CPGS: what are they and how is APTA supporting the sections to develop them?posted: Aug-01-2014
The concept of clinical practice guidelines (CPG) has been around for thousands of years as a way to provide the best care for the patient. They exist for many disciplines in many forms, but in the US, the National Guidelines Clearinghouse is the primary repository for CPGs. Currently there are over 12,000 CPGs listed on this site, each intended to improve the effectiveness, safety, outcomes, and efficiency of healthcare.
As you might imagine, thinking around CPGs has evolved over the years. In the early 1990s the Institute of Medicine (IOM) released several reports on the use of a modern CPG. At that time, the focus of the CPG became more focused on using the best available evidence to develop graded recommendations.
As part of the ongoing effort to use evidence to improve the quality of CPGs IOM published Clinical Practice Guidelines We Can Trust in 2011. This document states that CPGs “are statements that include recommendations intended to optimize patient care.” They “assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.” Further, the IOM defines CPGs as ''systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances." They are graded recommendations on best practice for a specific condition or clinical question based on the systematic review and evaluation of the quality of the scientific literature. These documents are defined by a stringent methodology and formal process for development, although variation can exist all must meet standard criteria. Recently, the National Guidelines Clearinghouse announced that it would be adopting the IOM recommendations.
Physical therapy is a relative newcomer on the CPG scene, but we've been working hard to generate resources. In 2006, the Orthopaedic Section of APTA used the International Classification of Functioning and Disability (ICF) to develop evidence-based practice guidelines to enhance diagnosis, intervention, prognosis, and assessment of outcomes for a variety of musculoskeletal conditions commonly managed by physical therapists. The Orthopaedic Section currently has 10 CPGs completed, published, and made available as open access on their web site and are revising previously published guidelines. The Section on Pediatrics has also developed a CPG process and recently published its first clinical practice guideline, “Physical Therapy Management of Congenital Muscular Torticollis.”
Recognizing that the APTA’s sections represent the clinical expertise of the profession, APTA has taken the role to help facilitate the sections’ development of CPGs as an important tool to decrease unwarranted variation in practice by providing clinicians with the best available evidence so they can provide the best care to their patients and clients. This is supported by the APTA strategic plan, Goal 1, Effectiveness of Care, which states: “APTA will better enable physical therapists to consistently use best practice to improve the quality of life of their patients and clients." Under that goal, Objective A directs the association to increase the number of peer-reviewed clinical practice guidelines.
APTA’s has specifically responded to this goal and objective by initiating a program to provide support and funding for Sections to develop CPGs, a program that includes an annual CPG workshop. Since the program began, APTA has provided funding and support for the development of 7 CPGs. As part of this support, twice a year APTA issues a call for proposal submissions for the development of CPGs, and sponsors a workshop to provide CPG development guidance. The annual workshop provides training to support the Sections—the true content experts—for the development of CPGs. The event coordinates the knowledge and expertise of Joe Godges from the Orthopaedic Section and Sandra Kaplan from the Pediatric Section. Members identified by the Sections are nominated to attend the workshop, and priority for attendance to the workshop is given to nominees who meet the following criteria:
Demonstrate full support from the section's leadership
Have a clearly-identified clinical question or topic
Have initiated activities to address the identified question or topic
Have identified subject matter experts and confirmed participation of members to develop a clinical practice guideline
Through the training and the financial support, there are now 7 CPGs in development that are being funded by APTA. Those are:
September, 2012: Cardiovascular and Pulmonary and Acute Care
Clinical practice guidelines for the prevention, assessment of risk, and physical therapy management with lower or upper extremity venous thromboembolism (VTE)
September, 2012: Geriatrics
Development of a Clinical Guidance Statement for the Identification, Prevention, and Treatment of Falls in Community-dwelling Older Adults
Vestibular Rehabilitation for Peripheral Vestibular Hypofunction
September, 2012: Oncology
Management of Secondary Upper Quadrant Lymphedema
March, 2013: Geriatrics
GeriEDGE Evaluation of Fall Risk Assessment Tools and Fall Risk Abatement/Balance Outcome Measures
September, 2013: Acute Care
Clinical Practice Guideline for the Identification and Evaluation of Post-Intensive Care Syndrome
September. 2013: Neurology
Clinical Practice Guideline: Core Set of Outcome Measures for Patients with Neurologic Conditions
APTA will continue to work with the Sections to facilitate the development of CPGs and help share the important work that is being performed. If you have any questions, about APTA’s role and support of the sections, please contact Matt Elrod at firstname.lastname@example.org
APTA's Board of Directors has selected Gemma Longfellow, PT, GCS to receive the Signe Brunnström Award for Excellence in Clinical Teachingposted: Apr-01-2014
The Aquatic PT Section is happy to announce a member has been selected to receive an award from the American Physical Therapy Association (APTA). APTA's Board of Directors has selected Gemma Longfellow, PT, GCS to receive the Signe Brunnström Award for Excellence in Clinical Teaching. Gemma will be recognized at APTA's Honors and Awards Ceremony on June 12, 2014 during the NEXT Conference and Exposition in Charlotte, North Caroline. A reception will immediately follow.
Please be sure to congratulate Gemma on her great achievement. Congratulations!
Certificate in Aquatic Physical Therapy Clinical Competency (CAPTCC)
The Aquatic PT Section Launches the Certificate in Aquatic Physical Therapy Clinical Competency (CAPTCC)
The CAPTCC provides PTs and PTAs with a comprehensive study of the fundamental knowledge, skills and abilities necessary to provide safe, quality evidence-based patient care using the aquatic environment. This is the only certificate program sponsored by the APTA specifically designed for the aquatic physical therapy professional.
The 2014 Winner of the Judy Cirullo Award is Harriet P. Adams, BA, PTAposted: Feb-18-2014
Congratulations to Harriet P. Adams, BA, PTA
The 2014 Winner of the Judy Cirullo Award for Exceptional Contribution to the Area of Aquatic Therapy. This award is presented to a section member who consistently promotes aquatic physical therapy through service and or clinical practice. The recipient should be actively in conducting excellent clinical programs, providing service to the association and serving as patient advocates. The award acknowledges an individual member who has made outstanding and enduring contributions to promote aquatic physical therapy through service and clinical practice.
Harriet's experience in the area of Aquatic Physical Therapy expands over 20 years. She has received the Recognition of Advanced Proficiency for PTA in Musculoskeletal Physical Therapy and has served as Secretary of the Aquatic PT Section. Harriet is the co-author with Charlotte Norton of the Aquatic Exercise Toolbox.
Harriet is the owner of Aquatic Consultants of Georgia, Inc. since 1998 which provides theAmerican Red Cross swimming instruction to metro Atlanta including Piedmont Hospital, CNN, City Club of Buckhead and various country clubs and offers water safety courses, lifeguard training, babysitting certifications and pool parties.
She is also the owner of Integrated Therapy, LLC since 2000. Integrated Therapy is thelargest provider of aquatic physical therapy in the southeast and provides continuing education in aquatic physical therapy to hospitals, PT schools and private practice rehabilitation centers
Thank you for serving on the Aquatic PT Section Board of Directors! Your hard work, time and dedication to the Section and the profession of Aquatic Physical Therapy is greatly appreciated.
Christine McNamara served as President of the Aquatic PT Section for two years and will continue to serve a Section Program chair.
Emily Dunlap served on the Nominations committee and then as Director of Practice for four years. She will continue as the chair of the certificate program.
Left to right: Diane Platz, PT, VP of Governance and Emily Dunlap, PT, Outgoing Director of Practice.
Dave Morris served for many years as the editor of the Aquatic PT Journal. David was integral at creating the Section's first publication The Aquatic Physical Therapy Report which consisted on research articles and clinical practice reports. The report was first published in 1993.He continued as editor until 1996. David became editor again in 2009.
Kristin Greiner served as Director of Membership for the Aquatic PT Section for two years.
The 2014 Winner of the Excellence in Aquatic Therapy is Dave Morris, PT, PhDposted: Feb-18-2014
Congratulations to Dave Morris, PT, PhD
The 2014 Winner of the Excellence in Aquatic Therapy This award is an attempt for the Aquatics Physical Therapy Section to recognize exceptional research, exemplary dedication, and/or extraordinary dedication to the comprehensive field of aquatic therapy. The intent of this award is to fulfill the Section's commitment to the diverse aspects of aquatic therapy by recognizing those whose influence has driven this area of physical therapy.
Dave Morris service to the Aquatic PT Section includes servings as Secretary from 1992-1997 and President from 1998-2002. Plus for many years he served as the editor of the Aquatic PT Journal. David was integral at creating the Section's first publication The Aquatic Physical Therapy Report which consisted on research articles and clinical practice reports. The report was first published in 1993.He continued as editor until 1996. David became editor again in 2009.
Left to right: Diane Platz, PT, VP of Governance and Dave Morris, PT, PhD,