CPI Criteria

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SAFETY

1. Performs in a safe manner that minimizes the risk to patient, self, and others.

ESSENTIAL SKILLS
 Ensures the safety of patient, self, and others throughout the clinical interaction (eg, universal
precautions, responding and reporting emergency situations).
 Uses acceptable techniques for safe handling of patients (eg, body mechanics*, guarding, level of assistance).
 Establishes and maintains safe working environment (eg, awareness of all indwelling lines and catheters, other
medical equipment, physical therapy equipment and assistive devices*; maintaining hazard free work space).
 Requests assistance when necessary (eg, requests assistance from clinical instructor,
utilizes and monitors support personnel).
 Demonstrates knowledge of facility safety policies and procedures.
 Recognizes physiological and psychological changes in patients and adjusts interventions accordingly within the
plan of care or withholds interventions and consults the clinical instructor and/or supervising physical therapist.

CLINICAL BEHAVIORS
2. Demonstrates expected clinical behaviors in a professional manner in all situations.

ESSENTIAL SKILLS
 Demonstrates initiative (eg, arrives well prepared, offers assistance, seeks learning opportunities).
 Is punctual and dependable.
 Wears attire consistent with expectations of the work setting and PTA Program.
 Demonstrates integrity* in all interactions.
 Exhibits caring*, compassion*, and empathy* in providing services to patients.
 Maintains productive working relationships with clinical instructor, supervising physical therapist, patients,
families, team members, and others.
 Demonstrates behaviors that contribute to a positive work environment.
 Accepts feedback without defensiveness.
 Manages conflict in constructive ways.
 Maintains patient privacy and modesty.
 Values the dignity of patients as individuals.
 Seeks feedback from clinical instructor related to clinical performance.
 Provides effective feedback to CI related to clinical/teaching mentoring.
 Responds to unexpected changes in the patient’s schedule and facility’s requirements.
 Promotes the profession of physical therapy.

ACCOUNTABILITY*
3. Performs in a manner consistent with established legal standards, standards of the profession, and ethical
guidelines.

ESSENTIAL SKILLS
 Places patient’s needs above self-interests.
 Identifies, acknowledges, and accepts responsibility for actions and reports errors.
 Takes steps to remedy errors in a timely manner.
 Abides by policies and procedures of the facility (eg, OSHA, HIPAA).
 Maintains patient confidentiality.
 Adheres to legal standards including all federal, state/province, and institutional regulations related to patient
care and fiscal management*.
 Identifies ethical or legal concerns and initiates action to address the concerns.
 Adheres to ethical standards (eg, Guide for Conduct of the Physical Therapist Assistant,
 Standards of Ethical Conduct for the Physical Therapist Assistant).
 Strives to exceed the minimum performance and behavioral requirements.
 Submits accurate billing charges on time.
 Adheres to reimbursement guidelines established by regulatory agencies, payers, and the facility.

CULTURAL COMPETENCE*
4. Adapts delivery of physical therapy services with consideration for patients’ differences, values, preferences, and
needs.

ESSENTIAL SKILLS
 Incorporates an understanding of the implications of individual and cultural differences and adapts behavior
accordingly in all aspects of physical therapy services.
 Communicates effectively and with sensitivity, especially when there are language barriers, by considering
differences in race/ethnicity, religion, gender, age, national origin, sexual orientation, and disability or health
status.
 Provides care in a nonjudgmental manner when the patients’ beliefs and values conflict with the individual’s
belief system.
 Demonstrates an understanding of the socio-cultural, psychological, and economic influences on patients and
responds accordingly.
 Is aware of own social and cultural biases and does not allow biases to negatively impact patient care.

COMMUNICATION*
5. Communicates in ways that are congruent with situational needs.

ESSENTIAL SKILLS
 Communicates with clinical instructor and supervising physical therapist to:
o review physical therapist examination/evaluation and plan of care.
o ask questions to clarify selected interventions.
o report instances when patient’s current condition does not meet the safety parameters established by the
physical therapist (eg, vital signs, level of awareness, red flags).
o report instances during interventions when patient safety/comfort cannot be assured.
o report instances when comparison of data indicates that the patient is not demonstrating progress toward
expected goals established by the physical therapist in response to selected interventions.
o report when data comparison indicates that the patient response to interventions have met the
expectations established by the physical therapist.
o report results of patient intervention and associated data collection.
 Communicates verbally, nonverbally, and in writing in an effective, respectful, and timely manner.
 Listens actively and attentively to understand what is being communicated by others.
 Interprets and responds appropriately to the nonverbal communication of others.
 Adjusts style of communication based on target audience (eg, age appropriateness, general public, professional
staff).
 Communicates with the patient using language the patient can understand (eg, translator, sign language, level of
education*, cognitive* impairment*).
 Initiates communication in difficult situations to promote resolution (eg, conflict with CI, unsatisfied patients,
caregivers*, and/or family).
 Selects the most appropriate person(s) with whom to communicate (eg, clinical instructor, physical therapist,
nursing staff, social worker).
 Self evaluates effectiveness of communication and modifies communication accordingly.
 Seeks and responds to feedback from multiple sources in providing patient care.
 Instructs members of the health care team, using established techniques, programs, and instructional materials,
commensurate with the learning characteristics of the audience.

SELF-ASSESSMENT AND LIFELONG LEARNING


6. Participates in self-assessment and develops plans to improve knowledge, skills, and behaviors.

ESSENTIAL SKILLS
 Identifies strengths and limitations in clinical performance, including knowledge, skills, and behaviors.
 Seeks guidance as necessary to address limitations.
 Uses self-assessment skills, including soliciting feedback from others and reflection to improve clinical
knowledge, skills and behaviors.
 Acknowledges and accepts responsibility for and consequences of own actions.
 Establishes realistic short and long-term goals in a plan for improving clinical skills and behaviors.
 Seeks out additional learning experiences to enhance clinical performance.
 Accepts responsibility for continuous learning.
 Discusses professional issues related to physical therapy practice.
 Provides and receives feedback from team members regarding performance, behaviors, and goals.
 Seeks current knowledge and theory (in-service education, case presentation, journal club, projects) to achieve
optimal patient care.

CLINICAL PROBLEM SOLVING


7. Demonstrates clinical problem solving.

ESSENTIAL SKILLS
 Presents sound rationale for clinical problem solving, including review of data collected and ethical and legal
arguments.
 Seeks clarification of plan of care and selected interventions from clinical instructor and/or supervising physical
therapist.
 Collects and compares data from multiple sources (eg, chart review, patient, caregivers, team members,
observation) to determine patient’s readiness before initiating interventions.
 Demonstrates sound clinical decisions within the plan of care to assess and maximize patient safety and comfort
while performing selected interventions.
 Demonstrates sound clinical decisions within the plan of care to assess and maximize intervention outcomes,
including patient progression and/or intervention modifications.
 Demonstrates the ability to determine when the clinical instructor and/or supervising physical therapist needs to
be notified of changes in patient status, changes or lack of change in intervention outcomes, and completion of
intervention expectations (ie, goals have been met).
 Demonstrates the ability to perform appropriately during an emergency situation to include notification of
appropriate staff.

INTERVENTIONS: THERAPEUTIC EXERCISE


8. Performs selected therapeutic exercises* in a competent manner.
ESSENTIAL SKILLS
 Reviews plan of care* and collects data on patient’s current condition to assure readiness for therapeutic
exercise.
 Applies knowledge of contraindications and precautions for selected intervention.
 Performs selected therapeutic exercises safely, effectively, efficiently, and in a coordinated and technically
competent* manner consistent with the plan of care established by the physical therapist.
 Modifies therapeutic exercises within the plan of care to maximize patient safety and comfort.
 Modifies therapeutic exercises within the plan of care to progress the patient.
 Instructs patient, family members and other caregivers regarding strategies to minimize the risk of injury and to
enhance function*, including promotion of health, wellness, and fitness* as described in the plan of care*.
 Identifies barriers to learning (eg, literacy, language, cognition) and adjusts instructional techniques to meet
patient learning style (eg, demonstration, verbal, written).
 Collects relevant data accurately and proficiently to measure and report patient response to selected therapeutic
exercises.

INTERVENTIONS: THERAPEUTIC TECHNIQUES


9. Applies selected manual therapy*, airway clearance*, and integumentary repair and protection techniques in a
competent manner
ESSENTIAL SKILLS
 Reviews plan of care and collects data on patient’s current condition to assure readiness for therapeutic
techniques.
 Applies knowledge of contraindications and precautions for selected intervention.
 Performs selected therapeutic techniques safely, effectively, efficiently, and in a coordinated and technically
competent manner consistent with the plan of care established by the physical therapist.
 Modifies therapeutic techniques within the plan of care to maximize patient safety and comfort.
 Modifies therapeutic techniques within the plan of care to progress patient.
 Instructs patient, family members and other caregivers regarding strategies to minimize the risk of injury and to
enhance function, including promotion of health, wellness, and fitness as described in the plan of care.
 Identifies barriers to learning (eg, literacy, language, cognition) and adjusts instructional techniques to meet
patient learning style (eg, demonstration, verbal, written).
 Collects relevant data accurately and proficiently to measure and report patient response to selected therapeutic
techniques.

INTERVENTIONS: PHYSICAL AGENTS AND MECHANICAL MODALITIES


10. Applies selected physical agents* and mechanical modalities in a competent manner.

ESSENTIAL SKILLS
 Reviews plan of care and collects data on patient’s current condition to assure readiness for physical agents and
mechanical modalities.
 Applies knowledge of contraindications and precautions for selected intervention.
 Performs selected physical agents and mechanical modalities safely, effectively, efficiently, and in a coordinated
and technically competent manner consistent with the plan of care established by the physical therapist.
 Adjusts physical agents and mechanical modalities within the plan of care to maximize patient safety and comfort.
 Modifies physical agents and mechanical modalities within the plan of care to maximize patient response to the
interventions.
 Progresses physical agents and mechanical modalities as described in the plan of care.
 Instructs patient, family members and other caregivers regarding strategies to minimize the risk of injury and to
enhance function, including promotion of health, wellness, and fitness as described in the plan of care.
 Identifies barriers to learning (eg, literacy, language, cognition) and adjusts instructional techniques to meet
patient learning style (eg, demonstration, verbal, written).
 Collects relevant data accurately and proficiently to measure and report patient response to selected physical
agents and mechanical modalities.
INTERVENTIONS: ELECTROTHERAPEUTIC MODALITIES
11. Applies selected electrotherapeutic modalities in a competent manner.

ESSENTIAL SKILLS
 Reviews plan of care and collects data on patient’s current condition to assure readiness for electrotherapeutic
modalities.
 Applies knowledge of contraindications and precautions for selected intervention.
 Performs electrotherapeutic modalities safely, effectively, efficiently, and in a coordinated and technically
competent manner consistent with the plan of care established by the physical therapist.
 Adjusts electrotherapeutic modalities within the plan of care to maximize patient safety and comfort.
 Modifies electrotherapeutic modalities within the plan of care to maximize patient response to the interventions.
 Progresses electrotherapeutic modalities as described in the plan of care.
 Instructs patient, family members and other caregivers regarding strategies to minimize the risk of injury and to
enhance function, including promotion of health, wellness, and fitness as described in the plan of care.
 Identifies barriers to learning (eg, literacy, language, cognition) and adjusts instructional techniques to meet
patient learning style (eg, demonstration, verbal, written).
 Collects relevant data accurately and proficiently to measure and report patient response to selected
electrotherapeutic modalities.

INTERVENTIONS: FUNCTIONAL TRAINING AND APPLICATION OF DEVICES AND EQUIPMENT


12. Performs functional training* in self-care and home management and application and adjustment of devices
and equipment in a competent manner.
ESSENTIAL SKILLS
 Reviews plan of care and collects data on patient’s current condition to assure readiness for functional training
and application of devices and equipment.
 Applies knowledge of contraindications and precautions for selected intervention.
 Performs functional training and application of devices and equipment safely, effectively, efficiently, and in a
coordinated and technically competent manner consistent with the plan of care established by the physical
therapist.
 Adjusts functional training and application of devices and equipment within the plan of care to maximize patient
safety and comfort.
 Modifies functional training and application of devices and equipment within the plan of care to maximize patient
response to the interventions.
 Progresses functional training and application of devices and equipment as described in the plan of care.
 Instructs patient, family members and other caregivers regarding strategies to minimize the risk of injury and to
enhance function, including promotion of health, wellness, and fitness as described in the plan of care.
 Identifies barriers to learning (eg, literacy, language, cognition) and adjusts instructional techniques to meet
patient learning style (eg, demonstration, verbal, written).
 Collects relevant data accurately and proficiently to measure and report patient response to functional training
and application of devices and equipment.

DOCUMENTATION
13. Produces quality documentation* in a timely manner to support the delivery of physical therapy services.
ESSENTIAL SKILLS
 Selects relevant information to document the delivery of physical therapy care.
 Documents all aspects of physical therapy care provided, including interventions, patient response to
interventions (eg, vital signs, pain, observation), selected data collection measurements, and communication with
family and others involved in the delivery of care.
 Produces documentation that is accurate, concise, timely, legible, grammatically and technically correct (eg,
abbreviations, terminology, etc).
 Produces documentation (eg, electronic, dictation, chart) consistent with guidelines, format, and requirements of
the facility, regulatory agencies, and third-party payers.

RESOURCE MANAGEMENT
14. Participates in the efficient delivery of physical therapy services.

ESSENTIAL SKILLS
 Schedules patients, equipment, and space.
 Coordinates with physical therapist and others to facilitate efficient and effective patient care.
 Sets priorities for the use of resources to maximize patient and facility outcomes.
 Uses time effectively.
 Utilizes the facility’s information technology effectively.
 Implements risk-management strategies (eg, prevention of injury, infection control).
 Uses equipment in an efficient and effective manner assuring that the equipment is safe prior to use.
 Utilizes services of the physical therapy aide and other support personnel as allowed by law to increase the
efficiency of the operation of the physical therapy services.
 Participates in established quality improvement activities (productivity, length of stay, referral patterns, and
reimbursement trends).
 Participates in special events organized in the practice setting related to patients and care delivery as well as
health and wellness promotion.

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