February/March 2008
PTThe Official Magazine of thePriority Illinois Physical Therapy Association
Inside: PT Priority has a NEW LOOK! DIRECT ACCESS 2008 Workers Comp Medical Fee Schedule
Ethics Today
...and more!
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PT Prior.Feb-Mar.08.indd 2 1/30/08 4:00:52 PM Illinois Physical Therapy Association • www.ipta.org
President’s Message “Such stories are proof By Peter McMenamin, PT, MS, OCS positive that physical therapists are ready for Direct Access!”
irect public access to physical therapists remains a top prior- professionals, and there is every evidence that we have honored those ity of the Illinois Physical Therapy Association. Sometimes, obligations as well as the other professionals. Dgood and just things do not come quickly and do not come without lots of work. That is clearly the case with direct access. But A few other things need to the fact that a good and proper change does not come as fast as we be said about direct access: want, does not mean we give up. 1. The intent of direct access is not to separate physical therapists from A few months ago a physician (internist) referred to me a 42 year old the mainstream medical model of healthcare but to enhance our effec- male who had injured his back at work. The referral specified a diag- tiveness within healthcare, and bring added value to the public. nosis of “back strain” and requested I treat the patient for a week or two 2. Very simply, the intent of direct access is to give the public a new and then send him back to the doctor for probable return to work. The port of entry to the healthcare system, and to the PT skill-set. patient, despite having significant spasm, wanted even more than the 3. Omitting the legal requirement of a physician referral will not doctor to get back to work quickly, concerned about losing the overtime reduce the need for referrals to physical therapy. In states where pay which helped him keep his two daughters in private colleges. direct access has been in place for years, the great majority of I took the patient’s unremarkable history. But only a few minutes patients still come to a physical therapist by physician referral. into the physical examination it became apparent this was no simple back strain. I tested toe-walking and heel walking. Heel walking was 4. In-hospital care of patients will still be under physician medical awkward due to pain, but otherwise normal. Toe walking was clearly management. Physical therapy services for in-patients will not occur problematic. He wanted so hard to prove he could do it that he kept without collaboration with attending and consulting physicians. using nervous and clever adaptive strategies. But the bottom line was: 5. In out-patient settings, physical therapists, who are educated and his calf strength was rated only 1/5, and the weakness was clearly not due ethically bound to refer to physicians any patient whose condition to pain or guarding. I had the patient wait in the room while I contacted lies outside their scope of practice, will still be legally bound by the the referring internist, suggesting that this patient had physical signs practice act to refer such patients to physicians for medical diagnos- consistent with severe radiculopathy including pathological weakness tic work-up. of the left calf. I recommended the patient be referred ASAP to a spine 6. The most surprising thing about direct access, initially, may be how specialist (orthopaedic surgeon) for further workup. More phone calls little physical therapy practice will change. were made. The next day he had an MRI showing massive HNP; three days later he saw the orthopaedic surgeon; a week later he was in surgery 7. If initial changes in physical therapy practice are expected to be for discectomy. A month post-op he returned to physical therapy able to small, why bother with direct access at all? Direct access is of walk on his toes. Luckily, because intervention occurred so quickly, he critical importance because the healthcare system for the coming will have no residual loss of calf strength. age of dramatic demographic shifts, needs physical therapy to be The fact that this patient was referred with a diagnosis of “back an autonomous profession, no longer hampered by artificial legal strain” is not the point. The point is that the initial physician referral constraints which make our professional knowledge, insight, judg- was irrelevant to my course of action. My education, training, and ment, and intervention accessible to the public only after being experience were the basis of my evaluation and dictated my course filtered through the lens of other professions. The public is harmed of action: get this patient ASAP to a spine specialist, preferably when it is robbed of this choice. with MRI in-hand! Had this patient come to me — or to any of you 8. Physical therapists offer physical solutions to health problems — under direct access, he would have been handled in similar fashion, related to physical movement and function. Consumers must have because this is what we are trained to do! the choice to access such solutions, both when their physician sug- Similar events occur every day in the work of Illinois physical gests it, and when they exercise their own judgment and know that therapists. Such stories are proof positive that physical therapists are they need this service. Any other policy is paternalistic, a vestige ready for Direct Access! Physical therapists have proven time and of a bygone era! again that we identify signs and symptoms of pathology, that we refer In 2008, there is simply no legitimate reason why it should be ille- cases to physicians when the need arises (as in the example above), gal for a consumer to seek and receive treatment from their physical and that we are no more likely than any physician, dentist, podiatrist, therapist of choice. or attorney, to provide services beyond our scope of practice or our capabilities. Our professional education, our ethics, and our legal Peter McMenamin, PT, MS, OCS liability impose the same obligations on us as are imposed on other President, IPTA
PT Prior.Feb-Mar.08.indd 3 1/30/08 4:00:53 PM PT Priority • February/March 2008 CONTENTS From the Editor Features: By Jennifer Ryan, PT, MS, DPT, CCS Direct Access 5 APTA Your Washington Advocate: Focus on Reimbursement 7 Did you recognize the How do they do that? A look inside the creation of CPT codes... publication when it and why it matters to physical therapy 8 Take Action! Making a compelling came in the mail? phone call to your state legislators 10
News Flash: ere you wondering what new, polished and well-designed publication put you 2008 Workers Comp Medical Fee on their mailing list? Despite the new cover and opportunity for color adver- Schedule 10 Wtisements it is the same “PT Priority” that you have grown to know over your years of “You never know when you IPTA to hold insurer forum 10 membership. We are always looking at ways to New Professional Liaison named 10 improve and this is the latest in the ongoing pro- are going to find a unique Medicare announces new cess. Please let us know what you think by writing connection in life, often NPI requirement 10 a letter to the editor or posting your opinion on Assembly Meeting slated 10 the IPTA listserve. they sprout up in the least You never know when you are going to find Columns and Departments: a unique connection in life, often they sprout up likely of places.” in the least likely of places. I wanted to write this President’s Message 3 letter to you all before I left on my amazing journey, but failed to meet my own self- From the Editor 4 assigned deadline. So now I am on the plane, returning from Ireland and actually happy Bookshelf 12 that I waited. The relevance of Illinois physical therapists seeking unrestricted direct Ethics Today 14 access is more similar than I could ever imagine to the aspirations of my grandparents Lobbyists Report 16 emigrating from Ireland in the mid 1920’s. Though they left after the Irish won the Sinn Fein rebellion to make most of Ireland sovereign to its own government, they still had Community: great economic limits on what they could achieve in Ireland and sought a new life in IPTA Calendar 17 Chicago. They sought a change from the no-so-glass ceiling that was obvious to the Irish Lobby Day 2008 18 who sought control and opportunity in their lives much in the way that we as therapists Dateline 20 want our freedom to practice independently within the auspices of our practice act. Awards Nominations 23 Our legislative effort is incremental, making it sometimes hard to understand how Welcome new members 23 all of the steps will lead to the outcome that we seek. The journey does not require the resolve that is required to cross the Atlantic Ocean in a steamship, but it similarly requires great perseverance and vision. We have articles in this issue that will help you to understand how this degree of direct access can help to change practice in a variety of settings. While most can see the immediate change in outpatient orthopedic clinics, Illinois Physical Therapy Association it is sometimes harder to realize all of the far reaching effects that you can gain in a 1010 Jorie Boulevard home care, a skilled care facility or the school system, so we called in some experts to Suite 134 illustrate the possibilities. Our other articles are aimed at the professional issues that we Oak Brook, IL 60523 www.ipta.org deal with daily, independently, in the effort to offer the public exceptional practitioners Tel: 630-571-1400 of choice. As we seek unrestricted direct access we seek to offer the public access to the Fax: 630-571-1406 practitioner that they choose, just like my grandparents were given the opportunity to E-mail: [email protected] choose a lifestyle that met their needs, goals and aspirations. n A Chapter of the American Physical Therapy Association
PT PRIORITY is the official magazine of the Illinois Physical Therapy Association. Articles express the INDEX OF ADVERTISERS authors’ views and are not necessarily the official policy of the Illinois Physical Therapy Association. Advertisements accepted by PT PRIORITY do not Academy of Lymphatic Studies...... 7 Klose Training...... 8 imply endorsement of products and/or services. Accelerated Rehabilitation Centers...... 9 Occusport Physical Therapy...... 15 PT PRIORITY is published 6 times a year by the Illinois Chapter of the American Physical Therapy Achieve Orthopedic Rehabilitation Institute...11 Physiotherapy Associates...... 24 Association. ARC Physical Therapy...... 5 Rausch & Associates...... 11 © by Illinois Physical Therapy Association. All rights Athletico...... 17 Rosalind Franklin University...... 15 reserved. Materials may not be reproduced without written permission. ATI Physical Therapy...... 2 Sigma Medical Billing...... 6 Capron and Averginos Law Firm...... 13 Supplemental Health Care...... 16 Community Physical Therapy...... 19
PT Prior.Feb-Mar.08.indd 4 1/30/08 4:00:54 PM Illinois Physical Therapy Association • www.ipta.org Open Position at our Elmhurst Location Physical Therapist Position DIRECT ACCESS Available Immediately The ongoing mission of IPTA includes achievement Are you a hard working physical therapist who of unrestricted direct access to patients to allow the likes to get things done? Are you happiest when you are helping people? Do you have an intense public the opportunity to choose physical therapists desire to learn? Would you like to enjoy the as their practitioner for injuries and pathologies that freedom to perfect and perform your craft? If you answered "yes" to all of these questions, are within the scope of our practice. While the resul- you may qualify to help Advanced tant change in outpatient practice centers is likely Rehabilitation Clinics, Inc. as we expand throughout the Chicagoland area. We are a the most obvious site to see a change, we asked the growing, 100% physical therapist owned members of the Editorial Board and the Legislative private practice and have a reputation for getting results. Committee to speak to possible changes that can occur in a variety of settings. Direct Access can affect Interviewing for part-time practitioners in all practice settings. and full-time LEARN HOW TO EARN School Based Therapy • Mentoring OWNERSHIP INTEREST Daily practice regarding the following may or may not change • Flexible Hours IN YOUR OWN depending upon policy of employing agency. • Generous Benefits PHYSICAL THERAPY • Profit Based Incentive OUTPATIENT CENTER. 1. Referrals Bonus a) Unless a referral waiver is possible, students being billed to Medicare/ Medicaid would still need to get a referral. DON’T WAIT... CONTACT US TODAY! b) Time obtaining referral is eliminated but time required to obtain needed medical information remains the same. c) Services could start immediately for new and move-in students after the MDC/IEP meeting as soon as parent/caretaker signs agreement. d) Services would not have interruption for students needing longer term consulatation/interventions due to lack of a yearly referral. 2. Caseload The state of Wisconsin reported approximately a 50% increase in the number of children served, though the number of therapists has not significantly changed. The bulk of this change was closely associ- ated (within 2 years) with the time period direct access occurred. It is not known if any of the following are factors might have influenced this change: Contact: Kevin Cronin, P.T., A.T.C., J.S.C.C a) referrals were difficult to obtain before Phone: 630-832-6919 E-mail: [email protected] b) fewer restrictions are present on service provision Website: www.arcphysicaltherapy.com c) overall types of needs (severe/mild) have changed d) model of service has changed to more consultative and less direct model Skilled Care 1. Initial evaluations and treatment interventions would not require referral by a Physician. PTs could seek out the appropriate patient, CAREER OPPORTUNITY!!! under Medicare Part A or B and autonomously screen, evaluate and provide treatment interventions without a Physician referral. Also, whether Medicare Part A or B, the PT evaluation would not require the co-signature of a Physician “certifying” the plan of care.
Continues on page 6.
PT Prior.Feb-Mar.08.indd 5 1/30/08 4:00:56 PM PT Priority • February/March 2008
DIRECT ACCESS from page 5. 2. Increased responsibility for the screening of patients or resi- Toll Free: 866-SIGMA-61 WWW.SIGMAMEDICALBILLING.COM dents to determine their appropriateness of skilled PT or a separate form/level of care. A PT would also have the added responsibility SIGMA MEDICAL BILLING to consult directly with Physicians (Primary care, physiatrist, ortho- pedist, cardiologist etc.) FROM BASIC MEDICAL BILLING TO MORE COMPLEX MANAGEMENT Home Health Care Therapists working in Home Health would see minimal change in • Physical Therapy Professional Billing • Complete Practice Management referral patterns under direct access. As many homebound patients • No Software to Buy are Medicare beneficiaries, a doctor’s referral would still be a require- • Collection of Unpaid Aging Claims ment under current Medicare Guidelines. However, direct access • Handling of Correspondence with Insurance Carriers may open the way for more self-pay or private insurance patients to • Consultation self refer for home based interventions. I envision Physical Therapists • Customized Practice Needs • Payment Analysis (PTs) offering services for home safety and accessibility assessments to • Revision of Fee Schedule clients who are not necessarily homebound, but who require evalua- • Full Patient Accounting tions of the home environment to meet mobility needs or to reduce • Comprehensive Reporting potential hazards that could lead to falls. Home based services that • Update on Medical Coding and Billing News address preventive or maintenance programs do require that the NO INITIAL START-UP FEES OR LONG TERM CONTRACT PT maintains ethical standards of care and, as in any situation, not CALL TODAY FOR A FREE BUSINESS EVALUATION provide more than is needed by the client. If direct access leads to more patients paying for their own home care, this could result in PTs working outside of a traditional home health agency and lead to more Sigma Medical Billing, LLC Ph. 847-904-7500 direct marketing of Physical Therapy services to the self pay popula- Toll Free 866-SIGMA-61 SIGMA tion. PTs working in home care are already performing detailed client Fax 847-904-7502 MEDICAL BILLING www.sigmamedicalbilling.com examinations and evaluations, frequently monitoring more than basic vital signs as a routine part of care. As such colleagues that I have spoken with do not necessarily see great changes to clinical practice, although scope of practice may expand.
Private Practice Direct Access in the private practice setting would open many opportunities to physical therapists to more effectively serve the needs of the public. There is evidence that physical therapy inter- ventions such as manipulation and exercise are most effective if used within the first 2-3 weeks following an acute injury (especially low back pain), which can potentially prevent long term disability. Direct access should lead to earlier access to physical therapy following an injury and thus result in quicker, more effective outcomes. Opportunities to develop health and wellness aspects of care to prevent progression of musculoskeletal conditions and to treat patients with more recent injuries could be realized in a direct access environment. This could prevent development of chronic conditions and in the long term, reduce health care costs and prevent long term disability. A more even playing field could also result with providing con- sumers with a choice for care of their musculoskeletal conditions and allow physical therapists an opportunity to maintain high ethical standards and effectively compete with referral for profit situations. Physical therapists would be in a position to act as true professionals and make referrals to other health care professionals to assure option- al patient care. In the end, direct access will open up opportunities for more physical therapists to work in private practice settings and to own their own practices, which ultimately will provide more capital to support the profession and strengthen our political and clinical impact on the health care system.
What are your opinions? Post them on the listserve or send a letter to the editor with your thoughts. n
PT Prior.Feb-Mar.08.indd 6 1/30/08 4:00:57 PM Illinois Physical Therapy Association • www.ipta.org
APTA — Your Washington Advocate: Focus on Reimbursement
PTA staff and leadership continue to focus on federal reim- bursement issues of significant concern to the profession. ARecent successes in advocacy on reimbursement at the fed- Congress has approved eral level include: legislation postponing Congress Passes Legislation to Prevent Therapy Cap the Medicare therapy & Fee Schedule Cuts Congress has approved legislation postponing the Medicare thera- cap and scheduled cuts py cap and scheduled cuts to the physician fee schedule. Lawmakers on Wednesday sent to the president legislation extending the therapy to the physician fee cap exceptions process and implementing a 0.5% positive update in schedule. the fee-schedule conversion factor until June 30, 2008. President Bush is expected to sign this legislation into law. The Medicare, Medicaid, and SCHIP Extension Act of 2007 (S 2499) contains several provisions important to physical therapists and their patients, including: • Extension of the floor on work geographic adjustment. Extends the work geographic index (GPCI) floor of 1.0 through June 30, • Extension of the therapy cap exceptions process through June 30, 2008. 2008. • Payments for inpatient rehabilitation facility (IRF) services. • An increase in the physician payment rate; extension of the physi- Permanently freezes the IRF services compliance threshold at cian quality reporting initiative (PQRI). Replaces the scheduled 60%. Sets the market basket update factor at 0% from April 1, 2008, 10.1% cut to the Medicare physician reimbursement rate in 2008 through FY09. with a 0.5% increase through June 30, 2008. • Reauthorization of SCHIP to March 2009. Continues on page 22.
PT Prior.Feb-Mar.08.indd 7 1/30/08 4:00:59 PM PT Priority • February/March 2008 How do they do that? A look inside the creation of CPT codes... and why it matters to physical therapy By Celeste G. Kirschner, CAE
As you probably already know, CPT codes are one of the keys to being paid for the services that you provide. But just where do those CPT codes come from and how are they relevant to physical therapy?
he American Medical Association (AMA) first developed and Of significance for physical therapy was the passage of the published CPT in 1966. This first edition of CPT contained Administrative Simplification Section of the Health Insurance Tprimarily surgical procedures, with limited sections on medi- Portability and Accountability Act (HIPAA) of 1996. This law cine, radiology, and laboratory procedures. As the years passed and required the Department of Health and Human Services to name medicine evolved, the AMA responded by publishing subsequent national standards for electronic transaction of health care informa- editions of CPT, that reflected medical advances. tion. This includes; transactions and code sets, national provider iden- In 1983, CPT was adopted as part of the Centers for Medicare tifier, national employer identifier, security, and privacy. In August and Medicaid Services (CMS), formerly Health Care Financing 2000, the HIPAA final rule named CPT (including codes and modifi- Administration’s (HCFA), Healthcare Common Procedure Coding ers) and HCPCS as the procedure code set for a wide variety of health System (HCPCS). With this adoption, CMS mandated the use of care services that specifically included physical therapy services. HCPCS to report services for Part B of the Medicare Program. In Early in the development of CPT, physical therapy had little or October 1986, CMS required state Medicaid agencies to use HCPCS no input into the development of CPT codes, The Health Care inPT the Priority_half Medicaid Management 4c 1-08 Information 1/9/08 System.11:33 AM Page 1 Professional Advisory Committee (HCPAC) was established in
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PT Prior.Feb-Mar.08.indd 8 1/30/08 4:01:01 PM Illinois Physical Therapy Association • www.ipta.org Resources for 1994. The HCPAC consists of 14 CPT Coding non-physician health care organi- zations, whose members provide www.apta.org services that were covered under Medicare. The APTA nominated information on coding and Helene Fearon, PT of Arizona, as reimbursement, Ingenix Coding the representative to the HCPAC. and Payment Guide for the The HCPAC is a parallel com- Physical Therapist mittee with the CPT Advisory
www.ama-assn.org Committee ,that is made up of representatives of the national purchase CPT books medical specialty societies that are represented in the AMA’s House of Delegates. The CPT Editorial Panel is responsible for maintaining the CPT code set. This panel is authorized to revise, update, or modify the CPT codes. The Panel has 17 members. Fifteen of the members are physicians and two members are non-physician mem- bers of the HCPAC (co-chair and one HCPAC member at large). Helene Fearon is the current co-chair of the HCPAC and holds one of the seats on the CPT Editorial Panel. Currently representing physical therapy as a member of the HCPAC is Paul A. Rockar, Jr, PT, MS. The HCPAC and CPT Advisory committees serve as a resource to the editorial panel concerning current nomenclature, the appro- priateness of procedures and services to be included in CPT, suggest revisions and new codes for CPT, and to review proposals that are submitted for consideration. The CPT Editorial Panel meets three times a year, to make deci- sions about new procedures and technologies, as well as considering revision and deletion of codes when services change.
CPT codes by category The codes that are likely most familiar to physical therapy practices are Category I CPT codes. These codes describe a procedure or ser- vice identified with a five-digit CPT code and descriptor nomenclature. These codes represent services that are very frequently performed and are well established clinically. Services such as 97001 – Physical therapy evaluation, 97022 Application of a modality to one or more areas: whirl- pool and other similar services are part of the Category I code set. CPT Category II codes are supplemental tracking codes that are used for performance measurement. The use of the tracking codes for perfor- mance measurement decreases the need for record abstraction and chart review, These codes are intended to facilitate data collection about qual- ity of care by coding certain services that support performance measures and that have been agreed upon as contributing to good patient care. The use of these codes is optional. The codes are not required for correct coding and may not be used as a substitute for Category I codes. Of importance for physical therapy is the July 2007 implementation of the performance based pay incentives for fall risk assessment. (Information on these measures are available at www.cms.hhs.gov/PQRI as a down- load from the Measures/Codes Web page.) Codes such as CPT II 1100F: Patient screened for future fall risk; documentation of two or more falls in the past year or any fall with injury in the past year or
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PT Prior.Feb-Mar.08.indd 9 1/30/08 4:01:02 PM PT Priority • February/March 2008 Assembly of Representatives NEWS FLASH... Meeting Slated Medicare Announces New NPI Requirements he 2008 meeting of the IPTA’s Assembly of Representatives will be held on hysical therapists will be required to include their National Provider Identifier Saturday, April 12th, 2008 at the Mark P(NPI) in the primary fields of their Medicare claims beginning March 1, 2008. TwainT Hotel and Packard Plaza in Peoria, IL. Claims that contain only legacy numbers in the billing, pay-to, or rendering fields All members are invited to attend an educa- will be rejected or returned, according to a recent announcement by the Centers for tional session on Ethics, participate in the Chief Medicare & Medicaid Services (CMS). CMS cited successful transition to the NPI as Delegate’s lunch briefing and observing the cause for the next step in implementing the 10-digit numeric identifier. Assembly of Representatives meeting. This year, John Barnes, APTA’s CEO will speak to IPTA names New Professional Liaison the Assembly on his views and direction for APTA. More information on attending the t the 2007 Assembly of Representatives, the Assembly acted to establish a new meeting will be available on the IPTA website, Aliaison position to the IPTA Board of Directors (SRA 0421-6-07 ) www.ipta.org. n A new professional (1-5 years post graduation) be appointed as a non-voting liai- son to the Illinois Physical Therapy Association Board of Directors, until such time that a bylaws amendment can be made to change the composition of the Board of Directors. The Board is pleased to announce that Kelly Peters, PT, DPT of Rockford IL has been appointed to the position of new professional liaison. Kelly is a graduate of Marquette University, and is currently employed at Van Matre Rehabilitation Hospital in Rockford. Peters will begin a two year term as Board liaison beginning January 2008.
IPTA To Hold 2nd Annual Insurer Forum s part of the IPTA’s strategic plan to influence legislative, political, and other Aexternal entities and activities to advance the professional practice of physical therapy, the Chapter advocates for fair, appropriate payment for physical therapy services provided by qualified physical therapy professionals. Part of this advocacy is working with third party payers from around the state. Last year, the Chapter sponsored its first insurer forum. The forum was a success, attracting approximately 20 payer representatives. As a result of that meeting and subsequent work by the Reimbursement committee, the Chapter has enhanced its relationships with payers 2008 Workers Comp statewide. Medical Fee On March 14, 2008, the IPTA will hold its second annual Forum for payer repre- sentatives. Among those invited are representatives from managed care, auto insur- Increases are Online ance, workers compensation and general medical insurance companies. The goal of he fees effective January 1, 2008 have been the Insurance Forum is to provide information and resource materials to third party Tposted to the Illinois Workers Compensation payer representatives about critical PT topics such as the PT Guide to Practice, CPT website. To view the 2008 fees, go to http://iwcc. and ICD-9 coding and how they related to physical therapy practice, PT management ingenixonline.com/IWCC.asp of low back pain, PT management of shoulder syndromes and Direct access to PT Fees for all workers’ compensation medical services. treatment subject to the fee schedule increased If you are interested in reimbursement issues, the reimbursement committee is by 1.97%. As provided by Section 8.2(a) of the seeking volunteers to serve on the committee. Please contact the chapter office at Act, the IWCC increases the fees for 2008 by the 630-571-1400 or [email protected], to let us know that you are interested. percentage change in the Consumer Price Index for the period August 2006-2007. According to the Bureau of Labor Statistics, medical charges for the same period, August Visit our website at www.ipta.org 2006-7, increased 4.5%.
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PT Prior.Feb-Mar.08.indd 11 1/30/08 4:01:04 PM PT Priority • February/March 2008 Expand your thinking about direct access, ethics and Illinois politics! Check out Bookshelf these books for more in depth coverage of some of the articles in this issue. Try out the new IPTA website’s resource on Books and Publications – you can order these books through Amazon directly from our site, www.ipta.org
hen (if ever) may a professional This essential text includes an introduction deceive a client for the client’s to health care that covers the basics of health Wown good? Under what conditions care financing, health care reimbursement sys- (if any) is whistle-blowing morally required? tems, cost containment strategies and refer- These are just some of the questions that schol- ral services. Important issues covered in this ars as diverse as Michael D. Bayles, Thomas book include trends in acute, subacute, home Nagel, Sissela Bok, Jessica Mitford, and Peter health care practice, outcomes management A. French confront in this stimulating anthol- and prevention.Chapters include information ogy. Organized around philosophical issues on health care reimbursement systems and such as the moral foundations of profes- cost containment strategies, time and caseload management, docu- sional ethics, models of the professional-client relationship, deception, mentation requirements, quality management in physical therapy, informed consent, privacy and confidentiality, professional dissent, and the role of the physical therapist in prevention and wellness. and professional virtue, the volume illuminates the complex ethical issues that arise in journalism, law, health care, counseling, education, Lobbying Illinois is a primer on how to engineering, business, politics, and social science research. A variety lobby state government in Illinois. The book is of pedagogic aids including clear introductions to and study questions written especially for people and groups with for each set of readings, concrete cases designed to focus discussion, public policy goals, but little or no experience and an appendix on preparing cases and position papers, make the in the policy-making arena. Lobbying Illinois text invaluable for both students and teachers of professional ethics. explains the basics of the legislative process and lobbying, how to work strategically within The Physical Therapist’s Guide to Health Care is the simple, clear the legislative and administrative processes, approach to understanding health care in today’s changing environ- how to build coalitions and grassroots organi- ment. This book provides a strategy based approach to help physical zations, and the basic rules and ethics of lobbying. n therapists successfully manage change and meet the challenges of clinical practice in common practice settings.
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PT Prior.Feb-Mar.08.indd 12 1/30/08 4:01:06 PM PT Prior.Feb-Mar.08.indd 13 1/30/08 4:01:09 PM PT Priority • February/March 2008
Types of Potential Ethical Violations
he Illinois Physical Therapy Practice Act specifies that the Department of Professional regulation may refuse to issue or Is there anything at work that just Tto renew, or may revoke, suspend, place on probation, repri- doesn’t seem quite right? mand or take other disciplinary action, with regard to a license for the Maybe there is an awkward situation or question that has following: (excerpted) (225 ILCS 90/17. Sec. 17)) raised your “ethics alert flag”?
H) Engaging in dishonorable, unethical or unprofessional conduct of a There is someone out there who wants to know about this, character likely to deceive, defraud or harm the public. Unprofessional and who can help clarify appropriate action. This is the PT Priority’s introductory Ethics column. Your chapter Ethics failure to conform to the minimal standards of acceptable and Committee will answer your questions, discuss real-life sce- prevailing physical therapy practice, in which proceeding actual injury narios, provide resource information, and outline appropri- ate procedures for resolving ethical matters. to a patient need not be established; If you have any suggestions, questions or comments, While the Department of Professional Regulation and the PT please contact one of your Ethics Committee members: Licensing and Disciplinary Board have the authority to determine the types of “unethical” conduct, examples of these behavior s may Betsy Elsaesser...... 773-384-5888 include: Alice Salzman ...... 630-969-5562 • Inappropriate delegation and supervision Terri Freehill Davis...... 217-784-2339 • Sexual misconduct
• Inappropriate billing practices and excessive fees We need your input to make this column a useful tool for • Derogatory statements about other PTs the membership! • Substance Abuse • Fraud/Fraudulent billing • Inadequate treatment • Inadequate documentation • Sexual harassment, unprofessional or abusive behavior • Giving or receiving kickbacks • Breach of confidentiality
Tools to assist you in decision making • APTA Code of Ethics • APTA Guide for Professional Conduct • APTA Standards of Ethical Conduct for the PTA • APTA Guide for Conduct of the PTA • APTA Core Values
These documents are available to members on the APTA website or in the newly revised IPTA Publication “Essentials of PT Practice in Illinois 2008”. This new publication that replaces the member resource directory will be mailed to you in February. n
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PT Prior.Feb-Mar.08.indd 14 1/30/08 4:01:10 PM Illinois Physical Therapy Association • www.ipta.org
Algonquin - Chicago - Carol Stream - Darien - Lockport - Palos Heights - Plainfi eld - Oak Lawn - Orland Park - St. Charles
WHY WORK FOR US?
What sets OccuSport apart from many of our competi- tors is not only the one on one and comprehensive care we give our patients but the ability for our therapists to grow with the company.
The ability to own and take stake in the company is a realistic option when working for OccuSport Physical Therapy.
Full Time Employee Benefits Include:
Comprehensive Health & Dental 401K #ARE 9OU $ESERVE Vacation & Sick Time $15,000 Term Life Insurance Policy Employee Mentorship Program Sign on Bonus Available 2ESULTS 9OU %XPECT Long & Short Term Disability Continuing Education Reimbursement
Send Resumes to Diane Newquist: fax - (847) 742-0816 email - [email protected]
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PT Prior.Feb-Mar.08.indd 15 1/30/08 4:01:12 PM PT Priority • February/March 2008 Capitol Connection By Sue Clark, IPTA Lobbyist
he second year of the ninety-fifth General Assembly began assure that each is saying the uneventfully for IPTA, as ut did for most organizations. In fact, same thing (in other words, sing- there was little difference from last year. Wait... last year’s session ing from the same song book). never actually ended! Because of the protracted session, most Third, make a personal visit to his/ T her home office to begin the process of legislators are frustrated and many are hesitant to introduce any legis- lative proposals. While I don’t have a crystal ball, it is my belief that building a relationship. And fourth, initiate few bills will get out of the Rules Committee if, in fact, lobbyists can a letter-writing campaign among colleagues, patients, family members get a legislator to agree to sponsor a bill at all. and other interested stakeholders who share your opinion. Make sure in What does this mean for IPTA’s legislative agenda for direct access each encounter that the issue is ‘brought home’. Legislators like to know to physical therapy treatment? Senator Bill Haine (D 56th district) is if an issue affects those who live in his/her district. It makes the discus- a willing sponsor. As such, he has agreed to convene a meeting with sion more personal, more urgent, and harder to vote against. members of IPTA and ISMS. However, that is only if the bill gets out Now is the time for action. No longer can you, as members, sit of the Rules Committee (the first step in a bill becoming law). Over back and let a few committed leaders and your lobbyists carry the and over again it has been proven that the only way a controversial message alone. We need you. We need all of you now. With your issues such as this can ‘see the light of day’ is by an organized, com- help, we can work together to make the IPTA legislative initiative to mitted grassroots army of advocates. provide the people of Illinois with direct access to physical therapy It is up to you….members of IPTA….to make grassroots politi- care a reality. It is only by being “at the table” that you are not “on cal action a professional responsibility so that your direct access the menu”. Take the first step…..pull up to the table and talk with bill stands a chance to begin the first step towards becoming law. your legislators, regardless of party affiliation. Grassroots lobbyists, working in the home district to mobilize support The challenge is to each of you! I urge you to take it. Make plans can make all the difference in the success (or failure) of a bill. no to visit your legislators, attend IPTA lobby day in March, and First, identify members of IPTA in each legislative district. Second, make a difference in your profession. n
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PT Prior.Feb-Mar.08.indd 16 1/30/08 4:01:14 PM Illinois Physical Therapy Association • www.ipta.org
IPTA Calendar For the most up to date information – visit our web page, www.ipta.org on a regular basis
February Save the Date for 5-9 APTA Combined Sections Meeting, Nashville, TN Save the Date! 12 Audio Conference – “Will Your Documentation Trigger an Moving in All the Right Directions Audit?” 12:00 Noon-1:30 PM CST September 26-27, 2008 19 Executive Committee Conference Call – 9 PM MoNapervvilingle, IL in All the 20 District Chair Conference Call – 9 PM Right Directions 29 Teaching Manipulation: An Evidence Based Approach Make plans now to attend YOUR state annual conferenc e. September 26-27, 2008 March Two full days of CE with poster presentations and1 exhibiTeachingt hall .Manipulation: An Evidence Based Approach Naperville, IL 29-30 APTA Advanced Clinical Practice Course, Oak Brook, IL Save the date and watch for more details in the PT PriorRediscoverity and onlYouri neProfessional. Passion – to register visit APTA Make plans now to attend YOUR website www.apta.org. state annual conference. April 1 IPTA Lobby Day, Springfield, IL Two full days of CE with poster presentations and exhibit hall. 11 Board of Directors Meeting, Peoria, IL 12 Assembly of Representatives Continuing Education, Peoria, IL Save the date and watch for more details in the PT Priority and online. 12 Assembly of Representatives meeting, 1:00 PM, Peoria, IL
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PT Prior.Feb-Mar.08.indd 17 1/30/08 4:01:16 PM PT Priority • February/March 2008 2008 Lobby Day April 1, 2008, Springfield, IL Make plans now to attend IPTA’s Lobby Day
What is Lobby Day? Lobby Day is the Illinois Physical Therapy Association’s (IPTA) Registration for IPTA Lobby Day annual event when IPTA members meet in Springfield to lobby Tuesday, April 1, 2008 Illinois legislators in the House and Senate. Springfield, IL The 2008 lobby day will be held Tuesday, April 1. 10 AM to 3 PM
Who should attend IPTA Lobby Day? Physical therapists, physical therapist assistants, and PT/PTA stu- dents from across the state are invited to attend Lobby Day. It is a Name:______great way to learn more about the legislative process and issues that affect the profession of physical therapy, patients and health care in Home phone:______general. If you have never lobbied before, you will be assigned to a person who has been to previous Lobby Day events. Employer:______Work Address:______Why is Lobby Day important to me? IPTA provides the opportunity for you to influence your own City, State, Zip______future and the future of PT practice in Illinois. While the IPTA leadership actively provides information during the year to legislators Work Phone:______and public policy makers, Lobby Day is an opportunity for practic- ing therapists to educate legislators on our proposed legislation and Email:______communicate our expertise on other legislation that is pertinent to our profession. By educating our legislators about our profession, the legislators will be better able to evaluate the various viewpoints r Encolsed is my check for $15 payable to IPTA presented by others on our legislation. In addition, they will be more informed when confronted with legislation that erodes our practice or r Please charge $15 to my: adversely affects our patients. r Visa How do I sign up to attend? r Mastercard A registration form is included in this issue of PT Priority. A nomi- r American Express nal registration fee of $15 is charged to offset the cost of materials for r the session. You may also register by phone by calling the Chapter Discover office at 630-571-1400. Account #______What if I can’t come to Lobby Day? If you are unable to come to this year’s Lobby Day, here are other Expiration date______ways you can help support physical therapy legislation: Signature______• Visit your legislator(s) at their home district office. Personal contact with your legislator(s) is an effective approach to gain support on If paying by credit card, you may fax your registration physical therapy-related legislation. to 630-571-1406 • Write letters of support to your legislator(s). • Make phone calls asking your legislator(s) for their support. If Paying by check? a bill is up for a vote, you may receive a phone call from IPTA Mail your check and registration form to: asking you to call your legislator(s) to ask them for their support. IPTA Telephone campaigns can be very successful in getting support and 1010 Jorie Blvd. Suite 134 getting legislation passed. Oak Brook, IL 60423 • Contribute to the Illinois Physical Therapy Political Action Committee (IPT-PAC). These monies are essential for campaign contributions and attendance at political fundraising events. n
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PT Prior.Feb-Mar.08.indd 18 1/30/08 4:01:17 PM Illinois Physical Therapy Association • www.ipta.org Take Action! Making a compelling phone call to your state legislators
hone calls are best used when time is of the essence - when a • Request a response. This lets your legislator know that you are bill is in the process of being debated and voted on and a more serious about your request and are watching when a vote is taken. Psubstantive method of communication would arrive too late to • Call during business hours to make a difference. increase the chance that a person When calling your legislators to comment on bills before the leg- will answer and record your opin- islature ion. • State your name and home address as a way of establishing that you are a constituent • Clearly state your position and refer to the bill by its number. For example “I would like Senator Smith to vote in support of Senate Bill 16”
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PT Prior.Feb-Mar.08.indd 19 1/30/08 4:01:20 PM PT Priority • February/March 2008
DAT e l i n e
Date Course Title Location Contact CE Specialty Credit
JA n u A r y 2 0 0 8 1/1/08 - 12/31/08 Dementia Therapy: Achieving Self study, Kris Palazzi 11 Geriatrics Positive Outcomes for the Continuous (636) 527-8448 Person with Dementia Offering www.dementiacarespecialists.com Sponsor: Dementia Care Specialists, Inc.
1/1/08 - 12/31/08 Informed Consent: What Does Self study, IPTA 1 Administration It Mean for PT Practice Continuous Fax 630-571-1406 Sponsor: Offering www.ipta.org Illinois Physical Therapy Association
1/1/08 - 12/31/08 Monochromatic Infrared Self study, Trish Levy 1 Acute Care Therapy Continuous 1-800-237-7285 Sponsor: Offering www.naccme.com North American Center for Continuing Medical Education
1/1/08 – 12/31/08 Wheelchair Athletics: Self study, Joyce Rathfon 9.5 Sport Considerations for the Continuous 540-942-8041 Healthcare Professional Offering Sponsor: Taproot Continuing Education LLC
F E B r u A r y 2 0 0 8 2/3/08 Orthotic Patient Management of Elmhurst, IL Yakub I Patel, DTP 8 Orthopedics Lower Extremity Disorders Phone: (708) 612-5992 Sponsor: Fax: (708) 633-7223 Indepth Clinical Seminars 2/15/08 - 2/17/08 Thai Massage Fundamentals: Evanston, IL Charles Duff 17 Education Level 1 847-869-1861 Sponsor: www.thaimassageschool.net Thai Bodywork Inc. 2/23/08 Bladder, Bowel and Standing Countryside, Rhoda Estrada 13.5 Pediatrics Balance Issues for Kids IL (Western 708-371-7007 Sponsor: Chicago www.kidsinmotion.org Kids in Motion Suburb)
MA r c h 2 0 0 8 3/5 & 3/19/08 Multi-Disciplinary Certificate in Elgin, IL Cynthia Germain, Director 48 Geriatrics 4/2/08 Geriatrics for Non-Physicians 773-930-3200 4/16 & 4/30/08 Sponsor: 5/14/08 University of Illinois Department of Family Medicine 3/7 & 3/21/08 Multi-Disciplinary Certificate Naperville, IL Cynthia Germain, Director 48 Geriatrics 4/4 & 4/18/08 Program in Mental Health and 773-930-3200 5/2 & 5/16/08 Aging Sponsor: University of Illinois Department of Family Medicine
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PT Prior.Feb-Mar.08.indd 20 1/30/08 4:01:21 PM Illinois Physical Therapy Association • www.ipta.org
DAT e l i n e
3/8/2008 - 3/9/08 Lumbar Spine and Pelvis: A Six Peoria, IL Gavin E Hamer PT Dip. MT 13 Orthopedics Syndrome Based Diagnostic www.manualtherapyed.com and Manual Therapy Treatment Phone: (248) 921-9171 Approach Fax: (248) 347-8221 Sponsor: Manual Therapy Educators
3/13 & 3/27/08 Multi-Disciplinary Certificate Oak Forest, Cynthia Germain, Director 48 Geriatrics 4/10 & 4/24/08 Program in Geriatrics for Non- IL 773-930-3200 5/8 & 5/22/08 Physicians Sponsor: University of Illinois Department of Family Medicine
3/14/08- 3/16/08 Thai Massage Fundamentals: Evanston, IL Charles Duff 17 Education Level 1 847-869-1861 Sponsor: www.thaimassageschool.net Thai Bodywork Inc. 3/29/2008 Introduction to Vestibular Deerfield, IL Scott Zeller 5 Vestibular Rehabilitation 312-640-0329 Rehab Sponsor: Accelerated www.acceleratedrehab.com Rehabilitation Centers
A p r i l 2 0 0 8 4/12/2008 Doctors Demystify the Elbow Chicago, IL Roy A Meals 6 Orthopedics for OT’s and PT’s 310-824-1262 Sponsor: www.doctorsdemystify.com Roy A Meals, MD 4/12 & 4/13/08 Functional Manual Therapy For Aurora, IL Bambi Penney, Rehab Manager 15 Orthopedics The Lower Quarter 630-264-8491 Sponsor: www.awcourses.com Advocate Dreyer Medical Clinic IDFPR License Number 216- 000106 4/19/2008 Doctors Demystify the Elbow St. Louis, Roy A Meals 6 Orthopedics for OT’s and PT’s MO 310-824-1262 Sponsor: www.doctorsdemystify.com Roy A Meals, MD 4/26/2008 Doctors Demystify the Elbow Cleveland, Roy A Meals 6 Orthopedics for OT’s and PT’s OH 310-824-1262 Sponsor: www.doctorsdemystify.com Roy A Meals, MD 4/26/2008 Doctors Demystify the Elbow Minneapolis, Roy A Meals 6 Orthopedics for OT’s and PT’s MN 310-824-1262 Sponsor: www.doctorsdemystify.com Roy A Meals, MD
For more information visit www.ipta.org
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PT Prior.Feb-Mar.08.indd 21 1/30/08 4:01:22 PM PT Priority • February/March 2008
APTA — YOUR WASHINGTON ADVOCATE... from page 7. HOW DO THEY DO THAT?... from page 9.
CMS Eases Recertification Requirements in Final Fee CPT II 1101F: Patient screened for future fall risk; documentation Schedule Rule of no falls in the past year or only one fall without injury in the past Based on comments from the APTA, physical therapists will be year. able to treat Medicare beneficiaries for 90 days before having to have will become more familiar to therapists as PTs participate in new the plan of care recertified under new regulations released by the pay for performance initiatives. Centers for Medicare & Medicaid Services (CMS). In the final rule Category III CPT Codes represent a temporary set of tracking for the 2008 Medicare physician fee schedule, CMS extended the codes for new and emerging technologies. These codes are intended requirement for recertifying the plan of care from 30 days to 90 days, to facilitate data collection on and assessment of new services and accepted APTA’s recommendations for updating the definition of procedures. “physical therapist,” and revised the definition of “physical therapist Once approved by the Editorial Panel, the newly added Category assistant.” The final rule was published in the Federal Register on III CPT codes are released biannually (January 1 and July 1) on November 27, 2008. the AMA CPT internet site, http://www.ama-assn.org/go/cpt and published annually in the CPT book as part of the general CPT code CMS Recognizes Coverage for Pulmonary Rehab set. Codes released on January 1st are effective July 1st, allowing 6 Physical therapists providing pulmonary rehabilitation services months for implementation, and codes released on July 1st are effec- may continue to be covered under Medicare Local Coverage tive January 1st. Determinations, though the Centers for Medicare & Medicaid Services (CMS) stopped short of setting a national policy on cover- Codes vs Payment age. In its September 25 decision summary, CMS directly acknowl- There is a significant difference between CPT coding and a third edged APTA’s concerns over misinterpretation by local contractors party payers’ payment policy. The existence of a code to describe and clarified that contractors may continue to provide coverage. a service does not assure that the ser- Pulmonary rehabilitation involves chest physical therapy and vices is covered or paid for under any breathing techniques for lung ailments, such as chronic bronchitis payment plan. The codes and descrip- The codes and and emphysema. By not issuing a national coverage determination, tors provide a common language to descriptors provide CMS is leaving the decision to local contractors on how to define report services. However, each third a common language coverage party payer determines its own pay- ment policies. These policies may to report services. RESNA Decision Overturned; Certification for differ dependent on the wishes of the However, each Specialty Evaluations Not Required patient’s employer and on cost-contain- third party payer Physical therapists that provide specialty evaluations for patients ment activities of the payer. who prescribe power mobility devices will not have to receive determines its own special certification by the Rehabilitation Engineering & Assistive Why it Matters payment policies. Technology Society of North America (RESNA). Based on requests The medical profession, through its from APTA and the American Occupational Therapy Association, CPT process has established itself as a durable medical equipment (DME) contractors have reversed an leader in coding and description of pro- earlier local coverage determination (LCD) requiring Assistive fessional services, including the description of the services of physical Technology Practitioner (ATP) certification for evaluations made on therapists. By becoming an active, vocal part of the CPT process, the or after April 1, 2008. physical therapy community through the APTA has made significant According to the Power Mobility Device LCD, specialty evalua- inroads in professional autonomy. The active involvement of APTA in tions must be performed by a licensed/certified medical professional, this process has assured physical therapy a “seat at the table”, allowing such as a PT or OT. For claims submitted after April 1, 2008, wheel- the profession to be considered on level ground with physician spe- chairs must be provided by suppliers that employ a RESNA-certified cialty organizations. The involvement of physical therapy in the AMA’s ATP or Assistive Technology Supplier (ATS) with direct, in-person Health Care Professional Advisory Committee should be considered an involvement in selecting the equipment. n important part of the profession’s advancement toward autonomy. Being part of the decision making with respect to the coding and description of services performed by physical therapists is critical.
PT Priority Hits The wide sweeping implications of the CPT process on data collec- YOUR Target tion for evidence based practice, quality measures, and appropriate payment for physical therapy services, cannot be minimized. Without Market! the active involvement of the APTA, the coding and description of services performed by PTs would be determined by orthopaedic sur- geons, physiatrists, neurologists, neurosurgeons and other physician To Advertise Call groups. n Malisa Minetree 317-815-4688 E-mail: [email protected] Celeste Kirschner is the Executive Director of the Illinois Physical Therapy Association. Prior to joining the IPTA, she spent 16 years as the Director of CPT for the American Medical Fax: 317-582-0607 Association.
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PT Prior.Feb-Mar.08.indd 22 1/30/08 4:01:22 PM Welcome New Members...
Time is Running Out for IPTA Emily Elizabeth Miller, SPT Elizabeth Ann Russell, SPT Kristyn Margaret VonBehren, SPT Kathleen Elizabeth Snyder, SPT Award Nominations! Stephanie Ellen Barasch, PT Rebecca Suzanne Spears, SPT Prem K. Batchu, SPT Jessica Lynn Super, SPT o nominate an individual Physical Therapist Assistant for any of the following of the Year Michael Robert Brunsting, PTA Michael Robert Wright, SPT awards, send a cover letter A PTA who over the past year Colleen Louise Burke, SPT Maria C. Dragan, SPT T has demonstrated a significant with the name of the nominee, the Emily Joy Carter, SPT Nathan Oi, SPT contribution in the areas of prac- award that the person is nominat- Kelly Renee Clor, SPT Caryn Susan Reuland, PT ed for and a brief explanation of tice, public relations, legislation, why you feel this person best fits education or membership. [2 let- Michelle Ann Dagostino, SPT Kermalene Marie Ellsworth, PTA the criteria for the award. Each ters of recommendation] Ninna Damrongsan, SPT Beverly Richardson, PT award requires additional letters Thomas Joseph Dillon, SPT Stephanie Marie Walsh, SPT of recommendation that vary by Emerging Leader Award Recognize active members who Sarah Head, PT Mohamed Attia Abbas Ibrahim, PT, DSc, the award. The number of letters NCS required is noted at the end of the are developing leadership skills Kelly Elizabeth Higgins, SPT Taylor Mowat Millican, SPT award description. at the state or district level. The Heather Marie MacVane, SPT executive committee or district Please submit your letters of recom- Prabudini Kumari Mapa, SPT Shilpi Bipin Shah, PT, DPT mendation by February 29, 2008. chairs can nominate this individ- Alma Deguzman, PT ual. [2 letters of recommendation] Lindsey Nicole Matthysse, SPT Darryl John McNeil, PT Outstanding Physical Therapist Shannon Leigh McCann, SPT An individual who has dem- John Maselter Award Anna Nedza-Chotarska, SPTA Kristin Danielle Compton, SPT Given to an individual who is onstrated an exceptional level Megan Elizabeth O’Sullivan, PT Richard G. Weber, PT of support and dedication to not a physical therapist who has Jay Edward Peters, SPTA Jason Mathew Garner, PT physical therapy through his or supported the betterment of the Julie Kristine Nelson, PT her support and/or roles in the practice of physical therapy. [2 Kerri Ann Power, SPT national and/or state association. letters of recommendation] Nicola Marie Ricketts, PT, DPT, OCS Lisa Catharine Oates-Ulrich, SPT [3 letters of recommendation] Beatrice L. Go, PT Clinical Educator of the Year Reny Anna Samuel, SPT Jaime Lynn Van Buskirk, SPT Physical Therapist of the Year Recognizes a clinical educator Josiah Daniel Sault, SPT Mindy Lynn Mescher, PT A PT who over the past year has who has consistently demon- Rachel Lauren Schneider, SPT demonstrated a significant con- strated significant contributions Kristy Lynn Stahr, PT Megan Elizabeth Forbes, PT tribution in the areas of practice, to the quality of clinical educa- Rebecca Lynn Mowery, PT tion. [2 letters of recommendation] Nicole Marie Tatje, SPT public relations, legislation, edu- Ioulia Maria Fudukos, SPT cation or membership [2 letters of Nicole Ann Tito, SPT Jonathan Stephen Foht, SPT recommendation] John Vinyard Duncombe, PT, CIMT, CSCS Kristin Marie Lally, SPT Kent Joel Kjellstrom, PT Outstanding Physical Therapist Student and Premila Martin, PT Luke Ryan Smith, PT Physical Therapist Assistant Student Awards Haley Jo Lucas, PT Given to an outstanding Physical Therapy and/or an outstanding Nina C. Terrell, SPT Judith Kathleen O’Hearn, PT Physical Therapist Assistant Student to recognize those students who Jeffrey A. Damaschke, PT, DPT, MS, OCS exhibit superior scholastic ability and potential for future professional Yvette Marie Hammonds, PT Sheila Demetrice Mitchell-Hawkins, PT contribution. Student nominees should be in one of the following Dana Louise Norton, SPT Jenny Lee Heckert, SPT phases of their educational program: Tara Marie Leszczewicz, PT A. Physical therapist assistant education program students must be Kristen Elizabeth Raabe, SPT Brittany Reed Belcher, PT enrolled in the final year of study. For physical therapist assistant Amanda Grace Schaefer, SPT education programs that have a part-time curriculum, all nominees Jessica Anne Berg, SPT Sara Jane Ellis, PT must be in the final year of the curriculum of that institution. Each Ilea Maria Knez, SPT Timothy James Tygett, SPTA institution must determine the minimum number of credit hours required for final year status. Based on this, all nominees must be Aimee Llyn, SPTA in the final year of the curriculum to be nominated. Abigail Marie Young, SPT B. Physical therapist professional education program students, Elvera C Guebert, PT including entry-level doctor of physical therapy degree (DPT) Kristin Nicole Cumbow, SPT students, must be within 12 months of completing all requirements Amy Allison Deck, SPT for graduation from the entry-level program Lauren Ann Dunham, SPT C. Post-professional students must have completed at least one (1) Whitney Elizabeth Pullen, SPT term in the program and be enrolled at the time of nomination. [2 letters of recommendation] Emily Marie Roling, SPT
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PT Prior.Feb-Mar.08.indd 24 1/30/08 4:01:25 PM
PhysioTherapy Color bleed Ad_08.1 1 1/7/08 12:09:20 PM