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  • Photos From NEXT 2016 Now Available

    Capture your memories of the 2016 NEXT Conference and Exposition and save on words by the thousands: hundreds of photos from the event are now available online, and browsing couldn't be easier.

    Simply go to http://davidbraun.photoreflect.com and click on the "NEXT 2016" link. Enter password vestibular, then click "GO" and the day/event of your choice. Select your photos and order through the shopping cart.

    Note: once you've clicked on a thumbnail, you can select the size and quantity of the print, or, if you want a digital download, click on the "digital products" button. Questions? Contact photographer David Braun.

    Specialist Certification Exam Application Dates Approaching

    Physical therapists who plan to take the 2017 American Board of Physical Therapy Specialties (ABPTS) examination for specialist certification need to get the application process started soon, by either July 1 or July 31, depending on the specialty area.

    The application process for Cardiovascular and Pulmonary, Clinical Electrophysiology, and Women's Health certification must be started by July 1. Geriatrics, Neurology, Orthopaedics, Pediatrics, or Sports applications must be started by July 31. The initial online application form takes about 1-2 hours to complete.

    Application forms and information are available on the ABPTS website.

    Individuals who successfully achieve board certification in 2017 will be recognized during the 2018 Combined Sections Meeting.

    If you need additional information contact the specialist certification department.

    About the Oncology specialist program: the 2016 APTA House of Delegates voted to create a clinical specialization in Oncology; however, the specialist certification process is not yet in place.

    WCPT Taps Australian PT as New CEO

    The World Confederation for Physical Therapy (WCPT) has announced that Australian physiotherapist Jonathon Kruger will be stepping into the role of chief executive officer of the organization on August 1, filling the position left vacant when Brenda Myers retired earlier this year.

    Kruger comes to WCPT with nearly 20 years of experience in management, lobbying, and advocacy, having worked with the Australian and New Zealand College of Anaesthetists, the Australian Medical Association, the Australian Physical Therapy Association, and the Victorian government.

    In a WCPT press release, President Emma Stokes said that Kruger "brings a wealth of experience…in the areas of governance, policy, and advocacy, and will enable WCPT to strengthen its reach and impact in line with our ambitious strategic plan."

    APTA is a member of WCPT.

    Charles Dorando, Instrumental in Creation of the PTA, Dead at 92

    Charles Dorando, PT, longtime physical therapy leader at both the state and national levels and an instrumental figure in the creation of the physical therapist assistant (PTA) professional role, has died at his home in Farmington Hills, Michigan, on June 15. He was 92.

    A veteran of World War II and recipient of the Purple Heart, Dorando spent most of his professional life in hospital settings in Michigan, working at Crittenton Hospital in Rochester, and serving as Director of Rehabilitation for St Joseph Mercy Hospital in Pontiac. Dorando also founded the physical therapy program at Oakland University in Rochester.

    While at St Joseph Mercy Hospital in the 1960s, Dorando created one of the most extensive physical therapist aide programs in the country at that time, a precursor to the establishment of the PTA. His work in this area led to his appointment to an APTA ad hoc committee that created the policy proposals that would help to birth the PTA as a formally recognized career path. "Getting physical therapy services to people in need was always our underlying goal, and the [PTA] offered us the opportunity to do that," Dorando said of his work at the time.

    Dorando served on the APTA Board of Directors from 1970-1973, and was a member of the association's Nominating Committee from 1963-1966, serving as chair during his last year on the group. He received the Lucy Blair Service Award in 1999. At the state level, Dorando served as Michigan chapter chair and in 1987 received that chapter's highest award, the Marjorie Stamm Outstanding Service Award.

    Memorials may be made in Dorando's name to Disabled American Veterans or to the Leelanau Conservancy. Written remembrances may be submitted to the obituary page of the Livingston Daily.

    Second Innovation 2.0 Learning Lab Coming July 12: Clinical Care Pathways, From Acute to Postacute Care

    APTA members will have another opportunity to hear firsthand from physical therapy innovators pursuing new, creative models of care when the association hosts the second of 4 online "Learning Lab" events July 12, 1:00 pm-4:00 pm ET.

    The July 12 event will focus on clinical care pathways and transitions of care from acute care hospitals to skilled nursing facilities (SNFs) and other postacute care settings. The project was developed as part of the APTA Innovation 2.0 program.

    Conducted through the University of Utah in Salt Lake City and led by Robin Marcus, PT, PhD, the project examines a partnership between a contract provider of physical therapist services to local SNFs and the University of Utah physical therapy program .The project has developed evidence-based care pathways for patients with hip fracture, total hip arthroplasty, and total knee arthroplasty. In this model, physical therapists are working collaboratively within the health care system to improve value-driven outcomes.

    The Learning Lab is a free online event intended as an advanced experience for providers who are currently active in innovative programs or ready to explore them. Because the event has limited capacity, members interested in participating are required to answer a few brief questions on the registration form to help APTA select participants who can gain—and later share with others—the most benefit from the lab.

    Participants will be expected to actively engage in the lab session, and materials will be provided beforehand to help them do so. If that’s you, visit the Innovation 2.0 webpage and scroll to the "Learning Lab" section to register. Registered participants will receive a template that will help them replicate the model presented in the lab. APTA will post a free recording of the event afterward, which will include the downloadable template and the presenter’s slide deck.

    Visit the Innovation 2.0 webpage to register for the Learning Lab and for details on all of the projects selected for development, as well as projects that received honorable recognition. Profiles of each project were also featured in a 2015 article in PT in Motion magazine.

    From Move Forward Radio: After Complications From Brain Tumor Surgery, One Woman's Journey Back to Movement

    Helo Matzelle ignored the ringing in her ears until that sound was joined by voices in her head. What she hoped might be a small problem wasn’t: Helo had a brain tumor.Surgery to remove the tumor was successful, but it was not without complications. After those complications were managed, a second life-saving process begin—an effort to return Helo back to the woman she was before the tumor.

    Now available from APTA's Move Forward Radio: the story of Helo's return to movement and mobility, and the role that a team of physical therapists (PTs) played in her 25-week rehabilitation process.

    Move Forward Radio is featured and archived at MoveForwardPT.com, APTA's official consumer information website, and can be streamed online via Blog Talk Radio or downloaded as a podcast via iTunes.

    Other Move Forward episodes now available include:

    Swimming and Physical Therapy
    Brian J. Tovin, PT, DPT, MMSc, former director of rehabilitation for the Georgia Tech athletic teams and head athletic trainer for the aquatics venue at the 1996 Olympic Games, discusses the benefits and injury risks of swimming at both the competitive and casual levels.

    Risks of Youth Sports Specialization
    Megan Moran, PT, DPT, clinic director at MedStar NRH Rehabilitation Network - Marymount in Arlington, Virginia, discusses the potential dangers of sports specialization for young athletes.

    Prehabilitation for Cancer
    Early research suggests anyone with cancer will likely benefit from prehabilitation - a period of intervention between cancer diagnosis and traditional cancer treatment. Mary Lou Galantino, PT, MS, PhD, explains how prehabilitation works.

    Success Story: Shot by a Sniper in Iraq, This Wounded Warrior Looks to Inspire Others in Recovery
    At age 20, David Kendrick was shot in the legs by a sniper while stationed in Iraq. He retells his story of recovering from his injuries and describes what he is doing today to inspire others.

    Multiple Sclerosis and Physical Therapy
    The effects of multiple sclerosis can vary significantly from person to person. That can make treatment and management of the disease’s symptoms challenging—and that's where physical therapy comes in. Evan T. Cohen, PT, MA, PhD, discusses the role of physical therapy in addressing the unique challenges presented by MS.

    Fibromyalgia and Physical Therapy
    Difficult to diagnose, fibromyalgia is also a condition without a cure. Symptoms can be treated and managed with components such as education and exercise. Dana Dailey, PT, DPT, discusses diagnosis, treatment, and management of the condition.

    APTA members are encouraged to alert their patients to the radio series and other MoveForwardPT.com resources to help educate the public about the benefits of treatment by a physical therapist. Ideas for future episodes and other feedback can be emailed to consumer@apta.org.

    PT Leader, Former APTA Vice President Margaret Moore Dead at 94

    Margaret Moore, PT, EdD, a former secretary and first vice president of the APTA Board of Directors and a physical therapy leader gifted with "extraordinary vision, outspoken persistence, and fearless advocacy that did much to shape the field of physical therapy," died on June 15 in Chapel Hill, North Carolina. She was 94.

    Among other achievements, Moore was instrumental in the establishment of the Division of Physical Therapy at the University of North Carolina (UNC) School of Medicine, where she served as assistant dean. A UNC physical therapy department tribute page to Moore credits her with "moving education in the field away from the purely physical to curricula more firmly grounded in basic medical sciences."

    "[Moore] foresaw the need for advanced degrees for physical therapists, even as the idea of a baccalaureate program for physical therapists was just beginning to be accepted widely," the tribute states. "She also pioneered in forging contractual arrangements for practicum training graduates, then went on to extend continuing education programs to improve skills of practicum preceptors."

    Moore's efforts to refine physical therapist education led to her service as project director for a US Department of Health, Education, and Welfare-funded study to develop guidelines for staff development and education effectiveness in physical therapy clinical education. Now considered a landmark study, "Clinical Education in Physical Therapy: Present Status/Future Needs," led to the first widely recognized physical therapist clinical education evaluation tool.

    In addition to her work on educational guidelines, Moore was also committed to the identification and development of physical therapy faculty from minority populations.

    Born in Greensboro, North Carolina, Moore received her bachelor’s degree in secondary education, American history, and general science from what is now James Madison University in Virginia. She went on to receive a master’s degree in physical therapy from the Medical College of Virginia, and a doctorate in education from Duke University. Career highlights include positions as a physical therapy instructor with the US Army, educational consultant with APTA, and chief of the North Carolina Memorial Hospital's Department of Physical Therapy before moving on to her position at UNC.

    Over her career, Moore received multiple honors and awards, including being named a Catherine Worthingham Fellow and receiving the Lucy Blair Service Award, the Mary McMillan Lecture award, and the APTA Section for Education's Distinguished Educator of the Year Award. In 1989, APTA established the Margaret L. Moore award to recognize outstanding new faculty members. At UNC-CH, various student, scholar, alumni, and lecture awards are named after Moore.

    A celebration of the life of Margaret Moore will be held at Carol Woods Retirement Community in Chapel Hill, North Carolina, on July 9 at 1:00 pm ET. The UNC tribute page includes information on making contributions in Moore's name and sending condolences and remembrances to the Moore family.

    The Good Stuff: Members and the Profession in Local News, June 2016

    "The Good Stuff," is an occasional series that highlights recent, mostly local media coverage of physical therapy and APTA members, with an emphasis on good news and stories of how individual PTs and PTAs are transforming health care and society every day. Enjoy!

    Alyssa Saline, PT, helps to explain the process and benefits of dry needling. (Papillion, Nebraska, Times)

    Laura Tampanello Thoene, PT, is part of a team providing free health screenings at the Virginia Special Olympics. (WRIC News 8, Richmond)

    Michael Shiver, PT, discusses physical therapy's role in mitigating dizziness and falls among adults who are elderly. (Albany, Georgia, Herald)

    "Listen to the physical therapist, Butler said. 'Don't think you know more. You've got to be religious about it. Suck it up, and get down to it.'" - Article quoting Tom Butler, patient who underwent TKA, on the importance of physical therapy in rehabilitation after the procedure. (Arkansas Online)

    A local news team investigates the Veterans' Choice program and the limits it places on physical therapy visits. (WAVY 10 News, Hampton Roads, Virginia)

    Ryan Bouslog, PT, DPT, and Elizabeth Koch, PT, discuss the use of exoskeleton technology at the Minneapolis VA Medical Center. (Minneapolis Star-Tribune)

    What role do physical therapists play in patient care at Intermountain Medical Center? – Feature report on the inpatient neurorehabilitation unit of IMC. (ABC4, Salt Lake City, Utah)

    Michele Lobo, PT, explains the development of the "Super Suits" collection of exoskeletons and other wearables for children. (Healio)

    “I also think physical therapy is becoming more and more of a treatment option for chronic pain rather than opiates.” – Mark Recker, Lima, Ohio, Memorial Hospital pharmacy director, on state initiatives to battle opioid abuse. (Lima, Ohio, News)

    Got some good stuff? Let us know. Send a link to troyelliott@apta.org.

    News From NEXT: PTs and Students Address Homelessness and Health

    An effort to provide better service to the homeless population in Mobile, Alabama, has helped a university physical therapy department teach its students lessons in the value of community, the challenges of interprofessional collaboration, and the importance of the physical therapist's (PT's) "caring hand."

    In their June 11 NEXT presentation that centered on the innovative Homeless Connect program and how it was implemented in Mobile, University of Southern Alabama (USA) physical therapy instructors Joseph Day, PT, PhD, and Jean Irion, PT, EdD, laid out not just the nuts and bolts of their own program, but what participation in it taught them about interprofessional education.

    Although homelessness has declined slightly in recent years, the problem remains significant across the US. According to the presenters, on a single night in January 2014, nearly 580,000 people—a population larger than the city of Tucson, Arizona—experienced homelessness. Rates of homelessness vary by city but are as high as 120 of every 10,000 people in Washington, DC. Among veterans, homelessness rates are 10.5%.

    One response to the issue is Homeless Connect. Begun in San Francisco, it is designed to put individuals who are homeless in touch with needed health and community services by holding events that gather multiple providers together for 1-2 days. Visitors can experience a 1-stop shop for health screenings, referrals, job services, and other offerings. Homeless Connect programs now exist in cities across the country.

    According to Irion, when organizers announced their intentions to start a program in Mobile, Margaret Moore-Nadler, director of USA's nursing program, saw an opportunity for the school's health professions programs to give to the community—and provide students with some interprofessional opportunities along the way. She enlisted the help of Irion and the USA College of Allied Health (which houses the PT program), along with the College of Medicine, and the university's social work program faculty and staff.

    Now in its third year, Homeless Connect Mobile includes multiple community and education partners, from USA to the local Lion's Club, and from the city's longstanding housing agency to a charitable pharmacy.

    People in need of services are transported to the expanded site at the Mobile City Fairgrounds, where they are paired with escorts—including first-year USA PT students—who guide them to a triage area where they receive a needs assessment, and then on to whichever areas they want to visit. Attendees are provided lunch and can get help with housing, legal aid, veterans and employment services, blood glucose testing, dental screening, medication management, mental health, vision, and physical therapy. The program even offers laundry services, haircuts, and pet-sitting.

    According to Day, the physical therapy area of the event included a foot clinic as well as education and prevention offerings that targeted body mechanics and posture. PTs and students helped attendees with some of the harsh realities of homelessness: sleeping posture in the context of nights spent on the ground, for example, or back and shoulder issues that could be associated with carrying heavy backpacks or pushing shopping carts.

    Irion, Day, and other faculty also saw the event as an opportunity to expose students to interprofessional collaboration in a real-world setting, and while they did provide some advance education in these concepts, a survey after the event revealed that many felt inadequately prepared to fully participate in collaborative opportunities. It's an area USA's PT program hopes to improve over the coming years.

    Still, Day explained, for a program only in its third year of operation, things are looking good—especially when it comes to the reactions of the attendees themselves, who indicated in surveys that they gained knowledge about their own health and felt they had received valuable and needed services.

    Even more important than the survey data, according to Day, were the comments that attendees shared. Those comments indicated that the program had helped them understand that others cared about their well-being, and that people were committed to putting them in touch with the resources they needed.

    For Day, those sentiments were the true teaching moment for the USA PT students.

    "We don't ever want to lose sight of what's really important—a caring hand, understanding, and a listening attitude," Day said.

    News From NEXT: Outcomes Measures Are Here to Stay, so Seize the Opportunities

    Not long after they began their June 10 presentation on why outcomes measures are essential in physical therapist (PT) practice, NEXT conference presenters Heidi Janenga PT, DPT, ATC/L, and Troy Bage, PT, DPT, MBA, asked a packed room of PTs if they routinely use outcomes measures. Nearly every attendee's hand shot up.

    Bage and Janenga beamed. It was a preaching-to-the-choir moment that Bage said simply wouldn't have been the case just a few years ago.

    In their presentation "Tracking for Success: Why Outcomes Measures Are Essential to Physical Therapist Practice," Janenga and Bage explained why outcomes measures have been gaining attention in physical therapist practice, and how they could be beneficial to patients, PTs, and the professions that work with them. And with the audience largely on board, the context and examples provided by the presenters made for a session that underscored the idea that outcomes measures are here to stay—and that's a good thing.

    "When you measure it, you can fix it and improve it," said Bage. It's a basic concept that PTs know but didn't really begin acting on until payers started using both carrots and sticks to increase usage. These days, as was demonstrated at the session, the conversation is less about whether to use outcomes measures, and more about what kinds to use and what can be done with the data.

    That's where Bage and Janenga spent most of their time. While they did talk about misperceptions that make some providers reluctant to go all-in with outcomes measures (including lack of familiarity, time, and technical expertise), the presenters focused more on making the most of patient-reported and objective measures, not just as a way to ensure payment but as a way to grow a clinic's patient base and engage staff in continuous improvement.

    Janenga said that some of the outcomes measured should include overall patient satisfaction with their physical therapy experience. It's an area that is of particular interest to referral sources, she said, and one that can be influenced by paying attention to basic customer service.

    "Customer service has a huge effect on outcomes and patient satisfaction," Janenga said, adding that top-notch customer service at a clinic speaks to a "culture of competency" that gets noticed by patients.

    When it comes to payers, Bage said, outcomes measures can highlight the downstream cost savings PTs create as first-line providers. This in turn puts the profession in a stronger position when it comes to advocating for favorable payment structures, and in a better position among referring providers and consumers.

    "We can show how physical therapy is impacting the total spending pie, how $1 spent on physical therapy saves $1.25 in downstream health care costs," Bage said. "It's what we all believe, and outcomes is how we're going to get there."

    Janenga and Bage did not provide a "best of" list of outcomes measures, although they did cite the modified Oswestry, Quick DASH, Neck Disability Index, and Lower Extremity Functional Scale as measures that are more commonly understood outside of physical therapy. Janenga cautioned: don't rely on "homegrown" measures, no matter how good you might feel about them, because it makes important wider comparisons nearly impossible to establish.

    In the end, they asserted, a solid set of outcomes data not only improves practice but is a valuable communications tool—for patients, payers, and referrers.

    Bage added that referring providers in particular are interested in what a PT's outcomes measures have to say. Janenga added that showing referral sources a report enables you to tell them, "I could be doing this with more of your patients."

    With increasing use of outcomes measures among PTs will come increasing data, made even stronger by the use of measures that allow for multiple levels of analysis, Janenga explained. That bodes well for PTs and the patients they serve.

    "We have a huge opportunity to shine," Janenga said. "We can make a dent and make an impact that can save patients money."

    APTA offers multiple resources on outcomes measurement, including these courses in the APTA Learning Center, which offer CEUs when you take the course and successfully complete the posttest: Neurologic Practice Essentials: Choosing Outcome Measures for a Patient With Stroke; Selecting Meaningful, Standardized Pediatric Outcome Measures for Children With Disabilities; and Measuring Ambulation and Mobility Outcomes in Adults.

    Want more news from APTA’s 2016 NEXT Conference and Exposition? Visit APTA's webpage devoted to NEXT coverage.