APTA is pleased to present William G. Boissonnault with the Jack Walker Award.
William G. Boissonnault, PT, and Mary Beth Badke, PT, PhD, are authors of "Pursuit and Implementation of
Hospital-Based Outpatient Direct Access to Physical Therapy Services: An
Administrative Case Report," the first publication describing the development
and implementation of a direct-access patient-care delivery model in a large
academic medical center.
Despite legislative approval of direct-access to physical
therapy, other regulatory barriers and internal institutional policies often
must be overcome before this practice model may be fully adopted, and few
institutional initiatives have been published describing strategies designed to
change policies restricting direct patient access. Reviewed patient care
decisions by therapists participating in the pilot program were deemed
appropriate 100 percent of the time by physician chart reviewers. Approximately
10 percent of the patients seen were referred to a radiologist for plain film
imaging, and 4 to 16 percent were referred to physicians for pain medications
or medical consultation, respectively. The report’s goal was to assist other
institutions in implementing a similar consumer-access practice model; the
pilot program’s success led to institutional adoption of the direct-access
model in all physical therapy outpatient clinics.
Boissonnault WG, Badke, MB, Powers, JM Pusuit and
Implementation of Hospital-Based Outpatient Direct Access to Physical Therapy
Services: An Administrative Case Report Phys Ther 2010, 90 100-109.
I wish to thank the APTA Board of Directors for
acknowledging our work in autonomous practice with the Jack Walker award. The
administrative and physician support provided by Jane Powers, David Bernhardt,
MD, James Leonard, DO, and Thomas Zdeblick, MD, was deeply appreciated and
instrumental in advancing our practice model. My deepest respect and gratitude
goes to the physical therapists whose excellent and endless work led to the
development and implementation of the physical therapy direct access program at
the University of Wisconsin Hospital and Clinics.
I also wish to express my sincere appreciation to Dr Pamela
Duncan, Dr Richard Di Fabio, and Dr Dennis Fryback for their wise counsel and
support throughout my career in Physical Therapy.
I accept this award in honor of my family who has gone before me.