Implementation of Hospital-Based Direct Access Highlighting Direct Ordering of Diagnostic Imaging

This Webinar was delivered on April 20, 2017.

We used a "flipped classroom" delivery method. Here's how it worked: 2 to 3 weeks before the live webinar, you will receive a link to the pre-recorded content presentation. In order to prepare for the Live Webinar, the learner must review the content so that you will be able to interact with the presenter on April 20th.

On the day of the webinar, the recording is NOT be replayed, but the presenter provided a brief overview of the content and respond to questions from participants using the chat function. This Q and A session was approximately 1 hour in length and it was recorded and the link is available in the resources area.

Session Description:

The purpose of this course is to build the case for granting physical therapists privileges to directly order diagnostic imaging studies. The course begins with a review of the literature supporting direct access, followed by an administrative case report highlighting successful implementation of both direct access and imaging privileges at a hospital-based outpatient orthopedic clinic.

Navigating administrative barriers, securing physical therapy board approval for ordering of imaging studies, partnering with radiologists, and tracking of reimbursement and imaging data is discussed. The course concludes with several case reports in which the use of diagnostic imaging directly influenced clinical decision making.


Aaron Keil, PT, DPT, Board-certified orthopaedic clinical specialist. Dr. Keil currently serves as clinical associate professor at the University of Illinois at Chicago. He has spoken at national conferences on the topics of direct access and diagnostic imaging and has provided guidance to several institutions across the country who are pursuing these initiatives.

Dr. Keil recently served on the authorship committee for the APTA-sponsored white paper ‘Diagnostic and Procedural Imaging in Physical Therapist Practice’.

He has functioned as a first-contact provider both at Georgetown University Hospital in Washington D.C. and the Johns Hopkins Hospital in Baltimore Maryland where he provided leadership to the outpatient rehab department.

Course Code:




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Completion Instructions

  • Review the pre-recorded session, compile questions for the live Q and A session.
  • Following the Q and A, complete the assessment with a 70% or higher score.
  • Submit your evaluation feedback.
  • Print your certificate.

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Aaron Keil, PT, DPT, OCS

Learning objectives

  1. Develop an effective plan to secure administrative approval to embrace direct access and secure imaging privileges for physical therapists.
  2. Cite appropriate research that supports granting physical therapists privileges to order imaging studies directly.
  3. Describe the impact diagnostic imaging can have on clinical decision making when ordered appropriately.
  4. Effectively prepare to answer common questions and concerns over granting therapists diagnostic imaging privileges.

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2Assessment_Implementing Direct Referral
Type:E-Learning Course
Tags:Aaron Keil, direct access
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