Original motion language for RC 3 via Packet I ()

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Required for Adoption: Majority Vote
Category: 4
The following reflects original “Packet I” motion language, posted April 9, 2014. Motions may be revised
numerous times before being voted on by the House in June. Motion language is not final until the minutes of
the House are approved, subsequent to the June meeting. Learn more at www.apta.org/HOD.
PROPOSED BY: NEW HAMPSHIRE AND CONNECTICUT CHAPTERS
COSPONSORED BY:
RC 3-14 AMEND: PHYSICAL THERAPIST RESPONSIBILITY AND ACCOUNTABILITY FOR DELIVERY OF CARE,
PROVISO TO RESOLVED CLAUSE (HOD P06-12-06-08)
That Physical Therapist Responsibility and Accountability for the Delivery of Care (HOD P06-12-06-08), Proviso
to the Resolved Clause, be amended by striking out the clause and adding a new clause, so that it would read:
Proviso to the Resolved Clause: This position will become effective upon implementation of necessary
initiatives in education, practice, payment, regulation, and research, and adoption of requisite APTA
positions, standards, guidelines, policies and procedures. Annual interim reports will be provided to the
House of Delegates beginning in 2013. Physical Therapist Responsibility and Accountability for the Delivery of
Care (HOD P06-12-06-08) shall not become the position of APTA until it is ratified by the House of Delegates
(House) after the House reviews an assessment of the implications of the intended and possible unintended
consequences of implementation of this position for current and future initiatives in education, practice,
payment, regulation, and research. These implications include time estimates, benefits, risks, and financial
impact on both the association and the profession. A report will be provided to the House of Delegates no
later than December 2015.
SS: This revision to the current proviso provides clearer direction on the status of the position as further work is
conducted. The current language, by parliamentary rules, means that Physical Therapist Responsibility and
Accountability for the Delivery of Care (RC2-12) is the association policy and therefore needs to be used to guide
work, yet the House of Delegates (House) has not yet completed its decision making on the topic. This places the
association in the position of attempting to not violate a position that is not yet implemented, making it difficult
to determine the nature of work in practice and advocacy on this topic. The proposed language provides much
clearer guidance that policies as written prior to adoption of RC 2-12 are to be used to guide work, until such
time as the House ratifies RC 2-12.
This revision also offers better clarity on the nature of the work that is needed to provide the House with the
necessary information for future decision making. To date, the work presented in the reports to the House has
identified many issues. This revision will allow further work to more clearly explore the implications of these
issues, using the best information available, for the future practice of physical therapy.
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CURRENT POSITION/STANDARD/GUIDELINE/POLICY/PROCEDURE:
PHYSICAL THERAPIST RESPONSIBILITY AND ACCOUNTABILITY FOR DELIVERY OF CARE (HOD P06-12-06-08)
Whereas, The American Physical Therapy Association (APTA) Vision Statement for Physical Therapy 2020 (Vision
2020) recognizes physical therapists as practitioners characterized by independent, self-determined professional
judgment and action; and recognizes that physical therapists have the capability, ability, and responsibility to
exercise professional judgment within their scope of practice and to professionally act on that judgment;
Whereas, Current APTA positions, standards, guidelines, policies, and procedures specify the use of specific
personnel rather than recognizing the responsibility and accountability that accompany the independent
judgment of contemporary physical therapist practice, which is characterized by the autonomous professional;
Whereas, To best meet the needs of the patient/client, it is necessary for physical therapists to maximize the
ability to respond to the changes resulting from passage of the Patient Protection and Affordable Care Act,
including emerging models of care delivery and expanding numbers of insured consumers seeking care, thereby
providing opportunities for physical therapist leadership; and,
Whereas, APTA Standards of Practice for Physical Therapy state that the physical therapist is responsible for the
direction of physical therapy service, complies with all legal requirements of jurisdictions regulating the practice
of physical therapy, involves appropriate others in the planning, implementation and assessment of the plan of
care, and provides or directs and supervises the physical therapy intervention;
Resolved, That the American Physical Therapy Association (APTA) recognizes that physical therapy is provided
by, or under the direction and supervision of, a physical therapist. Evaluation remains the complete
responsibility of the physical therapist.
Proviso to the Resolved Clause: This position will become effective upon implementation of necessary
initiatives in education, practice, payment, regulation, and research, and adoption of requisite APTA
positions, standards, guidelines, policies and procedures. Annual interim reports will be provided to the
House of Delegates beginning in 2013.
RELATED POSITION/STANDARD/GUIDELINE/POLICY/PROCEDURE:
CARDIOPULMONARY RESUSCITATION (HOD P06-06-12-09) 10
CLINICAL CONTINUING EDUCATION FOR INDIVIDUALS OTHER THAN PHYSICAL THERAPISTS AND PHYSICAL
THERAPIST ASSISTANTS (HOD P06-02-26-49)
CONSUMER PROTECTION IN THE PROVISION OF PHYSICAL THERAPY SERVICES: QUALIFICATIONS OF PERSONS
PROVIDING PHYSICAL THERAPY SERVICES (HOD P06-01-20-20)
DIRECTION AND SUPERVISION OF THE PHYSICAL THERAPIST ASSISTANT (HOD P06-05-18-26)
DOCUMENTATION AUTHORITY FOR PHYSICAL THERAPY SERVICES (HOD P05-07-09-03)
PHYSICAL THERAPY FOR OLDER ADULTS (P06-06-08-04)
PRINCIPLES AND OBJECTIVES FOR THE UNITED STATES HEALTH CARE SYSTEM AND THE DELIVERY OF
PHYSICAL THERAPY SERVICES (HOD P06-04-17-16)
REIMBURSEMENT FOR PHYSICAL THERAPY SERVICES (HOD P06-01-12-15)
VETERINARIANS: COLLABORATIVE RELATIONSHIPS (HOD P06-03-23-20)

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