January/February, 2018 Volume L, NO. 19
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 The Importance of Serving on a Board Cover Story (page 1, 3)
2018 Is Our Year as a Profession President’s Letter (page 2, 12)
The Importance of Serving on a Board 2018-2020 Slate of Officers
By Kelly Garceau, Executive Director NYPTA
(page 3-9)
Awards Description, Criteria and Form (page 10-11)
2017 Fall Board of Directors Report (page 13)
Member Spotlight: Audrey Paslow, PT, DPT, NCS (page 14-15)
Value-Based Payment & Physical Therapy: Update (page 17)
NYPTA SSIG 2018-2019 Elected Officers (page 18)
Marketing & Engagement Committee Update (page 19)
Serving on a board of directors can be one of the most rewarding experiences of your professional career. It can also be confusing and overwhelming at times. One thing that remains a constant is the important role that a board plays in guiding the association’s policy, strategic planning and future direction. As a board member, you have a strong personal belief and interest in the association, its mission, and its vision. Roles can vary, but the most important role a board of directors plays is that of governing body of the association. The board is responsible for policymaking and is ultimately responsible for setting the direction of the association. Board members have a fiduciary responsibility to the association that includes duty of care (exercise ordinary and reasonable care in performance of duties, exhibiting honesty and good faith), loyalty (undivided allegiance to the association when making decisions affecting the association) and obedience (act in accordance with the association’s articles of incorporation, bylaws and other governing documents). While this is the most important role that the board plays in an association, it is not always the only one. There are some associations that rely on their board to recruit and retain members - the ambassador of the association if you will. The reason for using board members for recruitment and retention purposes continued on page 3
2018 Mini-Conference Dates (page 23)www.nypta.org
January/February, 2018 • Empire State Physical Therapy 1
Volume L, No.19 January/February, 2018
2018 Is Our Year as a Profession
EM P II R E M P RE E
President’s letter
A L L PPHHY YS SI I CC A
S TS AT TAET E
T THHE ER A R PA YP Y
Volume XXXIX, No.(8), November/December, 2005
Publisher 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
Hello my fellow members, I hope all is well with each of you and you are staying warm and dry as this crazy winter continues. As we enter a new year it is always a busy and exciting time for our chapter. As I write to you, we have just concluded our 3rd web-based Board of Directors meeting. Each time I preside over a board meeting I am inspired by our colleagues who comprise your board. The work they perform and the level of expertise and dedication with which they participate in our governance is truly inspiring. The generative discussions that are conducted are at a very high level produce ideas and initiatives that continue to drive our strategic plan and move us forward in our state. As we move forward this year there are many issues that confront us here in our great state. Patient access to our care, fair payment for our care, our ability to practice with reduced refer“As we move forward this year there are ral barriers and the ability for many issues that confront us PTA colleagues to practice here in our great state” in our Workers’ CompensaMike tion System are all included in our legislative agenda for Michael Mattia, PT, DPT, MS, MHA this 2018 legislative session. My friends, the aforementioned are all opportunities that lie ahead for us. As always there are threats to our practice that continue to exist. The athletic trainers continue to lobby for expansion of their scope of practice, the insurance industry continues to create greater barriers to our care through what seems to be constantly increasing copayments for our services, and other professions are attempting to include interventions in their practice acts that threaten to infringe on our scope of practice. At times it seems that many health care providers in New York want to be physical therapists. I know that imitation is the greatest form of flattery, so I guess we should feel flattered. What I think we should feel is proud and protective. We are the one profession in this great state that is best trained to care for our communities in a multitude of care settings and we need to continue to demonstrate this to our communities and our leaders. As we move into spring and we fully engage with our legislators in Albany and at their district offices, I am once again appealing to each of you to get involved. We need each of you to advance and protect our profession in our state. We need your voices, your participation, and we need your support for our Political Action Committee.
Editor / Designer Gloria Baker Empire State Physical Therapy is published 6 times yearly, with combined January/February, March/April, May/June, July/ August, September/October and November/December issues. Its purpose is to provide physical therapists, physical therapist assistants and physical therapist/physical therapist assistant students with accurate and timely information relevant to the practice of physical therapy. The editor reserves the right to edit all communications. Anonymous letters will not be published. Views expressed are those of the author and do not represent the formal position of NYPTA unless expressly stated.
Editorial Board Catherine Talbett, PT, DPT, PCS, Cert. MDT Alanna Pokorski, PT, DPT
Advertisements
All advertisements in Empire State Physical Therapy must comply with the ethical standards of the APTA. Acceptance of advertisements in this publication does not imply endorsement.
Submission of Material for Publication Submissions should be sent via email to Gloria Baker, Editor, at gbaker@nypta.org. Submissions are subject to the discretion of the editorial board.
Subscriptions
NYPTA members automatically recei ve this publication. Nonmember subscriptions are $100 (US) or $150 (non-US) annually. This price includes sales tax, shipping and handling.
Deadlines Editorial and advertising deadlines are the first business day of the month prior to the month of publication.
Chapter Officers
President Vice President Treasurer Secretary Speaker Chief Delegate
Michael Mattia, PT, DPT, MS, MHA Tracy Sawyer, PT, DPT Keri Gill-Smith, PT, DPT, CLT-LANA JJ Mowder-Tinney, PT, PhD, CSRS, NCS Lynn Rivers, PT, PhD James Dunleavy, PT,DPT, MS
Chapter Directors Brooklyn/Staten Island Catskill Central Eastern Finger Lakes Greater New York Hudson Valley Long Island Southern Tier Western
Michael Masaracchio, PT, PhD, OCS, FAAOMPT Jill Taylor, PT, GCS Jonathan Small, PT, DPT Sarah Gardner, PT, OCS 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
We practice in a very complicated environment in New York, and getting continued on page 12 2 Empire State Physical Therapy • January/February, 2018
Copyright 2017 by the New York Physical Therapy Association. Requests for reprints should be directed to Gloria Baker at NYPTA, 971 Albany Shaker Road, Latham, NY 12110.
www.nypta.org
The Importance of Serving on a Board continued from page 1
may vary, but the effectiveness of having members talk to members on the value of belonging to the association is well documented. By their very nature, board members are the most engaged volunteers of the association and, therefore, a natural fit to perform this function. No matter what role you may be asked to play in your service as a Board of Director to the association, always remember that the role you do play is important to the overall future direction of the association. To find out more about serving on the Board of Directors for the NYPTA, please contact the Chapter Office.
2018 - 2020 Slate of Officers President Peggy J. Lynam, PT, DPT, NCS NYPTA District: Greater New York Date of Membership in the Chapter: 1980
Education: Doctor of Physical Therapy, March 2007, A. T. Still University of Health Sciences, Arizona School of Health Sciences, Master of Science (Post-Professional -Adult Neuromuscular Physical Therapy), January 1989, Long Island University Bachelor of Science in Physical Therapy, May 1982, Ithaca College Present Employment: Associate Professor, Department of Physical Therapy, Long Island University, Brooklyn, 9/1/2015-presentfull-time faculty in Doctor of Physical Therapy program; Sole proprietor of part-time home health PT practice, 2015-present, (full-time prior to 2015) Activities Chapter: Chief Delegate (2013 -2017); Judicial/Reference Committee (9/2016 -present); Speaker of Delegate Assembly (2006-2012); Treasurer (2001 - 2005); Executive Committee (2001-2005); Strategic Planning Task Force (2013) Governance Review Task Force (2011 -2013), Finance Committee (10/99 -2005, Chair, 20012005), CE Task Force (2001-2002); Chapter Delegate to HOD x l8 District: GNY: Member-At-Large, 2012 - 2016; Delegate to Delegate Assembly x 1; BISI: Chapter Director (1994-1999), District Chair (1991-1994), Program Committee (1990-1991), Delegate to Delegate Assembly x 13 APTA: None
www.nypta.org
January/February, 2018 • Empire State Physical Therapy 3
2018 - 2020 Slate of Officers (Continued) Peggy J. Lynam, PT, DPT, NCS - President Please identify three opportunities available to influence the practice of physical therapy in New York and describe the strategies you would take to optimize these opportunities. One opportunity for influencing the practice of physical therapy in NYS is to promote best practice among our current and future (student) PT/PTA colleagues. We should strive for all clinicians to commit to evidence-based practice and maintaining the highest practice standards to minimize unwarranted variations in practice. To optimize this opportunity, disseminating updated EBP-related information as widely as possible is crucial. For our message to reach more clinicians, we should re-emphasize membership drives which highlight the resources available to enhance one’s clinical practice. Another opportunity is to increase the demand for PT services by demonstrating our value and better communicating what sets us apart from “similar” providers. We should promote a more cohesive, public identity for PTs as “movement experts/specialists” and adapt APTA’s initiatives in this area where feasible. Another strategy is to expand our practice coalitions within NYS with groups that share common goals, following APTA’s example of multiple “coalition connections”. A third opportunity is to continue the work towards achieving our legislative/regulatory goals, especially with respect to unrestricted direct access and appropriate payment for PT services. In addition to our lobbying efforts, we should maximize outreach to important regulatory bodies such as the State Board for PT. Overall, a common strategy to optimize all three opportunities is communication/collaboration with the most relevant internal and external stakeholders: establishing the most effective new partnerships and leveraging existing relationships to our advantage. I welcome the opportunity to share additional strategies and answer your questions at the Candidate Meet-andGreet.
President Tracy K. Sawyer, PT, DPT NYPTA District: Eastern Date of Membership in the Chapter: 1984
Education: Ithaca College BS PT 1984; Boston University TDPT 2006 Present Employment: Per diem Physical Therapist at Sunnyview Rehabilitation Hospital, a free standing inpatient and outpatient rehab facility. I work on all inpatient units (neuro, TBI, med/surg. ortho, cardiopulmonary), outpatients at main campus and satellite offices, perform wheelchair and seating evaluations for inpatients and outpatients. I have been filling this role for 5 years. 4 Empire State Physical Therapy • January/February, 2018
www.nypta.org
2018 - 2020 Slate of Officers (Continued) Tracy K. Sawyer, PT, DPT - President Activities Chapter: Vice President (May 2014-present); Public Relations Committee Chair (2010-2014, 2004-2007); Delegate to Delegate Assembly x 15; Lobby Day; Delegate to House of Delegates x 8. District: Secretary (1992-1996); Chair (1996-2002); Nominating Committee (2002); Vice Chair (2002-2009); Public Relations Committee Chair (2002-2009). APTA: Public Relations Strategic Planning Task Force (2007); Advisory Panel on Public Relations (2007-2010) Please identify three opportunities available to influence the practice of physical therapy in New York and describe the strategies you would take to optimize these opportunities. Thank you for the support and confidence demonstrated by the nomination to run for President of NYPTA. Serving in the role of Vice President over the last 4 years, I have been able to follow new leadership paths, develop areas of strength, and assist others to do the same. I believe this experience, along with other roles within the association, have well prepared me for the position of NYPTA President, and continuing the vibrant work of the association. Among opportunities available for NYPTA to influence the practice of physical therapy in New York state are three areas I believe are timely and can generate actions and achievable goals: 1. Collaboration – For the profession of physical therapy to be recognized and thrive, we must comprehend that we are not alone. NYPTA must take every opportunity to work with external and internal groups to move forward with our professional goals. A successful experience of this is my work with the BIANYS Concussion Initiative. Within NYPTA, I have also fostered a collaborative work effort among our committees. 2. Awareness – We must continue to increase and reinforce the awareness of physical therapy within the public, other professions and our own organization. My longstanding interest and experience in public relations activities fuels this opportunity. 3. The Opioid Crisis - Physical therapy can have a very strong role in the fight against opioid addiction. I have participated in NYPTA’s initiation of action in this area, and can effectively utilize my leadership experience to foster this opportunity.
Vice President
Michael Masaracchio, PT, PhD, DPT, OCS, SCS, FAAOMPT NYPTA District: Brooklyn/Staten Island Date of Membership in the Chapter: 1998
Education: Nova Southeastern University PhD 2011; Creighton University TDPT 2005; Long Island University BS/MS PT 2011 www.nypta.org
January/February, 2018 • Empire State Physical Therapy 5
2018 - 2020 Slate of Officers (Continued) Michael Masaracchio, PT, PhD, DPT, OCS, SCS, FAAOMPT - Vice President Present Employment: 1. Associate Professor, Long Island University, Department of Physical Therapy. Respnsible for Teaching 18 credits, which includes coordinating the musculoskeletal curriculum. In addition, I am involved in service to the Department, School of Health Professions, and Campus as a whole, while I also maintain an active research agenda focusing on costs of care and examination and management of musculoskeletal pathologies with emphasis on cervical/thoracic pain. 2. Senior Staff Physical Therapist, Masefield and Cavallaro Physical Therapy Responsible for the treatment of patients with orthopedic and sports medicine injuries, as well as serving as the CCCE for student internships. In addition, I coordinate all educational in-services and serve as a mentor for orthopedic residents and future manual therapy fellows in training. Activities Chapter: NYPTA Practice Act Task Force (2016-Present); Member-at-Large (2016-2017); Co-Chair Dry Needling Task Force (2014-2015) District: Brooklyn/Staten Island Chapter Director (2014-2018); Brooklyn/Staten Island District Board (2013-Present) APTA: None What is your vision for the NYPTA in the next five years, and how should we achieve that vision? The profession of physical therapy is at a crucial and innovative time. As physical therapists, we possess the education and communication skills to be at the forefront of primary care intervention. Evidence is showing that as costs for treatment of neuro-musculoskeletal conditions continue to spiral out of control, physical therapy represents a more cost-efficient and effective management strategy when compared to medicine, injections, imaging, or surgery.1-3 Despite this increase in evidence, the utilization of physical therapy services remains low.4-9 It is my vision that over the next five years, the NYPTA will be at the forefront of improving access to physical therapy for all patients. The NYPTA must continue to advocate for direct access, higher reimbursement rates, and lower co-pays to improve utilization of physical therapy services. Through the cooperation of many individuals along with the work of task forces, one of which I am a participating member, these goals have the potential to change the landscape of physical therapy across the state, with the ability to impact patient perception of physical therapy, as well as their own potential for change and recovery. Moving forward, in order to further our efforts of improving access, the NYPTA must also continue to increase its membership in order to give us better leverage to affect change at both the state and national levels. Strength in numbers and the presence of a unified organization, along with cooperation, participation, and open discussion from all members is vital to future change.
6 Empire State Physical Therapy • January/February, 2018
www.nypta.org
2018 - 2020 Slate of Officers (Continued)
Vice President
Michael Tisbe, PT, DPT NYPTA District: Central Date of Membership in the Chapter: 1992
Education: Manhattanville College BA Biology 1989-1991; SUNY Health Science Center at Syracuse BS PT 1991-1993; University of St. Augustine DPT 2005-2009 Present Employment: Director of Rehabilitation Services at Elderwood Health Care at Liverpool 2008-Present Responsible for clinical programming of PT, OT and ST, staff development, training, operations, safe patient handling and bundle initiatives. Activities Chapter: Strategic Planning Task Force (2012); Strategic Planning Task Force - Chair (2014); Payment Trends Task Force - Chair (2014); Member-at-Large (2014); Membership Committee member (2016-Present); Program Committee - Chair (2016-Present); Delegate to the House of Delegates (2018) District: District Director (2012-2016); District Delegate (2012-2013, 2015-2017) APTA: None What is your vision for the NYPTA in the next five years, and how should we achieve that vision? I am honored to have served NYPTA as a board member, committee chair and member of committees and task forces. I am humbled by the opportunity to serve as an elected official of the NYPTA. A number of years ago I made a commitment to be involved, to learn, and to work within our organization to be a part of making a difference in the profession and its role in serving society. I am intrigued by the conversations and sometimes lack of conversations at delegate assembly regarding many issues affecting our profession. As a servant to the members of this organization, I will seek to understand the perspectives of each practice arena of our field to better champion the common ground on which we all stand. Over the next few years I envision the NYPTA would endeavor to promote unity and engagement of current membership with a focus to attract those who have yet to realize the value of membership. The strength attained from the participation of many voices with diverse views and interests can only serve to build a stronger and more comprehensive organization. The larger we can grow our membership the more confidently we can speak as one voice for the profession, more comprehensively represent our members in an amplified voice to fortify the role of Physical Therapy in the ever changing landscape of our healthcare delivery system.
www.nypta.org
January/February, 2018 • Empire State Physical Therapy 7
2018 - 2020 Slate of Officers (Continued)
Speaker Robert M. Streb, PT, PhD NYPTA District: Long Island Date of Membership in Chapter: 1986
Education: Paul Smith's College Associate of Science Degree 1979; Long Island University-Brooklyn BS Health Science, MS Physical Therapy 1989; Stony Brook University PhD Anatomy 2005 Present Employment: Clinical Associate Professor Stony Brook University 1994-Present Duties include teaching, research and service Activities: Chapter: Member-at-Large (2015-2016); Delegate to House of Delegates (2013-2016); Delegate to NYPTA Delegate Assembly (2011-Present) District: Long Island District Director (2014-Present; PR Committee Long Island District 2013-Present APTA: None From your leadership role as Speaker, what strategies will you use to promote member engagement and participation in the Delegate Assembly? The main function of the Speaker of the Delegate Assembly is to preside over the assembly keeping the meeting orderly and efficient. This includes setting the agenda and serving as an ex-officio member of the judicial/reference committee. There has been discussion in recent years that perhaps rich useful discussion at Delegate Assembly has been waning and that perhaps Delegates to the House and Delegates to the Assembly would benefit from deeper discussion to generate more thought and a broader understanding of the complexities facing our profession. I believe the Speaker's ability to promote greater participation during the Assembly, while limited, could involve explanation and encouragement at the introduction to the meeting, in discussions with district directors and chairs, and informally throughout the weekend with individual delegates. I believe it would be my role to listen to suggestions from all members and should be considered. If elected I intend to encourage all Delegates to participate and debate the issues to allow for all perspectives and ideas to be considered. I believe this debate should take place during the formal Assembly meeting and informally in district caucuses and in personal discussions at the Assembly meeting and throughout the year. 8 Empire State Physical Therapy • January/February, 2018
www.nypta.org
2018 - 2020 Slate of Officers (Continued)
Nominating Committee Member Vicki Wilkins, PT, DPT, GCS, OCS, FAAOMPT, Cert. MDT NYPTA District: Finger Lakes Date of Membership in Chapter: 2004
Education: Daemen College Fellowship Program in Orthopedic Manual Physical Therapy 2007 - 2010; Daemen College DPT 20042006; West Virginia University BS Physical Therapy, 1987-1993 Present Employment: Physical Therapist and Clinical Instructor, work full time in the home health care setting assisting people maximize their functional independence and well-being 9/2016-Present Adjunct Professor, Masters of Science Fellowship Program in Orthopedic Manual Physical Therapy. Duties include teaching required lab(s) for Fellows in Training, Daemen College 1/2014-Present Activities: Chapter: Delegate to House of Delegates (2015); Alternate Delegate to House of Delegates (2014); Payment Trends Task Force (2013); High Copay Legislation Advocacy (2012) District: Finger Lakes District Chair (2015-Present); Finger Lakes District Secretary (2014-2016); Chief Delegate to the Delegate Assembly (2016, 2017); Delegate to the Delegate Assembly (2013, 2014, 2015) APTA: None What opportunities should the Nominating Committee use to encourage participation in the nominating process?
The Nominating Committee should treat all professional gatherings as opportunities for networking to encourage and educate on the importance of and process for nominating great leaders to our Chapter offices. Such gatherings include the House of Delegates, Combined Sections Meeting, Delegate Assembly, NYPTA Conference, and the Student Conclave. In addition, networking at the District level is also important. Reaching out to the District leaders and membership through attending District meetings, personal phone calls, text messaging, emails, and social media are all available communication methods to encourage and mentor the nomination process. It is important to utilize a variety of communication methods due to individual communication preferences. Personal relationships should be developed as they are key in discovering talented leaders and encouraging their participation. Cultivating friendships and being a good listener frequently opens doors and provides opportunities for learning about potential candidates that might not otherwise reveal themselves. I believe communication about the nomination process should be efficient and effective. The ease of nominating should be a priority. Clear methods to obtain key information such as the job description of the vacant position and the expected time commitment should be readily available. Participation in the nominating process should not be cumbersome or time consuming. Having a “user friendly” process will likely result in more nominations of qualified candidates and encourage all individuals to participate in the nomination process. www.nypta.org
January/February, 2018 • Empire State Physical Therapy 9
AWARDS COMMITTEE SEEKS NOMINATIONS Any Chapter member or district may submit nominations. It is important that all nominations be well supported with information about the nominees’ activities that indicate their appropriateness for the award. To be considered valid, all nominations must be submitted on the official form by April 13, 2018. Multiple entries may be submitted. The following is a list of descriptions of NYPTA awards:
1. Dr. Marilyn Moffat Distinguished Service Award. This award recognizes an NYPTA member who has made an outstanding contribution to physical therapy. The recipient will have demonstrated consistent service to the development of the physical therapy profession, beyond that which is inherent in being a member of the profession. This commitment of service is demonstrated by contributions to the profession in the following areas: 1. The profession of physical therapy in any of the following areas: a. Education. The recipient has fostered the development of quality learning experiences that promote sustaining and improving the physical therapy profession, including teaching in areas such as academic, in-service or continuing education; development and implementation of teaching methods; administration of a PT program. b. Clinical research. The recipient has initiated or participated in laboratory and/or clinical research that has promoted the development of the physical therapy profession and has published or disseminated the results of such research. c. Service. The recipient has demonstrated service to the profession in patient care, consultation, administration or education as a liaison to other health care organizations and/or committees. 2. The APTA or its components: The recipient has promoted the organization and its goals. 3. Community: The recipient has demonstrated involvement in organizations such as service organizations; local, state or federal government in an elected or voluntary capacity.
2. NYPTA Lifetime Service Award. The recipient shall have demonstrated a commitment to the profession of physical therapy by serving NYPTA: 1. Throughout their physical therapy career on an ongoing, consistent basis. 2. Through service primarily to the Chapter in any elected or appointed capacity but may also include District or National activities. 3. By providing contributions that are worthy of mention and which will be judged on the basis of results and not merely the duration or continuity of that service.
Chapter Award General Criteria: 1. Candidates must be members in good standing of the APTA and may be nominated by any member of the New York Chapter. However, candidates for the New York Chapter Appreciation Award need not be APTA members. 2. Nominations must be submitted on the official form found on page 7. 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.
10 Empire State Physical Therapy • January/February, 2018
3. Leslie J. Wood Outstanding Service to Chapter Award. The recipient will have made outstanding contributions to the New York Chapter in promoting the organization and its goals.
4. Merit Award. The recipient will have made meritorious contributions in one of the following capacities: as a member of the Chapter Board of Directors, as a task force or committee Chairperson, or by committing time and resources to the Chapter and the profession. 5. Doreen Frank Legislative Award. The nominee shall have demonstrated consistent, outstanding participation in the legislative arena by promoting initiatives that preserve, protect and advance the practice of physical therapy in NYS. Activities shall include the following: a) attendance at Lobby Day b) interaction with legislators re: current legislative issues c) promotion of and participation in PAC activities d) involvement in legislative activities on a district and/or chapter level.
6. Public Relations Award. The recipient will have fostered public awareness of the profession of physical therapy through utilization of the media, community activities, special events or promotion of PT Month, etc. Nominations may be submitted for Districts, individuals, facilities or schools, and must be substantiated by written information, photographs, brochures/printed materials or copies of articles, etc. Activities of Chapter committees are not eligible for consideration.
7. New York Chapter Appreciation Award. This award is not limited to physical therapists or APTA members. The individual will have fostered the ideas and/or ethics of physical therapy through service to the New York Chapter or the profession. 8. Outstanding Service to District Award. The recipient will have made outstanding contributions to a district.
9. Leadership Development Award. Recipients of this award should exemplify the spirit of leadership development within the profession through, but not limited to, the following: a) Participation or promotion of mentor/protégée relationships; b) Participation or promotion of attendance at the Leadership Development Workshop, Delegate Assembly, Lobby Day or other association leadership activities; c) Creation and implementation of innovative ideas for developing leaders within the profession; c) Creation and implementation of methods to keep the spirit of leadership alive throughout the professional life cycle. The following outlines further specifications for this particular award: a) Nominations may be submitted for Districts, individuals, facilities or academic programs; b) Nominees should be Chapter members; in the case of facilities or academic programs, the individual spearheading the effort should be a chapter member; c) Nominations must be substantiated by written information including data collected regarding numbers of individuals affected by the leadership efforts; d) Members of the Chapter Leadership Committee are not eligible for this award while in office.
www.nypta.org
NYPTA Awards Nomination Form All portions of this form must be completed for the nomination to be valid. The form may be photocopied to accommodate multiple entries. Please send this form to the Chapter office: NYPTA / 971 Albany Shaker Road / Latham, NY 12110 Attn: Awards Committee. • • • Deadline for submitting nominations: April 13, 2018. • • • 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, 2018 • Empire State Physical Therapy 11
2018 Is Our Year as a Profession things done and getting things changed takes hard work, perseverance, and funding. The funding is provided through our PAC. Please consider a donation today. A strong PAC can enable us to have a stronger voice in our state. We have made much progress over the last few years and we have the attention of leaders at the state and local levels. More and more we are experiencing legislators and public policy makers recognizing the value of our services and the importance of making access to physical therapy for all New Yorkers easier, timelier, and more affordable. John Lennon sang about “power to the people”. Friends we are the people and collectively we have the power. Join in, join up and join us as we make 2018 a year to remember for the physical therapy profession in New York State. Until next time, all the best, Mike
#110 Brian Hoke's Practical Applications to Biomechanics of the Foot and Ankle Brian R. Hoke, DPT, SCS May 12-13, 2018 NYC, NY #111 Brian Hoke's Advanced Level Biomechanics course of the Foot and Ankle Brian R. Hoke, DPT, SCS Sept. 15-16, 2018 NYC, NY #114 Donatelli’s Shoulder Rehab with Lab Robert Donatelli, Ph.D, PT, OCS December 1-2, 2018 NYC, NY #385 Kinesio Taping® Advanced Techniques March 24, 2018 NYC, NY
www.motivationsceu.com
Motivations Inc is an approved sponsor of CE by the New York State Education Dept, Office of the Professionals. Submitted for approval to the New Jersey State Board of Physical Therapy Examiners.
#329 Pediatric NDT Intensive Handling Techniques Gail Ritchie, OTR, C/NDT October 21-22, 2018 Brooklyn, NY #336 Introduction to Contemporary Pediatric NDT Lisa Madigan-Carey PT, MS, C/NDT Sept. 21-22, 2018 Marlton, NJ #349 Treating Children w/ Severe Physical Disabilities Marcia Stamer,MH, PT, C/NDT February 23-24, 2018 Marlton, NJ May 10-11, 2018 West Seneca, NY #384 Kinesio Taping® Techniques (Day 1-2 toward Certification) Patricia Martin, PT, CKTI June 15-6, 2018 Marlton, NJ
admin@motivationsceu.com
12 Empire State Physical Therapy • January/February, 2018
www.nypta.org
2017 Fall Board of Directors Report By J.J. Mowder-Tinney, PT, PhD
On October 18 and 19, 2017, the New York Physical Therapy Board of Directors (BOD) met in Troy, New York. Multiple motions passed at the meeting including: • Motion to approve the NYPTA 2018 Proposed Budget with one minor amendment for the PTA caucus budget. • Motion to increase the Executive Director salary to move closer in alignment with current Executive Director's salaries for non-profit professional organizations with similar size budget and membership numbers. • Motion to change the name of the Legislative and Payment Committee to the Public Policy Committee to better align with the APTA. • Motion to approve the 2018 Legislative Plan. The plan was updated for the second half of this legislative session. Outdated items were removed and current items modified to reflect the most recent actions by chapter leadership, Legislative and Payment committee, and the legislature. • Motion to approve the NYPTA BOD charge the Chief Delegate to develop a manual/educational module for use by new delegates to have an educational resource for them is important to continue NYPTA’s leadership role in the House. • Motion to approve two amendments to the Brooklyn/Staten Island District Bylaws to strike a corresponding secretary position and to adjust the committee sections. Four motions involved adjusting procedural manuals. • Motion to amend the Finance Committee Procedure Manual Section (Section ll,2. Investment Accounts) adding a new addition to maintain a Capital Improvement Fund to secure funds for improvements and large repairs to the Chapter Office and adjacent leased building. The building represents a substantial asset for the chapter and there will be resultant costs involved with maintaining the building infrastructure. • Motion to approve the NYPTA Chapter Policy Manual to clarify the responsibility for communication to the board and the Delegate Assembly of the activities of the NYPTA-HoD delegation and allows the board and the Delegate Assembly to review in a timely manner. • Motion to approve the newly formed Legislative and Payment Committee Procedure Manual as printed as well as the Marketing and Engagement Committee Procedure Manual as printed. The final motion included a discussion regarding the reserve usage for the mortgage. The treasurer provided an overview of the reserve amount and options to keep the Chapter in line with current policy on balance requirements. After a lengthy discussion the BOD agreed to the finance committee moving to encumber $30,000 to pay toward principle on the outstanding mortgage on the Chapter office building. The funds for this payment will be deducted from the excess reserve account with a target date of December 2017. The meeting concluded with the Chief Delegate discussing NYPTA participation in APTA yearround governance opportunities for change. He reviewed the challenges of the timing for participation in Delegate Assembly as well as new communication tools between the CD and the delegates utilizing the NYPTA website. The meeting was concluded with Good and Welfare. Respectfully submitted, J.J. Mowder-Tinney PT, PhD www.nypta.org
January/February, 2018 • Empire State Physical Therapy 13
Member Spotlight: Audrey Paslow, PT, DPT, NCS Current Employer/Position: Ellis Medicine, Physical Therapist
1. You are involved in many aspects of the NYPTA – as chair of the Leadership Committee, as Eastern District Chair, and recently were quite involved in the planning of the student conclave at Hunter College. Can you tell us how you became so involved in these roles in the association, and what you find valuable and meaningful in these positions? The story to my involvement is quite simple: I wanted to be around active, like-minded professionals. I started going to District events a few years after graduating and at my first meeting saw Dolores Montero; she was one of my clinical instructors and a good mentor. She encouraged me at one point to run for District Chair, and I credit much of my success in this role to her early guidance! I applied via the Volunteer Interest Pool at Delegate Assembly to join the Leadership Committee, and was so excited when I received an invitation. Later, I was honored when asked if I’d like to be the Committee Chair. I firmly believe these opportunities have helped shape the person and physical therapist that I am today; it’s true, #PTTransforms! I am invested, involved, and excited about advocacy for our profession. I wouldn’t have known anything about these opportunities or grown like I have had it not been for my Chapter involvement. It’s kept me current, inspired, and engaged. The energy in our Chapter is contagious!
2. Tell us a little about your background, and how your path led you to where you are in your career today. I grew up playing soccer, am a runner, and was a certified personal trainer while working on my DPT. When I started my first job, I spent lots of time in our Neuro unit, and really enjoyed working with this patient population. When I joined Ellis Medicine in 2011, I was given the opportunity to collaborate on a concussion management program and jumped on it. Playing soccer as long as I did, I’m sure I sustained at least one concussion, but it wasn’t as well managed back then. It’s an ever-changing topic and the science has come a long way; I knew I wanted to be a part of the positive advances in this branch of medicine. During this time, I was given the chance to speak nationally as a subject matter expert and teaching consultant on concussion management in rehabilitation. I also taught for my District, and will have the opportunity to teach for our Chapter at the 2018 mini-conference. In my role at Ellis, I’ve been able to speak to our local news stations, newspapers, high schools, and practitioners about concussions. Those combined experiences over the past seven years helped me to develop a skillset in advocacy, education, and clinical expertise. Currently, I am the lead therapist for our concussion management program, and spend a lot of time working with local practitioners and school districts in developing a community-care based model for treatment. I am also an adjunct professor and subject matter expert for the School of Health Sciences at Excelsior College. I get a chance to spend time on both my passions; working with patients in the clinic and educating students. Similar to how I’ve taken the initiative to be engaged with NYPTA, I’ve done the same thing with my work; I’m constantly seeking new ways to be more involved and help.
3. You are an active member of the NYPTA. Can you tell us how membership in your professional association has enhanced your career? I can’t imagine that I would have grown as much as I have without being actively involved. I gained a broad network of talented colleagues whom I regularly speak with, and ask questions of. Attending conferences and spending time with fellow PTs reminds me how lucky I am to be in a profession of such knowledgeable, compassionate practitioners. Also, I love leadership roles and volunteering with NYPTA has afforded me many opportunities to serve in that capacity. I’ve joined in other efforts that I wouldn’t have even realized were out there – from advocacy to providing continuing education, furthering clinical research, and mentoring future leaders. How could I have seen all this without my involvement? I think that’s why I’m a good fit for our Leadership Committee; I want to share this with our colleagues – both present and future - so they can confidently join in these important efforts!
4. How is technology helping or changing your experience in the PT industry? What is your favorite new technology or device? 14 Empire State Physical Therapy • January/February, 2018
www.nypta.org
Member Spotlight: Audrey Paslow, PT, DPT, NCS (Continued) Current Employer/Position: Ellis Medicine, Physical Therapist
I have incorporated my smartphone into my daily practice. I use metronomes, stopwatches, videos, and other patient education tools throughout treatment. It’s very helpful when it comes to illustrating a vestibular issue, or highlighting certain aspects of treatment with concussions. I think one of my favorite apps has to be QxMD; it saves all the latest research articles so I can review them when I’m ready. It’s amazing how much information we have at our fingertips today!
5. What is one of the biggest differences between now, and the time you first started practicing physical therapy? Though I haven’t been out in practice too long, it is interesting to see how the industry has been rapidly changing. As I’m watching more organizations merge, reimbursement change, and patient attendance and involvement in therapy change, I see how we are pushed to become more efficient and effective. It’s a challenge, but not insurmountable; it requires us to stay one step ahead of the curve, and is something we can certainly achieve together.
6. What is your favorite hobby or past time, and how have you incorporated that into your career if at all? I have always had a bit of a creative side; I love writing and photography. As we speak, I am currently working on a new project that should incorporate those talents with my love for this profession! I don’t want to say too much yet, but I hope that this new venture will have a positive impact on other physical therapists who treat neurological disorders.
7. What advice would you give to a new professional, or a student of physical therapy as they embark on this career path? First, get involved, and stay involved! In this career, as there is with many, it’s so easy to get into a rut or suffer burn out. If you want to see positive changes in your profession, legislation passed that helps you and your patients, new research that advances clinical practice, volunteer opportunities that give back to the community, leadership development, or even career opportunities – what better place to find this than where the best and brightest of our profession connect? Secondly, you’ve undoubtedly worked hard to get to this point in your career. Take time for yourself as well. You can’t give 100% if you aren’t at 100%.
8. What else would you like your fellow NYPTA Members to know about you? I am an avid apparel sewer and Project Runway fan. In one of my best weekend trips, my husband took me down to the Garment District in New York City as a reward and reprieve after taking my NCS Exam. Not only did I meet a Project Runway contestant (Kelly Dempsey), but I also met Mood Fabric’s mascot, Swatch! So, chances are when you see me, I’m wearing something I’ve handmade.
www.nypta.org
January/February, 2018 • Empire State Physical Therapy 15
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Value-Based Payment and Physical Therapy: Update by Marcia Spoto, PT, DPT
Value-based payment (VBP), payment reform, quality payment programs, and alternative payment models have been part of the lexicon for physical therapists on the payment side of practice for many years. The movement toward VBP has generally been slower than anticipated. Some of the structures established with Health Care Reform have not developed quite the way they were intended. An example of this is Accountable Care Organizations (ACOs), where groups of physicians, hospital systems and other providers voluntarily work together to better coordinate care in an effort to reduce healthcare costs. While there are examples of successful ACOs, many have either failed altogether, or have not materialized in a way that significantly impacts the quality or cost of care. The Centers for Medicare & Medicaid Services (CMS), however, is moving forward with VBP. The Medicare Access & CHIP Reauthorization Act (MACRA) of 2015 set the stage for quality payment programs. There are two options under MACRA: (1) the Merit Based Incentive Payment Program (MIPS), and (2) Advanced Alternative Payment System. The program most relevant to physical therapists currently is MIPS. It replaces the Physician Quality Reporting System (PQRS), which physical therapists are familiar with if they treat Medicare patients. MIPS entails performance based payment adjustments linked to reporting on select quality measures. Physicians made the transition to MIPS in 2017, however physical therapists and other non-physician providers are being held out until 2019. The APTA does encourage PTs to voluntarily participate in MIPS so that they can be ready when they are required to participate. Compared to PQRS, in addition to the inclusion of more and different quality measures, payment penalties and incentives are much higher under MIPS. Under PQRS there was a 2% payment bonus or penalty associated with quality reporting; under MIPS there is a 7% bonus or penalty. This will increase to 9% in 2020. Like PQRS, these payment adjustments are projected 2 years out from the reporting period. For example, in the 2019 reporting period, any bonus or penalty will be reflected in 2021 payments. There will be no additional updates to the fee schedules under Medicare from 2020-2025. It is important to note that there are certain exclusions to participation in MIPS. First, newly enrolled Medicare providers are exempt for the first year. Lower volume practices will also be exempt. Low volume practices include those with less than or equal to a total of $90,000 in Medicare charges per year, and who see fewer than 200 Medicare part B patients per year. Both criteria must be met in order to be exempt. This applies to both the individual and group levels. So if you are a physical therapist working in a group practice, although you may meet both thresholds on an individual level, if the group exceeds the thresholds, the exemption does not apply. Quality measures under MIPS include PQRS measures, registry developed measures (such as the Physical Therapy Outcomes Registry and FOTO), as well as new specialty measure sets currently being developed. Payment bonuses will be based upon more than simply meeting a pre-defined reporting threshold, which under PQRS was set at 50% of Medicare patients. The threshold under MIPS is set at 60%, but most importantly, the percentage of patients meeting performance benchmarks will be considered. Therefore, payment will actually be based upon performance. We will know more about what will happen in 2019 in June of this year, when CMS releases its proposed rule. The final rule will come in November, and at that time physical therapists will know for sure whether or not PT will be required to participate in MIPS. If you are interested in learning more about MIPS or other aspects of value-based payment, you can find resources on the APTA webpage: http://www.apta.org/PaymentReform/
www.nypta.org
January/February, 2018 • Empire State Physical Therapy 17
SSIG
STUDENT SPECIAL INTEREST GROUP PRESIDENT VICE PRESIDENT SECRETARY TREASURER COMMUNICATONS CHAIR NOMINATING COMMITTEE CHAIR ADVOCACY CHAIR SERVICE CHAIR SPECIAL EVENTS CHAIR BROOKLYN/STATEN ISLAND REP CENTRAL 1 REP CENTRAL 2 REP GREATER NEW YORK REP HUDSON VALLEY REP LONG ISLAND REP WESTERN REP
Bronté Miller, SBU Class of 2019
Emily Rubin, Hunter Class of 2019 Megan Sliski, Utica Class of 2020
Brittany Wilbur, SBU Class of 2020
Giuseppe Demera, LIU Class of 2019 Wren Serafini, LIU Class of 2019
Jenna Kantor, Columbia Class of 2018 Allison Gibbons, NYU Class of 2020
Nichole Whitney, Hunter Class of 2019 Eliza Ferrer, LIU Class of 2019
Christopher Rettig, Nazareth Class of 2020 Casey Wrobel, Ithaca Class of 2020
Yaakov Friedman, Touro Class of 2020
Emily Gerbehy, Dominican Class of 2020 David Lee, NYIT Class of 2020
Charlene Takacs, D’Youville Class of 2019
18 Empire State Physical Therapy • January/February, 2018
www.nypta.org
Marketing & Engagement Committtee Report by Anne Gould, PT, DPT, Committee Chair
The NYPTA Marketing & Engagement committee was previously known as NYPTA’s Public Relations committee and received its new title in the beginning of 2017. This was more than just a name change, it was a change in focus and purpose. The Marketing & Engagement committee shifted its direction from external intentions to working with our internal constituents as detailed below: Committee Purpose: 1. Provide overall guidance to the development of marketing strategies of the Chapter as a whole; including committees. 2. Work closely with the Membership Committee and the Chapter Office Staff to develop ways to drive awareness and outreach to not only current members but potential new members and lapsed members, and to guide them in connecting with the association. Committee Duties: 1. Work with the Membership Committee to help with the tools to develop the communication strategies and tactics for membership growth and retention; 2. Assist the Chapter Office Staff in public relations efforts – both internal and external; 3. Actively promote the Brand of the association in professional and social settings; 4. Proactively seek out opportunities to assist NYPTA committees on communications strategies and tactics. Five of the ten NYPTA districts have representation on the Committee: Eastern, Hudson Valley, Greater New York, Southern Tier and Western. Additionally, the committee contains experience in 7 of the 12 settings listed on the APTA website (The 12 listed are: Acute, Rehab/Sub acute, Extended Care/Nursing Home/SNF, Outpatient/Private Practice, School/Preschool, Wellness/ Prevention/Sports/Fitness, Home Health, Hospice, Industrial/Workplace, Local/State/Federal, Research). The unique traits and preferences of the committee members further strengthen NYPTA as a whole, and the committee’s insights will hopefully fuel a broader range of physical therapists. So what have we been up to? In July 2017, we decided to participate in the APTA Community Awareness Grant with the purpose of supporting the #ChoosePT campaign in an area greatly impacted by the opioid epidemic. Within the Grant application submission, the Marketing and Engagement committee proposed a Pilot Program for the #ChoosePT campaign in Erie County New York. In this initiative, NYPTA will partner with the Opiate Epidemic Task Force created by Executive Order #014, under Gov. Andrew Cuomo, to develop a series of community workshops discussing the effectiveness of physical therapy in managing chronic pain versus masking chronic pain. The Pilot Program benefits the Erie County Opiate Epidemic Task Force as its current services focus centrally on addiction and recovery. Ideally, the NYPTA Pilot Program will provide services not readily available to the Task Force at this time. The use of a Pilot Program in Erie County will allow the Chapter to maximize its costs while effectively managing resources and gathering attendee feedback. The program will facilitate data regarding the NYPTA’s impact in a community in crisis. That gained knowledge and information will allow the Chapter to launch more programs, across all of New York State, that are developed with communication strategies and methods to target the geographically and demographically diverse communities within the state. In November 2017, the Marketing and Engagement committee received approval of their application for the APTA Component Community Awareness grant. The monetary award will assist in the costs associated with the #ChoosePT Pilot Program. The committee anticipates launching a newspaper ad in the Buffalo Newspaper to utilize the funding received from the APTA. For 2018, we are currently in the preliminary stages of collaboration with the Erie County Opiate Task Force. We are in the process of creating presentations and speaking opportunities to discuss physical therapy as a safe, effective way to manage chronic pain. We anticipate greater development by the end of the year.
www.nypta.org
January/February, 2018 • Empire State Physical Therapy 19
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January/February, 2018 • Empire State Physical Therapy 21
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News & Announcements
M2018 Mini - Conferences The NYPTA has heard what members are asking for, and we are delivering! Requests to have continuing education courses held throughout the state has resulted in the second year of the NYPTA Mini Conference Series. We are thrilled to offer locations in Long Island, Rochester, and Schenectady, that will feature full day continuing education seminars. More information will be coming soon, but SAVE THE DATES in 2018! • April 14th – DoubleTree Hotel, Rochester • September 15th – Danford’s Marina Hotel, Port Jefferson • October 20th – DoubleTree Hotel, Schenectady Congratulations to Greater New York District - the 2017 Recipient of the Golden Goniometer Award! This year’s winning district had a variety of submissions, including creating an NYPTA team of 63 participants to participate in a 5K, which raised $2,450.00 for cancer research. The district also hosted a student social, chal-
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%
Connect with us on Social Media!
Upcoming Events Lobby Day April 17, 2018
to Competent Professional Services
Spring BOD May 10-11, 2018 Holiday Inn Saratoga Springs, NY 12866
Professional misconduct and unlicensed practice of the professions are against the law!
Delegate Assembly May 11-12, 2018 Holiday Inn Saratoga Springs, NY 12866
To report suspected cases of professional misconduct or unlicensed practice of the professions, call 800-442-8106 or email conduct@mail.nysed.gov.
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January/February, 2018 • Empire State Physical Therapy 23
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January/February, 2018 • Empire State Physical Therapy 25
New York Physical Therapy Association A Chapter of the American Physical Therapy Association 971 Albany Shaker Road Latham, NY 12110
26 Empire State Physical Therapy • January/February, 2018
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