Physical Therapist (FEE BASIS)

This is a Fee Basis Provider position. Fee basis appointments are temporary, excepted appointments of persons in professional and technical occupations under authority of Title 38 of the United States Code, specifically section 7405(a)(2). Fee basis appointments provide services on a facility's premises when health services are otherwise readily available, cost effective, based on services provided rather than on an hour or tour basis, and when determined to be cost effective to the agency.

Qualifications:

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.
Basic Requirements:

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• Education and experience. The individual must meet at least one of the requirements below:
• (1) Bachelor's degree in Physical Therapy AND five (5) years of progressively independent experience as a physical therapist.
• (2) Master's degree in Physical Therapy AND two (2) years of progressively independent experience as a physical therapist.
• (3) Doctorate degree in physical therapy.
• Licensure. Individuals hold a full, current, and unrestricted license to practice physical therapy in a State, Territory or Commonwealth of the United States, or in the District of Columbia.
• English Language Proficiency. Individuals appointed under authority of 38 U.S.C. chapters 73 or 74, to serve in a direct patient-care capacity in VHA must be proficient in written and spoken English. See Chapter 2, section D, paragraph 5a, this part

NOTE: Prior to 1995 the terminal degree for PT's was either a bachelors or master's degree. In 1995 CAPTE accredited all baccalaureate, master's, and Doctor of Physical Therapy terminal degree programs. Effective 2002, CAPTE changed its scope of accrediting activities of PT education programs to include only those programs that culminate in post-baccalaureate degrees(eliminating the baccalaureate degree). Effective 2015, professional physical therapy education programs have only offered the Doctor of Physical Therapy (DPT) degree to all new students.

NOTE: Individuals must be a graduate of a Commission on Accreditation in Physical Therapy Education (CAPTE) accredited college or university. The CAPTE is the only accreditation agency recognized by the United States Department of Education (USDE) and the Council for Higher Education Accreditation (CHEA) to accredit entry-level physical therapy programs. Verification of accredited programs may be obtained from the American Physical Therapy Association (APTA) at www.apta.org.

Demonstrated Knowledge Skills and Abilities:
1. Ability to make autonomous clinical decisions in a Direct Access environment. This includes ability to independently evaluate and treat patients who seek physical therapy services.
2.Skill in performing examinations and evaluations of individuals who have or may develop impairments, activity limitations, and participation restrictions related to conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems while considering the effects attributable to unique psychosocial and environmental factors.
3. Ability to interpret findings from examination and evaluation, select appropriate test and measures, and integrate findings into the physical therapy plan of care for the full range of patient populations.
4. Ability to establish a diagnosis within the scope of physical therapy and identify the appropriate rehabilitation intervention, including referral to another provider for further consultation as clinically indicated.
5. Ability to determine physical therapy prognosis by incorporating examination findings with the patient's preferences in order to set clinically appropriate treatment goals, optimize outcomes and maximize functional independence.
6. Ability to independently provide clinical oversight of Physical Therapy Assistants as well as students on clinical affiliations who are in Doctoral PT Programs or PTA Programs.

References: VA Handbook 5005/99 Part II Appendix G12 Dated February 7, 2018.The full performance level of this vacancy is GS-12.

Physical Requirements: Work includes regular and demanding physical exertion in standing, bending, kneeling, reaching, gripping, and walking. Moderate to heavy lifting is required to assist patients and operate equipment. Sitting is required in meetings and for conducting administrative work. Above average agility may be desirable in defending oneself (or others) against physical attack/abuse. Work requires physical health, normal use of arms and legs, and good visual and auditory acuity. Incumbent must be licensed to operate a motor vehicle.

Responsibilities:

The Physical Therapist has the direct responsibility for physical therapy services in acute care, outpatient, and Community Living Center (CLC) as assigned. In addition, the PT is also expected to provide patient care duties and develop and participate in specialized treatment programs. The PT will provide these services to patients with a wide variety of multiple, complex illnesses and/or profound disabilities.

Major Duties:
The PT independently completes a review/examination of patient data (including medical history) to develop a plan of care, assess patient's status, and ascertain patient's need for therapy services.

• Interviews patients and caregivers to gather information for ongoing patient assessment.
• Assesses goals, living skills, physical abilities, and related needs for each patient referred.
• Evaluations include medical history, examination, results and interpretation of appropriate functional tests and measurements such as: range of motion, muscle testing, sensory/perceptual deficits, coordination, functional mobility, pain scales, appropriate self-report and performance-based outcome measures, and social/contextual factors/needs. Tests are frequently complex and may need to be adapted because of multiple physical disabilities or present medical conditions. Complex evaluations are conducted without consultation with other therapists.
• Evaluations address rehabilitation potential, behavior, motor skills, and psychosocial development. Barriers to learning are identified and strategies to overcome them developed and implemented to ensure accurate patient evaluation.
• Develops a treatment plan directed toward achieving maximum level of functioning within the home or other setting, consulting with other PM&RS disciplines as indicated, and developing the plan in collaboration with the patient and caregiver.
• Implements the treatment plan by: solving complex problems related to physical therapy; providing direct patient care; working with Prosthetic and Sensory Aids Service to provide appropriate equipment/adaptive devices; instructing and training the veteran and caregiver concerning exercises, activities of daily living, rehabilitation techniques, and equipment. The PT may also recommend community referrals.
• Performs ongoing assessment of patient's physical and functional status, revising treatment plan and goals as clinically indicated. Adapts and modifies treatment plans, activities, and procedures to meet the needs of patients with complex disabilities.
• Determines patient's ongoing need for services.
• Identifies when patient's maximum level of function has been attained.
• Determines when patients have attained established goals and uses independent judgment in termination of rehabilitation services.
• Evaluates the need for additional services and uses professional judgment to initiate consultation with other professionals.
• Performs initial and discharge FIM assessments on all acute patients with diagnosis of amputation, stroke, or TBI.
• Clinical practice is expected to be congruent with evidence-based practice standards, established clinical practice guidelines, as well as current concepts as outlined by the APTA.

Coordinates/Interfaces with Others

• Coordinates intervention plans with other members of the treatment team.
• Serves as content expert in assessing for and recommending complex specialized medical equipment related to physical therapy.
• Participates in and presents patients' needs at Special Equipment Committee in accordance with VHA directives and medical center memorandum for specialty items.
• Participates in professional and community activities.
• Participates in the Performance Improvement Program, including completing assessment and documentation required by performance measures applicable to the PT's role.
• Participates in interdisciplinary team conferences in person, by telephone, or through electronic mail exchanges.
• Serves as a clinical instructor for affiliating physical therapy and physical therapy assistant students.
• Attends and participates in PM&RS monthly meetings and other meetings as assigned.

Fee Basis Rate (Per Unit)	Exam/Task/Service/Per Unit
$5.00	CPT code (chart below)

CPT Code	Exam/Task/Service	# of Units	Total
97530	Therapeutic activities	3	$15.00
97164	Pt re-eval est plan care	6	$30.00
97163	Pt eval high complex 45 min	11	$55.00
97162	Pt eval mod complex 30 min	10	$50.00
97161	Pt eval low complex 20 min	9	$45.00
97140	Manual therapy 1/> regions	3	$15.00
97110	Therapeutic exercises	3	$15.00

Work Schedule: Mon-Wed-Fri 0745-1630 (times are patient care dependent)
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 000000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

Salary : $5 - $55