level or potential K-Level. I can tell you that using this will make you look a bit more at how you may have classified your patients in the past. I personally have used it once so far and the PT also happened to do one as well on the same patient. We came out pretty equal ( within the same K-level).
3. using your iPad (iPhone the images were too small) just enter any one of the following search words “AMP” or “Amputee” or “Outcome measure”
Please let people know it’s there and I think easy to find. Thanks for posting the correct information.
Cheers
Robert Gailey PhD, PT
Professor
Department of Physical Therapy
4. K0: 0-8
K1: 9-20
K2: 21-28
K3: 29-36
K4: 37-43
Good Luck.
David A. Ritchie CPO/LPO, CPed.
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