In addition to PT services provided at the Lock Street location, the contract allows YHP members to seek physical therapy in other PTSMC clinics that may be more convenient for them and their families.
THE PTSMC &
Early in the pandemic, the CEO of Connecticut Orthopaedics reached out to let me know their organization would not be renewing their PT contract with Yale Health Plan. This is someone I have had a long positive relationship with. Who knew it would lead to PTSMC entering into an agreement with Yale Health Plan (YHP) to be the exclusive physical therapy provider to the plan’s 60,000 members on September 1, 2020? YHP is a captive health plan for Yale University employees, which means the only people eligible to participate in the plan are Yale students, faculty members and university employees and their families.
By Melissa Boutagy, Clinical Compliance O cer
ADP Has a New Look Wellness Program #GetMoving Fall Dates Exercise & Mental Health Employee Spotlight Jenna Bou ard, Watertown Athletic Trainer for Watertown High School
Clinician’sISSUETHISINCornerby
When PTSMC entered the three-year contract, we knew part of our responsibility would be to sta the “Lock Street” location. The Lock Street building is the Yale University Health Center. Almost every medical specialty is represented in the building and nearly all sta in the building are employees of the Yale Health Plan.
Theresa Nolan Customer Service RepresentativeLock Street Theresa started working at Lock Street in April 2022. Outside of work, she enjoys spending time in her backyard oasis with her husband, three kids and dog, traveling and coaching gymnastics.
“The skills and professionalism they present as a team is nothing short of impressive as are the results of their treatment modalities. I have had excellent results from their stewardship during my recovery and would beyond a doubt highly recommend their services.” - New Milford
The PTSMC team providing care at Lock Street is led by clinic Director, Danielle Butsch. Her clinical sta includes Kailey Hanks, Shradha Rana, Natalie Swanson, Emily Searle and Vincent Lui (current Traveler with PTSMC). Only YHP members can be cared for at this location. Being on-site in a Yale Health building requires the sta to follow Yale Health guidelines and procedures. Our Lock Street sta does a phenomenal job of representing the PTSMC way, every day delivering on our Mission and PT for Life culture! This unique contract created the need to build a patient services team to support the clinical sta and manage the physical therapy referrals to Lock Street, other PTSMC clinics and providers outside of our service area.
The clinical and administrative crew have helped place YHP members in all PTSMC locations. In 2021, we treated 3,295 new YHP patients resulting in 35,237 visits at PTSMC clinics. As important as the numbers, we also receive incredibly positive feedback from Yale Health sta , referring physicians and patients. Consistently, we hear that we are providing a much higher level of care and service than the previous contracted providers. The NPS scores for the Lock Street team are consistently in the 90s, keeping them on pace with other PTSMC locations. By delivering unmatched experiences YHP members are very pleased with the physical therapy and customer service PTSMC is providing. This has truly turned out to be a win-win situation for all involved Asparties.wehave continued to deliver high quality services, we were recently asked by the Yale community to provide additional services. Dr. Stephanie Arlis-Mayor the Yale University team physician requested that Rick Purdy, our concussion and vestibular guru, provide some on-site care to the Yale University student athletes. Rick will begin this fall to treat Yale’s post-concussion student athletes.
“Sean (Doenias) was so awesome to work with. He was kind, friendly and most of all, knowledgeable. He made the therapy fun and the results were fantastic. Sean is the #1 reason I would be back (if needed) and would recommend PTSMC, but the rest of the sta was amazing, as well. All in all, everything exceeded my expectations. Thanks, Sean!” - Newington
“Spencer (LeBel) has been a true asset in my sports injury recovery. I look forward to each session and have con dence that he has me on a safe path to recovery. I would recommend Spencer to any of my running friends.” - West Hartford
This Yale Health contract has been a great opportunity for PTSMC. It is another example that when we deliver on our mission of unmatched experiences, clinical excellence and lifelong relationships good things will happen. My thanks to everyone who makes it happen!
HR Buzz Three Enhancements to Bene ts
“MyWestbrooktherapist, Andrew (Perazella), is incredibly knowledgeable, and addresses peripheral issues as well as my major problems. He listens carefully to what I say, and always takes it into account. He is more than willing to go over a di cult exercise multiple times/ses sions until I get it right.” - New Haven
AlanThanks,
Julianne Balavender Customer Service Representative - YHP Julianne started working at PTSMC in 2019 as an O ce Assistant in Admin and then started with YHP in Spring 2021. Outside of work, Julianne is a proud dog mom (@calliewallieboo on Instagram) and dance coach. She loves traveling, cooking, and spending time with family. Christine Hill Yale Health Referral Coordinator Christine previously worked for Temple PT for 18 years, 10 of which were spent on the Yale Health contract. In 2020, she transitioned to PTSMC in the same role easily “with an amazing support system.” She has two tween girls who keep her busy with eld hockey and softball. Her hobbies include pilates, barre, yoga, stand-up paddleboarding, traveling, and enjoying her husband’s cooking.
By Kristen Forster, Director of Operations Adding Pronouns to Your Email Signature
SEPTEMBER 2022
Alex Gauthier, Essex Physical Therapist
By Marilex Santiago, Administrative Coordinator “Everyone at PTSMC was great. They were very welcoming and made me feel comfortable right away. The treatment helped to ease my pain and they taught me how to continue to exercise to keep the pain at a minimum. I am very grateful.”
When we entered this agreement, we had a good understanding of the history at the Lock Street clinic, including years of data related to new patient volume, visits and sta ng. What we didn’t fully appreciate was the enormity of referrals that would ultimately bene t other PTSMC locations surrounding the New Haven area and beyond.
MEET PTSMC’S YHP CUSTOMER SERVICE TEAM!
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The Extra Mile: A Texting Solution Has Arrived!
Thankfully for PTSMC, Christine Hill, who managed the referral process with the previous contracted organization, joined PTSMC when we took over the contract. Christine was critical in our ability to transition the PT services from the previous providers to PTSMC and she continues to be key to the ongoing success of this contract. Her long-standing relationships with Yale Health sta and her unrivaled work ethic are extremely valuable to PTSMC. Given the considerable work load she inherited, Christine leads a team that includes Julianne Balavender, Grace Burke and Theresa Nolan. Together, they help manage, schedule and communicate with the 3,000+ PT new patient referrals we receive annually from the YHP.
YHP JOURNEY...
Partial Meniscectomy vs Conservative Care Authorization Tip Sheet
Grace Burke Customer Service Representative - YHP Grace joined PTSMC in April 2022. Years ago she worked with YHP referrals with Christine Hill! She enjoys time with friends & family, especially her 4 grandchildren. She enjoys reading, arts & crafts, crossword, jigsaw puzzles, and traveling.








For my caseload, the majority of patients undergoing arthroscopic partial meniscectomies are middle-aged adults with insidious/degenerative onset of symptoms. Many orthopedic surgeons suggest that APMs are valuable for patients with mechanical symptoms and meniscal tears (Krych). These surgeries are typically associated with a transient increase in pain and reduced functional abilities for 2-12 weeks post-operatively (Roos; Phil). However, a growing evidence base has begun to question the risks and bene ts of this procedure, with long-term data suggesting minor- to-no advantage when compared to sham surgery and other conservative approaches (e.g., physical therapy).
Partial Meniscectomy vs Conservative Care
Introduction Over my rst year of clinical practice, I have had the opportunity to work with many patients rehabilitating from meniscal lesions. The vast majority of these patients were referred to our practice for orthopedic aftercare following surgical intervention. Most of these patients were satis ed with the recovery process and able to return to their previous level of function. However, a few cases of partial meniscectomy stand out to me, given their persistent symptoms and functional limitations. Based on discussions with these patients, most of their frustration stems from unclear expectations regarding the long-term outcomes of their procedure. Therefore, my literature review focused on studies that compared arthroscopic partial meniscectomy (APM) to non-surgical interventions in order provide clear guidance to patients considering APM and those I see for the rst time post-operatively.
For my patients who have already undergone APM, my education focuses on de-escalating fears regarding persistent symptoms or limitations by posing conservative solutions for achieving functional progress and slowing joint health deterioration. When appropriate, I ensure that we discuss the role of joint replacement surgery and help patients create a plan to delay, avoid, or pursue further orthopedic interventions based on their values and lifestyle. For patients considering APM, I attempt to focus on the big picture, explaining the potential short-term bene ts (e.g., small bene t to pain and function) and costs (e.g., risks, weight-bearing progression, and arthroscopy recovery timeline) alongside the limited long-term bene ts. Given our luxury of time with our patients relative to most providers, we hold a unique position to foster patient understanding, provide unmatched healthcare experiences, and thus promote the lifelong relationships we strive to build.
5. Krych A, Carey J, Marx R, et al. Does arthroscopic knee surgery work? Arthroscopy 2014;30:544–5. 10.1016/j.arthro.2014.02.012. 6. Roos EM, Roos HP, Ryd L, et al.. Substantial disability 3 months after arthroscopic partial meniscectomy: a prospective study of patient-relevant outcomes. Arthroscopy 2000;16:619–26. 10.1053/jars.2000.4818
16. Gau n H, Sonesson S, Meunier A, et al.. Knee arthroscopic surgery in middle-aged patients with meniscal symptoms: a 3-year follow-up of a prospective, randomized study. American Journal of Sports Medicine. 2017;45:2077–84. 10.1177/0363546517701431
1.ReferencesSherman S., DiPaolo Z., Ray T., et al. Meniscus injuries: a review of rehabilitation and return to play. Clinical Sports Medicine, 2020 Jan; 39(1): doi: 2.10.1016/j.csm.2019.08.004GecelterR.,IlyaguyevaY., Thompson N. The menisci are not shock absorbers: A biomechanical and comparative perspective.
17. Skou S., Holmich P., Lind., er al. Early surgery or exercise and education for meniscal tears in young adults. The New England Journal of Medicine. 2022 Jan; 1(2): doi: 10.1056/EVIDoa2100038
Arthroscopic Partial Meniscectomy
The presence of mechanical symptoms is often used as validation for arthroscopy (Krych 2014). Importantly, middle-aged and older patients with mechanical symptoms are poor candidates for arthroscopy (Sihoven 2020, Kirkley 2008, Gau n 2017). APM is indicated for patients with a true locked knee (i.e., inability to extend the knee fully) caused by certain types of meniscal lesions (e.g., bucket-handle tear) (Sihoven 2020). Patients with a true locked knee represented a small subset of middle-aged and older patients undergoing arthroscopy in 2005-2011 (Abrams). The process of integrating the evidence base into clinical practice is notoriously slow, especially when it challenges standard practice. The data for the acute meniscal lesion in young adults is less robust. A study performed by Skou and colleagues in 2022 examined 121 adults aged 18 to 40 (mean age: 30) with symptomatic meniscal tears con rmed via MRI. Participants were allocated to receive either arthroscopy (partial resection or repair) or 12 weeks of 2x weekly physical therapy. Both groups saw clinically signi cant improvements, however, early surgery was not shown to be superior to exercise and education. Participants within the surgical group saw greater improvements in function/KOOS score (19.2 vs 16.4) and a greater percentage of patients improved KOOS score by 20% or more (76% vs 64%) and 50% or more (57% vs 38%). Within the follow-up timeframe, 26% of participants crossed over from the exercise group to surgery, meaning 74% of participants in the exercise group achieved a desirable outcome. Although the study results point to a slight advantage in outcomes favoring surgery over conservative care, none of the primary or secondary outcomes examined reached a point of statistical signi cance. Therefore, exercise therapy (with the option of later surgery) may be a viable rst line of care in cases of meniscal pathology when range of motion is well preserved.
CLINICIAN’S CORNER
For more than two decades, observational data has indicated that meniscal lesions and APM serve as strong risk factors for developing tibiofemoral osteoarthritis (Englund 2009, and 2003). An 18-month follow-up analysis of the Meniscal Tear in Osteoarthritis Research trial demonstrated that progression of osteoarthritis per MRI analysis was ~30% more common, with more signi cant deterioration, for patients who underwent APM vs exercise therapy (n=225) (Collins 2020). A following 5-year follow-up demonstrated an increased 2x risk (95% CI 0.8 to 4.9) of subsequent total knee replacements for patients who underwent APM relative to exercise therapy without di erence in knee pain or function (n=351) (Kats 2020). The Finnish Degenerative Meniscus Lesion Study (FIDELITY) (Shivonen) was able to control for the selection bias associated with observational studies by conducting a randomized, placebo-surgery control e cacy trial. In this study, patients with meniscal lesions con rmed via diagnostic arthroscopy were randomized to either APM or sham surgery. After analysis of the 5 year follow-up data, Shivonen and colleagues concluded that APM is associated with potential harm given slight increase in the risk for development of osteoarthritis without signi cant bene t to pain, other symptoms, or Infunction.2017Brignardello-Petersen and colleagues published a systematic review that examined the e ects and complications of arthroscopic surgery compared with conservative management strategies in patients with degenerative knee disease (Brignardell-Petersen 2017). They reviewed 13 randomized controlled trials and 12 observational studies to reveal high certainty evidence that knee arthroscopy provides a very small reduction in pain up to 3 months and very small- to-no pain reduction up to 2 years post-operatively compared with conservative management. The team also reported moderate-certainty evidence that knee arthroscopy provides very small improvement in short term function and very small- to-no improvement in function up to 2 years post-op. This research helped to inform the 2018 Rapid Recommendation from the British Journal of Sports Medicine in which a strong recommendation against the use of arthroscopy in nearly all patients with degenerative knee disease (Siemieniuk).
By: Alex Gauther, PT, DPT, ATC Essex Physical Therapist
8. Englund M, Guermazi A, Roemer F, et al. Meniscal tear in knees without surgery and the development of radiographic osteoarthritis among middle-aged and elderly persons: The Multicenter Osteoarthritis Study. The Journal of Arthritis and Rheumatology. 2009 Mar;60(3):831-9. doi: 10.1002/art.24383. PMID: 19248082; PMCID: PMC2758243. 9. Englund M, Roos E, Lohmander L. Impact of type of meniscal tear on radiographic and symptomatic knee osteoarthritis: a sixteen-year followup of meniscectomy with matched controls. The Journal of Arthritis and Rheumatology. 2003 Aug;48(8):2178-87. doi: 10.1002/art.11088. PMID: 12905471. 10. Collins JE, Losina E, Marx RG, Guermazi A, Jarraya M, Jones MH, Levy BA, Mandl LA, Martin SD, Wright RW, Spindler KP, Katz JN; MeTeOR Investigator Group. Early Magnetic Resonance Imaging-Based Changes in Patients With Meniscal Tear and Osteoarthritis: Eighteen-Month Data From a Randomized Controlled Trial of Arthroscopic Partial Meniscectomy Versus Physical Therapy. Arthritis Care Research (Hoboken). 2020 May;72(5):630-640. doi: 10.1002/acr.23891. 11. Katz J, Shrestha S, Losina E, et al. Five-Year Outcome of Operative and Nonoperative Management of Meniscal Tear in Persons Older Than Forty-Five Years. The Journal of Arthritis and Rheumatology. 2020 Feb;72(2):273-281. doi: 10.1002/art.41082. Epub 2019 Dec 15. PMID: 31429198; PMCID: PMC6994332. 12. Sihvonen R., Paavola M., Malmivaara A., et al. Arthroscopic partial menisectomy for a degenerative meniscus tear: a 5 year follow-up of the placebo-surgery controlled FIDELITY (Finnish Degenerative Meniscus Lesion Study) trial. British Journal of Sports Medicine. 2020 Aug; 54(22): doi: 13.10.1136/bjsports-2020-102813Brignardello-PetersenR.,Guyatt G., Buchbinder R., et al. Knee arthroscopy versus conservative management in patients with degenerative knee disease: a systematic review. British Medical Journal Open. 2017;7. doi:10.1136/bmjopen-2017- 016114 14. Siemieniuk R, Harris I, Agoritsas T, et al. Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline. British Medical Journal. 2017;357:j1982. 10.1136/bmj.j1982 15. Kirkley A, Birmingham TB, Litch eld RB, et al.. A randomized trial of arthroscopic surgery for osteoarthritis of the knee. New England Journal of Medicine. 2008;359:1097–107. 10.1056/NEJMoa0708333
3. Cullen KA, Hall MJ, Golosinskiy A. Ambulatory surgery in the United States, 2006. The National Health Statistical Report. 2009; Jan 28;(11):1–25.
7. Pihl K, Roos EM, Nissen N, et al.. Over-optimistic patient expectations of recovery and leisure activities after arthroscopic meniscus surgery. Acta Orthopaedica. 2016;87:615–21. 10.1080/17453674.2016.1228411
4. Abrams G., Frank R., Gupta A., et al. Trends in meniscus repair and meniscectomy in the United States, 2005-2011. American Journal of Sports Medicine. 2013; 41(10): doi: 10.1177/0363546513495641
Background The menisci play key roles in load transmission, lubrication, and knee stability (Sharman 2020). The menisci are often cited as ‘shock absorbers,’ although this role is strongly contended (Gecelter 2022). In the United States, arthroscopic knee surgery has ranked as the 9th most common ambulatory orthopedic procedure (Cullen 2009). The value of meniscal integrity for knee health and longevity is clearly recognized in the orthopedic world, given the doubling of meniscal repair operations from 2005 to 2011 without a concomitant increase in meniscectomies (Abrams 2013). Despite advances in repair understanding, techniques, and procedures, not all patients with knee pain are candidates for meniscal repair.


Katie
This month we welcome the following students to PTSMC: Spurlock (Franklin Pierce) will be working with Liz Rubbo in Guilford. Breshnahan (Marist) will be working with Kasey Adinol in Wethers eld. Reigel (Quinnipiac) will be working with Vladimir Smolgovskiy in West Hartford. Brissette (Quinnipiac) will be working with Demers in Branford. 10/11/22 Lower Extremity Journal Club (open to all clinicians) 9/27/22 Lower Extremity 10/25/22 Lower Extremity All meetings are 12:00- 1:00 pm on TEAMS. Email Danielle.Dunn@ptsmc.com to be added to the meeting group.
Nicole
Amy
Courtney
Case (DOCSDiscussionRequirement) 9/13/22 Lower Extremity
AUTHORIZATION TIP SHEET From Melissa Boutagy, Clinical Compliance O cer 85% of our patients require authorization. To ensure you are best describing your patient and their need for skilled care to an outside reviewer, the following areas should be clearly documented to support these needs. INITIAL EVALUATION: 1. Diagnosis: Choose most speci c diagnosis code a. Use surgical code 1st when applicable 2. Medical History And Personal Factors a. Completely ll out the information in the evaluative note to support patient complexity 3. Long Term goals should have impairments linked to speci c functional limitations a. At least 1 goal is the same length as planned duration of care/ plan of care 4. Provide Short Term goals to show incremental improvements PROGRESS NOTES: 1. Update OMT and Objective data a. If score has not shown improvements, provide detailed information as to why skilled care is bene cial i. (Examples: protocol restrictions with WB) 2. Use Standardized test (Y balance, step down, TUG) to support limitations compared to norms 3. Document Mitigating factors (hospitalization, illness, fall, lack of transportation) limiting patient’s ability to progress 4. Be clear on FUNCTIONAL limitations that support need for care
Email Mallory Mason at ConEd@ptsmc.com for all sign ups or questions. All course attendance must be approved by Partner/Director. Myopain Dry Needling 1: Foundations 1 October 14-16, 2023 QU North Haven Campus Myopain Dry Needling 2 & 3 DN-2 Foundations II: February 3-5, 2023 DN-3 Advanced: May 19-21, 2023 Rehabilitation of the Injured Runner Live September 10-11, 2022 PTSMC Instructor:GuilfordMegan Peach, DPT, OCS, CSCS Institute of Clinical Excellence (ICE) Learn more about this course here Upcoming Courses CLINICAL EXCELLENCE Lower Extremity November 12, 2022 Location:8:30am-12pmPTSMC Orange Instructor: Melissa Boutagy DOCS Requirement Upper Extremity February, 2023 Location Instructor:TBDRuss Woodman DOCS Requirement INTERNAL COURSE SPONSORED COURSE UPCOMING JOURNAL CLUB AND CASEDATESDICUSSION 2022 opportunitieseducationContinuinglist reachSponsored,Use_List_of_Courses.xlsx_https://ptsmc.egnyte.com/dl/RCnzB8GqVU/Clinical_ExcellencethelinkaboveforalistofPTSMCInternal,PTSMCandExternalcourseopportunities.Pleaseoutto Mallory Mason via coned@ptsmc.com if you have any questions. APTA & CTAPTA included! STUDENTUPDATEPROGRAM
Thomas
• Eligible enrollees must complete 6 months of employment before being eligible. This was previously 12 months.
Great News - Bene t Improvements!
Congratulations to the following PT Aides who have completed the SIPTA (Skills Introduction for PT Aides) Program: Lauren Granato, Glastonbury Faiz Lilaporia, West Hartford Nicole Jones, Newington Lucas Morris, Guilford
401(k) Eligibility & Enrollment Timelines Shortened
Important things to consider when adding a domestic partner to PTSMC’s medical insurance plan include:
• Employee Payroll Deductions: Employee payroll premiums for domestic partners must be paid with after-tax dollars. The reason for this is that the IRS does not recognize partners other than legally married spouses therefore, pre-tax deductions are not available.
Questions about this change or anything 401(k)? Please reach out to Sandy Wickman Mason at sandy.mason@ptsmc.com.
• Health Savings Accounts (HSA): For the same reason above, medical expenses incurred by, or on behalf of, a domestic partner is ineligible for tax-free reimbursement from an HSA unless the domestic partner quali es as a tax dependent.
Contact Sandra Boccialetti at Sandra.Boccialetti@ptsmc.com with questions.
The changes are:
Before, enrollment took place ONLY in January and July.
Domestic Partner Bene t E ective August 1, 2022, PTSMC will provide employees the option to enroll domestic partners to our health insurance, vision, and dental insurance plans through UnitedHealthcare. This new policy will allow employees to enroll same-sex and opposite-sex domestic partners. In addition, a domestic partner’s children (tax dependents) are also eligible for coverage.
HUMAN RESOURCES CONGRATULATIONS!
• Eligible enrollees enter the plan at the start of the next business quarter.
3. Vacation Accrual E ective September 5, 2022, PTSMC will increase Vacation Accrual amounts for non-exempt employees in the 20-29 and 30-39 categories. Be on the lookout for the updated policy. All eligible employees will be receiving an email from Sandra Boccialetti with the changes to accruals per pay period. your home
ADP Has a New Look ADP’s new look provides enhanced usability and access on any deviceincluding tablets! Check out the information available on
Access Pay Statement and W-2’s: Brian O’Dea, Newington Nicholas Sharp, Danielson Jake Siedel, Middletown Emily Wilson, Guilford
• Eligibility: To add a domestic partner, the employee must be on the plan. To qualify as a domestic partner, an employee will be asked to sign a statement testifying that he or she lives with and is in an exclusive and mutually committed relationship, similar to a recognized marriage. In addition, the employee is required to state that both individuals are: - 18 years of age or older - Mutually responsible for each other’s welfare and nancial obligations to third parties; and - Not legally married to other people and not related in any way that would prohibit marriage according to state laws
PTSMC made major positive changes to the PTSMC 401(k) eligibility and enrollment timelines.
The changes take place beginning October 1, 2022. The 401k plan will provide you the opportunity to save for retirement via payroll deduction and receive employer contributions! On an annual basis, PTSMC will continue to contribute 3% of eligible compensation.
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NEW EMPLOYEES EMPLOYEE NEWS Meghan Burke, Orange PT Aide Morgan Cannin, Branford PT Aide Katilyn Carrubba, Southington PT Aide Nicole Carter, Southington PT Aide Anna DeBellis, New Milford PT Aide Justin Danville, Simsbury PT Aide Samantha Jarry, Essex PT Aide Annalise Kieley, Simsbury PT Aide Catherine Lazor, Simsbury PT Aide Nicholas Lopez, New Milford PT Aide Taylor Modzelewski, Branford PT Aide Carley Murphy, New Milford Patient Services Coordinator Natalie Novak, Newington PT Aide Kriti Patel, Branford PT Aide


















CURRENT JOB OPPORTUNITIES Check www.PTSMC.com/job-openings for our most up-to-date postings, and feel free to share! Call Karen or email at karen.havlicek@ptsmc.com if you are interested in a position. PT Aide WestbrookSouthingtonSouthburySimsburyWestbrookWaterburySheltonPutnamPlainvilleOrangeNaugatuckMiddletownLockGrotonGlastonburyFairEssexDanielsoneldStreetPatient CoordinatorServices FairAvon eld (part-time) WindsorWestbrookWatertownSheltonGuilford Athletic Trainer New WestbrookOrangeLondon Physical Therapist WestbrookSouthburySheltonNewNewLockGrotonDanburyBranfordStreetHavenLondon(part-time) Physical AssistantTherapist Westbrook Ti ani Ramcke, Westbrook PT Aide Aaliyah Rodriguez, New Haven Patient CoordinatorServices Kimberly Schor, Simsbury PT Aide Jurni Soares, Glastonbury PT Aide Sarah Sparaco, Danbury PT Aide Emma Topper, Southington PT Aide Miranda Wachter, Danielson & Putnam Patient Services Coordinator Alexa Wilson, Wethers eld PT Aide Serena Trinh, Wallingford PT Aide Daniel Vala, Southington PT Aide NEW EMPLOYEES EMPLOYEEKarenNOTNEWSPICTURED:Cordaway, Branford PT Aide Erica Raimo, Naugatuck PT Aide Thomas Cruz, Groton PT Aide Paul Davis, Southbury PT Aide Nicolas Parker, Wethers eld PT Aide Lindsay Strauss, Southbury PT Aide Andrew Varcoe, Orange Patient Services Coordinator










Employee
Jenna’s Favorite Things
Jenna Bou ard, Watertown Athletic Trainer at Watertown High School
The Road to PTSMC Jenna Bou ard came to PTSMC in April 2016, joining the team at PTSMC Watertown as Watertown High School’s Athletic Trainer. Jenna grew up surrounded by sports, playing soccer throughout her childhood and regularly attending her brother’s baseball games. Being outside and around athletes remains her favorite part of being an Athletic Trainer.
Jenna currently lives in Waterbury, not far from Watertown High School. The school recently started their football season, which is one of Jenna’s favorite teams to work with. She especially loves how the football team and coaches bring her into their team family every fall season. During the spring season, in addition to her AT duties, she will also provide extra support for the softball and baseball teams by keeping their books (stats and scorekeeping). Ultimately, the student-athletes at Watertown High School are what make Jenna’s job so enjoyable. They are the ones who keep her coming back every year!
Jenna grew up in Waterbury and attended Holy Cross High School. Coincidentally, Erik Lanese, ATC from PTSMC Waterbury, was a neuroscience teacher and the Athletic Trainer at Holy Cross! Jenna completed her undergraduate degree at Southern Connecticut State University where she, of course, majored in Athletic Training. She completed a clinical with Erik Lanese, and once she was fully certi ed, everything came full circle - Erik connected Jenna with Pete Catuccio (Watertown & Naugatuck Partner); he had an opening, and she took it!
SEPTEMBER BIRTHDAYS Madison Moran 1 New London Eric Horne 1 Simsbury Michele Sember 1 Branford Jen Powers 1 Fair eld Sklyer Ibitz 3 West Hartford Peter Decoteau 4 Admin Emily Claros 4 Wethers eld Nick Scott 4 Westbrook Chris Patrick 6 Shelton Shradha Rana 6 Lock St Joyce Mak 6 New London Lauren MacDonald 7 Essex Matt Baronowski 8 Avon Samantha Dassatti 8 Fair eld Jacey Bissell 9 Branford Pete Cambi 9 Southington Jared Lynch 9 Admin Andrew Varcoe 10 Orange Dara Phum 10 Orange Melissa Boutagy 11 Guilford Hannah Marmen 11 Putnam Jordan Nolan 12 Windsor Trish McLean 12 New Milford Roy Colter 13 Newington Mario Paredes 14 Orange Joe Caligiuri 14 Naugatuck Alex Chakar 14 Danbury Camille Mogelnicki 15 Glastonbury Brian Greer 16 Glastonbury Erica Breive 17 New Milford Kevin Robinson 17 Shelton Garrett Ludden 17 Plainville Madison Sides 17 Simsbury Mike Durand 17 Admin Wanda Figueroa 19 Admin Keren Deoliveira 19 New Milford Colin Ketchel 20 Branford Amy Demers 20 Branford Renee Corsillo 22 Danbury Andrea Petramale 23 Newington Amy Bellone 23 West Hartford John Augustine 25 Guilford Adam Duren 25 Lock St Marissa Goncalves 25 Wethers eld Grace Burke 26 Admin Faiz Lilaporia 27 West Hartford Sam Donahue 29 Guilford Sam Ostrowsky 29 Guilford Logan Deros 29 Watertown Anna DeBellis 29 New Milford Jacob Rooney 30 Orange SEPTEMBER ANNIVERSARIES Dan Pagliuca Physical Therapist New Milford Dylan Murray PT Aide Avon Matt San Angelo PT Assistant Southbury Mary Pacini PT Aide Danbury Jen Rosenberg PSC Fair eld Grace Triquet PT Aide Fair eld Laura Sweeney PT Aide Windsor Karolina Ozga PT Aide Fair eld Susan DeCarli PSC Glastonbury Lauren Doyle PT Aide Wallingford Tatiana Papuashvili PT Aide Fair eld Raymond Ezirike PT Aide Windsor Eric Horne Physical Therapist Simsbury Lauren Zimmerman PT Aide Fair eld Samantha Knight PT Aide Lock Street Kellie O'Donnell PT Aide New Haven Miranda Jasienowski Physical Therapist Groton Alison Pearce Director of Revenue Admin Cycle Management Alan Balavender President Admin Spot light
Jenna also enjoys connecting with colleagues far and wide; since joining PTSMC, she has attended state, regional and national conventions to continue to learn about advancements in the eld, so she can be prepared for whatever happens on the eld. A favorite convention experience of hers was a recent event held at SCSU, where Jenna was able to reconnect with several former teachers and classmates. With her summers o , Jenna is able to do some traveling. This summer she road-tripped to Chicago and checked o a few of her unique bucket list items: visiting MLB stadiums across the country! During this summer’s road trip, she visited the Pittsburg Pirates Stadium, Wrigley Field (home to the Chicago Cubs) and the Chicago White Sox’s Guaranteed Rate Field. (Yes, that’s the actual stadium name!)
Jenna has now been to nine di erent MLB stadiums around the country. As a huge Boston Red Sox fan, she plans to catch the visiting Sox at a new park every summer. So, for a sports-loving Athletic Trainer, what else is there but sports?
Jenna enjoys several classic New England outdoor activities, including hiking and tubing down the Farmington river. She loves country concerts (she just recently saw Jason Aldean at the X nifty center) and visiting the many great breweries and wineries across the state. Jenna also has a 13-year old Australian Shepard named Dallas who, despite her age, keeps Jenna busy because of her “crazy amount of energy!”







Diversity, Equity, & Inclusion
your partner/director to discuss this option for your clinic. Please reach out to Kristen Forster
Pictured from left to right: Southigton PT Sam McMullen, East Hampton PT Tyler Naef, Avon Director Tom Kirsch, VP of Business Development Mike Durand, President Alan Balavender, Guilford PT Zack Currie, VP of Operations Sandy Wickman Mason, Nagatuck PT Meghan Blanusa, and Fair eld Assistant Director Andrew Kalach.
DEADLINES
their
An example of adding your pronouns to your PTSMC email signature is:
DEI
speak
Adding Pronouns to Your Email Signature
As a company, we respect the choices of everyone. We want to be an inclusive company and o er the support to anyone who wishes to add their pronouns to their signature. If you would like to add your pronouns to your PTSMC email signature, click here for instructions. If you would like to learn more about this topic or add to the discussion by joining our DEI committee, please email Marilex at Marilex.Santiago@ptsmc.com.
“This was amazing, having access to senior leadership in our company and how approachable you are is so special.”
Timeframe Documentation FD Balancing 9/1 - 9/30 10/6 at 6:00am 10/7 at 7:00pm already. Some the clinician can quickly ever having to leave laptop! Please with at Kristen.Forster@ptsmc.com
shoot a text out and try to ll a spot without
SEPTEMBER
Timeframe Documentation Balancing 8/1 - 8/31 9/7 at 6:00am 9/8 at 7:00pm MID MONTH Documentation FD Balancing 9/1 - 9/15 9/21 at 6:00am 9/22 at 3:00pm END OF MONTH
with any questions! The Extra MILE
Congratulations to the 2022 Leadership & Management Development graduates!
ENDUPCOMINGOFMONTH A TEXTING SOLUTION HAS ARRIVED! By Kristen Forster, Director of Operations What is it? PTSMC now has an online texting service- Cloudmessage.io- through our phone vendor Uni ed Communications Group. How does it work? • Log in online - Each o ce receives ONE login registered to the location’s phone number • Click “New Conversation” • Enter phone number or search an existing contact. NOTE: Contacts can be imported from WebPT and/or added when creating a new text (it’s super easy!) • Create text – Can be free text or standard language copied from a document. Click Shift+Enter OR Click button to send. THAT’s it! BENEFITS: • Easily FILL the schedule! • Voicemail full? No problem! Many patients don’t set up voicemails or listen to messages. • It’s easy. It takes a few seconds to start a new conversation and receive replies within minutes. ANYONE can use it! PSCs and PSAs have been trained and are using this product
It is now common to see pronouns in people’s email signatures. The goal is to create a safe interaction that helps all people feel included and seen. For many transgender and non-binary people, it’s an easy way to show the pronouns they would like to be addressed by. For the cisgender (a person who identi es with their birth sex) population, adding pronouns to an email signature can signal to the recipient that you will respect their gender identity and choice of pronouns.
This group completed their program in 8 months! The program has been modi ed to include 7 sessions: three virtual and four in person sessions. The culminating session takes place “o site.” The crew is pictured in Mike Durand’s backyard! All participants are already or poised to add a leadership component to their role at PTSMC. Each session, we always ask for feedback. Some thoughts from the crew:
“Everything was comfortable throughout, thorough and helpful in all aspects.”
SEPTEMBER
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AUGUST END OF MONTH
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locations have given access to clinicians as well. If there is a cancelation,
“Sad to be done.”







Andrew Perazella, New Haven PT, wore his PTSMC shirt at West Rock Park.
Corrin Garraty, New London PSC, married Joshua Ference.
Laura Nicklis, Avon PT, welcomed baby boy Hudson Paul Nicklis on August 15th.
Spencer LeBel, West Hartford PT, got engaged to Marisa Gallerani. Shawn Nash, Avon PT, married Chelsea.
Rebecca Sauve, Naugatuck PT, snapped a photo of her and her son in PTSMC gear while vacationing at Lake George.
Erin Walsh, Waterbury Partner, wore her PTSMC hat while on Block Island. Mary Clark, New Haven PT (center), wore her PTSMC hat while on vacation in Hawaii.
PTSMC
Where in the world is PTSMC?
Groton sta hosted a recovery tent at the Blessing of the Fleet 5k in Stonigton. Orange sta got together for an outing at Bear’s Smokehouse BBQ.
Emily Fillion, Marketing Coordinator (bottom right), wore her PTSMC shirt on a hike up Crawford Notch in New Hampshire for a bachelorette party.
Check out what PTSMC employees have been up to this summer while wearing their PTSMC gear!
Shradha Rana, Lock Street PT, welcomed baby boy Dave SJB Rana on August 15th.
Happenings!
Shelby Howe, PT Aide Trainer & Simsbury Health Fitness Specialist (right), wore her PTSMC hat while coaching her IRONMAN athlete in Gydnia, Poland.


















• Have a better immune system
What are the bene ts of exercise on mental health?
& MENTAL HEALTH
Finally, join a challenge group. Tap into your personal or professional network and ask around for monthly groups. Find one that allows you to work at your own pace with no stress. You got this!
How can I nd motivation and stay on track with exercise?
Positive
For starters, exercising increases blood circulation to the brain, which helps support the areas that control motivation, mood, stress and more. Plus, physical activity helps increase your brain’s production of feel-good transmitters (chemicals), called endorphins. These powerhouse chemicals increase feelings of pleasure and well-being. All of this happens behind the scenes during and after a workout. The results of exercise also support a healthy mind:
There are no right or wrong exercises to help with anxiety, depression, or stress. The key to an e ective activity is nding one you like to do. Your body’s biological reaction to exercise takes care of the rest- - which is to say, if you nd getting up and moving fun, you'll be more motivated to do it.
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Sometimes getting into a workout routine is easier said than done. Luckily there are so many resources at your disposal, you just need to test them out and see what ts!
For example, look for tness applications that o er incentives and tracking tools to help you set and reach goals.
• Have better health habits
• Are less likely to get depressed
Another option is to partner up with a workout buddy. Having someone you can rely on (and who can rely on you) is an e ective strategy to create healthy habits. That accountability factor is a game changer!
Sourced from UHC Health & Wellness - click here for more.
Grab a team of 3 and join us for 33 days of commitment to your health & getting active.
• May be better able to cope with stress
Whether we see the glass as half empty or half full is an indication of how we perceive things in life. Research suggests negative thinking
The Power
not only a ects health, but also our stress level. Individuals with an optimistic attitude:
Everyone has moments in life that leave them feeling blue. After all, live with stressors every single day. The good news is, there are many easy and a ordable mood-boosting activities that are proven to help support mental health. Examples include: meditation, journaling, social interaction or listening to music.
Challenge details coming soon! of Thinking Life Beat
Engagement & Wellness Calendar September PTSMC Social @ Southington September 1, 6-8pm PTSMC Social @ Admin September 20, 5:30-7:30pm PTSMC Social @ Hammonasset September 22, 5:30-7:30pm October #GetMoving October 17-November 28 Pumpkin Decorating Contest VOTING October 26-31 Fall/Winter Gear Order October 10-21 November PTSMC Food Drives Dates vary Nov-Dec #GETMOVING
• Often live a longer, healthier life Learn more from UHC by clicking here.
Spending time in nature also comes with mental health bene ts. Taking your workout outside can help further improve your mood and emotional well-being.
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What exercises can I do to improve my mental health?
we
EXERCISE
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• Catch fewer infectious diseases
Dates: October 17th –November 28th Sign-up: one member of your team email your roster to Mallory Mason at wellness@ptsmc.com.
Exercise is among the top picks for mood-boosting activities! It is something many of us need to help support a healthy mind.
Here’s another tip: group tness classes can be a good way to form social connections and foster positive relationships to further support your mental health. Grab a friend, get moving, and get those endorphins pumping.
Better sleep Less stress • Improved mood Increased energy Reduced tiredness and increased mental alertness
Fall is coming, holidays are coming, and so is the #GetMoving Challenge!




