Looking
toward the future of business arrangements related to physical therapist (PT)
practice, the APTA Board adopted Principles of Professionalism Guiding
Physical Therapist Business Relationships and called for a survey to begin
identifying models of practice equity and the factors that influence
implementing one model or another. This again reflects the Association's
recognition of the profession's move toward autonomous practice as part of
Vision 2020. The adopted principles are:
1. Physical
therapists must have control over all clinical decisions relating to physical
therapy (autonomy).
2. Physical therapists should have their
compensation based on the value of their services and production (incentive).
3. Ownership
should be proportional to investment and shared risk (equity).
4. Business
relationships must avoid all potential conflicts of interest and comply with all
Association policies, positions, and guidelines (integrity).
In
amending the Criteria for Standards of Practice for Physical Therapy, the
APTA Board of Directors recognized the responsibility of every member to
contribute to patient data to meet goals of supporting the evidence base of the
practice of physical therapy. This individual responsibility follows
the profession's progression toward autonomous practice and evidence-based
practice, two of the tenets of Vision 2020.
With
clinicians and others outside the research arena purposefully collecting
patient data, agreed the Board, references to such activity need to
expand outside the research areas of APTA's core documents. To that end,
specific changes to the criteria include the addition of: "collection
of patient data" under Section IIC, Administration of the Physical
Therapy Service, Policies and Procedures; "includes knowledge of clinical
research methods and analysis" under Section IIH, Staff Development; and
"as appropriate, records patient data using a method that allows
collective analysis" under IIIG, Patient/Client Management,
Communication/Coordination/Documentation.
The Standards of Practice themselves were initiated and are revised by the House of Delegates; the Board developed and revises the Criteria, which clarify and further define the Standards.