Hello Redge:

The two states I have practiced in, S. Carolina and Florida, already
have direct access for OT.  I've always been under the impression that
with regards to direct access, PT is chasing OT because most states
already have direct access for OT.

Ron

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On 11/11/02,[EMAIL PROTECTED] wrote:

RC> Greetings Colleagues,

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

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

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

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

RC> Is this on anyone's radar screen?



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

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