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PTA 1500-043 Whitney Smith Objective #3: Direction and Supervision

PTA 1500-043 Whitney Smith Objective #3: Direction and Supervision. Direction/supervision.

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PTA 1500-043 Whitney Smith Objective #3: Direction and Supervision

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  1. PTA 1500-043Whitney SmithObjective #3:Direction and Supervision

  2. Direction/supervision • There are many rules and regulations for any physical therapist personnel concerning direction/supervision and what they can and cannot do. Things like where you live, practice, and where you were licensed depict what rules and regulations you must follow. These rules generally come from the APTA, state regulations, and third-party payers. Knowing these rules and regulations is very important in being a successful PTA and to provide the “best practice.”

  3. State Regulations • There are many federal laws that affect the provision of physical therapy. These laws are usually referred to as a state’s physical therapy practice act. The practice acts are there to protect the public and ensure the competence of those providing the services. • The Federation of State Boards of Physical Therapy (FSBPT) has developed a Model Practice Act, which is considered to be a “preeminent standard” for states to follow as they update and clarify their practice acts.

  4. State regulations The regulation of a PTA is designed to ensure that those providing care to the public will do it safely. There are three different levels of regulation that might be used for PTAs. • Registration: Usually there is no requirement for specific training or education. • Certification: Usually requires some type of specific education and passing an examination. • Licensure: The highest level of oversight due to the risk of the public. Those who are licensed generally are subject to discipline by a state board if they fail to meet regulatory standards.

  5. State Regulations-Physical supervision • The practice act should describe the type of supervision exercised by the PT while the PTA is working. It also may describe things such as face-to-face interaction between the PT and PTA. • Many practice acts also may have restrictions on the number of PTAs that a PT can supervise. • Physical supervision also includes what PTA are allowed to perform in the clinic, and what the PT can not delegate to others.

  6. APTA Rules • Although the APTA has many positions and documents concerning the responsibilities of a PTA, they are not legal binding. According to the APTA their guidelines represent the “best practice”, and if not followed could be used against a practitioner if a lawsuit is filed. • The best way to access these policies is either accessing the APTA: PTA Direction Algorithm, PTA Supervision Algorithm, or on the APTA’s web site (www.apta.org) under the PTA link.

  7. Apta rules The APTA’s viewpoints are classified into three categories, each has its own levels of expectation of compliance. • Guidelines: least binding, considered a “statement of advice” • Positions: considered to be “a firmly held association stance or point of view.” • Standards: highest level of expectation because they are “a binding statement used to judge quality of action for activity” and often pertain to “right and wrong” conduct. Along with the expectations the APTA have three types of supervision for PTAs including: • General Supervision: PT is not required to be in the same building as the PTA while the PTA is delivering interventions. • Direct Supervision: Requires the on-site presence of the PT and daily interaction between the supervising PT and each patient being seen by the supervisee. • Direct Personal Supervision: Not only requires the PT to be physically present but also to continuously direct and supervise the person who is performing the tasks.

  8. Third-party payer • Requirements of a third-party payer should be heavily considered as they affect the PTAs ability to participate in the patient care. If the PTA does not match the requirements set by the payer, the provider is likely not to be paid or even charged with fraud. • Examples would be found in the Medicare system. • Third-party payers usually control things such as supervision, participation, and licensing requirements for them to reimburse the provider.

  9. Compare/Contrast • As you can see, the rules and regulations concerning direction and supervision can vary depending on which group (APTA, state, etc.) you are concentrating on. Even though there are some regulations that are similar it’s important you know the regulations for each one so that you don’t run into any problems or violations that could cause you to lose your license or to lose patients.

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