School Based PT Flashcards
what are the characteristics of school based PT?
personable
efficient and organized
creative
knowledgeable
patient
independent
flexible
t/f: goals may have to be long term rather than short term and can be more difficult to determine
true
what is unique about school based PT?
ability to create a plan of care that is focused on the educational need of the student not general patient goals
highly individual planning for yearly education goals
have to be able to shift focus to school goals rather than typical therapeutic goals
who is involved in interprofessional work in school based PT?
SLP
OT
art therapy
school nurse
social work
teachers
PTAs
who determines the utilization and supervision of PTAs?
state statutes
what is the PT’s role in management in school based PT?
orientation to mission, vision and goals
policies and procedure
marketing
recruitment
patient care and integration
performance evals
legal, ethical, and risk
“role release”
communication
what is involved in orientation to mission, vision, and goals?
orientinting new staff to the philosophy and mission of IDEIA
educational rather than healthcare approach
convey the heightened role of parents and teachers
limit goals to those related to education
who develops the policies and procedures in school based care?
the school board
what is involved in managing policies and procedures?
clarify roles of the members of the IEP
service integration
avoiding overlap and identify gaps in the rehabilitation plan
clarify roles of supportive personnel
determine standardized scales used across the district and which ones are up to the PTs discretion
what is more important in marketing in school based care, internal marketing related to services or to ID and establish working relationships with all the key players in each school, teachers, counselors, and parents?
to identify and establish working relationships with all of the key players in each school, teachers, counselors , parents etc
t/f: managers often rely on input from other members of the IEP team, including parents and students to complement these direct observations for performance evals
true
t/f: having staff self-report on their activities and their contributions to IEPs may be an important management tool
true
evaluation of performance may include what?
compliance with the IDEIA, section 504, and ADA
knowledge of the general education curriculum as it relates to therapy
effective use and analysis of assessment tools
consultation and collaboration skills
t/f: role release mean abdication of responsibility
false
t/f: it is helpful to clarify that others who are following the instructions of the physical therapist in the classroom or at home are not legally “doing physical therapy
true
what are 3 major factors in staffing considerations?
the students being treated (type and amount of services provided to each student, geographic area to be covered, number of schools, and distances between them)
physical therapists’ other responsibilities (documentation, meetings, consultation with teachers and parents, outcomes studies, and supervision of support personnel)
other factors
logs of time in a work week spent on various activities may include what?
direct student contact
paperwork
IEP and other meetings
travel time
assessments
consultation
what are the benefits of logs to managers?
helps assist managers to adjust work assignments on an ongoing basis, redistribute staff, compare the work of full-time and part-time staff, or establish productivity goals for each staff member
what are the management opportunities in school based care?
rehabilitation manager
administration
consultant
special education manager
what is involved in the administrative role in school based care?
making choices about budget
need leadership degree
what is involved in the consultant role in school based care?
guidance to schools/ districts for PT services, regulations and program improvement
what is involved in the special education manager role in school based care?
oversees all special education within the district
t/f: the rehab manager may have a role and oversee speech and OT in the school
true
what are the biggest hurdles for a PT in school based PT?
integration into education environment (PTs need to work closely with teachers and staff to ensure that therapeutic activities do not disrupt learning)
advocacy and awareness (advocating for the importance of physical therapy in the educational setting and raising awareness among staff and parents about the benefits can be an ongoing challenge)
overcoming misconceptions about the role and value of PT in schools requires continuous effort
limitation of therapy goals (a student may need to work on sit to stand transfers; however, a school PT will not work on them with this, so they will need services that are provided outside of school)
recruitment
why is recruitment a hurdle in school based PT?
the pay in not as competitive as other healthcare facilities
what is the role of PT in revenue management in school based care?
minimal
develop prevention of duplication of children receiving outside services
what is the Medicaid certified school match program?
program that allows PTs to be reimbursed for rehab services, counseling, nursing and transportation
they exist to improve children’s access to health care
what are the payment system in school based PT?
public school funding through federal and state programs or Medicaid
private insurance (if part of medical treatment rather than an education plan)
grants
out of pocket
what are potential threats to the success of the PT in school based care?
high caseloads
lack of support from parents or administration
lack of resources/ space
has to focus only on goals within the school environment
legality concerns
t/f: since IEPS have to be submitted before the school year starts PTs will have a good idea of what their caseload is like coming into the school year.
true
