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PT to PTA Ratios: What is appropriate?

 
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PT to PTA Ratios: What is appropriate? - April 3, 2009 11:49:56 PM   
Nicole Matoushek PT MPH CSHE CEES

 

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From: St. Petersburg, FL
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Can I ask the group what is considered appropriate PT to PTA ratios, (OT to COTA as well).  Basically, in a clinic how many PTs should there be on staff for each PTA?

And if PT and PTA are providing treatment to a patient on subsequent visits for the entire episode of care, after how many visits should the PT see the patient for every visit the PTA treats the patient?

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Nicole Matoushek, PT, MPH, CSHE, CEES
http://www.ErgoRehabinc.com

http://www.ErgoRehabBlog.com

http://www.ComputerAccessoriesOnlineStore.com
Post #: 1
RE: PT to PTA Ratios: What is appropriate? - April 4, 2009 1:19:08 PM   
proud

 

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Research suggests a ratio of zero percent....in other words, utilizing a PTA lowers the outcomes so why use them other than to maximize profits?

More research needs to be done before the answer is that clear cut but for now....that answers your question.

AND HARI,

First off...get lost.

And secondly...research suggests vitaimin supplements are a waste of money and peddlers like yourself are shisters.

Thidly...get lost

and fourthly, can we delete HARI's post...please?

< Message edited by proud -- April 4, 2009 1:25:41 PM >

(in reply to hari001)
Post #: 2
RE: PT to PTA Ratios: What is appropriate? - April 4, 2009 4:57:38 PM   
Sebastian Asselbergs

 

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From: Barrie, Canada
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Nicole, I do not know if you are asking about the Standards of practice or the State laws about this, or just opinions and experiences.
I am 100% with proud.
Having run big and small clinics, I have had the opportunity to explore the use of PTAs; in any of the clinics, they were NOT used (hired) after our test periods.
Did NOT enhance the quality of care, added stress and paperwork to the treatment, added another personality into the mix, and it was found handy only in very few cases. These were clinics where US, SWD, IR, etc etc were NOT commonly used.

Just so the PTAs here know: I have nothing against them and their training - like I have nothing against chauffeurs. I just like to drive myself.

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Mundi vult decipi

(in reply to proud)
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RE: PT to PTA Ratios: What is appropriate? - April 5, 2009 12:03:49 AM   
Tom Reeves DPT ATC

 

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In Minnesota, a PT can supervise only 2 PTAs.  for the record, I only have one PTA in our department and I find it helpful to have her work with the more repetitive SNF and IP patients, allowing me to do more evaluating and treating of the patients with a more definite beginning and end to their care.

(in reply to Sebastian Asselbergs)
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RE: PT to PTA Ratios: What is appropriate? - April 5, 2009 2:57:38 PM   
jma

 

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IN NY, I found this info from the office of professions website;

"In general one physical therapist may supervise no more than four physical therapist assistants. In a home care services setting, a physical therapist may supervise no more than two physical therapist assistants."

Source: http://www.op.nysed.gov/ptfaq.htm

(in reply to Tom Reeves DPT ATC)
Post #: 5
RE: PT to PTA Ratios: What is appropriate? - April 5, 2009 3:50:07 PM   
SJBird55

 

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From: Michigan
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If you'd like evidence to assist with your question, you can see a post at EIM here:  http://blog.myphysicaltherapyspace.com/2008/09/do-physical-the.html
There were a lot of comments generated at that time, but the EIM guys changed the format of discussion from the Typepad thing to Disqus to now Intense Debate.  As the comment platforms have been changed, the comments have been lost.  :(

(in reply to jma)
Post #: 6
RE: PT to PTA Ratios: What is appropriate? - April 6, 2009 9:57:32 PM   
Nicole Matoushek PT MPH CSHE CEES

 

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From: St. Petersburg, FL
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Thank you all so much for your comments! This is great feedback!  SJBird, I am going to yout blog right now! Thanks!

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Nicole Matoushek, PT, MPH, CSHE, CEES
http://www.ErgoRehabinc.com

http://www.ErgoRehabBlog.com

http://www.ComputerAccessoriesOnlineStore.com

(in reply to SJBird55)
Post #: 7
RE: PT to PTA Ratios: What is appropriate? - April 15, 2009 5:39:01 AM   
thebilljones

 

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Sounds like somebody hired the "wrong" PTA...Some are better than others. Hell I've met some that were military trained and they were better than some PTs I knew. 

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Bill Jones, MS, PT, CSCS
Momentum Physical Therapy/Sports Enhancement
http://jonesercise.wordpress.com/
http://ilovehelen.wordpress.com/
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RE: PT to PTA Ratios: What is appropriate? - April 15, 2009 12:25:57 PM   
SJBird55

 

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Bill, the data for the research came from FOTO and outcomes using FOTO.  (So, we're talking thousands of records.)  The slippery slope in the data was the guesstimate of how frequently the PTA was utilized.  Poorer outcomes occur when a PTA is utilized in 50% or greater of the episode of care.  The only time that the outcome wasn't as bad was in states that had PT/PTA ratio mentioned in state licensing regulations for physical therapists.

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RE: PT to PTA Ratios: What is appropriate? - April 15, 2009 1:54:03 PM   
thebilljones

 

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I understand the research...not arguing its point...just saying that some PTAs don't suck...some PTs do.

_____________________________

Bill Jones, MS, PT, CSCS
Momentum Physical Therapy/Sports Enhancement
http://jonesercise.wordpress.com/
http://ilovehelen.wordpress.com/

(in reply to SJBird55)
Post #: 10
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