Hello All:

Following  Rachelle  Dorn's link, here is an excerpt of what AOTA say's
about the Medicare Direct Access initiative:

- quote -

"AOTA  is working with the American Physical Therapy Association (APTA)
to  clarify  overall intent and to assure that the bill does no harm to
occupational  therapy  under  Medicare. AOTA is pursuing its own direct
access   initiative   under  direction  from  the  AOTA  Representative
Assembly,  requiring  that resources be developed and shared with state
associations to expand levels of direct access under state occupational
therapy  practice  acts  where  state  laws  may inhibit expansion into
community-based  and  other emerging practice arenas. The State Affairs
Group  has  taken  the  lead  on  this  effort,  providing lobbying and
technical assistance to state associations wishing to pursue efforts in
this area."

- end quote -

Ron

*************************************************
On 11/12/02,[EMAIL PROTECTED] wrote:

RC> Sandi and others,

RC> Please let me clarify something.  I frequently am confused with Reggie
RC> Campbell from Texas.  While we share name similarities she and I are not
RC> the same.  I'm just a rehab director up in the Northwest corner.  To
RC> paraphrase a great orator.  I've met Reggie Campbell.  I am no Reggie
RC> Campbell.

RC> To that end, I'm not aware of any action or position taken on this
RC> initiative by AOTA.  I am not typically someone who attempts to agitate
RC> on a subject but would sure like some discussion on whether I am
RC> fabricating scenarios that aren't likely to occur.

RC> As for the direct access initiative being promoted by the physical
RC> therapists, I am very much on board with the obvious common sense of
RC> this.  I just fear that if OT does not have similar access there will be
RC> too much imbalance in the process of referring to OT as compared to PT
RC> which could result in loss of access to OT and increased scope by PTs to
RC> fill the gap.



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

>>>> [EMAIL PROTECTED] 11/11/02 08:20PM >>>
RC> Thank you, Reggie.  I was hoping that someone was acting on this at
RC> the
RC> national level, but I have heard nothing from AOTA on this issue.  Is
RC> anyone
RC> from AOTA reading Reggie's letter?  What can therapists in the field do
RC> to
RC> fight this legislation?

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


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


>> Greetings Colleagues,
>>
>> I have been following with great interest the strategy of the
RC> physical
>> therapy community in moving toward the entry level DPT and
RC> submitting
>> legislation to Congress for direct access and potentially
RC> prescriptive
>> authority for physical therapists.  I haven't heard much concern
RC> 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
RC> 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
RC> 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
RC> 30
>> day recertification notes, and be held accountable for the intensity
RC> 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. 
RC> My
>> guess is that virtually every other referring specialty physician
RC> would
>> rather just refer to PT.  The result would be a significant hit on
RC> 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
RC> by
>> either requiring this change to be effective for all rehab
RC> ancillaries
>> or we need to vigorously oppose this legislation at the national
RC> 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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