S a l t L a k e C o m m u n i t y C o l l e g e

2013

Uintah Physical Therapy PTA 1500

Term Project

Chevelle Garnett

1

Uintah Physical Therapy

TABLE OF CONTENTS

MISSION STATEMENT ............................................................................................................ 2 Goals ............................................................................................................................. 2 Need for Physical Therapy ............................................................................................ 2 Target Populations and Persons to be Served .............................................................. 2 Types of Services Offered ............................................................................................. 2

DEVELOPMENT OVER THE NEXT 5 YEARS ........................................................................................ 3 POLICIES AND PROCEDURES .................................................................................................... 3

DRESS CODE ........................................................................................................................... 4 FUNDING TO GET STARTED AND KEEP RUNNING .......................................................................... 4

BUDGET AND OPERATING EXPENSE .............................................................................................. 5 EQUIPMENT NECESSARY TO OPEN CLINIC ...................................................................................... 6 ORGANIZATIONAL CHART ........................................................................................................... 7 PERSONNEL ............................................................................................................................. 7 DIRECTOR JOB DESCRIPTION ....................................................................................................... 8 PHYSICAL THERAPIST DESCRIPTION .............................................................................................. 9 PHYSICAL THERAPIST ASSISTANT JOB DESCRIPTION ......................................................................... 9 AIDE JOB DESCRIPTION ............................................................................................................ 10 RECEPTIONIST DESCRIPTION ..................................................................................................... 11 SYSTEM FOR SCHEDULING PATIENTS .......................................................................................... 11 SCHEDULE OF HOURS WORKED ................................................................................................. 12 SCHEDULE OF HOURS WORKED CONTINUED ................................................................................ 13 QUALITY ASSURANCE .............................................................................................................. 13 CITED SOURCES ..................................................................................................................... 13

2

Mission Statement

Our mission is to provide a quality, cost-effective rehabilitative care to the people of the Uintah Community, while maintaining the highest standards of care. Uintah Physical Therapy aims to help each patient reach their maximum potential by being knowledgeable, efficient, and friendly at all times.

Goals

Uintah Physical Therapy will guide, educate, support, and adjust your program until you reach your goals of freedom from pain, healing of injury, and returning to the activities you love. We aim to provide a hands-on approach to develop all staff personnel, programs, and research.

Need for Physical Therapy Services

The residents of Uintah County total about 25,000. The majority of people are primarily employed as farmers and miners. These occupations pose a greater chance for traumatic and/ or chronic injuries to occur. Currently, physical therapy, occupational therapy, and speech therapy are not offered by the local hospital. The residents of this 3 county area would benefit from these therapies by relieving pain, maximizing motion, and learning prevention techniques.

Target Population and Persons to be Served

Uintah Physical Therapy will be able to serve on an in-patient, and out-patient basis.

Pre-/ Post- operational patients already in connection with the hospital.

Individuals with acute and chronic impairments, functional limitations, and disabilities related to movement, function, and health.

High school athletes

Farming Accidents

Industrial Injuries

Types of Services Offered:

Orthopedic

Wound care

Geriatric

Pediatric

Neurological

Cardiovascular

Sports Injuries

3

Development over the next five years:

Increase profit each year by servicing more patients, timely and cost

effectively

Provide health insurance benefits and paid time off to Aides and

Receptionists

Offer education classes related to health and wellness

Work in the high school with the athletes

Offer occupational and speech therapies

Policies and Procedures:

I. Responsibility of Physical Therapy Department

II. Orientation and training policies

III. After hours operations

IV. Operating procedures

V. Processing New Patients

VI. Unacceptable behavior policy

VII. Chart Regulation

VIII. Accountability policy

IX. Treatments

X. Record keeping

XI. Anti-discriminant laws

XII. Confidentiality

XIII. Disaster plan

XIV. Housekeeping duties

XV. Emergency protocols for staff and patients

XVI. Hazard communication and awareness

XVII. Safety policies for equipment

XVIII. Risk management aspects

XIX. Hierarchy, organizational chart

XX. Documentation guidelines

XXI. Program evaluation protocols

XXII. Employment classification

XXIII. Job descriptions

XXIV. Performance guidelines, expectations and evaluations

XXV. Discipline guidelines

XXVI. Termination of employment

4

XXVII. Job grievances

XXVIII. Leave of absence

XXIX. Continuing education requirements

XXX. Dress Code:

*Note: Aides will wear scrubs, and name tag with job title

Men Women

Shirt with a collar, appropriately sized Blouse/ dress shirt ,shoulder width must be 3’’+, no excessive cleavage or bra straps showing, must cover mid-section completely when bending and lifting.

Closed toed shoes Skirts/ dresses discouraged

Clothing must be in good condition Closed toed, No heels above 1/2’’

No dangling ties Clothing must be in good condition

No earrings No earrings larger than a quarter

Facial hair trimmed or not at all No dangling necklaces

Name tag with job title Clothes must be in good condition

Fingernails trimmed and clean Name tag with job title

Khaki or Dress pants Fingernails trimmed and cleaned

Funding to get started and keep running

The PT clinic will be an extension of the hospital built right on its campus. It will be

approximately 2,000 square feet. The hospital and the community want a PT clinic

so much, that the Board of Trustees has put aside $400.00 to get a clinic started. A

company credit card has also been established, with a $10,000 limit, just in case of

emergencies. As the clinic is part of the hospital there is no rent associated.

5

6

Equipment Necessary to Open Clinic:

Exercise Equipment/ Assessment Tools

Elliptical $600

Treadmill $500

Recumbant Bike $150

hand weight set $65

Ankle weight set $25

Exercise Ball Set $100

Goniometers $30

Tape measures $20

Parallel Bars $2000

Wall Pulleys $200

Total Gym $500

Rebounder $800

Furniture

Plinths $12,000

Rolling Stools $360

Large Mirror $50

Computer Chairs $200

Desks $400

Round Lunch Table $150

Lunch Chairs $150

Step Stools $75

Privacy Curtains $600

Washer and Dryer $1600

Physical Agent Modalitites

Hydrocollator $250

Hotpacks $150

Ice Packs $150

E-Stim/ Ultrasound Machine $1,500

Whirlpool $3,000

Whirlpool Chair $350

Linens $500

E-stim pads $100

Ultrasound Gel $100

Office Supplies

Phone $30.00

Printer/Fax/Copier $119.00

Computer $150.00

Router$30.00

Business Software $100

Black Pens $5.00

Locking Filing Cabinet $65.00

First Aide Supplies $75.00

Credit Card Machine $150.00

CC merchant Fee $30.00

Paper $100.00

File Folders $30.00

Billing Software $150

Cleaning Supplies $100

7

Organizational Chart

Uintah Physical Therapy personnel will consist of:

(1) Senior PT, Also serves as Director

(1) Physical Therapist

(1) Physical Therapist Assistant

(2) Aide

(1) Receptionist

Personnel

All personnel will be expected to have knowledge of the principles and practices of physical therapy, types of cases treated, PT techniques, and equipment know-how. Ability to maintain records, prepare reports, and correspondence related to the work. Possess the ability to communicate effectively with others. Everyone should show compassion, and have a desire to help people progress in their plan of care. Comply with the APTA code of conduct. Lifting requirements (everyone except the receptionists) able to lift and move up to a 300 pound patient in a 2-3 person transfer. Individuals must be able to lift 100 pounds, and support 250 pounds. Everyone will also be able to stand, bend, or lift for long periods of time. All must function with minimum supervision. Everyone is expected to take an active role in department efficiency and effectiveness, fiscally responsible, and operating in an ethical manner at all times.

Hospital Administrator

Director

PT

PTA Aide

Receptionist

8

Job Descriptions

Director

Reports to Hospital Administrator

Job summary

Directs physical therapy services by developing strategic objectives; providing PT services; maintaining hospital communication; directing and developing staff.

Summary of essential job functions

Evaluate patients following appropriate standards of care. Assures physical therapy quality services by establishing and maintaining departmental quality assurance program. . The Director must educate the hospital administration on the utilization of physical therapy, for example by presenting weekly statistics. Maintain/ progress patient plan of care. Provide accurate and complete documentation after each client session. Submit referrals and reports to appropriate physicians. Develops physical therapy organizational strategies by contributing information, analysis, and recommendations to strategic thinking and direction; establishing functional objectives in line with organizational objectives. Attend and contribute to team conferences and rounds. Establishes physical therapy operational strategies by evaluating trends; establishing critical measurements; determining production, budget, productivity, quality, and patient-service strategies; designing systems; accumulating resources; resolving problems; implementing change.

Minimum requirements

Maintain CPR Certification. Graduated from a CAPTE accredited DPT program. Obtain proper Utah licensure. Hold APTA membership. 2 years of business management experience. Bilingual in English and Spanish a plus.

Additional skills

Coaching, Financial Planning and Strategy, Decision Making, Process Improvement, Communication Processes, Training Management, Initiative, Legal Compliance, Managing Processes, Quality Management, Bedside Manner

Physical Therapist

Reports to Director

9

Job summary

Be engaged in the process of evaluating and treating patients. They will continuously adapt, modify, and progress patients according to the desired goals. They educate patients and families regarding proper rehab methods and techniques. They are able to have a positive impact and make a difference to those they serve.

Summary of essential job functions

Evaluate patients following appropriate standards of care. Maintain/ progress patients plan of care. Provide accurate and complete documentation after each client session. Must be able to work under stressful conditions, and handle physical demands of work. Submit referrals and reports to appropriate physicians. Delegate responsibilities to PTA and follow up with treatment. Supervise, and direct aides. Instruct families in home program day of discharge. Attend and contribute to team conferences and rounds. Maintain a positive level of interaction with facilities and clients. Enhance and expand client relations with facilities and their staff.

Minimum requirements

Graduate from a CAPTE DPT program. Obtain proper Utah licensure. Maintain CPR and first aid certification. Bilingual in English and Spanish a plus.

Additional skills

Possess skill sets and experience with target population of job setting. Coaching, Financial Planning and Strategy, Decision Making, Process Improvement, Communication Processes, Training Management, Initiative, Legal Compliance, Managing Processes, Quality Management, Bedside Manner.

Physical Therapist Assistant

Reports to: Director, PT

Job summary

Physical therapist assistants work under the supervision of physical therapists. They use physical treatment procedures to help improve mobility, relieve pain, and disability caused by disease or injury.

Summary of essential job functions

Administers physical therapy treatment according to the plan of care established by the Physical Therapist. Implements individualized treatment plan with consideration to the patient's physical, social, spiritual, cultural, educational and age specific needs. Provides skilled treatment in a safe manner. Monitors ongoing effectiveness of treatment and collaborates with Physical Therapist in modifying the plan of care when indicated. Identifies

10

and prioritizes key limiting factors. Participates in discharge planning. Involves patient and family/caregiver in the treatment and decision making process. Provides ongoing education to physician, nurse, patient, family/caregiver, and interdisciplinary team. Document care in accordance with regulatory, licensing, payer and accrediting requirements.

Minimum requirements

One year of previous experience in any setting. Maintain CPR Certification. Graduate from a CAPTE PTA program. Obtain proper Utah licensure. Maintain CPR and first aid certification. Bilingual in English and Spanish a plus.

Additional skills

Possess skill sets and experience with target population of job setting. Decision Making, Process Improvement, Communication Processes, Initiative, Legal Compliance, Bedside Manner.

Aide

Reports To: Director, PT, PTA

Job summary

Preparing patients and equipment for treatments, transportation of patients, and maintaining office cleanliness. Some clerical work may be necessary.

Summary of essential job functions

Clean equipment and facility as necessary, take inventory of supplies and give to receptionist to order, assist receptionist in filing and photocopying. Run errands for company, typing dictations, light charting duties, and other tasks as assigned. Under direct supervision of a PT the Aide may; direct/ assist patients to specified treatment areas, prepare equipment and patient for therapy, initiate/ stop equipment, and notify therapist upon completion of treatment. Helping the receptionist with charting duties.

Minimum requirements

High school graduate. Maintain CPR Certification. Bilingual in English and Spanish a plus.

Additional requirements

Complete on site orientation, interested in entering the PT field, friendly, organized.

11

Receptionist Reports To: Director, PT

Summary of essential job functions

Must be able to multitask, answering multiple phone lines, assisting patients with appointments, talking to insurance companies regarding patients benefits, collecting money from patients and many other tasks that ensure the day to day flow runs smoothly.

Minimum requirements

Staff must have 4+ years medical office experience, knowledge of ICD-9 coding and billing, and medical terminology expertise. Type 40 WPM. Must be Microsoft Word and Excel proficient. Quick learner and easy going personality are a must. Detail-oriented, teachable, hard-working, organized, and who can put patients, and patient care first.

Additional Skills (Not Required)

Computer programming, graphic design, business management skills, marketing skills.

System for Scheduling Patients:

Computer software will be used for scheduling patients. All personnel as part

of their training are required to demonstrate competence in using this

software.

A hard copy will be in the back area on a clip board, with a piece of paper

covering it while it is not being used. It is to continuously be updated by any

personnel who makes a change.

Returning patients may be scheduled every 15 minutes, with no more than 2

patients scheduled at one time.

New patients must be scheduled 45-60 minutes apart to allow adequate time

for evaluation. No more than one new patient at a time.

There are no specific times that are for inpatient or outpatient appointments

only.

The clinic is closed between 12-1 for lunch

12

On Mondays during the lunch period of 12-1, a

staff meeting is held each week. It is expected

that every member of personnel be present each

week.

Director Day Mid-morning Mid-afternoon Notes Contact Info: Monday 6 am – 1 pm On Call Total 35 hours a week

140 hours a month 1680 hours a year

Name Tuesday 6 am – 1 pm On Call

Wednesday 6 am – 1 pm On Call Tel. Thursday 6 am – 1 pm On Call

Friday On Call On Call Email Saturday 8 am – 1 pm 1pm - 3 pm

Sunday On Call On Call

PT Day Mid-morning Mid-afternoon Notes Contact Info: Monday On Call 1 pm – 6 pm Total 32 hours a week

128 hours a month 1472 hours a year

Name Tuesday On Call 1 pm – 6 pm

Wednesday On Call 1 pm – 6 pm Tel. Thursday On Call 1 pm – 6 pm

Friday 6 am – 1 pm 1 pm – 6 pm Email Saturday On Call On Call

Sunday On Call On Call

PTA Day Mid-morning Mid-afternoon Notes Contact Info: Monday 9 am – 1 pm 1 pm – 3 pm Total 31 hours a week

124 hours a month 1426 hours a year

Name Tuesday 9 am – 1 pm 1 pm – 3 pm

Wednesday 9 am – 1 pm 1 pm – 3 pm Tel. Thursday 9 am – 1 pm 1 pm – 3 pm

Friday 9 am – 1 pm 1 pm – 3 pm Email Saturday 8 am – 1 pm 1pm - 3 pm

Sunday Off Off

Aides Day Aide 1 Aide 2 Notes Contact Info: Monday 6 am –1 pm Noon – 6 pm Aide 1 - 38 hours a week

152 hours a month 1748 hours a year Aide 2 – 26 hours a week 104 hours a month 1196 hours a year

Name Tuesday 6 am - Noon 1 pm – 6 pm

Wednesday 6 am - Noon 1 pm – 6 pm Tel. Thursday 6 am - Noon 1 pm – 6 pm

Friday 6 am - Noon 1 pm – 6 pm Email Saturday 9 am – 3 pm <-

Sunday Off Off

Uintah Physical Therapy Schedule

Schedule

13

Receptionist Day Receptionist 1 Receptionist 2 Notes Contact Info: Monday 6 am –1 pm Noon – 6 pm Recpt. 1 - 38 hours a week

152 hours a month 1748 hours a year Recpt. 1 – 26 hours a week 104 hours a month 1196 hours a year

Name Tuesday 6 am - Noon 1 pm – 6 pm

Wednesday 6 am - Noon 1 pm – 6 pm Tel. Thursday 6 am - Noon 1 pm – 6 pm

Friday 6 am - Noon 1 pm – 6 pm Email Saturday 9 am – 3 pm <-

Sunday Off Off

Quality Assurance 1. Personnel:

a. All Personnel will track the number of tasks they complete each week. Then at the staff meeting held each week the personnel will present their numbers to the director, with a goal to improve the numbers. The staff meeting encourages communication and constant goal setting. Every 6 month to a year, hourly staff will be reviewed for a raise, and there stats will have a place.

2. Services Provided: a. During each discharge visit the PT will give the patient a survey to

complete. The survey will have questions with answers scored 1-7, high to low satisfaction. The survey will ask questions such as; did you reach your therapy goals in a timely manner, Was the receptionist polite during visits, and regarding billing issues, I understood my options, and my questions were answered appropriately.

All Sources of Information:

1. Unit Reading

2. Holly M. Lynch, The Role of the Physical Therapist Assistant – Regulations and

Responsibilities.

3. http://www.isokineticsinc.com

4. http://physical-therapists.org/common-questions/

5. http://www.bls.gov

6. APTA website

7. http://ehbs.kff.org

8. http://www.washingtonpost.com

9. http://www.hpso.com

10. http://learn.gwnursing.org/Education/LearningObjects/ManagingTheBottomLine/SFP_

budget.pdf

14

11. http://www.maine-feldenkrais-pt.com/component/surveys/1-physical-therapy-patient-

satisfaction-survey.html

12. Prices for all budget items taken from Amazon.com