Federation of State Boards of Physical Therapy
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1 Federation of State Boards of Physical Therapy Mission: public protection Leslie Adrian, PT, DPT, MS, MPA Director of Professional Standards
2 Physical Therapy Licensure Compact Improving the way we protect the public
3 What is a Compact? Effective means of cooperatively addressing common problems Statute and contract between states They take precedence over existing statute & regulations Responds to national priorities/pressures while retaining collective state sovereignty Every state participates in many compacts Average of 25 Crady DeGolian, CSG
4 Crady DeGolian, CSG
5 Interstate Compacts Development Advisory Phase (4 6 Months) Composed of state officials, stakeholders, & issue experts Examine the issues and current policy spectrum Examine best practices and alternative structures Establish recommendations as to the content of an interstate compact Examine the need for Congressional Consent Drafting Phase ( 8 12 Months) Composed of 5 8 state officials, stakeholders, issue experts (typically some overlap w/ Advisory) Craft interstate compact solution based on Advisory Group recommendations Circulate draft compact to specific states and relevant stakeholder groups for comment Education and Enactment (18 months 2 legislative sessions) Drafting team considers comments and incorporates into compact Final product circulated to Advisory Group Released to states for consideration Crady DeGolian, CSG
6 Physical Therapy Licensure Compact? Why Now? Convergence of events and factors Response to external push toward national licensure Addresses the critical components of licensure portability Opportunities for cooperation and support Other health care organizations moving forward Recognized opportunities FSMB, NCSBN,NASEMSO,ASPPB
7 Physical Therapy Licensure Compact Advisory Task Force 10 PT Board Members 1 PTA Board Member 2 PT Board Public Members 1 PT State Legislator (Senator) 5 PT Board Administrators 2 APTA Staff 1 APTA Board Member 1 APTA Health Policy Section Representative 2 Council of State Governments (CSG) Consultants 3 FSBPT Staff 2 FSBPT Board members
8 Before We Go Any Farther. None of the recommendations are binding Things may change This is a starting point
9 Some Terminology and Clarifications Privilege to practice (PtP) this is different than licensure Practice of physical therapy occurs where the patient is located Home State state of residence Remote state compact state of practice if not the home state Compact State any state that is part of the compact Compact Administration an entity that administers the compact and is responsible for the day to day operations.
10 Physical Therapy Licensure Compact Model The licensee participant must: hold one valid, current, unrestricted license in home state (state of residence) notify any remote states in which s/he will be practicing The notification by the licensee participant and the payment of the fee gives the Privilege to Practice (PtP) in the remote state Fee will be the prerogative of the remote state
11 PT Licensure Compact (cont.) Remote states may impose jurisprudence requirement Prior to practice or within a time frame The Model will apply to both PTs and PTAs Implementation If licensed without restriction at time of implementation, the individual is eligible for compact
12 PT Licensure Compact (cont.) All licensees must meet the FSBPT 2016 NPTE eligibility requirements (going forward) All participating jurisdictions must fully participate in the FSBPT ELDD Jurisdictions must require criminal background checks require continuing competence as a component of license renewal pay fees to the compact administration (could be from the licensee)
13 PT Licensure Compact (cont.) Eligible licensees who use their PtP must: Be knowledgeable and comply with practice requirements (including scope and supervision) in state of practice (where the patient is) Submit application, pay fees and comply with notification requirements A mechanism must be available for consumers to verify the license and privilege to practice of a physical therapist or physical therapist assistant.
14 PT Licensure Compact (cont.) Initial investigation and due process occurs In the State in which the violation occurred Must be reported back to home state and compact data base Home state (state of license) has the sole ability to take action on the license Remote compact state has the ability to restrict Privilege to Practice within their state Restriction of privilege to practice in one remote state restricts privilege to practice in all remote states
15 Other Provisions Ten jurisdictions are the minimum participants to start the Compact (may change)
16 US Health Care Systems Modules A collaboration between FSBPT, FCCPT, APTA, & Health Policy & Administration Section
17 A Collaborative Project Federation of State Boards of Physical Therapy Foreign Credentialing Commission on Physical Therapy American Physical Therapy Association Health Policy and Administration Section Catalyst
18 Patterned after the Canadian Alliance Course : But Specific to US needs and for Deficiencies on the CWT
19 10 modules 1) Cultural Competency 2) Client Centered Care Models 3) Determinant of Health Promotion, Wellness & Prevention 4) Federal & State Government Roles in Healthcare 5) Administrative Models of Care 6) Use & Supervision of Support Staff 7) Direct Access 8) Ethics & the Profession of PT 9) Transition to the workplace: The Roles of the PT 10) Evaluation, Reflection & Feedback
20 US PT programs will be invited to submit proposals to offer, online and for credit.
21 Regulatory Issues Surrounding Telehealth
22 Telehealth Regulatory Guidelines Researching and reviewing telehealth guidelines & current legislative/regulatory models Outcome: produce a resource paper for jurisdictions Considerations, guidelines, and recommendations for telehealth regulation Stakeholder review of the guidelines Professional Associations Member Boards American Telehealth Association Other interested parties??
23 Telehealth Regulatory Guidelines Licensure Considerations PT/Patient Relationship Appropriate Use of Technology Supervision Safety and Security
24 Minimum Data Set (MDS): What is it? A consistent set of data elements to be collected on all licensees at regular intervals in order to understand workforce needs related to access to healthcare
25 Why? Identification of workforce needs Is there a shortage of therapists or a mal distribution? Are there access gaps? What about the future? Workforce planning Educational planning Class size Number of educational programs Rural employment incentives International health care workers and immigration Federal Legislation Telehealth New healthcare models improving access and quality
26 A Tri alliance Federation of State Boards of Physical Therapy American Physical Therapy Association Federal Government: Health Resources Services Administration
27 Where we are. Changes in HRSA Still a priority for FSBPT and APTA and many State Health Agencies The Tortoise and the Hare
28 ProCert: continuing competence activity certification program
29 ProCert Our continuing competence activity certification program is almost 2 years old! In that time: certified activities from 68 vendors 350+ activities in the certification process 50+ trained reviewers 20 jurisdictions currently accept 10 additional states planning to accept
30 NPTE
31 What does eligibility mean? Requirements to sit for the NPTE (vs requirements for licensure) FSBPT requirements (vs jurisdiction requirements) Jurisdictions may require additional criteria
32 Eligibility Four rules Establish a lifetime limit of 6 attempts Establish a lifetime limit of 2 very low scores Make the current English proficiency recommendations a requirement Require the most current Coursework Tool for FEPT credentialing Gathering feedback from jurisdictions
33 Testing Dates When & Why Multiple security incidents focused on collecting and sharing NPTE content Changing delivery method deemed the most effective at combatting the issue PT transitioned September 2011 PTA transitioned April 2012
34 Testing Dates What s the future? Ample notice on test dates 18 months Consistency on dates More test dates? Continue to reduce item reuse Long term goal
35 2015/2016 Testing Dates PT Jan 28, 2015 April 29, 2015 July 21 & 22, 2015 Oct 28, 2015 Jan 27, 2016 April 27, 2016 July 19 & 20, 2016 Oct 27, 2016 PTA Jan 14, 2015 April 8, 2015 July 8, 2015 Oct 7, 2015 Jan 13, 2016 Apr 6, 2016 Jul 6, 2016 Oct 6, 2016
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