Primary = Responsible for the majority of the health needs. (MD)
Secondary = Referral Basis (PT)
Tertiary = Specialists or Referral Basis.
Describe the roles of the physical in primary, secondary, and tertiary care
-By preventing or limiting dysfunction, the PT help's the individual have a more positive experiences, and the overall cost of health care is reduced.
-PT also plays a role in Ergonomics. (By decreasing chances of hurting workers, insurances don't have to keep forking out tons of money for workman's comp.)
Describe the roles of the physical therapist in prevention and health promotion
(Review: pt/client management model = Examination, Evaluation, Diagnosis, Prognosis, and Intervention)
PT: Initial Examination, Develop/Modify plan of care, Duration, Decides what services PTA will provide, oversight of all documents rendered, and d/c summaries.
PTA: following plan of care indicated by PT in compliance with laws (state practice act) and regulations governing the practice of physical therapy.
Describe the components of the patient/client management model and the roles of the PT/PTA within the model.
PT responsibilities include:
PTA responsibilities include:
Describe general features of tests and measures and procedural interventions used in physical therapy
Describe other professional roles of the physical therapist in areas of consultation, education, critical inquiry, and administration.
Recognize Standards of Practice for Physical Therapy and Criteria for Standards of Practice for Physical Therapy core documents.
PTA is a health care provider whose function is to assist the PT in the provision of physical therapy services in compliance with laws (state practice act) and regulations governing the practice of physical therapy.
-The Hill-Burton Act (of 1946,1954) increased opportunity for access, therefore, increased need of PTAs.
-Medicare and Medicaid created (1965)
-7/5/1967 PTA is born
-First 15 PTA students graduated from 2 different programs in 1969.
-1999 Normative Model (Basic skills required for PTA & provides an overview of the purpose of these education programs).
-1997 Balanced Budget Act (restricted physical therapy services resulting from managed care).
-APTA Vision 2020
-2009* APTA BOD issued a resolution reaffirming that the PTA is the sole extender of the PT, and associate's degree is appropriate level of education.
Identify historical milestones in the development of the role of the PTA: (8)
It restricted physical therapy services resulting from managed care. This resulted in a declining job market which led to the termination of many PTA programs.
Describe the impact that managed care and the Balance Budget Act of 1997 had on the PTA.
To sit for licensure, a candidate must: graduate from a PTA education program accredited by CAPTE. The program is designed to prepare students to assist the PT in the delivery of physical therapy interventions and the associated data collection techniques.
Describe PTA educational requirements and models of delivery
(Review: pt/client management model = Exam, Evaluation, Dx, Prognosis, Plan, Implementation of Interventions)
PT: remains responsible for the care, documentation, and outcomes related to interventions.
PTA: role lies solely within the intervention component of the pt/client management model.
Aid: Just an extra set of hands for PT or PTA (line of site).
Differentiate between the role of the PT, PTA, and aid within the patient/client management model.
PT clinical role:
PTA clinical role:
Aid clinical role"
(Some private insurance plans restrict reimbursement for physical therapy interventions provided by a PTA.)
-Payer Reimbursement Policies
Discuss legal and ethical factors related to delegation of selected interventions and direction and supervision of PTA within the PT/PTA relationship.
-new grad vs veteran
-pt criticality, acuity, stability, and complexity
-setting in which care is being delivered
-Liability and risk management concerns
-the needed frequency for reevaluation
Describe the PT/PTA coordination of care and how delegation of aspects of the plan of care are dependent on the education, experience, and responsibilities of the parties involved.
In other words, what does the PT need to consider when delegating to PTA?
-Reimbursement based on pt satisfaction (new emphasis on pt-focused care).
-PTA programs are increasing in number.
-Cross-training (infringement or a multidisciplinary approach?)
-Public/Private insurers denying payment or paying at a reduced rate for physical therapy provided by a PTA.
Discuss how current trends may influence the future of the PTA.
Describe how the aspects of education, practice, and research have evolved to maintain a contemporary approach in physical therapy.
Describe three practice issues having an impact on physical therapy
Describe the impact of the Guide to Physical Therapist Practice, Direct Access, and Physician-Owned Therapy Services on physical therapy services.
Define infringement and its impact in health care and the multidisciplinary approach
Describe how best practices in physical therapy can be determined though continuous quality improvement.
Research is necessary for improved reimbursement of physical therapy services, and establishes the utilization of valid/reliable measurement tools that measure patient outcomes.
Describe the importance of research in physical therapy.
(T/F) "position statements" of the APTA are law binding.
-Responsibilities/ Clinical Considerations
Degree of direction/supervision of delated services depends on what 3 factors of the PT and PTA?
General, Direct (PT on site), & Direct Personal (Line of sight)
3 kinds of supervision:
When supervising the PTA in any off-site setting, there needs to be regularly schedule and documented conferences. (T/F) These documented conferences can be through just documentation-doesn't need to be through phone or in person.
All of the following are true of off-site supervision of the PTA except:
A. There must be regularly scheduled and documented conferences.
B. The PT does not need to be accessible by phone at all times when the PTA is treating the pt.
C. A supervisory visit must be made prior to discharge.
D. A supervisory visit myst be made when there is a change in status.
(T/F) The PTA is to appropriately adjust patient intervention based on patient response or as directed by PT to ensure patient safety and comfort.
(T/F) The PT Aide can provide therapeutic interventions in patient care and modify treatments for patient safety as long as they are under the supervision and direction of a licensed PT or PTA.
pt transport, office & clinic duties, and extra set of hands for PT or PTA
What are aides permitted to do by law? (3)
20 hours every 2 years
Continued education courses for PTA's is __ hours every __ year(s).
(T/F) You are the change agent for the future of physical therapy.
APTA National Conference is held annually in __.
APTA Combined Sections Conference is held annually in __.
__ is the most local organizational unit in the structure of APTA.
Chapter (51 chapters-one for each state)
__ must coincide with or be confined within the legally constituted boundaries of a state, territory, or commonwealth or the US or the District of Columbia.
Provide a mechanism for participation at the state level and proportionate representation at the national level. (APTA)
(APTA) __ is organized at the national level exclusively.
(APTA) __ provide an important voice for members at the state level of government.
(APTA) __ is similar to a section in that it provides a mechanism for members with common interests to meet, confer, and promote their objectives. The differences are that in the __, they are composed of members of the same class and may exist at the state and national levels.
HOD (house of delegates)
__ is the highest policymaking body of the APTA.
-Legislative efforts information
Benefits of Belonging to APTA: (5)