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Physical Therapy Section Meeting November 16, 2017 Page 1 of 2 Ohio Occupational Therapy, Physical Therapy and Athletic Trainers Board Physical Therapy Section Meeting November 16, 2017 10:00 a.m. Roll Call 77 South High Street, 3 rd Floor, Studio 2 Columbus, Ohio 43215 1. Administrative Matters 1.1 Agenda Review 1.2 Approval of Minutes Action Required 1.3 Executive Director Report 1.4 Executive Session 1.4.1 To discuss pending and imminent court action (ORC 121.22 (G)(3)) 1.4.2 To discuss personnel matters related to: Appointment; Employment; Dismissal; Discipline; Promotion; Demotion; Compensation (ORC 121.22 (G)(1)) Investigation of charges/complaints against a public employee, licensee, or regulated individual in lieu of a public hearing (ORC 121.22. (G)(1) 1.4.3 To discuss matters required to be kept confidential by federal law, federal rules, or state 1.5 Discussion of Law and Rule Changes 2. Licensure Applications (50 Minutes) 2.1 Application Review Liaison Report (5 Minutes) Action Required 2.2 Testing Accommodations Requests Action Required 2.3 Physical Therapist/Physical Therapist Assistant Examination Applications Action Required 2.4 Physical Therapist/Physical Therapist Assistant Endorsement Applications Action Required 2.5 Physical Therapist/Physical Therapist Assistant Reinstatement Applications Action Required 2.6 Continuing Education Liaison Report (3 Minutes) 2.7 CE Request for Approval (5 Minutes) 2.8 Licensure Renewal Report 3. Enforcement Division (90 Minutes) 3.1 Assistant Attorney General Report (5 Minutes) 3.2 Case Review Liaison Report (10 Minutes) 3.3 Releases from Consent Agreement(s) 3.4 Notice(s) of Opportunity for Hearing

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Physical Therapy Section Meeting November 16, 2017

Page 1 of 2

Ohio Occupational Therapy, Physical Therapy and Athletic Trainers Board Physical Therapy Section Meeting

November 16, 2017 10:00 a.m. Roll Call

77 South High Street, 3rd Floor, Studio 2 Columbus, Ohio 43215

1. Administrative Matters

1.1 Agenda Review

1.2 Approval of Minutes

Action Required

1.3 Executive Director Report

1.4 Executive Session

1.4.1 To discuss pending and imminent court action (ORC 121.22 (G)(3))

1.4.2 To discuss personnel matters related to:

Appointment; Employment; Dismissal; Discipline; Promotion; Demotion; Compensation(ORC 121.22 (G)(1))

Investigation of charges/complaints against a public employee, licensee, or regulatedindividual in lieu of a public hearing (ORC 121.22. (G)(1)

1.4.3 To discuss matters required to be kept confidential by federal law, federal rules, or state

1.5 Discussion of Law and Rule Changes

2. Licensure Applications (50 Minutes)

2.1 Application Review Liaison Report (5 Minutes)

Action Required

2.2 Testing Accommodations Requests

Action Required

2.3 Physical Therapist/Physical Therapist Assistant Examination Applications

Action Required

2.4 Physical Therapist/Physical Therapist Assistant Endorsement Applications

Action Required

2.5 Physical Therapist/Physical Therapist Assistant Reinstatement Applications

Action Required

2.6 Continuing Education Liaison Report (3 Minutes)

2.7 CE Request for Approval (5 Minutes)

2.8 Licensure Renewal Report

3. Enforcement Division (90 Minutes)

3.1 Assistant Attorney General Report (5 Minutes)

3.2 Case Review Liaison Report (10 Minutes)

3.3 Releases from Consent Agreement(s)

3.4 Notice(s) of Opportunity for Hearing

Physical Therapy Section Meeting November 16, 2017

Page 2 of 2

3.5 Consent Agreement(s)

3.6 Affidavit Consideration(s) (10:30 am)

Action Required

3.7 Hearing Officer Report(s)

3.8 Summary Suspension(s)

3.9 To discuss proposed disciplinary action against a licensee pursuant to ORC 121.22 (G)(1) and pursuant to 121.22 (G)(5) that involve matters required to be kept confidential under ORC sections 149.43 (A)(2) and 4755.02 (E)(1)

3.10 Hearing

4. Correspondence (15 Minutes)

5. OPTA Report (12:30 pm, 20 Minutes)

6. FSBPT Report (5 Minutes)

7. Open Forum (5 Minutes)

8. Old Business (5 Minutes)

9. New Business (10Minutes)

9.1 Review Rules Comments

10. Next Meeting Preparation

10.1 Agenda Items

10.2 Executive Director Assignments

11. Adjournment

Physical Therapy Section September 14, 2017

Page 1

Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board

Physical Therapy Section

September 14, 2017 9:30 a.m.

Members Present Lynn Busdeker (arrived @ 9:44 am) Matthew Creed (arrived @ 9:44 am) Hofmeyer, Erin Ronald Kleinman James Lee, Chair Paul McGhee Chad Miller Jennifer Wissinger, Secretary Trevor Vessels, Public Member Members Absent Timothy McIntire

Legal Counsel Melissa Wilburn, AAG Staff Present Jennifer Adams, Investigator Sarah Crawford, Investigator Assistant Diane Moore, Executive Assistant Lisa Navarro, Enforcement Division Supervisor Guests Victoria Gresh, OPTA Mikayla Pollitt, OPTA Amanda Sines, OPTA

Call to Order James Lee, Chair, called the meeting to order at 9:43 a.m. Approval of Minutes Action: Ronald Kleinman moved that the minutes from the July 20, 2017 meeting be approved as submitted. Erin Hofmeyer seconded the motion. The motion carried. Chad Miller moved that the Section go into executive session to discuss appointment; employment; dismissal; discipline; promotion; demotion; compensation (ORC 121.22 (G)(1)). Ronald Kleinman seconded the motion. The Section Chair Called roll:

Lynn Busdeker Absent Matthew Creed Absent Erin Hofmeyer Yes Ronald Kleinman Yes James Lee Yes Paul McGhee Yes Timothy McIntire Absent Chad Miller Yes Jennifer Wissinger Yes

The motion carried. The Section went into executive session at 9:36 am and came out at 9:56 am. The Section asked Lisa Navarro and Diane Moore to stay in the room. There was no action taken. Special Orders Election of Section Chair Action: James Lee recommended Chad Miller to be Section Chair for the period beginning September 14, 2017 and ending immediately following the September 2018 Section meeting. Nominations were closed. The Section members unanimously voted to elect Chad Miller as Section Chair.

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Physical Therapy Section September 14, 2017

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Election of Section Secretary Action: James Lee recommended Erin Hofmeyer to be Section Secretary for the period beginning September 14, 2017 and ending immediately following the September 2018 Section meeting. Nominations were closed. The Section members unanimously voted to elect Erin Hofmeyer as Section Secretary. FSBPT Delegate Action: James Lee recommended Timothy McIntire to be the Section’s FSBPT Delegate for the period beginning September 14, 2017 and ending immediately following the September 2018 Section meeting. Nominations were closed. The Section members unanimously voted to elect Timothy McIntire as Section FSBPT Delegate. Alternate FSBPT Delegate Action: James Lee recommended Jennifer Wissinger to be the Section’s Alternate FSBPT Delegate for the period beginning September 14, 2017 and ending immediately following the September 2018 Section meeting. Nominations were closed. The Section members unanimously voted to elect Jennifer Wissinger as Section Alternate FSBPT Delegate. Action: Chad Miller moved that the Section authorize the Executive Director or Agency Designee to accept or reject consent agreements on the Section’s behalf for the period beginning September 14, 2017 and ending September 30, 2018. Jennifer Wissinger seconded the motion. The motion carried. Action: Chad Miller moved that the Section authorize the use of signature stamps or electronic signatures by the Section Chairperson, Section Secretary, Executive Director or Agency Designee for the period beginning September 14, 2017 and ending September 30, 2018. Ronald Kleinman seconded the motion. The motion carried. Action: Chad Miller moved that the Section authorize the Executive Director or Agency Designee to make editorial changes to motions for the period beginning September 14, 2017 and ending September 30, 2018. Lynn Busdeker seconded the motion. The motion carried. Action: Chad Miller moved that the Section authorize the use of hearing officers for the period beginning September 14, 2017 and ending September 30, 2018. Matthew Creed seconded the motion. The motion carried. Action: Chad Miller moved that the Section authorize the staff to issue licenses to applicants with completed applications and that the Section ratify the licenses issued by the staff at the Section meeting following the issuance of the license for the period beginning September 14, 2017 and ending September 30, 2018. Erin Hofmeyer seconded the motion. The motion carried. Physical Therapy Section Liaisons

Enforcement James Lee and Lynn Busdeker Licensure Ronald Kleinman Continuing Education Matthew Creed

Correspondence Jennifer Wissinger, Erin Hofmeyer, and Matthew Creed Rules Chad Miller

Discussion of Law and Rule Changes The Section reviewed the Five Year Rules. Action: James Lee moved that the Section file the proposed rules 4755-21-01, 4755-24-05, 4755-24-07, and no change rules 4755-21-02, 4755-21-03, 4755-24-03, 4755-24-04, 4755-24-06, 4755-24-08, and 4755-24-09. Lynn Busdeker seconded the motion. The motion carried. Administrative Reports Licensure Applications Action: Ronald Kleinman moved that the Physical Therapy Section ratify, as submitted, the individuals approved by the Occupational Therapy, Physical Therapy, and Athletic Trainers Board to sit for the National Physical Therapy Examination for physical therapists and physical therapist assistants from July 20, 2017 through September 14, 2017,

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Physical Therapy Section September 14, 2017

Page 3

taking into account those individuals subject to discipline, surrender, or non-renewal. Mr. Kleinman further moved that the following persons be licensed as physical therapists/physical therapist assistants pending passage of the National Physical Therapy Examination and Ohio Jurisprudence Examination. Jennifer Wissinger seconded the motion. The motion carried. Physical Therapist – Examination

Morgan Alexander Joseph Edward Alfano Mary Claire Allen Molly Louise Allen Katherine Shelley Arth Andrew Baker Louis John Bartlo III Teale Bennett Abby Biddlestone Clinton Boring Kristina Marie Bova Adelyn Grace Boyle Meaghan Emily Boynton Joseph John Buchenic Sarah Rae Buffer Robert Douglas Cameron Nicole Cargill Sunni Clyse Jessica Renee Day Gina Nicole Dobell Alyssa Ann Dymond Samantha Marie Edwards Amanda Eliason Katelyn Anne Etgen Maria Fiala Lindsay Fischer Matthew James Franklin Lauren Marie Fredritz Taryn George Joshua Gibbons Jacob Lee Gibson Kelli Girts Troy Albert Glasko Alyssa Nicole Goins Heather Elizabeth Goodwin Kelsey Catherine Greenoe Caitlin Marie Harty Breanna Hauri Andrew Dalton Helber Erica Marie Hersey Shelby Lynn Hirzel Jaclyn Horchen Wesley Joseph Horn Peter Gang Yong Hwang Jodie Kelsey Jindra Sarah Grace Johnson Alexis Kanzigg Kelsey Lynn Kessler Courtney Nicole Knox Karl Koenig Matthew Vincent Koziol Kristen Clara Kupchik Alexandra Marie Kuta Hannah Hilary Lankford Marissa Leigh Lasky Jordan Laudick Ryann Elizabeth Leslie Neha Likhi Matthew Edward Lioi Gregory Lloyd Maria K. Loya Samantha Lynn Malmfeldt James Edward Martin Nicholas Brian Masci Kylie Lynn Mathias Shayna Patrice Matousek Kathryn May Katherine Winifred McCorkle Victor Thomas Migliore Jena N Moeller Joshua Murray Jay Nicholas Musial Matthew David Nelson David Benjamin Nelson Alexandra Norris Alyssa Jean Ochwat Jeremy Curtis Oller Sarah Elizabeth Osterloh Adam Joseph Paljieg Karishma Patel Nicole Anne Pavlichich Michael Charles Pawuk Kelly Rene Pester Mitchell Vincent Plum Sara Lynn Rillero Makenna Ellen Rodenbucher Emily Rose Roth Erin Michell Rucinski Taylor Alyse Ruffing Joshua David Sayre Andrew Mason Schmidt Brittany Lynn Schrock Julia Rose Sciarappa Justin Floyd-Vincent Seekins Brittany Danielle Sheffield Cyril Michael Shuster Shaun Michael Sizemore Cody Uriah Smith Daniel Joseph Snider Drew Douglas Snyder Kylie Nicole Sramek Susan Jane Staats Gwilym Logan Stumpp Jillian Elise Swartzentruber Nicholas Aaron Szwedko Timothy Shane Thomas Joseph Tima Dana Marie Tomasello Sean Cameron Uber Leah Marie Vertullo Matthew Aaron Vollmar James Thomas Wackerly Michelle Theresa Wagner Courtnee Marie Walter Sarah Elizabeth Wells Rachael Catherine Whitehouse Shaunisha Dontaya Louise Winter Taylor Benjamin Wright Mi Gyoung Yoo Julie Nicole Zalar

Physical Therapist Assistants – Examination

Allison Marie Aiken Desiree Renee Bapst Kami Diane Berner Tara Kimberly Bole Matthew Joseph Borris Jenna LeeAnn Brown Breanna Danielle Butler Bethany Carr Emily Carrello Matthew Allen Casci Misty Dawn Cramer Alyssa Crawford Timothy Wayne Dawes Chris Dellabona Jill Marie Deters Kendall Marie Detmer Danielle Nicole Dittoe Amanda Dolt Stephanie Donaugh Adrien Rachelle Dunn Michael William Eicher Autumn Emrick Ashlyn Nicole Erman Alex James Ferenc

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Physical Therapy Section September 14, 2017

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Katie Marie Francis Alicia K George Alexander Graham Eric Allen Green Katrina Michelle Griffieth Elizabeth Grimsley Michael A Hackney Kyle Andrew Hagerich Madison Paige Hancock Lisa Ann Hartman Heather Joy Haynes Joshua Lee Heuker Mary Elaine Hinton Alyssa Homan Sarah Elizabeth Hunter Nicholas Lee Jacobs Alex Theodore Jess Leon Bernard Johnson Cody Dillon Koogler Kevin Kouw Gutierrez Stephanie Marie Kreis Johanna L Kuebler Michelle Lynn Kyser Keisha Marie Long Joseph Lundstrom Dmytro Luzhanskyi Jordon Levi Maag AnneMarie Danielle Mason Kody Alan McGue DeAnna McKee Jason miller Jennifer Monroe Tiffany Gail Moody Lindsey Rae Moore Jessica Lorin Myers Katie Elizabeth Neff Whitney Ann Pasquale Megan Ashley Pointer Julie Ann Puckett Kristen Layne Quinn Caleb James Raines Sarah Ann Reece Caitlin Anne Reschar Aubrey Michelle Richards Sarah Renee Richardson Jared Tyler Rickle Kayla Sue Rowe Victoria Lynn Runneals Lawrensa Renee Saucer Gretchen Renee Scherer Heidi Brooke Schob Amanda Marie Sherwood Kristin Renea Shimp Taylor Robert Shinkle Elizabeth Ann Simpson Cory Wade Smith Richard Gwyn Smith Rebecca A. Smith Christopher Jorgen Sovacool Rachael Marie Stradling Rania Nizar Tsolakis Scott Alan Tyree Abigail Lorraine Vallera Mercedes Ann Vasquez Brittany Olivia Villanueva-

Martinez Ryan Jeffrey Wayton

William Drew Weems Heather Dawn Wells Michael Joseph White Dawn Elaine Whitehurst Isayel Williams Amber Nicole Winterbotham Abigail Jean Wischmeier Breanne Taylor Younce

Action: Ronald Kleinman moved that the Physical Therapy Section ratify, as submitted, the physical therapist and physical therapist assistant licenses issued by endorsement and reinstatement by the Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board from July 20, 2017 through September 14, 2017, taking into account those licenses subject to discipline, surrender, or non-renewal. Jennifer Wissinger seconded the motion. The motion carried. Physical Therapist – Endorsement

Nicole Bachelet John Barnum Grace Rose McIntosh Cathrall Jennifer Lynn Crowder Diane Elizabeth Curtis Paula DeLorm Stacey Lynn Dishman Maren Kay Dixon Beth Christine Eppers Lori Lee Flood Megan Fonagy Brandon Joseph Hornick Timothy Scott Humphreys Megan McCarney Alexis Katherine Meister Marsha Myers Kristen Renee Parkins Alena Marie Regelski Rachael Mary Reuter Katie Lynn Scheich Cassandra Catherine Smego Lindsay Jane Southam Kiran Mayee Lakkarajula Subuddi Shelby Jaylynn Way Kara Christine Welling Elizabeth Lea Wetmore

Physical Therapist Assistant – Endorsement

Cassandra Yvonne Hall Rachel Ashley Jackson Ashley Ann Martinez Negron Monica Jane Russell Ashley Marie Southern Ashleigh Mae Trent Justin Murphy Vincent Jamie Lynn Williams Randy Douglas Williams

Physical Therapist Reinstatement

Joseph Matthew Day Kelly Marie Stratton Ashley Elaine Suttles Physical Therapist Assistant Reinstatement

Regina Rae Boyle Gina Marie Caracci Lavita Lontanette Frelin Andrew Scot Williams

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Physical Therapy Section September 14, 2017

Page 5

Ronald Kleinman recommended that the Section approve request to withdrawal application SR-04271 based on the documentation provided. Action: Lynn Busdeker moved that the Section approve the request to withdrawal application SR-04271 based on the documentation provided. Erin Hofmeyer seconded the motion. Ronald Kleinman abstained from voting. The motion carried. Ronald Kleinman recommended that the Section approve request to withdrawal application APP-000107834 based on the documentation provided. Action: Lynn Busdeker moved that the Section approve the request to withdrawal application APP-000107834 based on the documentation provided. Chad Miller seconded the motion. Ronald Kleinman abstained from voting. The motion carried. Ronald Kleinman recommended that the Section grant reinstatement of licensure application LR-001772511 and accept the continuing education hours submitted based on the documentation provided. Action: Matthew Creed moved that the Section grant reinstatement of licensure application LR-001772511 and accept the continuing education hours submitted based on the documentation provided. Chad Miller seconded the motion. Ronald Kleinman abstained from voting. The motion carried. Testing Accommodations Requests Ronald Kleinman recommended that the Section grant a testing accommodation for additional time: time and a half for physical therapist examination file# APP-00016656 based on the documentation provided. Action: Matthew Creed moved that the Section grant the testing accommodation for additional time: time and a half for physical therapist examination file# APP-00016656. Chad Miller seconded the motion. Ronald Kleinman abstained from voting. The motion carried. Ronald Kleinman recommended that the Section grant a testing accommodation for additional time: double time and separate room for physical therapist assistant examination file# APP-000111835 based on the documentation provided. Action: Erin Hofmeyer moved that the Section grant the testing accommodation for additional time: double time and separate room for physical therapist assistant examination file# APP-000111835. Matthew Creed seconded the motion. Ronald Kleinman abstained from voting. The motion carried. Continuing Education Liaison Report James Lee will sign the updated Memorandum of Understanding with Ohio Physical Therapy Association. Assistant Attorney General’s Report Melissa L. Wilburn, AAG, had no formal report for the Section. Ms. Wilburn notified the Section that she has been reassigned. Ms. Wilburn will continue to represent the Board until October 2017. The Section thanked Melissa L. Wilburn for her service. Case Review Liaison Report Chad Miller reported that the Enforcement Division closed nine and opened eight new cases since the July 20, 2017, meeting. There are seventeen cases currently open. There are eight disciplinary consent agreements and two adjudication order being monitored. Chad Miller informed the Section that Brian Riffe, PTA, complied with all the terms and conditions and was released from his disciplinary consent agreement. Enforcement Actions Chad Miller recommended that the Section issue a notice of opportunity for hearing for case number PT-FY18-003 for conviction of misdemeanor in the course of practice. Action: Ronald Kleinman moved that the Section issue a notice of opportunity for hearing for case number PT- FY18-003 for conviction of misdemeanor in the course of practice. Lynn Busdeker seconded the motion. James Lee and Chad Miller abstained from voting. The motion carried. Chad Miller recommended that the Section issue a notice of opportunity for hearing for case number PT-FY18-004 for conviction of misdemeanor in the course of practice. Action: Lynn Busdeker moved that the Section issue a notice of opportunity for hearing for case number PT- FY18-004 for conviction of misdemeanor in the course of practice. Matthew Creed seconded the motion. James Lee and Chad Miller abstained from voting. The motion carried.

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Physical Therapy Section September 14, 2017

Page 6

Affidavit Hearing Good afternoon. My name is James Lee, Chairperson of the Physical Therapy Section of the Ohio Occupational Therapy, Physical Therapy and Athletic Trainers Board. Let the record show that these proceedings were called to order at 1:04 pm on July 20, 2017, at the Vern Riffe Center, 77 South High Street, Columbus, Ohio, 43215. Members of the Board present for the proceedings are: The Executive Assistant called roll: Lynn Busdeker Present Matthew Creed Present Erin Hofmeyer Present Ronald Kleinman Present James Lee Present Paul McGhee Present Timothy McIntire Absent Chad Miller Present Jennifer Wissinger Present It will be noted for the record that a majority of the members of the Board are present. There will be three adjudication proceedings today. The proceeding is in the matter of case number LD-PT-17-001, Lakshmi Krishnan. This proceeding shall be an affidavit–based adjudication relative to a Notice of Opportunity for Hearing mailed to the respondent in the aforementioned case and believed to have been properly serviced according to the Administrative Procedures Act (Chapter 119. of the Ohio Revised Code). As the respondent did not properly request a hearing in the case, this proceeding will be held before the board pursuant to Goldman v. State Medical Board of Ohio. The individual named does not have the ability to present written or oral testimony today, but may be present to hear the proceeding and outcome. You have already received sworn affidavit from the Board’s Enforcement Division Supervisor and Enforcement Division Investigator and accompanying exhibits for the Goldman Proceeding in your board packet. The affidavit contain the evidence and testimony upon which you will deliberate. Please take a few moments to review the evidence and testimony. In lieu of a stenographic record being made, let the minutes reflect the original sworn affidavits and exhibits shall be kept as the official record of the proceedings in the aforementioned matter in the Board office. I will now recognize Assistant Attorney General, Melissa Wilburn, for the purpose of providing a brief synopsis of the case. Ms. Wilburn reviewed the case for the Board. Action: Lynn Busdeker moved to admit the facts and exhibits outlined in the sworn affidavit for case number LD-PT-17-001, Lakshmi Krishnan, into evidence. Ronald Kleinman seconded the motion. James Lee and Chad Miller abstained from voting. The motion carried. There being no further evidence to come before the board, this proceeding is now closed at 1:11 pm. The procedural and jurisdictional matters having being satisfied, we will now continue with the proceeding by deliberation on the sworn affidavits and exhibits. At this time, is there a motion to recess the meeting in order to go into private session for the purpose of quasi-judicial deliberation on case number LD-PT-17-001, Lakshmi Krishnan, and to reconvene the meeting after deliberations are complete?

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Physical Therapy Section September 14, 2017

Page 7

Action: Lynn Busdeker moved to recess the meeting to go into private session for the purpose of quasi-judicial deliberation on this matter. Ronald Kleinman seconded the motion. The Executive Assistant called roll: Lynn Busdeker Yes Matthew Creed Yes Erin Hofmeyer Yes Ronald Kleinman Yes James Lee Abstained Paul McGhee Absent Timothy McIntire Yes Chad Miller Abstained Jennifer Wissinger Yes The motion carried. The Section went into private session at 1:12 p.m. and came out at 1:25 p.m. James Lee and Chad Miller left the room during private session and did not participate in the deliberation. In the matter of case number LD-PT-17-001, Lakshmi Krishnan, after review of the evidence the Board makes the following findings of fact:

1. The Board had jurisdiction to conduct the hearing in this matter pursuant to Goldman v. State Medical Board of Ohio, 110 Ohio App. 3d 124, 673 N .E. 2d 677 ( 1996).

2. Krishnan did not request an R.C. 119 hearing on the aforementioned charge.

3. All the facts as stated in the affidavit are verified and true.

4. Krishnan lacks the educational qualifications to be licensed as a physical therapist assistant in the state of Ohio.

In the matter of case number LD-PT-17-001, Lakshmi Krishnan, after review of the evidence the Board makes the following conclusions of law:

1. Krishnan was properly served with the Notice of Opportunity for Hearing pursuant to R.C. 119.07.

2. R.C. 119.07 required Krishnan to request a hearing within thirty (30) days of the mailing of the Notice.

3. A preponderance of the evidence establishes that Krishnan lacks the educational qualifications to be licensed as a physical therapist assistant in the state of Ohio, as detailed in the Findings ofFacts, are grounds for license denial under Ohio Rev. Code§ 4755.47(A)(28), Ohio Rev. Code§ 4755.42l(A)(4), and Ohio Administrative Code §§ 4755-23-02(B).

Action: Jennifer Wissinger moved that the Section deny Lakshmi Krishnan’s application to be licensed as a physical therapist assistant by examination. Lynn Busdeker seconded the motion. The Executive Assistant called roll: Lynn Busdeker Yes Matthew Creed Yes Erin Hofmeyer Yes Ronald Kleinman Yes James Lee Abstained Paul McGhee Absent

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Physical Therapy Section September 14, 2017

Page 8

Timothy McIntire Yes Chad Miller Abstained Jennifer Wissinger Yes The motion carried. The application of Lakshmi Krishnan to be licensed as a physical therapist assistant by examination, is hereby denied, effective September 14, 2017. The Enforcement Division Supervisor is hereby instructed to prepare an adjudication order to carry out the mandates of this Board and serve the orders on LD-PT-17-001, Lakshmi Krishnan, in the manner prescribed by law. This concludes the Matter of LD-PT-17-001, Lakshmi Krishnan. Correspondence The Section reviewed the correspondence and provided feedback to the PT Correspondence Liaisons. Old Business None New Business None Open Forum The Physical Therapy Section’s next project will be updating the Frequently Asked Questions on the Board website. Ohio Physical Therapy Association (OPTA) Report Victoria Gresh, reported that OPTA they are transitioning new board members. Ms. Gresh also reported that the new continuing education porta is running well. The OPTA is in the process of auditing continuing education. Ms. Gresh further reported that OPTA is working with The Ohio Schools Health Association. This group is monitoring Medicaid issues in the schools. Ms. Gresh reported that the APTA created a state policy forum. Mikayla Pollitt gave a brief legislative update. Federation of State Boards for Physical Therapy (FSBPT) Report There was no formal report. Items for Next Meeting Standard Items FSBPT Jam Next Meeting Date The next regular meeting date of the Physical Therapy Section is scheduled for Thursday, November 16, 2017. DRAFT

Physical Therapy Section September 14, 2017

Page 9

Adjournment There being no further business and no objections, James Lee adjourned the meeting at 1:30 pm. Respectfully submitted, Diane Moore ________________________________________ ________________________________________ James Lee, PT, DPT, Chair Jennifer Wissinger, PT, Secretary Ohio Occupational Therapy, Physical Therapy, Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board, PT Section and Athletic Trainers Board, PT Section ________________________________________ Vacant, Executive Director Ohio Occupational Therapy, Physical Therapy and Athletic Trainers Board JW:dm

DRAFT

Type Licensed By Applicant Full Name

Physical Therapist (PT) Endorsement Jenna Suzanne Barry

Physical Therapist (PT) Endorsement Kimberly Anne Belfanti

Physical Therapist (PT) Endorsement Jessica Marie Thoele Berg

Physical Therapist (PT) Endorsement Marcie Rene Brown

Physical Therapist (PT) Endorsement Morgan Burgner

Physical Therapist (PT) Endorsement Julie Ann Butt

Physical Therapist (PT) Endorsement Scott Andrew Chappell

Physical Therapist (PT) Endorsement Samantha Correia

Physical Therapist (PT) Endorsement Lindsay Diehl

Physical Therapist (PT) Endorsement McKenzie Shea Emrick

Physical Therapist (PT) Endorsement Amy Danielle Goldstein

Physical Therapist (PT) Endorsement Walter Hafner

Physical Therapist (PT) Endorsement Sarah Ann Harrell

Physical Therapist (PT) Endorsement Mark Allen Kaufman

Physical Therapist (PT) Endorsement Daniel Steven Kristoff

Physical Therapist (PT) Endorsement Taryn Courtney Lamp

Physical Therapist (PT) Endorsement Keith Francis Levinson

Physical Therapist (PT) Endorsement Shannon Marshall

Physical Therapist (PT) Endorsement Robert Michael Minturn

Physical Therapist (PT) Endorsement Hannah Netemeyer

Physical Therapist (PT) Endorsement Rituraj Singh Panwar

Physical Therapist (PT) Endorsement Johnny Passarelli

Physical Therapist (PT) Endorsement Brianne Rubesich Perry

Physical Therapist (PT) Endorsement Jillian Michelle Russell

Physical Therapist (PT) Endorsement David Alan Sachse

Physical Therapist (PT) Endorsement Kristyn Marie Schlenker

Physical Therapist (PT) Endorsement Stephen Francis Spika

Physical Therapist (PT) Endorsement Lauren Michelle Stark

Physical Therapist (PT) Endorsement Denee Rochelle Trosterud

Physical Therapist (PT) Endorsement Suzanne Marie Williams

Endorsement Count 30

Physical Therapist (PT) Examination Megan Elizabeth Bonini

Physical Therapist (PT) Examination Samantha Ann Bradford

Physical Therapist (PT) Examination Kathryn E. Brockhoff

Physical Therapist (PT) Examination Kenneth R Case

Physical Therapist (PT) Examination Keeley Patricia Chaffee

Physical Therapist (PT) Examination Brandy Nicole Clement

Physical Therapist (PT) Examination Nicholas Alan Coberly

Physical Therapist (PT) Examination Kylie Jade Cole

Physical Therapist (PT) Examination Chiara Alyssa Corsmeier

Physical Therapist (PT) Examination Sarah Lynn Courey

Physical Therapist (PT) Examination Kevon H. Gray

PT/PTA Licensure List November 16, 2017

Physical Therapist (PT) Examination Zachary William Hughes

Physical Therapist (PT) Examination Mavis Lepper

Physical Therapist (PT) Examination Brittany Jillian Lofton

Physical Therapist (PT) Examination Ashley Nicole Long

Physical Therapist (PT) Examination Jacob Robert Lubbe

Physical Therapist (PT) Examination Tyler David Marshall

Physical Therapist (PT) Examination Hannah Clare McIntyre

Physical Therapist (PT) Examination Puja Nagarsheth

Physical Therapist (PT) Examination Kevin Joseph Quinlan

Physical Therapist (PT) Examination Anthony Joseph Recker

Physical Therapist (PT) Examination Megan Alese Rolfe

Physical Therapist (PT) Examination Shelby Lyne Schaeper

Physical Therapist (PT) Examination Thomas Scott Schindler

Physical Therapist (PT) Examination Shane Michael Stein

Physical Therapist (PT) Examination Jennifer Lea Sumerak

Physical Therapist (PT) Examination Sandra Annastasia Weir

Examination Count 27

Physical Therapist (PT) Reinstatement Catherine Jarvis Bath

Physical Therapist (PT) Reinstatement Thomas John Birk

Physical Therapist (PT) Reinstatement Jessica Marie Carter

Physical Therapist (PT) Reinstatement Matthew Paul Condo

Reinstatement Count 4

Physical Therapist Assistant (PTA) Endorsement Shirley Anne Burnett

Physical Therapist Assistant (PTA) Endorsement Andrea Dunn

Physical Therapist Assistant (PTA) Endorsement Jodi Gaye Finzel

Physical Therapist Assistant (PTA) Endorsement Kimberly Groeper

Physical Therapist Assistant (PTA) Endorsement Kevin Lee Kaiser

Physical Therapist Assistant (PTA) Endorsement Walter Anton Kinzel

Physical Therapist Assistant (PTA) Endorsement Devon Gabriel Nicely

Physical Therapist Assistant (PTA) Endorsement Grant Gilbert Perkins

Physical Therapist Assistant (PTA) Endorsement Cheryl Bethany Sushereba

Physical Therapist Assistant (PTA) Endorsement Kelsey Rae Taylor

Endorsement Count 10

Physical Therapist Assistant (PTA) Examination Ashley Nicole Alger

Physical Therapist Assistant (PTA) Examination Tori Amber Allen

Physical Therapist Assistant (PTA) Examination Lateala Lazadia Anderson‐Lee

Physical Therapist Assistant (PTA) Examination Holly Marie Andrews

Physical Therapist Assistant (PTA) Examination Klay Arthur

Physical Therapist Assistant (PTA) Examination Stephanie Lynn Baker

Physical Therapist Assistant (PTA) Examination Sarah Anne Benbow

Physical Therapist Assistant (PTA) Examination Natalie Benko

Physical Therapist Assistant (PTA) Examination Jessica Nicole Biegel

Physical Therapist Assistant (PTA) Examination Danielle Renee Bloom

Physical Therapist Assistant (PTA) Examination Katie Elizabeth Bodenstedt

Physical Therapist Assistant (PTA) Examination Nicole Bosh

Physical Therapist Assistant (PTA) Examination Paula Jean Bridgman

Physical Therapist Assistant (PTA) Examination Nicholas Andrew Cahill

Physical Therapist Assistant (PTA) Examination Justine Michelle Carlson

Physical Therapist Assistant (PTA) Examination Christopher William Chiaro

Physical Therapist Assistant (PTA) Examination Matthew Cline

Physical Therapist Assistant (PTA) Examination Jason Owen Curtner

Physical Therapist Assistant (PTA) Examination Charley Stephen Denniss

Physical Therapist Assistant (PTA) Examination Christi Diehl

Physical Therapist Assistant (PTA) Examination Christopher D Farrell

Physical Therapist Assistant (PTA) Examination Brittany D Finlay

Physical Therapist Assistant (PTA) Examination Lindsey Mayer Frank

Physical Therapist Assistant (PTA) Examination Casmen Jena Gantner

Physical Therapist Assistant (PTA) Examination Kayla Jean Golkiewicz

Physical Therapist Assistant (PTA) Examination Joseph Lee Graham

Physical Therapist Assistant (PTA) Examination Ryan Andrew Hall

Physical Therapist Assistant (PTA) Examination Tiffany Hardin

Physical Therapist Assistant (PTA) Examination Kaitlyn M Hazek

Physical Therapist Assistant (PTA) Examination Devin Heitzman

Physical Therapist Assistant (PTA) Examination Frederick Heywood

Physical Therapist Assistant (PTA) Examination Olivia Marie Howell

Physical Therapist Assistant (PTA) Examination Kerri Marie Humphrey

Physical Therapist Assistant (PTA) Examination Rikki Allison Jaworski

Physical Therapist Assistant (PTA) Examination Jeremy Burgess Jenkins

Physical Therapist Assistant (PTA) Examination Kimberly Ann Joest

Physical Therapist Assistant (PTA) Examination Debbie Carol Jones

Physical Therapist Assistant (PTA) Examination Hannah Pauline Jones

Physical Therapist Assistant (PTA) Examination Elizabeth Ann Kaczmarek

Physical Therapist Assistant (PTA) Examination Troy Richwayne Kaiser

Physical Therapist Assistant (PTA) Examination Walter J. Kenderski

Physical Therapist Assistant (PTA) Examination Kandise Rose King

Physical Therapist Assistant (PTA) Examination Danielle Ann Kohler

Physical Therapist Assistant (PTA) Examination Jiana Noor Koussa

Physical Therapist Assistant (PTA) Examination Jennifer Renee Leininger

Physical Therapist Assistant (PTA) Examination Chelsea Mae Lester

Physical Therapist Assistant (PTA) Examination Rilea Lombardy

Physical Therapist Assistant (PTA) Examination Brittany Ludwick

Physical Therapist Assistant (PTA) Examination Charles Jennings Marcum

Physical Therapist Assistant (PTA) Examination Traci Lynn McKinley

Physical Therapist Assistant (PTA) Examination Kristy Ann McPherson

Physical Therapist Assistant (PTA) Examination Heather Marie McSuley

Physical Therapist Assistant (PTA) Examination Jason Miller

Physical Therapist Assistant (PTA) Examination Kara Lynn Mink

Physical Therapist Assistant (PTA) Examination Sydney Nicole Mosby

Physical Therapist Assistant (PTA) Examination Julian Moser

Physical Therapist Assistant (PTA) Examination Katie Elizabeth Neff

Physical Therapist Assistant (PTA) Examination Jessica Loreene Orwick

Physical Therapist Assistant (PTA) Examination Kelly Marie Pease

Physical Therapist Assistant (PTA) Examination Shelby Renee Phillips

Physical Therapist Assistant (PTA) Examination Courtney Marie Ransick

Physical Therapist Assistant (PTA) Examination Michelle L. Reinsmith

Physical Therapist Assistant (PTA) Examination Devon Leigh Roeder

Physical Therapist Assistant (PTA) Examination Brianne Rosengarten

Physical Therapist Assistant (PTA) Examination Rachel Christina Rossi

Physical Therapist Assistant (PTA) Examination Victoria Lynn Salvino

Physical Therapist Assistant (PTA) Examination Kayla Sue Samples

Physical Therapist Assistant (PTA) Examination Steven Donald Schoenfeld

Physical Therapist Assistant (PTA) Examination Rebecca Danielle Sedar

Physical Therapist Assistant (PTA) Examination Kathryn Marie Shaffner

Physical Therapist Assistant (PTA) Examination Todd Anthony Snyder

Physical Therapist Assistant (PTA) Examination Samantha Ann Soeder

Physical Therapist Assistant (PTA) Examination Kaylyn Susan Soldner

Physical Therapist Assistant (PTA) Examination Jonathon Soto

Physical Therapist Assistant (PTA) Examination Rachel Nicole Steinberger

Physical Therapist Assistant (PTA) Examination Kayla Dawn Tackett

Physical Therapist Assistant (PTA) Examination Holly Marie Talboo

Physical Therapist Assistant (PTA) Examination Dylan Lee Taylor

Physical Therapist Assistant (PTA) Examination Benjamin Anuson Umeh

Physical Therapist Assistant (PTA) Examination McKenzie Ann Waggoner

Physical Therapist Assistant (PTA) Examination Christina Maria Washington

Physical Therapist Assistant (PTA) Examination Jacob Charles Wenzelman

Physical Therapist Assistant (PTA) Examination Heather Ashley Whitaker

Physical Therapist Assistant (PTA) Examination Desiree Renee White

Physical Therapist Assistant (PTA) Examination Stephen Allen White

Physical Therapist Assistant (PTA) Examination Kelsey Nicole Yonikus

Physical Therapist Assistant (PTA) Examination Jessica Ann Zoccola

Examination Count 87

Grand Count 158

PHYSICAL THERAPY SECTION

ENFORCEMENT REVIEW PANEL MEETING

Date: November 16, 2017

Meeting Time: 12:30 pm Board Office Conference Room-16th Floor

Statistics: “New” cases opened since the September meeting: 5 Cases “closed” at the September meeting: 7 Cases “currently open”: 14 Active consent agreements: 7 Adjudication orders being monitored: 2

Occupational Therapy Section New cases opened since the September meeting: 0

Cases closed at the September meeting: 6 Cases currently open: 4

Active consent agreements: 1 Adjudication monitoring: 2

Athletic Trainers Section

New cases opened since the September meeting: 0 Cases closed at the September meeting: 1

Cases currently open: 3 Active consent agreements: 1

Adjudication monitoring: 1

*Statistics as of 11/2/17

Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board 77 South High Street, 16th Floor Governor Columbus, Ohio 43215-6108 John R. Kasich

614-466-3774 (phone) ● 614-995-0816 (fax) ● [email protected] ● http://otptat.ohio.gov

PT Correspondence –November 2017

No.

1. Christy Hiltz, PT: Ms. Hiltz asked the Section questions regarding whether a physician prescription is required for students under an IEP.

2. Kathryn Appleby, PT: Ms. Appleby asked the Section questions regarding whether physical therapist assistants can perform special tests/retest, including Neer's impingement, Hawkin's-Kennedy, FABER, anterior drawer.

3. Barbara Collins -Stratton, PT: Ms. Collins-Stratton asked the Section questions regarding whether physical therapist assistants can perform neurological assessments, such as Babinski and other reflex testing.

4. Melissa Dunnagan, PT: Ms. Dunnagan asked the Section questions regarding private pay clients and selecting appropriate clients for caseloads.

5. Kathleen Johnson, PT: Ms. Johnson asked the Section questions regarding supervising and cosigning notes for physical therapist assistants.

Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board 77 South High Street, 16th Floor Governor Columbus, Ohio 43215-6108 John R. Kasich

614-466-3774 (phone) ● 614-995-0816 (fax) ● [email protected] ● http://otptat.ohio.gov

PT1 November 2017 Christy Hiltz, PT PT011338 [email protected] Dear Ms. Hiltz: This letter is in response to your correspondence regarding whether a physician prescription is required for students under an IEP. Ohio Physical Therapy Practice Act does not vary with practice setting. Section 4755.481 of the Revised Code authorizes physical therapists to evaluate and treat without a physician’s referral. The physical therapist must, upon consent of the patient, parent, or legal guardian, inform the patient’s medical health professional of the physical therapy evaluation within five (5) business days of the evaluation having taken place. These laws and rules apply to all settings, and have been in effect since 2004. As section 4755.481(A) (2) (b) states that physician notification, within five business days with patient consent, is not necessary if the patient previously was diagnosed with chronic, neuromuscular, or developmental conditions and the evaluation, treatment, or services are being provided for problems or symptoms associated with one or more of those previously diagnosed conditions, physician notification would not be necessary for ongoing treatment of students with established developmental conditions in schools. In addition, there is nothing in the law that requires the physical therapist to see a patient without a physician’s referral. The physical therapist does have the discretion to request a prescription. The Section thanks you for your correspondence and appreciates your understanding that it is your professional responsibility to remain current with professional standards. Please visit the Board’s website (http://otptat.ohio.gov) to review the Physical Therapy Practice Act and other information related to the regulation of physical therapy in Ohio. You can also obtain updates from the Board at our Facebook, (http://www.facebook.com/OhioOTPTATBoard) and Twitter (http://www.twitter.com/OhioOTPTATBd) pages. Should you have any additional questions, please contact the Board at (614) 466-3774 or http://otptat.ohio.gov/ContactUs.aspx Sincerely, The Physical Therapy Section Chad Miller, PT, DPT PT Section Chair DRAFT

Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board 77 South High Street, 16th Floor Governor Columbus, Ohio 43215-6108 John R. Kasich

614-466-3774 (phone) ● 614-995-0816 (fax) ● [email protected] ● http://otptat.ohio.gov

PT2 November 2017 Kathryn Appleby, SPTA [email protected] Dear Ms. Appleby: This letter is in response to your correspondence regarding whether physical therapist assistants can perform special tests/retest, including Neer's impingement, Hawkin's-Kennedy, FABER, anterior drawer. Insert response In accordance with rule 4755-27-02 (A) of the Ohio Administrative Code, the physical therapist assistant is a skilled, technical person who assists in physical therapy treatment as assigned by the physical therapist. These duties are carried out under the supervision, as defined in division (D) of section 4755.40 of the Revised Code and rule 4755-27-04 of the Administrative Code, of the physical therapist to whom the assistant is responsible. It is the position of the PT section that a physical therapist assistant must produce evidence of appropriate training and demonstrate knowledge and competency in any procedure, treatment, or service that the supervising physical therapist delegates to that individual. The supervising physical therapist must be able to demonstrate competency in any procedure or service that has been delegated. That is, the supervising physical therapist may not delegate treatments, procedures, or services to a physical therapist assistant or other licensed personnel if the supervising physical therapist cannot demonstrate knowledge and competency in the procedure, even if the physical therapist assistant or other licensed personnel can demonstrate knowledge and competency in the procedure. While the PT section acknowledges that PTAs can perform special tests as delegated by the PT and in accordance with the above, we further communicate that the PTA is not qualified or authorized to interpret the results of such special testing as that is considered evaluative in nature. The Section thanks you for your correspondence and appreciates your understanding that it is your professional responsibility to remain current with professional standards. Please visit the Board’s website (http://otptat.ohio.gov) to review the Physical Therapy Practice Act and other information related to the regulation of physical therapy in Ohio. You can also obtain updates from the Board at our Facebook, (http://www.facebook.com/OhioOTPTATBoard) and Twitter (http://www.twitter.com/OhioOTPTATBd) pages. Should you have any additional questions, please contact the Board at (614) 466-3774 or http://otptat.ohio.gov/ContactUs.aspx Sincerely, The Physical Therapy Section Chad Miller, PT, DPT PT Section Chair DRAFT

Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board 77 South High Street, 16th Floor Governor Columbus, Ohio 43215-6108 John R. Kasich

614-466-3774 (phone) ● 614-995-0816 (fax) ● [email protected] ● http://otptat.ohio.gov

PT3 November 2017 Barbara Collins - Stratton, PT PT007547 [email protected] Dear Ms. Collins-Stratton: This letter is in response to your correspondence regarding whether physical therapist assistants can perform neurological assessments, such as Babinski and other reflex testing. Insert response In accordance with rule 4755-27-02 (A) of the Ohio Administrative Code, the physical therapist assistant is a skilled, technical person who assists in physical therapy treatment as assigned by the physical therapist. These duties are carried out under the supervision, as defined in division (D) of section 4755.40 of the Revised Code and rule 4755-27-04 of the Administrative Code, of the physical therapist to whom the assistant is responsible. It is the position of the PT section that a physical therapist assistant must produce evidence of appropriate training and demonstrate knowledge and competency in any procedure, treatment, or service that the supervising physical therapist delegates to that individual. The supervising physical therapist must be able to demonstrate competency in any procedure or service that has been delegated. That is, the supervising physical therapist may not delegate treatments, procedures, or services to a physical therapist assistant or other licensed personnel if the supervising physical therapist cannot demonstrate knowledge and competency in the procedure, even if the physical therapist assistant or other licensed personnel can demonstrate knowledge and competency in the procedure. While the PT section acknowledges that PTAs can perform special tests as delegated by the PT and in accordance with the above, we further communicate that the PTA is not qualified or authorized to interpret the results of such special testing as that is considered evaluative in nature. The Section thanks you for your correspondence and appreciates your understanding that it is your professional responsibility to remain current with professional standards. Please visit the Board’s website (http://otptat.ohio.gov) to review the Physical Therapy Practice Act and other information related to the regulation of physical therapy in Ohio. You can also obtain updates from the Board at our Facebook, (http://www.facebook.com/OhioOTPTATBoard) and Twitter (http://www.twitter.com/OhioOTPTATBd) pages. Should you have any additional questions, please contact the Board at (614) 466-3774 or http://otptat.ohio.gov/ContactUs.aspx Sincerely, The Physical Therapy Section Chad Miller, PT, DPT PT Section Chair

DRAFT

Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board 77 South High Street, 16th Floor Governor Columbus, Ohio 43215-6108 John R. Kasich

614-466-3774 (phone) ● 614-995-0816 (fax) ● [email protected] ● http://otptat.ohio.gov

PT4 November 2017 Melissa Dunnagan, PTA PTA05570 [email protected] Dear Ms. Dunnagan: This letter is in response to your correspondence regarding private pay clients and selecting appropriate clients for caseloads. Insert response It is the position of the PT Section that pursuant to section 4755.47 (A)(5) of the Ohio Revised Code, all licensed physical therapists must follow the code of ethical conduct for physical therapists and physical therapist assistants established in rule 4755-27-05 of the Ohio Administrative Code. Paragraph (B)(5)(e) of this rule states that “Providing treatment interventions that are not warranted by the patient’s condition, or continuing treatment beyond the point of reasonable benefit to the patient” would be a “failure to adhere to minimal standards of practice, whether or not actual injury to a patient occurred.” The Physical Therapy Section recommends that the primary physical therapist evaluate whether self-pay maintenance services are of “reasonable benefit to the patient.” The Section thanks you for your correspondence and appreciates your understanding that it is your professional responsibility to remain current with professional standards. Please visit the Board’s website (http://otptat.ohio.gov) to review the Physical Therapy Practice Act and other information related to the regulation of physical therapy in Ohio. You can also obtain updates from the Board at our Facebook, (http://www.facebook.com/OhioOTPTATBoard) and Twitter (http://www.twitter.com/OhioOTPTATBd) pages. Should you have any additional questions, please contact the Board at (614) 466-3774 or http://otptat.ohio.gov/ContactUs.aspx Sincerely, The Physical Therapy Section Chad Miller, PT, DPT PT Section Chair DRAFT

Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board 77 South High Street, 16th Floor Governor Columbus, Ohio 43215-6108 John R. Kasich

614-466-3774 (phone) ● 614-995-0816 (fax) ● [email protected] ● http://otptat.ohio.gov

PT5 November 2017 Kathleen Johnson, PT PT001588 [email protected] Dear Ms. Johnson: This letter is in response to your correspondence regarding supervising and cosigning notes for physical therapist assistants. Insert response Rule 4755-27-03(E)(6) of the Ohio Administrative Code states that “All documentation shall be co-signed by the supervising physical therapist” but does not specify time requirements for co-signing the physical therapist assistant’s notes. It is the position of the physical therapy section that the urgency of reviewing and co-signing notes may vary with the patient population and with the acuity of the patient’s condition. The physical therapist should be able to demonstrate that effective supervision was provided for the particular patient care delegated to the physical therapist assistant. To the extent that the co-signing of the note(s) in question represents providing timely documentation in the case of non-availability of the evaluating PT due to vacation or unforeseen absence, the PT section concurs with signature of that documentation performed by a PTA by a "covering" PT. The signing PT then assumes responsibility for that treatment encounter as the ultimate responsibility for care of the patient lies with the physical therapist. If the original evaluating PT will no longer be involved in the care of that patient, that evaluating PT must document transfer of care to an alternate competent PT. Abandonment is the inappropriate termination of a physical therapist/patient relationship by the physical therapist. Abandonment is generally alleged when the relationship is severed without reasonable notice at a time when the patient continues to require care. It is the position of the Physical Therapy Section that physical therapists have a legal and ethical obligation to make every effort to follow through with the plan of care established for the patients. Pursuant to section 4755.47 (A)(5) of the Ohio Revised Code, all licensed physical therapists must follow the code of ethical conduct for physical therapists and physical therapist assistants established in rule 4755-27-05 of the Administrative Code. Paragraph (B)(5) of this rule states that “a licensee shall adhere to the minimal standards of acceptable prevailing practice. Failure to adhere to minimal standards of practice, whether or not actual injury to a patient occurred, includes, but is not limited to: (h) Abandoning the patient by inappropriately terminating the patient practitioner relationship by the licensee.” Paragraph (B)(12) of this rule states “a licensee shall transfer the continuum of care of the patient, as appropriate, to another health care provider in the event of elective termination of physical therapy services by the licensee.” Section 4755.47 (A)(5) of the Revised Code authorizes the Physical Therapy Section to take disciplinary action against a physical therapist who violates any of the provisions contained in rule 4755-27-05 of the Administrative Code. The Section thanks you for your correspondence and appreciates your understanding that it is your professional responsibility to remain current with professional standards. Please visit the Board’s website (http://otptat.ohio.gov) to review the Physical Therapy Practice Act and other information related to the regulation of physical therapy in Ohio. You can also obtain updates from the Board at our Facebook, (http://www.facebook.com/OhioOTPTATBoard) and Twitter (http://www.twitter.com/OhioOTPTATBd) pages. Should you have any additional questions, please contact the Board at (614) 466-3774 or http://otptat.ohio.gov/ContactUs.aspx Sincerely, The Physical Therapy Section

DRAFT

Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board 77 South High Street, 16th Floor Governor Columbus, Ohio 43215-6108 John R. Kasich

614-466-3774 (phone) ● 614-995-0816 (fax) ● [email protected] ● http://otptat.ohio.gov

Chad Miller, PT, DPT PT Section Chair

DRAFT