|
|
Re: Appropriate Referrals
|
Logged in as: Guest
|
|
Users viewing this topic:
none
|
|
Login  | |
|
Re: Appropriate Referrals - January 27, 2006 5:40:00 AM
|
|
|
jbauer24
Posts: 9
Joined: January 23, 2006
Status: offline
|
PaulPT:
Perhaps you are right about the definition, we may be using different one. Remember, professions are ruled by state laws, so while the APTA may have a definition of manipulation, it really is the individual states that govern our scope of practice. I think if you look at a prior post, I did clarify the definition.
Clearly, passive ROM would not fall under the category of spinal manipulation. If I recall, the language is clearly spelled out in the state of PA to avoid any confusion.
|
|
|
|
|
Re: Appropriate Referrals - January 27, 2006 5:50:00 AM
|
|
|
JLS_PT_OCS
Posts: 1684
Joined: January 30, 2005
From: USA
Status: offline
|
Just for reference - spinal manipulation is not restricted in PA.
Pittsburgh is a major PT research center and there is research there about manipulation conducted regularly.
Therapists hop through an extra hoop to get direct access 'privileges'.
J
_____________________________
Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**
|
|
|
|
|
Re: Appropriate Referrals - January 27, 2006 6:51:00 AM
|
|
|
TMondale
Posts: 131
Joined: January 3, 2005
From: Newton-Wellelsley Hospital
Status: offline
|
Jbauer,
I would absolutely not agree that giving up anything especially something as fundamentally important as manipulation would be a good trade off for DA. We will get DA in all states and get it reimbursed by all third party payers in time. It will come not because we frittered away our responsibilities to the patient, but rather because we prove that we are the best, and most efficient option in the musculoskeletal market.
Tim
|
|
|
|
|
Re: Appropriate Referrals - January 27, 2006 7:41:00 AM
|
|
|
paulpt
Posts: 164
Joined: May 31, 2005
Status: offline
|
Baeur: I could not find the definition of the term, but once you clarified and defined the term your case does make more sense. However, it may suit many PTs to give up something they either dont do, dont like, or are not very good at in order to gain something they want. Tim M makes that point well, and I wish to add that is we have evidence to establish that we deserve DA, then we should push for it. If there is evidence that we can 'manipulate', then we should. One should not be traded for the other, no more than we should give up wound care... or EMG/ NCVs... or orthotics.
|
|
|
|
|
Re: Appropriate Referrals - January 27, 2006 8:07:00 AM
|
|
|
jbauer24
Posts: 9
Joined: January 23, 2006
Status: offline
|
Jason:
I disagree, perhaps there may be an exclusion for Universities or perhaps as we have seen in this thread, the definitions are different. But spinal manipulation is restricted in the state of PA. Again, this was a political compromise to gain direct access in PA.
Tim: I understand your point, but each state is different politically. There are some states where certain professions have the political advantage. For example, right now is AK, the chiros have more clout. In other states, the MD's rule the roost. Theoretically, all professions should be able to practice to the fullest extent of their training, but that is not the political reality. We can be obstinate and refuse to compromise, but we will be shut out politically.
Considering the lack of complaints from the PT in the trenches, this appears to be a more than fair compromise to increase the market share of the PT. Though this course of action may not be needed in all states.
|
|
|
|
|
Re: Appropriate Referrals - January 27, 2006 8:13:00 AM
|
|
|
TLB
Posts: 353
Joined: September 13, 2002
From: Arizona
Status: offline
|
jbauer24
Can you post a link to the DA and manip PA compromise? I've googled and can't find anything current.
_____________________________
Todd
|
|
|
|
|
Re: Appropriate Referrals - January 27, 2006 8:16:00 AM
|
|
|
jbauer24
Posts: 9
Joined: January 23, 2006
Status: offline
|
Todd:
I will see what I can find that might shed some light on this.
|
|
|
|
|
Re: Appropriate Referrals - January 27, 2006 9:58:00 AM
|
|
|
paulpt
Posts: 164
Joined: May 31, 2005
Status: offline
|
Duffy is out of town this week (ptupdate.com). He is a PA practicing PT, and I bet he would know the answer. I truly believe that it was Arkansas where there was this trade-off. And this had powerful consequences for at least one PT.
|
|
|
|
 New Messages |
 No New Messages |
 Hot Topic w/ New Messages |
 Hot Topic w/o New Messages |
 Locked w/ New Messages |
 Locked w/o New Messages |
|
 Post New Thread
 Reply to Message
Post New Poll
Submit Vote
Delete My Own Post
Delete My Own Thread
Rate Posts |
|
0.078
|
Printable Version
All Forums >> [RehabEdge Forum] >> Open Forum >> Re: Appropriate Referrals 
