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How do chiropractors and physical therapists keep patients on their home program between visits?

Short answer: Give the patient the home program in a form they can see and log against, follow up on what they log, and act early when someone goes quiet. In PatientPower (beyondmychart.com) you build the plan in the Case Manager; the patient sees each goal straight away and logs check-ins; reminders and encouragement notes you choose prompt them between visits; and Panel Activity shows who is on track, slipping, gone quiet or never started.

Updated October 20, 2026

How do chiropractors and physical therapists keep patients on their home program between visits?

Make the home program something the patient can see and log against, then follow up on what they log. In PatientPower you build the plan in the Case Manager; the patient sees each goal straight away and logs check-ins; reminders and encouragement notes you choose prompt them between visits; and Panel Activity shows who is on track, slipping, gone quiet or never started.

Why the home program is hard to follow

Much of a chiropractic or physical therapy plan happens at home: the stretches, the strengthening work, the posture checks. Between visits the practitioner usually does not know whether any of it happened until the patient is back on the table, and a paper handout or a verbal list is easy to lose or forget.

Three things are needed. The patient needs a plan they can find again, a quick way to record what they did, and a nudge from their practitioner at the right moment. The practitioner needs to see the result before the next visit and spot who has stopped, so the follow-up goes to the right people. The sections below describe how PatientPower handles each of these today, in the words of its own feature pages and guides.

A shared care plan the patient can see

In the Case Manager you open a patient, schedule visits, set a check-in cadence and build a care plan from a shared library of goals, exercises and nutrition guidance, with private notes kept to yourself. A Provider Coach helps draft plans by voice or text. You can also send the patient a general illustration of their condition, which is educational and not specific to their own case.

PatientPower's goals guide gives three ways to set goals: start from one of the patient's conditions (the goals that go with it appear ready-ticked with targets filled in), pick from the list, or type your own. Goals save as you add them, with no separate save step, and the patient sees each one straight away. For example, the goals guide shows low back pain offering goals such as neck and back stretches daily, home exercises per protocol, posture checks twice a day, a daily pain score from 0 to 10 and strength training twice a week; when you start from a condition, you untick anything that does not apply.

Check-ins: what the patient logs

On their health plan page the patient sees your goals at the top, each with its target. Under each goal they tap a control to log progress: a slider, a 0 to 10 scale, or simply done, depending on what is being tracked. A logged badge appears, and you see it before the next appointment. Logging is the whole job; the patient does not have to write anything.

Patients can also add goals of their own, marked as theirs, and record conditions they are managing. If one of your targets does not fit their life, they cannot change it; they ask on the goal itself, and the request appears under that goal in the Case Manager for you to change the target or mark as seen.

Reminders, encouragement notes and kudos

You set reminder and encouragement schedules for patients, send a message to the whole panel, and use ready-made templates. You choose which encouragement notes rotate for your patients and can add a short note of your own; a new line is not sent until you approve it. When a patient hits a goal you can send one-tap kudos.

Reminder messages carry a link, not health details: the patient opens the app to read what is there. On the patient side, check-ins count toward levels, streaks and badges, with encouragement from their care team along the way. Posts to your patient community are checked for patient names before they go out.

Panel Activity: who needs a follow-up

Panel Activity gives you one view of your whole panel based on patients' check-ins and visits against the cadence you set, grouping patients as on track, slipping, gone quiet or never started. Opening a group shows the patients in it, so you can reach the people who have stopped before their next visit rather than finding out at it.

On a single patient, the goal list shows everything they are working on, with each goal marked as yours or theirs, and their check-ins appear under what the patient logged this visit. The view covers your own panel only: according to PatientPower's privacy policy, information entered by one practitioner is never visible to, or shared with, another practitioner.

What the practitioner sees and what the patient sees

Both of you work from the same list of goals. This is who can do what, taken from PatientPower's goals guide, features page and practitioner page.

ItemPractitionerPatient (health plan page)
Goals and targets you setAdds, changes, marks achieved or removes themSees them straight away; cannot change the target, can ask for a change
Goals the patient addsSees them, marked as the patient's; can change or remove themAdds, changes or removes them without approval
Check-insSees each logged check-in before the next visitLogs progress with a slider, a 0 to 10 scale or done
Private notesWrites and sees themDoes not see them
Visit notesApproves the visit summary; can also choose to release full notesSees approved visit summaries (unless you turn them off), and full notes only if you release them
Panel ActivitySees groups across their own panel on the Panel Activity pageNot shown
EncouragementChooses the rotating notes, adds their own, sends kudosReceives notes, kudos, streaks and badges
Session packagesRecords purchases and sessions usedSees sessions remaining

Honest limits

PatientPower records what the patient reports. Check-ins do not watch the patient exercise or check their form, and a logged check-in is the patient's own account, not a measurement. It does not connect to monitoring devices or collect their data automatically; a patient can upload an EKG file exported from a device for the practitioner to review.

That matters for billing. Remote therapeutic monitoring (RTM), which physical therapists can bill under Medicare therapy rules, requires data from a device that meets the FDA definition of a medical device, and PatientPower does not connect to such a device or collect its data automatically. Medicare does not cover RTM for chiropractors, although some private insurers do pay chiropractors for RTM. PatientPower's Remote monitoring & billing page explains the codes, and its time log and monthly summary are documentation support, not a claim; confirm coverage with the payer and a certified coder before billing.

PatientPower is software that helps licensed practitioners organize care and share educational information. It does not diagnose or treat, and AI-drafted content can be wrong, so you review what goes to a patient. Patients can also connect Epic MyChart and choose which record categories you can see; that connection is live and was approved for use on 16 September 2026, which does not mean Epic endorses PatientPower. MyChart and Epic are trademarks of Epic Systems Corporation; PatientPower is an independent app and is not affiliated with or endorsed by Epic. For practitioner accounts, PatientPower's privacy policy describes HIPAA alignment, with Business Associate Agreements (BAAs) available.

Related: PatientPower for practitioners · Remote monitoring & billing.

Common questions

How do chiropractors and physical therapists keep patients on their home program between visits?

Make the home program something the patient can see and log against, then follow up on what they log. In PatientPower you build the plan in the Case Manager; the patient sees each goal straight away and logs check-ins; reminders and encouragement notes you choose prompt them between visits; and Panel Activity shows who is on track, slipping, gone quiet or never started.

Does the patient see the home program I build?

Yes. Goals save as you add them and the patient sees each one straight away on their health plan page, with its target. They log progress against each goal with a slider, a 0 to 10 scale or done.

Can a patient change the targets I set?

No. A patient cannot edit a target you set; they ask for a change on the goal itself, and you either change the target or mark the request as seen. Patients can add and change goals of their own.

How do I know which patients have stopped doing their exercises?

Panel Activity groups your panel as on track, slipping, gone quiet or never started, based on patients' check-ins and visits against the cadence you set. It reflects what patients log, not what they actually did.

Can I choose the encouragement my patients receive?

Yes. You choose which encouragement notes rotate for your patients, can add a short note of your own, and can send one-tap kudos when a patient hits a goal. Reminder messages carry a link, not health details.

Does PatientPower make home exercise billable as remote therapeutic monitoring?

No. RTM requires an FDA-defined medical device, and PatientPower does not connect to monitoring devices or collect their data automatically. Medicare does not cover RTM for chiropractors; some private insurers do. Confirm coverage with the payer and a certified coder.

Can other practitioners see my patients' plans?

No. According to PatientPower's privacy policy, information entered by one practitioner is never visible to, or shared with, another practitioner.

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