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MPTA Survey to membership on House of Delegates Motions May 2014 A survey was conducted by MPTA members (PTs, PTAs) to gain their feedback on motions to come before the  2014 APTA House of Delegates.  This survey was conducted by email announcement and online survey in May  2014.  These results are available to all membership and were sent out via an e‐news update to membership at  the end of the survey.  Questions may be directed to Cam Williams, MPTA Chief Delegates 2014 at  cam.williams@finlandia.edu .    Email that had gone out to introduce the survey:  MPTA House of Delegates Survey: The APTA House of Delegates is the highest policy making body of the profession of physical therapy.  The House  meets annually for 3 successive days each spring, during which time delegates make decisions on issues that may  have far‐reaching implications for the association and for the profession of physical therapy.  Each year, the MPTA  sends 13 delegates to the APTA House of Delegates to help determine the focus and scope of the profession of  physical therapy.  This year the House of Delegates will be in Charlotte, North Carolina June 8‐11.  The Michigan  Delegation is interested in your thoughts and feedback about the concepts of the motions.  Please take the time to  complete this survey to share your thoughts with your MPTA representatives.  It is estimated that this survey  should take approximately 20 minutes. You may wish to examine the motions in Packet 1 on the APTA House of  Delegates web page prior to taking the survey as all the motion language is not included in the survey.  https://www.surveymonkey.com/s/X6NS628   The Michigan Delegates to the APTA and the Michigan Physical Therapy Association thank you for your time and  efforts in providing your thoughts and opinions to help guide our profession for the future.  Please remember the  best way you can support your profession is to remain a lifetime member of the APTA and encourage your  colleagues to become members as well.  For further information, please contact Cam Williams, Chief Delegate at cam.williams@finlandia.edu or visit  http://communities.apta.org/communities/HoD/Pages/Default.aspx (requires member log in)  For the results of the 2014 House of Delegates, please look to the Fall Shorelines, visit www.apta.org/HOD, or  attend the MPTA Fall Membership Meeting and House of Delegates meeting at the Radisson Plaza in Kalamazoo,  MI October 24‐25, 2014.  Sincerely,  The Michigan Delegates to the APTA House of Delegates 


APTA House of Delegates Survey 2014 Michigan

1. RC 1-14 AMENDS: STANDING RULE, 21. DEFINITION OF ASSOCIATION VIEWPOINTS AND ADMINISTRATIVE DIRECTIVES Summary: This RC identifies the binding documents of the association and uses the terminology of policy and procedure as consistent terminology for non-binding principles or positions that guide decision making. It drops the terms Association Viewpoints and Association Administrative Directives. The purpose of codifying statements adopted by the House of Delegates and Board of Directors, the APTA Secretary shall use the following definitions: (1) Binding documents: Violation may subject an APTA member to revocation of membership. The following are binding documents: * Code of Ethics for the Physical Therapist * Standards of Ethical Conduct for the Physical Therapist Assistant (2) Policy: A high-level principle or position that guides decision-making and action (3) Procedure: Steps required to achieve a result Response

Response

Percent

Count

Yes I am in favor of this motion

81.0%

47

No, I am not in favor of this motion

1.7%

1

I am not sure

15.5%

9

I need more information

1.7%

1

Comments, concerns, or proposed amendments

1 of 34

1

answered question

58

skipped question

2


2. RC 2-14 RESCINDS: COVER THE UNINSURED CAMPAIGN: AWARENESS AND PROMOTION Summary: This campaign closed in June 2011. Furthermore the Affordable Care Act has rendered it mute. Response

Response

Percent

Count

Yes I am in favor of this motion

76.9%

40

No, I am not in favor of this motion

1.9%

1

I am not sure

11.5%

6

I need more information

9.6%

5

Comments, concerns, or proposed amendments

2 of 34

2

answered question

52

skipped question

8


3. RC 3-14 AMEND: PHYSICAL THERAPIST RESPONSIBILITY AND ACCOUNTABILITY FOR DELIVERY OF CARE, PROVISO TO RESOLVED CLAUSE (HOD P06-12-06-08) Summary: This RC contains a more fully defined proviso to PHYSICAL THERAPIST RESPONSIBILITY AND ACCOUNTABILITY FOR DELIVERY OF CARE (HOD P06-12-06-08) to more clearly state when this policy would be enacted as follows: ...shall not become the position of APTA until it is ratified by the House of Delegates (House) after the House reviews an assessment of the implications of the intended and possible unintended consequences of implementation of this position for current and future initiatives in education, practice, payment, regulation, and research. These implications include time estimates, benefits, risks, and financial impact on both the association and the profession. A report will be provided to the House of Delegates no later than December 2015. Response

Response

Percent

Count

Yes I am in favor of this motion

60.8%

31

No, I am not in favor of this motion

2.0%

1

I am not sure

21.6%

11

I need more information

15.7%

8

Comments, concerns, or proposed amendments

3 of 34

2

answered question

51

skipped question

9


4. RC 4-14 AMEND: PHYSICAL THERAPIST RESPONSIBILITY AND ACCOUNTABILITY FOR DELIVERY OF CARE, RESOLVED CLAUSE (HOD P06-12-06-08) Summary: This motion adds clarity to support personnel naming the PTA as the primary assistive personnel. It also includes language that recognized support personnel may perform interventions and selected tests and measures within the examination and intervention components of the patient/client management model. And finally, it uses language “meets the needs of the consumer� for example that emphasizes the external community. This is consistent with the new APTA Vision statement. New clauses added to Physical Therapist Responsibility and Accountability for the Delivery of Care (HOD P06-12-06-08), as follows: Resolved, That the American Physical Therapy Association recognizes that to meet the needs of society in an evolving health care environment, the physical therapist may practice as part of a collaborative interprofessional model of care that meets the needs of the consumer; and, Resolved, That the American Physical Therapy Association recognizes that physical therapy is provided by, or under the direction and supervision of, a physical therapist. The primary recognized assistive personnel of the physical therapist is the physical therapist assistant. Other recognized assistive personnel may include licensed or otherwise stateregulated providers of care whose competence has been confirmed by the responsible physical therapist. Recognized assistive personnel may perform interventions and selected tests and measures within the examination and intervention components of the patient/client management model. The other elements of the patient/client management model - evaluation, diagnosis, prognosis, and outcomes - remain the sole responsibility of the physical therapist. Response

Response

Percent

Count

Yes I am in favor of this motion

77.6%

38

No, I am not in favor of this motion

10.2%

5

I am not sure

4.1%

2

I need more information

8.2%

4

Comments, concerns, or proposed amendments

4 of 34

9

answered question

49

skipped question

11


5. RC 5-14 AMEND: ACCESS TO, ADMISSION TO, AND PATIENT/CLIENT RIGHTS WITHIN PHYSICAL THERAPY SERVICES (HOD P06-03-16-13) Summary: The RC adds the terminology of sex, gender identity, and gender expression to existing policy. That Access to, Admission to, and Patient/Client Rights Within Physical Therapy Services (HOD P06-03-1613), second paragraph, first sentence, be amended by striking out the word “gender” after the word “color” and inserting the words “sex, gender, gender identity, gender expression” so that it would read: The physical therapist shall ensure services regardless of race, creed, color, sex, gender, gender identity, gender expression, age, national or ethnic origin, sexual orientation, disability, or health status. The physical therapist respects the rights of individuals referred or admitted to the physical therapy service. The individual referred or admitted to the physical therapy service has rights, which include but are not limited to: (for individual rights see ACCESS TO, ADMISSION TO, AND PATIENT/CLIENT RIGHTS WITHIN PHYSICAL THERAPY SERVICES (HOD P06-03-16-13)) Response

Response

Percent

Count

Yes I am in favor of this motion

83.0%

39

No, I am not in favor of this motion

8.5%

4

I am not sure

4.3%

2

I need more information

4.3%

2

Comments, concerns, or proposed amendments

5 of 34

6

answered question

47

skipped question

13


6. RC 6-14 AMEND: NON-DISCRIMINATION (HOD Y06-98-14-06) Summary: This RC adds the terminology of gender identity and gender expression to existing policy. That Nondiscrimination (HOD Y06-98-14-06), first paragraph, be amended by inserting the words “gender identity, gender expression” after the word “gender” so that it would read: The American Physical Therapy Association (APTA) prohibits preferential or adverse discrimination on the basis of race, creed, color, sex, gender, gender identity, gender expression, age, national or ethnic origin, sexual orientation, disability or health status in all areas including, but not limited to, its qualifications for membership, rights of members, policies, programs, activities, and employment practices. Response

Response

Percent

Count

Yes I am in favor of this motion

83.0%

39

No, I am not in favor of this motion

8.5%

4

I am not sure

4.3%

2

I need more information

4.3%

2

Comments, concerns, or proposed amendments

6 of 34

5

answered question

47

skipped question

13


7. RC 7-14 AMEND: ENTRY POINT INTO HEALTH CARE (HOD P06-02-23-45) Summary: This motion amends language to ENTRY POINT INTO HEALTH CARE. That Entry Point Into Health Care (HOD P06-02-23-45) be amended by substitution: The American Physical Therapy Association supports physical therapists as entry point providers of primary care services. Physical therapists provide a broad range of services to optimize movement, including screening, examination, evaluation, diagnosis, prognosis, intervention, coordination of care, and, when indicated, referral to other providers. Response

Response

Percent

Count

Yes I am in favor of this motion

95.7%

44

No, I am not in favor of this motion

2.2%

1

I am not sure

0.0%

0

I need more information

2.2%

1

Comments, concerns, or proposed amendments

7 of 34

1

answered question

46

skipped question

14


8. RC 8-14 ADOPT: TELEHEALTH Summary: This motion identifies Telehealth as an appropriate method to provide physical therapy services. TELEHEALTH ‌Resolved, It is the position of the American Physical Therapy Association (APTA) that telehealth is an appropriate model of service delivery for the profession of physical therapy when provided in a manner consistent with association positions, standards, guidelines, policies, procedures, Standards of Practice for Physical Therapy, Code of Ethics for the Physical Therapist, Standards of Ethical Conduct for the Physical Therapist Assistant, the Guide to Physical Therapist Practice, and APTA Telehealth Definitions and Guidelines; as well as federal, state, and local regulations. Response

Response

Percent

Count

Yes I am in favor of this motion

68.1%

32

No, I am not in favor of this motion

10.6%

5

I am not sure

6.4%

3

I need more information

17.0%

8

Comments, concerns, or proposed amendments

8 of 34

1

answered question

47

skipped question

13


9. RC 9-14 PURSUIT OF DPT AS REGULATORY DESIGNATION OF PHYSICAL THERAPISTS Summary: This motion promotes actions to standardize the regulatory designation of physical therapists across all jurisdictions to the DPT. That the American Physical Therapy Association pursue a uniform change in the regulatory designation of physical therapists in all states to “DPT” by the year 2020.

Yes I am in favor of this motion

Response

Response

Percent

Count

35.6%

16

40.0%

18

I am not sure

20.0%

9

I need more information

8.9%

4

No, I am not in favor of this motion

Comments, concerns, or proposed amendments

9 of 34

15

answered question

45

skipped question

15


10. RC 10-14 CONSUMER PROTECTION THROUGH LICENSURE OF PHYSICAL THERAPISTS AND PHYSICAL THERAPIST ASSISTANTS Summary: Consumer Protection Through PT and PTA Licensure has 2 parts-Part A Minimum Qualifications for License or Regulation, Part B item to rescind a selection of positions that would be mute if passed. Part A It is the position of the American Physical Therapy Association (APTA) that licensure of physical therapists and licensure or certification of physical therapist assistants is required in and by all United States jurisdictions to achieve public protection and consumer transparency for individuals who access physical therapist services…… Part B That the following positions be rescinded: • Consumer Protection in the Provision of Physical Therapy Services: Qualifications of Persons Providing Physical Therapy Services (HOD P06-01-2020) • Physical Therapist and Physical Therapist Assistant Licensure/Regulation (HOD P0507-09-10) • Foreign-Educated Physical Therapist: Substantial Equivalence for Licensure Eligibility (HOD P06-03-26-24) • Designation “PT,” “PTA,” “SPT,” and “SPTA” (HOD P06-0317-14) • Protection of Term, Title, and Designation (HOD P06-03-18-15) • Use of the Title “Doctor” by Physical Therapists (HOD P06-06-21-14) • Licensure: Expedited Licensure or Qualified Exemption (HOD P06-10-10-12) • Temporary Exemptions in State Licensure in the Case of Declared Disaster or Emergency (HOD P06-11-21-20) • Licensure Renewal: Continuing Education (HOD P06-09-26-09) • Institutional Licensure (HOD P06-73-31-38) • Temporary Jurisdictional Licensure and Credentialing (HOD P06-96-26-40) Response

Response

Percent

Count

Yes I am in favor of this motion

60.9%

28

No, I am not in favor of this motion

6.5%

3

I am not sure

13.0%

6

I need more information

19.6%

9

Comments, concerns, or proposed amendments

10 of 34

6

answered question

46

skipped question

14


11. RC 11-14 MEMBERSHIP VALUE FOR THE PHYSICAL THERAPIST ASSISTANT Summary: This motion charges the BoD to develop a plan to increase the value of membership to the APTA for PTAs. That the American Physical Therapy Association (APTA) create a plan for increasing the value of APTA membership for the physical therapist assistant (PTA) and present the plan to the 2015 House of Delegates by December 2014. Such a plan shall include at least the following: • Designated positions on the APTA Board of Directors for PTA members • Eligibility of PTA members to serve on the APTA Board of Directors Response

Response

Percent

Count

Yes I am in favor of this motion

52.2%

24

No, I am not in favor of this motion

17.4%

8

I am not sure

17.4%

8

I need more information

13.0%

6

Comments, concerns, or proposed amendments

11 of 34

5

answered question

46

skipped question

14


12. RC 12-14 ADOPT: PROMOTING EXCELLENCE IN PHYSICAL THERAPIST PROFESSIONAL EDUCATION Summary: This RC identifies faculty and clinical site issues to promote sustained and future excellence in physical therapist education. To sustain present and promote future excellence in physical therapist education, APTA recommends adoption and implementation of the following practices: 1. That physical therapists with an interest in teaching in physical therapist entry-level programs seek advanced terminal degrees and other credentials and experiences that qualify them to become faculty members. 2. That people qualified to serve as program directors do so only when the program has adequate resources and a commitment to innovation and excellence. 3. That people qualified to serve as faculty members do so only when the program has adequate resources and a commitment to innovation and excellence. 4. That clinical sites be creative in how they provide clinical education experiences and commit to providing resources for clinical education experiences only when the academic program commits to excellence in education and ongoing improvement and when the program’s students meet the standards for clinical performance. 5. That the Commission on Accreditation in Physical Therapy Education (CAPTE) make the criteria for existing programs, expansion of existing programs, and candidate for accreditation status for new programs more stringent to reflect the needs for qualified faculty and program directors, access to sufficient clinical education sites, and adequate infrastructure (eg, physical, fiscal, and personnel); and the current and emerging needs of society. Response

Response

Percent

Count

Yes I am in favor of this motion

72.3%

34

No, I am not in favor of this motion

10.6%

5

I am not sure

10.6%

5

I need more information

10.6%

5

Comments, concerns, or proposed amendments

12 of 34

7

answered question

47

skipped question

13


13. RC 13-14 BEST PRACTICE FOR PHYSICAL THERAPIST CLINICAL EDUCATION Summary: This motion charges the APTA Board of Directors to examine and report back on “Best Practice in Physical Therapist Clinical Education.” That the American Physical Therapy Association, in collaboration with relevant stakeholders, identify best practice for physical therapist clinical education, from professional level through postgraduate clinical training, and propose potential courses of action for a doctoring profession to move toward practice that best meets the evolving needs of society with a report to the 2017 House of Delegates. This effort shall include but not be limited to the examination of: • Current models of physical therapist clinical education from professional level through postgraduate clinical training • Mandatory postgraduate clinical training • Stages of licensure • Findings from related studies and conferences • Models and studies of clinical education in other health care professions Response

Response

Percent

Count

Yes I am in favor of this motion

73.3%

33

No, I am not in favor of this motion

2.2%

1

I am not sure

20.0%

9

I need more information

6.7%

3

Comments, concerns, or proposed amendments

13 of 34

3

answered question

45

skipped question

15


14. RC 14-14 ADOPT: DEFINITION OF AN UNDERREPRESENTED MINORITY IN PHYSICAL THERAPY EDUCATION Summary: This RC defines “underrepresented” populations in PT education. The American Physical Therapy Association defines "Underrepresented” in physical therapy education as the racial and ethnic populations that are underrepresented in physical therapy education relative to their numbers in the general population, as well as individuals from geographically underrepresented areas, lower economic strata, and educationally disadvantaged backgrounds. Response

Response

Percent

Count

Yes I am in favor of this motion

59.1%

26

No, I am not in favor of this motion

18.2%

8

I am not sure

9.1%

4

I need more information

15.9%

7

Comments, concerns, or proposed amendments

14 of 34

4

answered question

44

skipped question

16


15. RC 15-14 MEMBERSHIP RETENTION OF EARLY-CAREER INDIVIDUALS Summary: This motion charges the APTA BoD to develop a plan for “early career retention.� That the American Physical Therapy Association develop and implement a comprehensive plan to foster engagement, stimulate grassroots activity, and increase membership retention of early-career individuals. The plan shall be based on a thorough review of previous and current component efforts, data from membership statistics on early-career engagement and retention, results of similar efforts in other professional organizations, and any other relevant information. The plan shall be developed in collaboration with relevant stakeholders. The plan and implementation status shall be reported to the 2016 House of Delegates. Response

Response

Percent

Count

Yes I am in favor of this motion

81.8%

36

No, I am not in favor of this motion

2.3%

1

I am not sure

9.1%

4

I need more information

9.1%

4

Comments, concerns, or proposed amendments

15 of 34

3

answered question

44

skipped question

16


16. RC 16-14 APTA WHITE PAPER ON PHYSICAL THERAPIST PRODUCTIVITY Summary: This RC charges the APTA BoD to develop a white paper concerning physical therapist productivity. That the American Physical Therapy Association develop a white paper to comprehensively address physical therapist productivity in the context of budget pressures, health care reform, and complex organizational dynamics within health care institutions. Response

Response

Percent

Count

Yes I am in favor of this motion

67.4%

31

No, I am not in favor of this motion

13.0%

6

I am not sure

2.2%

1

I need more information

23.9%

11

Comments, concerns, or proposed amendments

16 of 34

6

answered question

46

skipped question

14


17. RC 17-14 ADOPT: PHYSICAL THERAPISTS QUALIFIED TO DETERMINE MOBILITY STATUS FOR PATIENTS AND CLIENTS APPLYING FOR DISABILITY PLACARDS OR LICENSE PLATES Summary: This motion promotes the inclusion of the physical therapist in state law as a qualified individual to determine the mobility status of a patient or client for the purposes of disability parking placards and license plates. The American Physical Therapy Association supports increased consumer access to mobility status certification. As movement experts, physical therapists should be included in state law among the health care professionals designated as able to determine the mobility status of a patient or client for the purposes of disability parking placards and license plates. Response

Response

Percent

Count

Yes I am in favor of this motion

91.1%

41

No, I am not in favor of this motion

4.4%

2

I am not sure

0.0%

0

I need more information

4.4%

2

Comments, concerns, or proposed amendments

17 of 34

1

answered question

45

skipped question

15


18. RC 18-14 ADOPT: ENDORSEMENT OF INTERPROFESSIONAL EDUCATION COLLABORATIVE CORE COMPETENCIES1 Summary: This RC seeks endorsement of Interprofessional education Collaborative Core Competencies. (Note: The language in brackets is the only language open to amendment.) [APTA encourages team-based interprofessional education and collaborative practice by endorsing the 4 Interprofessional Education Collaborative (IPEC)* Core Competency1 domains and their respective general competency statement. APTA and its members will endeavor to integrate these IPEC core competencies into practice and education initiatives, where feasible:] • Competency 1: Values/Ethics for Interprofessional Practice: Work with individuals of other professions to maintain a climate of mutual respect and shared values. • Competency 2: Roles/Responsibilities: Use the knowledge of one’s own role and those of other professions to appropriately assess and address the healthcare needs of the patients and populations served. • Competency 3: Interprofessional Communication: Communicate with patients, families, communities, and other health professionals in a responsive and responsible manner that supports a team approach to the maintenance of health and the treatment of disease. • Competency 4: Teams and Teamwork: Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan and deliver patient-/population-centered care that is safe, timely, efficient, effective, and equitable. *As of the date of this position’s adoption, the Interprofessional Education Collaborative (IPEC) consists of the American Association of Colleges of Nursing (AACN), the American Association of Colleges of Osteopathic Medicine (AACOM), the American Association of Colleges of Pharmacy (AACP), the American Dental Education Association (ADEA), the Association of American Medical Colleges (AAMC), and the Association of Schools of Public Health (ASPH). Response

Response

Percent

Count

Yes I am in favor of this motion

83.7%

36

No, I am not in favor of this motion

2.3%

1

I am not sure

4.7%

2

I need more information

14.0%

6

Comments, concerns, or proposed amendments

18 of 34

1

answered question

43

skipped question

17


19. RC 19-14 ELECTION TO HONORARY MEMBERSHIP IN THE AMERICAN PHYSICAL THERAPY ASSOCIATION: MICHAEL J. AXE, MD Summary: This motion seeks Honorary membership for Dr. Michael J. Axe who has made significant contributions to the science and practice of physical therapy. ‌Resolved, That Michael J. Axe, MD, be elected as an Honorary Member of the American Physical Therapy Association. Response

Response

Percent

Count

Yes I am in favor of this motion

51.1%

23

No, I am not in favor of this motion

6.7%

3

I am not sure

22.2%

10

I need more information

22.2%

10

Comments, concerns, or proposed amendments

19 of 34

2

answered question

45

skipped question

15


20. RC 20-14 AMEND: BYLAWS OF THE AMERICAN PHYSICAL THERAPY ASSOCIATION, ARTICLE VIII., HOUSE OF DELEGATES, SECTION 4: NONVOTING DELEGATES Summary: This RC is a Bylaw amendment to allow PT or PTA students serving on the student assembly that graduate before the house to serve on the student assembly until the close of the house. That Bylaws of the American Physical Therapy Association, Article VIII., House of Delegates, Section 4: Nonvoting Delegates, A. Qualifications of Nonvoting Delegates, (3), be amended by adding a paragraph, so that it would read: ARTICLE VIII. HOUSE OF DELEGATES Section 4: Nonvoting Delegates The nonvoting delegates of the House of Delegates shall be the section delegates, PTA Caucus delegates, Student Assembly delegates, and the members of the Board of Directors. A. Qualifications of Nonvoting Delegates * * * (3) Student Assembly delegates: Only Student Physical Therapist and Student Physical Therapist Assistant members who have been Association members in good standing for the 4 months immediately preceding the start of the House session may serve as Student Assembly delegates. For the purposes of this subparagraph (3), members who have converted under Article XI, Section 3, from Student Physical Therapist to Physical Therapist or from Student Physical Therapist Assistant to Physical Therapist Assistant shall be deemed members of the Student Assembly until the close of the House of Delegates meeting immediately following the date of graduation and shall be eligible to serve as Student Assembly delegates during that period. Response

Response

Percent

Count

Yes I am in favor of this motion

79.5%

35

No, I am not in favor of this motion

4.5%

2

I am not sure

6.8%

3

I need more information

9.1%

4

Comments, concerns, or proposed amendments

0

answered question

44

skipped question

16

20 of 34


21. RC 21-14 EFFORTS TO CURB FRAUD AND ABUSE Summary: This motion charges the board to increase efforts in the area of fraud and abuse. That the American Physical Therapy Association continue efforts to curb the incidence of fraud and abuse committed by physical therapists. Efforts may include but are not limited to the following: • Collaboration with the Federation of State Boards of Physical Therapy (FSBPT) • Amendment to or creation of APTA positions, standards, guidelines, policies, and procedures to clearly delineate the association’s stance on these issues, for presentation to the 2015 House of Delegates • Development of educational resources specific to fraud and abuse issues for physical therapist and physical therapist assistant programs • Evaluation of the strategies APTA adopts to curb fraud and abuse within the profession Response

Response

Percent

Count

Yes I am in favor of this motion

88.9%

40

No, I am not in favor of this motion

4.4%

2

I am not sure

6.7%

3

I need more information

2.2%

1

Comments, concerns, or proposed amendments

3

answered question

45

skipped question

15

22. Do you have any other comments, questions, or concerns? Response Count 4

21 of 34

answered question

4

skipped question

56


Page 1, Q1. RC 1-14 AMENDS: STANDING RULE, 21. DEFINITION OF ASSOCIATION VIEWPOINTS AND ADMINISTRATIVE DIRECTIVES Summary: This RC identifies the binding documents of the association and uses the terminology of policy and procedure as consistent terminology for non-binding principles or positions that gui...

1

I am reluctant to sign off on a Procedure without the opportunity to review that procedure.

May 15, 2014 8:52 AM

Page 2, Q2. RC 2-14 RESCINDS: COVER THE UNINSURED CAMPAIGN: AWARENESS AND PROMOTION Summary: This campaign closed in June 2011. Furthermore the Affordable Care Act has rendered it mute.

1

I think a motion to help promote the Affordable Care Act would be a nice replacement to this RC

May 18, 2014 8:23 PM

2

Seems to be a mute point

May 13, 2014 6:59 PM

Page 3, Q3. RC 3-14 AMEND: PHYSICAL THERAPIST RESPONSIBILITY AND ACCOUNTABILITY FOR DELIVERY OF CARE, PROVISO TO RESOLVED CLAUSE (HOD P06-12-06-08) Summary: This RC contains a more fully defined proviso to PHYSICAL THERAPIST RESPONSIBILITY AND ACCOUNTABILITY FOR DELIVERY OF CARE (HOD P06-12-06-08) to more...

1

The House of Delegates is voting yes or no on whether the APTA will NOT approve a policy? Really?

May 15, 2014 8:56 AM

2

If we are to move into the direction of full direct access - we need full autonomy to be responsible & accountable. We don't need further assessment or reviews of our capability to be autonomous!

May 14, 2014 10:02 PM

22 of 34


23 of 34


Page 4, Q4. RC 4-14 AMEND: PHYSICAL THERAPIST RESPONSIBILITY AND ACCOUNTABILITY FOR DELIVERY OF CARE, RESOLVED CLAUSE (HOD P06-12-06-08) Summary: This motion adds clarity to support personnel naming the PTA as the primary assistive personnel. It also includes language that recognized support personnel may...

1

In general, I am not in favor of the existence of the Physical Therapist Assistant as a profession.

May 18, 2014 8:25 PM

2

In my practice I do not use PTA's as I feel great continuity of treatment and better outcomes are achieved using PT's to implement treatments and techniques

May 15, 2014 11:42 AM

3

On the surface this sounds good. However, what are the ramifications for utilizing Physical Therapy Aides? While I am not concerned that a PT Aide should ever be expected to perform "selected tests and measures", as those can be completed by the Physical Therapist or PT Assistant. I am concerned about limiting the Physical Therapist’s ability to utilize PT Aides/Techs. These Aides/Techs can be trained to perform interventions that have already been instructed by the PT, based upon the Physical Therapist’s assessment, decision making and plan development, and that are a valuable part of the delivery of quality Physical Therapy care. A PT Aide can follow up on routine exercises or activities that have been taught by the PT (to the Aide AND the patient), and are supervised by the PT. A variety of such activities require the necessary repetition to assure a positive learning curve on the part of the patient. That is still a part of the therapeutic process. The PT Aide can assist patients in utilizing equipment, providing for their safety AND assuring the completion of that therapeutic activity. Does it raise the level of our profession when these routine, but necessary interventions are only performed by the PT? Is it only an exercise if a PT counts the repetitions? Is it only an ultrasound if delivered by a PT....or PT Assistant? I have to believe that it is when we, the highly trained Physical Therapists, utilize our skills in Assessment, Critical Decision Making, Planning and Teaching, that we are performing at the highest level of our profession. I have serious reservations that the restrictive language of this resolution will serve to water down the Physical Therapy profession and we will be tasked to perform even the most simple (but necessary) tasks, in order to claim them as our own. Physical Therapy is what we direct, not just what we do.

May 15, 2014 10:37 AM

4

This does not allow various management models to be utilized. It corners us into the same old, same old model of care.

May 14, 2014 10:10 PM

5

I would add something about discussing/collaborating with the primary PT when the PTA performs selected tests/measures

May 14, 2014 5:31 PM

6

One, I believe we should hold with the PTA as the only recognized support personnel. Two, I am concerned about adding the performance of selected tests and measures by "recognized assistive personnel" within the examination component of the patient/client management model.

May 14, 2014 9:30 AM

7

this language is so confusing. don't we learn anything from reading the crap issued by congress that we need to just say what we want to say in non-lawyer crap talk?!

May 14, 2014 8:09 AM

8

Athletic trainers need it be recognized as equal to or more than the PTA.

May 13, 2014 8:18 PM

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Page 4, Q4. RC 4-14 AMEND: PHYSICAL THERAPIST RESPONSIBILITY AND ACCOUNTABILITY FOR DELIVERY OF CARE, RESOLVED CLAUSE (HOD P06-12-06-08) Summary: This motion adds clarity to support personnel naming the PTA as the primary assistive personnel. It also includes language that recognized support personnel may...

9

This would have kept us out of trouble with LARA when the admin rules were written....this is a more realistic reflection of current, appropriate practices.

May 13, 2014 7:57 PM

Page 5, Q5. RC 5-14 AMEND: ACCESS TO, ADMISSION TO, AND PATIENT/CLIENT RIGHTS WITHIN PHYSICAL THERAPY SERVICES (HOD P06-03-16-13) Summary: The RC adds the terminology of sex, gender identity, and gender expression to existing policy. That Access to, Admission to, and Patient/Client Rights Within Physi...

1

Aren't sex and gender the same thing. One or the other term would be sufficient and not redundant. The same for gender identity and gender expression.

May 19, 2014 9:48 PM

2

The word gender is sufficient and to me, covers the other words, "sex, gender, gender identity, gender expression" and increased specificity in this case could create more loopholes because it isn't expressly stated.

May 14, 2014 9:36 AM

3

Gender is a biological fact and needs no further explanation. Gender identity, gender expression and sexual orientation allows for subjective interpretation. Aside from public hype, this information is no more important than ones favorite color, political allegiance or any other variable that is based on ones opinion.

May 13, 2014 9:42 PM

4

Political correctness....

May 13, 2014 8:31 PM

5

It is a pity that such language is even necessary

May 13, 2014 5:54 PM

6

It would seem that the new words encompass the term "sexual orientation". If it is consensus that such is true, then it would be best to remove "sexual orientation" from the list.

May 13, 2014 5:05 PM

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Page 5, Q6. RC 6-14 AMEND: NON-DISCRIMINATION (HOD Y06-98-14-06) Summary: This RC adds the terminology of gender identity and gender expression to existing policy. That Non-discrimination (HOD Y06-98-14-06), first paragraph, be amended by inserting the words “gender identity, gender expression” afte...

1

No for same reasons as above.

May 19, 2014 9:48 PM

2

The term, "gender" is sufficient.

May 14, 2014 9:36 AM

3

Bias is bias and should be avoided. There are hundreds, even thousands of character traits and personal viewpoints that are not specifically listed in the RC. Does that mean we can be biased towards people because they are not listed in this RC. Of course not. These words need not be added other than to pacify the medias obsession and a special interest groups agenda. The APTA should be who they are and not get sucked in to this political correctness contest. The existing RC can stand for itself without amendment.

May 13, 2014 9:42 PM

4

It is a pity that such language is even necessary

May 13, 2014 5:54 PM

5

It would seem that the new words encompass the term "sexual orientation". If it is consensus that such is true, then it would be best to remove "sexual orientation" from the list.

May 13, 2014 5:05 PM

Page 6, Q7. RC 7-14 AMEND: ENTRY POINT INTO HEALTH CARE (HOD P06-02-23-45) Summary: This motion amends language to ENTRY POINT INTO HEALTH CARE. That Entry Point Into Health Care (HOD P06-02-23-45) be amended by substitution:

The American Physical Therapy Association supports physical therapists ...

1

"Primary care" services language should be altered to express a broader view.

May 14, 2014 9:31 AM

Page 6, Q8. RC 8-14 ADOPT: TELEHEALTH Summary: This motion identifies Telehealth as an appropriate method to provide physical therapy services. TELEHEALTH …Resolved, It is the position of the American Physical Therapy Association (APTA) that telehealth is an appropriate model of service delivery for t...

1

Not sure exactly what constitutes telehealth.

May 19, 2014 9:49 PM

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Page 7, Q9. RC 9-14 PURSUIT OF DPT AS REGULATORY DESIGNATION OF PHYSICAL THERAPISTS Summary: This motion promotes actions to standardize the regulatory designation of physical therapists across all jurisdictions to the DPT. That the American Physical Therapy Association pursue a uniform change in the ...

1

I am a BSPT. Unless you plan to grandfather me in as a DPT, I object to the idea that I might be out of a profession in the year 2020.

May 19, 2014 9:52 PM

2

The DPT is the degree. In 2020 we will still have PTs in practice who have not earned the DPT degree.

May 16, 2014 11:20 AM

3

How will this impact Physical Therapists who have not completed a DPT program? If there is an expectation that current non-DPT practitioners will obtain their DPT, a 2020 deadline does not allow enough time for existing non-DPT Physical Therapists to transition to a DPT. Requiring a DPT designation should only occur when regulatory and reimbursement agencies recognize a differential in the care delivered by a DPT versus a non-DPT practitioner. As a matter of principal, the APTA should provide factual data that indicates that the DPT Therapists provides a higher level and quality of care than a non-DPT practitioner.

May 15, 2014 10:37 AM

4

Nothing changes... we need full direct access w/o limitations; we need to get rid of signed plans of care; we need full autonomy to delegate as we choose or create a business model/care model that is sustainable. The "title" doesn't solve anything....

May 14, 2014 10:23 PM

5

would that require everyone to have a DPT? I am not in favor of having to return to school to get mine after 13 years of practice and multiple continuing ed courses, certifications.

May 14, 2014 5:34 PM

6

I do not favor grandfathering all PTs to the DPT

May 14, 2014 1:39 PM

7

The language I have seen in relation to this would seem to be that you would have to be a DPT to practice, or this is what it's leading to. As a non-doctoral PT and not planning on getting one, this language would seem to be very dividing in the association. I fully support Con Ed requirements, etc., but do not believe the only designation of a PT should be DPT.

May 14, 2014 10:52 AM

8

what happens to p.t.'s who went to school before the dpt? and are still practicing

May 14, 2014 10:10 AM

9

Not sure if I will still be practicing at that time, but if I was, I'd have to be grandfathered in then...

May 14, 2014 9:38 AM

10

I would be concerned- does this mean that those who don't have a DPT academic degree would automatically be given the 'DPT' credentials? Or would this just be the minimum standard for entry into the profession? Where do those without the DPT stand- do they have to get the DPT or would their years of clinical experience or other higher academic degrees (PhD, DSc, EdD) be adequate?

May 13, 2014 9:44 PM

11

Simplification will help with public understanding. Confusion should be identified and removed when possible.

May 13, 2014 9:43 PM

12

Should be uniform although I am not a proponent of entry level DPT.

May 13, 2014 8:33 PM

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Page 7, Q9. RC 9-14 PURSUIT OF DPT AS REGULATORY DESIGNATION OF PHYSICAL THERAPISTS Summary: This motion promotes actions to standardize the regulatory designation of physical therapists across all jurisdictions to the DPT. That the American Physical Therapy Association pursue a uniform change in the ...

13

This could be very very difficult....permitting the use of the title "doctor" in all states is one thing, but having the reg designation is a bit premature...there will be issues related to grandfathering, and I don't think the proportions of those with and without DPT degrees is yet at a tipping point where this makes sense...it is premature and will be very divisive within our membership. We just got done healing from the change to a DPT.... BTW...this comment is from a DPT....

May 13, 2014 7:57 PM

14

What does this mean to PTs with a Bachelors or Masters degree? Will consumers discriminate based on perceived level of ability based on education?

May 13, 2014 5:56 PM

15

Not sure if it is appropriate for use by individuals who do not have the actual DPT degree/credential, including individuals with a PhD. Maybe needs to qualify that the DPT designation for individuals with a DPT degree.

May 13, 2014 5:10 PM

Page 8, Q10. RC 10-14 CONSUMER PROTECTION THROUGH LICENSURE OF PHYSICAL THERAPISTS AND PHYSICAL THERAPIST ASSISTANTS Summary: Consumer Protection Through PT and PTA Licensure has 2 parts-Part A Minimum Qualifications for License or Regulation, Part B item to rescind a selection of positions that would be ...

1

This is a state issue... the states are all different and it is not realistic for consistency to be achieved at this point in time. The $$ it costs to change state practice acts is not worth it.

May 14, 2014 10:27 PM

2

What is the minimum qualification - not clear from this text. In favor of all states having licensure - is the same for all states?

May 14, 2014 11:04 AM

3

I am not sure why the use of the title 'Doctor' would be rescinded- if they have the degree, they should be able to use it properly.

May 13, 2014 9:47 PM

4

Athletic trainers need to be recognized!

May 13, 2014 8:20 PM

5

I am not sure exactly what this motion does, but rescinding te following does not seem wise: Designation “PT,” “PTA,” “SPT,” and “SPTA” (HOD P06-03-1714) •Protection of Term, Title, and Designation (HOD P06-03-18-15) •Use of the Title “Doctor” by Physical Therapists (HOD P06-06-21-14)

May 13, 2014 7:57 PM

6

There is a difference between "Mute" and "Moot". This question should read "Moot"

May 13, 2014 5:57 PM

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Page 9, Q11. RC 11-14 MEMBERSHIP VALUE FOR THE PHYSICAL THERAPIST ASSISTANT Summary: This motion charges the BoD to develop a plan to increase the value of membership to the APTA for PTAs. That the American Physical Therapy Association (APTA) create a plan for increasing the value of APTA membership fo...

1

If the number of PTA's that could be on the board were limited, I would support

May 21, 2014 9:55 AM

2

What evidence do we presently have regarding the value of membership to PTAs?

May 16, 2014 11:25 AM

3

I've never been a fan of PTAs being part of APTA. PTAs should have no say or role in shaping the physical therapist's profession.

May 14, 2014 10:29 PM

4

I believe the interests of Physical Therapists is best represented by Physical Therapists.

May 13, 2014 9:50 PM

5

Developing a plan is not a bad idea, but I don't think it is appropriate to tie the hands of the BOD by requiring that the plan include the specific bullets indicated ...

May 13, 2014 5:19 PM

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Page 9, Q12. RC 12-14 ADOPT: PROMOTING EXCELLENCE IN PHYSICAL THERAPIST PROFESSIONAL EDUCATION Summary: This RC identifies faculty and clinical site issues to promote sustained and future excellence in physical therapist education. To sustain present and promote future excellence in physical therapist ...

1

Although I support the intent of this motion, I am uncertain if this is the best method to obtain the desired outcome. I am sure much discussion will occur!

May 16, 2014 11:25 AM

2

I feel this is CAPTE's job.

May 14, 2014 9:32 AM

3

This sounds good but my understanding is that getting qualified teachers for PT programs is challenging and the demand outweighs the supply. This RC would seem to make it more difficult for programs to find and keep qualified teachers??

May 13, 2014 9:50 PM

4

I feel CAPTE taks care of this for us

May 13, 2014 7:02 PM

5

There is already a steep barrier in terms of paperwork to taking a student. This must be implemented in a way that does not exacerbate the challenges of taking a student.

May 13, 2014 5:59 PM

6

The HOD cannot dictate to CAPTE ... I would like to know what the problems are that this motion is trying to fix ... Programs don't get accredited already if they don't have sufficient resources and institutional committment

May 13, 2014 5:19 PM

7

CAPTE needs to be careful in respecting the authority and autonomy of universities in decision-making regarding physical therapy degree programs. PT faculty and programs can't use CAPTE as a 'hammer' to solve problems that they create and perpetuate in their PT education programs. The reality of student debt loads for PT education will begin to change the demographics of who applies to PT school and who considers PT as a career choice, and yet we build bigger credit loads into existing programs to justify higher expecations towards entry-level competence of graduates.

May 13, 2014 4:55 PM

Page 10, Q13. RC 13-14 BEST PRACTICE FOR PHYSICAL THERAPIST CLINICAL EDUCATION Summary: This motion charges the APTA Board of Directors to examine and report back on “Best Practice in Physical Therapist Clinical Education.� That the American Physical Therapy Association, in collaboration with relevant st...

1

I would suggest that we use the terms clinical education and residency education separately- one is during the professional training, one is post professional training. I would ask that the APTA establish a best practice including both.

May 13, 2014 9:50 PM

2

How is this going to be different than the two prior Clinical Education Consensus Conferences??? I attended both.....nothing yet resulted.....Not sure how this would be done differently again. The barriers to this effort being successful are many...unless the end game is a recommended change to CAPTE...otherwise, programs will not change.....

May 13, 2014 7:57 PM

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Page 10, Q13. RC 13-14 BEST PRACTICE FOR PHYSICAL THERAPIST CLINICAL EDUCATION Summary: This motion charges the APTA Board of Directors to examine and report back on “Best Practice in Physical Therapist Clinical Education.” That the American Physical Therapy Association, in collaboration with relevant st...

3

It's time to change clinical education models... we have been doing the same thing for more than 30 years without evaluation and consideration of better models.

May 13, 2014 4:56 PM

Page 11, Q14. RC 14-14 ADOPT: DEFINITION OF AN UNDERREPRESENTED MINORITY IN PHYSICAL THERAPY EDUCATION Summary: This RC defines “underrepresented” populations in PT education. The American Physical Therapy Association defines "Underrepresented” in physical therapy education as the racial and ethnic popul...

1

Does this mean students or educators or both?

May 18, 2014 8:30 PM

2

Do I understand that this resolution merely defines "underrepresented", and no other action is involved?

May 15, 2014 10:42 AM

3

Too narrow in scope only citing racial and ethnic populations.

May 14, 2014 9:34 AM

4

Not sure of the context for application of this definition - is the population the entire US population, or the population primarily served by the educational institution it would be applied to ... ?

May 13, 2014 5:28 PM

Page 11, Q15. RC 15-14 MEMBERSHIP RETENTION OF EARLY-CAREER INDIVIDUALS Summary: This motion charges the APTA BoD to develop a plan for “early career retention.” That the American Physical Therapy Association develop and implement a comprehensive plan to foster engagement, stimulate grassroots activity, ...

1

The BoD has already done and is doing this.

May 14, 2014 9:34 AM

2

I'm not sure what "early career retention" means in this context. Is the concern that clinicians graduate, and quickly abandon the field?

May 13, 2014 6:01 PM

3

Summary says "early career retention" - is the motion to address individuals dropping out of the profession? Or is it to address individuals dropping their APTA membership early in their careers as physical therapists?

May 13, 2014 5:28 PM

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Page 12, Q16. RC 16-14 APTA WHITE PAPER ON PHYSICAL THERAPIST PRODUCTIVITY Summary: This RC charges the APTA BoD to develop a white paper concerning physical therapist productivity. That the American Physical Therapy Association develop a white paper to comprehensively address physical therapist produc...

1

absolutely!

May 21, 2014 9:57 AM

2

The current fee for service payment model will be obsolete. This is a waste of time and money.

May 14, 2014 10:33 PM

3

90% productivity is impossible if you want to provide quality care and it seems most rehab companies are requiring 88-95%. This leads to poor and/or unethical tx

May 14, 2014 5:37 PM

4

What would be the cost involved with this.

May 14, 2014 1:42 PM

5

Something like this, maybe not this exact wording, will be needed if the payment structure changes from it's current unit based to the proposed patient acuity/difficulty model.

May 14, 2014 9:44 AM

6

Definitely needed!

May 13, 2014 6:16 PM

Page 12, Q17. RC 17-14 ADOPT: PHYSICAL THERAPISTS QUALIFIED TO DETERMINE MOBILITY STATUS FOR PATIENTS AND CLIENTS APPLYING FOR DISABILITY PLACARDS OR LICENSE PLATES Summary: This motion promotes the inclusion of the physical therapist in state law as a qualified individual to determine the mobility status o...

1

There are far too many disability placards/license plates dispensed for no apparent mobility issues; perhaps PTs are the right profession to determine such a status.

May 13, 2014 4:58 PM

Page 13, Q18. RC 18-14 ADOPT: ENDORSEMENT OF INTERPROFESSIONAL EDUCATION COLLABORATIVE CORE COMPETENCIES1 Summary: This RC seeks endorsement of Interprofessional education Collaborative Core Competencies. (Note: The language in brackets is the only language open to amendment.) [APTA encourages team-base...

1

You might want to bury the hatchet and resume constructive conversations with the National Athletic Trainers' Association. Just a thought.

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May 15, 2014 10:46 AM


Page 13, Q19. RC 19-14 ELECTION TO HONORARY MEMBERSHIP IN THE AMERICAN PHYSICAL THERAPY ASSOCIATION: MICHAEL J. AXE, MD Summary: This motion seeks Honorary membership for Dr. Michael J. Axe who has made significant contributions to the science and practice of physical therapy. ‌Resolved, That Michael J. ...

1

what exactly did he do??

May 14, 2014 5:39 PM

2

Mike and I attended Jr/Sr high school together and I have been impressed with his collaboration with U of Delaware PT faculty over the years... this honorary is deserved.

May 13, 2014 5:02 PM

Page 13, Q21. RC 21-14 EFFORTS TO CURB FRAUD AND ABUSE Summary: This motion charges the board to increase efforts in the area of fraud and abuse. That the American Physical Therapy Association continue efforts to curb the incidence of fraud and abuse committed by physical therapists. Efforts may include...

1

How many of APTA members have been involved in fraud & abuse? This is a waste of $ and time. Some of the fraud and abuse in PT isn't even done by physical therapists! A "popular" topic, but doesn't apply to most members. If data indicates majority of fraud & abuse done by members, then I'd agree.

May 14, 2014 10:38 PM

2

The BoD is already doing this.

May 14, 2014 9:35 AM

3

Will this use resources that could be spent on other PT issues? This issue is important but would not be above many other issues that I feel are more important to our profession.

May 13, 2014 9:55 PM

Page 14, Q22. Do you have any other comments, questions, or concerns?

1

Please share the results of survey with MI members. MI delegates need to show some level of accountability if members follow tweets of video or sit in sessions.

May 14, 2014 10:39 PM

2

I am very concerned about the Marketing Driven trend in outpatient clinics to promote "PT only" services. This is marketing trend s devalueing the PTA, and insurance companies are following suit. What is being done to promote and preserve the function and value of the PTA

May 14, 2014 8:43 PM

3

can video be obtain somehow other than Twitter? via a website? Many of us don't use Twitter

May 14, 2014 5:40 PM

4

Thank for the chance to provide feedback...GREAT idea!!!

May 13, 2014 7:57 PM

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Mpta Hod Surveyresults2014  

MPTA House of Delegates Survey Results May 2014

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