Blocks 3 & 4 Flashcards
Health Proffession Regulation and Supervision
Why would a professsion be regulated?
To ensure high quality care
Protects consumers for the Public Good
Regulation
Scope of Practice
Regulation primarily lies with the states in America
Challenges of State-Based Regulation
What a profession can/can not do is linked to location rather than skills and competencies despite all providers being educated using National level standards
Results in limitations of care/access to care
ex” chiros vs PTs and manipulations/grade 5 mobilizations beef results as an overlap of scopes of practice and “turf protection” of what makes professions unique
Sunrise
When a profession first applies to be regulated/licensed
lengthy process needing justification for public protection because it places financial burden on state tax payers
Sunset
every 8 - 10 years in CO
The profession must justify why they need continued regulation
Statute
State Practice Act signed by the state governer which becomes “the law” and creates a board that makes sure/writes rules & regulations exist to clarify the law
Board’s Policies
Writen in response to the board as clarification
Supervision
watching a person/activity to make certain that everything is done correctly and safely
T or F: Supervision is necessary for PT profession because we are responsible for providing effective, efficient, safe, timely, eqitable, quality, and patient centered care to our patients
True! period.
Who can a PT supervise in practice?
PTAs, massage therapists, athletic trainers, and aides/techs
General Supervision
PT is not required to be on site for direction and supervision bt must be available by telecommunications
Direct Supervision
PT is physically present in same building
Immediate Supervision
PT is physically present or immediately available in the same physical building to support the supervised individual
Personel Falling Under General Supervision
PTAs
Personel Falling Under Direct Supervision
Aides/techs and all otherwise regulated professions
Personel Falling Under Immediate Supervision
Students
A Law
ex: Medicare (Federal) or Practice Act (State)
A Rule
All laws have rules associated with them to clarify
ex:
A Contract
Establish an agreed upon rule
ex: Third Party Payer contract and hospital agree to follow a contract rule
A Workplace Policy
Determined by an individual employer
ex: patients must be seen by a PT every 3rd visit if other visits are completed with PTA
A Professional Associateion Policy
p
ex: APTA’s position statement that PTAs cannot perform any joint mobilizations
Steps to Follow for Guidance
1: What applies to my patient?
2: Follow the most conservative/stringent of the laws/rules/policies
T or F: Medicare Part B patients can work with aides
FALSE omg don’t do it please its only for Medicare Part A
PTAs can work under specific supervision by PT in different settigns and both PT and PTA must know the rules
