Oregon Oregon Health Authority, Public Health Division

Rule Rule 333-027-0140
Therapy Services


(1)

Physical Therapy Services: If an agency provides physical therapy services, either directly or under contract, these services shall be provided only by a physical therapist or by a physical therapist assistant. The physical therapist and the physical therapist assistant shall provide physical therapy services in accordance with applicable laws, rules, agency policies and the patient’s plan of treatment. Services provided by a physical therapist assistant shall be supervised by a physical therapist.

(a)

Duties of a physical therapist include: assisting a physician in evaluating levels of function, helping to develop and revise the plan of treatment, preparing clinical and progress notes, advising and consulting with the family and other agency personnel, participating in inservice programs, and providing services.

(b)

Duties of the physical therapist assistant include: performing services that are planned, assigned, delegated, and supervised by the physical therapist; assisting in preparation of clinical notes and progress reports; participating in the education of the patient and family; and participating in inservice programs.

(c)

Supervision of the physical therapist assistant shall include at a minimum:

(A)

Initial evaluation of the patient by the physical therapist to identify appropriate tasks to be performed by the physical therapist assistant. These tasks shall be documented in each patient’s clinical records; and

(B)

A visit to the patient’s residence by the physical therapist at least once a month when the patient’s condition is no longer stable and predictable, or at 60-day intervals when the patient’s condition is stable, either when the assistant is present to observe and assist or when the assistant is absent, to assess relationships and determine that goals are being met. Documentation of these visits by the physical therapist shall be maintained in the patient’s clinical record.

(2)

Occupational Therapy Services: If an agency provides occupational therapy services, either directly or under contract these services shall be provided only by an occupational therapist or by an occupational therapy assistant under the supervision of an occupational therapist. The occupational therapist and occupational therapy assistant shall provide occupational therapy services in accordance with applicable statutes, rules, agency policies and the patient’s plan of treatment. The agency shall assure that services provided by an occupational therapy assistant shall be supervised by an occupational therapist.

(a)

Duties of the occupational therapist include: assisting the physician in evaluating levels of function, helping to develop and revise the plan of treatment, preparing clinical and progress notes, advising and consulting with the family and other agency personnel, participating in inservice programs, and providing services.

(b)

Duties of the occupational therapy assistant include: performing services planned, assigned, delegated, and supervised by the occupational therapist; assisting in the preparation of clinical notes and progress reports; participating in the education of the patient and family; and participating in inservice programs.

(c)

Supervision of the occupational therapy assistant shall include at a minimum:

(A)

Initial evaluation of the patient by the occupational therapist to identify appropriate tasks to be performed by the occupational therapy assistant. These tasks shall be documented in each patient’s clinical record; and

(B)

A visit to the patient’s residence by the occupational therapist at least once a month when the patient’s condition is no longer stable and predictable, or at 60-day intervals when the patient’s condition is stable, either when the assistant is present to observe and assist or when the assistant is absent, to assess relationships and determine that goals are being met. The occupational therapist shall document these visits in each patient’s clinical record.
(3)(a) Speech Therapy Services: If an agency provides speech therapy services, either directly or under contract, these services shall be provided only by a speech pathologist. The speech pathologist shall provide speech therapy services in accordance with applicable statutes, rules, agency policies and the patient’s plan of treatment.

(b)

Duties of the speech pathologist include: assisting the physician in evaluating the patient’s level of function; helping to develop and revise the plan of treatment; preparing clinical and progress notes; advising and consulting with the family and other agency personnel; participating in inservice programs; and providing services.

(4)

Medical Social Services: If an agency provides medical social services, either directly or under contract these services shall be provided only by a social worker, or by a social work assistant. The social worker or the social work assistant shall provide social work services in accordance with applicable statutes, rules, agency policies and the patient’s plan of treatment.

(a)

Duties of the social worker include: assisting the physician, other team members, and the family in understanding the significant social and emotional factors related to health problems of the patient; participating in the development of the plan of treatment; preparing clinical and progress notes; working with the family; utilizing appropriate community resources; participating in discharge planning and inservice programs; and acting as a consultant to other agency personnel.

(b)

Duties of the social work assistant include: performing services planned, assigned, delegated, and supervised by the qualified social worker, preparing clinical notes and progress reports; and participating in inservice programs.

(c)

Supervision of the social work assistant shall include at a minimum:

(A)

Initial evaluation of the patient by the social worker to identify appropriate tasks to be performed by the social work assistant. These tasks shall be documented in the individual patient’s clinical records; and

(B)

After the initial evaluation by the social worker and development of the plan of treatment, documented supervisory conferences with the social work assistant shall be held at least two times monthly to assess adherence to the goals and quality of relationships. In the event the patient’s situation changes and requires a change in the treatment plan and goals, the social worker will make a joint visit with the social work assistant to revise the plan of treatment.
Source

Last accessed
Jun. 8, 2021