MN Board of PT – Flashcards
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Mission and Vision of MN board of PT
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To ensure that MN citizens receive quality physical therapy from competent licensees. To protect the public through licensure of qualified physical therapists and physical therapist assistants, and to provide timely and impartial resolution of complaints.
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Board Responsibilities
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Licensing Continued Competence (CE) Complaint Resolution Legislation Rulemaking
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LICENSED PHYSICAL THERAPY PROFESSIONALS IN MINNESOTA PT:PTA
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3:1
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Major Functions of the Board
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Ensure that applicants meet the standards for initial licensure Ensure that PTs & PTAs meet the standards for licensure renewal Through the Complaint Process, identify PTs & PTAs who fail to maintain the standards necessary for safe and quality care; and when warranted, provide timely and appropriate discipline, corrective action, or education Provide accurate information and education to the public and licensees
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Physical Therapy Practice Act
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Each state has unique laws (www.fsbpt.org ) Licensure is a privilege and exists for the protection of the public Practice Act = Statutes and Rules PT Practice Act is the foundation for PT practice in MN However, other laws may apply to PT/PTA practice home care (Medicare, MDH, DHS, other)
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State Laws Vary
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Differences Between 53 Jurisdictions (DC, Puerto Rico, Virgin Is.) All jurisdictions different for definition, scope of practice and requirements
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MN Board of PT
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State agency Administers the Practice Act to protect the public Board members appointed by the Governor Licensure required by State to practice Protect the Public!
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MN Chapter of APTA
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Professional association (private) Member driven to advance the profession Leadership elected by the membership Membership is voluntary Promote the Profession!
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The Federation of State Boards of Physical Therapy: Promoting Safety and Competence
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Develops and administers National Examination (NPTE) Provides information to the public, licensees/applicants, educators, & boards Provides continued competence resources Provides regulatory resources/support Maintains exam, licensure & disciplinary database (ELDD)
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Board Members
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5 PTs 2 PTAs 1 MD 3 Public
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Licensee Responsibilities and Attitudes
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MN PT Practice Act: Licensure Info & Legislation Licensees must know, understand, & comply with laws and rules Attitude: compliance vs. "how to get around this law" PROFESSIONAL ETHICS Maintain confidentiality Utilize statute/rules to frame decision-making Use other resources/requirements (professional, employer and payor) in conjunction with Practice Act BE PROFESSIONAL!
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Health Professionals Service Program
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protects the public by providing monitoring services to regulated health care professionals whose illnesses may impact their ability to practice safely The goals of HPSP are to promote early intervention, diagnosis and treatment for health professionals with illnesses, and to provide monitoring services as an alternative to Board discipline
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Ethical Practice: DON'T
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Harass, abuse, discriminate Disclose confidential information Engage in sexual relationships or activity with patients, or engage in conduct that may reasonably be interpreted by the patient to be sexual Treat without disclosing benefits and substantial risks of exam, intervention(s), and alternatives (informed consent) Provide care when impaired by illness, chemical use or chemical dependency that affects ability to practice with reasonable skill and safety
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Ethical Practice: DO
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Self-report within 30 days any personal actions that are grounds for discipline Impairment (illness, alcohol/chem dependence or abuse). A confidential report to HPSP meets this requirement Conviction of misdemeanor, gross misdemeanor, or felony Termination, revocation, suspension of membership by PT professional organization Complete the required Continuing Education hours Cooperate with Board investigation(s)
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Roles: PT, PTA, PT Aide
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Personnel in PT department Delegation of duties to PTAs, task assignment to aides Supervision of PTAs and aides
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Referrals
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Referrals: MD, DO, DDS, DPM, DC, PA, Adv Practice RN Direct Access: PT licensed less than 1 yr, in collaboration with a PT with more than 1 yr of experience or under physician orders or referrals Direct Access: initial 90 days of patient admittance. The 90 day limitation does not apply to prevention, wellness, education, or exercise or when a previous diagnosis exists indicating a condition warranting PT treatment, subject to BPT rule
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Licenses: Denial, Suspension, Revocation (1)
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Violation of statute, rule, order, or agreement for corrective action Impairment: inability to practice w/reasonable skill & safety due to mental or physical illness or condition, or use drugs or chemicals Conviction of a felony or other crime w/element of dishonesty or fraud, or engaged in acts tending to show individual is incompetent, or conduct reflecting adversely on the individual's ability or fitness to practice of PT
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Licenses: Denial, Suspension, Revocation (2)
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Conviction of violation of narcotic law Obtaining or attempting to obtain license or CE approval, or passing exam by fraud or deception Engaged in unprofessional conduct or conduct that has potential to harm the public, incl departure from or failure to conform to minimum standards of acceptable and prevailing practice w/o harm having to be established Gross negligence
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Licenses: Denial, Suspension, Revocation (3)
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Treatment beyond allowable under direct access (90 days, referrals, prevention, wellness, education or exercise) Direct access treatment during 1st yr of licensure [except in collaboration with PT w/ 1 yr experience or under physician's orders/referral] Failing to consult with referring provider if tx is altered from original written order [except eval & tx] Inappropriate delegation, inadequate supervision of PTA, aide, PT or PTA student Performing medical dx, practicing medicine or chiropractic Failing to comply with request for clearance for a mental or physical condition
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Licenses: Denial, Suspension, Revocation (4)
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Dividing fees Incentive payment that tends to promote overuse Failing to refer a pt whose condition is beyond the scope of PT Failing to report other licensees who violate this section Practicing with a lapsed or nonrenewed license, or without obtaining a license
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Types of Complaints
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Practice Without License Inappropriate Delegation of Duties Sexual Misconduct Chemical Dependency/Abuse Mental/Physical Impairment Substandard Treatment/Abuse Unprofessional Conduct Insurance/Billing Fraud Unnecessary/Unsubstantiated Services
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Licensure Highlights
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Licensure Requirements Renewal Requirements, including continuing education and hours of practice Change of address
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Initial License Application
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Process is for protection of the public, and follows statutes/rules Please read the instructions Rushes and special requests? It depends! Changes in 2015: Criminal Background Check w/fingerprints Early testing: accept Certificate of Education 13 weeks before graduation
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Application Process
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Complete online or paper application Fees: $210 + CBC costs ($34.75) pay w/credit card online, or pay by check through mail Review: PT A Application Form AND Instructions for New Grads on website Check out CHECKLIST from online application...
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Application Process Cont
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Account for all time since HS graduation (x summer breaks) New grads: include clinical affiliations as practice references Official transcript directly from school to Board (must show degree awarded) Notarized signatures on affidavit(s) Notarized documents for name change Unusual situations - legal history
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Criminal Background Check
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Physical Therapy, Dentistry, Psychology first to implement; all Boards will conduct CBCs by 2018 Fingerprints analyzed by FBI and BCA, and checked against Predatory Offender Registration PEOPLE WORKING IN PT HAVE THEIR FINGERPRINTS REJECTED BY THE FBI MORE OFTEN THAN ANY OTHER HC PROFESSION!
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Rejected Fingerprints
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WHY? Tend to use hands all day; wash/disinfect hands repeatedly; and tend to be active in personal lives (weight lifting, rock climbing, swimming, gardening, etc) PREPARATION FOR PRINTING? Moisturize 2x/day for several days before printing; utilize LiveScan digital printing; hold off on the free weights and chlorinated pools
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Knowing the status of your application
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When payment is received, the Board will open a file Applicant e-mailed to establish a username & password Applicant responsible to monitor account to know status of file, documents received, approval to test, exam score, and date license will be issued
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NPTE: National Physical Therapy Exam
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Register for exam (NPTE) with FSBPT Candidate Info: www.fsbpt.org Board cannot authorize you to test until we receive: application w/fees affidavit notarized w/photo 2 references certification of education name change documentation, and legal/medical documents
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Approval to Test
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The Board will approve all qualified applicants for testing Instructions for scheduling the exam with Prometric Test Center are in the FSBPT Candidate Handbook www.fsbpt.org
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Exam Registration Process
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To MN Bd of PT: Application Form, Cert of Education, 2 Rec Forms-> MN Bd approves applicant to test with FSBPT-> Register for NPTE-> FSBPT authorizes (ATT) applicant & notifies Prometric Test Center -> Applicant schedules exam with Prometric
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NPTE Exam
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Passing score is 600 for all states (future mobility?) Breach of security issues: illegal and unethical to recall exam items or to solicit questions from the exam; FSBPT will actively prosecute violators No more than 3 attempts in 12 months (must pay all exam fees each time, temporary permit cannot be renewed) New failed exam policy: No more than 6 lifetime fails; no more than 2 extremely low scores allowed Temp Permits expire, nonrenewable
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NPTE Candidate Handbook
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Format and content of exam; outline of areas covered with %s and # of Qs Breaks FAQ Exam security
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Prep for NPTE
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test taking skills, including language test taking stress study books/course practice exam: PEAT for PTAs at www.fsbpt.org (fee): 2 practice exams, 60 days, web-based, looks like actual exam, automatic/immediate scoring, performance rpt by content/system, explanations for correct answers, and references have the right ID!
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Temp Permit
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Must be registered/approved with FSBPT for NPTE MN Temporary Permit: $25 fee (may be submitted later in application process) Application form: signature, understanding of requirements for supervision, name and license number of supervisor (for each location, approval by Board in advance if there are going to be changes in location or supervisor) Supervision: direct, immediate, and on-premises by PT supervisor
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Licensure Dates
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PT Board meeting date. Applicants who answer "yes" to a question on their application or provide incomplete information must have their application reviewed by the Licensure Committee, CRC, or at a meeting of the full Board
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Renewals
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Licenses expire annually on December 31st Complete online renewal, work history Complete paper form, correct fees, signature Paper form and fee must be returned if incomplete or fee is incorrect Late fee of $20 if postmarked or entered after 12/31 midnight Continuing Education reporting every 2 years (audits) Practice Hours: 320 hrs in previous 5 yrs
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Continuing Education
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Two-year cycles; 20 contact hours/cycle Category 1: 10 hrs minimum required Deal primarily with matters related to the practice of PT or professional/ethical obligations of licensees Automatic Cat 1 if planned, sponsored or co-sponsored by accredited university, medical school, medical association, APTA or components, or health organization (Arthritis Foundation, Am Heart Assoc) Category 2: No more than 10 hours allowed In-service activities sponsored by other organizations Category 3: No more than 4 hours allowed Teaching, lecturing, or other similar presentations
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Proposed CE Changes
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Continuing Education: eliminates categories, adds requirement of 2 CE hours per cycle in professional ethics, approves credits for scholarship, education/teaching, mentorship, coursework/residency/Board certification, workshops/conferences, FSBPT Practice Review Tool/APTA Self-Assessment Tool, credit allowed for courses approved by FSBPT Adds self-study, open book Jurisprudence Exam requirement for annual renewal Creates a "practice in collaboration" requirement for PTs licensed < 1 year
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Website
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Application information/forms Statutes and Rules Look up: Licensee status including CE report date (Nov/Dec 2017 renewal for licenses issued in 2015) Renewals: 94% use online process Complaint and Report forms Disciplinary Actions- Board Orders
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Remember when you become a PT
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You are a professional— and your license is: a responsibility a privilege a property right
