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Getting started with providing physiotherapy services through moveUP

mHealthBelgium

The mHealthBelgium initiative was launched by the government in 2018. mhealth has the intention to integrate mobile health apps in the Belgian healthcare system.

moveUP is the first application that has gone through the ‘validation pyramid’ of mHealthBelgium and is ready for reimbursement. At the moment a pilot study is ongoing.

moveUP is reimbursed

moveUP is reimbursed by the Belgian healthcare system.

This means both the moveUP app with step counter and the services provided by the physiotherapist who treats the patient are now refundable.

The reimbursement – in the form of a convention – applies to the whole of Belgium and runs in two phases. Here you find a link to the page on the RIZIV website on the convention. (Only available in Dutch and French).

  1. In the current first phase, 15 hospitals will include patients in a study initiated by RIZIV and KCE. In total, more than thousand patients will be compared on their end result and use of care resources.
  2. After this first phase, reimbursement will be opened to every primary knee or hip prosthesis patient.

The patients that use moveUP are divided in 2 study groups:

  1. Group with mandatory physical sessions — Patients randomised this group follow rehabilitation using the mobile application with a set minimum number of conventional physiotherapy sessions with physical presence of the physiotherapist
  2. Group without mandatory physical sessions— Patients randomised in this group follow rehabilitation using the mobile application without a set minimum number of conventional physiotherapy sessions with the physical presence of the physiotherapist.

How does moveUP work?

moveUP provides a physiotherapeutic rehabilitation program for patients that undergo a knee or hip replacement surgery. The app serves as a digital support for the patient throughout the full patient journey to improve the quality of care.

Through the application, patients are treated remotely with the app by means of questionnaires, exercises instructions by videos and activity measurements in real-time. It provides a multi-disciplinary approach, with phsyiotherapist, doctors and surgeons being able to work and communicate through the platform.

In this way, it is possible to personalise the rehabilitation of the patient based on the objective and subjective data obtained. Complaints or complications can be detected at an early stage and, if necessary, action can be taken to ensure rapid improvement.

Through the moveUP application, data collection takes place and patients can be monitored via the moveUP patient app.

This video explains the patient journey

How can a physiotherapist provide his or her reimbursed services through the app?

You, as a physiotherapist can provide your services to the patient in the convention study through one of the 2 ways:

  1. Provide physical sessions only—For the 2 groups in the study using moveUP, a minimum number of obliged physical sessions or physical sessions on indication is foreseen. Not all physiotherapists feel comfortable following up a patient digitally but are interested in participating in the study and the convention. In this case, the digital follow-up will be taken up by a certified physiotherapist (specialized in tele-rehabilitation) or by a physiotherapist of the hospital where the patient had surgery. You then join the convention as part of the patient’s medical team and take care of the physical physiotherapy sessions.
    Click here for more information on how to get started with providing physical sessions for moveUP patients
  2. Provide digital follow-up and physical sessions—For the 2 groups in the study using moveUP, you can follow-up patients digitally through the moveUP. You will participate as ‘lead’ physiotherapist. As a physical therapist, you will fully participate in the convention. You will take care of the daily, digital supervision of the patient, as well as the possible physical therapy sessions. The number of physical sessions will depend on 1) the arm in which the patient was randomised, and 2) the patient’s need for care. You can attest to the nomenclature numbers of lump sum 3.
    Click here for more information on how to get started with providing digital follow-up for moveUP patients

Updated on April 15, 2021

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