2012 Annual Report of the American Physical Therapy Association

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    A M E R I C A N P H Y S I C A L T H E R A PY A S S O

    ANNUAL REP2012APTA: 85,000STRONG

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    FINANCIALS

    REPORTS

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    APTA Vision Stateor Physical Thera

    APTA VISION STATEMENTor Physical Therapy 2020

    Physical therapy, by 2020, will be provided by physicaltherapists who are doctors o physical therapy and who maybe board-certi ed specialists. Consumers will have directaccess to physical therapists in all environments or patient/ client management, prevention, and wellness services.Physical therapists will be practitioners o choice in patients/ clients health networks and will hold all privileges o autonomous practice. Physical therapists may be assisted byphysical therapist assistants who are educated and licensedto provide physical therapist directed and supervisedcomponents o interventions.

    Guided by integrity, li elong learning, and a commitmentto comprehensive and accessible health programs or allpeople, physical therapists and physical therapist assistantswill render evidence-based services throughout thecontinuum o care and improve quality o li e or society.They will provide culturally sensitive care distinguished bytrust, respect, and an appreciation or individual di erences.While ully availing themselves o new technologies, aswell as basic and clinical research, physical therapists willcontinue to provide direct patient/client care. They willmaintain active responsibility or the growth o the physicaltherapy pro ession and the health o the people it serves.

    Association Purpo

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    APTA MembershStatistics 2011-20

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    Association Purp

    ASSOCIATION PURPOSEThe American Physical Therapy Association exists to improve the health and quality o li e o individuals in society by

    advancing physical therapist practice. AssociationOrganizational Va

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    AssociationOrganizational Va

    ASSOCIATION ORGANIZATIONAL VALUES

    Association sta and members working on behal o the association:

    are committed to excellence in practice, education, and research; respect the dignity and di erences o all individuals and commit to being a culturally competent and socially

    responsible association;

    act with pro essionalism, integrity, and honesty; and, make decisions that refect visionary thinking, excellence, innovation, collaboration, and accountability.

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    APTA MembershStatistics 2011-20

    APTA MEMBERSHIP STATISTICS 2011-2012Category 2011 2012 Gain/(Loss)

    *PT 52,819 54,308 1,489

    *PTA 5,640 5,862 222

    LIFE 2,349 2,433 84

    RETIRED 105 123 18

    HONORARY 10 10 0

    STUDENT PT 16,820 18,223 1,403

    STUDENT PTA 3,154 3,334 180

    MASTERS STUDENT 4 5 1

    DOCTORAL STUDENT 278 330 52

    TOTALS 81,179 84,628 3,449

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    Board o Director

    BOARD OF DIRECTORS

    Back row rom le t: Laurita M. Hack, PT, DPT, MBA, PhD, FAPTA, Bryn Mawr, PA, secre tary; Elmer Platz, PT, Vernon, NJ, trea surer; Roger A. Herr, PT, MPA,COS-C, Seattle, WA; Shawne E. Soper, PT, DPT, MBA, Richmond, VA, speaker o the House; William F. McGehee, PT, MHS, Peoria, IL, vi ce speake r o the House;Mary C. Sinnott, PT, DPT, MEd, Lansdowne, PA; Stephen Levine, PT, DPT, MSHA, Plantati on, FL; Dave Pariser, PT, PhD, Crestwood, KY. Front row rom le t: Jenni er E. Gre en-Wilson, PT, MBA, EdD, Rochester, NY; Nicole L. Stout, PT, MPT, CLT-LANA, Bethesda, MD; Kathleen K. Mairella, PT, DPT, MA, Nutley, NJ ;Paul A. Rockar Jr, PT, DPT, MS, Murrysvi lle, PA, president; Shar on L. Dunn, PT, PhD, OCS, Shreveport, LA, vice preside nt; Dianne V. Jewell, PT, DPT, PhD, CCS,Richmond, VA; Jeanine M. Gunn, PT, DPT, Mercer Island, WA.

    The Board, and all o the APTA community, sincerely miss David Pariser, who passed away in early 2013 be ore nishing his term as director. Pariser o tenwas characterized as an outstanding gentleman and a quiet leader, on the APTA Board, as part o the physical therapy pro ession, and within his community.

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    President

    PRESIDENTSREPORTThis is my rst Annual Reportmessage as APTA president, and Ithank the membership or givingme the opp ortunity to serve. There

    has been a learning curve sincemy election, and I would like toextend my appreciation to thesta , the Board o Directors, thecomponent leadership, and themembership or their patienceand, most o all, their assistanceand hard work.

    This Annual Report will illustrate to you the tremendousamount o work that you, your APTA Board o Directors,APTA sta , and your component leaders accomplishedin 2012. The ollowing are just a ew examples o theinitiatives we have undertaken.

    APTA membership continues to grow, and wehave passed the 85,000 mark.

    We collaborated with many external groupsincluding, but not limited to, quality measurescommittees, the National Coalition o StateLegislatures, National Academy or StateHealth Policy, American Hospital Association,American Nursing Association, National RuralHealth Association, and Medical GroupManagement Association.

    We initiated outreach to large health organizationsand to our business partners so these groups

    can collaborate not only with each other butalso with APTA.

    Health care patients in Alabama now have directaccess to physical therapists, and o ther chapters,

    including Cali ornia, Illinois, Kansas, Michigan, andTexas, have initiated e orts to lessen restrictions ondirect access in their states.

    Work continued on PTNow so clinicians can haveeasy access to valuable evidenced-based materials.

    We continued to be leaders in the development o an alternative to the fawed ee- or-service paymentsystem. In 2012 our proposal or a physical therapypatient classi cation and payment system wasre ned and poised or continued action in 2013.

    We recognized the innovative and collaborative

    models o care that many o our members have beeninstrumental in developing. To share these models aswidely as possible, we developed the rst InnovationSummit, scheduled or March 2013, which also debutsAPTAs oray into a dual ace-to- ace/virtual meeting.

    As a precursor to the virtual summit, the APTA Boardo Directors meeting in late 2012 was livestreamedto allow members to view the proceedings remotely,either live or via recorded video a terward.

    The new Volunteer Interest Pool (VIP) allowsmembers to submit their interest and quali cationselectronically and give Board and sta ready accessto the credentials o those interested and willing toserve the association.

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    House o Delegat

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    President

    PRESIDENTS REPORT The associations planning calendar was adjusted to

    better integrate the input o the House o Delegates andmembership into the Strategic Plan, linkingwith goals, objectives, and metrics, and ultimately into

    the budget.We also continued work on many ongoing projects:

    The Governance Review Work Group prepared andthe Board presented suggested bylaw changes orconsideration by the House o Delegates.

    The model o delivery o physical therapy care and theuse o support personnel continues its work as directedby the House.

    A new Prevention Task Force will give the Boardguidance in this growing area.

    A new Leadership Development Committeewill help prepare our uture leaders.

    The Vision Task Force completed its work, andthe Board presented a new Vision statement orconsideration by the House.

    I encourage you to review this entire Annual Report to readmore about the great work being done by your colleagues,your association leaders, and APTA sta . Despite signi cantchanges over the past months, and more on the horizon, I

    am con dent we will meet our challenges. My con dencehas been boosted by the immense passion that I havewitnessed in my interactions with all o our membership:PTs, PTAs, and students. We, collectively as a membershiporganization, can and must grasp our opportunities andaddress these challenges to move the association and thepro ession orward.

    Paul Rockar Jr, PT, DPT, MS

    President

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    House o Delegat

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    House o Delegate

    The 2012 House o Delegates (House) met in Tampa, Florida,June 46. The delegates elected o cers and directors to theAmerican Physical Therapy Association Board o Directors,elected members to the APTA Nominating Committee, andacted on main motions brought to the House intended to shape

    the uture o our pro ession.The 2012 delegates debated and voted on a number o important topics. Policies that were amended during thesession included Diagnosis by Physical Therapists and PhysicalTherapists Role in Management o the Person with Con cussion.Motions also were passed to initiate the ollowing actions:

    Explore the easibility o changing the degreerequirements or PTA to a baccalaureate degree

    Develop resource materials on serving as an expertwitness, serving as a mentor, standards o conduct inthe use o social media, and practicing in the emergencydepartment

    Make Hooked on Evidence available ree o charge tohealth care pro essionals around the world

    Promote physical therapists as expert providers o exerciseand physical activity prescription

    Explore development o a program to recognize physicaltherapy centers o excellence

    Recognize the physical therapists role in sa e patient handlingIn addition, the important discussion about the models o service delivery continued in the 2012 House, including areport rom the Health Care Pro essionals and PersonnelInvolved in the Delivery o Physical Therapy Task Force. A terrobust discussion and debate, the House opted to expand theinitial charge o the group and request additional in ormationor uture consideration. An interim report on this body o work will be orwarded to the 2013 House, and a nal report isscheduled or 2014.

    A summary o all the actions taken by the House can be oundon the APTA website at www.apta.org/hod ; ollow the link tothe House o Delegates Community, and then explore the areaentit led Archive.

    Based on eedback rom the 2011 delegates, interviews o Nominating Committee candidates were again recorded andposted to the APTA website or member and delegate viewing.Board and o cer candidates were interviewed onsite in Tampa,and the elections were held using an audience responsesystem on June 4.

    The House o Delegates sets the direction or our uturethrough debate and decision making on substantive issuesacing our pro ession and through the election o individualsto serve on the Nominating Committee and Board o Directors.Your voice is heard through the delegates that you elect torepresent you. I encourage you to get involved in the processby reviewing the issues (at APTA.org/Communities , in theHouse o Delegates Community) and reviewing candidatematerials (at APTA.org/Elections and in the House oDelegates Community under Re erence Materials and then theNominations, Candidacy, and Elections older). Then pleaseshare your perspectives with the delegates who represent you.I also encourage you to get involved by becoming a delegateor running or a nation al APTA o ce. APTAs NominatingCommittee is dedicated to growing and maintaining a healthypool o nominees or national o cesthe House o Delegatesonline community also has in ormation on the nominating andelection process.

    Shawne E. Soper, PT, DPT, MBA

    Speaker o the House

    HOUSE OF DELEGATES REPORT

    President

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    http://www.apta.org/hodhttp://apta.org/Communitieshttp://www.apta.org/electionshttp://www.apta.org/communitieshttp://www.apta.org/communitieshttp://www.apta.org/communitieshttp://www.apta.org/communitieshttp://www.apta.org/electionshttp://apta.org/Communitieshttp://www.apta.org/hod
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    Payment or Serv

    PAYMENTFOR SERVICESPayment policies will re ect the clinical and practice management expertise and resources required to deliver quality physical therapist services to patients and clients.

    APTAs lobbying e orts h elped avert a 27.4% cut in the 2012physician ee schedule; instead, physical therapists received anaverage 4% increase in payment under Medicare.

    Comments to the Centers or Medicare and Medicaid Services(CMS) rom APTA in 2012 will result in more fexibility regardingper orming unctional reassessments and coverage o therapy visitsunder the 2013 home health prospective payment system.

    APTA submitted comments to CMS related to CCI edits or manualtherapy and compression bandages, coverage o TENS or chronic lowback pain, manual medical review or the therapy cap, home health andoutpatient hospital prospective payment system rules, the physician eeschedule rule, overpayment regulations, and others.

    APTA implemented the New England Regional Payment Pilot.Activities included submitting amendments to the Massachusettshealth care re orm bill to include PTs on various health carere orm boards; presenting the concept at an American Society o

    Association Executives con erence, where 2 other associationsindicated interested in implementing a similar strategy; andholding the rst New England region payers orum, which lead todiscussions with BCBS o Massachusetts and Tu ts Healthcare aboutstarting a PT pilot program.

    When member inquiries in October showed that members and theirpatients needed clari cation o a CMS letter announcing therapycap changes, APTA quickly responded with resources posted toAPTA.org .

    CMS and private payers implemented a new place o service(POS) code to indicate physical therapist (PT) delivered servicesat a patients worksite. APTA initiated a request or the new code

    through CMS.APTA assisted several chapters with e orts to enact air copaylegislation, including creating a website resource. Copay legislationwas enacted in South Dakota.

    A ter being noti ed by APTA, CMS stopped erroneous RAC auditsthat were denying payments to private practice PTs when patientsalso were being treated in outpatient hospitals.

    To educate members and payers and to promote the PhysicalTherapy Model Beneft Plan that APTA introduced in December 2011,the association created an insurance design content area on APTA.org that includes podcasts describing medically necessary services,the model bene t plan, and ways that PTs are using the plan inadvocacy e orts related to insurance bene ts.

    The Physical Therapy Classifcation and Payment System (PTPCS)( ormerly Alternative Payment System) was urther developed in2012. A ter members were surveyed to help urther re ne the model,APTA sta presented the concept at national and state meetings.APTA also held discussions with k ey policymakers, insurers, workerscompensation carriers, and other health care organizations. InOctober, a work group was ormed to rewrite the Physical Medicineand Rehab section o the AMA CPT book, a key step inthe process to secure approval and implementation o the PTCPS.

    Anticipating member questions related to several changes inhealth care regulations, APTA created web resources on multipleprocedure payment reduction (MPPR), audits , therapy capmanual medical review (MMR), unctional limitation reportingrequirements , the Physicians Quality Reporting System (PQRS),and insurance exchanges .

    An end-o -the-year advocacy initiative included a Capitol Hill Dayto lobby Congress on the fawed sustainable growth rate, therapycap, and in-o ce ancillary services; meetings between APTAPresident Paul Rockar, APTA sta , and congressional leaders aboutthe therapy cap; and a 30-day campaign that resulted in more than9,000 e-mails rom members and patients.

    APTA intervened on payment concerns involving several individualpayers, such as United Health Care, Cigna Government Services,and Walmart.

    Effectiveness of

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    REPORTS

    FINANCIA

    http://www.apta.org/FederalIssues/TherapyCap/http://www.apta.org/FederalIssues/TherapyCap/http://www.apta.org/Media/Releases/APTA/2012/3/28/http://www.apta.org/Media/Releases/APTA/2012/3/28/http://www.apta.org/APS/http://www.apta.org/Payment/Medicare/CodingBilling/FeeSchedule/2013/FAQ/http://www.apta.org/Payment/Medicare/CodingBilling/FeeSchedule/2013/FAQ/http://www.apta.org/Compliance/Audits/http://www.apta.org/Payment/Medicare/CodingBilling/http://www.apta.org/Payment/Medicare/CodingBilling/http://www.apta.org/Payment/Medicare/CodingBilling/FunctionalLimitation/http://www.apta.org/Payment/Medicare/CodingBilling/FunctionalLimitation/http://www.apta.org/PQRS/http://www.apta.org/Exchanges/http://www.apta.org/Exchanges/http://www.apta.org/PQRS/http://www.apta.org/Payment/Medicare/CodingBilling/FunctionalLimitation/http://www.apta.org/Payment/Medicare/CodingBilling/FunctionalLimitation/http://www.apta.org/Payment/Medicare/CodingBilling/http://www.apta.org/Payment/Medicare/CodingBilling/http://www.apta.org/Compliance/Audits/http://www.apta.org/Payment/Medicare/CodingBilling/FeeSchedule/2013/FAQ/http://www.apta.org/Payment/Medicare/CodingBilling/FeeSchedule/2013/FAQ/http://www.apta.org/APS/http://www.apta.org/Media/Releases/APTA/2012/3/28/http://www.apta.org/Media/Releases/APTA/2012/3/28/http://www.apta.org/FederalIssues/TherapyCap/http://www.apta.org/FederalIssues/TherapyCap/
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    E ectiveness o C

    E ectiveness o Care

    EFFECTIVENESSOF CAREFacilitate the adoption o advances in practice that enhance the e ectiveness o patient/client care.

    PTNow , APTAs clinician portal, prepared or its move out o beta ormat by ully populating an Editorial Board, developing a3-year strategic plan, gaining IRB approval or a usability study,consulting with APTAs clinical sections on the Cli nical Tools areao the portal, and developing a plan to measure change in clinicianbehavior a ter exposure to PTNow. The site added more than 200clinical practice guidelines to the Evidence-based Practice Library,with another 100 due in early 2013.

    Revisions to the Guide to Physical Therapist Practice progressed,with reviews being conducted on Chapters 1-5, tests andmeasures templates, and interventions templates.

    APTA debuted an audio con erence series, Moving Evidence IntoPractice, which targets interventions with strong evidence. Topics in2012 included neuromuscular electrical stimulation o the quadricepspostsurgery and tips to measure and improve practice quality.

    To help sections develop clinical practice guidelines (CPGs) andclinical practice appraisals (CPAs), APTA hosted an onsite trainingsession with 33 participants rom various sections. Four subsequentproposals were accepted and unded: the Neurology SectionsCPGs or vestibular rehabilitation or peripheral hypo unction;the Section on Geriatrics clinical guidelines statement or theidenti cation, prevention, and treatment o alls in community-dwelling older adults; the Oncology Sections CPA on managemento secondary upper quadrant lymphedema; and the Cardiovascularand Pulmonary and Acute Care Sections CPGs or the prevention,assessment o risk, and physical therapy management with lower orupper extremity venous thromboembolism.

    A new web resource on collaborative care models eatures videointerviews and other presentations by member experts involvedin innovative care delivery models such as accountable careorganizations and patient-centered medical homes. Out o thework or this web resource came development o APTAs rstInnovation Summit , and the association selected 17 members inNovember as innovators to participate in the 2013 event.

    New online resources cover hospice and palliative care , healthbehavior change , regenerative medicine , physical therapists useo CPR and AEDs , PTs role in the emergency department , andvital signs and other patient screenings .

    To support the physical therapists role in prevention, wellness,and tness, APTA appointed a work group, per charge by theHouse o Delegates, to develop an annual physical therapyexamination. The association also established the Board-directedTask Force on the Physical Therapists Role i n Prevention, Wellness,

    Fitness, and Disease Management.In other e orts to support the role o PTs across the li espan, APTApublished the new Adult Fitness Exami nation: A Physical TherapyApproach . Adult Fitness Examination is an assessment tool thatcan create baseline and ollow-up in ormation or adult physicaltherapy clients as well as a textbook or PT education programs.

    A new APTA pocket gui de, Physical Fitness or Individuals withSpinal Cord Injury , is based on evidence and expert consensus.

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    http://www.ptnow.org/Default.aspxhttp://www.apta.org/Guide/http://www.apta.org/collaborativecare/http://www.apta.org/innovationsummit/http://www.apta.org/PatientCare/HospicePalliativeCare/http://www.apta.org/PatientCare/BehaviorChange/http://www.apta.org/PatientCare/BehaviorChange/http://www.apta.org/RegenerativeRehab/http://www.apta.org/CPRandAED/http://www.apta.org/emergencydepartment/http://www.apta.org/PatientScreenings/http://iweb.apta.org/Purchase/ProductDetail.aspx?Product_code=AFE-001&LI=0http://iweb.apta.org/Purchase/ProductDetail.aspx?Product_code=AFE-001&LI=0http://www.apta.org/PFSP/http://www.apta.org/PFSP/http://www.apta.org/PFSP/http://www.apta.org/PFSP/http://iweb.apta.org/Purchase/ProductDetail.aspx?Product_code=AFE-001&LI=0http://iweb.apta.org/Purchase/ProductDetail.aspx?Product_code=AFE-001&LI=0http://www.apta.org/PatientScreenings/http://www.apta.org/emergencydepartment/http://www.apta.org/CPRandAED/http://www.apta.org/RegenerativeRehab/http://www.apta.org/PatientCare/BehaviorChange/http://www.apta.org/PatientCare/BehaviorChange/http://www.apta.org/PatientCare/HospicePalliativeCare/http://www.apta.org/innovationsummit/http://www.apta.org/collaborativecare/http://www.apta.org/Guide/http://www.ptnow.org/Default.aspx
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    Access to PhysicTherapist Servic

    Access to PhysicalTherapy Services

    ACCESSTO PHYSICAL THERAPIST SERVICESPolicy barriers to patient/client access to physical therapist services will be reduced and where possible eliminated.

    With continued support rom APTA and the hard work o thechapter, Alabama enacted direct access legislation in May. For theremaining state without any direct access, Indiana, APTA providedgrant unds, grassroots support, and counsel on legislativelanguage and strategies to help the state move closer to a directaccess bill.

    APTA supported other direct access initiatives in Cali ornia,Illinois, Kansas, Michigan, Mississippi, and Texas to improveexisting direct access constraints.

    APTA initiated a project to create a Congressional Budget O ce-style 10-year score o the ederal costs or savings associatedwith allowing Federal Employees Health Bene ts Programemployees direct access to physical therapist services.

    APTA provided unding or the Foundation or Physical Therapysstudy to examine re erral- or-pro t arrangements. The study wasawarded to Jean Mitchell and will investigate the infu ence o physician sel -re erral on the provision o physical therapy services.

    Through e orts by the Alliance or Integrity in Medicine (AIM),o which APTA is a ounding member, the Congressional BudgetO ce began reviewing cost savings associated with eliminationo physical therapy and other services rom the in-o ce ancillaryservices (IOAS) exception to the Stark anti-re erral laws.

    Also as part o AIM, APTA publicized reports rom MedPAC(radiation oncology) and the Government Accountability O ce(advanced imaging) that highlighted IOAS abuses in these areas.

    Anticipating the increased need or physical therapist servicesin the uture, APTA developed a model to predict supply anddemand o physical therapists through 2020 and shared the modelwith the Health Resources and Services Administration (HRSA). Inother meetings with HRSA, APTA discussed the administrationsproject to collect a minimum data set o in ormation that wouldhelp track and describe the work orces o various health carepro essions, including physical therapy.

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    http://www.apta.org/WorkforceData/http://foundation4pt.org/site/wp-content/uploads/2010/12/Foundation4PT_RFP.pdfhttp://www.apta.org/WorkforceData/http://www.apta.org/WorkforceData/http://www.apta.org/WorkforceData/http://www.apta.org/WorkforceData/http://foundation4pt.org/site/wp-content/uploads/2010/12/Foundation4PT_RFP.pdf
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    Research

    Research

    RESEARCHFacilitate creation o and access to new knowledge that in orms clinical decision making about the organization and delivery o physical therapist services at the point o care.

    APTA continued work on an Outcomes Data Registry, dra tinga dictionary o core data elements so that all sites supplyingdata provide the same in ormation. Outcome Inc was chosen todevelop the registry a ter ATPA conducted an RFP process.

    During a research fy-in on March 19-20 to Capitol Hill, 11researchers rom 9 states lobbied or more unding or speci cNational Institutes o Health programs and or prioritizingrehabilitation research in the translational science research agenda.

    Physical Therapy (PTJ) launched its groundbreaking series Rehabilitation o People With Critical Illness: Taking the NextSteps , presenting recent advances in managing crit ical illness

    across the continuum o care, rom the intensive care unit (ICU) tothe community setting.

    Open Door , APTAs members-only portal to evidence-basedresearch, reached the 1 million mark or unique searches. Theassociations online repository/library catalog increased by 1,755new records in 2012, including books, journal articles, APTAsurveys, and APTA policy letters.

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    http://ptjournal.apta.org/content/92/12.tochttp://ptjournal.apta.org/content/92/12.tochttp://www.apta.org/opendoor/http://www.apta.org/opendoor/http://ptjournal.apta.org/content/92/12.tochttp://ptjournal.apta.org/content/92/12.toc
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    Education

    Education

    EDUCATIONPhysical therapist and physical therapist assistant educational opportunities o su fcient quality and number will be available to meet the needs o students, clinicians, and society.

    The rst phase o Physical Therapist Education or the 21stCentury (PTE-21), APTAs unded project to investigate thecrucial dimensions o excellence in physical therapist educationacross academic and clinical settings, began with the selectiono and visits to 4 sitesMGH Institute o Health Pro essions andUniversity o Delaware as the proj ects academic sites, and GoodShepherd Penn Partners and Madonna Rehabilitation Hospital asthe clinical sites. Case ndings at these sites will in orm a Delphistudy o academic and clinical education leaders that exploresthe easibility o implementing speci c changes consistent withexcellence. A report on phase 1 is expected in all 2013 by theinvestigators.

    The number o APTA-credentialed clinical instructors rose to39,851, as 3,659 individuals were awarded the CI credential in 2012.

    There were 390 graduates in 2012 rom credentialed residencyand ellowship programs , representing a 23% increase rom 2011.

    To increase the number o programs and graduates, the types o residency and ellowship practice areas were expanded, includingthe recognition and credentialing o a neonatology ellowship and,or the rst time in APTA history, a nonclinical ellowship program,the Education Leadership Institute .

    ABPTS certi ed a record number o specialists in 2012 (1,410),an increase o 20% rom 2011, bringing the total at year-end to12,937 physical therapists who have achieved board certi cation.In addition, ABPTS developed a Maintenance o SpecialistCerti cation program, to which all board-certi ed specialistswill transition within the next 5-10 years rom the currentrecerti cation process.

    APTA added acute care, aquatics, and oncology to its programor Recognition o Advanced Profciency or the PTA .

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    REPORTS

    FINANCIA

    http://www.abptrfe.org/home.aspxhttp://www.abptrfe.org/home.aspxhttp://www.apta.org/eli/http://www.abpts.org/home.aspxhttp://www.apta.org/PTARecognition/http://www.apta.org/PTARecognition/http://www.abpts.org/home.aspxhttp://www.apta.org/eli/http://www.abptrfe.org/home.aspxhttp://www.abptrfe.org/home.aspx
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    STRATEGICPLAN

    Public Awarenes

    Recognition

    Public Awareness/Recognition

    PUBLIC AWARENESS / RECOGNITIONConsumer and pro essional groups will recognize physical therapists unique contributions and collaborative e orts as sel -directed practitioners within patient/client health care/provider teams.

    From the launch o the consumer portal in June 2011 throughJune 2012, visits to http://www.move orwardpt.com increased107% ( rom an average o 235 per day to 487 per day). Page viewsincreased 104% ( rom an average o 767 per day to 1,564 per day).

    APTA published an e-book on brand principles, The Success ulPhysical Therapist , or iPad, PC, and mobile device uses, completewith questions at the end o each section and a link to a membersurvey/quiz.

    Other activiti es that urthered APTAs Move Forward brandpromotion to increase consumer awareness included:

    Launching a Blog Talk Radio show that covered suchtopics as concussion and low back pain

    Expanding the video library

    Forming a MoveForwardPT.com editorial board Participating, through the APTA Media Corps, in 85 media

    interviews

    Producing a video o members at CSM who described how theyare living the brand principles and recording a panel discussionat APTA Con erence about the role o the brand in osteringinterpro essional pro essionalism

    APTA developed a webpage or its new Fit A ter 50 campaign thatincluded a social media toolkit with branded tweets and Facebookposts, a branded Baby Boomers act sheet, and a campaign videoby spo kesperson Patrice Winter, PT, DPT, MHA, FAAOMPT, thatincluded brand language and resources. The campaign, whichaligned with National Physical Therapy Month, included outreach tobloggers and reporters.

    The revised and updated National Physical Therapy Month webpageand event planning guide eatured brand language and tools thatrefected the brand, including a new event fyer template, bookmark,and newspaper columns.

    APTAs partnership with WebMD expanded APTAs reach toconsumers by providing member PT experts to serve in theollowing online health communities: bromyalgia, multiplesclerosis, pain management, and sports medicine.

    A partnership opportunity was identi ed with Lands End or its Back-to-School event during BlogHer, a large expo or bloggers held inAugust. APTA Media Corps Member Mary Ann Wilmarth, PT, DPT,spoke to nearly 230 mommy and health and wellness bloggers.

    APTA launched its support o the Joining Forces Initiative (JFI), aproject to ensure that returning soldiers and veterans get the healthcare assistance and care they needparticularly related to traumaticbrain injury.

    Strategic partnerships were developed or explored with theAmerican Association o Retired Persons, United States MastersSwimming, National Council on Aging, and BoomerCa e.com,eaturing blo g posts by APTA President Paul A. Rockar Jr, PT, DPT,

    MS, and Patrice Winter, PT, DPT, MHA, FAAOMPT.Other collaborations included:

    Sponsoring an Arthritis Foundation event on a new CDC report

    Partnering with the Falls Free Initiative Coalition or itsAwareness Day

    APTA was included with the likes o the Mayo Clinic in receivingan honorable mention rom Ragans Health Care PR and MarketingAwards or best use o social media.

    National media placements in 2012 included CNN.com, Forbes.com,USA Today, Business Week, New York Times, Wall Street Journal, Los Angeles Times, C hicago Tribune , Good Morning America, Money ,

    and Weightwatchers.

    Payment for Ser

    Effectiveness of

    Access to PhysicTherapist Servic

    Research

    Education

    APTA: 85,STRONG

    REPORTS

    FINANCIA

    http://www.moveforwardpt.com/http://www.apta.org/BrandBeat/LivetheBrand/http://www.apta.org/BrandBeat/LivetheBrand/http://www.blogtalkradio.com/moveforwardpthttp://www.apta.org/FitAfter50/http://www.apta.org/NPTM/http://www.apta.org/JFI/http://www.apta.org/JFI/http://www.apta.org/NPTM/http://www.apta.org/FitAfter50/http://www.blogtalkradio.com/moveforwardpthttp://www.apta.org/BrandBeat/LivetheBrand/http://www.apta.org/BrandBeat/LivetheBrand/http://www.moveforwardpt.com/
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    FINANCIA

    Treasurers Repo

    Im very pleased to report that APTAis in a strong nancial position evenin light o a national economy thatremained sluggish in 2012.

    Highlights in 2012 included the bestCSM ever in Chicago with 10,634attendees. This was a 17% increaseover the CSM 2011 in New Orleans

    (9,094 attendees). There was an 8% growth in APTAsrevenue, return on investments was signi cant, andnondues revenue remained strong. At years end totalreserves were at 40%, and liquid reserves were at 53%.

    The annual audit, conducted by Johnson Lambert &Co, was concluded with no audit adjustment or internalcontrol improvement recommendation. With support romthe Board o Directors, the Finance and Audit Committee,and sta , the budgeting process or 2013 was urther

    re ned, and linkage o the strategic plan to the budgetwas achieved.

    As I approach the completion o my second year as APTAtreasurer I look orward to continuing to serve you in myrole as your duciary steward. In working with APTA sta I remain con dent that you will continue to bene t romthe highest level o pro essionalism and integrity in thenancial management o your association. My contactin ormation is below i you have any questions aboutAPTAs nances.

    Elmer Platz, PT

    Treasurer

    973/764-6136Fax 973/764-4515

    TREASURERS REPORT

    APTA: 85,STRONG

    STRATEGICPLAN

    2012 APTARevenue Dollar

    2012 APTAExpense Dollar

    Building StabilitAnd Success

    How Did 2012 E

    Statement o FinPosition at Dece

    REPORTS

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    FINANCIA

    2012 APTARevenue Dollar

    2012 APTA REVENUE DOLLAR

    3 cents

    19 cents

    42 cents

    8 cents

    Investment Income

    Con erences and Education

    Dues

    Sale o Resources, Products, and Periodicals

    Royalties and A fnity

    Sta Services/Donations/Contracts

    16 cents Accreditation and Certifcation Exam Fees

    6 cents

    6 cents

    APTA: 85,STRONG

    STRATEGICPLAN

    Treasurers Repo

    2012 APTAExpense Dollar

    Building StabilitAnd Success

    How Did 2012 E

    Statement o FinPosition at Dece

    REPORTS

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    2012 APTAExpense Dollar

    2012 APTA EXPENSE DOLLAR52 cents

    21 cents Association Business

    Association Membership

    27 cents The Pro ession

    APTA: 85,STRONG

    STRATEGICPLAN

    Treasurers Repo

    2012 APTARevenue Dollar

    Building StabilitAnd Success

    How Did 2012 E

    Statement o FinPosition at Dece

    REPORTS

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    Building StabilitAnd Success

    THE PROFESSION Many o our activities a ect not only APTA members but the pro ession asa whole. Victories on Capitol Hill and changes to standards o practice areintertwined with achieving the overall purpose o advancing physical therapistpractice. The work done on the business and membership sides helps toaccomplish this overall purpose.

    ASSOCIATION MEMBERSHIP As a membership organization, a bulk o our unds are spent on con erences, component relations, publications, pro essionaldevelopment, public relations initiatives, and other areas that support our members. Additionally, this area brings in a signi cantportion o our resources that is used to uel other areas o the association. This area is vital to our success as an organization.

    ASSOCIATION BUSINESS Similar to other businesses, associations must per orm basic activities related to human resources, in ormation technology,governance, nance, and maintenance o th e physical structure o the business. Typical charity-like organizations aim to spendno more than 25 cent s o every dollar on business unctions. Although APTA is not a charity, we work to keep this percen tageas low as possible.

    BUILDING STABILITY AND SUCCESSTHE PROFESSION

    ASSOCIATION MEMBERSHIP

    ASSOCIATION BUSINESS

    APTA: 85,STRONG

    STRATEGICPLAN

    Treasurers Repo

    2012 APTARevenue Dollar

    2012 APTAExpense Dollar

    How Did 2012 E

    Statement o FinPosition at Dece

    REPORTS

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    How Did 2012 E

    HOW DID 2012 END UP?2012 ACTUAL 2011 ACTUAL DIFFERENCE

    Member Dues and Member Subscriptions $16,707,076 $ 16,044,733 $662,343

    Nondues Revenue $23,391,959 $20,535,697 2,856,262

    Total Revenue From Operations $40,099,035 $36,580,430 $3,518,605

    Less: Expenses $39,516,709 $37,436,967 $2,079,742

    Net (be ore investments) $582,326 ($856,537) $1,438,863

    Investment Return $1,632,851 $362,759 $1,995,610

    Change in Net Assets $2,215,177 ($1,219,296) $3,434,473

    APTA: 85,STRONG

    STRATEGICPLAN

    Treasurers Repo

    2012 APTARevenue Dollar

    2012 APTAExpense Dollar

    Building StabilitAnd Success

    Statement o FinPosition at Dece

    REPORTS

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    FINANCIA

    Statement o FinPosition at Decem

    2012 2011

    Cash and Investments $25,033,123 $22,823,118

    Other Assets $13,794,108 $12,311,583

    Total Assets $38,827,231 $35,134,701

    Liabilities $23,111,966 $21,634,612

    Net Assets $15,715,265 $13,500,089

    Total Liabilities and Net Assets $38,827,231 $35,134,701

    STATEMENT OF FINANCIAL POSITION at December 31

    APTA: 85,STRONG

    STRATEGICPLAN

    Treasurers Repo

    2012 APTARevenue Dollar

    2012 APTAExpense Dollar

    Building StabilitAnd Success

    How Did 2012 E

    REPORTS

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    APTA THANKS ITS 2012 STRATEGICBUSINESS PARTNERS:

    Bioness, Silver Partner

    Marsh US Consumer, Silver Partner

    Per ormance Health, Silver Partner