Thank you, Reggie.  I was hoping that someone was acting on this at the
national level, but I have heard nothing from AOTA on this issue.  Is anyone
from AOTA reading Reggie's letter?  What can therapists in the field do to
fight this legislation?

Sandi McClary, MS/MOTR
Rehab Manager
Lovelace Hospital
Albuquerque, NM
505-343-6328


----- Original Message -----
From: "Redge Campbell" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Monday, November 11, 2002 10:58 AM
Subject: Direct Access for PT


> 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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