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Nichole Frederickson




                       1
   Define Outpatient therapy practice setting
   How many patients are seen
   What types of diversity/diagnosis are seen
   What treatments are preformed
   What types of equipment are used
   Physical Therapist Assistant Salaries
   What Percentage of PTAs work in this setting
    (nationally/regionally)
   What is the multi-disciplinary team approach to
    patient/client care
   Any advanced skill, training or recognition needed or
    could be obtained to work in the setting


                                                            2
Outpatient -is a patient who is not hospitalized
 overnight but who visits a hospital, clinic or
 associated facility for diagnosis or treatment.

Setting- Depends on the size of the facility and
 what is available for patients.




                                                   3
Facility                                       Median number seen 51-75% of        Median number of Patients
                                               time spent on direct patient care   seen 76% or more of time
                                                                                   spent on direct patient care

Acute care hospitals                                          25                                30

Sub-acute rehab hospital (in-patient)                         10                                10


Health system or hospital based outpatient                    25                                30
facility clinic

Private out-patient office of group practice                  25                                30


SNF/ECF/ICF                                                   15                                16

School System                                                 25                                30

Other                                                         20                                25



                                                                             www.apta.org
                                                                                                                  4
   Diversity- This depends on the region of the
    country. In general the more rural an area
    is, the less diverse the patients will be.

   Diagnosis to be seen- again this will depend
    on the capability of the facility. Outpatient
    therapy treats a variety of diagnoses.




                                                    5
Examples of treatment performed in a Outpatient setting

   Posture re-education
   Exercises to increase range of motion and muscle flexibility
   Exercises to increase muscle strength
   Balance activities
   Developmental stimulation
   Endurance training
   Gait training for patients with walking difficulties
   Functional mobility training (e.g., standing up, sitting in a chair)
   Soft tissue massage and joint mobilization
   Sport-specific activities
   Modalities, such as application of heat and cold, electrical
    stimulation and hydrotherapy (whirlpool).


                                                                           6
1.




     Ultrasound Imaging Systems
     Electrotherapy
     Tables
     Mats and platforms
     Light or laser therapy units
     Flexion Tables
     Chairs and Stools
     Patient Lifts
     Heat and Cold packs
     Weights and Bands
     Positioning wedges and pillows




                                      7
PTA Salary by Region                    PTA Salaries APTA

   Northeast              $44,000
                                     > 80,000
   New England            $47,000   70,001-…
    Middle Atlantic        $42,500
   Midwest                $42,000   60,001-…
   East North Central     $45,000   50,001-…
   West North Central     $41,000
   South                  $50,000   45,001-…
   South Atlantic         $50,000
   East South Central     $51,000
                                     40,001-…                      Percent
   West South Central     $50,000   35,001-…
   West                   $46,000
   Mountain               $45,000   30,001-…
   Pacific                $50,000   25,001-…
                                     <25,000

                                                0    10   20    30
                                                    www.apta.org
                                                                             8
www.apta.org
               9
   In an effort to provide effective and efficient care to
    patients with chronic health conditions, the U.S. healthcare
    system has done much to redesign its delivery system.
    Developing an approach to meet the high demands of
    patients and to best utilize resources became necessary.
    The result is the common use now of a multidisciplinary
    team (MDT) approach


   Multidisciplinary teams, as the name implies, are teams of
    people from different disciplines that come together for a
    common purpose. The MDT approach is used in a variety
    of different setting including healthcare, education, and
    mental health.



                                                                   10
   In the state of SD a PTA must graduate from an accredited
    physical therapist assistant education program as determined
    by the board, and has passed a certification examination
    approved by the board.

   Specialist Certification

   PTA Recognition of Advanced Proficiency




                                                                   11
   www.apta.org. US National Professional Organization.
    American Physical Therapy Association. November 2009.
    <http://www.apta.org>.
   www.associatedcontent.com. Associated Health and Wellness.
    November 2009. http://www.associatedcontent.com/health
   www.spauldingrehab.org. Spalding Rehabilitation Hospital.
    November2009.
    http://www.spauldingrehab.org/outpatientrehabilitation
   Jean Borns. Big Stone Therapies. 11/10/09.




                                                             12

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Nf Outpatient Powerpoint Presentation

  • 2. Define Outpatient therapy practice setting  How many patients are seen  What types of diversity/diagnosis are seen  What treatments are preformed  What types of equipment are used  Physical Therapist Assistant Salaries  What Percentage of PTAs work in this setting (nationally/regionally)  What is the multi-disciplinary team approach to patient/client care  Any advanced skill, training or recognition needed or could be obtained to work in the setting 2
  • 3. Outpatient -is a patient who is not hospitalized overnight but who visits a hospital, clinic or associated facility for diagnosis or treatment. Setting- Depends on the size of the facility and what is available for patients. 3
  • 4. Facility Median number seen 51-75% of Median number of Patients time spent on direct patient care seen 76% or more of time spent on direct patient care Acute care hospitals 25 30 Sub-acute rehab hospital (in-patient) 10 10 Health system or hospital based outpatient 25 30 facility clinic Private out-patient office of group practice 25 30 SNF/ECF/ICF 15 16 School System 25 30 Other 20 25 www.apta.org 4
  • 5. Diversity- This depends on the region of the country. In general the more rural an area is, the less diverse the patients will be.  Diagnosis to be seen- again this will depend on the capability of the facility. Outpatient therapy treats a variety of diagnoses. 5
  • 6. Examples of treatment performed in a Outpatient setting  Posture re-education  Exercises to increase range of motion and muscle flexibility  Exercises to increase muscle strength  Balance activities  Developmental stimulation  Endurance training  Gait training for patients with walking difficulties  Functional mobility training (e.g., standing up, sitting in a chair)  Soft tissue massage and joint mobilization  Sport-specific activities  Modalities, such as application of heat and cold, electrical stimulation and hydrotherapy (whirlpool). 6
  • 7. 1. Ultrasound Imaging Systems Electrotherapy Tables Mats and platforms Light or laser therapy units Flexion Tables Chairs and Stools Patient Lifts Heat and Cold packs Weights and Bands Positioning wedges and pillows 7
  • 8. PTA Salary by Region PTA Salaries APTA  Northeast $44,000 > 80,000  New England $47,000 70,001-… Middle Atlantic $42,500  Midwest $42,000 60,001-…  East North Central $45,000 50,001-…  West North Central $41,000  South $50,000 45,001-…  South Atlantic $50,000  East South Central $51,000 40,001-… Percent  West South Central $50,000 35,001-…  West $46,000  Mountain $45,000 30,001-…  Pacific $50,000 25,001-… <25,000 0 10 20 30 www.apta.org 8
  • 10. In an effort to provide effective and efficient care to patients with chronic health conditions, the U.S. healthcare system has done much to redesign its delivery system. Developing an approach to meet the high demands of patients and to best utilize resources became necessary. The result is the common use now of a multidisciplinary team (MDT) approach  Multidisciplinary teams, as the name implies, are teams of people from different disciplines that come together for a common purpose. The MDT approach is used in a variety of different setting including healthcare, education, and mental health. 10
  • 11. In the state of SD a PTA must graduate from an accredited physical therapist assistant education program as determined by the board, and has passed a certification examination approved by the board.  Specialist Certification  PTA Recognition of Advanced Proficiency 11
  • 12. www.apta.org. US National Professional Organization. American Physical Therapy Association. November 2009. <http://www.apta.org>.  www.associatedcontent.com. Associated Health and Wellness. November 2009. http://www.associatedcontent.com/health  www.spauldingrehab.org. Spalding Rehabilitation Hospital. November2009. http://www.spauldingrehab.org/outpatientrehabilitation  Jean Borns. Big Stone Therapies. 11/10/09. 12