scholarly journals State Occupational and Physical Therapy Telehealth Laws and Regulations: A 50-State Survey

2018 ◽  
Vol 10 (2) ◽  
pp. 3-54 ◽  
Author(s):  
Randal Trey Bierman ◽  
Mei Wa Kwong ◽  
Christine Calouro
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Physical Therapy ◽  
Occupational Therapy ◽  
Health Professions ◽  
Health Care Professions ◽  
Connected Health ◽  
Current State ◽  
Occupational And Physical Therapy ◽  
Multiple Health

The Center for Connected Health Policy conducted a scan of current state policy affecting occupational therapy (OT) and physical therapy (PT) practice, supervision, and additional requirements for using telehealth. While most states have established telehealth policies for other health care professions, this 50-state scan shows that many states made some reference to telehealth practice for OT (37 states) and PT (40 states). The states that adopted these policies also tended to adopt them in either law or regulation, but not both, and showed no discernable patterns favoring either. Additionally, eight states included OT and PT within telehealth laws that concurrently apply to multiple health professions. More commonly, states enacted policy within laws or regulations specific to OT and PT. Most policies including limitations on telehealth practice for OT and PT did not appear to create requirements that are more restrictive than what is generally seen in telehealth across all states.

Transforming Education in Health Care Administration and Opticianry

2015 ◽  
pp. 312-325
Author(s):  
Warren G. McDonald
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Health Care Administration ◽  
Health Professions ◽  
Educational Process ◽  
Technological Evolution ◽  
Health Administration ◽  
Ample Evidence ◽  
Health Care Professions ◽  
History Of

Health care administration and opticianry are both health care professions, but moving in different directions and both in need of transformation. Opticianry, once a time-honored endeavor, is now floundering to find a direction for the future, while health administration has flourished and has a very bright future in the changing face of health care delivery. This chapter provides background and insights into the history of both fields and some of the recent changes in technology that have affected them that necessitates transforming the way future students are educated and trained. A review of the current literature of both fields provides ample evidence of the need for transforming curricula as technology and health professions continue to rapidly evolve. This technological evolution demands transformation of the educational process.

scholarly journals Rapid Implementation of Telerehabilitation for Pediatric Patients During COVID-19

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Rachel Bican ◽  
Catie Christensen ◽  
Kristin Fallieras ◽  
Grace Sagester ◽  
Sara O'Rourke ◽  
...  
Keyword(s):  
United States ◽  
Physical Therapy ◽  
Occupational Therapy ◽  
Pediatric Patients ◽  
Demographic Characteristics ◽  
Pediatric Hospital ◽  
Midwest United States ◽  
Serial Casting ◽  
Therapy Services ◽  
Occupational And Physical Therapy

The COVID-19 pandemic necessitated a sudden limitation of in-person outpatient occupational and physical therapy services for most patients at a large, multisite pediatric hospital located in the Midwest, United States.  To ensure patient and staff safety, the hospital rapidly shifted to deliver most of these services via telerehabilitation. The purposes of this study were to (1) describe the rapid implementation of telerehabilitation during the COVID-19 pandemic, (2) describe the demographic characteristics of patients who continued in-person services and those who received telerehabilitation, and (3) evaluate the therapists’ perceptions of telerehabilitation for physical and occupational therapy. Most of the children (83.4% of n=1352) received telerehabilitation services. A family was more likely to choose to continue in-person visits if their child was <1-year-old, had a diagnosis of torticollis, received serial casting, or was post-surgical. Occupational and physical therapy therapists (n=9) completed surveys to discern their perceptions of the acceptability of telerehabilitation, with most reporting that telerehabilitation was as effective as in-person care.  

Trends in Doctoral Education Among Healthcare Professions: An Integrative Research Review

2015 ◽  
Vol 10 (1) ◽  
pp. 47-56 ◽  
Author(s):  
Jeff G. Seegmiller ◽  
Alan Nasypany ◽  
Leamor Kahanov ◽  
Jennifer A. Seegmiller ◽  
Russell Baker
Keyword(s):  
Health Care ◽  
Doctoral Education ◽  
Research Training ◽  
Medical Model ◽  
Health Professions ◽  
The United States ◽  
Original Research ◽  
Advanced Practice ◽  
Health Care Professions ◽  
Entry Level

ContextEvidence suggests widespread adoption of the entry-level doctorate among health professions, although little is known about how these changes have impacted associated professions and influenced education, collaborative practice, professional advancement, or professional salaries.ObjectiveThreefold: (1) What doctoral education models are currently utilized among health care professional education programs in the United States? (2) How do entry-level clinical doctorates in health care professions impact research training and productivity? (3) How do clinical doctorates among health professions influence practice opportunities and salary?DesignData were extracted from various sources including professional organizations, accrediting body Web sites, and the US Department of Labor database. Full-text articles published in English between the years 2001–2011 were extracted from a search of 38 databases in the University of Washington libraries. The remaining article abstracts were reviewed for compatibility with our research questions. Data were extracted using a standardized rubric and coded according to emergent themes.ResultsTwo-thirds of 14 examined health professions (n = 10) followed the medical model of postbaccalaureate entry-to-practice professional doctoral education. Less than a third (n = 4) of surveyed professions reserved doctoral-level education for advanced practice, and 1 profession maintains both entry-level and advanced practice doctorates. Only 4 of the 14 clinical doctoral degrees required completion of an original research project. Entry-level clinical doctorates may provide insufficient specialty training, necessitating further training after graduation.ConclusionsMost health care professions follow the medical model for professional preparation, though at reduced intensity with fewer clinical hours than physician training. Clinical doctorates are perceived to increase professional opportunities and are associated with higher salaries and doctoral education among health care professions has become the new educational standard, though research training, research productivity, diversity, and professional debt burden have been negatively impacted by this trend.

scholarly journals Review of: Foundations of Clinical Research Applications to Practice (3rd edition)

2010 ◽  
Author(s):  
Robin Washington
Keyword(s):  
Health Care ◽  
Critical Thinking ◽  
Physical Therapy ◽  
Clinical Research ◽  
Physical Therapists ◽  
Occupational Therapists ◽  
Health Professions ◽  
The Third ◽  
User Friendly ◽  
Intended Use

Foundations of Clinical Research: Applications to Practice is the third edition written by physical therapy professors at MGH Institute of Health Professions in Boston Massachusetts. The textbook is intended as the primary textbook for educational instruction related to research and critical thinking. The authors intended use of this text by physical therapists, occupational therapists, speech therapists, nursing, medicine, exercise physiologists and other health care related disciplines. This user-friendly textbook can be utilized by anyone interested in step-by-step illustrations for developing, implementing and disseminating research related activities.

scholarly journals An Introduction to Interprofessional Education for First Semester Doctoral Occupational Therapy and Physical Therapy Students

2021 ◽  
Author(s):  
Suzanne Trojanowski ◽  
Jillian Woodworth ◽  
Anna Rose Wiencek ◽  
Amy Yorke
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Occupational Therapy ◽  
Professional Education ◽  
Interprofessional Education ◽  
Health Care Practitioner ◽  
Entire Group ◽  
First Semester ◽  
Significant Difference ◽  
Positive Results

Purpose: Interprofessional education (IPE) engages health care professional students in order to develop the knowledge, skills, and attitudes required of a health care practitioner. IPE can be challenging to execute; however, exposing students early in their professional education in IPE has positive results. Occupational therapy (OT) and physical therapy (PT) are health care professions who commonly work with each other. The purpose of this study is to describe the process and outcomes of implementing an IPE experience with first year doctoral OT (OTD) and PT (DPT) students completed within the first six weeks of the first semester of their respective programs. Methods: Ninety-one (31 OTD, 60 DPT) students were placed in small groups and discussed professional identities and interprofessional collaboration among OT/PT during pre-professional observations. Students completed the Readiness for Interprofessional Learning Scale (RIPLS) pre-post-meeting and a written reflection post-meeting. Results: Ninety-one students completed the Pre-RIPLS survey, while only 58 Post-RIPLS were completed (13 OTD, 45 DPT). The response rate was 63.7% overall (41.9% OT and 75% PT). A statistically significant difference was found between pre- to post-test RIPLS score among the entire group (p = 0.013), and the DPT students (p = 0.020), but not the OTD students (p = 0.414). Written reflections included the following themes: influence of personal experiences leading to choice of profession, observations shaping knowledge of the professions, similarities and differences between the two professions, and future collaboration. Conclusion: An IPE activity can be implemented early in the professional education of OTD/DPT students with positive results.

scholarly journals Designing Policy Solutions to Build a Healthier Rural America

2020 ◽  
Vol 48 (3) ◽  
pp. 491-505 ◽  
Author(s):  
Sameer Vohra ◽  
Carolyn Pointer ◽  
Amanda Fogleman ◽  
Thomas Albers ◽  
Anish Patel ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Health Policy ◽  
Rural Communities ◽  
The United States ◽  
Rural America ◽  
Current State ◽  
New Energy ◽  
National Model ◽  
Policy Solutions

Disparities exist in the health, livelihood, and opportunities for the 46-60 million people living in America’s rural communities. Rural communities across the United States need a new energy and focus concentrated around health and health care that allows for the designing capturing, and spreading of existing and new innovations. This paper aims to provide a framework for policy solutions to build a healthier rural America describing both the current state of rural health policy and the policies and practices in states that could be used as a national model for positive change.

scholarly journals Health Care Professionals' Perceptions about Sensory-Based Interventions in the NICU

2018 ◽  
Vol 36 (12) ◽  
pp. 1229-1236 ◽  
Author(s):  
Roberta Pineda ◽  
Jessica Roussin ◽  
Elizabeth Heiny ◽  
Joan Smith
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Physical Therapy ◽  
Health Care Professionals ◽  
Neonatal Intensive Care ◽  
Biased Sampling ◽  
Postmenstrual Age ◽  
Multidisciplinary Group ◽  
Occupational And Physical Therapy

Objective The main objective of this article is to define perceptions of health care professionals regarding current use of sensory-based interventions in the neonatal intensive care unit (NICU). Study Design A multidisciplinary group of NICU health care professionals (n = 108) defined the types of sensory-based interventions used in their NICU, the postmenstrual age (PMA) sensory-based interventions are administered, conditions under which sensory-based interventions are used, and personnel who administer sensory-based interventions. Results The most commonly reported tactile intervention was infant holding (88% of respondents), the most common auditory intervention was recorded music/singing (69% of respondents), the most common kinesthetic intervention was occupational and physical therapy (85% of respondents), and the most common vestibular intervention was infant swings (86% of respondents). Tactile interventions were initiated most often at 24 to 26 weeks PMA (74% of respondents), auditory interventions at 30 to 32 weeks (60% of respondents), kinesthetic interventions at 30 to 32 weeks (76% of respondents), vestibular interventions at 33 to 34 weeks (86% of respondents), and visual interventions at 32 to 36 weeks (72% of respondents). Conditions under which sensory-based interventions were administered, and personnel who provided them, varied across settings. Conclusion Varied use of sensory-based interventions in the NICU were reported. While this study was limited by biased sampling and the identification of health care professionals' perceptions but not real-world practice, this information can be used to build a comprehensive approach to positive sensory exposures in the NICU.

scholarly journals Examining Guided and Directed Cues in Strategy Training and Usual Rehabilitation

2018 ◽  
Vol 38 (3) ◽  
pp. 151-156
Author(s):  
Stephanie Rouch ◽  
Elizabeth R. Skidmore
Keyword(s):  
Physical Therapy ◽  
Occupational Therapy ◽  
Usual Care ◽  
Inpatient Rehabilitation ◽  
Active Role ◽  
Strategy Training ◽  
Rehabilitation Care ◽  
Coding Scheme ◽  
Occupational And Physical Therapy ◽  
Therapy Sessions

Therapist approach and feedback during rehabilitation may influence patient outcomes. It is unclear how much guided cueing, the approach used in strategy training, is present in usual rehabilitation care. We compared the frequency of guided and directed cueing in strategy training sessions with cueing in usual care occupational and physical therapy. We videotaped strategy training, occupational therapy, and physical therapy sessions among 20 patients admitted to inpatient rehabilitation after stroke. Using a standardized coding scheme, we coded and analyzed frequencies of therapists’ cues (guided or directed). The proportion of guided cues was significantly higher in strategy training intervention (42%) compared with occupational therapy (4%) and physical therapy (3%). Preliminary research suggests that guided cueing may be more prevalent in strategy training than in usual care. Given that guided cueing provides more opportunity for patients to take an active role in their rehabilitation, guided cueing may lead to superior outcomes.

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