Greetings Colleagues,

I have been following with great interest the strategy of the physical
therapy community in moving toward the entry level DPT and submitting
legislation to Congress for direct access and potentially prescriptive
authority for physical therapists.  I haven't heard much concern raised
in the OT community or in AOTA about the risks of this to our
profession.  While I don't generally support OTs always chasing the PTs
this one has me on edge.

If the physical therapists gain direct access and no longer require
physician 30 day certification for Part B services, they will have a
direct line on access to this population.  If you were a referring
physician, whom would you rather have treat your outpatients?  A
discipline which could directly manage your patient for you with little
or no requirement on your part, or a discipline that required you to
continue to follow your patient actively every 30 days, read and sign 30
day recertification notes, and be held accountable for the intensity of
treatment provided by the discipline?  

My guess is that physiatrists would feel threatened and would rather
maintain the close contact with patients, which would benefit OT's.  My
guess is that virtually every other referring specialty physician would
rather just refer to PT.  The result would be a significant hit on OT
access to Part B patients and further increases in scope of practice
challenges as PT's step further into the functional skills arena.

As I see it, we need to have a direct professional response to this by
either requiring this change to be effective for all rehab ancillaries
or we need to vigorously oppose this legislation at the national level
as a threat to patient access to OT services.

Is this on anyone's radar screen?



Redge L Campbell MS OTR/L
Director of Rehabilitation Services
Harrison Hospital
Bremerton, WA  98310
360.792.6531

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