Hello Chuck:

I'm not doing a good job of making my point.

I  don't  think  the  phrase: "functional training related to physical
movement  and mobility" should be removed. In fact, this is the phrase
that   should  stay.  It's  the  "self-care,  in  home  and  community
reintegration" phrase that should be removed.

In  my  opinion,  PT has always addressed function. It's what function
they are now wanting to address that's the concern.

Ron

----- Original Message -----
From: Chuck Willmarth <[EMAIL PROTECTED]>
Sent: Monday, March 05, 2007
To:   [email protected] <[email protected]>
Subj: [OTlist] PT's and Functional Trainig

CW> Ron,
 
CW> The purpose of the phrase "functional  training related to
CW> physical movement and mobility" 
CW> is to clarify the context in which physical therapists
CW> provide "self-care and in home, community or
CW> work integration."

CW> I think it would be difficult to argue to state legislators
CW> that the whole phrase should come out given language in PT
CW> accreditation standards. 
CW> The language has been there for ten years now.

CW> We reviewed PT literature and textbooks to see how they talk
CW> about ADLs/functional training; the focus is on movement and
CW> mobility.

CW> "And according to AOTA's proposed PT scope of practice
CW> language, as far as  payers,  doctors and patient's are concerned,
CW> PT can equally treat
CW> as well as OT."

CW> I disagree with your conclusion.   I don't see anything in
CW> the language that talks about payment for services or that PT can
CW> "equally treat as well as OT."  As you know, OT and PT are
CW> separate benefits under Medicare and other payment systems.   OTs
CW> can't provide PT and PTs can't provide OT; OT and PT are not
CW> interchangable.  As far as payers, patients and doctors are
CW> concerned, my view is that we need to do more to educate them
CW> about the unique benefits of occupational therapy.

CW> Chuck



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