™ Iowa Physical Therapy ™ Association & Foundation *'For the right touch, see a physical therapist.'*



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Iowa Physical Therapy Association & Foundation

Membership Survey

2010-2011 Strategic Plan

This survey will provide vital information for the board of directors when it meets in January to prepare the future IPTA Strategic Plan. Please answer the questions below. The estimated time to complete the survey is four minutes. Questions shaded in yellow require a response.

1. Enter your APTA/IPTA Member Number. If you do not know your member number, please enter your last name. This information will be used only to identify duplicate submissions and will be deleted from the results database.

3. If retired, please skip to question 11.

6. (PTAs skip to Question 8)

7a. If you are working on a DPT, please indicate if you are pursuing this full-time or are through a transition/post-professional program.

8. Does your employer pay all or part of your continuing education expenses?

9. Does your employer pay all or part of your APTA/IPTA dues?

10. Your current annual salary: Numbers rounded up to the nearest dollar - do not include a dollar sign, comma, decimal or any other symbol

This is an example of a GOOD response: 30000

This is an example of a BAD response: $30,000.00

10a. Please indicate if you are employed full- or part-time (students skip to question 11)

11. Overall, I consider the IPTA annual membership directory, Who's Who in Iowa Physical Therapy, to be:

12. Overall, I consider the IPTA web site, www.iowaapta.org, to be:

13. Indicate your opinion of the following member benefits. Please check those benefits that you feel are VERY IMPORTANT. You may check more than one.

Spring and fall continuing education conferences

Member tuition discounts for continuing education conferences

Special workshops and Issues Forums

E-Newsletters via the internet

The annual membership directory

Advertising/PR efforts

State and national government relations (lobbying, meeting with administration leaders & staff, etc.)

Efforts to improve reimbursement

Free loan of A-V materials for speaking engagements & school career days

Efforts to curtail infringement/encroachment

Efforts to curtail referral for profit

District meetings and continuing education programs

The vacation replacement pool

IPTA’s web site

Toll-free one-call address correction

14. Please select the ONE most important reason why you would NOT attend an IPTA Spring or Fall Conference:

Please explain "other" reasons below:

15. Indicate how likely it will be that you will be a member of APTA next year.

16. Please indicate the degree to which IPTA membership meets your expectations.

17. Please indicate your agreement with these statements.

a. The IPTA leadership focuses on issues of interest to me.

b. The IPTA Board of Directors is responsive to my needs.

c. The IPTA Executive Director/Administrator is responsive to my needs.

d. IPTA allocates its resources wisely.

e. I have adequate opportunity to find out about and become involved in IPTA activities.

18. Did you taken advantage of the first year dues break following graduation?

ISSUES-RELATED QUESTIONS

19. Has your physical therapy practice been affected by competition from Referral for Profit (RFP) entities such as physician-owned PT practices or PT-owned PT practices that provide incentives to referral sources?

If your response is NO, please skip to Question 28.

20. Please indicate the type of RFP situation that has affected your practice. Select all that apply.

Provider Type	Has this type of provider affected your practice?	Number of competitive providers that affect your practice (leave blank if unknown).	Please indicate the approximate percentage of your patient referrals that have been lost (leave blank if unknown). DO NOT ADD PERCENT SIGN (%).
Physician	Question 20a	Question 20b	Question 20c
Multi-specialty Physician Group Practice	Question 21a	Question 21b	Question 21c
Chiropractor	Question 22a	Question 22b	Question 22c
Corporate	Question 23a	Question 23b	Question 23c
Other Provider	Question 24a	Question 24b	Question 24c
If "Other Provider" is selected, please specify:

25. How has your practice been affected by competition from RFP providers? (Select all that apply)

	25a. Loss of referrals
	25b. Loss of revenue
	25c. Loss of employees
	25d. Reduction in referrals of specific populations

26. If you chose "Reduction in referrals of specific patient populations" in Question 25 above, please specify which ones. (Select all that apply)

	26a. By insurances
	26b. By age range
	26c. By diagnosis
	26d. Other (please explain below)

Other:

27. Based on any reports you have received from current or former patients regarding care they received in an RFP practice, have patients expressed difficulty with any of the following: (Select all that apply)

	27a. Quality of care
	27b. Physical therapy services were provided by a non-PT/PTA
	27c. Access to the provision of physical therapy services
	27d. Cost of physical therapy services
.	27e. Other (please explain below)

Other:

28. Do you feel that Referral for Profit will have a negative impact on our ability to achieve Autonomous Practice as outlined in Vision 2020?

29. One of the main goals of APTA's Vision 2020 is to make physical therapy a "doctoring profession" engaged in autonomous practice. Do you agree with this objective?

29a. Iowa law now permits DPTs to use the prefix Dr. and/or the suffix DPT instead of PT, DPT. If you are a graduate DPT, are you using the Dr. prefix and/or the DPT title in place of PT, DPT?

30. Autonomous practice for physical therapists could mean the elimination of physician referral for profit (where the physician profits from self-referral or referral to any entity providing monetary incentive for referrals). Do you agree that physician referral for profit (RFP) should be prohibited in Iowa?

31. Are there particular issues, products or services that you would like to see IPTA address? Please use the space below.

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