Official Publication of the Texas Physical Therapy Association
OCTOBER is PT MONTH
The John F. Barnesâ€™
John F. Barnes, PT
International lecturer, author, and authority on Myofascial Release.
LEARN FROM THE EXPERTS! ed Approv by the T Texas P tion Associa
MYOFASCIAL RELEASE I SAN ANTONIO, TEXAS NOVEMBER 8-10, 2019
Call to Register 1-800-FASCIAL
Michael Geelhoed, PT, DPT, MTC, OCS, President Dana Tew, PT, DPT, FAAOMPT, OCS, Vice-President Gail Zitterkopf, PT, DPT, CLT, CKTP, Speaker of the Assembly Jennifer Frerich, PT, DPT, OCS, Secretary Robert Sandoval, PT, PhD, Treasurer
TPTA DISTRICT CHAIRS:
Capitol Area: Central: Coastal Bend: East Texas: Greater El Paso: Heart of Texas: Midwest: North Texas: Panhandle: Permian Basin: South Plains: Southeastern:
Nominating Committee: Bylaws Committee: Ethics Committee: Government Affairs Committee: Membership Committee: Practice Committee: Public Relations Committee: Payment Policy Committee: Tom Waugh Leadership Development Program:
Ronna Keagle, PT, DPT, OCS Robert Sandoval, PT, PhD Aaron Cantu, PT, DPT Polly Bowers-Maness, PTA Herman "Harry" A Koster, PT Kristi Trammell, PT, DPT Regina Hartnett, PT Carling Butler, PT, Dpt Spencer Church, PT, DPT Mikala Reznik, PT, DPT Brad Allen, PT, ScD, COMT Gail Zitterkopf, PT, DPT, CLT, CKTP
Lauren Szot, PT, DPT Rupal Patel, PT, PhD Robert Sandoval, PT, PhD Dana Tew, PT, DPT, FAAOMPT, OCS Erica Parazo, PT (Co-Chair) Nick Purcell, PT, DPT (Co-Chair) Jon Anderson, PT Colette Pientok, PT, DPT, OCS William "Bill" Lewis, PT, DPT Denise Gobert, PT, PhD
CONTENTS FALL 2019
PT Synergy is published for Texas Physical Therapy Association 900 Congress Avenue, Suite L110 Austin, TX 78701 512.477.1818 www.tpta.org EDITOR IN CHIEF Craig Tounget, CAE
Focus on Member Benefits
TBPTE Proposed Rules Changes
Executive Director email@example.com MANAGING EDITOR Lindsey Green Communications Manager firstname.lastname@example.org PT SYNERGY is published quarterly by the Texas Physical Therapy Association.
IN EVERY ISSUE 4 Member Updates 5 Executive Director's Report 6 From the TPTA President 12 Calendar of Events
2019 Annual Conference
National Physical Therapy Month
MEMBER UPDATES Hardin-Simmons University Professors Win APTA's Humanitarian Award
Dr Dennis O'Connell
Dr Janelle O'Connell
Hardin-Simmons University is proud to announce that Drs. Janelle and Dennis O’Connell, professors of physical therapy at HSU, have been selected to receive the American Physical Therapy Association (APTA) Humanitarian Award. According to APTA’s website, the award’s purpose is to “distinguish association members whose demonstrated leadership and outstanding humanitarian volunteerism have improved the quality of life of individuals worldwide." As for recipients, the award seeks to honor “individuals who exemplify the compassionate nature of the physical therapy profession by actively expressing a commitment to humanity and exhibiting admirable degrees of selflessness in addressing key health concerns.” The Humanitarian award has three main criteria for selection: extraordinary humanitarian services and volunteerism, the advancement of Physical Therapy, and establishment of legacy. The O’Connells have certainly demonstrated their eligibility for the award through all they have done in the past years. Drs. Janelle and Dennis O’Connell have remained active members of the APTA since the 1990s. They have been instrumental in serving people far and wide in the past 20 years that they have been at HSU. The O’Connells started the HSU Physical Therapy ministries in 1999 and have led students on annual mission trips to serve citizens locally, state-wide, and abroad ever since. They have taken students to Mexico, Guatemala, South Texas, Haiti, Peru, and this year, Thailand. Through their genuine care of and actions toward people in need, the O’Connells have exemplified the Hardin-Simmons PT program’s mission statement, “Preparing individuals who demonstrate excellence in the practice of physical therapy and are enlightened by Christian faith and values.”
Congratulations to Dr. Peggy Gleeson, winner of SED's Award for Leadership in Education
Dr. Peggy Gleeson, Associate Program Director and Director of Clinical Education at Texas Woman's University in Houston, Texas, is described as an "exceptional role model of servant leadership." Nominators highlighted the meaningful contributions of her leadership in teaching, scholarship, service, and administration. She is renowned for her expertise in generational differences and clinical education and more recently, in student mental health and developing resiliency. She has 14 peer-reviewed publications, over 40 peer-reviewed presentations, and over 100 non-peer reviewed presentations; many of these presentations focus on excellence in physical therapy education or promotion of success in students. She served as chair of the Texas Consortium of Clinical Education and is a Texas Chapter delegate to the APTA House of Delegates. Positions held in the APTE include Co-Chair of the Clinical Education SIG, VicePresident, and President. During her tenure as APTE President, she worked with leadership of the the newly created ACAPT to establish a collaborative relationship. She received the Lucy Blair Award from the APTA in 2014.
EXECUTIVE DIRECTOR'S REPORT by CRAIG TOUNGET, CAE
uch of the focus of the staff in the TPTA office has been on Annual Conference over the past few months. We are looking forward to having hundreds of members join us in The Woodlands over the weekend of October 12th & 13th. We are excited to see how the landscape changes for both therapists and for patients who are now able to access physical therapy without the need of a referral for 10, or 15, consecutive business days. There is always a learning curve for both the patients and those practicing when the business model is changed as it has been with the passage of direct access. The rules from the Texas Board of Physical Therapy Examiners have been published and are set to be finally adopted at their Board Meeting on October 11th. We are very pleased with the flexibility they have given licensees who do not have a doctorate to be able to count previously taken courses, and courses not approved through CCAP towards the needed 30 hours of CCUs in differential diagnosis. The PT Board is also in the process of developing the disclosure statement that will be required for patients to sign beginning November 1st. That will be available on their website for
you to download later in October. The past few months have been challenging for our association, but we are coming out of it as a stronger organization. There have been some significant accomplishments to go along with the challenges and most importantly many members have stepped up to take leadership roles. TPTA is better positioned for the future than we have been in quite some time. We need your help to keep up the momentum from the last legislative session. Passing direct access was a major accomplishment, but our work is not done. We will continue to have legislative challenges and issue that we need to resolve. We need to ensure that we have the ability to remain relevant in the minds of legislators who helped up this year. The best way we can do that is to help them in their re-election campaigns in 2020. We need you to help us fund our PAC so that we have sufficient funds to make meaningful contributions. Please go to the TPTA PAC page under the Advocacy Tab on our webpage and make a contribution. Any contribution is helpful, but please consider making a monthly contribution so that our PAC continues to grow throughout the year.
from theTPTA PRESIDENT by MICHAEL GEELHOED, PT, DPT, MTC, OCS
reetings Texas PTs and PTAs! This is my first communication to you as President of the TPTA, and I am humbled and honored to be serving you in this role. It couldn’t come at a better time, as October is National Physical Therapy Month! I challenge you to get out in your communities and spread the positive impact that PT can make for a healthier Texas in the year to come. Please use the hashtags #ChoosePT and #TPTA in your social media posts and let us know about all the great things you are doing to celebrate the month. 2019 has certainly been a whirlwind year for our profession in Texas. I want to highlight 3 areas that with your help, I hope to make progress on in the coming year:
cut to Medicare payment for PT and PTA services in 2021 unless we act now to make our voices heard. There is also a PTA Payment differential coming from CMS in 2022 unless we continue to reach out to our elected representatives and explain the crucial role our PTAs play in the delivery of PT to Texans. The student-debt crisis that is casting shadows over our new grads and future professionals would not be a crisis if we can secure fair payment for the services we provide. PT is still optimally positioned as the profession that can address the triple aim of healthcare reform—to increase access, decrease cost, and improve outcomes—so let’s make sure we get paid what we are worth.
Patient Access to Physical Therapy: After a quarter century of effort by thousands of Texas PTs and PTAs, our patients can finally see a PT without referral. As with all political matters, we didn’t get everything we wanted, but ultimately this is a huge step forward for our patients and our profession. I challenge you to take a growth mindset with this new opportunity and show how you can creatively use this new law by hosting walk-in free clinics, sports injury clinics, community center health fairs, etc. Being able to legally evaluate and treat someone without a referral gives you a 10 day window to prove the value of PT—performing immediate treatment and patient education is our best marketing tool for our profession. Let’s use the opportunity we fought for to prove to Texas that unrestricted access to physical therapy is safe, cost-effective, and helps make our patients’ lives better.
Increase Membership: As a profession our numbers are growing in Texas, but our membership rates remain flat. We can’t accomplish our legislative and payment priorities without membership growth and engagement. APTA and TPTA membership has always held great value for me, which is why I have been and will be a member my entire career. But what is motivating others to join or decide it is not worth it for them? I plan to speak to as many districts and PT/PTA programs as possible in the coming year to hear from you about what you want from TPTA and how we can make you an engaged lifelong member.
Payment for our services: While gaining direct access to patients is a huge step in the right direction, it won’t mean much unless we can be paid fairly for what we do. There is a looming Summer 2017 Fall 2019
I hope you share my optimism for our profession. I am incredibly proud to be a PT, and lucky to have the opportunity to serve you in this role as President. Our best days are in front of us, and with your help, we can achieve TPTA’s mission of advancing PT practice to optimize the movement, health, and wellness of people in Texas. I’ll see you at TPTA Annual Conference October 12 and 13 in The Woodlands!
HB29 is Signed in Law by the Governor
A special thanks to Senator Bryan Hughes, Representative Ina Minjarez, the TPTA staff, TPTA leadership, and TPTA members for their tireless work to get Direct Access passed in Texas.
on Member Benefits
#CHOOSEPT APTA has an extensive website dedicated to educating the public about the many benefits of physical therapy. Choosept.com is a great resource and is full of articles, podcasts, patient stories, and even a Find a PT listing. The website was recently updated and is customized to the user's location (as long as location settings are on). By example, anyone visiting the site in Texas will get specific information about physical therapy practice in Texas. TPTA works Summer 2017
closely with APTA to provide new and relevant state specific content for the site. Since we are in the midst of National Physical Therapy Month, the choosept.com website is the perfect place to send your patients for information about the positive impact of physical therapy services. Encourage your patients, and anyone who asks about physical therapy to #choosept!
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Thank you to our 2019 TPTA Conference Sponsor
Upcoming TPTA Annual Conference Dates & Locations 2019 2020 2021 The Woodlands Marriott Waterway October 12-13 Winter 2017 Fall 2019 Summer 2017
Irving Westin Irving October 30-31 page 8
Round Rock Kalahari Resort October 29-31
nual Conference 2019 Exhibitors
Therapy 2000 Booth 100 Legacy Healthcare Booth 101 Thrive Skilled Pediatrics Booth 103 Fusion Medical Staffing Booth 104 Ensign Booth 106 Hendrick Health System Booth 107 ERGO-FLEX Technologies Booth 109 Therapy Staff, LLC Booth 113 Advanced Travel Therapy Booth 200 Thrive Skilled Pediatrics Booth 202 HCA Houston Healthcare Booth 203 Pediatrics Plus Booth 207 Baylor Scott & White Booth 208 MedCare Pediatric Group Booth 212 At Home Healthcare Booth 300 Select Medical/Baylor Scott & White Rehab Booth 301 Century Rehabilitation Booth 302 Texas State University Residency Program Booth 303 University of St. Augustine Booth 306
Rehab Synergies Booth 307 KidsCare Home Health Booth 308 Cole Health Booth 309 Rehabilitation Chair Lift Booth 314 Primal Flow Booth 315 RiverKids Pediatric Home Health Booth 400 EZ Reaches Booth 401 University Health System Booth 402 Owens Recovery Service Booth 406 Reliant Rehabilitation Booth 407 MyoBuddy Massager Booth 408 Sage Care Therapy Booth 409 AMTI Booth 413 TPTA Public Relations Booth 500 FOX Rehabilitation Booth 501 HHS Early Childhood Intervention Booth 503 TIRR Memorial Hermann Booth 505 VIVA Pediatrics Booth 506 TSPTA Booth 507 San Jacinto College Booth 509
Winter Fall 2017 2019 Summer
NEW PROPSED RU
from the TEXAS BOARD OF PH The following rules changes have been proposed by the Texas Board of Physical Therapy Examiners. Please check the TBPTE's website for updates and information on rules changes. ยง322.1. (a) Initiation of physical therapy services. Summary of Amendment: The amendment is proposed in order to delineate the qualifications beyond licensure, additional requirements, and limitations for a physical therapist to treat a patient without a referral from a qualified healthcare practitioner pursuant to HB 29 amendments to Sec. 453.301, Occupations Code during the 86th Legislative Session. <rule> ยง322.1. Provision of Services. (a) Initiation of physical therapy services. (1) Referral requirement. Except as authorized by Subsection (a)(2) to this rule, a [A]physical therapist is subject to discipline from the board for providing physical therapy treatment without a referral from a qualified healthcare practitioner licensed by the appropriate licensing board, who within the scope of the professional licensure is authorized to prescribe treatment of individuals. The list of qualifying referral sources includes physicians, dentists, chiropractors, podiatrists, physician assistants, and advanced nurse practitioners. (2) Exceptions to referral requirement. (A) - (C) (No change.) (D) A PT may treat a patient for an injury or condition without a referral for not more than 10 consecutive business days if the PT: (i) has been licensed to practice Fall 2019
physical therapy for at least one year; (ii) is covered by professional liability insurance in the minimum amount of $100,000 per claim and $300,000 aggregate per year; and (iii)either: (I) possesses a doctoral degree in physical therapy from: 1. a program that is accredited by the Commission on Accreditation in Physical Therapy Education; or 2. an institution that is accredited by an agency or association recognized by the United States secretary of education; or (II) has completed at least 30 CCUs in the area of differential diagnosis. [(D)Prior referrals. A physical therapist may treat a patient for an injury or condition that is the subject of a prior referral if all of the following conditions are met. (i) The physical therapist must notify the original referring healthcare personnel of the commencement of therapy by telephone within five days, or by letter postmarked within five business days; (ii) The physical therapy provided must not be for more than 20 treatment sessions or 30 consecutive calendar days, whichever occurs first. At the conclusion of this time or treatment, the physical therapist must confer with the referring healthcare personnel
ULES from TBPTE
HYSICAL THERAPY EXAMINERS before continuing treatment; (iii) The treatment can only be provided to a client/patient who received the referral not more than one year previously; and (iv) The physical therapist providing treatment must have been licensed for one year. The physical therapist responsible for the treatment of the patient may delegate appropriate duties to another physical therapist having less than one year of experience or to a physical therapist assistant. A physical therapist licensed for more than one year must retain responsibility for and supervision of the treatment.] (E) A PT who has completed a residency or fellowship may treat a patient without a referral for not more than 15 consecutive business days if he possesses a doctoral degree as described in Subsection (D) (iii) (I) 1. or 2. and has satisfied the conditions set forth in Subsection (D) (i) and (ii). (F) A PT who treats a patient without a referral under Subsections (2) (D) or (E) must obtain a signed disclosure on a form prescribed by the board prior to the initiation of treatment. The disclosure form will be made available on the board’s website. (3) (No change.)
without obtaining a license as a physical therapist or physical therapist assistant if the spouse is currently licensed in good standing by another jurisdiction that has licensing requirements that are substantially equivalent to the requirements for the licensure in this state and the military service member to who the military spouse is married is stationed at a military installation in this state. The requirements for the licensee to provide a list of the jurisdictions in which a license is or has been held, and for the licensee to comply with the laws and regulations of physical therapy are added to apply to all categories of licensure exemption in this section. <rule>
§329.6. Licensure by Endorsement. (a) - (b) (No change.) (c) Licensure of a Military Service Member, Military Veteran, or Military Spouse. The board will waive the application fee and will expedite the issuance of a license by endorsement to a military service member, military veteran, or spouse of a military service member. The applicant must provide official documentation of active duty status or veteran status or the active duty status of the spouse. (1) A military spouse may qualify to practice in this state under the exemption described in §329.7(b)(5) Exemptions from Licensure if the military service member to whom a military spouse is married is stationed at a military installation in this state. (2) A military spouse or veteran may qualify §329.6. Licensure by Endorsement & §329.7. to practice in this state under a Compact Exemptions from Licensure privilege as described in CHAPTER 348. PHYSICAL THERAPY LICENSURE COMPACT. Summary of Amendment: The amendment is (d) (No change.) proposed in order to authorize a military spouse to engage in the practice of physical therapy <rule> page 11
Winter Fall 2019 2018
NEW PROPSED RU
from the TEXAS BOARD OF PH ยง329.7. Exemptions from Licensure. (a) (No change.) (b) The following categories of individuals practicing physical therapy in the state are exempt from licensure by the board and must notify the board of their intent to practice in the state. (1) A physical therapist who is licensed in good standing in another jurisdiction of the US if the person is engaging, for not more than 90 days in a 12 month period and under the supervision of a physical therapist licensed in this state, in a special project or clinic required for completion of a post-professional degree in physical therapy from an accredited college or university. (A) The individual must submit written notification stating the following: (i) the beginning and ending dates of the period of practice; (ii) the name of the institution or facility in which the individual will be practicing, [and] (iii) the name of the supervising physical therapist, and [.] (iv) a list of the jurisdictions in which the individual has held or currently holds a license. (B) Written notification must be received by the board prior to the start date of the practice. (2) A physical therapist or a physical therapist assistant who is licensed in good standing in another jurisdiction of the US or authorized to practice physical therapy without restriction in another country if the person is engaging in patient contact and treatment as either an instructor or participant while attending an educational seminar or activity in this state for not more than 60 days in a 12 month period. Fall 2019
(A) The individual must submit written notification stating the following: (i) the beginning and ending dates of the educational activity; (ii) the name of the course or activity sponsor, [and] (iii) the location of the educational activity, and[.] (iv) a list of the jurisdictions in which the individual has held or currently holds a license. (B) Written notification must be received by the board prior to the start date of the educational activity. (3) A physical therapist or physical therapist assistant licensed in good standing in another jurisdiction of the US who is practicing physical therapy for not more than 60 days during a declared local, state, or national disaster or emergency. (A) The individual must submit written notification stating the following: (i) the beginning and ending dates of the period of practice, [and] (ii) the name of the facility in which the individual will be practicing, and [.] (iii) a list of the jurisdictions in which the individual has held or currently holds a license. (B) Written notification must be received by the board prior to the start date of the practice. (4) A physical therapist or physical therapist assistant licensed in good standing in another jurisdiction of the US who is displaced from the person's residence or place of employment due to a declared local, state, or national disaster and is practicing physical therapy in this state for not more than 60 days after
ULES from TBPTE
HYSICAL THERAPY EXAMINERS the date the disaster is declared. (A) The individual must submit written notification stating the following: (i) the beginning and ending dates of the period of practice, [and] (ii) the name of the facility in which the individual will be practicing, and [.] (iii) a list of the jurisdictions in which the individual has held or currently holds a license. (B) Written notification must be received by the board prior to the start date of the practice. (5) A physical therapist or physical therapist assistant licensed in good standing in another jurisdiction of the US who is a military spouse for the period during which the military service member to whom the military spouse is married is stationed at a military installation in Texas. (A) The military spouse must submit written notification including the following: (i) proof of the spouse’s residency in this state, (ii) a copy of the spouse’s military identification card, and (iii) a list of the jurisdictions in which the spouse has held or currently holds a license. (B) The board will issue a written confirmation stating that: (i) licensure in other jurisdictions has been verified, (ii) the spouse is authorized to practice physical therapy in the state, and (iii) authorization does not exceed three years from the date the confirmation is received. (c) For individuals exempt from licensure under
(b), the following applies: (1) Any jurisdiction of the US that licenses physical therapists and physical therapist assistants is deemed to have substantially equivalent requirements for licensure, (2) Verification of licensure in other jurisdictions may be through online primary source verification, and (3) The individual must comply with all of the laws and regulations applicable to the provision of physical therapy in Texas. §341.7. Restrictions on License Renewal and Restoration. Summary of Amendment: The amendment is proposed in order to eliminate default on a student loan as a restriction for obtaining, renewing, or restoring a physical therapy license pursuant to SB 37 amendments to CHAPTER 56. ACTION AGAINST RECIPIENTS OF STUDENT FINANCIAL ASSISTANCE, Occupations Code during the 86th Legislative Session. <rule> §341.7. Restrictions on License Renewal and Restoration. [(a) The board will not renew a license if a licensee has defaulted on a loan from the Texas Guaranteed Student Loan Corporation (TGSLC). Upon notice from TGSLC that a repayment agreement has been established, the license shall be renewed.] [(b)] The board will not renew a license if a licensee has defaulted on court or attorney general's notice of child support. Upon receipt of notification that a repayment agreement has been established, the license shall be renewed.
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Winter Fall 2019 2018
Calendar of events
TPTA Annual Conference Annual Conference
The WoodlandsWaterway Information Saturday, October 12 Sunday, October 13, 2019 Marriott Hotel 1601 Lake Robbins Drive The Woodlands, TX 77380
Capital Area District Clinical Gross Anatomy Review
Central District Resistance Training and the Endurance Athlete
2017 Winter Fall 2019 2018 Summer 2017
Texas State University Department of Physical Therapy 200 Bobcat Way Round Rock, TX 78665
Tuesday, October 29, 2019 UTHSCSA School of PT Greehey Building 7:00pm - 8:00pm 8403 Floyd Curl Drive San Antonio, TX 78229
Saturday, October 26, 2019 8:00am - 12:00pm
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OCTOBER is national physical therapy Month
Get involved and urge people to choose physical therapy (#ChoosePT) to improve mobility, manage pain and other chronic conditions, recover from injury, and prevent future injury and chronic disease.
- Present to the public, payers, and other health care professionals about a physical therapist's and physical therapist assistant's role in collaborative care.
ctober is National Physical Therapy Month (NPTM), an opportunity to raise awareness of the benefits of physical therapy.
What you can do: - Share resources from APTA's official consumer information website, ChoosePT. com, which will be visited by more than 4 million Americans this year. The site includes the Find a PT directory, symptoms and conditions guides, health tips, podcasts, and more. - Use #ChoosePT in your social media posts.
- Follow us on Twitter and Facebook, and share our posts.
- Participate in PT Day of Service (October 12) and other community events. APTA member PTs: Update your Find a PT profile. We recently improved this online tool to make it easier for consumers and other health care providers to locate you for the purposes of seeking care. Activate your update your profile, and be sure to add a photo and select practice focus areas.
Contact APTA's public and media relations - Get your ChoosePT shirts and access staff at email@example.com with any handouts and graphics from our updated questions.
Texas Physical Therapy Association Quarterly Membership Newsletter - Synergy Fall 2019