Nypta newsletter jan feb 17 by APTA New York

January/February, 2017 Volume L, NO. 13

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 New CPT Evaluation Codes Cover Story (pages 1, 3-4)

My 2017 New Year’s Resolution President’s Letter (page 2, 7)

2017 NYPTA Approved Budget (page 5-6)

Chapter Awards Article, Criteria and Nomination Form (page 7-9)

2017 Slate of Officers (page 10)

NYPTA Spotlight: Dan Rootenberg, PT, DPT, CSCS (page 12)

Fall 2016 BOD Report (page 13)

Arthur J. Nelson Research Designated Fund (RDF) (page 14)

Changes will recognize levels of clinical complexity and offer opportunities for PTs in 2017. APTA has long advocated for revising Current Procedure Terminology (CPT, ©American Medical Association) codes for physical therapists (PTs) to report their evaluations. APTA also has urged that greater emphasis be placed on clinical judgement and decision-making in CPT nomenclature and structure. Now, important changes in the evaluation codes will be published in the physical medicine and rehabilitation (PM&R) family of codes (97000) effective January 1, 2017. These revisions will include replacing existing CPT codes 97001 (physical therapy evaluation) and 97002 (physical therapy reevaluation) with 4 new evaluation codes – 3 for evaluation and 1 for reevaluation. The new codes will enable PTs to describe the complexity of their patients’ clinical presentation and other important contextual factors that will affect their care and outcomes. Here’s a quick look at what’s to come. Background The biggest drawback of current CPT codes 97001 and 97002 is that these singlelevel, serviced-based codes do not reflect the complexity or severity of the patient’s condition, nor the level of clinical decision-making required by the physical therapist (PT), to treat the condition. Prior to these 2 codes being published in 1997, there were no codes in the PM&R family that described evaluations performed by PTs or other qualified health care providers. Only physicians or others identified as physician providers could report evaluation services, as described in the evaluation and management codes 9920199215. PM&R codes instead emphasized passive modalities and supervised exer-

Call for Poster and Platform Abstracts

continued on page 3

(page 15)

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January/February 2017 • Empire State Physical Therapy 1

My 2017 New Year’s Resolution

Volume L, No.13 January/February 2017

EM P II R E M P RE E A L L PPHHY YS SI I CC A

President’s letter

S TS AT TAET E

T THHE ER A R PA YP Y

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

Publisher

Hello my fellow members, On behalf of Chapter leadership and staff, I wish you and your families a happy, healthy, and prosperous New Year. Wow, 2017 is upon us. I am sure that each of you has made at least one New Year’s resolution. Probably some of us will have already broken some by the time you read this letter. I know I will have. However, there is one resolution that I have made that I will not break. I am resolving to make 2017 the year of Physical Therapy in New York State!! I would ask all of you to join me and your Chapter leadership in making the same resolution. 2017 is going to be a year of great opportunity for all of us to continue to move our profession forward in our communities, with legislators, employers, and payers. I believe this because we have been positioning ourselves and building momentum for our profession over the last few years and I believe that 2017 will begin to produce the fruits of our labor. “I am resolving to make 2017 the year of I am confident in my Physical Therapy in New York resolution because as a diState.” rect result of our activities, Mike we have seen our profession become more recognized as Michael Mattia, PT, DPT, MS, MHA the first choice in musculoskeletal and neuromuscular care and as a safe and effective approach to pain management as an alternative to opioid prescription. We have experienced a greater respect for our profession from our legislators in our local communities and at the state house in Albany. This has resulted in our key pieces of legislation progressing more over the last legislative session, with increasing sponsorship and with the passage of our PTA bill. Unfortunately, the Governor subsequently vetoed our bill. For those of you who have followed the veto process, you are aware of the fact that the Governor’s rationale for his veto was based on a myriad of false information. Disappointing yes, but an opportunity for our supporters in both the Assembly and Senate to realize the injustice and increase their support for our bill. They are with us in our resolve to see the bill pass in 2017. People all over our state are taking note of physical therapy and the benefits of our services. This is a result of national, chapter, district, and individual efforts to educate and promote physical therapy. The tools that we need are more available and more dynamic than any we have ever had. Our Chapter has enhanced our social media and information services platforms. Our communications abilities have allowed us to share information and attain a new agility as an organization. This allows us to be nimble and agile and able to respond to opportunities that can help us to move our profession forward. The APTA continues with its public awareness campaigns through its continued branding with the “move forward” initiative and has developed the #ChoosePT campaign. This timely outreach campaign has a wealth of continued on page 7 2 Empire State Physical Therapy • January/February, 2017

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 Claudia B. Fenderson, PT, EdD, PCS Melanie A. Gillar, PT, DPT, MA Susan Miller, PT, DPT, MS

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

Michael Mattia, PT, DPT, MS, MHA Tracy Sawyer, PT, DPT Stephen Lahr, PT, PhD JJ Mowder-Tinney, PT, PhD, CSRS, NCS Lynn Rivers, PT, PhD Peggy Lynam, PT, DPT, NCS

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

Michael Masaracchio, PT, PhD, OCS, FAAOMPT Jill Taylor, PT, GCS Jonathan Small, PT, DPT Nathaniel Mosher, PT, DPT Andrew Bartlett, PT Rebecca Kalb, PT, DPT, SCS Nannette Hyland, PT, PhD Robert M. Streb, PT, PhD John Winslow, PT, DPT, MTC, ATC, OCS Jacob I. McPherson, PT, DPT, NCS

Chapter Office Staff

Executive Director Kelly Garceau kgarceau@nypta.org Communications Manager Gloria Baker gbaker@nypta.org Meetings, Marketing & Membership Manager Carla Rosenbaum crosenbaum@nypta.org Administrative Assistant Kate Teidman kteidman@nypta.org

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New CPT Evaluation Codes in 2017 continued from page 1

cise, and procedures specific to interventions and a different skill level from evaluations. In 1994, the 97000 PM&R code family was included in the transition to a Resources-Based Relative Value Scale methodology to determine payment. For the first time, payment was linked to the technical skills, mental effort and judgment, risk concerns, and handson time expenditure of PTs. With this transition came acknowledgement that PTs, occupational therapists, and other providers who primarily access this code set had no way to report their evaluation services. Although this changed with the addition of single-level evaluation and reevaluation codes, the published nomenclature did not provide accurate or complete description of evaluation by PTs. PTs use evaluation to (1) identify and record the type and extent of a patient’s problem or condition, (2) determine the plan of care needed to address that problem or condition, and (3) establish goals to be achieved as a result of the services provided. The plan of care, in turn, reflects medical necessity for care and encompasses (a) treatment interventions selected to address patient needs to related injury, illness, and condition; (b) recognition of comorbidities or other issues that may affect length or frequency of care; (c) setting of long-term functional goals and timelines; and (d) determination of frequency and duration of care. Taking all of this into account, the new evaluation codes will reflect 3 distinct levels of clinical complexity: low, moderate, and high. Reevaluation, meanwhile, will remain a single-level codes to describe a reexamination and revised plan of care. All 4 coding options will require the use of standardized tests and measures, as well as the use of a standardized patient assessment instrument, a measurable assessment of functional outcome, or both. Code Components The new nomenclature for these evaluation codes, while not specific to PTs, will be described as physical therapy evaluation and reevaluation services. Under the newly structured evaluation codes, the PT must document each of the following components to report the selected level of physical therapist evaluation: •

History

•

Examination

•

Clinical decision-making

•

Development of plan of care

The level of the physical therapy evaluation performed will depend on the PT’s clinical decision-making and the severity of the patient’s condition. For reporting purposes, defined body regions are head, neck, back, lower extremities, upper extremities, and trunk. Defined body systems are musculoskeletal, neuromuscular, cardiovascular pulmonary, and integumentary. Defined body structures are anatomical parts of the body, such as organs, limbs, and their components classified according to body systems. To support their code choice, PTs will need, at a minimum, to document the following information: •

Physical Therapy Evaluation of Low Complexity  A brief history of the present illness or problem, citing no personal factors and/or comorbidities that affect the plan of care;  A limited examination of the affected body area or organ system, using standardized tests and measures addressing 1-2 of any of the following: body structures and functions, activity limitations, and/or participation restrictions;  A clinical presentation featuring stable and/or uncomplicated characteristics; and  Clinical decision-making of low complexity, using a standardized patient assessment instrument and/or measurable assessment of functional outcome.

This level of evaluation typically will require 20 minutes face-to-face with the client and/or family. •

Physical Therapy Evaluation of Moderate Complexity

 An expanded history of the present illness or problem that includes a review of the pertinent body system and cites 1 or 2 personal factors and/or comorbidities that affect the plan of care (personal factors include sex, age, coping style, social background, education, profession, past and current experience, overall behavior pattern, character and other elements that www.nypta.org

January/February 2017 • Empire State Physical Therapy 3

New CPT Evaluation Codes in 2017 continued from page 3

may influence how disability is experienced by the individual);  An expanded examination of the affected body area or organ system and other symptomatic or related areas and systems, using standardized tests and measures to address a total of 3 or more elements from any of the following: body structures and function, activity limitations, and/or participation restrictions;  An evolving clinical presentation featuring changing characteristics; and  Clinical decision-making of moderate complexity, using a standardized patient assessment instrument and/or measurable assessment of functional outcome. This level of evaluation typically will require 30 minutes face-to-face with the client and/or family. •

Physical Therapy Reevaluation

 An examination including a review of history and use of standardized tests and measures; and  A revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome. The reevaluation typically will require 20 minutes face-to-face with the client and/or family. Preparation and Impact on Payment and Policy PTs should be prepared to report the new codes describing physical therapy evaluations when billing and filling out health insurance claims for all evaluations and reevaluations conducted on or after January 1, 2017, unless otherwise instructed. (Workers’ compensation fee schedules may continue to instruct the use of past versions of CPT.) Some payers may not have updated their systems to process the newly published CPT codes by January 1. In such cases, follow payer guidelines to ensure against payment delays and denials. Feel free to email advocacy@apta.org for assistance with payers. Meanwhile, it’s prudent to make certain that the payers with whom you interact are informed about the new evaluation and reevaluation codes. Payment rates for new codes are established under the Medicare physician fee schedule, which typically is released in early November. Other third-party payers generally follow up with new payment rates shortly thereafter. PTs should contact payers directly for current fee schedules.

5 Key Points 1. Three new CPT codes will describe physical therapy evaluations. The codes will reflect low, moderate, and high levels of complexity. 2. History, examination, clinical decision-making, and development of plan-of-care will be required components of documentation, with mandated content influenced by the patient’s presentation and the PT’s clinical decision-making and judgment to support the reported complexity level. 3. One new reevaluation code, with its own specific reporting components, will reflect the therapist's clinical decision-making and judgment. 4. Use of standardized assessment tools will be a required element in supporting the level of evaluation and reevaluation. 5. Physical performance tests and measures and other assessment codes (such as assistive technology and wheelchair management) will remain separately reportable, subject to payer policies. Source: Carmen Elliott, VP of Payment & Practice Management at APTA.

4 Empire State Physical Therapy • January/February, 2017

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Finance Committee

2017 NYPTA BOD Adopted Operating Budget

2017 Projected Revenues Membership Dues.....................................$ 565,000 Newsletter..................................................$ 4,000 Commissions..............................................$ 10,000 Career Center............................................$ 15,000 AASIG Directors’ Intern..........................$ 1,500 AIPT Projects............................................$ 5,000 CEH Processing.........................................$ 36,000 CNC Administration.................................$ 5,000 Continuing Education Exhibit Booths.........................................$ 14,950 Registration.............................................$ 62,000 Sponsors...................................................$ 7,500 Labels.........................................................$ 5,800 District Events (on-line registration).......$ 850 Website Advertising...................................$ 750 Sub-Total Revenues...................................$ 733,350 Property Rental.........................................$

20,000

TOTAL:......................................................$ 753,350

2017 Approved Expenses Chapter Governance.................................$ 60,097 Association Leadership.............................$ 42,759 Continuing Education...............................$ 76,832 Communications.......................................$ 12,720 Chapter Membership................................$ 39,331 Legislative..................................................$ 58,237 Reimbursement/Practice..........................$ 8,075 Public Relations.........................................$ 10,986 Professional Service..................................$ 54,400 Research.....................................................$ 13,316 Administrative...........................................$ 336,711 Building Expenses.....................................$ 39,675 TOTAL:......................................................$ 753,139

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January/February 2017 • Empire State Physical Therapy 5

Finance Committee

2017 Approved Detailed Expenses 1.

Chapter Governance

Executive Committee President..............................................$ President’s Stipend..............................$ Vice President......................................$ Treasurer..............................................$ Secretary..............................................$ Member at Large.................................$ General Executive Expenses...............$ Board of Directors Brooklyn Staten Island........................$ Catskill.................................................$ Central.................................................$ Eastern.................................................$ Finger Lakes........................................$ Greater New York................................$ Hudson Valley......................................$ Long Island..........................................$ Southern Tier.......................................$ Western................................................$ Directors’ Interns.................................$ General Board Expenses......................$ Delegate Assembly..................................$ Finance Committee..................................$ Strategic Planning TF..............................$ Judicial Committee..................................$ Nominating Committee...........................$ Speaker of the Assembly.........................$ Total Chapter Governance................................$ 2.

736 327 474 -1,007 861 489 608 535 863 2,000 9,000 11,000 1,760 2,000 988 1,059 1,031 60,097 7,341 30,000 2,000 1,293 2,125 42,759 25 200 9,000 66,700 907 76,832

Communications Database Membership Program...............$ 9,000 Newsletter................................................$ 3,600 Website Hosting.......................................$ 120 Total Communications..................................$ 12,720

Chapter Membership Archivist..................................................$ Awards Committee..................................$ CNC Administration................................$ District Allocation....................................$ Leadership Committee.............................$ Leadership Workshop..............................$ Membership Committee..........................$ Minority Affairs Committee....................$ Regional Mini-Conclaves........................$ Ubit Income Tax......................................$ Total Chapter Membership..........................$

513 1,710 5,000 21,000 1,061 2,777 2,595 676 3,000 1,000 39,331

Legislative Advisory Panel on Legislation................$ Lobbyist...................................................$ Lobby Day...............................................$ Lobbying Activity....................................$ PAC..........................................................$ Total Legislative.............................................$

Reimbursement/Practice Advisory Payment Panel.........................$ Payment Policy Forum............................$ AIPT of NYPTA......................................$ Ethics Committee....................................$ Practice Committee..................................$ Total Reimbursement/Practice.....................$

767 3,000 3,600 343 365 8,075

Public Relations Contributions...........................................$ 1,000 Diversity 2000.........................................$ 250 icontact.....................................................$ 9,000 Public Relations Committee....................$ 736 Total Public Relations....................................$ 10,986

Professional Services Accountant...............................................$ 9,200 Legal........................................................$ 13,000 Bookkeeping............................................$ 32,200 Total Professional Services............................$ 54,400

10. Research Research Committee................................$ Arthur J. Nelson Research Fund..............$ Total Research................................................$

3,316 10,000 13,316

11. Administration

Continuing Education ASSIG of NYPTA...................................$ CEH In house processing.........................$ Management Company....................$ Conference...............................................$ Program Committee.................................$ Total Continuing Education..........................$

10,496 6,000 1,853 2,486 1,619 406 2,500

Association Leadership

Chief Delegate.........................................$ Delegate to House of Delegates...............$ Advocacy Forum-Federal........................$ PTA Committee.......................................$ PTA Caucus Representative.....................$ Total Association Leadership............................$ 3.

2,237 51,000 3,000 500 1,500 58,237

6 Empire State Physical Therapy • January/February, 2017

Salaries.........................................................$ Overtime..................................................$ Payroll Taxes FICA..................................................$ Futa....................................................$ NYS Disability..................................$ NYS Unemployment.........................$ Worker’s Compensation....................$ Benefits....................................................$ Pension....................................................$ Professional Staff Development..............$ Travel Executive Director...............................$ Staff......................................................$ Internet Service........................................$ Rent..........................................................$ Insurance..................................................$ Postage.....................................................$ Supplies...................................................$ Equipment under $500.............................$ Telephone.................................................$ Computer Service/Supplies/Prog.............$ Computer Equipment...............................$ Dues and Subscriptions...........................$ Tokens of Appreciation............................$ Service Fees.............................................$ Photocopier..............................................$ Total Administration......................................$

210,300 500 16,400 168 300 880 1,600 42,000 6,400 3,500 6,000 2,500 3,025 14,638 2,800 500 3 ,250 300 3,050 7,000 3,000 1,500 600 1,500 5,000 336,711

12. Building Expenses Water & Sewer.......................................$ Property Insurance.................................$ Mortgage/Interest...................................$ Dumpster...............................................$ Gas/Electric...........................................$ General Repairs & Maintenance............$ Real Estate Taxes...................................$ Total Building Expenses................................$

650 6,000 8,010 792 5,400 11,723 7,100 39,675

Total Budgeted Expenses for 2017........ $

753,139

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My 2017 New Year’s Resolution continued from page 2

media and print information available for each of us. I encourage all practitioners in all settings to utilize this information in order to establish and reinforce our profession’s value and role in conquering this terrible opioid epidemic. This scourge has affected every community in our state. I am resolved that we will help to eliminate this epidemic from our state and nation during 2017. This is a professional and, tragically, a personal goal for me. I have seen three of my son’s friends/colleagues who he played and coached football with lose their lives this past year from opioid overdoses. We can and we must make a difference. We are the right profession, with the right skill set, at the right time. “The opportunity to raise the quality of life is the biggest business opportunity going.” These words were spoken by businessman Anand Mahindra, but they define our year of Physical Therapy perfectly. We are the profession that possesses the skill set necessary to “raise the quality of life” of each and every New Yorker in 2017. What better business opportunity could we hope for as we begin a new year? We are the right profession, with the right skill set, at the right time. We are “The Triple Aim” at its best. So I ask, no I challenge, each of you to join me in resolving to make 2017 our year. Our year for improved public awareness, improved legislative success, improved access to our care, improved reimbursement for our services, improved use of high quality, evidence based effective care, and improved acknowledgement of the value of Physical Therapy to our communities and the health care delivery system. Our challenges still remain, but our opportunities are abundant. It’s up to each of us to recognize this time as ours and improve the quality of all New Yorkers lives and we will see our profession and yes the business of Physical Therapy flourish in 2017. Till next time, all the best in 2017. Mike

tttMike

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ther our

The Honor of Awards By Kathleen Birnbaum, Committee Chair, PT

And the Award goes to, insert your name. What an amazing moment! Awe. Surprise. Disbelief. Pride. Those were the feelings running through my mind when my name was called to receive the Leslie J. Wood Outstanding Service to Chapter Award in 2015. And I still remember that feeling of being honored by my peers. There are 9 Chapter awards and a district award eligible to be awarded each year. A nomination can be submitted by a member, or on behalf of a district or committee. You have the easy part in submitting the nomination. The Awards Committee will have the task of reviewing the nominations and determining eligibility and completion of the nomination form. It is important that we recognize and acknowledge the contributions made to the Chapter and the profession. While it is an honor to receive an award, there is also a certain pride in seeing your nominee at the podium accepting the award that you nominated them for. Nominations are due by March 15, 2017, so review the awards, their criteria, and inundate the Awards Committee with nominations to review.

are countless.”

The awards criteria and the nomination form are on pages 8-9.

January/February 2017 • Empire State Physical Therapy 7

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.

3. Leslie J. Wood Outstanding Service to Chapter Award. The recipient will have made outstanding contributions to

To be considered valid, all nominations must be submitted on the official form (page 9) by March 15, 2017. Multiple entries may be submitted.

4. Merit Award. The recipient will have made meritorious

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 page 15. 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.

8 Empire State Physical Therapy • January/February, 2017

the New York Chapter in promoting the organization and its goals.

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.

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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 15, 2017. • • • 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)

_____________________________________________________________________________

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January/February 2017 • Empire State Physical Therapy 9

2017–2019 Slate of Officers

Candidate for NYPTA Treasurer

Clarence Chan PT, DPT Clarence Chan is the program director and a professor in the Physical Therapist Assistant Program at the Health Sciences Department at LaGuardia Community College, City University of New York. Prof. Chan earned his degree in Physical Therapy from Downstate Medical Center, State University of New York in 1989 and received his DPT from Creighton University in Omaha, NE. in 2005. His clinical experience included acute care, pediatrics, long term care, home health, and private practice settings. Prof. Chan has been actively serving the NYPTA for over 15 years. He was the Brooklyn/ Staten Island District Treasurer for 12 years and a member of the Finance Committee since 2011. Starting as a member of the Minority Affairs Committee in 2005, he later chaired the committee from 2007-2013. Prof. Chan served as a district delegate annually since 2001 and a state delegate to the APTA House of Delegate twice. Prof. Chan is currently co-chairing the Academic Administrators Special Interest Group (AASIG) and a team leader for the APTA Commissioner on Accreditation in Physical Therapy Education (CAPTE) onsite review team.

Candidate for NYPTA Chief Delegate

Jim Dunleavy, PT, DPT, MS Jim Dunleavy is currently the Administrative Director, Rehabilitation Services/Total Joint Replacement Program at Trinitas Regional Medical Center, Adjunct Associate Professor at Rutgers University School of Physical Therapy and Chair, Value Productivity Task Force at the Academy of Acute Care Physical Therapy. He received his Certificate in 1977 and his Master’s Degree in Physical Therapy in 1983 from Columbia University, College of Physicians and Surgeons. In 2014, Jim received his Doctoral Degree in Physical Therapy from MGH Institute of Health Professions. He has served in several leadership roles as NYPTA President (2006-2010), NYPTA Treasurer (1987-1989; 1995; 2005), Director, APTA Board of Directors (1998-2004), Co-Founder and First President of the Acute Care Section (19921997) and an NYPTA Chapter Delegate (30 years).

Candidate for NYPTA Treasurer

Keri Gill-Smith, PT, DPT, CLT-LANA Keri Gill Smith received her Bachelor of Science and Masters of Science from Russell Sage College/Sage Graduate School in 2001. She received her Doctorate of Physical Therapy from A.T. Still University, Arizona School of Health Sciences in 2008. Keri has been employed at Northern Dutchess Hospital in Rhinebeck for the past 15 years with duties split between outpatient orthopedics and outpatient lymphedema and oncology populations. She has served as a member of the Finance Committee since May, 2015, a Chapter Director (2010-2013), Delegate to the House of Delegates (2004), a member of the Strategic Planning Task Force (2012-2013), member of the Executive Director Search Committee (2012-2013), and the Taskforce on Governance. Other volunteer leader positions held include Catskill District Treasurer (2013-present), Catskill District Chair (2005-2010), Catskill District Secretary (2003-2005) and District Delegate to Delegate Assembly (2003-2007 and 2009-2016).

Candidate for NYPTA Secretary

J.J. Mowder-Tinney, PT, PhD, NCS, CSRS, CEEAA J.J. Mowder-Tinney received her Bachelor of Science in Psychology from the Univeristy of Colorado, Boulder and her Master of Science in Physical Therapy from the University of Miami in Florida. She completed her doctorate in physical therapy at NOVA Southeastern University. She has over 20 years of experience in a multitude of clinical settings with the majority of experience with people with neuromuscular deficits. She is certified as a clinical specialist in Neurologic Physical Therapy by the American Board of Physical Therapy Specialties (ABPTS). She also has extensive training and has earned her Certified Exercise Expert in Aging Adults (CEEAA) from the Academy of Geriatric Physical Therapy. She is currently the Interim Chair and Associate Professor at Nazareth College in the physical therapy department. She teaches the Neuromuscular series that incorporates the onsite pro-bono clinic. She has conducted nationwide seminars on the Treatment of Patients with Neurological deficits, Spinal cord injuries, Balance Challenges, and Parkinsons Disease. 10 Empire State Physical Therapy • January/February, 2017

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Branch Out —

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January/February 2017 • Empire State Physical Therapy 11

NYPTA Spotlight: Dan Rootenberg, PT, DPT, CSCS SPEAR Physical Therapy Voted Best Private Practice in the U.S. by APTA Selecting from over 50,000 private physical therapy practices each year, The American Physical Therapy Association’s Private Practice Section grants the Jayne L. Snyder Practice Award to the single-most innovative Physical Therapy practice that best represents and contributes to the physical therapy industry. NEW YORK, Jan. 12, 2017 /PRNewswire/ -- SPEAR Physical Therapy announced today that, after a year of unprecedented recognition, it has been named as the winner of the most coveted private practice award in the industry: the Jayne L. Snyder Practice Award. The Award is given out each year by the American Physical Therapy Association’s (APTA) Private Practice Section (PPS) to the one single physical therapy practice that best contributes to the overall and enduring development of the physical therapy industry. Read more about the award here: http://www.ppsimpact.org/ppsannounces-2016-awards/

was not surprised to hear that SPEAR won the Practice of the Year award. They have been my office’s go-to choice for physical therapy for more than eight years, and they are synonymous with the term “physical therapy" to me and my staff", he said.

SPEAR Physical Therapy’s CEO and co-founder, Dan Rootenberg, PT, DPT, CSCS was honored to accept the Award at the PPS Annual Conference in Las Vegas on October 22nd in front of hundreds of industry professional colleagues. The PPS receives multiple Jayne L. Snyder award nominations each year. Companies are nominated by both industry peers and by the PPS governing body. After thorough review by committee, the Award is ultimately given to the private practice in the United States that best demonstrated its ability to significantly impact and positively increase the visibility of the entire nation’s physical therapy industry.

SPEAR Physical Therapy is headquartered at 120 E. 56th Street in Midtown Manhattan. Founded in a single room in Manhattan in 1999, the company has now grown to eleven locations that treat over 15,000 patients a year. Watch an archived video on the history of SPEAR at http://www.spearcenter.com/our_story.aspx.

“SPEAR has elevated the reputation and exposure of the private practice physical therapist on a state, regional, and national level,” said Private Practice Section President, Terry Brown, as he handed out the award. Upon hearing of the award, Dr. Robert Meislin from NYU Langone Medical Center, who has recommended his patients to SPEAR for more than ten years, said, “This is a well-deserved honor for SPEAR and its growing team. In my eyes SPEAR epitomizes quality physical therapy and they take great care of my patients. I can’t think of a more deserving practice.” The proof is in SPEAR’s industry-leading 96.7% patient satisfaction rating, and the fact that 93.7% of their patients would refer friends and family. Rootenberg believes that SPEAR received this esteemed award not just because of these high marks, but also because of SPEAR’s focus on self-actualization – not only in terms of getting patients “back to life” but also in terms of the personal and professional development of each team member. “Self-actualization is a fractal that permeates our organization and company culture,” remarks Rootenberg. “It sounds cliché, but every one of our team members pulls their weight and cares deeply about our patients and each other. We hire for that characteristic. This allows our leadership team to spend time out of the practice introducing our innovative leadership concepts to the entire physical therapy industry,” he said. Rootenberg spends countless hours thinking about leadership and technical excellence. “We have a culture by design, not by default, and this allows us to set the pace of progress for the industry.” In fact, the national physical therapy industry calls on SPEAR’s leadership team to educate other practice owners on these concepts. Rootenberg was the keynote speaker at the first national PT practice “Peer2Peer Network” meeting, and the Board of Directors of the PPS utilized SPEAR’s concepts at their annual retreat.

Watch a video of the award acceptance speech and about why SPEAR won the award: http://www.spearcenter.com/blog/how-wewon-the-practice-of-the-year-award/ About SPEAR Physical Therapy

SPEAR is the highest-rated physical therapy practice in NYC, with a 96.7% patient satisfaction rating, and an average of 4.75-Star reviews online. Its quality of service and rapid growth has earned it significant praise in recent months, including ringing the NY Stock Exchange opening bell, being profiled in the NY Post’s feature on democratic leadership, and being named the Nation’s Top Physical Therapy Practice by the Private Practice Section of the American Physical Therapy Association.

In Memoriam: Mary Rinaldo NYPTA mourns the loss of Western District Vice Chair Mary Rinaldo. It is with deep sadness that we advise you that our Chapter, Western District and profession lost one of our physical therapists, Mary Rinaldo. Mary passed away on Wednesday, January 18,

2017 from liver cancer. Mary served as our district vice chairperson and was active on many NYPTA committees. Mary had a passion for the physical therapy profession. She was always quick to volunteer her time and knowledge for our Physical Therapy Association. Mary had a positive attitude that made an impression on everyone around her. She was a consistent advocate for the profession and was usually the first person to volunteer for Delegate Assembly from the Western District. Mary was committed to charitable organizations and would always give her district great options annually for fundraising efforts. She was an amazing person, therapist and Clinical Instructor. Mary had such a bright spirit and passion for working with children. She was always a joy to talk with at district gatherings and events. Mary Rinaldo will be greatly missed in our PT community.

Dr. Charles Goodwin from Hospital for Special Surgery, another thought-leading NYC physician who has trusted his patients with SPEAR for many years, noticed the results of these concepts. “I 12 Empire State Physical Therapy • January/February, 2017

www.nypta.org

Opioid Campaign Update

Fall 2016 Board of Directors Report By J.J Mowder-Tinney, Secretary, PT, PhD, CSRS, CEEAA

#ChoosePT campaign is the APTA’s longest running and most successful consumer education effort to date.

On October 20 and 21, 2016, the New York Physical Therapy Board of Directors (BOD) met in Albany, New York. The BOD passed a total of six motions. The first one involved a recommendation not to perform a survey that the BOD charged the Membership, PR, and Research Committee to develop. Two motions involved forming new committees were passed. The Marketing and Engagement Committee was approved to replace the Public Relations Committee in an effort to increase leadership, collaboration and oversight of efforts. In addition, a motion was approved to disband the Advisory Panel on Legislation and the Advisory Payment Panel to create a Legislative and Payment Committee. Discussions included the benefits of combining both efforts to better serve the needs of the association. The Legislative Agenda and the Proposed Budget for 2017 was approved. Another amendment included adding a line item to include a mailing of a postcard in addition to the digital newsletters to maintain all forms of communication with members. Additionally, an increase for the Research Committee was approved to allow the Cochair to attend conference. Finally, the BOD approved an amendment to the Policy Manual, Section V: Chapter Administrative/Newsletter/Financial Policies, Section 7 by deleting subsection A.3: Those Officers, Directors and members of the Program Committee and Committee/ Advisory Panel chairs who elect to register for the Chapter conference will be eligible to have one day’s registration fee waived in exchange for one day of volunteer service at the conference. If the member is attending an education course requiring an additional fee, the member will pay only that fee for admittance.

In June of 2016, the APTA lauched the Opioid segment of the #ChoosePT campaign with a news release and in social media. A PSA campaign was added to the campaign in September. The PSA emphasizes the risks of opioids and a physical therapist’s role in treating long-term pain with movement and exercise. You can view and the PSA and find many other #ChoosePT resources at MoveForwardPT.com/ChoosePT. As indicated the campaign has experienced tremendous exposure: The television PSA has aired in 20 states, a total of 3,032, on 69 stations.

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The radio PSA has aired in 13 states, a total of 728 times, on 22 stations.

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APTA posted the PSA on its social media channels and has amassed nearly 350, views and thousands of shares.

Pediatric Myofascial Release Learn to Use Myofascial Release for: • Birth Trauma

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The BOD had an extensive Generative Discussion. Items discussed included the result of changes in the Lobby Day format, the enhancement of collaborative efforts between the NYPTA, PT First Alliance, AIPT, and Council of Physiotherapists, as well as Website Google Analytics findings. In addition, many discussions incorporated the overarching topic of increasing membership involvement. This included strategies for coordinating active membership recruitment, strategies to improve practice sustainability, keeping district members engaged, and improving PTA student involvement and invitations to District meetings. The meeting concluded with discussing ideas/ issues for possible motions from NY for the 2017 HOD. Keep your districts informed of any recommendations.

www.nypta.org

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January/February 2017 • Empire State Physical Therapy 13

Arthur J. Nelson Research Designated Fund New York Physical Therapy Association Call for Applications Arthur J. Nelson Research Designated Fund (RDF) The New York Physical Therapy Association invites applications for the 2017 Arthur J. Nelson Research Designated Fund. The chapter will fund up to $5,000 for projects designed to facilitate clinical research in physical therapy. The fund is intended to provide a mechanism for investigators to collect pilot data to support the development of larger, more comprehensive research proposals. ____________________________________________________________________________ Arthur J. Nelson Research Designated Fund Details ____________________________________________________________________________ The NYPTA Research Committee will review all applications based on the following guidelines: 1. Relevance of the study to physical therapy practice, research or education 2. Clear identification of how the pilot data will be used in a larger grant proposal 3. Research design and methodology 4. Organization and clarity of the application 5. Investigatorâ&#x20AC;&#x2122;s readiness and likelihood of completing the project 6. Appropriateness of the budget request The committee will recommend recipients for the awards to the Board of Directors. ____________________________________________________________________________ Eligibility ____________________________________________________________________________ The principal investigator must be a member of the APTA, be licensed to practice physical therapy in the state of New York, and maintain an active New York State Education Department Registration. Pre-professional (entry-level) students are ineligible to apply. _____________________________________________________________________________ Application Deadline ______________________________________________________________________________ Applications for the Arthur J. Nelson Research Designated Fund can be obtained from the Research Committee webpage on the NYPTA website (www.nypta.org/group/Research) and must be returned electronically to the Chapter office by February 10, 2017 at midnight. There will be no exceptions to this deadline. To obtain further information about the application procedure, please contact a co-chair of the Research Committee (Eric Lamberg, eric.lamberg@stonybrook.edu or Laura Gras, lgras@ithaca. edu).

14 Empire State Physical Therapy â&#x20AC;˘ January/February, 2017

www.nypta.org

The Research Committee of the New York Physical Therapy Association issues a

CALL FOR POSTER AND PLATFORM ABSTRACTS FOR THE 2017 NYPTAOctober CONFERENCE IN TROY, NY 20 - 21, 2017 ABSTRACT SUBMISSION DEADLINE: JUNE 1, 2017 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_2017. doc). – Late submissions will not be accepted. Submission Content:

– At the beginning of the abstract document, please include the following information: Presenter Contact Information: name, email address, 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, 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 chairperson of the Research Committee (Eric M. Lamberg, PT, EdD, CPed: eric.lamberg@stonybrook.edu or Laura Z. Gras, PT, DPT, DSc, GCS: lgras@ithaca.edu)

www.nypta.org

January/February 2017 • Empire State Physical Therapy 15

As a physical therapist your job is to help patients reduce pain and improve mobility for a better quality of life.

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16 Empire State Physical Therapy â&#x20AC;˘ January/February, 2017

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January/February 2017 • Empire State Physical Therapy 17

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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.

18 Empire State Physical Therapy • January/February, 2017

www.nypta.org

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www.nypta.org

January/February 2017 • Empire State Physical Therapy 19

News & Announcements

Joe Lipsky, SPT, Columbia University NY Core Ambassador This past October, Joe was on PT Pintcast, a Podcast, where he talked about the #choosePT campaign and the Columbia University collaboration that was also covered on the Today Show. Joe also discussed creating a private practice elective, and where he thinks DPT education is headed. To listen to the interview go to: http:// www.ptpintcast.com/ep-109/ Joe was also highlighted in the APTA’s Student Assembly Pulse, which is a blog that features students who are incredibly involved with the APTA and are making a difference. Click here to read the article.

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%

2017 Events Lobby Day - Apr. 25 (Legislative Office Building) Spring Executive Committee, Board of Directors’ and Delegate Assembly Meeting - May 18-20 (Desmond Hotel, Albany NY) Fall Executive Committee and Board of Directors’ Meeting Oct. 18-19 (Hilton Garden Inn, Troy NY) Fall Conference - Oct. 20-21 (Hilton Garden Inn, Troy NY)

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.

20 Empire State Physical Therapy • January/February, 2017

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

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What’s New at MedBridge? MedBridge is growing their Patient Engagement Solution! Over the next couple of months they will begin rolling out 3 new products to the market.

For MedBridge Individual Subscribers: •

MedBridge Go (Patient Facing App): MedBridge is going mobile! Clinicians can better engage and motivate their patients to improve adherence to their rehabilitation plan and get them back to doing what they love, faster.

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Connect (Patient Relationship Management Solution): Clinicians can reach new patients, retain existing ones, and increase patient loyalty.

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NPS® (Patient Satisfaction): Clinicians can capture patient feedback, identify insights, and highlight trends to ensure patient satisfaction.

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Below are the latest courses, articles, and patient engagement updates for physical therapy! Featured Courses:

Several months ago, MedBridge launched our OCS and GCS prep programs! Now clinicians can study for the Orthopedic, Geriatric, and Sports Advanced Certification Prep Programs at no additional cost - while earning CEUs. •

ICF Clinical Practice Guidelines: Lateral Ankle Sprains by Todd Davenport

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Orthopedic Examination of the Pediatric Patient by David Piskulic

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Evidence-Based Assessment of Acute Whiplash by James Elliott & David Walton

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Pharmacology for Geriatric Practice by Kenneth Miller

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Fundamentals of Therapeutic Exercise Part One by Kay Wing

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Psychosocial Considerations in the Aging Adult by Patrice Antony

New Patient Engagement: MedBridge recently launched 75+ aquatic exercises, and 100 pediatric exercises!