You're listening to the P.T.
Pinecast,
where smart people in healthcare come to
make noise.
Here's your host, Jimmy McKay.
Thanks, voiceover guy.
Phil Goldsmith, welcome to the show.
Good to be here, thanks.
How many, what is your gram number?
How many gram sessions have you been to?
I think this is number four.
Yeah?
It's number three for me.
Superhero backstory.
Tell everybody who you are.
What do you get to do in the
profession?
What is your superhero story?
I can't say it's much of a superhero
story.
My name is Phil Goldsmith.
I've been a PT for twenty six years
and change.
That's a superhero story, though.
You've got a lot of stories in twenty
six years.
Oh, they're stories.
Can't tell most of them.
That's OK.
HR's downstairs.
That's all right.
Exactly.
What do you get to do in the
profession now?
What corner of the profession do you get
to occupy?
So I own a wee little home health
management consulting company and do a
little bit of clinical.
It gets me out of the house and
talking with other adults.
So that's a good thing.
Yeah.
And then how about with an APTA?
I am the president of APTA Home Health.
Nice.
Second term there.
Right now that carries with it also the
title of chief delegate for the academy.
So you get to be involved.
You understand what's coming down the
line, the rules and the regs,
and you get to weigh in on those
things.
I would like to think so.
It hits a little hard and heavy sometimes
and takes me a minute to get caught
up, but yeah.
Nice.
So some big picture questions I'm asking.
This is your fourth Graham Sessions.
What's something you've either heard in
the room or saw on the schedule that
we're going to talk about later today that
really excited you because you want to
hear what people are thinking about?
We'll start with topics and ideas.
What do you like?
I love the primary care discussion this
morning.
Good.
So talk about the idea,
not who said it.
We'll leave names out of it.
But what was that discussion about primary
care?
What did you hear?
I think that the take home is that
we all should be doing it.
And we're all capable of doing it.
But why aren't we?
That's an easy question and a hard
question all at the same time.
That's why I look smart.
I just asked the question.
You got the harder job to answer.
Is it permission?
Are we waiting for someone else to do
it?
What is it?
Is it waiting for permission?
I think there's some people in the
profession that are looking for
permission.
I think there's people in the profession
that don't know how high top of license
really is.
And until they see it,
or until someone's doing it in their own
backyard, they just...
Until they have to do it to keep
up with the Joneses.
You have to do it, you don't, yeah.
What's something that is not on the docket
that you're like, dude,
why aren't we talking about this?
What's something that's missing here?
We couldn't put everything in grammar
sessions, but what are you like, yes,
this needs to be... Why wasn't this?
This is hot.
Why isn't this on the docket?
They do a pretty good, I mean,
all of the issues that I'd love to
talk about are post-acute issues that I
wouldn't expect this group to be
interested in.
I mean,
they're hitting it pretty hard from the
pivots that we've all had to make
organizationally in the past year.
Primary care PT is a big one.
The differing generations, it's all there.
Yeah.
I mean,
if you want to come hang and talk
about those, and really,
this is a safe space.
There's no repercussions.
This is the place to be.
This is the hang.
Fast forward to the hang next year.
You get to pick one of the sessions.
You get to title it, just the topic,
the idea.
What do you put on the docket for
Graham Sessions next year?
Look into the future.
I want to go deeper into why we're
not top of license.
Okay.
Why aren't we there?
Why are we looking for permission?
What type of person,
person or people would you put on the
panel?
You don't have to name a person,
but like what type of person are they
all from within PT or do you go
outside?
Do you put a couple of people on
the panel?
I want somebody within the profession
who's not doing primary care,
who's not practicing top of license and,
I guess it would be a little bit
like an intervention.
Ooh,
that is a very Graham session way of
looking at, can we,
can we do an intervention for ourselves on
why are we avoiding this problem?
You have a problem.
This is an intervention.
It's a good way of looking at it.
Uh,
when were your first couple of Graham
sessions about how long ago ballpark?
five six years i've skipped a couple
that's okay that's good what's something
that actually you saw change it was
disgusting gram sessions five or six years
that's almost long enough for change right
that act that you're like yeah that was
cool we brought it up we did something
about it any do you remember those things
I think there's a more prevalence of
cash-based practices.
Yeah, in five or six years?
Yeah.
That's probably the big one.
Yeah.
I think people are finally starting to
understand that we do have and have ways
to access negotiating power with these
insurance companies.
Yeah,
that was one conversation from earlier
today,
which that's been repeated several times.
How are your C-legs?
My sea legs are in good shape, man.
Are you trying to get them in better
shape for this summer?
Oh, yeah.
All right.
Talk about that.
You're doing something,
and I hope Tony Maritato eventually is
listening.
We talked about this idea.
I've seen people advertise it.
Florida PTA has done it for a while.
They've done it for their spring
conference a few times.
Of course they will.
They're Florida.
Right.
Of course they will.
So APTA Home Health decided to do
something a little crazy,
and we're doing ACHH at sea.
A-C-A-H.
Advanced Competency and Home Health.
Our live portion of that is a sixteen
hour live hands-on continuing education.
We're an APTA component,
so it's automatically approved in,
I think, forty-four states.
Nice.
And we are approvers for, I think,
all but two states.
So, Eight Night Cruise, Royal Caribbean,
Symphony of the Seas.
Yeah.
On the four C days, it's eight a.m.
to noon, you're in class.
The rest of the time,
it's all you and your family or whoever
else you want to bring with you to
hang.
So you're doing CEUs at sea?
Yes.
We were talking about this.
Why wouldn't you?
Why wouldn't you, right?
And where do people go for that
information if they're like,
I want to be on board?
You go to aptahomehealth.org and it's on
our website.
Perfect.
All right.
And then...
When is it?
It is August first through ninth,
twenty twenty six.
So you got this summer.
You got you got a few months,
got a couple of time and then ballpark
of a price.
Like what's someone that's the first
question they're going to ask?
The course is a little under five hundred
dollars for academy members,
for non-members.
It's it's a little more expensive.
I'll give you a hint.
It's cheaper to be a member and pay
the member price than it is to pay
the non-member price.
The cruise for an ocean view cabin is
sixteen hundred ish dollars per person
based on double occupancy.
If you're flying solo,
you're probably going to pay double that.
yeah uh so smart people are already doing
the math they're like how do i use
these ceu dollars my employer has been
promising me to get on the boat with
phil smart that would that would be the
good play that is a smart play where
if you're smart and made yourself a little
llc it's a business expense baby smart man
um jimmy's already thinking can i live
stream from the boat just i need a
wi-fi signal we could we can get that
i'll be at the cabana uh we have
a tradition on the show the tradition is
called the parting shot
This is The Parting Shot.
One last mic drop moment.
No pressure.
Just your legacy on the line.
No pressure, Phil.
Just your entire legacy on the line.
But what's one thing you'd want to leave
as we wrap up?
What's the last idea, concept, quote,
anything?
Anything you'd want to leave with the
audience?
Top of scope is real.
The good news is in home health,
we've been doing it for twenty five years.
Good for you, Phil.
Appreciate this.
We'll see if we can get you on
the sea, man.
Appreciate the time here at Graham
Sessions.
Awesome.
Thank you.
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And legally, none of this was advice.
It's for entertainment purposes only.
Bullshit!
See, Keith?
We read the script.
Happy now?