NYPTA 2019 January/February Newsletter

January/February, 2019 Volume M, NO. 25

Empire State Physical

Therapy

The O fficia l N e ws l et t e r o f t h e Ne w York Phy si cal The rapy A ssoci at io n , In c. oB

IN THIS ISSUE

NY State WC Board Releases Finalized Revision to the Medical Fee Schedule Cover Story (page 1, 3)

NYPTA Kicks Off 2019 Busier Than Ever President’s Letter (page 2, 9)

2019 - 2021 Slate of Officers

NY State WC Board Releases Finalized Revision to the Medical Fee Schedule

By Brendan Sullivan, PT, DPT, Chair of NYPTA's Opioid Alternative Task Force, Public Policy Committee Member

(page 4-7)

2018 Fall BOD Report (page 10-11)

Call for Poster & Platform Abstracts (page 12)

Member Spotlight: Marcia Spoto, PT, DC (page 13-14)

NYPTA SSIG 2019 Elected Officers and Representatives (page 15)

Awards Description & Nomination Form (page 16-17)

In May 2018 the New York State Workers' Compensation Board (WCB) announced plans to improve medical care to injured workers by enhancing the Medical Fee Schedule (MFS). NYPTA submitted comments to the Board, subsequent to their initial June release and revised proposal published in October. In September, NYPTA issued a press release rolling out the Injured Worker Opioid Alternative Initiative, which called for a change in the Workers’ Compensation System in New York. The release highlighted how the medical spending in New York’s WC system for highly addictive Schedule II medications, including opioids, averaged $62 million per year between 2012-2016, over $13 million more per year on average than on PT/OT services combined in that time. The press release garnered the attention of local newspapers and the Spectrum News-Capital Tonight political news program. Kelly Garceau, NYPTA Executive Director and myself appeared on the program to detail how our initiative could positively impact the lives of workers and save the WC system money by returning workers to gainful employment sooner with less reliance on opioid medications. In addition to these efforts, NYPTA members met with fellow stakeholders, lawmakers, and advocacy groups. These meetings resulted in letters of support being submitted encouraging the Board to incentivize conservative care physical therapy properly.

On December 26, 2018, the WCB released their final update to the MFS. In the document, the Board gave a summary of comments they received from stakeholders across the state. We are pleased to report that the finalized release of the MFS includes an increase commensurate with the education, training, and skill for the care provided continued on page 3

www.nypta.org

January/February, 2019 • Empire State Physical Therapy 1

Volume M, No.25 November/December, 2019

NYPTA Kicks Off 2019 Busier Than Ever

EM P II R E M P RE E

President’s letter

A L L PPHHY YS SI I CC A

S TS AT TAET E

T THHE ER A R PA YP Y

Volume XXXIX, No.(8), November/December, 2005

Publisher

The months of January and February have been described in different ways: January is the first month of the New Year when life slows down after the rush of the holiday season; February is the shortest month of the year; both months have cold, winter days with fewer hours of daylight than other seasons. None of these descriptions, however, correspond to what is happening in the NYPTA. Despite fewer hours of daylight and fewer days in the month, Chapter volunteer leaders and Office staff do not have fewer tasks to accomplish or issues to address on behalf of the membership.

This January has actually been a very busy time for Chapter committees and task forces. The Public Policy committee, in consultation with the Chapter lobbyist, has been gearing up for the new legislative session by seeking out new sponsors for the legislation approved by the Chapter BOD in the 2019 Legislative plan (available on the Chapter website). The Practice Act taskforce has also been working during January on their ongoing charge to develop an updated physical therapy Practice Act for NYS “My 2019 resolution is to continue to do my best that better reflects current practo support the work of the Chapter tice, with a goal of submitting volunteer leaders and staff” this updated language for Peggy approval during the next NYS legislative session.

Peggy Lynam, PT, DPT

Following the positive outcome of the Worker’s Compensation Board initiative (see cover story in this newsletter), the members of the Public Policy Committee, in collaboration with AIPT members, are working on developing strategies for how NYPTA can best address payment policies of commercial insurers that may negatively impact the intensity and quality of physical therapist services provided to these insurers’ beneficiaries. The newly created Opioid Alternative taskforce began its work which includes: •

Goals of building resources which will bolster the position of physical therapist services as an alternative to opioids.

•

Supporting Chapter legislative efforts related to co-pays and direct access with data and enhanced messaging strategies.

•

Developing collaborative relationships with other stakeholder groups, and developing resources for PT providers in contemporary pain science and guidance for treating patients with an opioid usage history.

January and February are also busy months in the area of NYPTA and APTA governance activities.

The Strategic Planning taskforce is continuing its work in developing a new Strategic Plan which will guide all Chapter priorities over the next five years. The Chapter BOD webinar meeting, scheduled for February 9, includes agenda items for updating Chapter policy and procedure manuals. This type of “nuts & bolts” task may seem very mundane but is important to keep the work of Chapter voluncontinued on page 9 2 Empire State Physical Therapy • January/February, 2019

New York Physical Therapy Association 971 Albany Shaker Road Latham, NY 12110 Phone: 518.459.4499 • Toll-Free: 800.459.4489 Fax: 518.459.8953 www.nypta.org

Editor / Designer Gloria Baker Empire State Physical Therapy is published 6 times yearly, with combined January/February, March/April, May/June, July/ August, September/October and November/December issues. Its purpose is to provide physical therapists, physical therapist assistants and physical therapist/physical therapist assistant students with accurate and timely information relevant to the practice of physical therapy. The editor reserves the right to edit all communications.

Anonymous letters will not be published. Views expressed are those of the author and do not represent the formal position of NYPTA unless expressly stated.

Editorial Board Catherine Talbett, PT, DPT Alanna Pokorski, PT, DPT

Advertisements

All advertisements in Empire State Physical Therapy must comply with the ethical standards of the APTA. Acceptance of advertisements in this publication does not imply endorsement.

Submission of Material for Publication Submissions should be sent via email to Gloria Baker, Editor, at gbaker@nypta.org. Submissions are subject to the discretion of the editorial board.

Subscriptions

NYPTA members automatically recei ve this publication.

Nonmember subscriptions are $100 (US) or $150 (non-US) annually.

This price includes sales tax, shipping and handling.

Deadlines Editorial and advertising deadlines are the first business day of the month prior to the month of publication.

Chapter Officers

President Vice President Treasurer Secretary Speaker Chief Delegate

Peggy Lynam, PT, DPT Michael Tisbe, PT, DPT Keri Gill-Smith, PT, DPT JJ Mowder-Tinney, PT, PhD Robert Streb, PT, PhD James Dunleavy, PT, DPT, MS

Chapter Directors Brooklyn/Staten Island Catskill Central Eastern Finger Lakes Greater New York Hudson Valley Long Island Southern Tier Western

Hammouda Soliman, PT, DPT Tylene Lizardi, PT, DPT, ATC Adam Rufa, PT, DPT Sarah Gardner, PT, DPT Andrew Bartlett, PT Cary Kandel, PT Nannette Hyland, PT, PhD Keith Perrucci, PT, Genevieve Smith, PT, DPT Jacob McPherson, PT, DPT

Chapter Office Staff

Executive Director Kelly Garceau

kgarceau@nypta.org Communications Manager Gloria Baker

gbaker@nypta.org

Membership Coordinator To Be Hired

Events/CE Coordinator Erin Stack

estack@nypta.org

Copyright 2018 by the New York Physical Therapy Association. Requests for reprints should be directed to Gloria Baker at NYPTA, 971 Albany Shaker Road, Latham, NY 12110.

www.nypta.org

NY State WC Board Releases Finalized Revision to the Medical Fee Schedule

By Brendan Sullivan, PT, DPT, Chair of NYPTA's Opioid Alternative Task Force, Public Policy Committee Member

by licensed physical therapists. Specifically, the modernized MFS has increased both the RVU cap and conversion factor used to determine reimbursement for initial evaluations, re-evaluations and follow up visits. Adoption of the new rates will begin on April 1, 2019. While the No-Fault system typically mirrors the MFS rates, implementation is expected 18 months following the April 1st adoption. The revision to the MFS is the first for physical therapy services since 1996. Since that time, physical therapists have not only moved to the doctoral degree but have demonstrated in the literature that conservative care for musculoskeletal injuries reduces cost, facilitates earlier return to work and decreases reliance on opioid medications.

The increase in fees for our services gives the profession the opportunity to care for injured workers in a personalized fashion where evidence-based care can be provided. This change is a seminal moment for New York physical therapists. A modernized MFS comes with great responsibility as it should result in improved clinical care, outcomes and tangible results for the WC system. A healthy workforce is good for the state’s economy, and we are tasked to provide high-quality rehabilitative care as the leading non-pharmacological treatment option for injuries sustained by workers.

This success is the direct result of the NYPTA’s strategic advocacy efforts. I want to take this time to commend the Chapter’s leadership and the Workers’ Comp Work Group which includes Peggy Lynam, PT, DPT and Michael Mattia, PT, DPT, MS, MHA current NYPTA President and past President, respectively, as well as Jake McPherson, PT, DPT, Public Policy Committee Chair. Equal recognition is deserved for the AIPT leadership, NYPTA lobbyist, Brian Lucey, VanSlyke Consulting and my fellow Public Policy Committee members, all of whom worked tirelessly over the past several months on this vital issue.

In the Board’s summary commentary, they noted opposition from insurance groups to changing the RVU cap. Explicitly, the Board stated they received over 600 letters from physical therapists urging them to move forward with this change as the status quo has encouraged volume-based care. Additionally, we were able to dissuade the Board from implementing a ground rule that would have limited physical therapy care to 12 visits/180 days for non-Medical Treatment Guideline claims.

Without membership’s engagement on the issue, this degree of success may not have been possible. I am personally grateful to advocacy groups including NY ASAP, Friends of Recovery, NYCOSH and Assembly members Fahy & McDonald who submitted comments to the Board supporting our position. Also, we should collectively acknowledge the WCB and its leadership team, as they have been diligent in their efforts to modernize the system, and we look forward to future opportunities to contribute and collaborate when asked. Finally, during this process, I spoke with leaders in labor and business who are fully engaged in the opioid epidemic issue. I appreciate the time they offered to us, the perspective they shared, and hope we can serve as good stewards in caring for injured workers.

The success of our campaign is a testament to PT advocacy in action and demonstrates that when our voice is unified, we can accomplish great things. Membership should feel empowered by this positive step and reassured that NYPTA leadership is working hard to encourage policies that move the profession forward. Advocacy that leads to meaningful change necessitates a sustained commitment over an extended duration. Our challenges ahead require a degree of resolve and engagement on every issue. Our successes can result in better care for patients, healthier communities and professional satisfaction. With Lobby Day set for Monday, May 6, 2019, I encourage readers to share this news with other members and non-members alike.

We are better together and must commit to making our path while seeking strategic partnerships with stakeholders aligned in our values and mission to transform society by creating strong, healthy communities.

All the best, Brendan Sullivan, PT, DPT Board Certified Clinical Specialist in Orthopaedic Physical Therapy

References http://www.wcb.ny.gov/content/main/wclaws/MedicalFeeSchedule/Summary-AssessmentMFS.pdf http://www.wcb.ny.gov/content/main/hcpp/FeeSchedules.jsp http://www.nycirb.org/index.php

www.nypta.org

January/February, 2019 • Empire State Physical Therapy 3

2019 - 2021 Slate of Officers

Treasurer

Kerri Gill-Smith, PT, DPT Certified Lymphedema Therapist-Lymphology Association of North America

NYPTA District: Catskill

Date of Membership in the Chapter: 1999

Education: BS/MS in Physical Therapy, Russell Sage College/Graduate School, 2001 DPT, A.T. Still University. Arizona School of Health Sciences, 2008 Present Employment: Lead physical therapist of Northern Dutchess Hospital, Rhinebeck, NY. Duties are split between outpatient orthopedics and outpatient lymphedema and oncology populations.

Activities Chapter: NYPTA Treasurer 2017-Present; Finance Committee Chair 2017-Present; Finance Committee Member 20152017; Delegate to HOD 2004-2018; Strategic Planning Task Force 2013-2014; Executive Director Search Committee; Task Force on Governance District: Catskill District Treasurer 2013-2017; Board of Directors - Catskill Director 2010-2013; Catskill District Chairperson 2005-2010; Catskill District Secretary 2003-2005; District Delegate to Delegate Assembly 2003-2007, 2009-2016 APTA: None What method of communication do you feel most effective, and to what level of detail should be communicated regarding the allocation of Chapter dollars to membership?

Communicating the value of membership remains one of the greatest challenges faced by the NYPTA. This applies not only to the area of finances, but also our communication strategies in general. As a member of the executive committee, I have seen up close the hard work and many victories won by the NYPTA. We have made great strides in our engagement of members, demonstrated by a steady rise in membership over last several years. However, demonstrating our value is an area where I feel we can, and must, continue to improve.

Individuals have varying preferences regarding their communication styles and communicating financial information is perhaps even more challenging. In my time as treasurer, I have sought to use a variety of methods to communicate with our leadership and membership. Blast emails are sent to all members informing them the proposed operating budget is available on the chapter website. The prior year’s actual and budget amounts are included for comparison. Hopefully, this speaks to those who are interested in the fine details and line by line analysis. Once the budget is passed, it is posted and published in the newsletter, and as treasurer I have highlighted important areas of note in bulleted lists. I hope this reaches those members who are more interested in the general concepts rather than having to analyze the details themselves.

Additionally, prior to the budget vote the treasurer provides a presentation to the board. I have used this opportunity to educate the board about our spending levels, reserve funds, general financial statements, and NYPTA policies that dictate certain funding levels. I have found a mix of charts, graphs and a sense of humor to be most effective in communicating this information.

4 Empire State Physical Therapy • January/February, 2019

www.nypta.org

2019 - 2021 Slate of Officers (continued)

Chief Delegate

Roger Herr, PT, MPA

NYPTA District: Greater NY

Date of Membership in the Chapter: 1987-2003, 2014-Present

Education: BS/PT Temple University, 1987 MPA New York University Wagner, 1993 Present Employment: VNSNY Home Care Agency Vice President overseeing Queens, Long Island and Westchester, NY, August 2018-Present.

Independence Care System (ICS) a health plan for people with disabilities, Vice President of Quality.

Activities Chapter: None District: None APTA: Secretary APTA BOD 2016-2019, APTA Board Member 2010-2016, President Home Health Section, Government Affairs Committee APTA, Chief Delegate Washington, 2009-2010 In order to encourage new delegate involvement at the House of Delegates, what measures would you put in place to encourage new delegate participation? What methods would you use to assist them in preparing for this role?

To encourage new delegate involvement, I will use some my strengths: bringing people together, identifying strengths of everyone, and provide resources and encouragement for each to serve the association.

Consistent resources to support communication and utilizing a combination of reading and call time, help us prepare for the few in person activities. I have experience bringing diverse people together in serving as APTA Secretary and Chief Delegate in WA, using web posting, regular calls and mentoring individuals myself and having a buddy system.

Buddy System: We must provide opportunity to link and build upon our knowledge of members who have served the chapter, association and profession, commonly done by buddy system. This can be intimidating, but newer delegates can learn the process, history, approach/strategy and perspectives each have. This is not just sitting next to in a meeting, but a person to contact for perspective, feedback and discuss any time during individual and delegation activities.

The Greater Good: We need to honor that we all want the best for the profession, yet we each see different practice, geographic and other perspectives. Some bring strategic and futuristic approach to our work, in thinking what/how motions will impact our future. Others may be reactive, to address what needs to change now. Both are important in deciding language for the profession and serving our members.

As Chief Delegate, I will use my strengths to support newer members’ integration with our experienced colleagues in our longstanding active and diverse delegation to serve both the chapter and profession.

www.nypta.org

January/February, 2019 • Empire State Physical Therapy 5

2019 - 2021 Slate of Officers (continued)

Nominating Committee Member

Nannette Hyland, PT

NYPTA District: Hudson Valley

Date of Membership in the Chapter: 1989

Education: PhD Health Science, Seton Hall University, 2009 MS in Physical Therapy, Springfield College, 1991 BS in Health Science, Springfield College, 1990 Present Employment: Associate Professor, Mercy College, DPT Program, Faculty 1/1997-9/2007; Program Director 9/2007-Present Physical Therapist, Helen Hayes Hospital, 7/1991 - 1/1997 Activities Chapter: Delegate to HOD 2012-2018; Member at Large on NYPTA EC 2017-Present; Marketing & Engagement Committee Member 2017-Present; Public Relations Committee Chair 2015-2017; Public Relation Committee Member 2014-2015; Strategic Planning Task force 2012; Research Task Force 2011 & 2012 District: HVD Chapter Director 2015-Present; Secretary 2011-2015; Delegate to NYS Delegate Assembly 2008-2018 APTA: ACAPT Leadership Oversight Committee Member 2016-Present; ACAPT Graduate Outcomes Task Force Member 2016 What methods would you utilize to encourage members to run for open positions with the Chapter?

A complete slate of qualified candidates is very important to maintain momentum and stability of our New York Chapter. To realize this goal, nominating committee members must understand what is required of each elected position and be proactive in identifying and mentoring individuals who are qualified to run for those positions. The challenging part is often identifying potential candidates.

Many individuals within the NYPTA membership are qualified for an officer position, however, often the unknown precludes them from even thinking of running. Reaching out to members that are serving at the district and committee level would be a place to start. Another avenue is former NY Student Core ambassadors, Directors interns and NYPTA members that have served in a specialty section. Being involved with the NYPTA in numerous ways, I know the various chapter positions well, which will help me mentor NYPTA members who may have an interest in serving in elected positions. Developing a relationship with individuals to understand their desires, strengths and skill sets will help to identify the best role for them. To help inform them further, holding an “open chat” with previous Chapter officers online (virtual town hall or Facebook live chat) could answer specific questions.

These are a few of the ideas that I have if I am elected to the nominating committee and I am excited about the opportunity to serve our Chapter in this role.

6 Empire State Physical Therapy • January/February, 2019

www.nypta.org

2019 - 2021 Slate of Officers (continued)

Nominating Committee Member

Tracy Sawyer, PT, DPT

NYPTA District: Eastern

Date of Membership in the Chapter: 1984

Education: BS/PT Ithaca College, 1985 DPT Boston University, 2006 Present Employment: Per diem physical therapist at Sunnyview Rehabiliation Hospital, a free standing inpatient and outpatient rehab facility. I work on all inpatient units (neuro, TBI, Med/Surg. Ortho, Cariopulmonary), outpatients, and perform wheelchair and seating evaluation for inpatients and outpatients. I have been filling this role for 5 years.

Activities Chapter: Chair Marketing & Engagement Committee (2018); Member Strategic Plan Task Force (2018); Vice President (5/2014 5/2018); Public Relations Committee Chair (2010-2014, 2004-2007); Delegate to Delegate Assembly x 15; Lobby Day; Delegate to House of Delegates x 9.

District: Secretary (1992-1996); Chair (1996-2002); Nominating Committee (2002); Vice Chair (2002-2009); Public Relations Committee Chair (2002-2009) APTA: Public Relations Strategic Planning Task Force (2007); Advisory Planel on Public Relations (2007-2010) Additional Information: NYPTA representative to Brain Injury Association of NY's Concussion Initiative Committee What methods would you utilize to encourage members to run for open position within the Chapter?

A first step in encouraging members to run for open positions within the Chapter, is to provide a clear description of the available positions, including duties and time commitments. This information should be easily available to all members, through multiple sources, (ie. website, email, social media, personal contact), and should include a method for contacting the Nominating Committee. Information and encouragement to run for open positions should also be provided by the Nominating Committee during Chapter and District meetings. The Nominating Committee must then consider various methods for reaching out to individual members, in order to find out their interest in the open positions, their thoughts and expectations, and any questions they may have.

With that personal contact and relationship established, the Nominating Committee then has multiple avenues for provision of encouragement, through methods that best suit the individual member’s needs. Individual encouragement might include assisting the member to understand how their unique experience, interests, and strengths are matched well with a Chapter position.

Providing communication opportunities between the individual member and others who have served in Chapter positions is an essential method of encouragement and information.

Inviting an interested member to attend Chapter meetings, (ie. Board of Directors, Delegate Assembly), will allow him/her to gather further information about the position and provide the opportunity for personal communication with the Chapter leadership.

Easily accessible information, along with establishment and maintenance of communication and relationships are essential components to encouraging future leadership in the Chapter.

www.nypta.org

January/February, 2019 • Empire State Physical Therapy 7

Maximize Your Membership NYPTA, with the help of the Retail Council, saves members money every day.

NYPTA members receive a free* terminal or mobile reader when they enroll in the credit card processing program

The Retail Council saves NYPTA members money on: Credit card processing Energy costs

Call the Retail Council to start saving today

Payroll processing Shipping costs

(800) 442-3589 (518) 465-3586

info@rcnys.com www.rcnys.com

*Limited time offer. Terms and conditions apply.

8 Empire State Physical Therapy • January/February, 2019

www.nypta.org

NYPTA Kicks Off 2019 Busier Than Ever (continued) teer leaders and staff as streamlined, but effective, as possible.

The Speaker of the Delegate Assembly, with the support of Chapter Office staff, is developing the agenda and background material for the 2019 Delegate Assembly (DA) which will be held on April 27.

During February, the Nominating Committee and the Vice Speaker of the Assembly (Vice President) select the student PT and Student PTA delegates for the 2019 DA. Also of interest to our student PT and PTA members is the activity of the Student Special Interest Group (SSIG). The newly elected SSIG officers began serving their terms of office on January 1.

In addition, NYPTA leaders have been involved with APTA governance activities during these first months of the year.

The Chief Delegate, Jim Dunleavy, and I represented NY Chapter members at the Component Leadership meetings held in Washington, D.C. during APTA’s Combined Sections Meeting (CSM). Our Chief Delegate has also kept the Chapter delegation to the APTA House of Delegates (HOD) engaged during January and February with work needed to develop motions from NY which will be submitted to the 2019 HOD in June and by reviewing other motions to be debated at the HOD. The proposed NY motions would charge the APTA to pursue mandatory inclusion of physical therapists in both the Medicare ”Initial Preventive Physical Examination” (IPPE) visit and the “Annual Wellness Visit”.

Finally, the beginning of the year is a time to make resolutions. My resolution, as President, is to continue to do my best to support the work of Chapter volunteer leaders and staff in our combined efforts to keep current with addressing the issues facing our profession here in NYS and on a national level, even during these cold, short winter days. As always, I welcome your feedback and comments in what ways we can improve our efforts on your behalf.

Best Regards,

Peggy

Upcoming NYPTA Events

Winter BOD Meeting Web-based February 9, 2019

Forum/Meeting April 26, 2019

EC/BOD Spring Meeting April 25-26, 2019

Delegate Assembly April 27, 2019 Lobby Day May 6, 2019

www.nypta.org

January/February, 2019 • Empire State Physical Therapy 9

2018 Fall BOD Report

by J..J. Mowder-Tinney, PT, PhD, Secretary

On October 18 and 19, 2018, the New York Physical Therapy Board of Directors (BOD) met in Schenectady, New York. Multiple motions passed at the meeting including: • Motion to approve the NYPTA 2019 Proposed Budget with three amendments. Two amendments included increasing the budget lines for both the APTA State Policy and Payment Forum and the New York Compensation Rating Board’s “State of the System” annual forum to fund two representatives instead of one for each event. The third amendment had a positive impact on the budget, as the strategic planning work group did not feel a facilitator would be needed for the 2019 Strategic Planning Process.

• Motion that the NYPTA Board of Directors submit a Bylaw amendment to the 2019 Delegate Assembly to allow the Student SIG to receive Chapter funds upon approval of the Chapter Board of Directors.

• Motion to approve the 2019 Legislative Plan. Outdated items were removed and current items modified to reflect the most recent actions by chapter leadership, Legislative and Payment committee, and the legislature.

• Motion to charge the EC to appoint a Strategic Planning (SP) Task Force that will be charged with developing a draft 2020-2025 Strategic Plan with reports to the Spring 2019 BOD meeting and 2019 DA. • Motion to charge the EC to develop a criteria and procedure for sponsorship of non-NYPTA activities/ events with a report to the Winter 2019 BOD meeting.

• Motion to create a taskforce to focus on the promotion of physical therapist services as an alternative to avoidable opioid use. Suggested name: NYPTA Opioid Alternative Taskforce. Taskforce to include members of Public Policy Committee, Marketing and Engagement Committee, Program committee, chapter lobbyist, and other members as deemed necessary. The taskforce will bring forth a report and recommendations to the Winter 2019 board of directors meeting.

• Motion to approve $1000 donation for the Rose Bowl Parade Float as per California chapter request to celebrate and promote the 100-year anniversary of APTA whose first meeting was held in New York.

Five motions involved updating procedural manuals or current policies.

• Motion to amend the Public Policy Procedure Manual Section B to fund two members from this committee to attend Chapter Board Meetings with the Committee Chairperson to provide as much content expertise as possible.

• Motion to amend the Chapter Policy Manual Section V to clarify the language so delegates are eligible to have the full cost of a cheaper room reimbursed. Given the total cap on their expenses, it is appropriate for delegates to have discretion in how funds are used.

• Motion to Amend the Chapter Policy Manual to adjust wording for funding for Special Projects to state the following: Special Projects, with a financial expenditure greater than $10,000, for which funds have not been budgeted, will not be initiated until the Finance Committee has made a recommendation to the Board of Directors on the impact of the expenditure of the funds.

• Motion to amend the Chapter Policy Manual Section V regarding registration of research presenters at Chapter conference to entitle platform presenters to receive 50% off the conference registration rate.

• Motion to amend the NYPTA Sponsorship Policy (BOD 05-18-06) by adding a new section to ensure compliance with the current policy.

10 Empire State Physical Therapy • January/February, 2019

www.nypta.org

2018 Fall BOD Report (continued)

by J..J. Mowder-Tinney, PT, PhD, Secretary

The generative discussion at this BOD meeting was extensive. There were many updates provided. The Public Policy Committee chair provided a workers compensation update discussing the updated fee schedule and the beneficial use of VanSlyke consulting during the discussions. The Strategic Planning workgroup updated the progress of developing a timeline for the formulation of the strategic plan and recommendations for the process. The PTA Chair discussed multiple ideas for celebrating the 50 years of service including a cocktail hour with a keynote during conference and 10K PT/PTA run. President reported out that the APTA initiative is to reach 10,000 PTA members in 2019 and is asking each Chapter to support this initiative.

Time was spent discussing the upcoming NYPTA conference. Recommendations were made for a variety of different speakers. The Leadership, Public Policy and Program committees proposed consideration of an advocacy workshop to be added to the conference. Extensive recommendations were made for potential formats for the advocacy workshop. In addition, concerns regarding the timing of conclaves and CEU events near the state conference were discussed as well as the timing of student SIG and Regional student conclaves. Recommended members review the NYPTA calendar when determining events for districts and conclaves. Finally, the Chief Delegate requested feedback on the Primary Care PT survey and the BOD provided input on various options for communication platforms.

The meeting was concluded with Good and Welfare.

Respectfully submitted by J.J. Mowder-Tinney PT, PhD

We follow the guidelines of the New Jersey State Board of Physical Therapy Examiners.

Motivations, Inc. is a NY State Board for Physical Therapy approved provider of continuing education. #408 Disability and Posture … Therapeutic Positioning Solutions for Function and Sleep

#110 Brian Hoke’s Practical Applications to Biomechanics of the Foot and Ankle

Weisman Children’s April 27, 2019

STAR Physical & Occupational Therapy July 20-21, 2019 New York, NY

-Tamara Kittelson-Aldred, MS, OTR/L

-Brian R. Hoke, DPT, SCS or David Volkringer, PT, MPT, OCS

Marlton, NJ

#329 Pediatric NDT Intensive Handling Techniques

#111: Brian Hoke’s Advanced Level Biomechanics of the Foot And Ankle (Prerequisite: Course #110)

-Gail Ritchie, OTR, C/NDT

-Brian R. Hoke, D.P.T., S.C.S

NYS Office for People with Developmental Disabilities May 2-3, 2019 West Seneca, NY

STAR Physical & Occupational Therapy Sept. 14-15, 2019 New York, NY

#385 Kinesio Taping® Advanced Techniques and Clinical Reasoning (Day 3 toward certification with Kinesio University)

#384 Kinesio Taping® (Day 1-2 toward Certification) -Patricia Martin, PT, CKTI

-Patricia W. Martin, P.T. CKTI

MOTION Sports Medicine - Midtown East March 23-24, 2019 New York City, NY

STAR Physical & Occupational Therapy June 1, 2019 New York, NY

For information visit: www.motivationsceu.com admin@motivationsceu.com www.nypta.org

January/February, 2019 • Empire State Physical Therapy 11

CALL FOR POSTER AND PLATFORM ABSTRACTS FOR THE 2019 NYPTA CONFERENCE IN SARATOGA SPRINGS, NY October 18 - 19, 2019 ABSTRACT SUBMISSION DEADLINE: JUNE 1, 2019 AT 12 MIDNIGHT Submission Procedure: • Each abstract should be submitted as an email attachment to research@nypta.org.

• The attached abstract should be a Microsoft Word document.

• The title of the file should include the last name of the primary author, preferred presentation format, and the conference year (i.e. Smith_Poster_2019.doc).

• 12 point Times New Roman font with 1-inch margins • Late submissions will not be accepted.

Submission Content: • Presenter Contact Information including name, email address, and phone number • TITLE • AUTHORS and AFFILIATIONS • CATEGORY of ABSTRACT: Clinical Research, Basic Science Research, Case Report • PRESENTATION PREFERENCE (Poster or Platform), and whether or not you would be willing to present in an alternate format (i.e. Poster if your preference was Platform).

For Clinical Research or Basic Science Research, the body of the abstract should include each of the following sections: BACKGROUND & PURPOSE, RESEARCH DESIGN, MATERIALS & METHODS, RESULTS, DISCUSSION, CONCLUSION, and CLINICAL RELEVANCE TO PHYSICAL THERAPY For Case Reports, the body of the abstract should include each of the following sections: BACKGROUND & PURPOSE, CASE DESCRIPTION, EXAMINATION & DIAGNOSIS, INTERVENTION, OUTCOMES, DISCUSSION, CONCLUSION and CLINICAL RELEVANCE TO PHYSICAL THERAPY The number of characters in the body of each abstract should not exceed 3,125 including spaces (Title, Author, and Affiliations, Category, and Presentation Preference are NOT included in the character count).

Review Process: Abstracts will be reviewed by the Research Committee without knowledge of authorship or affiliations. Members of the committee will evaluate all abstracts on the basis of scientific and clinical merit. The Presenter for the abstract submission will be notified about the status of their abstract at the Presenter Contact email address provided.

To obtain additional information about abstract submission, or to request guidance to develop an abstract for submission please contact a co-chairperson of the Research Committee (Michael Ross, PT DHS OCS: mross@daemen.edu or Gary Brooks, PT DrPH: brooksg@upstate.edu).

12 Empire State Physical Therapy • January/February, 2019

www.nypta.org

Member Spotlight: Marcia Spoto, PT, DC Board Certified Clinical Specialist in Orthopaedic Physical Therapy Owner: STAR Physical Therapy

How long have you been a member of the NYPTA? What is your best experience thus far?

I have been a member of the NYPTA since 1987. I first engaged actively with the organization as an insurance specialist. I had been serving locally on physical therapy committees for insurers and IPAs and developed experience in representing the profession to 3rd party payers and other groups. Most of my involvement with the NYPTA has been related to supporting the role of physical therapists as conservative musculoskeletal providers, as well as advocating for the independent practice of physical therapy. I have participated in lobby day many times throughout the years, and am currently the payment co-chair of the Public Policy committee.

The best experience that I have had thus far was working with NYPTA leadership on Worker’s Compensation payment reform. As many of our members know, WC reform has been very challenging for the profession in New York State. However, in 2018 a dedicated work group formed and pulled together in a synergistic way to advance important changes to the WC system, which will translate into better recognition of the value of PT services and improved care for injured workers.

Tell us a little about your background, and how your path led you to where you are in your career today.

What’s your favorite moment of your career so far?

The short version of the story is that I received my bachelor’s degree in physical therapy in 1979. My husband and I then moved to Iowa and pursued chiropractic degrees at Palmer College. We established a practice together, what is now STAR Physical Therapy, in Fairport, NY. After 15 years in practice, with a focus on spine care, I accepted a teaching position in the developing physical therapy program at Nazareth College of Rochester.

In the mid-90’s, I helped to establish an organization originally designated the Rochester Physical Therapy Alliance (RPTA). The thrust of this provider group was to represent the interests of independent PT practices in the region.

The RPTA has now become the PT First Alliance (PT1A) as it expanded to the Syracuse and Buffalo regions, and it has worked alongside the NYPTA, AIPT and other groups on practice issues.

At Nazareth College, my teaching responsibilities included musculoskeletal management, differential diagnosis and pain management. I retired from teaching in 2018. In addition to owning STAR, I also work with Excellus BC & BS, and have been a member of the faculty of their Spine Care Pathway program. In addition to serving on the Public Policy committee, I also serve on the Orthopaedic section practice committee.

What are some of the key opportunities and challenges facing the physical therapy profession?

Although one of the great tragedies of our time, bringing sadness to so many families and communities, the Opioid epidemic has elevated the subject of pain management and exposed our top-heavy approach to addressing pain in the US. We now know that the emphasis on pharmacologic interventions and other passive treatments for pain, and that looking at pain through a purely biologic lens, has contributed significantly to Opioid abuse and addiction. We also know that nonpharmacologic interventions, such as exercise and patient education, should be moved to the forefront of care. Physical therapists are positioned well to serve as front-line, first touch providers for musculoskeletal pain problems, and we are being recognized more and more for the value that we bring to the healthcare system. The challenge now is for the profession to move in the direction of population health, and to become more involved with healthcare policy-making.

www.nypta.org

January/February, 2019 • Empire State Physical Therapy 13

Member Spotlight (continued): Marcia Spoto, PT, DC Board Certified Clinical Specialist in Orthopaedic Physical Therapy Owner: STAR Physical Therapy

What advice would you give NYPTA members who are new to the profession?

New graduates should embrace their stewardship role as physical therapists. Here I mean both their obligations to the profession, and to the public at large. Advancing the profession involves hard work and advocacy. We also have a responsibility to the public to support the vision of the profession and to help ensure that people live quality lives. After all, movement function impacts almost every aspect of health.

What is a favorite tip you have that you could share with others in our industry?

View your career growth as an organic process, and be willing at times to see where it takes you. As important as it is to be goal-oriented, do not become constrained by your goals and look for opportunities. Be open-minded.

There are a lot of roads to travel.

What are you passionate about?

Doing everything in my power to advance the conservative approach to treating musculoskeletal conditions. I was struck in my own education by the void in primary care providers for orthopedic conditions in the US. Although Physiatrists are capable of serving this role, there simply are not enough of them. So we have Orthopedic Surgeons serving in that role. This contributes to our over-reliance on invasive, expensive treatments. Physical therapists are in the perfect position now to serve as primary care providers for musculoskeletal health, and there is growing evidence that we provide cost-effective care. But we need a cultural shift.

What else would you like your fellow NYPTA Members to know about you?

My husband John and I have 6 children and 4 grandchildren. Three of our children are involved with my practice, and my oldest daughter Kali is a physical therapist at STAR. Now that I am partially retired, I enjoy a regular yoga practice, running, hiking, and really any form of exercise. I love most spending time with our family.

What is your favorite app or social media outlet?

I spend a fair amount of time on twitter, and I do confess that I do like to check out Facebook regularly. I would really miss an awful lot of what is going on with my children and grandchildren if not for Facebook.

What is your guilty pleasure?

Watching Netflix with my husband, and not feeling guilty that we are almost empty nesters.

14 Empire State Physical Therapy • January/February, 2019

www.nypta.org

NYPTA SSIG ELECTED OFFICERS Term: January – December 2019

PRESIDENT Megan Sliski, Utica College, Class of 2020 VICE PRESIDENT James Nowak, Utica College, Class of 2021 SECRETARY Nicole Seward, Clarkson University, Class of 2020 TREASURER Brittany Wilbur, Stony Brook University, Class of 2020 COMMUNICATIONS CHAIR Susie Lunardi, New York University, Class of 2021 NOMINATING COMMITTEE CHAIR Eliza Ferrer, Long Island University, Class of 2019 ADVOCACY CHAIR Liping Li, Stony Brook University, Class of 2019 SPECIAL EVENTS CHAIR Marcos Tapia, New York University, Class of 2021 SERVICE CHAIR Elizabeth Healy, Hunter College, Class of 2021 BROOKLYN / STATEN ISLAND REGIONAL REPRESENTATIVE Diego Buen, College of Staten Island, Class of 2021 EAST CENTRAL REGIONAL REPRESENTATIVE Suzanne Kritz, Clarkson University, Class of 2020 MID CENTRAL REGIONAL REPRESENTATIVE Rebecca Maracich, Ithaca College, Class of 2021 GREATER NEW YORK REGIONAL REPRESENTATIVE Samantha Vargas, Columbia University, Class of 2020 WESTERN REGIONAL REPRESENTATIVE Bradley Vargo, Niagara County Community College, Class of 2019 LONG ISLAND REGIONAL REPRESENTATIVE Vacant HUDSON VALLEY REGIONAL REPRESENTATIVE Vacant

www.nypta.org

January/February, 2019 • Empire State Physical Therapy 15

AWARDS COMMITTEE SEEKS NOMINATIONS Any Chapter member or district may submit nominations. It is important that all nominations be well supported with information about the nominees’ activities that indicate their appropriateness for the award.

To be considered valid, all nominations must be submitted on the official form by March 29, 2019. Multiple entries may be submitted.

The following is a list of descriptions of NYPTA awards:

1. Dr. Marilyn Moffat Distinguished Service Award. This award recognizes an NYPTA member who has made an outstanding contribution to physical therapy. The recipient will have demonstrated consistent service to the development of the physical therapy profession, beyond that which is inherent in being a member of the profession. This commitment of service is demonstrated by contributions to the profession in the following areas: 1. The profession of physical therapy in any of the following areas: a. Education. The recipient has fostered the development of quality learning experiences that promote sustaining and improving the physical therapy profession, including teaching in areas such as academic, in-service or continuing education; development and implementation of teaching methods; administration of a PT program. b. Clinical research. The recipient has initiated or participated in laboratory and/or clinical research that has promoted the development of the physical therapy profession and has published or disseminated the results of such research. c. Service. The recipient has demonstrated service to the profession in patient care, consultation, administration or education as a liaison to other health care organizations and/or committees.

2. The APTA or its components: The recipient has promoted the organization and its goals.

3. Community: The recipient has demonstrated involvement in organizations such as service organizations; local, state or federal government in an elected or voluntary capacity.

2. NYPTA Lifetime Service Award. The recipient shall have demonstrated a commitment to the profession of physical therapy by serving NYPTA: 1. Throughout their physical therapy career on an ongoing, consistent basis.

2. Through service primarily to the Chapter in any elected or appointed capacity but may also include District or National activities.

3. By providing contributions that are worthy of mention and which will be judged on the basis of results and not merely the duration or continuity of that service.

Chapter Award General Criteria: 1. Candidates must be members in good standing of the APTA and may be nominated by any member of the New York Chapter. However, candidates for the New York Chapter Appreciation Award need not be APTA members.

2. Nominations must be submitted on the official form found on the next page.

3. Unsupported nominations will not be considered.

4. A committee appointed by the Board of Directors will consider all nominations and choose recipients.

5. Recipients of the Dr. Marilyn Moffat Distinguished Service, New York Chapter Appreciation, Public Relations and Merit Awards will be notified two weeks prior to the Delegate Assembly to ensure their presence during the presentation of awards.

6. All awards will not necessarily be presented each year.

16 Empire State Physical Therapy • January/February, 2019

3. Leslie J. Wood Outstanding Service to Chapter Award. The recipient will have made outstanding contributions to the New York Chapter in promoting the organization and its goals.

4. Merit Award. The recipient will have made meritorious contributions in one of the following capacities: as a member of the Chapter Board of Directors, as a task force or committee Chairperson, or by committing time and resources to the Chapter and the profession.

5. Doreen Frank Legislative Award. The nominee shall have demonstrated consistent, outstanding participation in the legislative arena by promoting initiatives that preserve, protect and advance the practice of physical therapy in NYS. Activities shall include the following: a) attendance at Lobby Day b) interaction with legislators re: current legislative issues c) promotion of and participation in PAC activities d) involvement in legislative activities on a district and/or chapter level.

6. Public Relations Award. The recipient will have fostered public awareness of the profession of physical therapy through utilization of the media, community activities, special events or promotion of PT Month, etc. Nominations may be submitted for Districts, individuals, facilities or schools, and must be substantiated by written information, photographs, brochures/printed materials or copies of articles, etc.

Activities of Chapter committees are not eligible for consideration.

7. New York Chapter Appreciation Award. This award is not limited to physical therapists or APTA members. The individual will have fostered the ideas and/or ethics of physical therapy through service to the New York Chapter or the profession.

8. Outstanding Service to District Award. The recipient will have made outstanding contributions to a district.

9. Leadership Development Award. Recipients of this award should exemplify the spirit of leadership development within the profession through, but not limited to, the following: a) Participation or promotion of mentor/protégée relationships; b) Participation or promotion of attendance at the Leadership Development Workshop, Delegate Assembly, Lobby Day or other association leadership activities; c) Creation and implementation of innovative ideas for developing leaders within the profession; c) Creation and implementation of methods to keep the spirit of leadership alive throughout the professional life cycle.

The following outlines further specifications for this particular award: a) Nominations may be submitted for Districts, individuals, facilities or academic programs; b) Nominees should be Chapter members; in the case of facilities or academic programs, the individual spearheading the effort should be a chapter member; c) Nominations must be substantiated by written information including data collected regarding numbers of individuals affected by the leadership efforts; d) Members of the Chapter Leadership Committee are not eligible for this award while in office.

www.nypta.org

NYPTA Awards Nomination Form All portions of this form must be completed for the nomination to be valid. The form may be photocopied to accommodate multiple entries. Please send this form to the Chapter office: NYPTA / 971 Albany Shaker Road / Latham, NY 12110 Attn: Awards Committee.

• • • Deadline for submitting nominations: March 29, 2019. • • • Please print or type Nominee’s name: ____________________________________________________________________ District: ____________________________________________________________________________ Award:

        

Dr. Marilyn Moffat Distinguished Service Award NYPTA Lifetime Service Award Leslie J. Wood Outstanding Service to Chapter Award Merit Award Doreen Frank Legislative Award Public Relations Award New York Chapter Appreciation Award Outstanding Service to District Award (only one individual to be submitted by each district) Leadership Development Award

Association activities: These include elected or appointed positions at the national, chapter and/or district levels, and involvement in committees, task forces, etc. Please provide as much information as possible, including dates. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ How do the candidate’s contributions affect eligibility for the award?

Please be specific. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ (For Public Relations Award only) Please describe activity in detail and submit materials as specified in award criteria: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Nominations submitted by: (individual, committee, board member, district)

_____________________________________________________________________________

www.nypta.org

January/February, 2019 • Empire State Physical Therapy 17

News & Announcements

2018 Golden Goniometer Winner Congratulations to the Southern Tier District for winning the 2018 Golden Goniometer Award!

NYPTA dues may be tax deductible.

Below is the portion of your dues that is not deductible as an ordinary and necessary expense to the extent that APTA and NYPTA engage in Lobbying: The non-deductible portion of your Chapter dues is 12% The non-deductible portion of your National dues is 21% Upcoming Events Winter BOD Meeting Web-based February 9, 2019 EC/BOD Spring Meeting April 25-26, 2019 Forum/Meeting April 26, 2019 Delegate Assembly April 27, 2019 Lobby Day May 6, 2019

Connect with us on Social Media! to Competent Professional Services Professional misconduct and unlicensed practice of the professions are against the law!

To report suspected cases of professional misconduct or unlicensed practice of the professions, call 800-442-8106 or email conduct@mail.nysed.gov.

18 Empire State Physical Therapy • January/February, 2019

(Click buttons to view)

There’s no better way to: • Communicate • Engage • Share information

www.nypta.org

Find my courses online at

the all-in-one solution for professional development and patient engagement.  Earn all of your CEUs online  Keep patients engaged with their care  Improve adherence and outcomes

www.medbridgeeducation.com/pt www.nypta.org

January/February, 2019 • Empire State Physical Therapy 19

MedBridge for Physical Therapists Continuing Education

Patient Education

Home Exercise Programs

Advance your career with 500+ accredited web-based courses with Chad Cook, Jay Dicharry, J.J. MowderTinney, and many more.

Empower patients to take ownership of their recovery with 3D model videos and handouts customizable for all levels of health literacy.

Choose from 5,000+ videobased exercises for easyto-use HEPs that improve adherence and help your patients get better faster.

Annual Plans Starting at Only $200/year!

Save $175 when you join MedBridge today.

20 Empire State Physical Therapy • January/February, 2019

www.nypta.org

Teladoc

Stay healthy throughout the year.

Not feeling well?

Give Teladoc a call. room when they Who wants to to sit sit in inan anER ERororurgent urgentcare carewaiting waiting room when are feeling sick?

Teladoc board-certi ed doctors available feeling sick?

Teladoc U.S.U.S. board-certi ed doctors are are available 24/7/365 to provide quality for many of your medical 24/7 to provide quality care care for many of your non-emergency Sponsored by conditions.

You don’t even need toneed leavetowork home. medical conditions.

You don’t even leaveorwork or home.

Request a consultation today!

ER OR URGENT CARE



Drive to the nearest ofce while sick

TELADOC

Quality care for conditions like:

Request a consultation from work or home

• • • • • • •

Cold and u symptoms Bronchitis Respiratory infection Sinus problems Allergies Urinary tract infection And more!

A Teladoc Story

16 Wait hours before seeing a doctor

A doctor calls you back in 16 minutes, on average

$  Pay high ER and urgent care fees

per Teladoc consultation

“I recently subscribed to Teladoc and I love the service, in the last month I have used the program and in all three cases had a call back in less than 20 minutes and was able to get a prescription at the local pharmacy. By using my pharmacy discount card I was also able to save 40% off one of the prescriptions. In just the rst month I was able to save over $350.00...

Thank you for helping me save money!”

-- Clinton

This plan is NOT insurance.The plan is not insurance coverage and does not meet the minimum creditable coverage requirements under the Affordable Care Act or Massachusetts M.G.L. c. 111M and 956 CMR 5.00. This discount card program contains a 30 day cancellation period. Discount Medical Plan Organization: New Benets, Ltd., Attn: Compliance Department, PO Box 671309 Dallas, TX 75367-1309, 800.800.7616. © 2015 Teladoc, Inc. All rights reserved. Teladoc and the Teladoc logo are registered trademarks of Teladoc, Inc. and may not be used without written permission. Teladoc does not replace the primary care physician. Teladoc does not guarantee that a prescription will be written. Teladoc operates subject to state regulation and may not be available in certain states. Consults are not available outside of the U.S. Teladoc does not prescribe DEA controlled substances, non-therapeutic drugs and certain other drugs which may be harmful because of their potential for abuse. Teladoc physicians reserve the right to deny care for potential misuse of services. Teladoc phone consultations are available 24 hours, 7 days a week while video consultations are available during the hours of 7am to 9pm, 7 days a week.

www.nypta.org

January/February, 2019 • Empire State Physical Therapy 21

Teladoc

Stay healthy throughout the year.

SET UP YOUR TELADOC ACCOUNT NOW! Sponsored by

HAVE 24/7 ACCESS TO A DOCTOR OVER THE PHONE, WHEN AND WHERE YOU NEED IT.

1 2 3

Visit teladoc.com/feelbetter

Enter your name, date of birth and Member # (exactly as printed on your card/booklet)

Click Set Up Account

WHEN TO USE TELADOC •

Cold and u symptoms

•

Bronchitis

•

Respiratory infection

•

Sinus problems

•

Allergies

•

Urinary Tract Infection

•

Pink eye

COMPLETE YOUR MEDICAL HISTORY DISCLOSURE (MHD)

1 2 3 4 5 6

Complete all elds on the Personal Information page Create My Login Information Enter your medical history Click Continue on the Billing Information page ($0 for you)

Follow the instructions to review and conrm Click My Medical History to add more medical info & My Family to add dependents

If you have any issues, please call 1.855.VIP.DOCS (1.855.847.3627).

Now you’re ready!

When you need to request a doctor consult, call the Teladoc number above or visit teladoc.com/feelbetter.

This plan is NOT insurance.The plan is not insurance coverage and does not meet the minimum creditable coverage requirements under the Affordable Care Act or Massachusetts M.G.L. c. 111M and 956 CMR 5.00. This discount card program contains a 30 day cancellation period. Discount Medical Plan Organization: New Benets, Ltd., Attn: Compliance Department, PO Box 671309 Dallas, TX 75367-1309, 800.800.7616. © 2015 Teladoc, Inc. All rights reserved. Teladoc and the Teladoc logo are registered trademarks of Teladoc, Inc. and may not be used without written permission. Teladoc does not replace the primary care physician. Teladoc does not guarantee that a prescription will be written. Teladoc operates subject to state regulation and may not be available in certain states. Consults are not available outside of the U.S. Teladoc does not prescribe DEA controlled substances, non-therapeutic drugs and certain other drugs which may be harmful because of their potential for abuse. Teladoc physicians reserve the right to deny care for potential misuse of services. Teladoc phone consultations are available 24 hours, 7 days a week while video consultations are available during the hours of 7am to 9pm, 7 days a week.

22 Empire State Physical Therapy • January/February, 2019

www.nypta.org

New York Physical Therapy Association A Chapter of the American Physical Therapy Association 971 Albany Shaker Road Latham, NY 12110

www.nypta.org

January/February, 2019 • Empire State Physical Therapy 23