This is archived programming for CSM 2012. See current programming.
Browse Health Policy and Administration sessions by day. Return to the main topic menu.
Tuesday, February 7 | Wednesday, February 8 | Thursday, February 9 | Friday, February 10 | Saturday, February 11
* Should you choose to preselect sessions during the registration process, please be advised that preselection is not a guarantee of a seat. Attendees are asked to preselect to better determine room size and all efforts will be made to accommodate sessions in the largest rooms possible. All attendees are encouraged to show up to sessions early. Attendees are also encouraged to select alternative sessions in the event their first choice is full.
Time: 8:00 am-5:30 pm (See Program for Room)
Speakers: Jennifer Wilson, Stacey Zeigler, PT, DPT, Craig Moore, Karen Mueller, PT, PhD, Kerry Wood, PT, DPT
Level: Multiple Level
Preconference Pricing: Standard (2 Day)
CEUs: 1.5 (15 contact hours/CCUs)
This course is the first in a series of leadership courses and other applied learning activities intended to develop leadership skills and professionalism in physical therapists. Evidence shows that leadership can be developed and that developing leadership skills is an integral part of professional development in physical therapist practice. This course emphasizes the development of new leadership behaviors-behaviors that foster autonomous practice, accountability, professional values, diversity, and ethics. The speakers will discuss how to influence others to achieve shared goals, build better relationships and networks, resolve conflicts, negotiate effectively, and identify the value and differences between leadership coaching and mentoring. Participants are required to complete a leadership self-assessment and other preparatory work prior to the start of the course.
Upon completion of this course, you'll be able to:
Time: 8:00 am-10:00 am (See Program for Room)
Speakers: Daniel Pinto, PT, DPT, OCS, FAAOMPT, Peter McMenamin, PT, MS, OCS, Anthony Delitto, PT, PhD, FAPTA, Justin Moore, PT, DPT, Marc Goldstein, EdD, Janet Freburger, PT, PhD
This is Part 1 of a 2-part session. The physical therapy profession has been engaged in serious health policy issues since its inception. Leaders of the profession have long urged for PTs and physical therapy researchers to engage in the policy debate with all tools available. The current economic reality and the demands of looming health care reforms require, more than ever, the urgent concentration of our profession's resources and best minds on issues of health policy and health services research. Part 1 of this program will review the history of the profession's health policy initiatives and address ways to impact policy, including comparative effectiveness research, health services research, and economic evaluation methods. Current APTA initiatives and strategies related to these areas of research will be described and related to the context of health care reform.
Time: 8:00 am-10:00 am (See Program for Room)
Speakers: Gayle Lee, JD, Roshunda Drummond-Dye, JD
Starting January 1, 2012, Medicare will reimburse entities referred to as accountable care organizations, or ACOs, that are aimed at promoting quality health care, coordinating care, and saving costs. These ACOs will share in the savings derived from the coordinated care and will significantly impact the American health care delivery and payment systems for years to come. In this session, attendees will learn about ACO structure; the requirements that an ACO must meet related to quality; and how physical therapists can find out more about ACOs in their local community and participate as an ACO provider, as well as a non-ACO provider.
Time: 10:30 am-12:00 pm (See Program for Room)
This is Part 2 of a 2-part session. The physical therapy profession has been engaged in serious health policy issues since its inception. Leaders of the profession have long urged for PTs and physical therapy researchers to engage in the policy debate with all tools available. The current economic reality and the demands of looming health care reforms require, more than ever, the urgent concentration of our profession's resources and best minds on issues of health policy and health services research. In Part 2, the speakers will continue to discuss the relationship between health care reform and health services research initiatives. Physical therapists currently engaged in health services research will summarize their work to date and discuss future directions and imperatives for physical therapy. Concrete suggestions will be made regarding the profession's continuing pursuit of policy-relevant research as an essential component of our future development and success.
Time: 10:30 am-12:30 pm (See Program for Room)
(Joint Program: Education)
Speakers: Julia G. Tilley, PT, DPT, MSEd, Bradley A. King, PT, DScPT, MA
Clinical competence in the health care environment is necessary to protect the public and promote patient safety. Historically, competence in health care was established through education, initial licensure testing, a professional code of ethics, workplace orientation, and continuing education. There is growing concern that this process is inadequate. Public agencies, professional societies, and accreditation organizations all have identified the need for ongoing competency assessment or continuing competence. Challenges of ongoing competency assessment include how competence is defined and assessed, determination of who is responsible to make these assessments, and what elements of performance are assessed. While many have attempted to define clinical competence, no common understanding exists. Similarly, there is no agreement regarding who is responsible for competence assessment. Equally difficult is determining what and how to assess it in order to ensure that health care personnel have the skills and capability to provide safe, effective care. Participants will explore a clinical competency assessment program for therapy services staff. Topics to be covered include: designing a competency program; identification, development, and deployment of competency assessments at work unit and department levels; and tools and processes to use from the initial stages of competency development through program evaluation.
Time: 10:30 am-12:30 pm (See Program for Room)
Speakers: Karen Jost, PT, MS, Carmen Elliott, MS
This course will identify trends and issues in the private and workers' compensation insurance industries. It will advance your knowledge on a full range of topics, including managed care industry trends, value-based insurance design, employer benefit design, consumer-driven health plans, and much more. You will learn the most current information related to private and workers' compensation insurance coverage and gain an upper hand to address these important health insurance topics.
Time: 3:30 pm-5:00 pm (See Program for Room)
Speakers: Justin Elliott, Angela Chasteen
From Albany to Sacramento, Tallahassee to Cheyenne-state legislatures across the country are the battlegrounds to advance PT practice as well as defend the profession against infringement. Come hear what the hot issues are in the states, as well what types of legislation the physical therapy profession is advocating for and against in our fight to make Vision 2020 a reality.
Time: 3:30 pm-5:30 pm (See Program for Room)
Speakers: R. Scott Ward, PT, PhD, James E. Hughes, PT, John D. Barnes, Marilyn Moffat, PT, DPT, PhD, CSCS, CEEAA, FAPTA, Jan K. Richardson, PT, PhD, OCS, Robert W. Richardson, PT, MEd, FAPTA
In the spirit of Chicago, home of Oprah's Book Club, this course will implement a book club format as the main teaching strategy. Discussion of the books will highlight how to improve your leadership skills so that you can maximize your impact for yourself (Here), your organization (Near), and your profession (Far). Prominent APTA leaders will facilitate small-group discussion of the books and take part in a moderated panel discussion. Preselected books are: Good to Great (Collins, 2001), Leadership from the Inside Out (Cashman, 2008), and Six Disciplines Execution Revolution (Harpst, 2008). While reading one or more of the preselected books will lend to richer discussions, everyone is welcome and can participate in this unique learning experience.
Speaker: Karen Mueller, PT, PhD
Level: Multiple Level
Recent evidence suggests that successful and productive physical therapists utilize a 3-level, inside-out approach to communication. The first of these is internal communication, the mindful intrapersonal dialog affecting mood, outlook, and self-efficacy. The second is external communication, the interpersonal dialog that involves effective use of social, emotional, and cultural intelligence to build alliances needed for effective team function and therapeutic partnership. The last level is instrumental communication, involving the ability to teach, motivate, negotiate, and advocate for positive change at all levels of influence. This presentation will provide evidence as well as tools for self-assessment and skill application at each level. Attendees will learn methods for using the inside-out model as a framework for teaching and reinforcing communication skills in physical therapy education programs.
This session is designed to improve the governance of the association.
Speakers: Jill B. Lattanzi, PT, EdD, Kerstin M. Palombaro, PhD, Lynn English, PT, DPT, MSEd, Anne Kloos, PT, PHD, NCS, Sarah Wenger, PT, DPT, E. S. Euype, PT, DPT, OCS, Marka Gehrig, PT, MPT
This session presents 5 different clinic models for pro bono physical therapy service, including a description of the model, facilitators and barriers to start-up and sustainability, and outcomes and vision for future growth. All models involve students, faculty, physical therapy professionals, and community partners in various ways. Models range from commuinty-based interdisciplinary clinics to freestanding physical therapy clinics. The session includes time for discussion.
Speakers: Reuben Escorpizo, PT, DPT, MSc, Anita Bemis-Dougherty, PT, DPT, MAS, Todd E. Davenport, PT, DPT, OCS, Harry Feliciano, MD, MPH, Daniel Vreeman, PT, DPT, MSc, Daniel L. Riddle, PT, PhD, FAPTA
It has been 10 years since the International Classification of Functioning, Disability and Health (ICF) was endorsed by the WHO in May 2001. This session updates you on the current use of the ICF in physical therapy clinical practice and research. The ICF was intended to describe the functioning of a person at the individual and societal levels, in light of a health condition. The ICF also focuses on contextual factors, namely the environment and personal factors. Part 1 first provides an overview of the ICF, reviews current literature since its endorsement, and discusses the impact of the ICF on physical therapy in the United States. Next, the session reviews APTA's response to the ICF, including revisions of the Guide to Physical Therapist Practice, and the perspectives of third-party payers. It concludes with a discussion of the feasibility, benefits, and challenges of implementing the ICF for busy clinicians.
Time: 10:30 am-11:30 am (See Program for Room)
Speaker: Renee Cordrey, PT, MSPT, MPH, CWS
Physical therapists frequently encounter patients from cultures other than their own. These differences may create challenges in providing care. Understanding how to respectfully and appropriately interact with these patients is critical to better the clinical relationship and improve outcomes. PTs should acknowledge that when the patient has a different set of beliefs than the PT, the patient also views the PTs beliefs as foreign. The PT must make an effort to span that difference to find common goals and a plan of care acceptable to both individuals. It is worth noting that there is great variability even within cultures, though some beliefs and practices are common among members. This session focuses on recognizing individual traits, rather than the collective traits of a given culture, to allow clinicians to work with patients from a variety of backgrounds. Through the use of cases, the presenter will use Levin's ETHNIC (Explanation Treatment Healers Negotiate Intervention Collaboration) approach to identify ways to work with patients who come from a culture different from the clinician.
Speaker: Reuben Escorpizo, PT, DPT, MSc
It has been 10 years since the International Classification of Functioning, Disability and Health (ICF) was endorsed by the WHO in May 2001. This session updates you on the current use of the ICF in physical therapy clinical practice and research. The ICF was intended to describe the functioning of a person at the individual and societal levels, in light of a health condition. The ICF also focuses on contextual factors, namely the environment and personal factors. Part 2 of the session demonstrates the research and clinical utility of the ICF and how practitioners and, ultimately, patients can benefit from it. Presentations will include the weaknesses of the ICF when used in the clinic and discuss possible ways to remedy these limitations. Finally, presenters will explain how they envision the future of the ICF in physical therapy practice and research in the United States. Questions to answer include: What are the challenges and opportunities of integrating the ICF in physical therapy practice and research? What is the future apt to be like in the emerging areas of health informatics and electronic patient documentation? What will the future hold for the integration of the ICF in physical therapy educational curricula? What role can the ICF play in conducting trials in physical therapy interventions?
Speakers: Gayle Lee, JD, Roshunda Drummond-Dye, JD
New Medicare regulations, manual revisions, the therapy cap, the 2012 physician fee schedule, pay for performance, local coverage determinations, enrollment changes, and implementation of Medicare provisions in health care reform are just a few of the many federal actions that will affect how you practice. This session provides you with the most current information related to Medicare coverage and paymentt policies and other pertinent new regulations that affect your practice. Make sure to stay informed, as these rules affect everyone.
Speaker: Rob Batarla, MBA
APTA's treasurer and CFO, along with members of the APTA Finance and Audit Committee, present current and relevant information in the world of nonprofit finance. In this session you will be able to network with other component treasurers and executives, and meet the treasurer and Finance Committee members in order to have them as contacts for future questions related to nonprofit finance.
Speaker: Holly Hester, PT, MPT
The best defense when faced with medical review, denials, and payment recovery is clean billing and comprehensive and supportive documentation. Internal audit is a critical part of the therapy department's compliance plan related to medical review and denial prevention. During pre- and post-payment review, therapy documentation is reviewed to determine if services delivered were covered, coded correctly, and reasonable and necessary to treat the patient's condition. This session reviews the nuts and bolts of how physical therapists practicing in multiple venues can be proactive and successful under heightened medical review. It focuses on physical therapy documentation and billing and provides participants with practical tips and strategies for auditing records for accuracy and compliance with Medicare regulations as well as for preparing for a RAC audit or medical review. All topics and points discussed are consistent with those used by Fiscal Intermediaries (FIs), MACs and Comprehensive Error Rate Testing (CERT) contractors when reviewing submitted claims, and they are supported by Medicare Coverage Manuals as published by the Centers for Medicare and Medicaid Services (CMS).
Speakers: Daniel Vreeman, PT, DPT, Matt Elrod, PT, DPT, MEd, NCS, Robert Latz, PT, DPT, GCFP, Steven G. Wilkinson, PT, PhD
You can love them or hate them, but you can't really ignore electronic health records (EHRs). Many people seem to think that they are the chicken soup for our ailing health care system. Physical therapists want electronic systems that improve clinical/administrative reporting capabilities and operational efficiency, and support benchmarking and clinical research. Despite the potential value and growing national incentives to adopt EHRs in health care, not everyone is convinced that EHRs are worth the cost and hassle. Using the best available evidence from the literature and the speakers' collective experience with electronic systems, course participants will help to illuminate the path toward using EHRs to make a meaningful difference for you, your organization, and your patients. The speakers will discuss the evidence for information technology improving the health care delivery system and the barriers to getting there; strategies and resources for choosing the right tools for the task (software and hardware); and some of the key pitfalls to avoid along the way. In addition, the speakers will review current literature, present findings from APTA initiatives, and case examples from clinical practice, followed by an interactive discussion of strategies for success.
Speakers: Stacey Zeigler, PT, DPT, Claire Richardson, OTR/L, OTD
In the current environment of having less resources but needing to provide more services, chaos may feel like the dominant situation. Rather than becoming swallowed up by this scenario, a fresh perspective can help to reframe the potential outcomes. An understanding and application of both leadership and nonlinear dynamic systems theory can provide an alternative viewpoint with regard to the treatment process for all patient populations and can also be applied to the day-to-day operations for all practice environments. By the end of this engaging and interactive course, you will be able to apply nonlinear dynamic systems theory to enhance patient outcomes and turn the natural chaos in your practice into an advantage. You also will walk away with an action plan for taking the lead in immediately applying these concepts.
Speakers: Janice Kuperstein, PT, PhD, MSEd, Susan E. Roush, PT, PhD, Debbie A. Ingram, PT, EdD, Nancy Fell, PT, PhD, NCS
As physical therapy has transitioned to a doctoring profession, it is important to consider the effect of our attire on our patients. While the literature indicates that patients of other doctoring professions prefer more formal attire, the preferred attire for the physical therapists typically is more casual. This course will facilitate an important dialogue within the profession on how our patients and the public view physical therapists, and how that relates to the desired increased credibility of the profession.
(Joint Program: Geriatrics)
Speakers: Gina L. Pariser, PT, PhD, Patricia D. Gillette, PhD, Jillian Redlinger
Type II diabetes mellitus (T2DM) and its complications are a major cause of morbidity and mortality in the United States and contribute substantially to health care costs. Racial and ethnic minorities with diabetes have worse health outcomes than their white counterparts, leading to high rates of health inequities. Current evidence indicates that much of the morbidity secondary to T2DM can be prevented by engagement in diabetes self-management behaviors, including exercise. Unfortunately, many people with T2DM have co-existing chronic conditions, such as obesity, cardiovascular disease, and arthritis, which affect their mobility and, in turn, limit their capacity and ability to exercise safely. Over 70% of adults with diabetes and mobility impairments report that they do not achieve recommended amounts of exercise. The increased prevalence of co-existing chronic illnesses and mobility impairments in African Americans with diabetes contribute to the complexity of promoting exercise and managing diabetes in this population. In an attempt to address this disparity, the speakers developed and implemented a diabetes self-management education (DSME) and exercise program called Active Steps for Diabetes. Active Steps for Diabetes was developed through partnerships between a university and a metropolitan public health department. The program has been shown to be effective in increasing participants' daily physical activity, cardiovascular fitness, muscle strength and balance, and in improving their blood glucose control. Physical therapists are uniquely qualified to help individuals with T2DM and mobility disability increase their physical activity. DSME is usually provided by nurses and dieticians; however, the inclusion of physical therapists may help improve DSME outcomes.
(Joint Program: Education)
Speakers: Steven G. Wilkinson, PT, PhD, Daniel Vreeman, PT, DPT
The field of health informatics has emerged as an interdisciplinary science that evaluates how health information and knowledge can be effectively used for clinical decision making. Health care leaders have recognized informatics competencies as essential in other health care education programs, especially as a foundation for evidence-based practice; however, this has not been the case in physical therapy. Failing to prepare physical therapists and physical therapist assistants with technology competencies will hamper progress toward the profession's goals of fully availing clinicians of technologies that can facilitate more effective and efficient care. Because adopting health information technology is a top national priority, it is imperative to define and implement competencies to ensure that clinicians can continue to thrive in the emerging electronic infrastructure. The purpose of this course is to describe the current state of health informatics in physical therapy education, to describe published competencies in other health care disciplines, and to propose a framework of competencies to incorporate into physical therapy education.
Speaker: Deborah J. Kucera, PT, MSPT
Regardless of practice setting in health care, there is growing focus on the importance of effective leadership on the success of teams, organizations, and communities. In rapidly changing environments, organizations with leaders interspersed at all levels are more likely to successfully adapt and realize positive outcomes. Leadership development must involve many employees versus just a select few, so that change and innovation can be driven from every level of the organization. The challenge becomes finding the time and resources to implement leadership development in already-busy work environments and financially challenging times. In this course, the speaker will review the process used to create and implement a model for leadership development in the clinical environment, illustrating the steps taken to gain stakeholder input, determine content and structure, and select participants. In addition, the speaker will discuss challenges in implementing such a program.
(Joint Program: Pediatrics)
Speakers: Mary Jane K. Rapport, PT, DPT, PhD, Nate Thomas, PT, DPT
This course will be co-presented by the Section on Pediatrics Federal Affairs liaison and the associate director of APTA's Federal Government Affairs Department. The intent of the course is to highlight the connection between legislation and the delivery of pediatric physical therapy and discuss current federal legislation and how the actions of Congress ultimately guide our practice with children. As doctors of physical therapy and autonomous practitioners, we are expected to follow the regulations, policies, and procedures set forth through federal and state laws. Most pediatric physical therapists do not have the time or resources to remain current with the federal laws and regulations relevant to their practice, and this course offers an opportunity for them to receive this important information on laws such as IDEA, ESEA, Section 504, and PPACA.
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