Differentiating HEP vs PEP

What if you could increase client outcomes, monitor and track exercise compliance, and make $200-300 in recurring revenue by simply changing your mindset around how you deliver a home exercise program?

I think most of you would make that change. It’s exactly what I did when I started my cash practice. 

From my experience as a patient who underwent an ACL reconstruction, I remember feeling the frustration of having to go into the clinic to do my exercises when I was completely capable of doing this phase of rehab on my own. Don’t get me wrong, this phase was absolutely necessary and I still needed guidance from my PT, but I didn’t really need a babysitter to watch me accumulate volume. I didn't realize it yet, but this sparked the initial concept for the Performance Provider Growth Model.

The problem with my idea at the time was that PT was only able to be billed if I was in the clinic. That's an issue for deploying an asynchronous service, or what we now call a Prescriptive Exercise Program. 

So let’s break down the difference between what you currently know as a Home Exercise Program and what we use, a Prescriptive Exercise Program.

Components of a Home Exercise Program:

• Low dose of exercise typically used for desensitization and introduction to graded exposure
• Repeated frequently with minimal progressive overload
• No progression OR communication until next session
• Generic rep schemes as specificity is less important
• Lower skill exercises that can be done generally independently
• End goal, establish entry point to reintegrate higher level tasks
• Included as part of the session (not billed)

Components of a Prescriptive Exercise Program

• Moderate to high dose of exercise to achieve specific goal when higher levels of graded exposure are required to adapt
• Emphasis is on calculated progressive overload with respect to tissue adaptability
• Specific rep schemes pulled from objective data or appropriate tolerance entry point to respect current capacity
• Continuous feedback from client - How they felt doing exercise, immediately after, 24 hours after, recording videos of how form looked
• Dynamic adjustments BETWEEN sessions from ongoing communication with provider in app
• Higher skill or loading potential exercises and progressions that may require skilled decision making based on dose response
• End goal to replicated strength and conditioning program and ensure return to sport/activity
• Generally creating $200-300/month of recurring revenue for provider

So what do you think? Are you ready to make a change in how you offer your services so you no longer have to continue to chase after more and more sessions?

The future of outcomes in the performance provider space is here. Don’t stay stuck in the past.