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Physical therapyPhysical therapy
Terry Nordstrom, EdD, PTTerry Nordstrom, EdD, PT
Academic CouncilAcademic Council
American Physical Therapy AssociationAmerican Physical Therapy Association
Association of Schools of Allied Health ProfessionsAssociation of Schools of Allied Health ProfessionsAnnual ConferenceAnnual ConferenceOctober 26, 2012October 26, 2012
Workforce IssuesWorkforce Issues
Bureau of Labor Bureau of Labor StatisticsStatistics
Physical Therapist is in top 20 fast growing Physical Therapist is in top 20 fast growing occupations occupations
39% job growth through 2020.39% job growth through 2020.
77,400 jobs projected77,400 jobs projected
Among those 20 occupations, PT has highest Among those 20 occupations, PT has highest median annual wagesmedian annual wages
Median salary $79,310Median salary $79,310
About 20% of PTs work part-timeAbout 20% of PTs work part-time
Racial & Ethnic Diversity Racial & Ethnic Diversity
WhiteWhiteBlack or Black or African-African-AmericanAmerican
AsianAsianHispanic Hispanic ororLatinoLatino
PT1PT1 85.1%85.1% 5.2%5.2% 8.9%8.9% 4.6%4.6%
US Pop2US Pop2 64%64% 13%13% 5.6%5.6% 16%16%
1. Labor Force Characteristics by Race and Ethnicity, 2011. US Department of Labor US Bureau of Labor Statistics, August 1. Labor Force Characteristics by Race and Ethnicity, 2011. US Department of Labor US Bureau of Labor Statistics, August 2012. Report 1036, p 23.2012. Report 1036, p 23.
2. Humes KR, Jones NA, Ramirez RR. Overview of Race and Hispanic Origin: 2010. US Census Bureau. March 20112. Humes KR, Jones NA, Ramirez RR. Overview of Race and Hispanic Origin: 2010. US Census Bureau. March 2011
Clinical Practice & Clinical Practice & ResearchResearch
Patient Safety Patient Safety & & InterprofessioInterprofessional Educationnal Education
Patient-Centered CarePatient-Centered Care
Health care that establishes a partnership among practitioners, patients, and their families (when appropriate) to ensure that decisions appropriate) to ensure that decisions respect patientsrespect patients’’ wants, needs, and preferences wants, needs, and preferences and that patients have the education and and that patients have the education and support they need to make decisions and support they need to make decisions and participate in their own careparticipate in their own care
(Institute of Medicine)
Importance of Patient-Importance of Patient-Centered CareCentered Care
Improve patient symptoms and reduce burden Improve patient symptoms and reduce burden of symptomsof symptoms
Improved patient adherence with treatmentImproved patient adherence with treatment
Decreased mis-diagnosisDecreased mis-diagnosis
Results in more appropriate careResults in more appropriate care
Patient Patient Safety & Safety & IPEIPE
When students from 2 or more professions learn about, from and with each other to enable
effective collaboration and improve health outcomes
(WHO)
Regenerative Medicine, Genomics, Regenerative Medicine, Genomics, Orthotics, Robotics, ProstheticsOrthotics, Robotics, Prosthetics
The US Health Care The US Health Care SystemSystem
Accountable Care Accountable Care OrganizationsOrganizations
Accountable Care Accountable Care OrganizationsOrganizations
Alternative Payment SystemsAlternative Payment Systems
Guccione et al Phys Ther (2011)
Education IssuesEducation Issues
New Program GrowthNew Program Growth
Academic Council, APTA Academic Council, APTA Position StatementPosition Statement
• 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;
• 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.
New Program GrowthNew Program Growth
Academic Council, APTA Academic Council, APTA Position StatementPosition Statement
Clinical EducationClinical Education
Post Professional Post Professional EducationEducation
• ResidencyResidency• Advance clinical practice in defined specialty Advance clinical practice in defined specialty
areaarea• Academic preparation with mentored clinical Academic preparation with mentored clinical
practicepractice• 9-36 months with 1500 hour minimum9-36 months with 1500 hour minimum• Prepare for board certificationPrepare for board certification
• FellowshipFellowship• Specialty or sub-specialty areaSpecialty or sub-specialty area• 6-36 months with 1000 hour minimum6-36 months with 1000 hour minimum
ReferencesReferencesAgency 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.)
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.
