Physical therapy

1. Physical therapy Association of Schools of Allied Health Professions Annual Conference October 26, 2012 • Terry Nordstrom, EdD, PT • Academic Council • American Physical Therapy Association

2. Workforce Issues

3. Bureau of Labor Statistics • Physical Therapist is in top 20 fast growing occupations • 39% job growth through 2020. • 77,400 jobs projected • Among those 20 occupations, PT has highest median annual wages • Median salary $79,310 • About 20% of PTs work part-time

10. Racial & Ethnic Diversity 1. Labor Force Characteristics by Race and Ethnicity, 2011. US Department of Labor US Bureau of Labor Statistics, August 2012. Report 1036, p 23. 2. Humes KR, Jones NA, Ramirez RR. Overview of Race and Hispanic Origin: 2010. US Census Bureau. March 2011

11. Clinical Practice & Research

12. Patient Safety & Interprofessional Education

13. Patient-Centered Care • Health care that establishes a partnership among practitioners, patients, and their families (when appropriate) to ensure that decisions respect patients’ wants, needs, and preferences and that patients have the education and support they need to make decisions and participate in their own care • (Institute of Medicine)

14. Importance of Patient-Centered Care • Improve patient symptoms and reduce burden of symptoms • Improved patient adherence with treatment • Decreased mis-diagnosis • Results in more appropriate care

15. Patient Safety & IPE When students from 2 or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes (WHO)

16. Regenerative Medicine, Genomics, Orthotics, Robotics, Prosthetics

17. The US Health Care System

18. Accountable Care Organizations

19. Accountable Care Organizations • Alternative Payment Systems Guccione et al Phys Ther (2011)

20. Education Issues

21. New Program Growth • Academic Council, APTA Position Statement

22. V-4 Whereas, there will be increased pressure to educate more physical therapists due to increased market demand including the need for increased access with health care reform; • Whereas, market demand has been the catalyst for the expansion of existing programs and development of new physical therapist education programs; • Whereas, there is a documented shortage of required resources in physical therapist education, including program directors, qualified faculty, and clinical instructors at clinical education sites; and • Whereas, this resource shortage can compromise the quality of physical therapist education in the United States;

23. Resolved, that institutions must have in place an appropriate budget, a qualified director and faculty, necessary clinical education sites and commitments, and all the necessary physical resources for physical therapist entry-level education, before an institution approves expansion of an existing physical therapist education program or develops a new physical therapist education program. • Resolved, in order to meet the societal needs for more physical therapists, the Council supports increased class size of established programs that have all the appropriate resources.

24. New Program Growth • Academic Council, APTA Position Statement • Clinical Education

25. Post Professional Education • Residency • Advance clinical practice in defined specialty area • Academic preparation with mentored clinical practice • 9-36 months with 1500 hour minimum • Prepare for board certification • Fellowship • Specialty or sub-specialty area • 6-36 months with 1000 hour minimum

29. References • Agency for Health Care Research and Quality, US Department of Health & Human Services. (2011) National Health Care Disparities Report, 2011. AHRQ Publication No. 12-0006. www.ahrq.gov/qual/qrdr11.htm. (Accessed October 19, 2012) • American Physical Therapy Association. (2012). Accountable Care Organizations. Page date: August 2, 2012. http://www.apta.org/ACO/ (Accessed October 19, 2012 • American Physical Therapy Association. (2012). A Model to Project the Supply and Demand of Physical Therapists 2010-2020. March 5, 2012 edition. http://www.apta.org/WorkforceData/. Accessed May 16, 2012. • Angelova K. (2012). How vets recover after losing their limbs in the iraq and afghanistan wars. Business Insider: Military & Defense. August 23, 2012. http://www.businessinsider.com/how-vets-recover-after-losing-their-limbs-in-the-iraq-and-afghanistan-wars-2012-8?op=1 (Accessed October 19, 2012.) • Bureau of Labor Statistics, U.S. Department of Labor. (2011) Occupational Outlook Handbook, 2012-13 Edition. Physical Therapists. http://www.bls.gov/ooh/healthcare/physical-therapists.htm (Accessed October 19, 2012.) • Centers for Medicare & Medicaid Services. (2012) Shared Savings Program. Page date: May 29, 2012. http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/index.html?redirect=/sharedsavingsprogram/01_Overview.asp (Accessed October 19, 2012.)

30. Fountain H. (2012). Human muscle, regrown on animal scaffolding. New York Times. September 16, 2012. http://www.nytimes.com/2012/09/17/health/research/human-muscle-regenerated-with-animal-help.html?_r=1&pagewanted=all (Accessed October 3, 2012.) • Guccione AA, Harwood KJ, Goldstein MS, Miller SC. (2011) Can “severity-intensity” be the conceptual basis of an alternative payment model for therapy services provided under Medicare? Physical Therapy, (91), 1564-1569. doi: 10.2522/ptj.20110042 • Humes KR, Jones NA, Ramirez RR. Overview of Race and Hispanic Origin: 2010. US Census Bureau. March 2011 • RTI International and Telligen, (2011) Accountable Care ORganization (2012) Program Analysis: Quality Performance Standards Narrative Measure Specifications, Final Report. Prepared for Quality Measurement & Health Assessment Group, Office of Clinical Standards & Quality, Centers for Medicare & Medicaid Services. • US Bureau of Labor Statistics, US Department of Labor (2011). Labor Force Characteristics by Race and Ethnicity. Report 1036, p 23.