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FinalProject
EmilyRasmussen&McKenzieNorman
DianaPloeger
PTA1500
28April2016


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NeedforPhysicalTherapyDepartment

Therewaspreviouslynophysicaltherapyproviderinthecounty
Thereisan80%occupancyrateforthehospitalbedsw/8,000patientdaysperyear
Itserves3counties
Uintahhasapopulationof13,000+additional12,000inothercounties
Farming,cattle,andMiningoccupationsposehigherriskofinjuriesinthearea
Potentialforaccidentalinjuriesandoveruseproblems
Cerebrovascularaccidentsandrheumaticdiseaseratesinareaarehigherthan
nationalaverage.

TargetPopulation

Oursmallfarmingcommunityismadeupofalargemajorityofcattlemenand
minersfrom3counties.Farmersinourareaareatahigherriskthanthenational
averagefortheoccurrenceofcerebrovascularaccidentsandrheumaticdiseases.Our
mainfocusisonmajortraumaticinjuriesandaccidentsthatcomealongwithindustrial
worksuchasfarmingandmining.

Weprovidenumerouscareoptionsincluding:
Inpatient
Outpatient
Postoperativetherapy
Rehabilitation

MissionStatement

Toprovidewelleducated,highquality,evidencebasedcaretoourpatientswitha
focusontreatmentandconditioneducation.Wewantourpatientstobeawareofthe
howsandwhysofwhatwearedoingforthem,sotheycanfeelcomfortablewith
thecareweprovide.Wealsoemphasizetoourstafftheimportanceofgettingtoknow
eachpatientindividually.Bydoingthesethings,webelievethatthestaffandclients
maybemoreunitedintheefforttomakeimprovementsandreachsetgoals.

Goals

Inordertoensurethebestcarewepromisetogivetoourclients,wehaveabudget
forouremployeestocontinuetofurthertheireducationindifferentareas.Wealso
encouragethemtobeinvolvedinkeepinguptodateoncurrenttreatmentsand
information.Ourteamisalsoencouragedandwelcometocommunicateopenlyabout
anyconcernstheymayhave,sothatwemayworktogethertowardthebestsolutions.
Ourclientsmayalsowritedownanysuggestions,concerns,andcommentstoputina
commentboxatthefrontdesk.Wewillreadthosecommentsatourweeklymeetings
anddiscusssuccessesandanynecessarychanges.

OrganizationalStructure

ResourcesNecessary

Personnel:
Ourphysicaltherapydepartmentwillconsistofthefollowingnumbersof
individuals:1fulltimedirectorofphysicaltherapy,1fulltimephysicaltherapist,1
PRNphysicaltherapist,1fulltimephysicaltherapistassistant,and2parttimephysical
therapistaides.Becauseofthesmallsizeofourdepartment,wewillneedtohire
individualswhoarewelltrainedandhavespecializedinanareaofcaresuchas
neuromuscularormusculoskeletal.Wevaluegoodcommunicationskills,teamwork,
andapositiveworkingenvironmentamongourteammembers.Also,forthesafetyof
thosewhoenterourfacility,werequireallstafftokeepcurrentonimmunizationsand
CPRcertificationuponhire.Morespecificinformationabouteachstaffmembersjob
dutiesareasfollows:

DirectorofPhysicalTherapy

Salary:$75,000
Supervisor:HospitalAdministrator

Responsibilities:
Managesandsupervisesdepartment(quality,staff,&services)
Operationalresponsibility(regulationrequirements)
Ensurescompliancetopolicies


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Overseescost&riskmanagement
Publicrelations
Physicaltherapy(seePTdescriptionbelowforfurtherresponsibilities)

Qualifications:
DoctoratesdegreeinPTwith5+yearsexperienceinfield
Minorinbusinessmanagement
Priorbusinessmanagementexperience
CurrentinCPRcertificationandImmunizations

PhysicalTherapist

Salary:$65,000
Supervisor:DirectorofPhysicalTherapy

Responsibilities
CommunicateswithanddirectsPTAandPTaides
Evaluatespatients&createscareplan
Usestherapymodalities&techniquestoprovidetreatment
Providesaccuratedocumentation
Staysuptodateoncurrentinformationintheprofession
Teachespatients(andtheirfamilies)prevention&managementoftheir
conditions

Qualifications
Atleastabachelor'sdegreeinPTwithUtahLicense
3+yearspriorexperiencepracticingphysicaltherapy
Experiencewithphysicaltherapyinahospitalsetting
Canlift100lbsormore
Canleanoverinabentpositionforlongperiodsoftime
Specializesinneuromuscularormusculoskeletalrehabilitation
CurrentinCPRcertificationandImmunizations

PhysicalTherapistAssistant

Salary:$46,000
SupervisorDirectorofPhysicalTherapy

Responsibilities
Measureschangesinpatientperformanceaccordingtocareplan
Providesaccuratedocumentation


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Staysuptodateoncurrentinformationintheprofession
Communicateswithphysicaltherapistaboutconcernsandpatientprogress
Providesphysicaltherapyservicesunderphysicaltherapistsgeneral
supervision

Qualifications
PTALicenseinUtah
Canlift100lbsormore
Canleanoverinabentpositionforlongperiodsoftime
CurrentinCPRcertificationandImmunizations

PhysicalTherapyAide

Salary:$20,000
Supervisor:DirectorofPhysicalTherapy

Responsibilities
Cleansequipment/organizestreatmentareas
Getsequipmentreadyforpatientuse
Takespatientstotreatmentareas
Somefrontdeskresponsibilitieswhenneeded

Qualifications
GED
Partofaphysicaltherapyormedicalprogram(preferred)
Canlift100lbsormore
Organizationskills
Computerskills
CurrentinCPRcertificationandImmunizations

Materials:
Thelayoutofourphysicaltherapydepartmentwillincludeafrontdesk,awaiting
room,agym,amaintreatmentroom,4privatetreatmentrooms,asharedofficeforthe
directorandphysicaltherapist,asmallbreakroom,andarestroom.Therearemany
materialsandequipmentneededtogetourdepartmentstarted.Belowisanideaofwhat
wewillneedtothrive:

MajorEquipment:
Recumbentbike,treadmill,electricstimulation/ultrasoundmachine,
washeranddryer.


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OtherEquipment:
Drinkingfountains,gaitbelts,crutches,wheelchairs,walkers,weight
machines,handweights,exerciseballs,Bosus,floormats,foamrollers,goniometers,
reflexhammer,ascale,wallpulleys,stepstool,elasticbands,andhydrocollator.

DisposableSuppliesandOtherItems:
Sterilegloves,therabands,tape,bandages,first
aidandwoundcaresupplies,electricstimulationelectrodes,ultrasoundgel,lotion,
handsanitizer,facialtissue,toiletpaper,papertowels,cleaningsupplies,towels,cloths,
pillows,pillowcases,sheets,andgowns.

OfficeSupplies:
Computers,printer/scanner,faxmachine,desk,chairs,lockedfiling
cabinet,filingfolders,shelves,whiteboard,shredder,paper,pens/pencils/markers,
stapler,andphones.

Schedule

OUTPATIENT

INPATIENT

MONDAY

07:00am12:00pm

13:00pm16:00pm

TUESDAY

10:00am12:00pm

13:00pm19:00pm

WEDNESDAY

07:00am12:00pm

13:00pm16:00pm

THURSDAY

10:00am12:00pm

13:00pm19:00pm

FRIDAY

07:00am12:00pm

13:00pm16:00pm

SATURDAY

Closed(PRNPT)

Closed(PRNPT)

SUNDAY

Closed(PRNPT)

Closed(PRNPT)

SchedulingPatients:
Theschedulingisalldoneinthehospitalssoftware.Wewelcomewalkinsduring
ouroutpatienthours.Forbillingpurposes,werequireanappointmentcancellation24
hoursinadvance.

SchedulingEmployees:
Thescheduleispermanenteachweek.Employeesarerequiredtoplanvacations
separatefromoneanother,sothatwearenotunderstaffed,orplanforthePRNPTto
coverthem.Eachdayemployeesgetaonehourlunchbreakbetweennoonandone
o'clock.Adetailedemployeescheduleisprovidedasfollows:


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DirectorofPhysicalTherapy
:Mon,Wed,Fri:74Tue,Thurs:107(Fulltime,40
hrs.)
PT
:Mon,Wed,Fri:74Tues,Thurs:107(Fulltime,40hrs.)
PTA
:Mon,Wed,Fri:74Tues,Thurs:107(Fulltime,40hrs.)
PTAide1
:Mon,Wed,Fri:74(Parttime,24hrs.)
PTAide2
:Tue,Thurs:107(Parttime,16hrs.)
PRNPT
:Asneeded

FinancialStatement

Funding:
Theboardoftrusteesoverthehospitalhadbeenanticipatingthenewadditionofa
physicaltherapydepartmentforthelasttenyears.Theymanagedtosetaside$50,000
togotowardsthenewaddition.Withthe$50,000wewereabletobuyallthe
equipment,therapysupplies,andofficesuppliestoopenup.

OperatingExpenses:
Rent,utilities,phone,electric:$16,200.00
ContinuingEducation:($1,000forPTandPTAeach)$2,000.00
1PTDirector:$75,000

1PT:$65,000
1PTA:$46,000
2PTAide:$20,000x2
1PRNPT:Roughly$5,000
Insurance/BenefitsforPTDirector&PT()ofcost:$62,000.00

Total:$311,200.00peryear

TOTALCOSTMONTHLY:$25,934.00

Income:
Wecharge$75.00pervisitforbothinpatientandoutpatientcare.Weestimate
about18patientsperdaybetweenoutpatientandinpatientvisits,soabout90patient
visitsinaweek,and4,680patientvisitsinayear.Ifwetimesthatby$75(costpervisit),
thatgivesus$351,000.

Total:$351,000.00(Income)

$311,200.00
(Totalcosts)

=YEARLYREVENUE:$39,800.00

Policies&Procedures

TableofContentsforEmployeeHandbook
JobDescription

MissionStatement
WageandSalaryProgram
AbsencesandTardiness
DressCode
ProfessionalCodeofConduct
HealthInsurance
HolidaysoffandVacationleave
PerformanceEvaluation
WorkersCompensation
ConfidentialityandHIPAA
EmergencyProcedures
EmergencyProceduresintheCaseofInjury
DocumentationRequirements
IncidentReports

DressCode:
Atourfacility,wewanttoprovidethebestprofessionalcare.Webelievethatour
appearanceisthefirstthingthepatientwillseeandthereforewebelieveindressing
professionally.OurstaffwearsbluepoloshirtswithembroideredUintahPhysical
Therapyontheoppositesidefromtheirprovidednamebadges.Theirnamebadges
statetheirnamealongwiththeirjobtitle.Theyhavetheoptionofwearingblackortan
dresspants.Tohelpmaintaincleanlinessandsafetywerequireourstafftowearclosed
toeshoesandminimaljewelry.

Hairshouldbekeptinaneatconservativehairstyleandweaskthatourstaffcover
anybodypiercingsandortattoos(onepairofsmallearringsarepermittedforfemale
employees).Outofconsiderationtoourpatientswealsoaskthatourstaffkeepscented
lotionandperfumestoaminimum.

PerformanceEvaluation

QualityAssurance:DefiningQualityMeasuringQualityImprovingQuality

Inordertoprovidethebestcarepossible,itisimportanttodefinetoouremployees
theexpectationsandstandardsthatwillbeessentialfortheirroleinourdepartment.To
helpthemmeetthoseexpectations,thedirectorofphysicaltherapywillfillouta
quarterlyevaluationformforeachemployee.Ifthereisanythingthatneeds
improvement,itwillbeaddressedwiththatemployeeassoonaspossiblewitha
monthlyfollowuptochecktheirprogress.

EmployeeEvaluationForm:

O=OutstandingG=GoodI=NeedsImprovementU=Unacceptable

1.Reviewsclientsevaluationwithreferringtherapist.____
Example/Comments:____________________________________________________________

2.DeliversinterventionsinaccordancewithpoliciesofdepartmentfollowingPTsPOC.____
Example/Comments:____________________________________________________________

3.Collects/documentsevidenceofclientsresponsestotreatment.____
Example/Comments:____________________________________________________________

4.Reportsanyuntowardresponsestotreatmenttophysicaltherapist.____
Example/Comments:____________________________________________________________

5.Supervisesphysicaltherapyaidesinthepreparationofclientsandequipment.____
Example/Comments:____________________________________________________________

7.Worksunderdirectionofuptothreephysicaltherapists.____
Example/Comments:____________________________________________________________

8.Assumesresponsibilityfordelegatedactivities.____
Example/Comments:____________________________________________________________

9.Maintainsandupgradestreatmentskills.____
Example/Comments:____________________________________________________________

10.Providesaccuratedocumentationofclientprogressusingdepartmentformat.____
Example/Comments:____________________________________________________________

11.Attendsrounds,conferences,inservices,patientcaremeetings,asdirected.____
Examples/Comments:___________________________________________________________

12.Maintainscardiopulmonaryresuscitationcertification.____
Examples/Comments:___________________________________________________________

SummaryComments:
____________________________________________________________________________

EmployeesSignature:___________________________________Date:___________________

SupervisorsSignature:__________________________________Date:___________________

Wecannotbetterourselvesifwedonotknowwhatourclientsneed.Byproviding
ourclientswiththeoptiontofilloutashortsurveyaftereachappointment,theygetthe
opportunitytoletusknowwhattheywouldappreciatefromtheirphysicaltherapy
provider.Wealsomayhaveananonymouscomment/suggestionboxthattheycanputa
shortmessageinontheirwayout.Alongwithrandomlyselectedsurveyresponses,


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messagesthathavebeenputintheboxwillbereadanddiscussedwithouremployees
ataweeklymeeting,sothatwemaybrainstormbetterwaystoserveourclientsandthe
community.

ServicesProvidedSurvey:

Pleaseratethefollowing:ExcellentPoor
1.Qualityoftherapyservices
5.............4............3............2............1
Comments:________________________________________________________________________

2.Yourlevelofunderstandingofthetherapygoals
5.............4............3............2............1
Comments:________________________________________________________________________

3.Yourpersonalgoalsmeshwiththerapistsgoals
5.............43............2............1
Comments:________________________________________________________________________

4.Therapistsreceptivenesstoquestions
5.............4............3............2............1
Comments:________________________________________________________________________

5.Effectivenessofhomeprogram
5............4............3............2............1
Comments:________________________________________________________________________

6.Convenienceofscheduledtherapytimes
5............4............3............2............1
Comments:________________________________________________________________________

7.Phonecalls(returnedpromptly,appropriately)
5............4............3............2............1
Comments:________________________________________________________________________

8.Physicalspacefortherapy
5............4............3............2............1
Comments:________________________________________________________________________

9.Billingprocedures
5............4............3............2............1
Comments:________________________________________________________________________

10.Othercomments,suggestions,ideastohelpustobetterserveyou:
________________________________________________________________________

Name(optional):_________________________________Date:_______________________

FutureEndeavors

Inthenext5yearsorso,wewishtoexpandwithanoccupationaltherapyand
speechtherapydepartment.Althoughitisnotourmainpriorityrightnow,wewould
lovetoprovideasmanyservicesinthefutureaspossible.Wearealsosavingtoaddon
aroomforanaquatictherapypoolwithaconveyerbelt,andalsotheadded
functionalitytolowerandraiseourpatientsintothepool.Webelievethathavingapool
forourpatientstoutilizewillhelpeasetheirpainandincreasetheirmobilitywith


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injuriesthatarecommoninourarea.Anotheradditionwewouldliketoprovidetothis
communityisahomehealth&hospicesection.Doingsowillallowustovisitpeoplein
amorecomfortableenvironmentandeasetheirstressesoftryingtogettotheclinic
fromdifferentcounties.


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WorksCited
AmericanPhysicalTherapyAssociation.
AboutPT/PTACareers.
February2015.Retrieved
April18th,2016.Web.
http://www.apta.org/Careers/

PeidmontRegionalEducationProgram.
OccupationalandPhysicalTherapyPoliciesand
ProceduresManual.
20122013.RetrievedApril24th,2016.Web.
http://static1.1.sqspcdn.com/static/f/1250948/19754845/1344367349643/20122013otpt

Salary.com.RetrievedApril18th,2016.Web.
http://www.salary.com

MeasureEvaluation.
QualityAssuranceApproach.
RetrievedApril24th,2016.Web.
http://www.cpc.unc.edu/measure/prh/rh_indicators/crosscutting/servicedeliveryii.h.2/qualityass
uranceapproach.html

Clynch,HollyM..
TheRoleofthePhysicalTherapistAssistant:Regulationsand
Responsibilities
.1sted.F.A.DavisCompany.2012.Book.

Ploeger,Diana
UnitLectureNotes.
SaltLakeCommunityCollegePTAProgram.