September/October, 2016 Volume L, NO. 11
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 Opioid Epidemic Cover Story (pages 1, 3-5)
Great Achievements Are Ahead President’s Letter (page 2)
Jeremy Crow
His 2016 Rio Olympic Experience (page 6-7)
Arthur J. Nelson RDF
Accepting Applications (page 8)
2016 APTA HOD Summary Report (page 9)
Nominating Committee Article &
Opioid Epidemic: We are in this fight together America is in the midst of an opioid epidemic. Opioid prescriptions have quadrupled since 1999. In 2012, health care providers wrote 259 million opioid prescriptions, enough for every adult in the United State to have a bottle of pills. As the volume of opioids has increased, so has the amount of misuse, abuse and overdose. New York State like other states in our country is dealing with the harsh realities of the opioid epidemic. As reported in the New York State Opioid Poisoning, Overdose and Prevention, a 2015 Report to the Governor and NYS Legislature:
HOD Nomination Form
•
(page 10) (Click here for online form)
•
Officer Nomination Form
Nominate someone today! (page 11) (Click here for online form)
PTA Committee Update & PTA Caucus Nomination Form
• • •
10,909,602 Opioid Analgesic Prescriptions were dispensed to patients in 2014. Opioid analgesic-related deaths increased 30 percent from 2009 to 2013 (from 735 to 952). Opioid-related emergency department visits increased 73 percent from 2010 to 2014. 75,110 opioid-related inpatient hospital admissions were reported in 2014; an increase of 3 percent from 2010. 118,875, (42 percent) of the 281,800 admissions to NYS certified substance abuse treatment programs in 2014 included “any opioid” as the primary, secondary or tertiary drug problem was up 19 percent (100,004) from 2010.
(page 16-18) (Click here for online form)
continued on page 3 www.nypta.org
September/October 2016 • Empire State Physical Therapy 1
Great Achievements Are Ahead
Volume L, No.10 July/August 2016
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 fellow members, I hope that you have all enjoyed this amazing summer season and have taken some time for rest and relaxation. As we enter into the fall, I am very excited about where we are as a profession and as an association in New York State. As most of you know from reading my previous letters, I belief in the periodic use of a tool called a SWOT analysis. SWOT is an acronym for Strengths, Weaknesses, Opportunities, and Threats. We have been utilizing this approach at the chapter level in order to prioritize our initiatives and resources over the last few years. So as the summer fades and fall is upon us, my thoughts turn to where we are as a profession in New York at this moment in time. I believe that we are standing at the precipice of achieving great things in the very near future. One might ask; Mike, why do you feel so optimistic about our profession? Glad you asked. “I believe that we are standing at the Let me tell you why. I will precipice of achieving great things in present my reasons in a top ten the very near future.” format, because I miss watching Mike David Letterman each night. Number 10 - We have a new state of the art chapter office Michael Mattia, PT, DPT, MS, MHA building that we own and call home. Number 9 – We have an excellent chapter staff under the leadership of our Executive Director, Kelly Garceau, who provide outstanding support and service to our membership every day. Number 8 – As a result of this excellent work at the chapter office, our brand is beginning to permeate our communities as it has never done before. Number 7 – We have a wonderful engaged group of Committee and SIG Chairs, who under the leadership of Vice President, Tracy Sawyer, have collaborated and formed work groups that can assist each of us and the chapter, to meet the demands of a fluid and changing health care delivery environment. Number 6 – We have a strong relationship with the APTA. They have provided support and resources to our chapter which assists our staff and your leadership in the daily governance of our chapter. Number 5 – We have a dynamic Board of Directors who are engaged and eager to get the necessary work done in order to position the chapter and every member to be successful. Number 4 – We have outstanding District leadership that provide the boots on the ground and grassroots leadership necessary for all of us to be successful. Number 3 – We have an excellent Executive Committee, which has experience, diversity, vision, and possesses the skill set necessary to provide the governance needed to successfully navigate our association through the shifting currents in health care.
continued on page 12
2 Empire State Physical Therapy • September/October, 2016
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 Planner Carla Rosenbaum crosenbaum@nypta.org Administrative Assistant Kate Teidman kteidman@nypta.org
Copyright 2016 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
Opioid Epidemic: We are in this fight together continued from page 1
When to Recommend Physical Therapy? The risks of opioid use outweigh the rewards Opioid use can cause depression, overdose, and addiction, plus withdrawal symptoms when stopping use. Patients want to do more than mask the pain Physical therapy treats pain through movement while partnering with patients to improve or maintain their mobility and quality of life. Pain or function problems are related to low back pain, hip or knee osteoarthritis, of fibromyalgia The CDC cites “high-quality evidence” supporting exercise as part of a physical therapy treatment plan for those familiar conditions. Opioids are prescribed for pain Even in situations when opioids are prescribed, the CDC recommends that patients should receive the “lowest effective dosage,” and “should be combined” with non-opioid therapies such as physical therapy. Pain lasts 90 days At this point, the pain is considered “chronic”, and the risks for continued opioid use increase. The CDC guidelines note that non-opioid therapies are “preferred for chronic pain”.
What Can NYPTA Members Do? • • • •
Take the Pledge to Fight the Opioid Epidemic at www.TurnTheTideRx.org Print copies of the Pain Profile and distribute them at community health fairs and other appropriate events Educate your patients on the effective alternative to pain killers that physical therapy can offer them Let us know how you’re helping to fight the epidemic so that we can share your stories with your fellow members and peers
Key Takeaways The increase in prescription opioid use is unmistakable. According to the CDC, in 2012 health care providers wrote 259 million prescriptions for opioid pain medication, enough for every American adult to have their own bottle of pills The risk for misusing prescription opioids is real. According to the CDC, every day, over 1,000 people are treated in emergency departments for misusing prescription opioids. The risk for addiction is real. According to the CDC, as many as 1 in 4 people who receive prescription opioids long-term for non-cancer pain in primary care settings struggles with addiction. The risk for heroin use is real. According to the CDC, among new heroin users, about 3 out of 4 report abusing prescription opioids before using heroin. Physical therapy is a safe and effective alternative to opioids for long-term pain management. In March 2016, the CDC released guidelines urging non-opioid approaches for the management of chronic pain. There are some situations in which opioid therapy is appropriate. The CDC guidelines indicate that opioids may be appropriates for situations including cancer treatment, palliative care, endof-life care, and certain acute care situations. Still, the CDC guidelines also suggest pairing opioid therapy with non-opioid therapy, and their prescriber checklist recommends trying non-opioid therapy first. Patients have a choice about the kind of treatment they receive. Before accepting a prescription for opioids, patients should talk to their health care providers about related risks and safer alternatives. As Physical Therapists and Physical Therapist Assistants, you have a responsibility to understand the full scope of the epidemic and its potential impact on patients and clients. There’s more informaton on the following pages and additional resources at: http://nypta.site-ym.com/page/OpioidCampaign.
www.nypta.org
September/October 2016 • Empire State Physical Therapy 3
THE OPIOID EPIDEMIC: WHAT PTs AND PTAs NEED TO KNOW America is in the midst of an opioid epidemic. Opioid prescriptions have quadrupled since 1999. In 2012, health care providers wrote 259 million opioid prescriptions, enough for every adult in the United States to have a bottle of pills. As the volume of opioids has increased, so has the amount of misuse, abuse, and overdose. Meanwhile, heroin abuse and overdose have increased at similar rates. Physical therapy is a safe and effective alternative to opioids for long-term pain management and prevention. Physical therapists (PTs) and physical therapist assistants (PTAs) have a responsibility to understand the full scope of the epidemic and its potential impact on their patients and clients.
4 Things You Must Know: 1. The CDC recommends nonopioid approaches for chronic pain.
In March 2015, the Centers for Disease Control and Prevention (CDC) released guidelines urging clinicians to consider opioid therapy “only if expected benefits for both pain and function are anticipated to outweigh the risks to the patient.” Before prescribing opioids, providers are encouraged to check that nonopioid therapies have been tried and optimized. In cases when opioids are prescribed, providers are encouraged to “start low and go slow” with dosing and to combine with nondrug approaches like physical therapy. Cancer treatment, palliative care, end-of-life care, and certain acute care situations are cited as cases in which properly dosed opioid therapy may be appropriate.
2. The opioid epidemic doesn’t discriminate.
Opioid and heroin use have increased significantly across most demographic groups. “As many as 1 in 4 people who receive prescription opioids long-term for noncancer pain in primary care settings struggles with addiction,” the CDC cites. Every day, more than 1,000 people are treated in emergency departments for misusing prescription opioids. Since 1999, more than 165,000 people in the United States have died from opioid pain-medication-related overdoses.
3. APTA’s #ChoosePT campaign provides resources for patients and clients.
APTA has launched a national public awareness campaign about the growing toll of the opioid epidemic and the safety and effectiveness of physical therapy for pain management. Resources include a downloadable pain assessment that patients can use to facilitate treatment conversations with their health care providers. Direct your patients and clients to www.MoveForwardPT.com/ChoosePT. Explore the site and access the available toolkit to help promote the campaign.
4. APTA’s PTNow website includes resources for clinicians.
To access evidence-based resources on the treatment of pain and chronic conditions, visit www.PTNow.org/Opioid.
Opioid Awareness Checklist In your practice, do you… Educate your patients about the dangers of opioids, including the increased risk for heroin use?
Ask about past or present problems with substance abuse or addiction?
Set realistic goals for pain and function based on the diagnosis?
Ask if there is a family history of substance abuse or addiction?
Listen closely to your patients and clients describing their pain to ensure they feel heard, and to detect signs of depression or concerning behaviors.
Refer your patients and clients if you suspect a substance abuse or addiction problem?
All opioid statistics via the CDC. Learn more at: www.MoveForwardPT.com/ChoosePT.
4 Empire State Physical Therapy • September/October, 2016
www.nypta.org
PAIN PROFILE: ASSESS YOUR PAIN Millions of Americans have pain that limits their mobility or quality of life. For some conditions, surgery or prescription opioids (Vicodin, OxyContin, Opana, etc) may be helpful. But many conditions can be treated effectively with physical therapy. Fill out the following assessment of your pain (or for your child or family member) and take it with you the next time you meet with your physician or physical therapist to help determine the best treatment plan for you. Where are you experiencing pain? Is pain interfering with your daily activities? Is pain disturbing your sleep?
Y Y
N N
Has your pain lasted for 90 days or more?
Y
N
Have you ever been treated by a physical therapist?
Y
N
Are you taking any medication for your pain? Would you like to avoid taking opioids? Is there any history of addiction or substance abuse in your family? Have you ever had problems with addiction or substance abuse?
Y Y
N N
Y
N
Y
N
5-Day Pain Diary: Fill this out before your next visit with your physician or physical therapist. DATE
PAIN SCORE 0=NO PAIN 5=MODERATE PAIN 10=INTENSE PAIN
THE PAIN FEELS (CIRCLE ANY THAT APPLY):
THE PAIN WAS THE PAIN LASTED MOST SEVERE HOW MANY HOURS (CIRCLE YOUR ANSWER): (CIRCLE YOUR ANSWER):
Sharp Throbbing Aching Dull
Morning Afternoon Night All Day
0-2 2-5 5-8 8+
Sharp Throbbing Aching Dull
Morning Afternoon Night All Day
0-2 2-5 5-8 8+
Sharp Throbbing Aching Dull
Morning Afternoon Night All Day
0-2 2-5 5-8 8+
Sharp Throbbing Aching Dull
Morning Afternoon Night All Day
0-2 2-5 5-8 8+
Sharp Throbbing Aching Dull
Morning Afternoon Night All Day
0-2 2-5 5-8 8+
MEDICATION (PAINKILLERS) TAKEN, IF ANY:
Things You Should Know
11%
of adults report having daily pain.
259
1 in 4
million prescriptions for opioids were written in 2012, enough for every US adult.
people who receive prescription opioids struggle with addiction.
1,000+
people per day are treated in emergency departments for misusing prescription opioids.
Statistics from the Centers for Disease Control and Prevention (CDC): http://www.cdc.gov/drugoverdose/epidemic/index.html.
www.nypta.org
September/October 2016 • Empire State Physical Therapy 5
My 2016 Rio Olympic Experience
by Jeremy Crow, PT, DPT, CSCS, SCS
On Day 7 of the 2016 Rio Olympic Games, NYPTA Member Jeremy Crow shares his experience so far as a physical therapist for the elite athletes at this event. Jeremy’s story begins with the application process to become a medical volunteer, touches on his arrival in Rio, and discusses his daily experience with both the athletes and medical professionals from around the world. Crow’s time in Rio has been action packed so far, but on his day off he took time to answer our questions and share his experience with fellow NYPTA Members. 1. How did you become a medical volunteer for the Rio 2016 Olympics? To be a volunteer for Rio 2016, which is basically the sponsor for the Olympics, you usually fill out the medical volunteer form 2 years in advance. I was late to the game and only did it about a year in advance. There’s an outlined process with dates etc. when you apply. As a PT I had to submit my CV and proof of license. I was late to the game so I didn’t get to choose which sports I wanted to work with like some of the other volunteers I have met here. They tell you that you need to be available for at least 10 days, and since it is a volunteer situation, you must find your own housing and transportation to Rio. Once the committee receives your application then you have to check back on the volunteer portal. Once they accepted mine, then I had to go through a series of interviews, and an English proficiency exam - all basic procedural things. After all this was completed, they make assignments in the order they received them. Fortunately I knew someone who put my application through past the deadline, and she assigned me the volleyball venue. 2. Which sport’s athletes are you working with? I was assigned the volleyball venue field of play, which means I’m courtside in case of any injuries for both the men’s and women’s teams. Most teams have their own doctors and PT/ATC but so far we have had ankle sprains and fractures, so we assist the team getting crutches, take them to the training center for further evaluation, or to get imaging - either x-ray or MRI if warranted. 3. How many hours per day are you working with the team? My shift is 8am-5pm. The other shift is 5pm -1 am. Usually we have 3 matches during that time. I get 2 days off, which are both Thursdays. I work a total of 14 days with 2 days off. So they are long days, especially because I want to see other events and as I’ve met medical staff MDs, PTs, and massage therapist from all over the world, I’m also trying to network. 4. What have you learned during this experience so far that you will apply to your daily practice of physical therapy back in the US? I think one of the most interesting things is how myofascial decompression or cupping has now taken off because of Michael Phelps. Many athletes have been using it for a long time but I think that he is a trend setter this Olympics, as kinesio taping was in London 2012. Overall, I am fascinated with the difference in medicine practiced in different countries from Latin America, Europe, and Asia. Speaking with different medical staff about different approaches only further develops this paradigm that we as health care providers working together can be seamless when we all have the athlete’s best interest in mind. I have had the pleasure of working with 3 different Brazilian orthopedic surgeons and watching the different braces the athletes wear which we don’t use in the US, which is also interesting. 5. Have you had a chance to explore Rio while you’re working there – if so, can you tell us some of the things you have seen or done? Well this is my 5th time to Rio so I’m pretty fortunate to have seen the many tourist attractions that are must see, and I have friends here, so I am kind spoiled that way. Today on my day off I am going to the beach, but for me it is exciting seeing the opening ceremonies and the other events: gymnastics and Michael Phelps swimming have been highlights. I also want to check out beach volleyball and track and field. There’s so much to do, especially when you work 6 days a week, but this experience has been like no other. The minute I got off the plane you could feel the energy, the excitement. This is the closest thing I will ever get to being in the Olympics and that is pretty amazing. Lifelong dream - check.
6 Empire State Physical Therapy • September/October, 2016
www.nypta.org
Continued from page 6
Upon conclusion of the 2016 Rio Olympics, NYPTA Member Jeremy Crow took some time to share the full impact of his experience as a medical volunteer at this global event. Crow covered the highlights of his time at the event, key educational takeaways from this experience, and what it meant to him as a physical therapy professional to work with these elite athletes. 1. What was your favorite part of your Olympic experience? I enjoyed the accepting attitude and the non-judgmental atmosphere, where for two weeks people gather to perform at their best on the ultimate platform. Being able to help these athletes at this level was a life-long dream. 2. Now that the games are over, reflecting back on the entire experience, what were some of the most important things you learned and enjoyed about your time at the Olympics? 1. I realized that dreams are realized through hard work and perseverance. 2. It took over 50,000 volunteers to produce the Olympic Games. 3. I learned about the policies and procedures the athletes and medical team have to follow to stay in compliance with the IOC (International Olympic Committee). 4. I was fascinated with the behind the scenes doping and alcohol testing for the athletes and the referees 5. All the networking that takes place with the many athletes, medical staff, fans, and other volunteers 6. Sitting in the stands and watching the Olympic games seeing many different events: basketball, gymnastics, swimming, and volleyball. 7. I fulfilled a life-long dream by living this experience. 3. Do you plan to be a medical volunteer at future Olympic Games? If so, have you begun that process yet? Yes I plan on going to Pyeong Chang for the 2018 Winter Olympics in South Korea. Applications have already opened. 4. What insight would you give to other PTs who are hoping to work at a future Olympic Games? The best insight I could offer is to tell people to complete and submit the application, network with as many people as possible, keep yourself up to date on the latest treatment approaches, volunteer with as many types of sports as possible, and NEVER GIVE UP ON YOUR DREAMS!! 5. Any additional comments or highlights you would like to share regarding your Olympic experience? Some highlights from this experience have been watching the opening ceremonies, cheering on greats like Michael Phelps and Simone Biles when they won gold medals, and being courtside for the medal ceremonies. I will never forget this opportunity to work as a medical volunteer. I will be forever grateful to the people I met, the people I’ve worked with and this experience. See you in Pyeong Chang, South Korea in 2018!
Jeremy Crow
Volleyball Venue
Volleyball Team
8
www.nypta.org
September/October 2016 • Empire State Physical Therapy 7
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. Investigator’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).
8 Empire State Physical Therapy • September/October, 2016
www.nypta.org
2016 APTA House of Delegates Summary by Peggy J. Lynam, PT, DPT, NCS, Chief Delegate
The NYPTA membership was well-represented at the 2016 APTA House of Delegates (HOD) by the 23 NY delegates who participated in the HOD activities in Nashville, TN this past June. APTA elections were held during the opening meeting of the 2016 HOD on Monday, June 6. Roger Herr, a NY Chapter member, was elected to the office of Secretary. Stuart Platt was re-elected as Vice Speaker of the House. Both Carolyn Oddo and Susan Whitney were re-elected to their second terms as Director while Kip Schick was elected to his first term as APTA Director. The newly elected members of the Nominating Committee are Holly Clynch and Chris Petrosino. The House began consideration of new business on Tuesday, June 7 and concluded its deliberations on Wednesday June 8. Action was taken on 18 of the 19 proposed motions. Two Bylaw amendments were passed. RC 16-16 allows physical therapists who are enrolled in post-doctoral research fellowship programs to belong to the membership category of Post-Professional Student which has reduced membership dues. RC 17-16 changed the deadline to submit Bylaw amendments to the HOD to coincide with the main motion deadline. Three motions adopted by this year’s House amended current APTA positions. RC 2-16 and RC 3-16 expand both the Association’s and the physical therapist’s role in advocacy for prevention, wellness, fitness, health promotion and management of disease and disability to include advocacy for community design that promotes safe physical activity and active forms of transportation. RC 4-16 amended the APTA position “Consumer Protection through Licensure of Physical Therapists and Physical Therapist Assistants (HOD P06-14-08-18) by changing the preferred presentation of credentials and letter designations (acronyms or abbreviations) to include only the PT/PTA regulatory designation, academic degrees and other regulatory designations. All other certifications/designations such as American Board of Physical Therapy Specialties (ABPTS) and external credentials should be written out in full as appropriate. The amended position also requires APTA to incorporate the preferred nomenclature in all relevant documents, publications and communications. A companion motion, RC 5-16, charges APTA to implement a membership campaign to encourage compliance with this new preferred presentation of credentials. RC 6-16 charges the APTA to implement steps to improve the public recognition/identification of ABPTS certified clinical specialists. Another motion related to the ABPTS program, RC 8-16, approved oncologic physical therapy as the newest specialty offered by the American Board of Physical Therapy Specialties. This motion was adopted unanimously by the HOD. RC 19-16, which was also passed unanimously, formally endorsed the national efforts by the Centers for Disease Control and Prevention and the White House to address opioid abuse and dependence including the recognition of physical therapist services as an effective nondrug alternative for pain management. A number of motions adopted by the 2016 House charge APTA to develop plans or strategies to address areas of concern for the profession including the problem of student loan debt (RC 10-16), encouraging research and other publications to accurately reflect the available evidence rather than representing physical therapist practice or PT research as a single or limited set of interventions (RC 11-16), and achieving practice authority for ordering and performing imaging studies (RC 17-16). In addition, RC 15-16 charges APTA to develop and implement plans to preserve and display the histories of the physical therapy profession and the association. Two “housekeeping” type motions adopted were RC 1-16 which rescinded an outdated position on House Session and Annual Conference scheduling and RC 14-16 which charges APTA to review current Board of Director documents to separate operational policies from those that relate to professional issues and present the professional issues policies to the HOD for any needed action. The 2016 House of Delegates elected Richard L. Leiber, PhD to Honorary membership in the APTA with the passage of RC 13-16. Two motions debated by the HOD which were not adopted are RC 7-16 and RC 18-16. The House went into Executive Session to debate both of these motions. RC 7-16 which proposed a definition of professional scope of practice was referred to the Board of Directors. RC 18-16 Public Statement on Laws Permitting Discriminatory Practices, which the NY delegation submitted to the HOD as directed by the 2016 NYPTA Delegate Assembly, was postponed indefinitely. As per Robert’s Rules of Order, any discussions held in Executive Session are secret and cannot be disclosed to anyone not present at the meeting. Therefore, the specifics of the debate that led to these decisions cannot be reported. Lastly, one motion originally submitted for consideration at this year’s House, RC 9-16 Analysis of American Board of Physical Therapy Residency and Fellowship Education Structure, Function, and Accreditation Process, was withdrawn after a philosophical discussion on this topic was held in Executive Session. The official minutes of the 2016 House of Delegates are posted on the APTA website. Video recordings of the livestream of the House sessions are also available on the website. Any members who are interested in becoming Chapter delegates to future House of Delegates can nominate themselves using the nomination form in the newsletter or complete an online form at nypta.org. Nominations for the 2018 HOD are due by December 15, 2016.
www.nypta.org
September/October 2016 • Empire State Physical Therapy 9
House of Delegates Nomination Form Nomination Form and NYPTA Consent to Serve Form for Delegates to APTA’s 2018 House of Delegates, Date/Location: To Be Determined DEADLINE: December 15, 2016
… to nominate your colleagues to run for leadership positions in your New York chapter! The 2017 Delegate Assembly will elect individuals to fill the following officer positions: • • • •
Secretary Treasurer Chief Delegate Nominating Committee member
Instructions: Individuals wishing to become Delegates to the APTA House of Delegates must now submit their own Nomination Forms. Please print or type on the form below and mail or fax it to the Chapter Office (NYPTA / 971 Albany Shaker Road / Latham, NY 12110). The completed form must be RECEIVED in Chapter Office by December 15, 2016 at 5:00 p.m. There will be no exceptions to this deadline. Qualifications: Only Physical Therapist members who have been APTA members in good standing for two years immediately preceding the annual meeting of the House of Delegates for which they are elected may serve as Chapter Delegates. Full name of nominee:____________________________________________ Address:________________________________________________________ _______________________________________________________________ Phone: (H)(_____) _____________ (W)(_____)_________________________ Email:__________________________________________________________
But the first step in this election process is for names to be submitted to the Nominating Committee, which then fills the slate of the most qualified candidates. This is where you, as chapter members, come in. We need you to suggest those individuals you personally feel would be good candidates to serve in a leadership position. The more names the Nominating Committee receives, the better the odds of the chapter slating and electing the highest quality individuals. You don’t need to verify that a person is willing to run – that’s the job of the Nominating Committee – though it certainly wouldn’t hurt for you to personally encourage someone to run for an office. Sometimes folks are reluctant to run and serve until they realize their peers are supportive, so a gentle (but firm) push is often all that’s needed to motivate someone to consent to serve. So please take the time to think about those colleagues you know who have the talent, the energy, and the professional commitment to serve the chapter and submit their names on the nomination form on page 11. And don’t forget – there’s nothing to prevent you from submitting your own name if you wish to serve!
Current District Affiliation:_________________________________________
Gabe Yankowitz, PT, DPT, OCS Chair, NYPTA Nominating Committee
_______________________________________________________________ Date Signature
10 Empire State Physical Therapy • September/October, 2016
Date of membership in Chapter:____________________________________ Please list specific Chapter, District or National Association activities (offices, committees, etc.) in which you have been involved. Please include dates and be specific. The information you provide is used by the Delegate Assembly to evaluate candidates. (Please attach your Association activities to this form, using additional sheets, if more space is necessary.) Chapter:________________________________________________________ _______________________________________________________________ District:_________________________________________________________ _______________________________________________________________ National:________________________________________________________ _______________________________________________________________ The conditions below are mandatory pre-Delegate activities required for Delegates to the House of Delegates. Please initial your consent adjacent to the statements: ��������IF ELECTED, I WILL ATTEND DISTRICT MEETINGS WHOSE PRIMARY PURPOSE IS TO DISCUSS ISSUES RELATIVE TO THE DELEGATE ASSEMBLY OR HOUSE OF DELEGATES MEETINGS. ��������IF ELECTED, I WILL ATTEND THE DELEGATE ASSEMBLY HELD PRIOR TO THE HOUSE OF DELEGATES MEETING FOR WHICH I AM ELECTED.
www.nypta.org
Nomination Form T e r m
o f
O f f i c e :
2 0 1 7
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2 0 1 9
Nominations are being accepted for the offices of Secretary, Treasurer, Chief Delegate and Nominating Committee Member (1). Instructions: Complete one copy of this form for each nominated individual. Submit this form to the Chapter Office. If you wish, you may nominate a person for more than one elected position on this form. The completed form(s) must be RECEIVED by the Chapter Office no later than November 15, 2016 at 5:00 p.m. There will be no exceptions to this deadline. Please print or type. Individual’s full name:__________________________________________________________ Complete home or work address:_________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Telephone numbers: (h) (_____)____________________ (w) (_____)___________________ The above individual is nominated for election to the following office: _____________________________________ or_____________________________________ The Chapter Office will solicit the consent to serve and biographical information from the person you nominate. The individual must have been a member of the association for two years preceding the election date and be qualified to execute the duties of the elected position(s). Please print or type. Your full name:________________________________________________________________ District:______________________________________________________________________ Your signature:________________________________________________________________ Date:_________________________________________________________________________ Designate in what official capacity you are submitting this form; e.g., elected District Officer, Chapter Committee Chairperson, or Chapter Member. If no designation is noted, the Chapter Member capacity will be assumed.
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On behalf of committee:_____________________ _________________________ Title of Office
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On behalf of a district: _____________________ _________________________ Title of Office
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Committee Name
Individual member:
District Name
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September/October 2016 • Empire State Physical Therapy 11
Great Achievements Are Ahead continued from page 2
Did You Know...
Number 2 – We have each of you, the membership of the greatest chapter in the country. As I travel and as I meet with you, your passion, dedication, and advocacy for physical therapy is amazing. I know that together we will get the job done. And the Number 1 reason is - the fact that health care leaders, legislators, payers, and collaborators continue to be more and more aware of the value that physical therapy affords to the residents of New York State. As a practicing PT and advocate for our profession for over 35 years, I can honestly say to each of you that this is a very pivotal time for us. We have an opportunity. The landscape in health care is fertile for our profession to grow. In many of my discussions with leaders, I have tried to position physical therapy within the frame work of the triple aim. At this point, hopefully all of us know what this is. It is improving the health of our population, enhancing the patient experience of care, and reducing per capita costs. I have proposed to each and every stakeholder group that physical therapists are the health care professionals who if allowed early and increased access to the residents of New York State will be key providers in achieving the triple aim in the state. Many have agreed with me. Now our challenge is to continue to brand ourselves as that profession and continue to move forward with our message. No message is more vital at this time than the APTA’s #ChoosePT initiative. This branding message is designed to reinforce the role and value of physical therapy as a first choice in treating patients with pain. As I stated in my call to action, some 1.4 million New Yorkers have been negatively impacted by opioid prescription drugs. We have the ability to seize the opportunity at this time to tell our story and educate everyone about how we as a profession, provide a safe, effective, evidence based, cost effective alternative to assist in managing pain. I urge each of you to utilize the #ChoosePT campaign and its resources to spread the message throughout our great state. We can be the difference maker against this terrible scourge that the over use of these habit forming drugs have created for our loved ones, friends, and neighbors. I know that each of you is ready to seize this opportunity to help and at the same time reinforce who we are, what we are, why we can help, how we can help, and where we can help our fellow New Yorkers. Let’s all start today. Until next time, all the best. Mike
12 Empire State Physical Therapy • September/October, 2016
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14 Empire State Physical Therapy • September/October, 2016
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News & Announcements Upcoming Board of Directors’ Meeting:
October 20-21, 2016 at the Desmond Hotel, Albany, NY.
Winter Board Meeting - Jan. 21 (Via Webinar)
These meetings are open to all members, who may attend any part or the entire meeting.
Lobby Day - Apr. 25 (Legislative Office Building)
Online registration is available until 10/3/2016. Contact Carla Rosenbaum with any questions or if you need assistance (518) 459-4499.
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)
October 15, 2016
PT Day-of-Service Join fellow members of the Physical Therapy profession around the world in a day of service to our communities
Falls Prevention Awareness Campaign Are you up to a challenge? Participate in the Second Annual Golden Goniometer Contest To learn more and enter click here! Entries accepted until November 4, 2016
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2017 Events
Fall Conference - Oct. 20-21 (Hilton Garden Inn, Troy NY)
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To report suspected cases of professional misconduct or unlicensed practice of the professions, call 800-442-8106 or email conduct@mail.nysed.gov.
There’s no better way to: • Communicate • Engage • Share information
Professional misconduct and unlicensed practice of the professions are against the law!
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September/October 2016 • Empire State Physical Therapy 15
PTA Committee Update
in high school. He has always had an inert passion for helping others ever since he was in the Boy Scouts. Aside from his PTA degree, David also hold an A.A.S. degree Twenty-two years. This is how long it has taken me to in massage therapy and currently runs his own massage become involved with the APTA and NYPTA. When I therapy business. graduated from PTA school in 1994, I had all intentions magictouchmassage@msn.com or 716.361.2711 of maintaining my membership and getting involved as much as I could at the local district, state and national Heather Smith, PTA – Committee Member level. But for some reason, I did not renew my memberHeather is a recent graduate of the Class of 2016 at ship after a couple of years out of school. Why you may LaGuardia Community College and she is a member of ask? It was a cost issue. Being fresh out of school, having the Greater New York district. She currently holds a B.A. student loans and starting a life for myself, it was just not in Psychology that she earned from SUNY Albany in possible to justify the cost. 2007. Heather has recently started working in an outpatient orthopedic clinic in Manhattan, NY. While attending But now, 22 years later, I find myself a member again. I the 2016 NYPTA Delegate Assembly in April, Heather saw that the NYPTA PTA Committee was on the hunt for was fortunate to be the recipient of the NYPTA Student a PTA to fill a vacancy, and I thought to myself…” here Participation Award. Heather was also a member of the is my chance that I never took way back when I gradu- Elections Committee at the assembly. ated.” I submitted my name for consideration. After about heathersmith623@gmail.com six-months of waiting to hear if I was selected, I found myself at the 2016 NYPTA Delegate Assembly as the PTA representative for the Western District. Amaury Quiñones, PTA – Committee Member Amaury recently graduated from LaGuardia ComDuring a break from the Leadership Training Workshop munity College, part of the City University of New at the Board of Directors Meeting, I decided to introduce York. He is currently working at a skilled nursing myself to some members of the board and executive com- facility in Manhattan while he prepares to take the mittee. I am not sure what happened, but somehow, I came licensing exam in the October 2016. As part of his out of the break with the title of NYPTA PTA Committee school’s program, Amaury completed affiliations at Chair. It is amazing how things can come full circle. I outpatient clinics and at a skilled nursing facility. never dove into the association 22 years ago, and now, here I find myself not only a PTA delegate, but also the newly Before starting his formal PTA education, he worked as appointed chair of the committee of which I was patiently an aide in a skilled nursing facility in Virginia which he waiting to become a member. I will also serve as a 2016 enjoyed and inspired him to become a PTA. Amaury is PT Day of Service Ambassador for the Western District. interested in working with geriatric patients, but is looking forward to getting a diverse work experience over So with this said, I would like to introduce myself and his career. the rest of the newly appointed NYPTA PTA Committee amaury_pta@yahoo.com Members: Sumedha Pande Khakilkar, PTA – Committee David J. Faccini, Jr., PTA, LMT – Committee Chair Member David is from the Western district and resides in Niagara Sumedha is a recent graduate from Niagara County Falls, NY. He has been practicing as a PTA in NYS since Community College (NCCC), a SUNY college. She 1994, following his graduation from Niagara County currently holds a B.S. in Exercise and Sports Science. Community College. He currently works as a pediatric Sumedha plans to take the state boards in October 2016. PTA in the school setting. As part of her school’s PTA program, she completed affiliations consisting of two outpatient clinics, a school based David has practiced in most areas of the PT profession pediatric setting and a skilled nursing facility. During a over the past 22 years, but finds his heart and passion is practicum for the B.S. in Exercise and Sports Science, with the pediatric population. He is currently working Sumedha volunteered at two outpatient clinics and also toward his Advanced Proficiency Pathway Recognition at a fall prevention program for the elderly population in in the area of Pediatrics. David was drawn to the PTA the city of Buffalo, NY. profession following receiving physical therapy while
By David J. Faccini, Jr., PTA, LMT, PTA Committee Chair
16 Empire State Physical Therapy • September/October, 2016
www.nypta.org
Continued from page 16
Sumedha attended the NYPTA Delegate Assembly in Albany, NY, in April 2016, and also attended the NYPTA Physical Therapy Conference in Albany, NY in October 2015. She experienced a great respect in patient population for the PTAs. She hopes that with our work and dedication, we can be successful in helping the public realize the PTA is not exclusive to orthopedics, but also involves various rehabilitation specialties like cardiopulmonary, neurology and sports, etc. Sumedha.pta@gmail.com
CURRENT ACTIVITIES AND DISCUSSIONS Here is what the committee is currently working on following the first committee meeting held 07/27/2016:
Achieving the status of Licensed Professional for the PTA in New York State – currently, in New York State, the PTA is considered to be a licensed professional. However, if you explore the NYS Office of Professions web page under the Physical Therapist and Physical Therapist Assistant section, you will find the wording is very inconsistent between licensed and certified….. Rebecca Kalb, PT, DPT, SCS - Board of Directors which has a BIG difference in meaning. Liaison for the PTA Committee The committee is currently working on having the Rebecca is a member of the Greater New York district. Rebecca serves as the Greater New York District Direc- wording changed to be consistent throughout the web tor/Chair, and was a New York Delegate to the APTA site, testing applications for the licensure exam as well House of Delegates. She currently sits on the NYPTA as all literature on the NYS Office of Professions and Program Committee. Rebecca graduated from Ithaca NYS Department of Education web sites. College in 2007 with her DPT and is a Board Certified Also discussed were additional ways to get more Sports Clinical Specialist. PTAs involved with the APTA and NYPTA. Despite an Rkalb1@gmail.com increase in membership numbers, there is still a lack of PTA involvement, especially at the district level. Get Carrie Gatlin Fuller, PTA, RPSFCA, PYT-C: Carrie currently serves as a consultant to the NYPTA involved! Talk with fellow PTs and PTAs. Get a group PTA Committee and has had the pleasure of serving as together and attend your district meetings. If you have the NY Chapter Caucus Representative at the House of a fellow colleague that is not yet a member, bring them Delegates. She is a member of the Greater New York Dis- to a meeting and let them see what it is all about (please trict where she is the Senior PTA for Mount Sinai West make sure to check with the district president that guests are welcome). Check out what volunteer opportunities in NYC; an acute rehab facility and acute care center. are available with the APTA (http://www.apta.org/VolCarrie graduated in 1999 from Central Piedmont Col- unteerGroups/) and fill out the volunteer interest profile. lege in Charlotte, NC with her PTA degree and is cur- Also be sure to fill out the profile on the NYPTA site as rently on the last leg of earning a B.S. degree in Disability well (http://nypta.site-ym.com/Login.aspx) so that you Studies. She has also completed the APTA Advanced will be in the pool for local opportunities. Proficiency Pathway in Neuromuscular Rehabilitation. Physical Therapy Month is coming up in October, so Over the years since her graduation, she has worked volunteer in your community for the PT Day of Service in several areas of the PT profession around the country on October 15, 2016! There are several ways to get in sports medicine, subacute rehab, and certified stroke involved; just visit the web site, http://ptdayofservice. acute rehab as well as in the Virgin Islands Education com/, and take the pledge. Become an Ambassador for System. She holds a certification in NDT, LSVT (Lee your community, spread the word and get your fellow Silverman Voice Treatment) and is also a candidate for PTs and PTAs involved. a Professional Yoga Therapist Certification. During her time as an active member of the NYPTA, she has participated in NYPTA Strategic Planning as well as NYS Lobby Days. She serves as a PT Day of Service Ambassador in the Manhattan, NY area. In the past, Carrie has served on the PTA Licensure Task Force, and participated in the CSM PTA Town Hall and several APTA & NYPTA workgroups. gatlincarrie@gmail.com
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September/October 2016 • Empire State Physical Therapy 17
PTA Committee Update Continued from page 17
Don’t forget to join the Facebook group, PTAS of NYPTA (https://www.facebook.com/groups/PTAsofNYPTA/). This is a closed group for discussions, questions, comments, or whatever you feel the need to get off your chest regarding the PTA profession. We are the NYPTA PTA Committee. We are the voice of the PTA in NYS. We are here for you. Please email any of the members with questions, comments, concerns, ideas, etc. We are here to help!
New York Chapter Nomination Form Representative to the 2017-2019 PTA Caucus Deadline: December 15, 2016
Instructions: Please print or type on the form below and mail or fax it to the Chapter Office (NYPTA, 971 Albany Shaker Road, Latham, NY 12110) by the deadline above. The completed form must be RECEIVED in Chapter Office by December 15, 2016 at 5:00 p.m. There will be no exceptions to this deadline. Qualifications: Only Physical Therapist Assistant or Life Physical Therapist Assistant members who have been APTA members for one year immediately preceding election may serve as Chapter Representative. Submitted By:
Full Name: Address:
Membership #: Phone: Email:
(H) (
)
(W) (
) Date of Membership in Chapter:
If this is a self-nomination, please sign below showing your consent. Date
Signature Please mail or fax this form to New York Physical Therapy Association 971 Albany Shaker Road, Latham, NY 12110 q Fax: 518-459-8953
18 Empire State Physical Therapy • September/October, 2016
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New York Physical Therapy Association A Chapter of the American Physical Therapy Association 971 Albany Shaker Road Latham, NY 12110
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September/October 2016 • Empire State Physical Therapy 19