SUMMARY REPORT ON FINDINGS FROM AN ONLINE ... - Physiotherapy · Physiotherapy can help....

SUMMARY REPORT

ON FINDINGS FROM

AN ONLINE

SURVEY FOR

THE CANADIAN

PHYSIOTHERAPY

ASSOCIATION

regarding

STRATEGIC

PLANNING ISSUES

MARCH 2017

Online Survey conducted by

The Knowles Consulting Corporation

1 | P a g e

RESPONDENT PROFILES

A total of 1,020 CPA members

responded to the survey over the

period from February 7th to March

3rd, 2017: 966 or 95% in English, and

54 or 5% in French.

92% of respondents are

physiotherapists in practice,

although some serve other roles in

the profession.

57% and 39% are in private and

public practice, respectively, with

another 18% in a multi-disciplinary

practice.

42% of respondents are from

Ontario, and 19% and 17% are

from British Columbia and Alberta,

respectively, with 22% from other

locations in Canada and beyond.

54% have been in practice for 16

or more years. 14% have been in

practice for less than 5 years. 28%

have practiced from 5 to 15 years.

4% are retired or students. French-

language respondents have

somewhat fewer years in practice.

49% and 28% are from large and

small urban areas respectively,

while the remaining 23% are from

rural and suburban areas. Proportionately, fewer French-

than English-language

respondents work in rural/remote

settings.

The chart below show the range of

Divisions represented by

respondents. French-language

respondents are less likely to be a

Division member.

INTRODUCTION

In 2015, the Canadian Physiotherapy Association (CPA) began

preparing for the development of a next-generation Strategic Plan,

to take effect in 2018 when the current plan expires. The new

Strategic Plan will identify key goals and major priorities for the

Association over the coming years, and will serve as a guide for

allocating our resources and prioritizing new initiatives.

We have employed a variety of consultation methods to ensure we

get the right feedback from the right people to build a plan that will

drive us forward to the 100-year marker of our profession, and

beyond, including:

▪ A robust survey of physiotherapy professionals in Canada

▪ Engagement with other health care professionals and key

stakeholders

▪ A national roundtable consultations with physiotherapy leaders.

To help with member understanding of these issues, we also

provided a Physiotherapy Landscape resource, where information

on CPA’s status and future is available for your consideration. The

landscape paper provided background on some of the key issues

facing the profession and the health care system, and was broken

down into three themes:

▪ Physiotherapy practice

▪ Health care policy

▪ The physiotherapy labour market

In concert with the Landscape paper, a confidential member survey

was designed and managed by our external consultants, The

Knowles Consulting Corporation. This report summarizes the input

from all respondents and will be used at the Roundtables and in the

Strategic Planning Workshop to focus further input and discussion.

The survey and this report address the following topics:

▪ The CPA Vision

▪ Priority Themes analyzed through the survey findings.

Comments included in this report on the CPA vision and priority

themes are a selected sample drawn by our consultants from open-

ended contributions by respondents.

2 | P a g e

CPA’s VISION AND PREFERRED VISION THEMES

Every organization needs a compelling reason to exist. Usually this

is expressed in terms of “Vision” (where we want to be in the future)

and “Mission” (who we serve and why). For this strategic planning

process, we are looking at our Vision statement.

A Vision statement is "An image of our desired future" and a vivid

description of what things will be like once we have attained the

mission. Visions are described in the present tense, even though

they are defining a future. They are not slogans.

The following is the current vision statement for CPA:

Canadians are moving, moving more and moving better with the help of physiotherapy.

85% of respondents are at least somewhat satisfied with the current vision, but only 10% are

completely satisfied. There is considerable consistency in responses about CPA’s vision by Branch,

Division and Language, other than French-language respondents showing the greatest satisfaction

with the current vision statement.

74% of respondents included this theme as one of their three choices for changing the vision | 38 total comments

Beyond movement – prevention, pain reduction

EXAMPLES OF COMMENTS

▪ I hope a movement statement would remain as

well as other elements.

▪ Remain movement focused

▪ I would not focus on the word pain but rather

comfort.

▪ Facilitating optimal movement

▪ Focusing on practice domains, such as

"movement", will always result in certain physios

feeling left out. Focusing on broader themes such

as value and access will have greater potential to

resonate across the profession.

▪ At 70 I feel we need to be involved in prevention.

▪ We must be thoughtful about how we present pain

and pain reduction if we go down that path as

there are times where this happens and other times

where we help people live with their pain. Some

forms of pain and suffering are beyond our reach

and have benefits for people that our job is to walk

with them in the midst of their condition. Too much

to put into a vision statement. So maybe we

concentrate our vision not on the pain piece but

on the restoration of function, love of life, healing in

many forms and on many levels, integration of

abilities and learning new skills with the help of a

physiotherapist as what we bring to the table.

▪ For the movement one, I don’t like "beyond"

movement, but I like the inclusion of prevention

and pain reduction (maybe "using movement and

more to prevent, relieve, strengthen and enhance"

or something like that).

▪ Moving more and moving better is what we help

people do as therapists. But our vision as a

professional body needs to include scope of what

the organization is going to do for the profession.

Needs to be more compelling and memorable

than current vision listed above.

5%

8%

15%

19%

22%

23%

38%

70%

74%

If we were to change the vision statement, which themes should be considered for inclusion?

Beyond movement--prevention, pain reduction

Numbers indicate the percentage of respondents who that theme as one of 3 possible choices

Cohesive, nationwide, all components unified

Hands-on

Indispensable

Helping people to be active throughout their lives

Bringing value and health care system benefits

Quality of treatment

Working for (or with) the client

Access for all

10%

31%

44%

8%

7%

Does this vision statement still meet our needs?

Completely

Somewhat

Not at All

3 | P a g e


Helping people to be active throughout their lives

▪ Helping people to be active throughout their lives

▪ Maintain your body. Maintain your lifestyle.

Physiotherapy can help.

▪ PHYSIOTHERAPY: Live. Move. Thrive. Helping all

Canadians reach optimal health.

▪ I like the active one, but it doesn't say enough

▪ Optimizing health and independence

▪ Physiotherapists don't save lives, we give them back.


Bringing value and health care system benefits

▪ Multi-disciplinary approach

▪ I think a concept about physiotherapy being one of the

best ways to extend the value of the health care system

▪ For the value one: I like it but obviously not that

wording.


Access for all and Indispensable

▪ Inclusive and respectful of all people

▪ Improving access to quality care in under-resourced

areas

▪ Inclusive of disability

▪ From kids to seniors

▪ Other perspective – “Access for All should be

removed...this is not accurate.”

▪ Full public access and funding is necessary for

complete reliance on physio for movement and

rehabilitation. We are indispensable

▪ Some comments on wanting to eliminate the phrase

“hands-on” as not being inclusive


Quality of treatment

▪ Showing the way forward

▪ Need to qualify mentoring & passing on skills as there is

or was no "Job Designation" for this within my work life

▪ Quality of assessment and diagnosis

▪ Integrated care / continuity of care

▪ Helping patient achieve the best outcomes for

themselves

▪ Maximize potential


Working for (or with) clients

▪ Empowering and educating clients to look after

their health

▪ Connecting clients with available services and

resources to meet their health needs.

▪ Client centred/patient centred/person centred

▪ Physiotherapists are partners with clients, giving

them the knowledge and skills to improve their

health and wellness

▪ Don’t like “for” – working WITH

▪ Don't like the word client. Makes me think of banks,

not health care.

▪ I think that the vision should be relevant to patients

as well as funders and policy makers. The vision

needs to solve a problem that exists for all of those

groups.

▪ Definitely not hands-on - education is a big part of

our treatment.

4 | P a g e

15% of respondents included this theme as one of their three choices for changing the vision | 3 total comments Hands-on approach (3)

▪ A hands on approach to pain reduction, and

prevention to encourage active lives.

▪ ‘Hands on' is far too limiting and does not express what

lots of PTs do. It negates the message that we provide

cost effective preventative services. I have strongly

disliked previous marketing campaigns about hands-

on, caring (although we care, it sounds too feminine,

soft and not outcomes based. We may care but does

it help and do we add value).

▪ We need to show how appropriate hands on (quality

RX) is effective as opposed to consultation!


Cohesive; nationwide, all components unified (note: comments were more focused on serving interests of members and promotion/education of stakeholders)

▪ It should be the vision statement of CPA, not of

physiotherapy (the two are not the same) .... as an

organization, what is your vision ... what are you

trying to do?

▪ A strong and unionized physiotherapist.

▪ Financial well being in the market and after

retirement. (Remember dear colleagues, the CPA

serves the higher interests of its members before all)

▪ Support for the profession, to raise its importance in

the Health Care World

▪ Uphold the integrity of the profession and live up to

the respect and trust of our patients

▪ Promotion . . Includes government, employers,

etc.

NOTE ON DETAILED RESULTS

From a statistical perspective, respondents—regardless of their segment profile (e.g. Branch, Division or Language)—

demonstrate relative overall consistency in responses on almost all topics and themes in this survey. As an example, the

following charts illustrate that respondents fall within a relatively consistent range of agreement among most Branches and

Divisions regarding suitability of CPA’s current vision.

As responses in some profile categories may be small (e.g. in PEI and NWT/Nunavut Branches), differing views in individual

respondent segments cannot be assumed to be significant. For this reason, this report only highlights clear variations in views

through additional commentary, rather than including detailed data charts as shown below. However, additional detail by

respondent profile can be made available upon request where sufficient responses are available in that sub-segment.

Most common response level Most common response level

Most common response level

Those

most

strongly in

Agreement

Those

less in

Agreement

The most common response

(shown by the line above) falls within

the ‘Somewhat Agree’ range

(Note in the charts above that levels of disagreement may appear higher in some Divisions than for Branches because some respondents

belong to, and have responses counted under more than one Division).

Boxed areas indicate scores in the ‘Completely to Somewhat Agree’ range

5 | P a g e

SURVEY THEMES

SIMILAR TYPES OF QUESTIONS

▪ Adapting to Changes in

Physiotherapy Practice

▪ Timely Access to Care

▪ Quality of Practice

▪ Growth and Success of

Your Practice

▪ Embracing Innovation

______________________

OTHER TYPES OF QUESTIONS

▪ Building Collaboration

and Cohesiveness

among Components

▪ Delivering Value from

the Association to the

Members

OVERVIEW OF SURVEY THEMES

Seven themes (shown opposite) were explored in the online survey from the

point of view of their relevance to members and the importance of having

CPA play a role in addressing each theme. Through initial consultation,

these themes were identified as potential priorities for the Association—in

other words, areas of possible future CPA focus for it to achieve its vision.

Respondents were asked to reflect on these themes and add their views on

other areas that they feel should be considered.

Descriptions of the themes and examples of respondents’ comments are

shown separately for each theme on pages 8 to14 of this report.

Relevance and Importance of the First Five Themes

A comparative analysis of the relevance and importance of the first 5 themes

to PTs and their practice is shown in the charts below, and it indicates that:

▪ Timely Access to Care is a priority issue with very high relevance (89%)

to PTs and even higher importance for CPA to address (92%).

▪ Quality of Practice and Changes in PT Practice also rank very high at

84% and 82% respectively in relevance; and 89% and 88% in

importance for CPA to address.

72%

62%

56%

35%

35%

17%

22%

26%

30%

19%

8%

13%

14%

26%

25%

1%

1%

2%

5%

7%

2%

2%

2%

3%

14%

Timely Access to Care

Quality of Practice

Changes in Physiotherapy Practice

Embracing innovation

Growth and success of your practice

How relevant to you and your practice is . . . ?

Quite Relevant Somewhat Relevant Not Relevant and n/a

77%

67%

65%

40%

29%

15%

22%

23%

30%

28%

7%

9%

9%

25%

28%

1%

1%

1%

4%

7%

0%

1%

1%

2%

7%


Quality of Practice


Embracing innovation

Growth and success of your practice

How important to you and your practice is . . . ?

Very Important Somewhat Important Not Important and n/a

6 | P a g e

Note that in reporting on

variations in responses by Branch,

Branches with fewer than 5

respondents have not been

included. These are PEI and NWT

& Nunavut.

Relevance and Importance of Component Relationships

With respect to the remaining 2 themes (see charts opposite), respondents

indicated that they were, on average, somewhat knowledgeable about the

Components and their various missions, with 74% expressing some

knowledge. Knowledge about the Components is lower among French-

language respondents and among members in the Private Practice Division.

At the same time, 92% of respondents felt that it was at least somewhat

important that the Components have productive relationships and operate

collaboratively. The gap between being knowledgeable about Components

and the importance of having productive relationships is noteworthy.

Priority Themes—For Focus in CPA’s Strategic Plan

Respondents were asked at the end of the survey to indicate their three top

priority themes in terms of their importance for the CPA Strategic Plan.

Based on the responses shown below, Quality of Practice is a first priority for

inclusion in the CPA Strategic Plan, followed by CPA helping members adapt

to Changes in Physiotherapy Practice. French-language respondents place

even higher priority on CPA help in adapting to Changes in PT Practice than

do English-language respondents. New-Brunswick members however place

least priority on CPA help in adapting to Changes in PT Practice.

Delivering Value from the Association to the Member, a member-focused

priority, and promoting Timely Access to Care, a client-focused priority with

ancillary benefits to members, come next for inclusion in the CPA Strategic

Plan, receiving a similar percentage of votes.

A role for CPA in helping PTs Embrace Innovation (and new technology) is

included by a little over one-third of respondents as a priority in CPA’s

Strategic Plan.

Building Collaboration and Cohesiveness among Components and assisting

PTs with Growth and Success of Your Practice are respectively mentioned by

only one in five respondents as a priority for CPA.

Views on the last two themes show some differences by Branch, Division and

Language. In the earlier question about importance to PTs and their

practices of CPA support for

Growth and Success of PT

Practices, respondents in the

Private Practice Division are

the most interested in having

this theme addressed, while

French-language responses in

Quebec and Yukon

responses score lower.

English-speaking respondents

in Quebec, and in

Newfoundland and Labrador,

give greater priority to

Building Collaboration among

Components as a theme in

the Strategic Plan.

13%

18%

43%

14% 13%

Quite Knowledgeable Somewhat Knowledgeable Not Knowledgeable

How knowledgeable are you about the Components and their various missions?

35%

30%27%

5%3%

VeryImportant

SomewhatImportant

NotImportant

How important is it to you that the Components have productive relationships

and operate collaboratively?

21%

21%

35%

43%

44%

66%

69%

Please choose the top three priority themes from those that have been presented in terms of importance for the CPA Strategic Plan.

Indicate the top three priority themes.

Percentages indicate the proportion of respondents who chose that service as one of 3 possible choices

Delivering Value from the Association to the Member


Embracing Innovation

Quality of Practice


Building Collaboration and Cohesiveness among Components

Growth and Success of Your Practice

7 | P a g e

Most Important CPA Services

Along with responses on the top three priority themes for a CPA Strategic

Plan, respondents were asked to indicate the importance to them of a

number of potential CPA services.

As the chart below shows, 60% of respondents ranked Protecting the

Physiotherapy Brand as important to them, followed closely by Sharing

Research on Evidence and Providing Access to Insurance and other ways of

helping financially. Access to insurance is more important to respondents in

Saskatchewan, the Yukon and French-language respondents in Ontario.

Building the Skills and Knowledge of Practitioners is important to about half of

respondents, followed by Building Understanding and Support for

Physiotherapy through social and other media.

Only about a third of respondents indicated that Advocating on Key Issues

was important to them as a CPA service. French-language respondents

favour Advocacy on Key Issues more than English-language respondents.

34%

44%

47%

56%

58%

60%

Associations are constantly challenged to demonstrate value to their members and to non-members (so that they will join and retain membership).

CPA can provide value in a number of ways.Which of the following CPA services are the most important to you?

Protecting the Physiotherapy “brand” against encroachment by other providers

Sharing research on evidence regarding effectiveness and quality of practice

Providing access to insurance and other ways of helping financially

Building skills and knowledge of practitioners

Building understanding and support for physiotherapy by social media, advertising

Advocating on key issues e.g., opioids, funding, underserviced groups


8 | P a g e

SURVEY THEME: CHANGES IN PHYSIOTHERAPY PRACTICE


(from description in the survey) There are changes happening in how

physiotherapy is practiced. These include

where we practice (sole practice, private

multi-physio clinic, multi-disciplinary clinic,

public setting), how we practice (use of

assistants, use of technology) and what we

are permitted to do (diagnostic testing,

blood work, wound management).

The CPA could focus on advocacy

(influencing legislation regarding expanding

scope of practice) and/or education

(helping physiotherapists develop skills and

knowledge).

SURVEY FINDINGS

84% of respondents indicate that changes

in the PT practice environment are of high relevance to them.

88% indicate that it is important or very important that

CPA provide support in adapting to changes.

EXAMPLES OF COMMENTS on ROLE FOR CPA

(comment in bold is supported by additional similar comments)

Enable expanding the scope of practice. Promote public education on the expanding role of PT e.g. mental health, ER role. Play effective roles – clinician,

leader, collaborator, innovator, injury prevention. Encompass broader roles – prevention, treatment, sustainable independence. Push PT towards being

the leading profession pertaining to recognition of the importance of movement. Include osteopathic practice for better health outcomes. There is

expansion in the use of other professions in professional sports and we are missing the boat. Promote diversity of our specialities. Pediatric focus is

important for the future. Don’t forget Animal rehab. More awareness of our specialty programs. Focus more on in prevention. Promote diversity of our

specialities.

Protect and communicate the PT brand. Protect scope of practice, practice innovation, and practice skill. Demonstrate importance of our role before

others take it over. Distinguish PT from other health care practices. We’re in a market where others want more of the client. We need to stay in the

limelight. We need to set ourselves apart. We are lagging behind. Raise the profile and understanding/advocate for the value of PT with the public and

stakeholders (MDs, surgeons, rheumatologists, plastic surgeons, government bodies, insurers) in both therapy and prevention/wellness. You are our voice,

our role in preventative health, marketing our profession. To be known as #1 for returning people to function. This is what we need-strong national and

local lobbying on the value of PT. What makes us different from similar professions? The masses including doctors need to be better educated on what a

PT can provide. Promotion of the profession. I feel we have been on the defence …..with other professions, government, and insurance companies.

Advocate on the value to the system of prevention. More advocating for PT as a profession (like the chiropractors). Strong advocacy needed.

Communicate relevance to patients, outcomes and building a positive image for PTs. Public awareness of the role of PT in various domains.

SELECTED COMMENTS ON CHANGES IN PHYSIOTHERAPY PRACTICE

Have many competitors. Expansion of big corporations aggressively taking over smaller clinics. Large corporations aligning with insurers giving rise to a

possible conflict of interest. Shift to more “money centered” practice at the expense of quality care. We are getting a reputation for being a “revolving

door” and are being overtaken by chiropractors. Expansion of private practice and OHIP clinics. We are reactive and losing ground to more assertive

professions. There are risks in working with other professions - they imitate us and take over our scope.

NOTE: Many of the comments made by survey respondents cut across more than one survey theme. For example, comments

about “expanding the scope of practice” can be considered to be an issue about a change to physiotherapy practice issue, or

a quality of practice issue or an advocacy issue. The placement of the comments is perhaps less important that the fact that, to

be mentioned as a comment in this summary report, a point had to have been made by several respondents.

56% 26% 14%2% 2%

Relevance Importance

How relevant to you and your practice are CHANGES IN THE PT

PRACTICE ENVIRONMENT?

How important is it for the CPA to continue its efforts in this area?

65% Very Important

Very

Somewhat

Not

9 | P a g e

SURVEY THEME: TIMELY ACCESS TO CARE


(from description in the survey) Physiotherapy can be shown to reduce

overall health care costs through prevention

and early intervention. But there has been a

reduction in support for physiotherapy by

governments and insurers at a time when

the need is increasing in under-served

sectors (seniors, rural remote, low socio-

economic status). The Association has a role

in advocacy and lobbying and providing

evidence (demonstrating the cost

effectiveness of PT to gov’t and insurance

sectors and to the public).

SURVEY FINDINGS

72% of respondents indicate that timely

access to care is of high relevance to PTs

and their practice.

77% indicate that it is important or very

important that CPA provide support in improving timely access to care.



Address under-serviced populations (rural, remote, First Nations, seniors, immigrants, homecare, persons with disabilities). Equal access for all

populations. Advocate for Medicare coverage- difficult but not impossible. Particularly rural, remote, First Nations. Could CPA obtain funding for these

populations from Health Canada? More initiatives for First Nations people to study PT. Would be helpful to communicate in other languages since new

Canadians not aware of PT. Raise public awareness of direct access. First Nations awareness and education. Address under-serviced populations (rural,

remote, First Nations, LBGTQ, seniors, immigrants, homecare, persons with disabilities). Equal access for all populations, inclusivity. Influence the supply

of PTs in underserved areas. Address the call to action of the TRC.

Influence supply of PTs. Advocate for increasing the workforce. CDN universities need to graduate more PTs; implications of not doing this is serious

including encroachment of other professions. Recruiting for remote and rural areas. Maintaining staff levels in the public system. Encourage rostering

systems to rotate new PTs through clinical areas. This could be a negative thing—keep an eye on possible over-supply. Need more public practice PTs to

see the value of our profession. More focus on public practice needed. Keep a balance between sectors. Consider supports for rural PTs. Advocate for

student training in rural areas. Helping them get clinical practice.

Align PTs with evolving population health needs. Initiatives to bring PT to rural/remote locations. Healthcare is changing, need to adapt practice,

embrace innovation and work closely with other partners. How will healthcare changes affect small, in-home PTs. Patient access to in-patient rehab

services. Chronic condition management in the private sector and adapting to the aging landscape. Advocate as an evidence based, highly beneficial

therapy that should be included on the prescription pad, advocate as a leader of the exercise movement community, resisting pressures on moving

patients out of hospital, advocate for ambulatory community PT. Promote the role for conditions we see the most of - LBP, shoulder, and knee pain.

Promote more specific messages – back problems, incontinence, motor accidents, etc.

Improve timeliness of care through more advanced practice roles. Why is right to prescribe diagnostic tests coming so slowly? Ability to order imaging

for ortho problems. Please lobby for ordering imaging for ortho. Use PTs to reduce wait times for ortho. Colleges should be more active in topics like timely

access. Advocate for greater use of PTAs. PTs should be able to legally diagnose clinically, order diagnostic tests. Let’s take a stand. Negotiate with

insurers so that MD referrals not required. Growth of the profession into advanced practice roles. Many PTs do not play the full role they could and it is a

shame to see the skills go to waste. Increase our presence in emergency departments and triage systems. PT as part of primary care.

Advocate for greater extended health benefits. Companies should provide good benefits. Ensure insurers do not limit access to preferred providers.

72% 17% 8% 1% 2%


How relevant to you and your practice is TIMELY ACCESS TO CARE?

How important is it for the CPA to continue its efforts in this area?

77% Very Important

10 | P a g e

SURVEY THEME: QUALITY OF PRACTICE

Quality of Practice

(from description in the survey) Some practitioners are concerned that

factors such as the consolidation of clinics,

economic pressures and other changes can

have a negative impact on quality. The

CPA and its practice-focused divisions can

play a role in helping physiotherapists adopt

evidence-informed practice in order to

enhance the quality of treatment and

demonstrate cost-effectiveness.

SURVEY FINDINGS

62% of respondents indicate that

evidence-informed guidance is of high

relevance to PTs and their practice in

facilitating quality of treatment and cost-

effectiveness.


important that CPA provide support in improving quality of practice.



Focus on quality of treatment. Put patients and the public first. In Continuing Care teams, ensure that the PT is spending time on true therapeutic

interventions. Move to a critical-thinking and patient-guiding profession. Bringing real healing to people. Quality practice is essential. Quality over quantity

is one of the hallmarks of a profession. Develop Pan-Canadian ethical standards. Work with CPA and the Divisions to work with the Colleges to uphold

practice standards. Raise the bar for using advance techniques safely. Need more in-person time with patients. Limit the use of aides in practice. Clarify CPA

rules on working with PTAs. Be careful how PTAs are used - this has implications for quality treatment, patient satisfaction and support for our profession

by insurers. Embrace competency and proof of competency. You need experience to be competent, not just a weekend course. In musculoskeletal we need

more emphasis on active interventions. We have good, not great PT in Canada; let’s strive to make the best. We need to be positioned to deliver effective,

efficient, evidence-based treatments ensuring quality of care. Ensuring PTs provide quality care. Place more emphasis on professional rather than business

orientation of PT. Work with CPA and the Divisions to work with the Colleges to uphold practice standards.

Share evidence-based research. Close the gap between data/evidence/knowledge and clinical practice and the development of new practice models.

Make evidence-based literature accessible; it’s too difficult. We need to be developing and communicating new evidence in new ways. Credibility within

the healthcare establishment is essential to us and depends on more consistent practice and evidence-based patterns. Advocate for quality practice,

research and evidence to inform practice. PT is divided into specialities. We need to transfer success across these knowledges. Advance the profession

through research. Promote continuous learning. Make PTs aware of the benefits of osteopathic techniques. We need evidence to combat erosion to other

disciplines. Our success in the past 25 years is in harnessing data, and reporting findings that demonstrate value, but is has been limited.

Demonstrate cost-effectiveness of PTs as an integral part of the healthcare system. Define the unique value of PT in healthcare. We need to awaken our

profession and provide cost effective services and outcomes. We need to be thought of as a key component in healthcare. Must find the inner energy to

break out of old patterns of thinking and practice. We need to be positioned to deliver effective, efficient, evidence-based treatments ensuring quality of

care. Build understanding of the cost benefits of PT to overall healthcare costs. Do so in all provinces in a balanced way. Market the benefits to the HC

system and then ensure that providing outcomes. Advocate for use of PTs in public practice settings. Emphasize the positive impact of PT on public system

healthcare costs. Earlier intervention be PTs would lead to cost savings. PT is an important part of one’s health care team. Earlier referral would save

downstream costs. Physiotherapy saves money with children with special needs. Advocate for role in the HC system. Eliminate duplicate regulation fees

like FSC licencing. Advocate for no HST on PT services. It’s hard to balance quality practice with funding cutbacks. Assert our place in healthcare. Need to

be practical and efficient. Move from a physician-centred to team-based system. Healthcare is dominated by doctors and nurses and we are forgotten in

primary care. This is an important objective to accomplish. This is a survival issue.

62% 22% 13% 1% 2%


How relevant to you and your practice is EVIDENCE-

INFORMED GUIDANCE?

How important is it for the CPA to focus on quality of

practice?

67% Very Important

Very

Somewhat

Not

11 | P a g e

SURVEY THEME: GROWTH AND SUCCESS OF YOUR PRACTICE

Growth and Success of Your Practice

(from description in the survey) There has been and will continue to be an

expansion of demand (with aging

population, better understanding of role of

physiotherapy). This increase in demand

can challenge a practitioner’s ability to

manage the demand without burnout.

Developing marketing and business

management skills and increasing the

number of graduates can help.

SURVEY FINDINGS


managing the growth and success of their

practice is of high relevance to them.


important that CPA provide support for

growth and success of their practice.

Respondents in the Private Practice Division show the most interest

in having this theme addressed by CPA.



Support new practice models. Need new service models to align with evolving government review of how our services fit in. Integrate PT services across

the continuum. Prevent non-PTs owning clinics. Design new models of PT services, e.g. our consultative practice. Collaborative Practice models. To

facilitate optimal patient outcomes. Working in inter-disciplinary practices. Provide business management and marketing coaching.

Advocate for fair working conditions and rate increases with providers and the hospital system, and fair compensation generally. CPA must protect PTs

from being contract employees without fair working conditions. Include those who work in public practice is important in the strategic themes since those

PTs are facing enormous challenges e.g. 7-day scheduling, constrained resources etc. Helping PTs with burnout in the public system. Push for rate

increases with providers and PTs in hospital system. No increase from insurers and government providers in 13 years where I practice. CPA needs to help

us more to increase pay in the hospital system. Advocate for paid pediatric, osteopathic therapy, emergency room assessment roles. Who is speaking for

the hospital-based therapists who have lost so much (workloads, “real” patients). Protect PTs from being contract employees without fair working

conditions. Avoid burnout.

Help new grads. Help new grads develop collaborative problem-solving skills and collegiality, patient sharing and professionalism. Colleges make it difficult

for us to market our services - can CPA address this by pointing out how the specialized divisions enhance the quality of care? Work on engaging students.

CPA should work with Colleges to facilitate owning a practice. We are only profession that does not have the market as part of our education. Like the

webinars on pillars of business.

Address issues with clinics. Protect hands-on PT from corporate clinics with PTAs, urge clinics to provide mentoring. Manage problem of poor quality

private practice. Help small private clinics thrive. Pressures on quality of practice from employers. I am concerned about the poor quality I see in some

clinics. Prevention of non-PTs owning clinics. There are risks in working with other professions-they imitate us and take over our scope. Misalignment of the

private clinic business model and quality treatment.

35% 19% 25% 7% 14%


How relevant to you and your practice is IMPROVING HOW YOU MANAGE THE

GROWTH & SUCCESS OF YOUR PRACTICE?

Very Somewhat Not

29%

Very Important

How important is it for the CPA to provide support in this area?

12 | P a g e

SURVEY THEME: EMBRACING INNOVATION

Embracing Innovation

(from description in the survey) There have been many new tools,

techniques and approaches introduced

such as telehealth, electronic outcomes

measurement, practice management tools,

use of the Internet for patient driven self-

diagnosis and treatment, etc. Not all

physiotherapists are embracing these

changes.

SURVEY FINDINGS


embracing innovation is of high relevance to

them and their practice.


important that CPA provide support to PTs in

embracing innovation by increasing

the ability of physiotherapists to use tools

and technology.



Support role of innovation. Embrace innovation, using research to enhance the quality of life and optimizing function. Make innovation in practice

interesting and exciting. Focus on supporting PTs and innovation. Innovation for own sake is not helpful. Raise the bar for using advance techniques safely.

Position as partners and leaders with others. We need to be leaders. Keep us on the leading edge.

Support adoption of new technologies. E-health. Electronic outcomes measurement. Practice management software. Get rid of old approaches like

electrotherapy. Embrace innovative tools. Support technology for rural therapists. Help PTs by identifying charting/billing software. Will we be replaced

by robots? Adopt a social media approach to using the strategic plan.

Promote Masters and Doctorate programs. We should promote a Doctor of PT. Develop a DPT program like the US. A PT to be recognized as a “Doctor”.

Return to 3 or 4 programs. Should have a residency program. Doing the Master and Doctorate programs does not mean a more qualified graduate since

they are being done in less time. A PT to be recognized as a “Doctor”. Return to 3 or 4 programs. Should have a residency program. Doing the Master and

Doctorate programs does not mean a more qualified graduate since they are being done in less time.

35% 30% 26% 5%

3%


How relevant to you and your practice is EMBRACING INNOVATION?

How important is it for the CPA to increase the ability of PTs to

use tools & technology?

40% Very Important

Very Somewhat Not

13 | P a g e

SURVEY THEME: BUILDING COLLABORATION AND

COHESIVENESS AMONG COMPONENTS

Building Collaboration and Cohesiveness among Components

(from description in the survey) The network of physiotherapy organizations is made up of the

national CPA, the branches (geographically based) and the

divisions (practice focused). Jointly they are known as the

Components. In some areas, they work closely together and in

others they are quite independent.

SURVEY FINDINGS

74% of respondents indicate that they are at least somewhat

knowledgeable about Components and their various missions.

92% indicate that it is at least somewhat important that

Components have productive relationships and operate

collaboratively.



Reinforce collaboration and cohesiveness among Components. Work on the

relationships, trust, mutual respect, listening. Define roles of provinces and National

CPA. Work on how to increase cohesiveness and collaboration in the profession:

bottom-to-top approach, not top-to-bottom. If we don’t collaborate across the

nation, across Components, we are on the way to demise. Revise MOUs. Improve

decision-making style. Having a cohesion plan among Components is essential.

Listen to branches and divisions equally. How can internal impediments be avoided?

Bolster and support the role of Divisions. Many of us identify more with a Component related to our field of practice. Divisions do more to advance

practice than the CPA as a whole. Divisions should focus on skills development. Collaboration between all divisions and the pain management Division.

Engage students. The value added from the divisions is virtually nil. Refresh their websites for providing information.

Enhance governance model and alliances. Include patients as Board members or in advisory capacity. Work with Colleges and the Alliance of PT

Regulators. Strategic alliance with other PT organizations. Merge with OT. Would prefer to be only a CPA member, my provincial association does not

support the work I do.

Work on communication and engagement. Avoid blast emails. Listen and respond to Component input. Is there a way of providing “sound bites” or

summary information to those who want to practice forever? We want to feel we are heard. We need a strong national voice, not breaking up into

provincial groups. CPA needs to listen to what member PTs say, not just those in Toronto. CPA feels distant. PT is complex, don’t oversimplify the priorities.

CPA seems to distance itself from members. Member engagement. We have PTs across the country that are not involved and we need to engage a larger

proportion of the members. Could greater use of focus groups (by teleconference) be used in the strategic planning process? How can concerns of

Components regarding a strategic priority be communicated. The Strategic Plan should consider how to contribute to the Truth and Reconciliation

Commission.

35%

30%27%

5%3%

VeryImportant

SomewhatImportant

NotImportant

How important is it to you that the Components have productive relationships

and operate collaboratively?

13%

18%

43%

14% 13%

Quite Knowledgeable Somewhat Knowledgeable Not Knowledgeable

How knowledgeable are you about the Components and their various missions?

14 | P a g e

SURVEY THEME: DELIVERING VALUE

FROM THE ASSOCIATION TO ITS MEMBERS

Delivering Value from the

Association to its Members (from description in the survey)

Associations are constantly

challenged to demonstrate value to

their members and to nonmembers

(so that they will join and retain

membership). CPA can provide

value in a number of ways.

SURVEY FINDINGS

Respondents were asked to choose

up to three services that were

important to them. Priority choices

are shown in the chart opposite.

Examples of comments relating to the above choices of priority services for CPA are included below but may also be

found under each relevant theme covered earlier in this report.



Advocate for PTs. Representing us is the association’s primary purpose. Help branches with their advocating. Advocacy toolkits, media guidelines etc.

Advocate for changes in PT education. Thank you for the work you do in promoting our profession. CPA should work way harder to motivate its members

to feel represented by CPA. Keep up the good work. PTs need a strong national presence. Colleges make it difficult for us to market our services - can CPA

address this by pointing out how the specialized divisions enhance the quality of care?

Enhance member services. Need CPA to provide extended health insurance, pension plan. Deliver value to all PTs not just members. Cut our endless

meetings and develop the things members want. Quebec association needs to offer bilingual services. Open up the resources of all Components to all

members. Make members aware of value and services. Must deliver value to members or we will lose them. Need CPA to provide extended health

insurance, pension plan. Deliver value to all PTs not just members. I appreciate the insurance. Make sure products like insurance are the best. Other than

insurance I don’t feel CPA does much for my profession…..maybe you are out of touch.

Increase self-growth educational opportunities in a time- and cost-effective format. Make (online) courses more available and affordable. Make courses

more affordable. Funding to take courses and enhance knowledge. Access to peer-reviewed journals. Continue the printed journals. Make provincial and

national conferences more affordable. Physiopedia is valued. I appreciate the CPA commercial, CPA courses, women’s health and ortho divisions.

Networking between PTs in acute care who are facing a crossroads with cutbacks and focus communications/promotion. Cancelling Congress was a

mistake, but it must be improved to be more practice-focused, give people tools and info. Continuing education should be supported.

Attract and retain members. Expand membership to have a stronger voice, make national CPA mandatory, to enhance lobbying power. More members

mean more clout. Lower membership fees through streamlined admin practices. More affordable membership fees. Reduce fees. Need to focus on

retention. Spend our fees wisely. Try to make inroads in public practice. Reduce fees for PTAs.

Keep up the good work. CPA is a huge benefit. Proud to be a member. You guys do a great job. Enjoyed reading the landscape paper. I get value for my

membership fees. Thanks for this opportunity.

34%

44%

47%

56%

58%

60%

Associations are constantly challenged to demonstrate value to their members and to non-members (so that they will join and retain membership).

CPA can provide value in a number of ways.Which of the following CPA services are the most important to you?

Protecting the Physiotherapy “brand” against encroachment by other providers

Sharing research on evidence regarding effectiveness and quality of practice

Providing access to insurance and other ways of helping financially

Building skills and knowledge of practitioners

Building understanding and support for physiotherapy by social media, advertising

Advocating on key issues e.g., opioids, funding, underserviced groups


SUMMARY REPORT ON FINDINGS FROM AN ONLINE ... - Physiotherapy · Physiotherapy can help....

Documents

Transcript of SUMMARY REPORT ON FINDINGS FROM AN ONLINE ... - Physiotherapy · Physiotherapy can help....