PT Practice Presentation Canvas Copy 2023 PDF

Which organization creates the laws and regulations for CA?  A) American Physical Therapy Association  B) California Physical Therapy Association  C) Physical Therapy Board of California  D) California State Senate Which organization creates the laws and regulations for CA?  A) Americ...

Which organization creates the laws and regulations for CA?  A) American Physical Therapy Association  B) California Physical Therapy Association  C) Physical Therapy Board of California  D) California State Senate Which organization creates the laws and regulations for CA?  A) American Physical Therapy Association  B) California Physical Therapy Association  C) Physical Therapy Board of California  D) California State Senate Physical Therapy Board of California (PTBC)  https://www.ptbc.ca.gov/  One of 30 regulatory entities in the Department of Consumer Affairs (DCA)  Made of PT’s and non PT citizens  Creator and enforcer of the CA Practice Act  Their priority: protection of the public   Mission: “To advance and protect the interests of the people of California by the effective administration of the Physical Therapy Practice Act.” Legally responsible for protecting the public from any incompetent, unprofessional, and criminal practice of physical therapy  1) Licensing PT’s/PTA’s  2) Creating provisions about practice of PT  3) Investigating complaints made against PT’s/PTA’s California Practice Act  https://www.ptbc.ca.gov/laws/laws.shtml  Added to CA statutes in 1953  Created the Physical Therapy Board of CA (PTBC)  PT’s must practice within scope of PT Practice defined by the state’s Physical Therapy Practice Act (PTPA)  California’s PTPA includes rules and requirements for educational institutions and practitioners regarding:   Scope of practice  Licensure  Educational standards  Enforcement  Offenses Criminal offense to violate provisions of Practice Act  Individuals or agencies can file complaint against a PT to PTBC  PTBC will investigate, state may file complaint against PT/PTA  Licensees have right to public hearing before PTBC CA PT Licensure Requirements   Applicants must:  Be over 18 years of age  Not be addicted to alcohol or any controlled substance  Have successfully completed the education and training required by Section 2650  Not have committed acts or crimes constituting grounds for denial of licensure under Section 480  Pass an examination under the direction of the board demonstrating the applicant's knowledge of the laws and regulations related to the practice of physical therapy in California (jurisprudence exam)  Pass the NPTE Reapply every 2 years, complete 30 CEU’s Which organization is responsible for overseeing PT and PTA programs?  A) American Board of Physical Therapy Specialties  B) Commission on Accreditation of Physical Therapy Education  C) Federation of the State Boards for Physical Therapy  D) APTA Academy of Education Which organization is responsible for overseeing PT and PTA programs?  A) American Board of Physical Therapy Specialties  B) Commission on Accreditation of Physical Therapy Education  C) Federation of the State Boards for Physical Therapy  D) APTA Academy of Education Educational Requirements  Each applicant for license must be a graduate of an accredited post secondary institution   The curriculum shall include didactic, clinical, and research experiences in physical therapy that utilize critical thinking and weighing of evidence, as prescribed by the CAPTE.   Accrediting body = Commission on Accreditation of Physical Therapy Education (CAPTE) A total of 18 weeks of full time clinical experience is required (CAPTE says 30) The Board reserves the right to disapprove any foreign physical therapist education program if the board's opinion is that the instruction not equivalent to that which the Board requires. Offenses that automatically bar from getting PT license Sex Offender Registration Involuntary sexual servitude of a minor A forcible felony, depending on the date of conviction • Murder, Kidnapping, Sexual Assault Offenses that will be considered when applying for PT license  Arson  Assault  Burglary  Reckless homicide  Executive Officer for the PTBC  Stalking  [email protected]  Manslaughter  Battery  Unlawful use of weapons  Healthcare fraud  Narcotic drug possession or sale  Theft  Driving under the influence  For specific questions:  Jason Kaiser National Physical Therapy Examination Developed and administered by the Federation of the State Boards of Physical Therapy (FSBPT)  Developed by volunteer item writers    Test identifies tasks and activities that comprise entry level practice in PT       PT/PTA’s from all practice settings Designed to distinguish if you have minimum level competence to practice in all settings 250 questions, 5 hours Passing score is scaled score of 600/800 Can test up to 6 times First time pass rates for US grads – 91-93% Ultimate pass rates – 99% Direct Access  The ability for a PT to eval/treat a pt without a Rx from MD  Going to vary from state to state  California:   Pt can only receive physical therapy for 45 days or 12 visits, whichever comes first.  After the Direct Access period ends, pt is required to see MD for Rx, prior to returning to physical therapy. Direct Access by State:  https://www.apta.org/advocacy/issues/direct-accessadvocacy/direct-access-by-state Use of “Physical Therapy”  ONLY licensed physical therapists can provide “Physical Therapy”  ONLY licensed physical therapist can use titles licensed or registered physiotherapist or initials “P.T”, “L.P.T”, “R.P.T.”  In spoken communication can use title “Doctor” only if speaker specifies that he/she is physical therapist. Upon graduation from WCU, and passing the boards, what will your title be?  John Smith, PT  John Smith, DPT  John Smith, DPT, PT  John Smith, PT, DPT Upon graduation from WCU, and passing the boards, what will your title be?  John Smith, PT  John Smith, DPT  John Smith, DPT, PT  John Smith, PT, DPT Supervision  PTAs    PT is able to supervise a maximum of 2 PTAs  **PTBC may approve an increase in this limit if it determines that adequate supervision can be provided and that the public's health and safety would be maintained.  In NO CASE can the total # of PTA’s be twice the number of PTs regularly employed by the facility at any one time.  A PTA shall not supervise a physical therapy aide  PTA shall NOT: perform or document eval/re-eval/D/C/POC/Progress Report Aide  PT may utilize the services of one aide to provide assistance  PT is required to be in the same facility and within close proximity at all times; must be readily available at all times to provide advice or instruction to aide. Student PT’s  A licensed physical therapist must provide direct and immediate supervision of the student PT. CA Laws/Regulations  Dry Needling is NOT allowed in the state of CA  CA Practice Act 2620.5 A PT may perform tissue penetration for the purpose of evaluating NM performance – but not for treatment  Name tags of all personnel performing patient-related tasks must have at least size 18-point font  Mandated Reporting  PT’s are mandated reports in state of CA for: self harm, elder abuse, child abuse, spousal abuse.  Misdemeanor charge to not report  Excessive Prescribing = misdemeanor  Students:  During clinical experiences, the physical therapy student may be known only as "physical therapy student" or "physical therapy intern".  CI’s must co-sign on notes SAME DAY  Direct supervision by CI’s Discipline  A PT/PTA can be disciplined for a number of reasons. The most serious categories are:  Sexual misconduct  Gross negligence  an extreme departure from accepted standards of practice  Repeated negligent acts  Incompetence   performing procedures that are beyond their training or expertise or continuing to use a procedure that is unnecessary or obsolete Aiding and abetting the practice of physical therapy  Includes inappropriate supervision of PTAs and physical therapy aides  Billing fraud or dishonesty  Conviction of misdemeanors or felonies Scope of Practice for PT  Defines what a PT is allowed to do  APTA: 3 components  Professional   Jurisdictional   PT’s unique body of knowledge; educational preparation; body of evidence; existing/emerging practice trends Established by a state’s practice act Personal  Activities for which an individual PT is educated and trained Scope of Practice for PT  CA Practice Act:  “Physical therapy means the art and science of physical or corrective rehabilitation or of physical or corrective treatment of any bodily or mental condition of any person by the use of the physical, chemical, and other properties of heat, light, water, electricity, sound, massage, and active, passive, and resistive exercise, and shall include physical therapy evaluation, treatment planning, instruction and consultative services. The practice of physical therapy includes the promotion and maintenance of physical fitness to enhance the bodily movement related health and wellness of individuals through the use of physical therapy interventions.” Modernization of the CA Practice Act: 2023 Considerations  Prescriptive Authority for DME, Prosthetics/Orthotics, Medication, Disability Status  Diagnostic US, Radiographs, CT, etc.  Current Status: CA Practice Act is silent – seven states and DC permit PT’s to refer patients for imaging  Increased ratios of PT:PTA/Aide in medically underserved areas  Dry needling  DPT as designator The American Physical Therapy Association  Vision   Transforming society by optimizing movement to improve the human experience Mission  Building a community that advances the profession of physical therapy to improve the health of society