Summer Yack

PTA 1500-400
Term Project
Mission Statement:
Our mission is to provide our community with high-quality,
individualized treatment to assist our clients in reaching their
maximum outcomes.
Philosophy:
Our philosophy is to serve and educate our clients by providing them
with a variety of hands-on treatment techniques as well as at-home
programs. We strive to provide our clients with one-on-one, cost
effective care to help them reach functional independence.
Goals of Department:
Provide the tri-county area with individualized treatment to help
them reach their goals
Integrate our services effectively with the hospital to treat our
patients with complete care
Treat patients of all ages to help them reach their functional
independence
Continue to improve our clinic by adding additional services
including occupational therapy and speech therapy in the future
Organizational Structure:

Board
of Trustees

Medical Staff

Director
Director of
Physical Therapy

PT

PT

Secretary/Receptionist

PTA

PTA

PT Aide

Staff will include: 1 Director of Physical Therapy, 2 Physical Therapists,

2 Physical Therapist Assistants, 1 Physical Therapy Aide, and 1
Secretary/Receptionist
The Director of Physical Therapy will perform the management
responsibilities and physical therapy services as needed. The Director
of Physical Therapy will serve as the link to the hospital by reporting to
the medical staff director, who will then report to the board of trustees
of the hospital.
Target Population/Persons to be Served:
We will serve the citizens of the tri-county area. We will be available for
physical therapy services as the area consists of many farming, cattle,
and mining occupations. These occupations result in a higher
occurrence of overuse injuries; as well as, the potential for traumatic
farming and industrial accidents.
Types of Physical Therapy:
We will provide both inpatient and outpatient care. Types of physical
therapy include: orthopedic, wound care, neurologic, cardiopulmonary,
geriatric and pediatric treatments
Resources Necessary to Achieve Goals:
Personnel
o Director of Physical Therapy ($70,000): Will need one
person to fill this position. Will need at least 10 years
experience working as a physical therapist. Will need to be
comfortable in a leadership position. Will develop a budget
for the physical therapy department. Needs a strong
understanding of insurance and billing documentation. Will
monitor and supervise the physical therapy department
and report information directly to Medical Staff Director.
o Physical Therapist: Will have two physical therapists on
staff. Entry-level physical therapist will make $60,000.
Physical Therapists with at least 5 years experience will
make $65,000. Must be a graduate of a CAPTE- accredited
degree program in physical therapy and hold a state
physical therapy license. Must be able to evaluate and
make appropriate plan of care for each patient. Must be
able to lift at least 100 pounds and support up to 250
pounds. Must be able to transfer and assist patients up to
250 pounds. Must be able to maintain postures and
positions for several minutes at a time while delivering
patient care.
o Physical Therapist Assistant: Will have two physical
therapist assistants on staff. Entry-level physical therapist

assistants will make $42,000. Physical therapist assistants

with at least 5 years experience will make $45,000. Must
be a graduate of a CAPTE- accredited physical therapist
assistant program and hold a physical therapist assistant
license. Must work closely with physical therapists. Must be
able to lift at least 100 pounds and support up to 250
pounds. Must be able to transfer and assist patients up to
250 pounds. Must be able to maintain postures and
positions for several minutes at a time while delivering
patient care.
o Physical Therapy Aide ($13,000): Will have one physical
therapy aide on staff. Must be a high school graduate. No
prior experience is necessary. Will work to keep the
department clean by cleaning equipment and changing
linen. Will assist in the transport of patients. Must be able
to lift at least 100 pounds and support up to 250 pounds.
Must have a knowledge and understanding of system used
in scheduling patients.
o Secretary/Receptionist ($20,000): Will have one
secretary/receptionist on staff. Must have a knowledge and
understanding of system used in scheduling patients.
Comfortable with insurance and billing procedures. Must
have good organizational skills
Materials and Disposable Supplies
o Towels, patient gowns, sheets, pillows, pillow cases, gloves,
electrical stimulation electrodes, ultrasound gel, athletic
tape, kinesiology tape, first aid supplies, cleaning supplies,
foam rollers, braces for patients, goniometers, tape
measures, reflex hammers, timers, business cards,
informational brochures
Major equipment
o Treatment tables, rolling stools, dumbbells, ankle weights,
therapy balls, wall pulleys, thera-band and tubing,
stationary bike, treadmill, arm bike, ice packs, electrical
stimulation machine, ultrasound machine, whirlpool,
paraffin treatment, hydrocollator hot pack and covers,
computer, printer, file cabinet, desks, chairs, paper, pens,
file folders, appropriate billing supplies, crutches, walkers,
wheelchairs, balance boards
Funding
o A citizen in the area had a great physical therapist while
recovering from a hip replacement; because of his great
experience he willed the hospital the money to create the
physical therapy department. After getting the department
started, we will rely on revenue to keep it running.

Schedule and shifts worked:

Monday, Wednesday
9:00-1:00 inpatient
1:00-2:00 closed for lunch
2:00-7:00 outpatient
Tuesday, Thursday
7:00-10:00 outpatient
10:00-1:00 inpatient
1:00-2:00 closed for lunch
2:00-5:00 outpatient
Friday
7:00-10:00 outpatient
10:00-2:00 inpatient
Saturday
10:00-2:00 inpatient
Sunday
Physical Therapist on-call
Director of Physical Therapy: Monday-Thursday 8:00-5:00, Friday 8:002:00
38 hours per week
Physical Therapist (1): Monday and Wednesday 9:00-5:00, Tuesday and
Thursday 7:00-4:00, Friday 7:00-10:00, Saturday 10:00-2:00, On-call
Sunday
37 hours per week
Physical Therapist (2): Monday and Wednesday 10:00-7:00, Tuesday
and Thursday 8:00-5:00, Friday 10:00-2:00
36 hours per week
Physical Therapist Assistant (1): Monday and Wednesday 9:00-5:00,
Tuesday and Thursday 7:00-4:00, Friday 7:00-10:00, Saturday 10:002:00
37 hours per week
Physical Therapist Assistant (2): Monday and Wednesday 10:00-7:00,
Tuesday and Thursday 8:00-5:00, Friday 10:00-2:00
36 hours per week
Physical Therapy Aide: Monday and Wednesday 9:00-5:00, Tuesday
and Thursday 7:00-1:00, Friday 7:00-2:00, Saturday 10:00-2:00
37 hours per week
Secretary/Receptionist: Monday-Thursday 8:00-5:00, Friday 8:00-2:00
38 hours per week
We will use a computer-based system for scheduling patients. This way
the schedule will be easily accessible for all members of the staff
through each computer in the department.

The Secretary and Director of Physical Therapy will be primarily

responsible for scheduling patients. Physical Therapy Aides can also
schedule when others are not available.
Job descriptions:
Director of Physical Therapy
Immediate supervisor: Medical Staff Director
-Provides link between physical therapy clinic and hospital with
medical staff director
-Coordinates and directs the objectives, policies and programs
administered to physical therapy patients
-Verifies that physical therapy clinic follows standard procedures
and requirements
-Supervises the performance of physical therapy staff
-Commitment to high-standards of patient care
-Commitment to professional growth including continuing
education, research, and clinical education
-Develops information system to monitor quality assurance
-Comfortable in leadership position
-Oversees and is responsible for secretary/receptionist
-Completes and verifies billing and insurance documentation
Job Specification:
-Graduate of CAPTE-accredited degree program in physical
therapy
-State physical therapy licensure
-At least 10 years experience as physical therapist
-Maintain cardiopulmonary resuscitation certification
Physical Therapist
Immediate supervisor: Director of Physical Therapy
-Evaluate patients problems subjectively and objectively,
document data
-Assess a patients problems and create appropriate treatment
plan
-Asses patients progress and make appropriate changes to
treatment plan, as needed
-Follow department policy by providing accurate and professional
documentation
-Provide initial evaluation with applicable disorders
-Submit progress/discharge reports to physicians and other
sources as required
-Direct and delegate to physical therapist assistant appropriately
-Instruct and educate patients and families in respective home
programs
-Keep up to date in continuing education requirements and
current research
-May function as clinical instructor for PT students

-Report any unusual information to appropriate personnel

Job Specification:
-Graduate of CAPTE-accredited degree program in physical
therapy
-State physical therapy licensure
-No prior experience necessary
-Maintain cardiopulmonary resuscitation certification
-Provide appropriate supervision to physical therapist assistant
and physical therapy aide
-Work as part of health care team
Physical Therapist Assistant
Immediate supervisor: Physical Therapist(s)
-Work closely with physical therapist(s)
-Review patients evaluation and plan of care with appropriate
physical therapist
-Follow plan of care created by physical therapist by
administering physical agents, therapeutic exercise and other
modalities of care
-Collect and document patients response to treatment
-Report patients irregular response to appropriate physical
therapist
-Instruct and educate patients and families in respective home
programs
-Keep up to date in continuing education requirements and
current research
-Supervise volunteers in department
-Report any unusual information to appropriate personnel
Job Specification:
-Graduate of CAPTE-accredited physical therapist assistant
education program
-Physical therapist assistant licensure
-No prior experience necessary
-Work closely with supervising physical therapist(s)
-Maintain cardiopulmonary resuscitation certificate
-Work as part of health care team
Physical Therapy Aide
Immediate supervisor: Physical Therapist
-Prepares treatment room and equipment for patient
-Prepares patient for treatment by greeting and transporting
individuals to correct area in clinic
-Clean equipment as needed
-Mop or dry around hydrotherapy tank following safety
procedures
-Change linen and provide laundry services
-Take inventory and order supplies following department protocol
-Schedule patients for appointments

Job Specification:
-High school graduate
-No prior experience necessary
-Complete departments aide training program
Financial Statements:
Operating Expenses
Director of Physical Therapy
$70,000
Senior Physical Therapist
$65,000
Physical Therapist
$60,000
Senior Physical Therapist Assistant
$45,000
Physical Therapist Assistant
$42,000
Physical Therapy Aide
$13,000
Secretary/Receptionist
$20,000
Salaried Employee Benefits
$75,000
Equipment
$16,000
Expendables/Supplies
$20,000
Utilities, Cleaning
$5,000
Continuing Education
$1,000
Liability Insurance
$500
Total
$432,500

Capital Equipment Budget

Patient Rooms
$5,000
Treatment Tables
$5,000

Exercise Equipment
$6,000
(Treadmill, Stationary Bike, Arm Bike, etc.)
Total
$16,000

Expected Revenue
330 Days Per Year
$75 per visit
Average of 25 patients seen per day
Revenue before provision
$618,750
Provision for uncollectable bills, no-shows, etc. (70%)
End Revenue
$433,125
Policies and Procedure Manual and Dress Code Policy:
Personnel Policies
-Emergency procedures for patient injury, cardiac arrest, etc.
-Disaster plan, emergency procedures for fire, loss of power, etc.
-Exposure control plan
-Infection control
-Incident reports
-Equipment safety policies (i.e. guidelines for maintenance,
service, training and safety inspections)
-Documentation guidelines
-Discharge summaries
-Job descriptions
-Employment physicals
-Provisions for contract services
-Hours of work
-Dress code
-Time off (vacation, sick leave, leave of absence, etc.)
-Termination of employment and exit interview
-Continuing education
-Confidentiality
-Anti-discrimination laws
Patient Care Policies
-Services offered

-Physician orders
-Referrals
-Admittance and discharge
-Establishing plan of care
-Educating patients and families
-Emergency management
Dress code: Profession dress and appearance. Nametag to be
worn at all times. No artificial fingernails or fingernail polish.
Closed toe shoes only. Minimum jewelry (no dangle jewelry that
may make contact with patients). Hair shoulder length and
longer secured back. No jeans or shorts. Men: slacks and collared
shirts. Women: slacks or dress pants, collared shirt or blouse.

Quality Assurance:
To monitor our personnel we will have each member of our staff
complete a performance appraisal reviewing how they felt they had
done throughout the year. This will allow each staff member to give an
honest evaluation of the year and point out his or her strengths and
weaknesses. Along with the performance appraisal, the director of
physical therapy will review up to 5 charts for each staff member to
check that things are being documented and charted appropriately.
These tools will be used to shape goals and make any necessary
changes for the upcoming year.
Performance Appraisal
O- Outstanding. Performs at highest level
G- Good. Performs at or above expected level
N- Needs Improvement. Inconsistent performance
U- Unacceptable. Performs below expected level
1. Works under direction of up to 3 physical therapists
____________
2. Reviews patients evaluation with referring physical therapist
____________
3. Delivers interventions appropriately following patients POC
____________
4. Collects, documents and charts patients responses to
____________
treatment appropriately
5. Reports unexpected responses and problems to physical therapist
____________
6. Maintains and upgrades treatment skills
____________
7. Attends rounds, conferences and patient care meetings, as
necessary ____________

8. Completes continuing education requirements

____________
9. Maintains cardiopulmonary resuscitation certification
____________
Comments:

Employee Signature ___________________________________

_________________

Date

Supervisor Signature ___________________________________

_________________

Date

To monitor our services provided we will prepare a short survey for

patients to provide feedback for the department. This survey will be
given patients just before they are discharged. The secretary will
manage the survey so patients responses will not be changed by the
presence of the physical therapy staff. When surveys are complete
they will be taken to the director of physical therapy who will review
the results. At a year-end staff meeting, the results of the surveys will
be discussed. This will give the staff the chance to build on strengths,
make changes to minimize the weaknesses, and construct goals for the
coming year.
Patient Survey
Please rate the following:
- - - - - Poor
3
2
1
My physical therapist considered my
2
1
goals and opinions in my care
My physical therapist explained the
2
1
treatments I received
My physical therapist spent an appropriate
2
1
amount of time with me
My physical therapist answered all of my

Excellent- - - - - - - - 5

1
questions and concerns
My physical therapist educated me on my
5
2
1
at-home treatment plan
I am satisfied with services provided by the
5
2
1
physical therapist
I would return to this office for future services 5
2
1
An additional comments/concerns

4
4
4

3
3
3

Areas of Development:
In the next 5 years we would like to include occupational therapy and
speech therapy. We want to provide therapy that treats our patients
total body and think that adding these additional services will make
this possible. We would like to grow our department for our patients
convenience and implement a variety of interventions for our patients.
Sources:
I used the unit lecture notes.
I used the term project helps on the discussion board.
I used this link for help creating my job descriptions.
http://monster.salary.com/salarywizard/Physical-Therapy-DirectorJob-Description.aspx
I used this link for help in creating my patient survey.
http://www.physicaltherapyjournal.com/content/82/6/557/F1.expa
nsion