School Based PT

Question 1

what are the characteristics of school based PT?

Answer 1

personable

efficient and organized

creative

knowledgeable

patient

independent

flexible

Question 2

t/f: goals may have to be long term rather than short term and can be more difficult to determine

Answer 2

true

Question 3

what is unique about school based PT?

Answer 3

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

Question 4

who is involved in interprofessional work in school based PT?

Answer 4

SLP

OT

art therapy

school nurse

social work

teachers

PTAs

Question 5

who determines the utilization and supervision of PTAs?

Answer 5

state statutes

Question 6

what is the PT’s role in management in school based PT?

Answer 6

orientation to mission, vision and goals

policies and procedure

marketing

recruitment

patient care and integration

performance evals

legal, ethical, and risk

“role release”

communication

Question 7

what is involved in orientation to mission, vision, and goals?

Answer 7

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

Question 8

who develops the policies and procedures in school based care?

Answer 8

the school board

Question 9

what is involved in managing policies and procedures?

Answer 9

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

Question 10

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?

Answer 10

to identify and establish working relationships with all of the key players in each school, teachers, counselors , parents etc

Question 11

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

Answer 11

true

Question 12

t/f: having staff self-report on their activities and their contributions to IEPs may be an important management tool

Answer 12

true

Question 13

evaluation of performance may include what?

Answer 13

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

Question 14

t/f: role release mean abdication of responsibility

Answer 14

false

Question 15

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

Answer 15

true

Question 16

what are 3 major factors in staffing considerations?

Answer 16

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

Question 17

logs of time in a work week spent on various activities may include what?

Answer 17

direct student contact

paperwork

IEP and other meetings

travel time

assessments

consultation

Question 18

what are the benefits of logs to managers?

Answer 18

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

Question 19

what are the management opportunities in school based care?

Answer 19

rehabilitation manager

administration

consultant

special education manager

Question 20

what is involved in the administrative role in school based care?

Answer 20

making choices about budget

need leadership degree

Question 21

what is involved in the consultant role in school based care?

Answer 21

guidance to schools/ districts for PT services, regulations and program improvement

Question 22

what is involved in the special education manager role in school based care?

Answer 22

oversees all special education within the district

Question 23

t/f: the rehab manager may have a role and oversee speech and OT in the school

Answer 23

true

Question 24

what are the biggest hurdles for a PT in school based PT?

Answer 24

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

Question 25

why is recruitment a hurdle in school based PT?

Answer 25

the pay in not as competitive as other healthcare facilities

Question 26

what is the role of PT in revenue management in school based care?

Answer 26

minimal

develop prevention of duplication of children receiving outside services

Question 27

what is the Medicaid certified school match program?

Answer 27

program that allows PTs to be reimbursed for rehab services, counseling, nursing and transportation

they exist to improve children’s access to health care

Question 28

what are the payment system in school based PT?

Answer 28

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

Question 29

what are potential threats to the success of the PT in school based care?

Answer 29

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

Question 30

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.

Answer 30

true