Monthly Archives: November 2015

Physical Therapy Career Update for Washington State


Jan 1, 2015: Direct Access has finally been implemented in all 50 states & the District of Columbia. Patients can now seek treatment from a licensed #Physical Therapist without a prescription or referral from a #Physician. Scope of Practice is defined at the state level.

2016 Legislative Priorities in Washington State:

Rehabilitation Therapy is a highest demand #Healthcare profession. There are 12 national professional associations for physical therapy, sports medicine, hand therapy, #Occupational Therapy, and orthotists & prosthetists. Washington has 5 state chapters.


Job Seekers: Balancing the 3 legged stool: Where, What, and How Much?

A quality of life discussion that each person (or couple) needs to decide for themselves:

Where do you want to live?

What do you want to do?

How much do you want to make?

I only had one practical chance to consider these options and I’m thankful that I took it. I was able to start with the, Where? That led me to the, What? After which I determined the, How Much?

Everyone needs to process in their own way and in their own time. Maybe it’s the empty-nest ‘do-over’ or a mid-life crisis that prompts you to seek new opportunities. But wherever you are, it’s not too late to take control of your career and your quality of life.

Every job has its ups and downs; that’s why they pay us and call it ‘work.’ The trick is to find a career that’s cup filling (fulfilling) vs. cup draining (depressing).

So take charge of your career! Investigate your options. Go to the applicable Professional Associations to learn the specific certifications within each scope of practice. Then visit a local chapter meeting to network and learn more.


ACA: 2015 Trends and 2016 Questions


ACA Trends (positive):

  1. In just two years the percent of uninsured adults fell from 18% (2013) to 11.9% (Apr, 2015 Gallup Poll)
  2. Medicare patient readmissions fell 8% between Jan, 2012 and Dec, 2013
  3. Many say these trends validate the ACA’s worth

ACA Trends (negative):

  1. 25% of U.S. employers offer only high-deducible health plans to employees, double the number from 2012 (2015 PricewaterhouseCoopers survey)
  2. It’s getting more difficult to sign up the remaining uninsured who tend to be young, without funds for insurance, and unaware they can qualify for subsidies (per HHS, 2015)
  3. Only a slight overall increase in enrollment is expected in the 2016 open enrollment (Obama administration, Oct, 2015)
  4. 2016 will see big cost increases for uninsured individuals, employers and insurers.
  5. 45 states and Washington D.C. are requesting premium increases insurers in for 2016 (federal government, Jun, 2015). Many increases exceed 20%, with some topping more than 50% (Washington Examiner).
  6. “If enrollment plateaus, we may see a growing discussion of whether the law is fulfilling expectations in covering the uninsured and whether subsidies for low-and-middle-income people are sufficient to make coverage truly affordable.” (Kaiser Family Foundation)
  7. Many say these trends validate the ACA’s failure

Presidential Election:

  1. There seems to be plenty of reasons to support or vilify the ACA in 2016.
  2. What’s the fulcrum for the election? ISIS? Immigration? Wall Street? ACA?
  3. Is the ACA so entrenched that it can never be repealed?

ACA Won’t Help or Harm Our Healthcare Employment Problems:

  1. Scarcity of healthcare professionals will continue, as will the aging population
  2. What do you envision? Telemedicine? More PAs and NPs? More ADNs and LPNs? Return to Masters level #PTs?
  3. One thing’s for sure: Healthcare is and will continue to be an excellent profession!


Washington State’s Top Hospital is …


Congratulations to Virginia Mason Medical Center! Leapfrog’s 2015 Top Hospitals report only bestowed one A rating to Washington State, and this is the seventh consecutive time Virginia Mason has received the top grade since Leapfrog launched the program.

Virginia Mason has received numerous other awards and recognition for patient safety and quality of care as well, including Healthgrades “America’s 10 Best Hospitals” and U.S. News & World Report as one of the best hospitals in several areas of care.


UW Research #1 in the U.S. and #4 in the World!


UW Research is #1 in the nation for scientific research by public universities, and #4 in the world! National Taiwan University uses two scientific databases to analyze productivity, research impact and research excellence. UW’s world-wide rankings also include: #3 for Geosciences; #5 for Pharmacology/Toxicology; #5 in Life Sciences; #8 in Clinical Medicine; and #9 in Social Sciences. INCREDIBLE! Congratulations University of Washington!