Therapy Association Oregon Log - MemberClicks · For more information about career opportunities,...

Oregon LogA Thank You to All Members .....2

The Ethics of Belonging: Avoiding the Temptation of Becoming a Professional Freeloader .................3

Competencies for PT’s in Early Intervention Conference ..............7

Government Affairs Committee Report ...........................................9

Senate Bill 329: Health Care Reform in Oregon: an Update .................10

Emerging Leader Award Recipient: Anne Carlin Ripley, PT .............16

OPTA 2009 Conference .............19

Oregon Physical Therapy Association

What’s Inside

A Component of the American Physical Therapy Association • www.opta.org September/October 2008

October 18, 2008Fall Workshop and Business

MeetingPortland, OR

March 13-15, 2009Annual ConferencePortland, OR

All course listings are on our website: www.opta.org

* All listings are subject to change

OPTA ContinuingEducation Calendar

President’s MessageBy Karen Walz, PT, MA, OCS, FAAOMPT

Physical Therapy Month - It’s All About Movement

It is that time of year again, National Physical Therapy Month, and its focus this year is on PTs and PTAs as the experts in movement. Our work is HELPING TO MOVE PEOPLE FORWARD in their wellness, injury prevention, management and recovery. Please share with us your success stories on how you creatively educated your community about who you are and what you do. We will compile a synopsis in the next Log to share with our physical therapy colleagues in Oregon.

October is also national Breast Cancer Awareness month. OPTA is sponsoring a Race for the Cure booth again this year representing you, our members, at this well publicized and attended event in Portland. A huge thank you to all the volunteers who have planned for this and are taking time to staff the event and a special thank you to the public relations committee for their organization and staffing of the booth events – WAY TO GO!

Current research suggests the benefits of our role in helping to manage cancer pain and recovery efforts. A randomized controlled study comparing an aerobic exercise, resistance training group, and “usual care” (no standardized exercise program) outcomes were assessed for breast cancer chemotherapy patients. Of note were improved quality of life measures in both treatment groups, less anxiety in the aerobic training group and higher self esteem in resistance training group. These self esteem improvements were maintained in the resistance training group and overall functional outcomes improved with the aerobic and exercise groups when initiated during chemotherapy and maintained at 6 months follow up.1

Primary fatigue is a common complication of various cancer treatments and PT has been shown to significantly reduce this with a PT-guided aerobic program of walking, progressing training intensity over 6 week period where week 6 involved a continuous walking tolerance of 30-35 minutes without a need for rest.2

In chronic pain cases (mean 3.3 years) for cancer survivors, pain management was significantly improved with a standardized program of education, relaxation, functional exercise instruction, and average age of 53 years old.3

Finally, in the June editorial section of Journal of Clinical Oncology, the author suggests that PT professionals have a significant role to play in

Continued on page 2

- September/October 2008 OPTA OREGON LOG www.opta.org

OPTA BoardPresidentKaren Walz, PT, MA, OCS, FAAOMPTRedmond, OR [email protected]

President Elect Susan Bamberger, PT 503.292.5882 [email protected]

Past-PresidentJoyce Wheeler, PTVancouver, WA [email protected]

Vice PresidentChris Murphy, PTPortland, OR [email protected]

SecretaryAndrea Hughbanks, PT, DPTPortland, OR [email protected]

TreasurerJerry Cain, MPTPortland, OR [email protected]

Board Members at LargeDylan Hogan, PT, DPT - Member At Large #1

Portland, OR 503.215.0299 [email protected]

Jeffrey Cox, PT - Member At Large #2 Oregon City, OR 503.216.5410 [email protected]

Emily Lighthipe, PT, DPT - Member at Large #3 Portland, OR 503.522.1359 [email protected]

Stacey Cochran-Comstock, PT, DPT - Chief Delegate Portland, OR 503.233.3163 [email protected]

Stacy Mosbrucker, PTA - PTA Representative Corvallis, OR 541.768.5110 [email protected]

Committee Chairs Ricci Susick, MPT - Government Affairs

Portland, OR 503.215.6202 [email protected]

Anne Carlin Ripley, PT - Nominating Portland, OR 503.336.3065 [email protected]

Dode Jackson PT - Continuing Education Vancouver, WA 800.321.7862 ext. 738 [email protected]

Carol Schunk, PT - Ethics Bend, OR 541.480.8221 [email protected]

Heather Goodell, PT - Public Relations Portland, OR 503.292.5882 [email protected]

OPTA Office: 503.262.9247Toll Free: 877.452.4919E-mail: [email protected]

A Thank You to All MembersBy Jeff Cox, PT, Member at Large #2

As this issue will be distributed during October, National Physical Therapy Month, I thought it would be a good time to thank all the members of the OPTA. You have been very busy lately advocating and promoting the profession of physical therapy.

It was you, the members, who helped to encourage Congress to override President Bush’s veto and enact HR 6331, the Medicare Improvements for Patients and Providers Act. This important legislation restores the exceptions process for the Medicare therapy cap and prevents cuts to Medicare payments to physical therapists and other providers. Members of the APTA and OPTA sent over 12,000 emails to legislators letting them know the impact this legislation would have on our profession and the patients and clients we serve.

Advocacy by you the members also helped to lead to the signing of HR 4137 by President Bush. The Higher Education Opportunity Act, which enables physical therapy professionals who practice with children, adolescents, or veterans to apply and compete for student loan repayment up to $2,000 per year for up to 5 years.

Efforts of the OPTA and you, its members, have also helped to protect the ability of physical therapists to perform high velocity low amplitude spinal manipulation as HB 2701 and SB 357 did not pass.

As was mentioned in the July/August 2008 issue, the OPTA was nationally recognized by the APTA for outstanding achievements in membership initiatives and public relations, none of which could have been achieved without you the members.

So thank you for your membership. As 2008 is rapidly coming to an end soon, I look forward to the many challenges that face our profession and association, as you the members continue to support our efforts.

maximizing inpatient and outpatient care as patients don’t typically prioritize rehab when battling cancer. We all know however, that it’s much easier to address impairments early on and it is our job to advocate for our patients in this way.4

Footnotes1. Courneya, KS et al. Cancer

Epidemiol Biomarkers Prev 2007; 16(12); 2572-2578

2. Dimeo, F et al Med Sci Sports Exerc 1998; 30(4): 475-478

3. Robb, KA, et al J. Pain 2006; 7(2): 82-90

4. Mary M. Vargo: The Oncology-Rehabilitation Interface: Better Systems Needed. J Clin Oncol 26:2610-2611, 2008

President’s Message, continued from page 1

Employment Opportunities?

Check out OPTA's website for employment postings at www.opta.org. From the home page click on Job Postings and then review the opportunities that are posted.

If you have a job listing that you would like posted, please visit the OPTA website at www.opta.org. Job posting rates are $100 for a 30 day posting. All job postings must be done online. Take advantage of this great opportunity to market your position!

OPTA OREGON LOG - September/October 2008www.opta.org

PHYSICAL THERAPY

Introduction: The focus of this article is the ethics of belonging to a professional organization. The LOG is the official publication of the OPTA so it is assumed that those reading are members and may think this does not apply. However this is an important topic for everyone. As professionals we have the obligation to encourage others to understand the importance of participating, belonging and supporting the profession. I encourage members to pass this article on to colleagues to read or initiate a discussion so all therapists and assistants recognize the Ethics of Belonging. -C.S.

A question that can be posed when considering physical therapy as a profession is whether or not physical therapists have an obligation to belong to their professional

organization. Swisher and Page in their work on professionalism in physical therapy present an idea based on the work of Merton. Merton discussed the concept that practitioners who do not belong to their professional organization typically receive benefit from the work of those organizations. He names those who do not contribute as “freeloaders” much as those who avoid paying taxes benefit from the taxes of those who do pay. In Oregon 27% of the practicing physical therapists and physical therapist assistants belong to the Association. That means that 73% are passively benefiting from the work done by others.

One can imagine two levels of professional freeloaders: those who don’t belong to the Association at

all and those who belong but do not contribute other than financially. The problem with those who do not belong is that they indirectly benefit from the efforts of others. For example every time the Association supports legislation that promotes fair access to our services, all practitioners benefit in the form of increased referrals and revenue. In Oregon this can be seen directly as all PT professionals, members or not, benefit from the work of legislative chair Ricci Susick and her committee. Many of us would name family and friends and work as important aspects of our life. We would never let someone else choose these things for us. Yet if you do not belong to the APTA you are in essence letting others “choose” your

The Ethics of Belonging: Avoiding the Temptation of Becoming a Professional FreeloaderBy Mary Ann Wharton, PT, MS, Chair PPTA Ethics CommitteeAdapted with permission by, Carol Schunk, PT, PsyD, Chair OPTA Ethics Committee

Continued on page 4


KAISER PERMANENTE IS AN AA/EEO EMPLOYER.

I dance to

COME JOIN OUR PT TEAM PORTLAND, VANCOUVER, CLACKAMAS COUNTY, AND SALEM

At Kaiser Permanente, you’ll play an important role on our integrated health care team.Our physical therapists enjoy autonomy not found within other health care organizations.They spend less time worrying about insurance and justifying treatment, but more timetreating the whole patient, designing and delivering the right treatment.

We are actively recruiting physical therapists who share our values and believe in qualityof care. Kaiser Permanente seeks graduates of accredited schools of physical therapywho are licensed in Oregon or Washington. We are looking for therapists who canprovide excellent service in outpatient orthopedics, acute care, worker’s compensation,neuro-rehabilitation, and home health.

For more information about career opportunities, please contact us at {(503) 813-3601or (800) 845-4875. Visit jobs.kp.org for complete qualifications and job submission details.Individuals who are bilingual or have multicultural or diverse patient populationexperience are encouraged to apply. Drug-Free Workplace.

jobs.kp.org

I value my freedom. Believe in the work I do. And aim to bring out thebest in everyone—myself included. Being a physical therapist enablesme to enhance the lives of those in my care. Kaiser Permanente sharesthat mission and wants the same for me. If you believe that qualitycare and quality of life go hand in hand, this is the place to put yourbeliefs into practice.

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professional future. Some who do not belong cite personal financial hardship as a reason but the choices we make must include the values and obligation of being a professional.

The second level of “professional freeloading” includes individuals who belong to the Association but do not contribute. These individuals support the organization by mem-

bership and benefit from access to many membership services such as publications, continuing education and research. More importantly they have the opportunity to vote on policies and leadership which directly influence the profession. However by not being active they are denying the Association the benefit of their aptitudes and energy. On a personal level they are not benefiting from the

stimulating interaction with peers. I would encourage this group of non active members to reflect on their pro-fessional values and attend meetings or volunteer for a committee.

Those who are not in either “freeloading” category totally enhance the growth of the Association through being active participants with an active voice in shaping their own professional future. The challenge for this group is to mentor others on the ethics, obligations and benefits of belonging.

Reference: Swisher LL. And Page CG. Professionalism in Physical Therapy: History, Practice & Development. St Louis, MI:Elsevier Saunders; 2005

Ethics of Belonging, continued from page 3

Visit ourWebsite at

www.opta.org

Change of Address or Phone?

If you have a change of address, phone, fax or e-mail, you can send it to the OPTA office online at www.opta.org. When you log on to the site, choose the “members only” section on the left side of the screen. Once there, you will need to enter the correct passcodes to get into that portion of the site. Select the link to “Update Your Contact Information with OPTA.” Once there, fill in all the boxes and send it! It is as easy as that. Or, you can always call the OPTA office at 503.262.9247 or tollfree at 877.452.4919.


The cost of being a member of the Oregon Physical Therapy Association (OPTA) and the American Physical Therapy Association (APTA) has long been a topic of interest with members and non-members alike. Comments made in last month’s Facility Profile section of the LOG brought this issue to light again, so we decided to do some research.

As with the American Medical Association (AMA), membership in APTA and OPTA is on a voluntary basis and our members or prospective members must weigh the cost of membership in their decision to join. Unlike the APTA, though, membership in the AMA does not include membership in the Oregon Medical Association (OMA).

Another common perception is that higher dues tend to suppress membership. This is a perfectly logical statement, but the data do not appear to back it up. OMA members pay much higher dues than OPTA members do (and

this doesn’t even include national association membership), yet ~60% of Oregon MDs are members of their association. Members of the Occupational Therapy Association of Oregon (OTAO) pay a bit less than OPTA members, yet fewer than 21% of Oregon OTs are members of OTAO.

No matter what the cost of being a member of a professional

association, members or prospective members, must have a sense that they are being well represented by their organization. We understand the financial cost factor of being members of our voluntary professional organization. We also understand the benefits we receive in our professional association as it works to advocate for our profession and livelihood by voicing our needs in Washington, DC and in Salem. If you as a member or know of a prospective member with questions or comments regarding membership, please feel free to contact us.

Risk Factors for Lymphedema – Precautions and Guidelines By Gwen White, PT, CLT, co-author of Lymphedema, A Breast Cancer Patients Guide to Prevention and Treatment

With Breast Cancer Awareness Month it is timely to consider one potential side effect of cancer treatment – lymphedema. Lymphedema is a condition of protein rich swelling related to a compromised lymphatic system. It is most commonly associated with cancer treatment – removal or radiation of lymph nodes, but can also be due to infection, trauma, genetics or obesity. It is not clear why some people develop lymphedema early on and others never do, even with similar circumstances. There is a wide range for rates of lymphedema from 5% where a patient has a lumpectomy with sentinel lymph node biopsy to over 50% for someone with full axillary lymph node dissection, breast surgery, wide field of radiation including axilla and supraclavicular fossa. The more extensive treatment leads to greater risk.

There are many published lists of precautions for lymphedema. These are guidelines and not necessarily absolutes. Not everyone who gets in a hot tub or gets a cut on the arm will develop lymphedema. I don’t want patients to feel guilty of causing their lymphedema. Perhaps after cancer treatment they took that long dreamed of trip and then developed lymphedema after air travel or they held their visiting grandchild or they followed their passion of quilting and subsequently developed lymphedema.

Listed below are the National and State level dues for three health care professions practicing in the state of Oregon:

Profession National Dues Oregon Dues Total Dues

Physical Therapist APTA-$280 OPTA-$100 $380

Physician (MD, DO) AMA-$420 OMA-$500 $920

Occupational Therapist AOTA-$225 OTAO-$70 $295

What’s the Cost of Membership?By Jeff Cox, PT, Membership Chair with Chris Murphy, PT, Vice President

Lymphedema happens because the lymph system has been compromised and not just because of a single event, although that may be the initial triggering factor. It is important to help people find a way to do the things they want or need to, while being respectful of the risks.

I encourage patients to follow guidelines that will reduce the load to the lymph system. Common suggestions include:1. Protect the skin in the involved

area from cuts, scratches, burns, blisters and insect bites. Wash and apply topical antibiotic

Continued on page 7


cream immediately if this does occur.

2. Wear gloves when gardening or cleaning.

3. Use sunscreen and insect repellant.

4. Use moisturizer on the skin.5. Use long oven mitts to remove

food from oven.6. Have blood pressure and blood

draws taken on uninvolved side.7. Wear non-restrictive clothing

and jewelry.8. Avoid heat – including hot tubs

or sauna.9. Stay cool on hot summer days.10. Practice moderation in physical

activities. Avoid heavy lifting.11. Avoid salty foods, stay well

hydrated.12. Participate in a regular exercise

program, starting slowly and gradually progress. It is suggested

to monitor the body’s response to an activity or exercise (increased swelling, soreness) and to adjust the exercise accordingly.

13. If someone has lymphedema they should use a compression garment when traveling by air, however there is no evidence this will prevent lymphedema. If there is no lymphedema, the following suggestions might be just as useful:• avoid carrying bags with

involved arm• stay hydrated • move around on the plane • use a pillow for back support

to enhance good posture • perform sitting mobility

exercises • elevate the arm intermittently

when reasonable • If traveling to a warm climate,

plan outside activities for a cooler time of day, pace

activities and allow time to rest in a cool location.

In addition to traditional lymphedema treatment, there are other things that can be helpful. I talk with patients about a healthy lifestyle – regular exercise program including aerobics, stretching and strengthening, suggest a plant based, whole foods, whole grains, high fiber diet (as recommended by the American Cancer Research Institute), encourage reduction of weight to recommended levels, maintain good posture, work to develop good sleep habits, and practice diaphragmatic breathing. While these are not generally listed as part of a comprehensive lymphedema program, I think we have a responsibility to encourage a good healthy lifestyle for our patients and these things can also help with lymphedema.

In July I attended” The IDEA Part C Early Intervention Programs: Implementing Recommended Competencies for Physical Therapists” held in Chicago, and sponsored by the APTA section on Pediatrics. As befits the very long conference title, there was a lot of information presented regarding the practice of PT’s in Early Intervention programs. This conference was meant to bring together many prominent experts in our field to discuss and bring forward what is currently required under the regulations, what is considered best practice and to discuss how to best use evidence based practice to deliver services to children in Early Intervention (birth until the third birthday).

The common thread between Early

Intervention (EI) PT practice and other PT practice seems to be the need for supports and resources to help clients obtain and/or maintain functional independence. This occurs through interventions that are grounded not only in scientific knowledge of best practice, but in the knowledge of the individual’s functional needs in daily life. For young children interventions occur best in their “natural environment” using everyday learning opportunities.

Seven key principles for EI provision have been summarized as follows:1) Infants and toddlers learn best

through everyday activities in familiar environments with

Competencies for PT’s in Early Intervention ConferenceBy Gayle L Hernandez, PT, NW Regional ESD, EI/ECSE Program

Lymphdema, continued from page 5

Continued on page 8


If you are interested in joining the PT Northwest family, please contact Mike Hmura, MSPT at 503.371.8860 or email [email protected] can also check us out at:

www.ptnorthwest.com

PT NORTHWEST is looking for outstanding therapists to join the PT Northwest family. Many members of our rehab team have been a part of the PT Northwest family for 10, 15, and even 20+ years. We would like you to join our family. We offer the following:

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& Leadership▲ Clinical Mentoring Program▲ Flexibility in Schedule & Costco

Membership (of Course)

PT NORTHWEST is a growing, indepen-dent, and progressive physical rehabilitation group with 30 years of experience in Oregon. Therapist owned and operated, PT Northwest strives to provide the leading physical rehab services in the Pacific Northwest, while nurturing a family-friendly atmosphere. Our highly motivated rehab team provides physical, occupational, and speech therapy in the following settings:

▲ Our Outpatient Clinics▲ Inpatient Hospital▲ High Schools & Universities▲ Minor League Sports Teams

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familiar people2) All families can help their

children develop when given support and resources

3) A PT’s role in EI is to work with and provide support for a child’s caregivers

4) The EI process needs to be individualized for each child and family

5) Goals for each child should be functional and based on each family’s own priorities

6) A primary service provider that is familiar with an individual family is the most appropriate service provider

7) All interventions with children and families should be validated and evidence based

Where EI practice differs from that of older client populations is in the focus on providing service that supports the family (or other primary caregivers) in integrating therapy activities into daily routines, rather

than focusing on direct service to the child. A PT seeing a child for one hour per week, whether in a natural environment like the child’s home playroom, or in a clinic setting cannot provide the opportunities for practice that are found in everyday life. By working with a family to identify priorities and key daily activities, therapeutic activities can occur naturally throughout the day. For example, each diaper change can become an opportunity to work on lying to sitting transition activities. This same activity can also be integrated into daily play activities, again offering opportunities to practice a needed skill during a fun and motivating time for both parent and child. The PT’s role becomes that of facilitator and coach, rather than that of direct service provider. It was this principle that was reinforced over and over at the conference, the one that evidence supports and the one that the newest regulations require for EI providers.

It is always a wonderful experience

to go to a big conference and be inspired and encouraged by “experts.” It’s even better when the evidence, the experts, the regulations and the research show agreement. It’s exciting to see the area of PT in which I practice be supported and challenged professionally. The APTA continues to work with other professional organizations in supporting research that will continue to inform and improve outcomes for the children I work with.

References:Edelman L., EigstiH. Position

Statements, Compentencies, and Recommended Practices Supporting Family-Centered, Culturally Competent, Contextualized and Integrated Early Intervention Supports and Services. (Course Materials: 2008.)

Chiarello L, Effgen SK. Updated competencies for physical therapists working in early intervention. Pediatric Physical Therapy, 2006;18(2):148-67.

Competencies for PT’s, continued from page 7


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Activity on the legislative front is staying very busy. You will find reports in this edition of the LOG related to the Oregon Health Fund Board, November elections, and our participation in the Scope of Practice Advisory Group. In addition to these activities we are working with the legislature on several possible bills for 2009:• Bill which would add PT to the

list of professionals who can refer to themselves as Dr. in Medical

Settings (by OPTA)• Bill to add PT as man datory child

abuse reporters (by OPTIP)• Bill which addresses the authority

of health professional licensing boards to impose their costs on licensees in disciplinary proceedings (by Oregon State Bar Legislation and Rules Committee)

We are also in discussions with OPTIP (Oregon Physical Therapists in Independent Practice) regarding the new Work Comp reimbursement

decreases that were implemented this summer. This is very problematic for physicians and PT professionals but there is a lot of activity toward getting the decision reversed.

There is not much news at this point regarding the chiropractor ballot initiative (restricting practice of spinal manipulation) for 2010. We know that as of July, they were able to start collecting signatures toward the 82K+ needed to include the measure on the 2010 Oregon ballot. We have been discussing this issue with a coalition of affected medical providers, the APTA, and legislators. We are still in the planning stages and continue to work on building our PAC funds to fight this measure if it becomes necessary.

The legislative committee has been busily trying to build up our grass roots network of therapists around the state that are willing to represent the OPTA at various town halls, legislator meetings, etc. We have developed a list of OPTA members and the House and Senate districts in which they live. You may be getting a call from one of us asking if you would be our contact in your district when we need representation. Please be willing to take some time to support your profession!

If you have questions, please feel free to contact me.

Government Affairs Committee ReportBy Ricci Susick, MPT, Government Affairs Chair

Thanks to OurOPTA Gold Sponsors


The OPTA is following the status of the local efforts to reform health care in Oregon, spurred by Senate bill 329 in the last legislative session. As professionals in the traditional health care system, physical therapists have a significant impact on health care expenditures. If we are successful, we can save massive amounts of money in unneeded medical tests and interventions.

Brief overview of Status of Oregon Health Care Reform

After several months of meetings, the various subcommittees of the Oregon Health Fund Board submitted a draft of recommendations for a comprehensive health care reform bill. This is a very complicated document that I cannot fully do service to. If you would like to view it yourself, you can go to our website at www.opta.org for a direct link. This document outlines several issues: how to make sure all Oregonians receive comprehensive care, how to finance this comprehensive care, and how this care should be structured. Below are some issues that you may find interesting as the state ponders our role in this new system:• The board is recommending that

care be provided through an “integrated Health Home”, where all essential services for a patient’s needs are provided under one roof. This way, the care providers will work together as a team to provide answers that work. The hope is to provide better, more cost efficient care. This model has proven successful in other states.

• The board is recommending by 2015 to expand coverage of children who fall under 200% of the federal poverty line, and all adults who are under 100% of the federal poverty line. Proposals for payment of this added coverage include an added provider tax and an increased tobacco tax.

• They are making several

recommendations for cost containment, starting with creating a comprehensive database for all providers to help in establishing best practices, and in creating clinical guidelines.

• Finally, the board is recommending a payment reform plan that focuses on rewarding providers for providing quality, cost efficient care.

How does this affect Physical Therapy?

Physical therapy is a traditional medical service, but is not necessarily viewed as an essential service. Physical therapists have not participated in an integrated health home setting in the past. There is very little public understanding of the scope of physical therapy and our efforts to provide evidence based care. However, there are several projects

around the country and throughout the world that examine the use of physical therapists in a primary care setting. See references at the end of this document for more information.

Can we help?Traditionally, the uninsured and

underinsured are a difficult population to treat. Why is that? Is that because they require comprehensive care and we are not a part of a team? Is it that there is currently not a team to be aware of? As Oregon moves towards providing more integrative care for this population, physical therapists must be a part of establishing the clinical guidelines. If we can take a part in establishing these guidelines, then I believe we will have more potential for success with this population. Our success with this

Senate Bill 329: Health Care Reform in Oregon: an UpdateBy Susan Bamberger, PT, President Elect

Continued on page 11

Molly Abbott, PTRoberta Adler, PTElizabeth Anderson, SPTAElizabeth Basterrechea, SPTDevn Brown, PTDavid Campbell, PTJames Carson, PTAKimberly Elzinga, PTChris Follmar, SPTALindsey Greer, SPTJason Harris, PTAndrew Hayes, PTRichard Jones, PTJarrod Karnofski, PTJessica Kinsey, SPTMichelle Linde, PTKate Manuse, PT

Mark Melecki, PTSamantha Mohn, SPTAnnessa Morey, SPTKaylene Olson, SPTMark Ouellette, PT, MS, OCSDarron Peterson, PTSusan Priestman, PT, OCSSarah Robbins, SPTAJeffrey Schlimgen, PT, NCSSarah Shearer-Smith, PT, DPT, GCSEric-Paul Sparrow, SPTAKimberly Steffens, PTLindsey Sullivan, SPTAAnna Tensmeyer, PTKarri Voskuhl, SPTRobert Wayner, DPT, PT

Welcome New and Returning Members


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population will elevate our stature with other health care providers.

What are we doing?Tracy Rutten, our lobbyist, is

following this effort by attending meetings and notifying our volunteers when public hearings are available. Our volunteers try to attend meetings when possible. In addition, we have met with the Oregon Health Fund Board and with Care Oregon about getting involved in establishing guidelines for care.

What can YOU do?• There are a series of public

hearings propping up in your community regarding this issue. A link to these meetings is provided at www.opta.org. Attend these meetings and introduce yourself as a concerned health care provider. Give them your feedback- if you are successful with this population, explain why. If you are not, explain why. They are eager to hear from everyone affected by this proposal, and this is our

chance to do it.• Contact Tracy Rutten, our lobbyist

to see how you can help educate your legislator. Her email is [email protected].

The bottom lineBy 2020, health care in the US is

bound to look dramatically different that it does right now. In order to remain a valued service in health care, we must advocate for our services and cooperate with the infrastructure. This effort will take more than a handful of volunteers- please let us know how you can help.

References1. Dakker-White, G., Carr, A. J.,

Harvey, I., Woolhead, G., Bannister, G., Nelson, I., et al. (1999). A randomised controlled trial. Shifting boundaries of doctors and physiotherapists in orthopedic outpatient departments. Journal of Epidemiology and Community Health, 53, 643-650.

2. Fuhrmans, V. (2007, January 12). Withdrawal Treatment: A Novel Plan Helps Hospital Wean Itself Off Pricey Tests--It Cajoles Big Insurer

to Pay a Little More For Cheaper Treatments . Wall Street Journal, p. A1.

3. Gatchel, R. J., Polatin, P. B., Noe, C., Gardea, M., Pulliam, C., & Thompson, J. (2003). Treatment and Cost Effectiveness of Early Intervention For Acute Low-Back Pain Patients: a One Year Prospective Study. Journal of Occupational Rehabilitation, 13 (1), 1-9.

4. Hendricks, J., Kerssens, J. J., Dekker, J., Nelson, R. M., Oostendorp, R. A., & Zee, J. v. (2003). One-Time Physical Therapist Consultation in Primary Health Care. Physical Therapy, 83 (10), 918-931.

5. Holdsworth, L. K., Webster, V. S., & McFayden, A. K. (2007). What are the costs to NHS Scotland of self-referral to physiotherapy? Results of a national trial. Physiotherapy, 93, 3-11.

6. Madisson, P., Jones, J., Bresline, A., Barton, C., Fleur, J., Lewis, R., et al. (2004). Improved Access and targeting of musculoskeletal services in northwest Wales: targeted early access to musculoskeletal services (TEAMS) programme. British Medical Journal, 329, 1325-1327.

Senate Bill 329, continued from page 10


The November election is just around the corner. The November 5 election is undoubtedly one that is important not only on a national level but statewide as well.

In Oregon there is much to watch including a heavily contested senatorial race between current U.S. Senator Gordon Smith (R) and Jeff Merkley (D), presently the Speaker for the Oregon House of Representatives. Other key statewide races include the race for congressional district 5 between Republican candidate Mike Erickson (R) and Kurt Schrader (D), Secretary of State (between democratic candidate Kate Brown and republican Rick Dancer), as well as twelve statewide ballot measures.

The twelve statewide ballot measures include a measure to eliminate the double-majority voting requirements for May and November elections; a measure that would implement an open primary election; and two competing measures that would increase minimum mandatory sentences for certain property crimes.

There are also a multitude of important races at the state level for the Oregon House of Representatives and Oregon Senate. The democrats, who currently hold a majority of seats in both the House and Senate with 31 and 19 respectively, are expected to remain in the majority in both chambers if not increase their stronghold by several seats in the House. Should the House increase this majority with five additional seats (for a total of 36) they will have what is known as a supermajority, allowing for the passage of any tax measures without the need of any Republican votes.

Regardless if you are blue, red or somewhere in between, it is vital that you get out and vote (okay, so we are Oregonians and have the ability to not even have to get out, we can simply mail)!

Many Significant Races & Issues on the November BallotBy Tracy Rutten, Western Advocates Inc., OPTA Lobbyist

I didn’t rewrite history. I didn’t change the face of our profession. I didn’t even vote. I did however, come away with a profound sense of respect and admiration for all of those that serve as representatives and a better understanding of just how instrumental the APTA is to us as professionals. As I applied for the student representative position I truly had no idea what I was getting myself into. I attended my first state delegate meeting in March where our amazing state reps helped guide me though the rough, but steady learning curve. As a student representative of

Oregon, my purpose at the 2008 House of Delegates session was to learn and understand more of how our profession develops, debates, and implements the rules and regulations that help shape our profession. I quickly found out that the time and effort required went well beyond the four days we spent in session.

Although the official session is only four days long, the process to run a productive and efficient house session requires year round planning and communication amongst delegates, sections, the

404 Votes, 51 Chapters, One Cause:A Student’s Perspective on the 2008 House of Delegates SessionBy Josh Zavertnik, SPT


PUT YOUR TAX DOLLARS TO WORK FOR YOUR PROFESSION

$50 Invested Each Year in the OPT-PAC (Political Action Committee) becomes a $50

Oregon State Tax Credit to you.

OPT-PAC serves all Oregon therapists by educating legislators and supporting bills important

to all Oregon physical therapists.

Support our goal to support you.

To make an investment, send your contribution to:

OPT-PAC 1001 Mollala Ave., #205Oregon City, OR 97045


OPTA Participates in Scope of Practice Advisory GroupBy Tracy Rutten, Western Advocates Inc., OPTA Lobbyist

During the 2007 legislative session, OPTA monitored and conceptually supported SB 717, a bill introduced by Senator Laurie Monnes Anderson (D-Gresham) that would have enacted a system for vetting scope of practice-related bills/concepts in a neutrally facilitated environment prior to the bill/concept being debated in a legislative committee hearing. The bill faced several political hurdles ultimately all parties could agree upon as died in committee.

Senator Monnes Anderson is continuing her work on this concept with the help of the Oregon Consensus Program (OCP), a program that provides mediation and facilitation services on public policy

issues. As a result, OPTA gave input to create what is now being referred to as the Scope of Practice Advisory Group, or SOPAG. This group consists of representatives from health professions, licensing boards, insurance, and the public and will be meeting over the course of the next few months with the goal of creating a process/pilot program for vetting scope of practice issues during the 2009 legislative session. The SOPAG will make recommendations to the legislature on a process that would help them to make decisions regarding complex scope of practice issues brought to the committees. More information on the SOPAG can be found at www.odrc.state.or.us/07-032ScopeofPractice.php.

OPTA Members Only Section Log-In

It’s just like your log-in for the APTA website. Your APTA membership number is your User Name. Your last name is your Password. In the Members Only Section of the site you have access to: the membership directory, media contact lists, OPTA’s salary survey, referral for profit task force info, past Log Newsletters, government affairs information, and be able to update your contact information.

Take a look for yourself atwww.opta.org.

Take Advantage of this Great Member Benefit to be Listed as a Physical Therapist Via the Internet

Find a PT Member Benefit Program

Find a PT is compiled and published by the American Physical Therapy Association (“APTA”) as a reference source of demographic and professional information on individual licensed physical therapists in the United States for consumers to access. If you are not taking advantage of this tremendous member benefit, you should check it out! Consumers can use the directory to find physical therapists located in any of the 50 United States. Consumers can also use the directory to narrow their search for specialty areas of practice. This portion of the APTA website describes who physical therapists are and what they do, different areas of specialty in physical therapy and the code of conduct that therapists work under.

For more information on this program go to http://www.apta.org/Consumer/findapt and click on the “members sign up for find a PT” to get on the list.


Congratulations to Anne Carlin Ripley, PT, OPTA Nominating Chair, for being one of 18 national members to be awarded the Emerging Leader Award through APTA. Anne was nominated by OPTA because she has emerged early in her career as a great leader and individual who has made exceptional overall accomplishments and contributions to the APTA, the OPTA, and the physical therapy profession to advance APTA’s vision.

“Anne is an example of a professional who ‘rolls up her sleeves’ and gets involved at the heart of an issue while demonstrating Vision 2020 in her daily passion for physical therapy advocacy to the public, fellow therapists, and our legislators”-Karen Walz, PT, MA, OCS, COMT, FAAOMPT, OPTA President

Heather Goodell, PT, OPTA’s public relations committee chair, recently received an APTA 2008 Component Award for public relations and advertising campaigns. Goodell worked with Andrea Hughbanks, PT, and Diana Godwin, the director of Oregon Physical Therapists in Private Practice, to develop and publish a color print advertisement promoting physical therapists in Oregon.

The ad, publishing in the January 2007 and 2008 issues of Portland Monthly, directed readers to the “Find a PT” section of the APTA web site, where consumers enter their zip code to locate physical therapists in their area.

The add achieved measurable, positive results. “We found that hits increased by 40 percent the

first year, 2007, and 28 percent the second year, 2008,” said Goodell. Hits were counted two months after the ad appeared in the publication, she said.

The full-color ad educated the public of the benefits of the assessment and treatment from a physical therapist, availability of physical therapists via Direct Access and the education level of physical therapists.

“We wanted the consumers to think of physical therapists as the first line of treatment,” Goodell said.

Goodell said APTA awarded OPTA $5,000 for the project. “It allows us to continue with our project, which is to take the ad and sell it to members and publish it in more publications, hitting rural areas and throughout the region,” she said.

Jeffrey Cox, PT and membership committee chair, and Susan Bamberger, PT, membership services representative and OPTA president elect, also earned an APTA 2008 Component Award for developing a membership initiatives program for the association.

“While I prepared the application, this award is really based on work that Susan Bamberger and others have done in the past. The award exemplifies the hard work of a lot of different people,” Cox said.

A few of the initiatives listed on the application included:• A PTA Student Membership Dues Assistance

Program: OPTA will pay one year of free membership for eligible applicants. The student

Anne with her son, Leo

Emerging Leader Award Recipient: Anne Carlin Ripley, PT

OPTA Members Earn National Awards for Promoting the Association


OPTA Offers a Medical Screening for the Physical Therapist Home

Study Course!

OPTA offers a Medical Screening course in a home study format! You can now purchase the DVD home study program and take the

course when it is convenient for you.

A home study course offers you the advantages of...Self-paced—you can take the course at your own pace at your office

or at home (must have DVD access on your computer or through your TV)

Comprehensive—the course is identical to the “live” version of the courses that we have offered including all of the handout materials

Time Saving—you can take the course when it is convenient for you—24 hours a day, seven days a week

CE Credits—the course is a great way to earn CE credits on your time and schedule.

The full course is a 12 hour course

The refresher course is a 6 hour course

If you are interested in purchasing a home study program contact Dana Baisden at OPTA at 503.262.9247 or tollfree at 877.452.4919 or

order on-line at www.opta.org


477

www.salemhospital.orgThat’s just the beginning!

• Ask about our significant increase in compensation

• Top education benefits & professional

development in Oregon

• Opinons matter & ideas make a difference

• A number of specialties, one GREAT employer

• Generous sign-on bonus & relocation

• Up to $30,000 loan repayment

Now Hiring PT’s: • Acute

• Home Care

• Orthopedic

• West Valley Hospital (Outpatient)

• Work Injury Management

WOW take a look!If you haven’t looked at Salem Health lately, look again!

must volunteer at one OPTA event and be involved in one committee.

• Current Member Dues Assistance Program: For members facing financial hardship. Eligible members receive full or partial funding for one year’s dues.

• 2008 Membership Drive: A competition titled “Recruit Just One.” Each member charged with recruiting one new member. The recruiter’s name is entered into a prize drawing - the grand prize: next year’s membership paid in full.

• Membership Services Representative: A paid, contract position charged with travelling and contacting therapists outside the Portland-Metro area and developing connections with rural therapists. Other duties include listening to concerns, directing questions to

Awards, continued from page 16

Lane Community College submitted an Application for Candidacy to CAPTE on August 29th, 2008. In mid-October, we will receive feedback from the CAPTE Reader/Consultant and then submit a Revised Application for Candidacy by January 1st, 2009. After an on-site visit in late-January, we will receive final determination of accreditation status sometime in May 2009.

We hope to admit 24 students for Fall 2009, pending accreditation

status. The college has been working on developing a PTA program for almost two years and the community here is very excited to be a part of the program. We are receiving inquiries from local providers, as well as coastal and southern Oregon communities about the status of the program and how they can become more involved in clinical education and general program support.

Ms. Howard can be reached at [email protected]

Lane Community College Announces its Plans to Start PTA ProgramBy Christina Howard, MPT, PTA Program Coordinator

appropriate personnel, recruiting, connecting members and committees and some marketing responsibilities.

Other initiatives included regional meetings and staying aligned with APTA’s Strategic Plan for

Membership Development. “The biggest thing was the

recognition among other chapters and other components that we’ve got some exciting and unique initiatives that we’re doing to help with our membership,” Cox said.


What Are You Doing for PT Month?

Did you know the APTA web site (www.apta.org) has a ‘Tips, Tools and Resources’ page for planning your PT month event? The event-planning guide includes media press release forms, professional liability insurance forms, news release templates, and media art templates. Check it out!

We’d like to hear what you did for PT month! Please send us an email at [email protected].

For 2008 year-to-date (through the end of August) our budget is looking good. We are ahead of target for income related to membership dues, annual conference, publications, and web sponsors/job postings by 19%, 23%, 15%, and 18% respectively. In addition, we are keeping all of our expenses in check – we were 11% over target for our annual conference expenses, and, with all committee and operational expenses combined, we’re only about 3% over budget for year-to-date. Although we are still forecasting for a deficit for the 2008 fiscal year end, I’m staying optimistic that we may end up “in the black” as again, our budget numbers so far are positive.

Please remember that a task force has been established to brainstorm ideas for generating non-dues revenue to assist with our budget situation. As

mentioned in an earlier Log article, to generate non-dues revenue, we’re working on the following suggestions: workshop sponsorships, member service discounts on continuing education courses, and increased promotion for our advertising/marketing/exhibiting sponsorships. Again, if you have any creative ideas for generating non-dues revenue for the OPTA that you’d like us to consider, please email me.

As always, thank you for your continued support of our fantastic organization! Please keep working on the “Recruit Just One” campaign as the success, protection, and promotion of both our profession and the OPTA depends on you! In order to keep our professional organization strong, enthusiasm, advocacy, and financial commitment from all Oregon PT’s and PTA’s is crucial (including students!).

Financial ReportBy Jerry Cain, PT, MPT, Treasurer


OPTA 2009 Conference - You do Not Want to Miss it! Portland, OR - March 13-15, 2009 By Dode Jackson, PT, OPTA Continuing Education Chair

We have an action packed program planned for the 2009 conference so be sure and mark it on your calendar. The conference will be held at the Portland Sheraton Airport Hotel in Portland.

Friday - This night kicks off with a “ Wii” presentation focusing on how it can be an effective therapy tool.

Saturday - Features the following presenters and topics: Bob Boyles, PT on the Thoracic Spine; Diana Godwin on Legal and Insurance Issues; and Loraine Lovejoy-Evans, PT on Management of Swelling in Orthopedic Conditions.

Sunday - Features the following presenters and topics: Mike Studer, PT on Geriatric and Neurologic Rehabilitation - Neuroplasticity; and Loraine Lovejoy-Evans, PT continuation from Saturday course.

The conference will also feature our exhibit hall with approximately 2 dozen vendors, networking opportunities, and door prizes. And at our Saturday business meeting we will have John Barnes, the APTA CEO, as our featured

lunch speaker. The business meeting will also feature our spring elections with 6 positions being voted on as well as our “changing of the guard” as OPTA president Karen Walz passes the gavel to Susan Bamberger.

Check out the OPTA website www.opta.org for more updates in the months ahead as well as other CE opportunities.

Immediate Openingsfor Part-Time Faculty

Physical Therapist Assistant Program

Our developing PTA program is actively seeking part-time faculty for curriculum development and clinicaland academic instruction. Primary responsibilities willbe in Academic Coordination of Clinical Education(ACCE) as well as working with the ProgramCoordinator in curriculum development. A fulldescription of the minimum qualifications, requiredexperience, anticipated start date and essential jobfunctions is available at https://jobs.lanecc.edu, underPart-Time Faculty.

For more information about this exciting opportunity,contact Christina Howard, MPT at 541-463-5764 or

[email protected].

an equal opportunity/affirmative action institution

APTA and the board of directors. Delegates from all over the country were, and still are, in constant contact working on making adjustments to the upcoming motions (referred to as RCs once they have been reviewed by the Reference Committee). The idea is simple, do all the “wordsmithing” ahead of time so that during the session much of the debates can be about the RC as a whole and not about making amendments to change the verbiage. Delegates are also in contact prior to the house session to find out who is in support of the motions to help the motion gain strength and to better understand why someone might be in opposition of the RC.

Once I arrived at the House of Delegates session it was difficult not to get wrapped up in the excitement of the week. There were over 400 delegates, representing 51 chapters and they were all excited about one cause: the advancement of our profession. The time spent at the house is focused and demanding. Between the official house sessions, caucus meetings, delegate meetings and state chapter meetings there isn’t time for much else. Even with all of the prep work prior to the House meeting, there is still a tremendous amount of time and effort that goes into the actual sessions. Being that we are a democratic society, all those present are able to speak in favor of or against a particular RC. This can be timely, and at times, patience becomes the name of the game. Although there were several set backs and lengthy discussions we were able to address all of the necessary RCs and finish on schedule.

With Vision 2020 in our sights, we as a profession have a tremendous amount of work to do. The House of Delegates, our state delegates and the APTA all represent the front lines of the professional battles we must undertake to emerge as the profession we desire to be. Many thanks to the Oregon delegates for such an inspiring experience.

House of Delegates, continued from page 12

OPTA503.262.9247Or tollfree at 877.452.4919E-mail: [email protected] site: www.opta.org

Oregon Log Advertising Policy The Oregon Log is published bimonthly (six issues per year) in February,

April, June, August, October, and December: the deadline is November 10 for the November/December issue. All display ads must be pre-sized in camera ready form. OPTA reserves the right to not publish advertisements or articles of OPTA’s choosing.

Ad Size Per IssueFull Page - 10" high by 7.5" wide $350.00Half Page - 4.5" high by 7.5" wide $200.00Quarter Page - 4.5" high by 3.5" wide $125.00

OPTA Announces Advertising Package Opportunities! The OPTA publications committee has created a new advertising package plan that offers a variety of advertising opportunities. If you are interested in purchasing a package, please contact Sandra Fisher at the OPTA office at 503.262.9247 or 877.452.4919 or via e-mail at [email protected].

Advertising PackagesPackage Includes Gold SilverWeb site logo & link 1 year N/AWeb site employment advertisement of 100 words 1 year 1 yearNewsletter display ads 1/2 pg ad for 1 year 1/4 pg ad for 1 yearVendor listing in newsletter 6 issues 3 issuesConference exhibit space 1 booth 25% off feeConference brochure vendor listing 1 listing 1 listingConference name displayed on vendor list 1 listing 1 listingPackage prices: $2,000 $1,000

Classified: Classified advertising for employment opportunities or sales items are charged at the rate of $35.00 per ad plus $2.00 per line of type (approx. 45-50 characters including spaces and punctuation). One line complimentary heading is included.

Oregon Log Editorial Policy: The Oregon Log is the newsletter of the Oregon Physical Therapy Association and is published bimonthly. Opinions expressed in this publication are those of the attributed author and do not necessarily represent those of the Association or the Board of Directors. Reprint of any article or information published herein is available only by permission of the editorial office. Circulation is to OPTA members. Copies are available to non-members at $4.00 each, post paid. OPTA reserves the right to not publish advertisements or articles of OPTA’s choosing.

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