The Florida Board of Physical Therapy Practice Minutes February 8-9, 2018 CROWNE PLAZA TAMPA 5303 W KENNEDY BLVD TAMPA, FL 33609 Dr. Kay Tasso, PT, PhD, PCS Chair Dr. Patrick Pabian, PT, DPT, SCS, OCS, CSCS Vice Chair February 8-9, 2018, General Business Meeting Minutes Page 1 of 26 DEPARTMENT OF HEALTH MEDICAL QUALITY ASSURANCE BOARD OF PHYSICAL THERAPY GENERAL BUSINESS MEETING GENERAL RULES REVIEW February 8, 2018 MINUTES CROWNE PLAZA TAMPA 5303 W KENNEDY BLVD TAMPA, FL 336019 Participants in this public meeting should be aware that these proceedings are being recorded and that an audio file of the meeting will be posted to the Board’s website. February 8, 2018 – 5:00 P.M. EST The minutes reflect the actual sequence of events rather than the original agenda order. Call the Meeting to Order and Roll Call: Dr. Kay Tasso, Chair, called the general business meeting to order at approximately 5:00 P.M. Those present for all or part of the meeting, included the following: MEMBERS PRESENT BOARD COUNSEL Dr. Kay Tasso, Chair, PT, PhD, PCS Lynette Norr, Board Counsel, Dr. Patrick Pabian, PT, DPT, SCS, OCS, CSCS Assistant Attorney General Office Dr. Gina Petraglia, PT, DPT, COS-C,CEEAA Mr. Steve Chenoweth, PT Dr. Ellen K. Donald, PT, PhD STAFF PRESENT Allen Hall, Executive Board Director Traci Zeh, Program Operations Administrator ADMINISTRATIVE PROCEEDINGS RULE CISCUSSION AND/OR DEVELOPMENT 1. Dry Needling The Board discussed and reviewed the proposed language submitted by the Florida Physical Therapy (FPTA). After discussion, the Board opened the floor for public comment. Among the individuals whom addressed the Board were: In Support: Cynthia Mikos, Representative from the Florida Physical Therapy Association Opposed: Yong Jian Chen, Representative from the Florida Acupuncture Association February 8-9, 2018, General Business Meeting Minutes Page 2 of 26 David Bibbey, Representative from the Florida State Oriental Medical Association RULE STATUS REPORT 2. Lynette Norr, Assistant Attorney General 64B17-6.008, F.A.C., Minimum Qualifications to Perform Dry Needling Informational purposes only. REPORTS, IF ANY 3. Board Member Reports, if any Dr. Kay Tasso, Chair Dr. Patrick Pabian, Vice Chair No report. 4. Executive Director, Allen Hall Expenditures by Function Report Cash Balance Report The above reports were presented as informational only. 5. FSBPT Updates, if any Annual Meeting Delegates This year, the FSBPT will fund three people from each board to the Annual Meeting: One voting delegate, one alternate delegate and one Administrator. Voting Delegate (fully funded): Dr. Patrick Pabian Alternate Delegate (fully funded): Dr. Kay Tasso Administrator (fully funded): Traci Zeh 2018 National Physical Therapy Examination Policies The Board requested Staff to invite a representative from the Federation of State Boards of Physical Therapy (FSBPT) to attend one of our future meetings to discuss the upcoming changes to the NPTE. APPLICANT RATIFICATION LISTS 6. Ratification Lists for Approved Applicants Physical Therapist Applicants February 8-9, 2018, General Business Meeting Minutes Page 3 of 26 MOTION: Dr. Tasso made a motion to ratify the list of physical therapists for licensure by examination/endorsement (Exhibit A), 236 in number starting with PT 32629 and ending with PT 33312. Upon successful completion of the National Physical Therapy Exam and/or the Florida Laws and Rules Exam, shall be licensed. The motion was seconded by Dr. Petraglia and carried 5/0. Physical Therapist Assistant Applicants MOTION: Dr. Tasso made a motion to ratify the list of physical therapist assistants for licensure by examination/endorsement (Exhibit B), 259 in number starting with PTA 27451 and ending with PTA 28201. Upon successful completion of the National Physical Therapy Exam and/or the Florida Laws and Rules Exam, shall be licensed. The motion was seconded by Dr. Donald and carried 5/0. 7. Ratification List for Disqualification from Employment Exemptions MOTION: Dr. Tasso made a motion to ratify the list of physical therapist assistants who administratively approved exemptions, starting with Megan Gibson, PTA 28192 and ending with Merwyn Wayne Taylor Jr., PTA 12545. The motion was seconded by Dr. Petraglia and carried 5/0. NEW BUSINESS 8. 2018 Delegation of Authority The Board was invited to review, make changes if necessary, and approve the 2018 delegation. MOTION: Dr. Petraglia made a motion to amend number nine in the Delegation to specify approval to the Education Liaison instead of the chair and approve as amended. The motion was seconded by Dr. Tasso and carried 5/0. 9. 2018 Conviction Record Guidelines The Board was invited to review, make changes if needed, and approve the 2018 Conviction Record Guidelines. MOTION: Dr. Petraglia made a motion to approve the 2018 Conviction Record Guidelines as presented. The motion was seconded by Dr. Tasso and carried 5/0. 10. Officer Elections 2018 Election of Officers and Assignment of Liaisons February 8-9, 2018, General Business Meeting Minutes Page 4 of 26 Position Current Assignments New Assignments Board Chair Dr. Kay Tasso Dr. Kay Tasso Vice Chair Dr. Patrick Pabian Dr. Patrick Pabian Education Liaison Dr. Patrick Pabian Dr. Patrick Pabian Legislative Liaison Dr. Gina Petraglia Dr. Ellen Donald Budget Liaison Mr. Steve Chenoweth Mr. Steve Chenoweth Unlicensed Activity Mr. Steve Chenoweth Mr. Steve Chenoweth Liaison Enforcement Liaison Dr. Kay Tasso Dr. Kay Tasso Healthiest Weight Dr. Ellen Donald Dr. Ellen Donald Liaison MOTION: After discussion, Dr. Tasso made a motion to accept the officers of elections as amended. The motion was seconded by Mr. Chenoweth and carried 5/0. 11. Americans with Disabilities Act Overview Board Counsel, Lynette Norr, provided an overview of the Americans with Disabilities Act. OLD BUSINESS 12. Board of Physical Therapy Minutes November 8, 2017 Rules Workshop November 8-9, 2017 General Business Meeting MOTION: Dr. Tasso made a motion to approve the November 8, 2017 Rules Workshop and the November 8-9, 2017 General Business Meeting minutes as amended. The motion was seconded by Dr. Donald and carried 5/0. OTHER BUSINESS AND INFORMATION 13. Exam Statistics This was provided for information purposes only. 14. Staff Recognition This was provided for information purposes only. At this time the Board continued their discussion regarding drafting rule language for dry needling. February 8-9, 2018, General Business Meeting Minutes Page 5 of 26 The following language was proposed: 64B17-6.008 Minimum Standards of Practice for Dry Needling in the Practice of Physical Therapy (1) For the purpose of this rule, “dry needling” is a skilled technique based on western medical concepts performed by a physical therapist using apparatus or equipment of filiform needles to penetrate the skin and/or underlying tissues to affect change in body structures and functions for the evaluation and management of neuromusculoskeletal conditions, pain, movement impairments, and disability. (2) The minimum standards of practice for dry needling in the practice of physical therapy shall include competence demonstrated by successful completion of education that includes the subject areas listed in the following paragraphs, and that is accredited, sponsored, or approved by the Commission on Accreditation in Physical Therapy Education, the American Physical Therapy Association, the Florida Physical Therapy Association, the Federation of State Boards of Physical Therapy, or any branch of the United States Armed Forces: a. Evidence-based instruction on the theory of dry needling practice; and b. Selection and safe handling of needles and other apparatus and equipment, including hygiene and infection control pursuant to relevant standards of the United States Centers for Disease Control and Prevention or the United States Occupational Safety and Health Administration; and c. Dry needling indications and contraindications; and d. Anatomical review for safety and effectiveness as it applies to dry needling; and e. Psychomotor skills needed to physically perform dry needling; and f. Postintervention care, including an adverse response or emergency. (3) The education shall include a face-to-face component with interaction with the course instructor and an in-person examination of cognitive and psychomotor skills related to dry needling. (4) A physical therapist who performs or offers to perform dry needling shall supply the Department, upon request, with written documentation of his or her competence to perform dry needling. (5) A physical therapist shall not delegate the practice of dry needling to a physical therapist assistant, unlicensed personnel, or any other person who is not a physical therapist. MOTION: After discussion, Dr. Tasso made a motion to accept the proposed language and directed Board Counsel to move forward with rule making authority. The motion was seconded by Dr. Petraglia and carried 5/0. MOTION: Dr. Donald made a motion to find the proposed revisions do not have an adverse impact on small businesses. The motion was seconded by Dr. Tasso and carried 5/0. February 8-9, 2018, General Business Meeting Minutes Page 6 of 26 MOTION: Dr. Tasso made a motion to find the proposed revisions will not be likely to directly or indirectly increase regulatory costs to any entity (including government) in excess of $200,000 in the aggregate in Florida within one (1) year after the implementation of the rule. The motion was seconded by Dr. Donald and carried 5/0. MOTION: Dr. Tasso made a motion that a violation of this rule, or any part of this rule, does not constitute a designation of a minor violation. The motion was seconded by Dr. Petraglia and carried 5/0. There being no further business, the meeting adjourned at 8:30 p.m. February 8-9, 2018, General Business Meeting Minutes Page 7 of 26 DEPARTMENT OF HEALTH MEDICAL QUALITY ASSURANCE BOARD OF PHYSICAL THERAPY GENERAL BUSINESS MEETING GENERAL RULES REVIEW February 9, 2018 MINUTES CROWNE PLAZA TAMPA 5303 W KENNEDY BLVD TAMPA, FL 336019 Participants in this public meeting should be aware that these proceedings are being recorded and that an audio file of the meeting will be posted to the Board’s website.