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No Freedom to Choose
When to Access Physical
Therapists
Does the Lack of this Freedom in
Healthcare Affect Society?
Selena Horner, PT
@SnippetPhysTher
“Because to take away a man's
freedom of choice, even his freedom
to make the wrong choice, is to
manipulate him as though he were a
puppet and not a person.”
― Madeleine L’Engle
Consumers in Michigan don’t.
They are required to have a doctor referral
before being treated by a physical therapist.
Time Period
Before
Problem Occurs

Episode of Care

After Episode
of
Care

The freedom to access a physical therapist is
limited to an episode of care. Physical therapists
can add value in preventing problems AND in
managing/consulting after an episode of care.
Michigan law creates barriers
for physical therapists
to be innovative.
Michigan consumers and Michigan physical
therapists have no opportunity to engage in
collaborative efforts to reduce healthcare
costs and improve health/function.
Consumers will need professionals to
analyze data from wearable technology.
Consumers can’t access physical therapists
to analyze data or provide consultation.
Physical therapists have a role. Michigan law
doesn’t allow consumers direct access to
physical therapists.
Saying “No” to direct access
to physical therapists closes
the door to:
• Consumer

Freedom
• Entrepreneurship
• Opportunities to reduce
healthcare costs

via Flickr by verldude
Consumer “Safety”
A real safety issue OR a perceived safety issue?

HPSO Physical Therapy Liability 2001-2010
Open the door to:
• Freedom

of choice
• Entrepreneurship
• Healthcare savings

Say YES to
Direct Access to Physical Therapists

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No Freedom When it Comes to Accessing Physical Therapists

  • 1. No Freedom to Choose When to Access Physical Therapists Does the Lack of this Freedom in Healthcare Affect Society? Selena Horner, PT @SnippetPhysTher
  • 2. “Because to take away a man's freedom of choice, even his freedom to make the wrong choice, is to manipulate him as though he were a puppet and not a person.” ― Madeleine L’Engle
  • 3. Consumers in Michigan don’t. They are required to have a doctor referral before being treated by a physical therapist.
  • 4. Time Period Before Problem Occurs Episode of Care After Episode of Care The freedom to access a physical therapist is limited to an episode of care. Physical therapists can add value in preventing problems AND in managing/consulting after an episode of care.
  • 5. Michigan law creates barriers for physical therapists to be innovative.
  • 6. Michigan consumers and Michigan physical therapists have no opportunity to engage in collaborative efforts to reduce healthcare costs and improve health/function.
  • 7. Consumers will need professionals to analyze data from wearable technology. Consumers can’t access physical therapists to analyze data or provide consultation.
  • 8. Physical therapists have a role. Michigan law doesn’t allow consumers direct access to physical therapists.
  • 9. Saying “No” to direct access to physical therapists closes the door to: • Consumer Freedom • Entrepreneurship • Opportunities to reduce healthcare costs via Flickr by verldude
  • 10. Consumer “Safety” A real safety issue OR a perceived safety issue? HPSO Physical Therapy Liability 2001-2010
  • 11.
  • 12. Open the door to: • Freedom of choice • Entrepreneurship • Healthcare savings Say YES to Direct Access to Physical Therapists