2015 kpta spring newsletter

Spring 2015

9:00a.m.-12:15p.m. (NCAH 260, 460A, 460B) Student Programming 2015 Kentucky Conclave. Click here to go directly to regis- 12:15p.m.-1:15p.m. tration. This year’s event combines the Fall FUNction and KPTA Business Meeting (lunch provided), NCAH 460 A&B) Kentucky Student Conclave into one premier event for PTs, 1:15p.m.-2:45p.m. (NCAH 260, 460A, 460B) PTAs and students. Keynote sessions include: Student Programming

REGISTRATION IS NOW OPEN for the

Integrated Trigger Point Dry Needling for the Lower Quarter—2 Day (Lab Intensive)* How DO They Do That?: Secret Tech Weapons for PT and PTA Students See inside for additional student programming

Schedule at a Glance (all times Eastern) Friday, September 1 8:00a.m.-5:30p.m. (NCAH 360) Integrated TDN for the Lower Quarter Day 1 6:00p.m.-7:00p.m. (Frazier Hall) PTA Party—a social event for PTAs and PTA students 7:00p.m. – 10:00p.m. (Frazier Hall) Opening Reception, Exhibits & Presentation of Awards Saturday, September 12 7:00a.m.-9:00a.m.

Continental Breakfast 8:00a.m.-5:30p.m. (NCAH 360) Integrated TDN for the Lower Quarter Day 2 (continued next column)

Pricing*   

KPTA Member: $800 Non-member: $1,000 Non-licensed PT or PTA student: $50  Reception Only:  $15 KPTA members  $30 non-members (reception included with member, nonmember & student conclave registration) *Only licensed physical therapists may register for Integrated Trigger Point Dry Needling for the Lower Quarter. This course is brought to you

by EIM and KPTA.

Inside…

2 RehabCare Brings “Your Nerdy Best Friend” to Kentucky Conclave 3 Kentucky Conclave: Integrated Trigger Point Dry Needling 5 KPTA Executive Director Featured in Executive News 10-11 Accepting Nominations: KPTA Awards 12 Update on Patients’ Right to Freedom of Choice AND MUCH MORE!

RehabCare Brings “Your Nerdy Best Friend” to Kentucky Conclave RehabCare—A Division of Kindred Healthcare is bringing author, speaker and self-proclaimed nerd, Beth Ziesenis to the 2015 Kentucky Conclave. Beth is a technology expert who speaks to 60-plus groups a year all over the country about the best free and bargain apps and online resources, helping attendees release their inner nerd to become more organized and efficient. Beth will present How DO They Do That?: Secret Tech Weapons for PT and PTA Students.

RehabCare is the Platinum sponsor at this year’s 2015 Kentucky Conclave and they are also the sponsor of the KPTA/ RehabCare All-Academic Team. “Their donation is unprecedented,” according to KPTA Executive Director, Lisa Volz.

“Sponsoring a nationally renowned speaker and the AllAcademic Team illustrates the value RehabCare places on the future of physical therapy in Kentucky.”

According to Annie Belgeri, RehabCare’s Manager, Student Programs, “At RehabCare we believe it’s our corporate responsibility to support and foster the education of future healthcare professionals. Kentucky is our ‘homestate’ and has become a home for healthcare innovation across the country. Our investment in Kentucky PT and PTA students is one way for us to promote the continued vision of Kentucky as a leader in healthcare across the country. “

Beth Ziesenis, aka.”Your Nerdy Best Friend,” will present at the 2015 Kentucky Conclave as part of the student program.

“The exposure our company receives by being involved in the KPTA sponsorship has been an excellent vehicle to educate students on the value of working for RehabCare and the rewards of caring for our patients and families,” says Belgeri. For information on KPTA sponsor opportunities, please contact the KPTA office.

2015 Kentucky Conclave Presents “How DO They Do That?: Secret Tech Weapons for PT and PTA Students What if you could schedule a study group without having to send three dozen emails to find a time everyone could meet? Or create a visual presentation that blows the instructor away? Or whip up a resume video in seconds – without breaking the bank? And what if you could pull all this off straight from your mobile device – without an IT degree? Join Your Nerdy Best Friend, aka Author Beth Ziesenis, to discover how to use free and bargain technology tools you never knew existed to work more efficiently with your teams, create professional-level graphics and wow your colleagues. This high-energy session will give you 30+ tools that will leave people asking, “How DO they do that?”

ABOUT BETH ZIESENIS: Meet Beth Ziesenis, your own personal Nerdy Best Friend. Beth Z keeps up with all the new online applications and downloads that can help you look like you’re working with a team of marketing, computer and productivity experts, even if you suffer from a shrinking staff and a disappearing budget. Named an editor’s pick for best speaker of 2013 by MeetingsNet and a Favorite Speaker by Meetings & Conventions magazine in 2014, Beth Ziesenis is an author, speaker, technology consultant and self-proclaimed nerd. Since her first Commodore 64 computer, Beth has been fascinated with technology and computer shortcuts that make people’s lives easier. Beth helps computer users all over the country filter through thousands of apps, gadgets, widgets and doodads to find the perfect free and bargain technology tools for business and personal use.

CLICK HERE TO REGISTER FOR SECRET TECH WEAPONS (students only)

Kentucky Conclave: Integrated Trigger Point Dry Needling for the Lower Quarter – Level 1 (2-Day Lab Intentsive) KPTA is pleased to partner with EIM to bring Integrated Trigger Point Dry Needling for the Lower Quarter to the Kentucky Conclave, September 11-12, 2015 at Bellarmine University.

Integrated Trigger Point Dry Needling for the Lower Quarter - Level 1 (2-Day Lab Intensive) Description EIM’s Integrated Trigger Point Dry Needling (TDN) for the Lower Quarter –Level 1 course is designed to develop and reinforce the use of specific examination and treatment skills that facilitate the reduction of pain and dysfunction in patients with lower quarter musculoskeletal disorders. Instruction focuses on the use of trigger point dry needling (TDN) techniques using solid filament needles directed at select trigger points and soft tissue impairments in the lower quarter. This course investigates the emerging evidence on treatment effectiveness, proposed mechanisms of action, and the legal and safety considerations surrounding the use of trigger point dry needling.

Approach This course is delivered in a blended learning fashion, combining online and on-site learning experiences to facilitate participant learning. An interactive and media-rich online precourse is provided to participants 30 days in advance of an intensive on-site laboratory training session. The online precourse uses a series of web-based video presentations, key evidence summaries and primary research articles to investigate the therapeutic effects, mechanisms, safety and legal issues involved with dry needling. A 2-day onsite lab intensive schedule is designed to satisfy the training requirements of your state practice act. All participants will receive hands-on demonstration and practice of selected TDN techniques targeted at soft tissue impairments in the lumbar spine and lower extremity. A heavy focus will be placed on the integration of TDN techniques into an overall treatment regimen that includes the use of manual interventions (manual and tool assisted soft tissue mobilization, joint mobilization/manipulation, and manual stretching) and exercise. The course will have a student to faculty ratio of no greater than 10:1. An online post-test and on-site skill assessment are used to reinforce course objectives and assess skill acquisition/competency. Successful completion of this course requires 80% or higher on post-test, skills assessment and attendance at each onsite day.  Target Audience: Intermediate level course open to licensed physical therapists.  Credits: 26 contact hours (8 online, 18 hours for 2-day on-site) from EIM Institute of Health Professions  EIM Program Applicability: This course may be used as constructive credit towards EIM’s Manual Therapy Certificate program.  Prerequisites: None  Appropriate dress: Participants are asked to bring appropriate attire for lab sessions (i.e. shorts and t-shirts and sports bras for women) and air-conditioned environments throughout the day (i.e. warm-up or work-out clothes).

Objectives Upon completing this course, you’ll be able to:  Discuss the ability and appropriateness of physical therapists in providing trigger point dry needling to patients with musculoskeletal disorders. Review the APTA, AAOMPT, and state board position statements regarding this intervention.  Review and define the concept of trigger points and their contribution to myofascial pain syndromes.  Compare and contrast the differences in acupuncture and dry needling in terms of eastern vs. western treatment philosophies, needling technique, and goals of intervention.  Discuss the evidence surrounding the proposed mechanisms of action, treatment effectiveness, and relative safety for TDN.  Perform and develop proficiency/competency in using safe and appropriate application of TDN on muscles of the lower quarter.  Demonstrate the appropriate integration of TDN into a comprehensive treatment plan for patients with lower extremity dysfunction that may include joint mobilization/manipulation, manual and tool assisted soft tissue mobilization, manual stretching, and therapeutic exercise.  Demonstrate appropriate safety precautions and articulate legal issues regarding TDN  Most importantly – be able to apply this stuff to your clinical practice next week!

CLICK HERE TO REGISTER FOR TRIGGER POINT DRY NEEDLING (licensed PTs only)

Kentucky Conclave Student Sessions Sessions “Getting Your License, Keeping Your License, and Losing Your License: Legal Aspects of the Kentucky Board of Physical Therapy,” Presented by Mark Brengelman, JD “Taking the Mystery out of Pelvic Floor Rehab,” Presented by Tracey LeGrand, PT, MPT and Heather Marra, PT, MPT “Functional and Fun: Practical Pediatric Therapy Interventions,” Presented by Sonia Young, PT, DPT, EdD and Karen Furgal, PT, DPT, PCS

Mark Brengelman, JD

Dr. James Escaloni, PT, OCS, Cert. MDT, Dip. Osteopractic

Dr. Karen Furgal, PT, DPT, PCS

Tracey LeGrand, PT, MPT

Heather Marra, PT, MPT

Dr. Ron Pavkovich, PT, DPT, Dip. Osteopractic, CIDN

Charlie Workman, PT, MBA

Dr. Sonia Young, PT, DPT, EdD

“An Introduction to Dry Needling,” Presented by Dr. James Escaloni, PT, OCS, Cert. MDT, Dip. Osteopractic and Dr. Ron Pavkovich, PT, DPT, Dip. Osteopractic, CIDN “How DO They Do That?: Secret Tech Weapons for Physical Therapy Students,” Presented by Beth Ziesenis “PT/PTA Personal Finance: Strategies for Surviving the Student Debt Squeeze,” Presented by Charlie Workman, PT, MBA

PTAs, PTA students and PTA Faculty are invited to join KPTA’s PTA Caucus Representative, Chris Garland, PTA, on September 11 from 6:00p.m.-7:00p.m. for a PTA Party. Part of the Kentucky Conclave festivities, the event will be held in Frazier Hall (Bellarmine University), just prior to the Kentucky Conclave opening reception. Be part of the discussion on issues affecting PTAs and how you can be involved. Appetizers provided. Stay for the opening reception and enjoy exhibits, awards, door prizes and much more. RSVP here.

Don’t miss out!

Register today!

Beth Ziesenis

KPTA Executive Director, Lisa Volz, Featured in Executive News KPTA’s Executive Director, Lisa Volz, was recently interviewed for the March/April 2015 edition of Executive News, the official publication of the Ohio Society of Association Executives. Lisa was interviewed for an article entitled “Cultivating Leaders: Break Through to Your Organization’s Future Leaders.” The article focused on innovative efforts associations are using to find and develop leaders. The article can be accessed here.

The Kentucky Physical Therapy Association was featured for its unique and creative efforts to groom leaders, starting when they’re students. Volz shares in the article about the benefits of grooming student leaders. She explains, “when you have students showing up for board meetings and going that extra mile, you can bet those students are your next leaders.”

By investing heavily in students, says Volz, the KPTA not only instills a sense of association ownership in younger professionals, but also ensures a continuum of involvement. “Starting students early is good because they can move from student leader to new professional leader to seasoned veteran to mentor. So we always have a cycle of people moving through the ranks to mentor the next generation.”

This is the second time Lisa has been featured in Executive News. She was first interviewed for the November/ December 2014 edition for an article: “What’s One Piece of Advice That’s Stuck With You Throughout Your Career?”

Lisa is a member of the Kentucky Society of Association Executives, the Ohio Society of Association Executives and the American Society of Association Executives. She is also an active member of APTA’s Council for Executive Personnel.

APTA Provides the Physical Therapist-Physical Therapist Assistant Tool Kit Physical therapists (PTs) and physical therapist assistants have long understood the value of the PTPTA relationship and how that relationship can be put to best use in patient and client care. Now there's a 1-stop source for explaining that value to others.

Recently, APTA unveiled The Physical Therapist–Physical Therapist Assistant Team: A Toolkit (.pdf), a 54-page epublication that touches on some of the most important elements of the PT-PTA relationship, from educational requirements to work with third-party payers.

Designed to serve as a resource "to share with payers, employers, patients and clients, and any other interested party," the toolkit is part primer, part compendium, with appendices that include sample appeal letters to payers, a list of minimum required skills of the PTA, and a problem-solving algorithm for the PTA. The toolkit is available free to APTA members, and joins a suite of APTA resources on PTA Patient Care and Supervision.

Volunteers Needed for Special Olympics FunFitness Screenings Physical Therapists, Physical Therapist Assistants and Students are needed for the Funfitness Screenings to be held June 6th 2015. The event, held in conjunction with the Kentucky Special Olympics Summer Games will take place at Alumni Coliseum, Eastern Kentucky University. To volunteer, contact Wendy Colley, PT, DPT. Type Funfitness in the subject line of the email and include your mailing address. Volunteers should arrive by 8:30a.m. (EDT) for orientation. For additional details, including directions, click here.

Volunteers and athletes from the 2014 Kentucky Special Olympics FunFitness Screenings enjoyed the festivities of the day.

KPTA-PAC Needs You When it comes to advocacy, chiropractors put their money where there mouth is.

The same can’t be said for physical therapists. The Kentucky Association of Chiropractors PAC (Political Action Campaign) is the hands-down winner compared to the Kentucky Physical Therapy Association PAC. In a comparison of the 2014 PAC records of each association, the Kentucky Association of Chiropractors spent over $14,000 on advocacy efforts compared to just over $3,000 by the Kentucky Physical Therapy Association PAC. In Kentucky, PACs are supported solely by personal donations. This means that chiropractors donated more than four times the amount to their PAC than physical therapists and physical therapist assistants donated to theirs. KPTA PAC funds are used to support advocacy efforts which will benefit the practice of physical therapy in Kentucky. If you would like to make a donation to the KPTA-PAC, click here. Because of Kentucky’s election laws, PACs may only accept personal donations (no corporate donations).

Billie Jean King Keynote Speaker at APTA NEXT Walk the red carpet to the NEXT Opening Event, featuring a keynote address by Billie Jean King, who in her illustrious tennis career won 39 of Grand Slam tennis titles, defeated Bobby Riggs in 1973's famous "Battle of the Sexes," and was named one of the "100 Most Important Americans of the 20th Century" by LIFE Magazine. A trailblazer throughout her life, King is a perfect fit for NEXT, which is defined by its innovative content and access to the physical therapy profession's forward thinkers. King was the first female athlete in any sport to earn $100,000 in a single season ($117,000 in 1971). She was the first female commissioner in professional sports (World TeamTennis in 1984). And she was the first female athlete to receive the Presidential Medal of Freedom (2009). King’s championship spirit stayed with her off the court as a leader in the fight for LGBT equality, as an advocate for those infected by or at risk for HIV/AIDS, and as a member of the President’s Council on Fitness, Sports and Nutrition.

Are You Getting the Attention You Deserve? If you enjoyed this edition of KPTA’s Newsletter, consider advertising in our next edition. Our newsletter is e-mailed to over 1,400 PTs, PTAs and students throughout the Commonwealth and is archived on our website, www.kpta.org. Our rates are:   

1/4 page ad (approximately 3 1/2" x 4 3/4") $50.00 1/2 page ad (approximately 7 1/2" x 4 3/4") $95.00 Full page ad (approximately 7 1/2" x 10") $175.00

Contact the KPTA office to make arrangements for your facility to be featured in our next edition, and get the attention you deserve!

Now Accepting Nominations for KPTA Awards DEADLINE FOR NOMINATIONS IS July 1st, 2015!

Awards will be presented at Kentucky Conclave Opening Reception Being held Friday, September 11 at 7:00pm at Bellarmine University’s Frazier Hall in Louisville.

There are many deserving PT and PTA professionals in our organization! Please consider taking a moment to nominate a co-worker or colleague who has exhibited outstanding leadership and service to our profession! (Nominees must currently be APTA/KPTA members). A history of award winners can be found here.

Awards: Donald H. Lange Lifetime Achievement Award The purpose of the award is to recognize the Physical Therapist who has exhibited outstanding leadership, innovation in practice, mentorship, and ongoing service to the profession of Physical Therapy. The award is named for Don Lange, PT. Mr. Lange practiced in Kentucky for many years. Not only was he an exceptional clinician and mentor of young physical therapists, he also was instrumental in the development of Kentucky’s practice act. Mr. Lange’s impact on the profession of Physical Therapy, the lives of all those he touched and his commitment to life-long learning and leadership is the foundation for this award.

Criteria: The award shall be based on the following.  Must be or have been a member in good standing of the APTA/KPTA.  Must have a commitment to life-long learning as evidenced throughout their career.  Must have exhibited mentoring to students and/or other PTs and PTAs, impacting on their professional lives.  Must have exhibited a pioneer spirit by promotion, cultivating and expanding the profession of Physical Therapy.  Be nominated by at least one letter of support evidencing the above criteria.

Outstanding Physical Therapist Outstanding Physical Therapist Assistant Richard V. McDougall “Fledgling” Award* Criteria: Nominations will be judged by the Awards committee on the following:

     

Contribution and Participation in the APTA/KPTA Clinical Expertise, Educational/Teaching Expertise or Administrative Expertise Commitment to Professional Development/Continuous Learning Community Service/Promotion of the profession Commitment and Support for Physical Therapy Research Be nominated by at least one letter of support evidencing the above criteria. *Fledgling Award nominees should have practiced for at least 2 years but not more than 5 years.

The David A. Pariser Exceptional Educator Award Criteria:  Nominees must be PTs or PTAs who have been actively engaged in teaching physical therapist students (entry or advanced level) or physical therapist assistant students in formal education for at least five years.  Nominees must be either clinical or academic educators. Nominees must have a faculty appointment of any rank (part-time or full-time) or receive compensation for their teaching responsibilities.  Teaching must occur in an academic setting within one or more accredited physical therapist or physical therapist assistant education programs, or advanced level programs for physical therapists, from which students earn an academic qualification.  Teaching solely as a component of continuing education does not constitute eligibility for this award.  Nominees must be KPTA Members. (continued next page)

Now Accepting Nominations for KPTA Awards (continued) The David A. Pariser Exceptional Educator Award (continued) The nominee must have demonstrated the following:  Exceptional teaching effectiveness in the academic setting;  Excellence as a role model for academic teaching for students, faculty, and clinicians.

Submission Requirements: The following documents must be submitted for candidate consideration:  Current curriculum vitae or resume of the nominee  A letter of nomination (from a KPTA student member) that specifically focuses on the strengths of the nominee in relation to the award criteria, not to exceed 2 pages  A letter of support not to exceed 2 pages, from a PT or PTA colleague from the nominee's institution.

SEND NOMINATIONS FOR DON LANGE, OUTSTANDING PT, PTA & FLEDGING AWARDS, & DAVID A. PARISER EXCEPTIONAL EDUCATOR AWARD TO: Sam Brown Awards Committee Chair ptmpts@windstream.net 68 Oak Tree Lane Monticello, KY 42633 Outstanding Clinical Educator Award Criteria:  Clinical Instructor for 3 years, averaging 1 student per year Nomination should be submitted with: letter of recommendation from a PT or PTA student whom the CI has supervised; one letter of recommendation from an ACCE in a KY PT/PTA program; nominee’s CV or resume (additional letters of support are not required, but may be submittedl) Submit CI nominations to kptaky@gmail.com.

NOMINATION FORMS FOR AWARDS CAN BE FOUND ON KPTA’S AWARDS WEBPAGE.

Appealing an Insurance Decision? Be sure to start the appeals process immediately by using the handy template found on APTA’s Private Insurance resource page. (scroll down to the bottom of the page and click on "Appeal Letter Outline").

Private Insurance Reimbursement Resources Take advantage of your APTA/KPTA member benefits by utilizing these great resources (member login required):  Adoption of MPPR by Nonfederal Payers  ERISA Claims Procedures  FAQ: Audits  FAQ: Claim Denials  Managed Care Contracting Toolkit  Silent Preferred Provider Organizations  Third Party Administrators: Utilization Management and Utilization Review

In addition, the Office of Inspector General (OIG) of the U.S. Department of Health and Human Services has made it clear, as indicated above, that there is a direct relationship between "steering" patients and higher costs to the Š2014 Elizabeth E. Hogue, Esq. All rights reserved.

There are several recent developments regarding patients' Medicare and Medicaid patients. The OIG continues to right to freedom of choice that providers, including hospi- take enforcement action related to violations of patients' right to freedom of choice for this reason. tal discharge planners/case managers, need to know about because they underscore the continuing importance It is also important to focus on the recent emphasis on of this right. engagement of patients in their care and consumer involvement in control over their care. Denial of patients' First, the South Shore Physician Hospital Organization (SSPHO) in South Weymouth, Massachusetts, has agreed right to freedom of choice is certainly inconsistent with to pay $1.77 million to settle allegations that it operated a the clear emphasis on this aspect of patient care. recruitment grant program through which it paid kickbacks to its physician members in exchange for referrals. Finally, patients' right to freedom of choice is a fundamenKickbacks were paid in the form of cash grants to doctors tal right that cannot be abridged consistent with the values of our society and culture. Imagine what it would who agreed to make referrals to SSPHO providers. Between 2001 and 2010, SSPHO allegedly approved 103 re- mean for the basic freedom to control healthcare, including the practitioners who provide it, if patients were no cruitment grants to 33 different physician groups. The longer free to choose. To bring this idea a little closer to grants were coupled with requests to grant recipients to home, think about what it would be like if someone told refer patients to participating providers, including South you that you must receive care from a provider who may, Shore Hospital. for example, have provided substandard care to you or The primary basis for this action, according to the Justice your family members in the past.

Department, was that the recruitment grant program limThe idea that it may be more appropriate to deny patients ited patients' choices of providers and ultimately led to higher healthcare costs. This enforcement action seems to the right to choose post-acute providers, as opposed to hospitals and physicians, is equally difficult to understand. be a clear affirmation of the importance of honoring paPatients may receive post-acute services on a relatively tients' right to freedom of providers from the point of long-term, intensive basis as opposed to services provided view of fraud and abuse compliance. by hospitals and physicians. From this point of view, it may In addition, the Medicare Payment Advisory Commission be even more important to preserve patients' right to freedom of choice of post-acute providers, as compared to (MedPAC) discussed the possibility of limiting patients' choices of post-acute providers in order to better control hospitals and physicians. costs during a meeting on October 10, 2014. This discusPatients' right to freedom of choice of providers is here to sion has led some in the healthcare industry to suggest that patients' choice of post-acute providers is "a thing of stay, as it should be! the past." These commentators suggest that it's not a matter of if, but how and when patients will be denied the right to freedom of choice of providers for post-acute services.

Update on Patients’ Right to Freedom of Choice

HOLD ON THERE! IT JUST AIN'T SO! First, any such action would require amendment or repeal of various federal statutes that guarantee the right of patients' to choose providers from whom they wish to receive services.

It would also require significant modifications to various regulations, such as Conditions of Participation (CoPs) for hospitals that govern discharge planning. A difficult process at best!

KPTA Payment Policy Committee Hosts Forum for Medicaid MCO Providers Always working on behalf of its mem-

bers, KPTA recently convened a Medicaid MCO Forum, bringing together representatives from ALL of Kentucky’s Medicaid MCO providers, including representatives from the Kentucky Department of Medicaid Services. The forum provided attendees with information on the efficacy of physical therapy in: avoiding surgery, treating low back pain, reducing hospital readmissions, etc. Attendees collaborated on solutions to problems within the Medicaid system and will share outcomes with members in the future.

Join us for PT3: 3rd Thursdays KPTA is encouraging each of our five districts to organize a monthly social event for PTs and PTAs called “PT3: 3rd Thursdays.” On the third Thursday of each month, join your colleagues for networking in a casual, laid-back atmosphere. Members and non-members welcome.

Please visit the calendar of KPTA’s website to check for an event in your district. Don’t see an event in your district? Consider organizing one! Contact Lisa Volz or Bryan James for details.