Farewell Tom McPoil!

Name: Thomas McPoil, PT, PhD, FAPTA

Hometown: Sacramento California

Fun fact: I like to play golf – at one point, I became a 10 handicapper

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As we approached the end of July, the Regis Physical Therapy family prepared to say goodbye to some very important members of our family. With heavy hearts, but happy smiles, we say our farewells to Tom McPoil and Marcia Smith, as they are retiring and moving on to new adventures. Following 45 years as a physical therapist, 35 years of teaching, and teaching over 1800 students in over 35 states, Tom sat down with me, and I asked for any last words of wisdom. Here’s what he had to say:

  1. How do you advise that we keep a life/work balance?

“I think it’s really hard. I think that’s going to be the hardest thing for a student to figure out. I just look at the struggles you face: you want time for your personal life and clinical care. You may have to stay late and do charting. You get home and you want a break, but you want to keep up with the literature. You are worried about debt and you are worried about loan repayment. If you can, set up a time where you can read 1 or 2 papers a week, and then maybe try to establish a couple of people that want to discuss them with you. Eventually, you have to come to grips with the incredible amount of research out there…I mean it’s almost too much. That’s where the systematic reviews come in. As a clinician you’re not going to have the time to read 27 articles, but you can read one paper that summarized 27 papers for you.”

  1. What makes the difference between a ‘good’ PT and a ‘great’ PT?

“I think that’s a hard question to address. Part of it has to be your feelings of confidence about yourself. Have confidence in yourself, you know a lot. So much is thrown at you, and so quickly, that you feel like you don’t know anything. But when you go out to clinic and you come back and talk to a first year, you realize how much you do know. I think the other thing that makes an exceptional therapist is one that will always question or ask, “what is happening? What is going on?” There is one person on your shoulder that tells you, “hey, have confidence in yourself.” But there should also be another person on the other shoulder that says, “hey, you’re still learning.” And because of that, you tend to be much more aware of things. The longer you are in clinic, the easier it is to say, “well it’s just another total knee.” You know the old ad, “it quacks like a duck, it walks like a duck, it must be a duck”…that to me is where you start to see the difference: a good therapist will just treat the patient, but the exceptional therapist is the one that says, “but really, is it a duck?” and takes the time to really look at those things. The person who is always striving to do their best is sometimes going the extra mile.”

  1. Because we are Regis, we are going to reflect a little bit. What are you taking away from your time at Regis?

“Some great memories from interacting with some great students, that’s number one. As a faculty member and physical therapist I am very, very blessed, because of the fact that the individuals who are drawn to physical therapy (I know I’m speaking in generalities) really care about helping people. And I think that’s just engrained in them. I think that as a result, they’re very interested in learning to help other people. That makes my job as a teacher and as an instructor much, much easier. I think that’s the thing that I’m taking away from Regis, and why I was really happy to come here. I love the fact that the values go beyond just getting an education. And yeah, they are Jesuit values, men and women for other, the cura personalis, the magis, all the buzzwords. But I really do think, here, as a faculty and as Regis, we really help instill that on our students and I think that as a result, the students that graduate from the Regis Physical Therapy program are better humans. I think they’re better people who are going to serve society. The thing here is the sense of community. What I’ve enjoyed as a faculty member is that I really do feel like I’m involved with a community that is very caring. They’re concerned about others. I mean, they’re taking those Jesuit values, but applying it to the whole university community. There is a sense of mission and the need for people to really help one another. One of the saddest things I had happened in my career was when we had a student die in a car accident four years ago. I tell you the afternoon we heard and I had to announced it to the second years, the response from this university was phenomenal. We had counselors down here, within an hour I was meeting with the president and the director of missions, we had a service for the students here on campus. I realize that would never have happened at any other institution I’ve ever been at. Yes, people would’ve been upset, but it’s that sense of community. Yes, we’re a part of physical therapy, but we’re all a part of Regis. That to me is the piece that I’ve really enjoyed the most, and I think we do a really good job getting our students to embrace that before they leave.”

  1. What is your biggest accomplishment as a teacher, a physical therapist, and in your personal life?

“Oh that’s a hard question to answer. Well in personal life, hopefully, I was a good husband, a good father, okay with my son-in-laws and an okay grandparent. That’s what you hope for. Ultimately, you hope that God thinks you did okay. What you really hope for is that in the really little time I had with students, I was able to install firstly knowledge that they needed to go out and be successful, but also hopefully I’ve provided some type of a good role model for them.”

  1. What are you going to do now that you’re retiring?

“I really want to do some volunteer work…that’s what I really want to do! I found out about Ignatian Volunteer Corp, which is for 55 years plus people. I’ll start out doing 8 hours a week, so I’m excited about that. I’ll like to go to Denver Health and help with the foot and ankle clinic. I’ll like to get back to playing golf and pickle ball. And I’ve got the 5 grandkids.”

  1. Where do you hope to see the profession go in 10 years?

“In the 45 years I’ve been in this profession, we’ve made huge strides. What I hope for with the profession is that we work to get increased reimbursement…I think that’s huge. We have to do more to convince the public that we are primary care providers. I hope that the future physical therapists will have direct access, that they’ll be recognized as a primary care providers for neuromusculoskeletal disorders, and that they’ll have the ability in their clinic to use diagnostic ultrasound.”

  1. Any last advice for our class?

Keep at it! Remember you have a lot of knowledge and a lot of information. Just try to balance things, and it’s not easy. Try to balance it so you don’t feel like you’re neglecting your personal life or your work.”

 

Thank you, Tom, for your dedication to the betterment of our profession. We will miss you very dearly at Regis, and we wish you all the best in your new adventure in life! Congratulations!

 

Tom also wanted to make sure that everyone knows he will have his Regis email, listed here (open forever) and it will be the best way to contact him. He will love to hear from people! tmcpoil@regis.edu

 

Written by: Pamela Soto, Class of 2019

The Best Loss I’ve Ever Had

Blogger Katie Ragle, Class of 2018, writes about her experience at the National Student Conclave held in Miami, Florida over the October 27-29th weekend.  

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Let me tell you about my trip to Miami.

It all started with an email from a fellow Regis student that read, “Hey Katie! I just tagged you in a Twitter post about the Student Assembly Board of Directors. Take a look at the application :). Deadline 7/1.” This began my journey into a passion for the APTA. But first, a history lesson:

If you are a PT or PTA student and an APTA member, then you are in the Student Assembly. There are around 29,000 of us, and we’re all led by a board of 10 people—the Student Assembly Board of Directors (SABoD). This board is comprised of positions such as president, vice president, and other director positions that help to make the student APTA experience a great one.

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That aforementioned email referred to the Director of Communications position on the SABoD. This person creates content to engage the Student Assembly through emails, social media, and videos. You may not realize it, but you receive emails from the Director of Communications on a regular basis.

As a broadcasting major with a minor in editing and publishing, this position was right up my alley. After I was encouraged to apply, I decided that I wanted this position to get more involved in the APTA and to use my talents to further the profession of physical therapy by engaging students from across the county.

After an application and a Skype interview, I was chosen to run alongside three other candidates for the Director of Communications. The election occurs every year at the National Student Conclave (NSC), which is the annual national APTA meeting that is just for students. Two weeks ago, I packed my suitcase and headed to Miami for the final election.

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The Regis representation at NSC.  I’m so glad they were there!

I arrived in Miami with nearly 1,000 PT and PTA students from around the country who gathered to learn how to be better practitioners and how to advocate for our profession. I was immediately blown away by the amount of enthusiasm and support for our field. Everyone eagerly engaged in meaningful conversations about their program and what they’re doing for the field of PT. Rather than simply clustering together with individuals from their schools, people branched out and met students from around the country. The excitement was palpable!

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These are the incredible candidates I got to interact with all weekend.

Little did I know that I would receive a ribbon that read “Candidate” all weekend so that people could ask me about my slated position. I had the opportunity to meet so many amazing people in my field! These people inspired me to not only be the best PT that I can be, but also to advocate for our profession and to represent it well. The speakers empowered us with knowledge in entertaining ways and generated passion for the field.

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This is one of my new friends, Alicia from MA

But more than passively attending, I got to actively participate in the conference. I participated in focus groups on how to make communication within the APTA better. I introduced a few speakers before their talks, and I met with the leaders of the Student Assembly to discuss the future of the organization. I also got to meet the president of the APTA, Dr. Sharon Dunn. She held an open Q&A for students to ask her any questions they had. She is both incredibly intelligent and personable. The APTA is fortunate to have her!

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APTA President, Dr. Sharon Dunn, gave all of us candidates a pep talk.

Did I win the election? No. Am I upset? Absolutely not. I wouldn’t trade my experience at NSC for anything. I made connections that will last a lifetime. This conference opened doors that I otherwise would have never been able to encounter. I still receive emails and messages from other students and professionals asking to keep in touch and encouraging future connection at upcoming APTA events. Best of all, NSC lit a fire within me for my future profession and for the organization that represents us so well.

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This is the amazing group of individuals with whom I ran for Director of Communications.  The one standing next to me (second from the left) was elected to the position.  His name is Cruz, and he will do great things for the Student Assembly!

In a future post, I will share some of the tips I learned at NSC about how to get plugged into the APTA;  for now, think about attending NSC 2017. It’s in Portland, Oregon, so how can you turn it down? You won’t regret it. We are the future of PT. Let’s be the best that we can be!

aptayay2.pngFollow NSC’s twitter to start counting down to next year!

Move Forward 5K/10K Recap

Move Forward 2016 (September 17, 2016) was a huge success! We had 261 runners signed up for the event and raised over $7,000 for Canine for Companions and The Foundation for Physical Therapy. A sincere thank you to all of our volunteers, runners, and sponsors for making this event amazing.  If you have any questions, suggestions, or would like to be involved in next year’s race please email us at moveforward5k.10k@gmail.com.

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Our beautiful sign made by Lauren Hill and Jenna Carlson!

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Fastest Faculty Awards go to Andy and Amy.

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Our service dog Takia, making sure we don’t forget who we are raising money for…

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A few racers/volunteers enjoying some yoga after the race.

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Post-Run Fun!

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Our Couch to 5K team did amazing this year! Next year, maybe a 5K to 10K team?

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No one asked Matt (Class of 2017) to dress up, but that is just how great this man is…

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Class of 2017’s Move Forward Team; great job, everyone! The Class of 2018 has some big shoes to fill…

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We can’t wait for the start of next year’s race!

 

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Ryan Bourdo, co-director of Move Forward, graduated The University of Oregon with B.S. Degrees in Biology and Human Physiology in 2010. Originally thinking of medical school (never mind the fact that medical school rejected him twice), he soon fell in love with physical therapy, thanks to an amazing therapist in Portland, Vince Blaney, MSPT. Vince showed him everything he originally wanted to be as a physician: using anatomy and physiology to help those with injuries. He soon worked as a physical therapist aide for two years and is currently at Regis University completing a Doctor of Physical Therapy. In his free time, Ryan likes to run, hike, and cook. You can find Ryan at www.ryanbourdo.com, or on Twitter @RyanBourdo.

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Upcoming Event: ADVENTURE FEST!

If you love mini golf, go karts, food and craft beer, you do not want to miss the awesome event coming up this Saturday, October 8th! The Regis DPT class of 2018 is hosting Adventure Fest to raise money for our Regis graduation celebration.  It’s also an opportunity to celebrate fall, have fun with family and friends, and get to know the Class of 2019.

When: Saturday, October 8, 2016 from 10am-2pm!

Why: All proceeds from this event will go towards our end of the year bash!

Price: You can purchase one ticket for $18 or 2 tickets for $30.

Children (ages 4-15): $8; those under the age of 4 are FREE!

Tickets: sold Monday-Friday the week of Oct. 3-7th from 12-1pm in the Claver Café as well as in front of the Main Café!

You can buy your tickets with cash, check, or remotely by VENMO (@RegisDPT2018).

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This is an event for all ages and there is something to do for everyone. Each ticket includes free food, $2 craft beers, and a park bracelet that provides you unlimited access to mini golf, go karting, and rope courses! Furthermore, Regis DPT mentors and mentees can enter into a mini-golf competition together and the team with the best score wins a prize. Come out and have a great time while supporting the Regis DPT class of 2018!

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Blogger: Emily Symon, Class of 2018

 

 

Regis DPT Students Plan the Move Forward 5K/10K

Name: Ryan Bourdo, Class of 2018

Hometown: Corvallis, Oregon

Undergrad: University of Oregon

Fun Fact: I ran a 4K snow shoe race once.

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Race day is always the best. It is the culmination of months of training—immediately followed by the chance to take a well-deserved day, week, or month off from running. The atmosphere is always amazing, too. Everyone is still a little groggy from being up way too early for the weekend, but there is still a palpable excitement; the people next to you on the starting line are instant friends because you all share a common goal: finish the race. And that feeling you get after finishing? Incredible. No matter how tough a race is for me, I am always energetic and talkative afterwards. I have been fortunate enough to run some fun races in the last few years, and I want to bring some of that same excitement to Move Forward.

The Move Forward 5K/10K Race (September 17, 2016) is arguably THE most important event of the year for Regis University’s School of Physical Therapy. I argue this because I am the co-director of the race this year, and this is my blog post. Move Forward is a special event for me. It is a chance to help my school share what we know to be the best ways to live healthy lives. I firmly believe anyone can complete a 5K with practice, motivation, and a little help if needed. More than anything, what I want for people to get out of Move Forward this year is to have a good time and learn a little about taking care of themselves.

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Some of the Class of 2018 after the 2015 Move Forward Race

The idea behind this event is to get people to think about their health, get moving, and live better. For those already signed up, make sure to get to the race early to get your grab bags! We will have bagels, bananas, and coffee for those needing an extra boost in the morning. Several of our classmates will also lead group stretching as well. And then we are off! Music will be blaring, water stations will be flowing, people will be cheering. Whether you are running or walking, we will make sure you have a good time. Make sure to stay after the race, too, because we are planning a lot of post-race greatness. Not only will we have burgers, hot dogs, and beer (not the healthiest, we know, but you deserve it) but we are planning a lot of activities, as well. Informational booths will be there to help guide you in taking care of yourself through exercise, nutrition, and general wellness. We also hope to have some yoga and/or Zumba classes after the race. And, because we want this to be a family event, we are looking for fun activities for kids, tool. Check out our website for updates as our race schedule finalizes: https://moveforward5k10k.racedirector.com.

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Not only will this race be a great way to learn about how to stay healthy, but all of the proceeds will go to Canine for Companions and the Foundation for Physical Therapy. Canine for Companions is especially meaningful to us at Regis because we have an annual team of students that assists in raising a dog before it starts training to become a fully-fledged service dog. The Foundation for Physical Therapy is also a great cause; it helps support research in physical therapy. If you have not signed up for the race yet and I have thoroughly convinced you of how awesome this event will be, you can register here: https://moveforward5k10k.racedirector.com/registration-1.

Again, the race will be held on September 17, 2016 and begins at 9:00am.  If you have any questions, please feel free to email me directly at rbourdo@regis.edu.

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Many Ryans running

Ryan Bourdo graduated The University of Oregon with B.S. Degrees in Biology and Human Physiology in 2010. Originally thinking of medical school (never mind the fact that medical school rejected him twice), he soon fell in love with physical therapy, thanks to an amazing therapist in Portland, Vince Blaney, MSPT. Vince showed him everything he originally wanted to be as a physician: using anatomy and physiology to help those with injuries. He soon worked as a physical therapist aide for two years and is currently at Regis University completing a Doctor of Physical Therapy. In his free time, Ryan likes to run, hike, and cook. You can find Ryan at www.ryanbourdo.com, or on Twitter @RyanBourdo

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The Physical Therapy Outcomes Registry

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Blogger: Katie Baratta

My name is Katie Baratta and I just graduated from the Regis University School of Physical Therapy. I had the opportunity to spend two weeks at the APTA doing a student internship. I was able to talk to many different members of the APTA, attend the Federal Advocacy Forum, and learn more about what the APTA has been doing to move our profession forward. I’ve written a series of essays about my experiences here at the Association.

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Data… I love it! As a former engineer who analyzed a lot of data in my pre-PT life, I find it fascinating to see how lots of tiny bits of information, combined together, can provide us with a more comprehensive picture.

The PT Outcomes Registry is one of APTA’s current projects to create a centralized database for outcome data. The idea is to track a set of prioritized outcome measures (currently there are nine outcomes, but this may expand) across the country. Clinicians perform the outcome assessment with the patient at the initial evaluation and again at discharge to measure the patient’s progress and then input the information into the computerized system. The PT Outcomes Registry then compiles the data from all practitioners so that practitioners can see how they measure against a benchmark of other providers.

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Timeline

The program is still in its pilot phase with 216 enrolled users (currently all practicing PTs, no PTAs) at 25 organizations. The most recent development is to include residents and fellows to compare their outcomes both during their residency/fellowship and again afterward to see how their outcomes change with time and experience. Later this year, APTA will collect feedback via user survey of pilot users regarding usability, pros/cons, glitches, and so forth. The team at APTA will then incorporate this feedback into the PT Outcomes Registry system.

The Registry will officially launch at the beginning of 2017, at which time any clinical site will be able to join. Clinicians will pay to enroll in the program, which will give them access to the aggregated data to see how their practice stacks up against national benchmarks. The service will not be limited to APTA members. Karen Chesbrough, the outcomes registry director, states that by the end of 2017 the APTA would love to have 1000 users, with the long-term goal of involving as many clinicians/sites as possible to get as accurate a picture of current practice as possible.

Which types of data are included?

The current outcomes include global measures, such as AM-PAC™ (Activity Measure for Post-Acute Care™), PROMIS (Patient Reported Outcomes Measurement Information System), and OPTIMAL (Outpatient Physical Therapy Improvement in Movement Assessment Log). There are also regional/body-specific outcome measures such as NDI and Oswestry. Other data includes clinician profiles, patient demographics, and pain ratings; practitioners have the ability to enter data at treatment visits along with at initial evaluations, reassessment, and discharge. The types of outcomes included are vetted through an independent group of clinicians and academics (including one Canadian!) called the Scientific Advisory Panel.

The Scientific Advisory Panel is working in conjunction with the SIGs (Special Interest Groups) to develop prioritized objective data that the clinician would also collect as part of the PT Outcomes Registry based on the patient’s diagnosis. These modules may be specific to cervical pain or to infant torticollis, for example, and would include relevant ROM or other objective data.

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How does PT Outcomes Registry collect the data?

During the pilot program, enrollees are entering the data manually. Enrolled clinicians—or their clinic’s administrative support personnel—will log in to the system and select different tabs and boxes to enter the data, much like they do for electronic documentation of patient records.

However, manual data collection is time-consuming, so the current push within the project’s development is to build software “bridges” with all of the various EMR (electronic medical records) systems. These bridges would allow a computer program to connect the PT Outcomes Registry with each EMR system to pull the relevant pieces of data into the database. Each type of information (eg KOOS at initial eval, patient age, etc) will have an associated tag in the registry database, and each EMR will tag the same variable in their database so that the computer program will be able to match the data from the patient records to the PT Outcomes Registry. One EMR has already signed on to the project, and APTA is working to get more to participate. This will streamline the process significantly and will likely increase participation as less time and energy will be required for individual clinicians to enter the data by hand.

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What does this mean for clinicians?

Being a part of the PT Outcomes Registry would allow clinicians to see how their practice stacks up against others throughout the country. If a particular clinic performed very favorably within the Registry, it would be able to advertise this fact to patients and to different entities that may want to contract with the clinic. Participation in the PT Outcomes Registry would also enable a clinic to pinpoint how to improve poor performance in a particular area that they may not have previously recognized without the aggregate data.

The PT Outcomes Registry will provide objective information to support the assertion that PT restores function. We can then use this information to demonstrate our value to different organizations, whether that is with a hospital, an insurance organization, or to the general public.

The outcomes registry director also sees this information as eventually being linked to reimbursement. Linking outcomes to reimbursement would continue the trend to move away from fee-for-service and toward a value-based payment structure. A value-based payment structure rewards effective clinical practice, rather than performing treatment units with the highest reimbursement rates. This would be a win-win for evidence-based practitioners, as well as for their patients.

Eventually, with enough data, there is potential for the information to be used for research as well; the Outcomes Registry represents the exciting future of our profession!

PT Outcomes Registry Site | More info from the APTA

 

A Non-Native’s Guide to Colorado’s Summer Playground

Name: Evan Piche, Class of 2018

Hometown: Northampton, MA

Undergrad: Colorado State University

Fun Fact: I once thought I met Danny DeVito in an airport men’s room.

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Congratulations! If you’re reading this, there is a fair chance that you are either (a) my mother, or (b) a member of the incoming Class of 2019. Welcome, and since both parties will be visiting Colorado this summer, I’d like to help get you acquainted with some of the best trails Colorado has to offer. Denver is not, strictly speaking, a mountain town in the same sense as Telluride, Steamboat Springs, and Crested Butte are. We’re kind of out on the plains, straddling two worlds—but that doesn’t mean you’ll be short on options for running, hiking, or biking. We Denverites are fortunate enough to enjoy a wealth of those opportunities for after-school outdoor recreation, and when you have a long weekend and are up for a few hours in the car, the options for adventure are limitless.

With that, I’d like to offer my favorite hiking/trail running and mountain biking destinations in the Denver-metro area and beyond. From backcountry escapes to a quick after-class workout, you’re sure to find something to do this summer. (And, while I was not specifically asked to include this, I would be remiss in my duties if I did not use this opportunity to act as your ambassador to the world of Denver’s breakfast burritos.)

Hiking/Trail Running

School day: when you only have an hour or two after class, these are the places to check out! (15- 20 minutes away)

  • Matthews/Winters – Red Rocks Loop
    • A rolling, rocky 5-7 mile loop with fantastic views of the foothills west of Denver and the world-famous and aptly named Red Rocks Amphitheater.Mathew_Winters

trailrunproject.com/…/matthewswinters-red-rocks-loop

  • Falcon
    • Hands down the best climb in the Denver area, this trail winds its way up four steep technical miles to the summit of Mount Falcon. From here, either retrace your steps to the parking lot nearly 2,000 feet below or continue on to explore a vast trail network.Mt_Falcon.jpg

trailrunproject.com/…/mount-falcon-east-loop

  • Green Mountain, Lakewood
    • A mostly gentle 5-8 mile single track loop featuring the Front Range’s best sunrise and sunset views.Green_Mtn

trailrunproject.com/…/green-mountain-trail

Weekend: about a 90-minute drive from Denver

  • Sky Pond, Rocky Mountain National Park
    • A classic RMNP hike; after meandering around the base of Long’s Peak, the trail turns vertical and ends with a fun scramble to Sky Pond amid boulder fields and some of the Park’s most impressive glaciers.Sky_Pond_RMNP

trailrunproject.com/…ail/7002175/sky-pond

Long Weekend: 3-5 hours from Denver

  • West Maroon Pass, Aspen to Crested Butte
    • This is considered a rite of passage among Colorado hikers and trail runners. While the towns of Crested Butte and Aspen are separated by one hundred miles of highway, this challenging, backcountry trail connects them so that “only” 10 miles sit between them. Pack a bathing suit (or not) for a dip in Conundrum Hot Springs if you plan to do this trip properly.

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Mountain Biking

School day:

  • Lair O’ the Bear 
    • Swoopy, flowing lines, grinding climbs, open meadows, and a breathtaking view of Mount Evans—all less than 30 minutes from Denver. After riding, grab a burger or brew in one of Morrison’s quaint eateries.Lair_of_the_bear

mtbproject.com/trail/703097

  • White Ranch 
    • This is a gem of a park and located only a few miles north of Golden; it offers trails that rival anything in Boulder (after all, you can see the iconic Flatirons from the parking lot) with a fraction of the traffic.White_Ranch

mtbproject.com/trail/632917

  • Apex Mountain Park, Enchanted Forest Trail 
    • Apex is one of Denver’s most well-utilized mountain bike trail networks, and with good reason. The Enchanted Forest descent is not to be missed. Be sure to check the link provided for alternate direction riding restrictions on odd/even days before you go. Bonus: these trails are a blast to ride in the snow after the fat bikers, skiers, and snowshoers do all the dirty work of packing down the snow.Apex_EnchantedF_Forest

mtbproject.com/trail/616137

Weekend:

  • Blue Sky to Indian Summer
    • Regardless of whether you mountain bike or hike (or climb, or paddle, or just enjoy beer), a trip to Fort Collins is always enjoyable. Fort Fun is home to one of the Front Range’s finest fast, flowing mountain bike trails. While options abound for long climbs up to the summit of Horsetooth Mountain Park, the Blue Sky Trail sticks to the lowlands, traversing a spectacular cliff line with scenery reminiscent of your favorite Western movie. Also, New Belgium brewery is not to be missed.

mtbproject.com/…/blue-sky-to-indian-summer

Long Weekend:

  • 401 Trail, Crested Butte, CO
    • Come spring and early summer, the wildflowers on this ultra-classic trail grow to be chest-high. Imagine ripping down 14 miles of high country singletrack, with views of snowcapped mountains disappearing and reappearing as you dive into and out of fields of wildflowers so high and dense as to obscure your line of sight. Be sure to grab tacos at Teocalli Tamale once back in town.401_Trail_CB

mtbproject.com/trail/338027

  • Slickrock Trail, Moab Utah
    • Quite possibly the most famous mountain bike trail in the world—and for good reason. Slickrock offers an other-worldly experience: an ocean of red sandstone surrounds you, with views of the Colorado River far below in the canyon. In the distance, the snowcapped La Sal Mountains dwarf the landscape and offer a stunning contrast to the red, pink, and orange hues of the desert. For après ride fun, check out the Moab Brewery, located right in the center of town—it’s an oasis of alcohol and burgers in an otherwise remarkably dry state.Slickrock

mtbproject.com/trail/158941

Burritos

The breakfast burrito was invented in the kitchen of Tia Sophia’s in Santa Fe, New Mexico in 1975. Since that historic day, it has been possible to eat a burrito for all 3 (or more) meals of the day, a feat now commonly referred to as a “hat trick.” Like most of Denver, the breakfast burrito is not native to Colorado, but found in our city a welcoming home. I am unsure of whether or not Colorado has an “official” state food, but I would nominate the breakfast burrito for that honor.

With the help of acclaimed writer and Denver resident Brendan Leonard, I have assembled the definitive guide to Denver’s Best Breakfast Burritos:

  • Grand Prize: El Taco de Mexico on Santa Fe
  • First Runner Up: Bocaza on 17th Ave.
  • Second Runner Up: Steve’s Snappin’ Dogs
  • Honorable Mention: Illegal Pete’s
  • People’s Choice: Campfire Burritos (food truck)

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    Evan is an avid biker, trail runner and climber.  We hope you enjoyed his pictures and guide to an adventurous CO summer!

 

Physical Therapy Classification and Payment System: a Discussion with Lindsay Still

 

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Blogger: Katie Baratta

My name is Katie Baratta and I just graduated from the Regis University School of Physical Therapy. I had the opportunity to spend two weeks at the APTA doing a student internship. I was able to talk to many different members of the APTA, attend the Federal Advocacy Forum, and learn more about what the APTA has been doing to move our profession forward. I’ve written a series of essays about my experiences here at the Association.

Interview with Lindsay Still, Senior Payment Specialist

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I talked with Lindsay Still, a Senior Payment Specialist, and she explained the current state of the PTCPS.  Read a summary of our interview below!

Overview

The Physical Therapy Classification and Payment System (PTCPS) is an ongoing initiative that was developed as an alternative to the current, fee-for-service codes—ones that easily fail to capture the true value of what PTs do—and instead particularly account for the complexity and skill of clinical expertise required for patients with more involved presentations. It also incorporates the use of standardized outcome measures. PTCPS would include a single CPT (Current Procedural Technology) code for the entire treatment session versus the assortment of 15-minute unit codes that we’re used to today.

The system has gone through multiple iterations in the past several years, and was developed by the APTA in collaboration with a specialty work group within the AMA (American Medical Association) involving members from the professional organizations of OTs, massage therapists, athletic trainers, speech-language pathologists, chiropractors, psychologists, optometrists, podiatrists, physiatrists, neurologists, orthopedic surgeons, osteopathic physicians, and representatives of CMS (Centers for Medicare & Medicaid Services).

Structure of the new coding system

Under the new system, there would be three new evaluation codes that puts a patient into an initial category of lower, moderate, or higher complexity. Certain documentation criteria (e.g. under patient history, presentation, or plan of care) would determine which of the three eval codes you would select. For example, the number of comorbidities for a given patient would play a role in the eval code selection. There would also be a single code for any re-eval visit.

As currently structured, the proposed PTCPS would also incorporate five treatment codes, based on the overall complexity of the patient’s presentation and treatments. These codes, much like our current CPT code for evals (97001 Physical Therapy Evaluation), would not have a set time frame or number of units associated with it. However, treatment billed under the lowest complexity code would likely be much shorter than a treatment session under the highest complexity code, and the reimbursements would reflect this fact.

Implementation

In 2014, pilot testing of the new system was performed with PTs using the new system to code/bill for hypothetical patients, as well as using the new system to code the treatments of actual patients previously coded with the existing system. This testing occurred in various care settings. Overall, the clinicians were very consistent in their ability to categorize patients with the new initial eval codes. However, for the intervention codes, the pilot clinicians were only able to consistently categorize those patients with the least complex and most complex presentations. There was significant disagreement between PTs in regards to cases that fell within the different “moderate” treatment categories.

The definitions and valuation of the proposed eval codes were reviewed and approved by the RUC (Relative Value Scale Update Committee) and will now require CMS approval. Lindsay is hopeful that CMS will accept the new eval codes, as they will be budget-neutral. In August of 2016, CMS will release the 2017 Medicare Physician Fee Schedule Final Rule; this should include the new PT evaluation and reevaluation codes. The new codes will go live on January 1, 2017. PTs will have three brand-new CPT codes to replace the current 97001 Physical Therapy Evaluation. The APTA will provide training and support to clinicians during the time leading up to the release of the new eval codes.

Impediments to the impending treatment code change

The new treatment codes will require further review and refinement, given their inconsistency of use during the pilot testing. This will likely be an interactive process, and not without controversy from the perspective of payers (insurance companies). In the meantime, the RUC has requested a “backup plan” to address ten CPT codes commonly used by PTs which have been identified as “potentially misvalued codes,” most of which PTs probably use frequently:

  • 97032 attended electrical stimulation
  • 97035 ultrasound
  • 97110 therapeutic exercise
  • 97112 neuromuscular reeducation
  • 97113 aquatic therapy with therapeutic exercise
  • 97116 gait training
  • 97140 manual therapy
  • 97530 therapeutic activities
  • 97535 self care home management training
  • G0283 unattended electrical stimulation (non-wound)

These codes are flagged  because they represent a high reimbursement rate and have not been assessed since 1994.

As a result, the APTA is currently redirecting efforts to provide replacements to those 10 codes rather than waiting for the codes to be reevaluated for us. The new treatment codes the APTA envisions to replace them with would be procedure-based: you would still bill in 15-minute increments. However, they would be streamlined; there would be fewer codes, and the codes would reflect the types of treatment PTs currently perform in practice (as opposed to focusing on what treatments PTs may have historically performed).

Future of the proposed treatment codes

The more general patient- and value-based treatment codes initially envisioned by the APTA are still in the works, but Lindsay foresees a longer process before fruition: it will require all parties to agree on a coding system that accurately and cost-effectively describes the type of treatments that PTs perform for patients. This includes the third-party payers who generally prefer the current setup of treatment codes based on billable units. The current coding system is easy to monitor for abuse or overuse of treatments.

I asked Lindsay if she saw outcome measures as one way of giving insurance companies some power to track the value of treatments under the proposed system. While they wouldn’t be able to screen specific procedures in the same way that they are able to under the current system, they would be able to, for example, monitor whether the progress of a “low complexity” patient was lagging behind what would be expected given that patient’s presentation.

She agreed that this could work in theory, but felt that we still have a long way to go in terms of standardization of outcome data across the spectrum of patient presentation. This is one of the reasons the PT Outcomes Registry will be so important! These two issues truly are intertwined in the future of value-based billing for PT services.

For more information, visit: http://www.apta.org/PTCPS and check out the Timeline for payment reform.

From Practicing Clinician to APTA Employee: an Interview with Anne Reicherter

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Blogger: Katie Baratta

My name is Katie Baratta and I just graduated from the Regis University School of Physical Therapy. I had the opportunity to spend two weeks at the APTA doing a student internship. I was able to talk to many different members of the APTA, attend the Federal Advocacy Forum, and learn more about what the APTA has been doing to move our profession forward. I’ve written a series of essays about my experiences here at the Association.

Interview with Anne Reicherter PT, DPT, PhD, OCS, CHES

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What do you do at the APTA?

Anne was hired by the APTA last spring (2015) and works as a Senior Practice Specialist. In this position, she oversees the PTnow website, which provides practicing therapists with tools for evidence-based practice and includes access to current research and other clinical resources. A good portion of her workweek is dedicated to improving the services offered by PTnow* and working to facilitate access and utilization by APTA members.

Practice Specialists at the APTA are all licensed PTs and also work as consultants on whichever issues are current hot topics regarding our scope of practice. For example, dry needling is currently being discussed and spinal manipulation has been a historically important issue.  As one of the few PTs on staff at the APTA, Anne and her colleagues in the Practice Department review products created by the APTA marketing team or other departments prior to publication to ensure that they are accurate from a clinical and research perspective. She says she will sometimes look at a photo and say that “a PT wouldn’t perform that intervention,” or  that they “wouldn’t stand that far from the patient.” Another current project of Anne’s is a collaboration with APTA researchers on an article for the Journal of Health Policy and Administration about obesity. One of her other areas of focus is the importance of work-life balance within the profession.

How did you come to work at the APTA?

Anne graduated with a BS in Physical Therapy at University of Pittsburgh and then worked in a mixed inpatient and outpatient setting at a hospital. She describes that this was fairly common at the time, and that–with few exceptions–PTs were given a lot of autonomy from their referring providers, and that there was not yet a fee-for-service model at the HMO for which she worked. After ten years in that setting, she wanted to progress her career and knowledge, so she attended night school to obtain her Masters of Health Education. In subsequent years she held a variety of jobs in the educational setting (working for Howard University in DC and the University of Maryland, Baltimore) as well as in other clinical settings, including orthopedics and home health. During this time, she obtained her PhD in Educational Psychology, as well as her transitional DPT. She has also performed some educational consulting for various DPT programs.

The position at the APTA for a PT Practice Specialist opened up at the same time that Anne was searching for something more. She wanted a job that fit with her interests and values: the ability to participate in  writing and publishing, advancing the profession through APTA initiatives, and expanding her own knowledge made the job an excellent fit. She says that these meaningful components–including continuing education–were built into her practice as a new clinician (for example, if there was a “lunch and learn” on a given day, the clinicians would leave a bit early that day), as well as into her work as faculty. Today, however, there is an increased emphasis on productivity and fee-for-service; thus, there is limited time and resources allocated to the pursuit of continuing education that distinguish us as professionals. Anne described the difference between professionals and technicians: professionals design a plan of care and add value to the system with professional discernment, and technicians simply deliver a procedure. To maintain the high expectations set of PTs as professionals, most PTs today must spend time beyond their paid workweek to pursue continuing education, APTA involvement, and evidence-based practice.

Where do we plan to see change in the typical PT’s work-life balance?

Anne replied that one of the biggest initiatives currently is the push to change from a billing system with a procedural focus (for example, billing for “therapeutic exercises” x15 min or “therapeutic ultrasound” x15 min) to one based on value. Current reimbursement accounts merely for the delivery of a procedure or modality for a set unit of time, but it does not account for our clinical judgement as professionals. I’ll go more into this initiative in next week’s blog post.

Any advice for new clinicians starting out in their career?

Anne’s advice to new graduates is to consider whether a job or position allows for and encourages professional development: do they fund continuing education? Do they have on-site mentoring programs you can participate in? She also advises new graduates to not allow mentoring to be limited to colleagues within your particular clinical setting but to continue to seek out a supportive network of clinicians for support as you begin to navigate your professional career.

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*PTnow is a valuable resource for us, as new clinicians, to perform literature searches after graduation (as we’ll no longer have access to the school’s library search function) as well as to access clinical reviews, clinical practice guidelines, and clinical summaries prepared by respected experts within the field of physical therapy.

If you haven’t visited the website, you should definitely check it out: ptnow.org

 

Direct Access: Insight into Some of the Barriers and Current Initiatives

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Blogger: Katie Baratta

My name is Katie Baratta and I just graduated from the Regis University School of Physical Therapy. I had the opportunity to spend two weeks at the APTA doing a student internship. I was able to talk to many different members of the APTA, attend the Federal Advocacy Forum, and learn more about what the APTA has been doing to move our profession forward. I’ve written a series of essays about my experiences here at the Association.

I met with Wanda Evans PT, MHS, CKTP (Senior Payment Specialist) and Elise Latawiec MPH, PT (Senior Specialist, Practice Management) who provided me with their insider understanding on this topic as well as directed me toward further resources.

Direct access physical therapy care means that a patient does not require a referral from a physician or other provider prior to a PT evaluation and/or treatment. All graduating Physical Therapists are required to have a DPT–a clinical doctorate–and, thus, they receive extensive training in the ability to recognize “red flags” and refer patients to the appropriate provider when it becomes apparent that the patient may be at risk for something more severe than musculoskeletal involvement.  Studies demonstrate that direct access decreases the time following an injury to the start of the patient’s PT care, reduces the number of visits of therapy needed and results in lower overall costs. Thus, PTs are not only appropriate for this role, but they can end up saving time, money, and patient suffering (as well as costs for the healthcare system overall).

Legislation

There are currently various types of direct access in all 50 states. Each state has jurisdiction over its own Practice Act, which is why there is some discrepancy from one state to another (state-by-state comparison). There are 18 states with unrestricted direct access—this includes Colorado! Some states require specific certification for a PT to provide direct access care, and others allow only an initial evaluation plus a set number of follow-up visits before the PT must contact the patient’s primary care provider. States with limitations in their practice act for direct access are fighting every day for legislative changes to eliminate these barriers; the APTA is aware of this and is actively assisting in these state-level legislative efforts.

However, the legal foundation is only the first step to getting patients the direct access care that we know would be beneficial. Common barriers to direct access that PTs reported in an APTA survey last year include reimbursement concerns, limitations in marketing, fear of alienating referral sources, restrictions by the PT’s employer, and lack of knowledge of state direct access laws.

Reimbursement                                      

Historically, third-party payers (ie insurance companies) have required a referral from a physician or other designated professional. Aside from Medicare/Medicaid and other federal programs like the VA or Armed Services (which have their own regulations on Direct Access), insurance policies vary by carrier and on a state-to-state basis. As the state legislation changes, the payers have been slowly adapting, with some payers more progressive than others in regards to reimbursement for direct access services. The APTA has been engaging with payers directly to eliminate the referral requirement at events such as the Insurance Forum, in comment letters, during in-person meetings, and in their day-to-day contacts. The APTA communicates this message to large employers who create their own insurance policies for their employees, as well, and are thus able to help employers set the terms of the insurance contract for their employees independently.

How can individual APTA members get involved on the reimbursement front? Each state chapter has a Reimbursement Chair.  The Chair’s responsibilities include learning as much as possible about trends with different payers in that state (and taking note if a lot of PTs have been reaching out with similar issues or complaints regarding the same payer) and assisting those therapists within their own state. The APTA nationally works in conjunction with the state chapters on payment/insurance issues and helps to connect states together when confronted with similar challenges. Patients and their advocates can also petition their Insurance Commissioner if they are inappropriately denied care or access to medically necessary services. The Insurance Commissioner advocates for consumers; s/he does not represent the insurance carrier.

Fear of alienating referral sources

Wanda and Elise described several studies in which direct access evidenced no negative impact on the physician-patient relationship. In fact, a key component of direct access is the necessity of PTs to refer patients to the appropriate provider when a patient’s symptoms and underlying pathologies are outside of our scope of practice. Given that PTs must make referrals back to other providers, it becomes a mutually beneficial relationship amongst different healthcare practitioners.

Education

A lot of concern stems from a a lack of education on the part of employers, insurers and potential patients. PTs need to demonstrate their clinical excellence to, essentially, prove that we are worthy of this responsibility, as well as to continue to educate all stakeholders on the importance and benefit of getting PT before medication/surgery. The first step for every PT is to become educated on what your state’s practice act specifically says about direct access and understand any limitations that may be in effect.  Educating patients, employers, and other healthcare practitioners is the next step. The APTA has developed many resources detailing the benefits and safety of direct access available online (more info).

Resistance to Change or Pushing for Progress?

There are some PTs who are more comfortable in the traditional referral arrangement than with unrestricted direct access. They may not want the additional responsibility, or they may simply prefer to do what they have always done.  That is okay!  Nobody is looking to force them to become direct access providers.

However, if you are one of the PTs who cares about the transition toward direct access and autonomy as a practitioner, make sure you’re an active member of the APTA! This is essential to better educate yourself, your patients, and other healthcare providers and to develop a strong voice with your state chapter and insurance agencies.

For more information on the current APTA involvement, as well as additional resources, check out its Direct Access page.

Federal Advocacy Forum: Regis DPT Student Katie Baratta Visits The Hill

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The APTA Federal Advocacy Forum is a national conference for APTA members across the country to convene in DC.   Its purpose? To educate members of Congress on the role of physical therapy in our communities, with the specific goal of gaining their support for the various legislative initiatives* that are currently being debated in Congress.

A part of my experience during my two-week APTA internship through the Regis University DPT program included the opportunity to attend the Forum. We started out listening to several guest speakers in preparation for our visits on Capitol Hill with the senators and representatives. Brad Fitch from the Congressional Management Foundation (CMF) presented some of the results of a survey about what types of factors impact their decision-making process.  Constituents are the citizens that a member of Congress represents, and that includes both providers and their patients. So, it is important for them to know what matters to us! Ideas for getting in touch with them are listed below.

Robert Blizzard, a partner at Public Opinion Strategies, discussed the current political climate–including different scenarios for the presidential race and the outcomes’ implications. We also had the chance to listen to Senator Richard Burr from North Carolina speak. He has been a friend to PT initiatives for a long time. One of the things that has been most refreshing to me to see is that members of Congress really do care about the same issues we care about. Members on one side of the political spectrum may believe in different ways of solving those issues from their colleagues on the other side, but despite that, there is a lot of bipartisan support for the issues we care about. There were also break-out sessions that went into greater depth on key issues facing the profession from a legislative prospective.

On the third day, we embarked with fellow APTA members from Colorado to meet with staff from the offices of our senators and representatives to discuss current legislation. We thanked the members of Congress for their support on legislation they had already co-signed, and we asked for their support on further issues. The Colorado APTA members met with the offices of Colorado’s two Senators: Cory Gardner and Michael Bennet, and also the representatives from different districts. Diana DeGette is the representative from my district, but our group also had the opportunity to meet with representatives from many other CO districts, as well.

I’ll admit it–I was nervous, at first, to speak up in those meetings. It turns out, though, that the staff members are friendly and interested in what we have to say–even as students. It was reassuring to go as a group so that we could chime in and support one other. I felt more and more confident the more I did it! My advice to any PT or student interested in meeting with their elected official would be to review the facts of what you are going to say (and write down information you might not remember easily) so that you don’t have to waste time and energy trying to recall or look up information. Each meeting lasted approximately 10-15 minutes, and it’s surprising how quickly that time goes. Relax, be yourself, and know that nobody is going to bite your head off.   🙂

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What can I, as a student or clinician, do to support advocacy at the government level?

As a citizen in this country it is your right–and, arguably, your responsibility–to petition your lawmakers directly to share the personal impact that different legislation would have on you as a current (or future) provider on your patients’ day-to-day life. Start by downloading the APTA advocacy app which will let you know who your elected officials are and which legislative issues are currently relevant to your district/state. In terms of getting in touch with lawmakers, Brad Fitch shared with us some of the ways that we can connect with Congress on issues pertinent to the PT field:

  • write emails
  • make phone calls
  • attend town hall meetings
  • make an appointment to visit their local office in person with other PTs or on your own
  • follow your legislator on social media and respond to what they post

The more people to reach out, the more impact we can have.

If you are interested in getting more involved in the political and legislative process or have additional questions, feel free to reach out to me at kbaratta@regis.edu! 

*Key issues currently include:

  • Therapy Cap: Medicare Access to Rehabilitation Services Act (currently max out at $1940 for speech and PT combined) HR 775 / S 539  more info
  • PT Workforce Bill: Physical Therapist Workforce and Patient Access (includes PTs in loan forgiveness program for healthcare providers in underserved areas) HR 2342 / S 1426 more info
  • Locum Tenens: Prevent Interruptions in Physical Therapy Act (for Medicare providers to get short-term coverage for their patients when they must take a temporary leave of absence) HR 556/S 313  more info
  • Safe Play: Supporting Athletes, Families, and Educators to Protect the Lives of Athletic Youth Act / SAFE PLAY Act (include PTs in the discussion for developing standardized concussion management guidelines) HR 4829 / S 436 more info
  • Rehabilitation Research: Enhancing the Stature and Visibility of Medical Rehabilitation Research at the NICH Act (streamlines rehabilitation research, improves coordination between different organizations) HR1631 / S 800
  • PTs Travelling with Sports Teams: Sports Medicine Licensure Clarity Act (include PTs along with ATs and physicians in the existing legislation extending the state license of sports medicine providers who travel with a sports team across state lines to treat a traveling team) HR 921 / S 689
  • Self-Referral: Promoting Integrity in Medicare Act (proposes removing PT as an exception to the Stark Law, ie prevents Physicians from referring Medicare patients to entities in which they have a financial interest – eg a physician-owned PT service) HR 2914
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Blogger: Katie Baratta

My name is Katie Baratta and I just graduated from Regis University School of Physical Therapy. I had the opportunity to spend two weeks at the APTA doing a student internship. I was able to talk to many different members of the APTA, attend the Federal Advocacy Forum, and learn more about what the APTA has been doing to move our profession forward. Check in next Tuesday for more!

APTA Tuesday: Interview with a Lobbyist

Learn more about the APTA and lobbying! Katie interviewed Michael Hurlbut, a lobbyist for the APTA.

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Michael Hurlbut, Senior Congressional Affairs Specialist

Michael’s Background

Michael Hurlbut worked for several years on Capital Hill before he came to us at the American Physical Therapy Association in 2009 as a full-time Congressional Affairs Specialist. He previously worked as a staff assistant/systems administrator for Representative Jerrold Nadler (New York’s 10th district which comprises NYC); he then worked for Representative Robert Ernest  Andrews (for New Jersey’s 1st district, including Camden, NJ) and as a legislative assistant and for Representative Louise Slaughter (New York’s 25th district). Michael has a background in sports medicine and was interested in healthcare and policy. So, when the job opened at the APTA, he felt it was a good fit for his interests and strengths.

Michael was kind enough to explain to me some of the logistics of what goes on in Washington and what it looks like on the ground. I appreciated this perspective; as a PT, this whole world is pretty foreign to me!

Some Definitions

Each congressman or congresswoman has a chief of staff and multiple staff members who listen to issues presented by either individual constituents or lobbyists that represent groups of citizens.  For example, the APTA would count as a group of constituents with similar interests. The staff team then updates their member of Congress on important issues and perspectives.

What does a lobbyist do?

The APTA currently employs three lobbyists, each of whom focuses on different issues within the field of physical therapy. Michael’s areas of specialty include post-acute care, self-referral, workers comp, and Veterans Affairs/armed services. He monitors everything relating to those issues–including bills that are being proposed, progress on relevant ongoing legislative actions, and upcoming meetings which will be held on issues pertaining to his areas of specialty (for example, the congressional committee on Veterans Affairs). In his day-to-day work, he performs research to better understand the issues, he finds data surrounding each of them, he attends hearings and talks to constituents, and he matches up each issue with the correct APTA staff member.

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Once he has all of his information, he prepares the APTA’s position on the topic. This could include creating a few talking points to be included in a conversation, or it could include a formal “Statement for the Record:” this is considered the formal stance of the APTA and must be approved by the APTA’s Executive Vice President for Public Affairs. He will set up meetings with members of the committee or other members of Congress to discuss the relevant issues.

Change in Legislation and Policy

Legislation can start in these committees and proceed out into the House or the Senate for a general vote if approved; legislation can also be proposed by the House or Senate Majority leader. Legislation with broad/bipartisan support in a committee may have a higher chance of being approved by Congress in general, but sometimes this is not the case.

Whether the bill starts in a committee or is proposed by the Majority Leader, Michael emphasizes that it is important to identify members of Congress who will be sympathetic to the issues that the APTA cares about. He notes that getting any bill through Congress is a slow process and it may take several congressional cycles to see any change. It is important to provide data, a convincing argument, and show a “grassroots” initiative–which, for us as PTs, would include individual practitioners and patients contacting our representatives and senators.  Change is typically incremental; as PTs, we can relate to that!  We are accustomed to slow, additive changes with a lot of our patients: even as patients make limited progress (or even have setbacks), we have to keep the bigger picture in mind and continue to work towards change.

Michael also points out that it is essential to recognize when it may be better to work directly with an agency (such as CMS for some of the Medicare/Medicaid issues).

How can we support legislative changes impacting our profession and our patients?

In addition to direct involvement with lawmakers (check in next week to read more about that!), we can support changes in legislation through continued APTA support with both membership dues and with donations to the PT-PAC (Physical Therapy Political Action Committee).katiepic3

PT-PAC pays for one of the Congressional Affairs Specialists (Michael or one of the other lobbyists) to attend the fundraising events for the re-election of members of Congress who have supported our initiatives in the past. Attending events is one of the most important ways to forge stronger contacts with members of Congress and their staff,  and it also increases interaction with other lobbyists who may support similar issues. APTA does not allocate PAC funds to individual candidates in hopes that they will support relevant issues. APTA member dues pay Michael’s and the other Congressional Affairs Specialists’ salaries, but the dues are not used for the PAC. So, when you pay your dues online to APTA, there’s a separate line item that asks you if you would like to donate to the PT-PAC.

The PT-PAC is among the top 10 political action committees of national health care organizations. If every APTA member donated $20, it would be the #1 healthcare PAC–that’s even bigger than the orthopedic surgeons’ organization!

If you are interested in further information or would like to donate to PT-PAC, click here.

Blogger: Katie Baratta

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My name is Katie Baratta, and I just graduated from Regis University’s School of Physical Therapy. I had the opportunity to spend two weeks at the APTA doing a student internship. I was able to talk to many different members of the APTA, attend the Federal Advocacy Forum, and learn so much about what the APTA has been doing to move our profession forward. I’ve written a series of posts about my experiences here at the Association.

Check in next Tuesday to learn more!

APTA Tuesday: Meet Katie Baratta

Meet Katie Baratta, new Regis DPT graduate! Katie participated in an American Physical Therapy Association internship in Washington, D.C. during her final year at Regis.  Check in every Tuesday this summer to hear about her experience and to learn more about the legislation and politics behind all things physical therapy.

Name: Katherine “Katie” Baratta

Undergrad: Rensselaer Polytechnic Institute

Hometown: Boston/Belmont, MA

Fun Fact: I worked for 5 years as a transportation engineering consultant and am the second of six kids!

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Where did you do your last two clinicals?

CE III at St Joseph’s hospital in Denver, acute care, ICU, cardiac care, and CF floors.

CE IV at Denver VA primarily outpatient ortho with emphasis on manual therapy

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How did you get interested in advocacy and how has Regis furthered your interests?

I applied for the APTA internship for two reasons: one relating to learning to better serve patients I will serve as a Doctor of Physical Therapy, and the second pertaining to learning more about the role of Physical Therapy as a profession in the state in which I will practice.

In regards to my future patients, I foresee myself working a significant percentage of my caseload with patients who have considerable needs, vulnerabilities, and/or economic disadvantages—that is what motivates me to put 100% effort into what I’m doing. I know I’ll do everything within my power to provide the best care I possibly can for these patients. However, I also know that there are greater systemic forces at play which can limit any effort I make as an individual practitioner. In order to address these larger issues, I have a duty to advocate as a healthcare professional. Prior to the APTA internship, I didn’t possess a solid understanding of the ways the APTA, as an organization, interfaces with the government and how the political process can be a tool for large-scale change in the healthcare arena. This internship allowed me to observe and participate in this process. It gave me a more nuanced understanding of politics: I now both understand politics in terms of government and politics in terms of group and power dynamics and how these social factors relate to getting things accomplished. So now, as a new graduate, I can bring this understanding back to my individual patients as I push for large-scale changes in the realm of availability of care, funding, and specific physical therapy services.

The second reason I was interested in this internship had to do with the role of the APTA in Massachusetts. According to the APTA state rankings, my home state (and where I eventually see myself practicing) ranked last in APTA involvement in 2014. This is an area of opportunity for the profession. Massachusetts (and Boston) is a leader in many aspects of healthcare. I saw the APTA internship as preparation for increasing the presence of the APTA and the profession of physical therapy in Massachusetts.

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Where are you heading with your career?

My path thus far in life has been winding and full of surprises, and I am sure my future will be as well!

I tremendously enjoyed my work during CE IV at the VA. I found a group of people I connected well with—both the patient population and the rehab team, overall. It was my first true manual/outpatient rotation. By the end of it, I really felt I was starting to get the hang of how to integrate manual skills with tailored exercise prescription for a patient’s short- and long-term function.

I find the role of the nervous system in pain—particularly persistent pain—to be fascinating, and I think that it’s an area that we as DPTs can serve, push the envelope, and dig deeper into understanding.  I see the solution to be very intertwined with integrating exercise, mental and emotional health, and our toolbox of manual skills.

Beyond the practice setting, I envision myself tying in some of the skills I developed in my prior career. I have an extensive background in data analysis, grant writing, and drafting reports on alternatives analysis; essentially, I have experience in demonstrating the “value” of something to decision-makers (including those who provide funding).

One of PT’s biggest issues is lack of PR. Nobody understands or sees our value. Word of mouth is clearly some of the greatest PR, particularly when attracting new patients to an outpatient clinic. But, when there are larger factors at play beyond an individual patient’s choice—when it comes down to hospital policy or insurance policy—we need to speak in the language that those controlling funding allocation understand: numbers (particularly numbers with dollar signs in front of them!).

So, I see utilizing the skills I’ve developed in my past career into my current practice and will be able to demonstrate the value of physical therapy for both patient outcomes and overall costs. There’s a tremendous need for widespread change to healthcare and to PT access and I am excited to be a part of that change!

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Tune in next week to read Katie’s take on direct access barriers and initiatives to direct access.

Global Health Immersion: Students in Peru

In preparing my capstone presentation and reflecting on the last three years in physical therapy school at Regis, I began to see a theme linking all of my most rich experiences from which I learned the most: discomfort. From patient labs and practical exams to clinicals to presentations to service learning, we are constantly thrown into situations where we do not know exactly what to expect, are not sure of our abilities, and have to be willing to be flexible and a little bit vulnerable. These are the times we grow and learn the most. The global health immersion to Peru this spring was no different, and it even amplified those familiar feelings of unease. But I have found that those times of the unknown, unexpected, and unsure are the times when the most growth occurs. I feel fortunate to have had the opportunity to participate in the global health program at Regis, to learn from the people of Peru, to challenge myself to practice with cultural sensitivity, and to gain a better understanding of a culture different from my own.

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Third year students Allie Smith, Elena Absalon, and I traveled with Dr. Heidi Eigsti to Peru where we spent three weeks working with therapists and patients in the city of Huancayo. We spent much of our time with the Catholic Medical Mission Board (CMMB), which is a Non-Governmental Organization that serves primarily women and children.

CMMB has two programs in Huancayo. The first is CHAMPS, which focuses on promoting health, hygiene, nutrition, prenatal care, and access to health care providers. The second, with which we worked, is Rehabilitación Basado en Comunidad (RBC), or Community Based Rehabilitation. The program focuses on serving children with disabilities and their families in the most impoverished neighborhoods in Huancayo, Chilca, and Azapampa. Two physical therapists, Carmen and Loreley, and one psychologist, Lucia, care for 40 children and their families with both home and clinic-based treatment. The goal of the program, in keeping with the World Health Organization’s initiative to improve accessibility for people with disabilities around the globe, is to provide community-based rehab that is relationship focused and incorporates functional activities into everyday routines to improve patients’ participation in their homes and communities.

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The impact that RBC was having on the community in Huancayo was evident. The families with whom we worked were well educated on goals of therapy, extremely involved in home exercise programs, and motivated to do whatever they could to help their child improve. The therapists focused on all aspects of the child’s well-being and had developed strong relationships with them and their families. The Jesuit value of cura personalis was definitely at work, incorporating mind, body and spirit into care. The therapists put together events to connect the families, and they were working to develop of community of support. It was a valuable learning experience to see such a team-based, holistic approach being implemented in an underserved community. CMMB is definitely working to create a sustainable solution to removing the barriers to health and participation faced by the women and children of Chilca and Azapampa. That sustainability is imperative in making a lasting difference in the area, and I am excited for future Regis students to have the opportunity to continue to develop this new relationship with CMMB.

I should mention the whole immersion wasn’t all work. We went on an artisan tour in the mountains surrounding Huancayo where we learned about gourd painting, silver jewelry crafting, and textile production. We hiked to the glacier on Huaytapallana mountain at around 16,000 feet and completed a three-day trek to Machu Picchu City. These experiences introduced us to more of the beautiful landscape and culture of the country, and we were welcomed everywhere we went by warm people of Peru.
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Blogger: Abby Burger, Class of 2016

 

 

Regis University hosts the Denver National Advocacy Dinner

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The second annual National Advocacy Dinner was hosted at Regis University this past Wednesday, April 13, 2016. These dinners are going to be held all over the country between April 13th and May 4th, and are a great way to learn the top legislative issues affecting the PT profession. Furthermore, it’s a great (and easy) way to find out more ways that YOU can make a difference in furthering the profession. In case you missed the event at Regis and were wondering what topics we covered, read on for the recap!

In terms of national legislature, the Federal update was presented by Regis’s own Ira Gorman:

  1. Medicare Access to Rehabilitation Services Act of 2015 (“Repeal of the Medicare Cap”)

This bill would eliminate the cap on therapy services for those patients with Medicare. For those of you who are unfamiliar with this idea, as PTs, we only get $1960/year for therapy services. But wait—that’s shared with Speech Language Pathology Therapists too! This would help patients with complex cases (ie. TBI, CVA, hip fractures/replacements, etc.) get more of the services they really need. Check this bill out: HR 775/ S 539

  1. Physical Therapist Workforce and Patient Access Act of 2015 (Loan Repayment)

THIS IS IMPORTANT FOR STUDENTS! In other words, this bill is all about student loan forgiveness. Currently, PTs are not a part of the National Health Service Core, and therefore cannot earn the loan forgiveness that many other health professionals can. With the passing of this bill, PTs would be granted access to the plan when they worked in rural and/or medically underserved areas. This could mean up to $30,000 in two years. As an extra benefit, it’s been shown that when health professionals work in these areas, they tend to lay down roots and stay. This helps to improve communities by keeping quality health care in the area. Check this bill out: HR 2342/ S 1426

  1. Prevent Interruptions in Physical Therapy Act (Locum Tenes)

This bill was explained as a “technical fix,” in which PTs will have an easier time working with Medicare when a staff goes on a leave of absence (ie. Maternity, travel, etc.). Currently, clinics cannot bring temp PTs in unless they are Medicare certified at the specific clinic. Overall, this is a logistical nightmare when you only need a temp for a week or two. Check this bull out: HR 556/ S 313

 Gorman emphasized these three, but also hit on three more important bills. The Safe Play Act would allow PTs medical decision-making abilities in return-to-sport for youth athletes; this bill also promotes safety in youth athletics (with provisions about concussions, heat stroke, and sudden cardiac arrests). Next, the Medicare Opt Out bill is a physician bill that PTs joined in order to work with patients who may have their own private insurance and do not always want to follow through with sole Medicare payment. The bill would allow providers to avoid billing to Medicare and, instead, just bill the patient’s private insurance. The NIH Bill would help fund more rehabilitation research and create a larger focus on rehabilitation topics. Finally, the Telehealth bill would be one step closer for PTs to have a compact license (i.e. One license would allow a PT to practice in any state). Currently PT’s have to have a license for any state their patients may reside in. For example, if your clinic was near state boarders—say, in Colorado but close to Wyoming—you would have to have a license for both Colorado and Wyoming to treat the residents of Wyoming coming to your clinic. The telehealth component plays in when treating patients in other states via an alternative form of communication. (Check out these bills: HR 829/ S436, HR 1650/ S 1849, HR 1631/ S 800, and HR 2948 respectively)

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The other top speaker at the dinner was Colorado State Senator, Irene Aguilar, MD. She presented on a state issue regarding the insurance plan Colorado Care (Amendment 69). This measure will be on the ballot in November 2016 and will improve health insurance coverage in the state by creating a single-payer system. Colorado Care would be resident owned, non-governmental healthcare for any Colorado resident. Individuals could still purchase their own private insurance similar to supplemental Medicare, but would still pay for Colorado Care. Premiums would be collected from residents and employers based on income, effectively reducing costs through the elimination of third party administrative costs. However, this means a 7% tax for employers, a 3% tax for employees, and a combine 10% tax for the self employed in order to cover the budget, which is estimated at $25 billion. (Read more at http://coloradocareyes.co/ and http://www.npr.org/sections/health-shots/2015/12/19/458688605/coloradans-will-put-single-payer-health-care-to-a-vote.)

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 Now what? Well, as an incoming student, current student, new grad, or current practitioner, it is important to start spreading awareness. The easiest way to do this is check out the APTA take action center (http://www.apta.org/TakeAction/). As a member of APTA, you get access to support any of the current issues with easy, pre-made letters to send to your Congressmen. This is helpful because research shows that Representatives want to know you’re knowledgeable about the bills you’re asking them to support. Heads up, though—they want: to have a constituent reason for your stance on the bill, the specific legislation cited, the bill number, the impact of the bill, and your full name and address.

If you’re looking for a little more action, join PT-PAC (political action committee) or donate money in their name for a more focused contribution. There’s even an app for that! Search APTA Action.

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Upcoming Advocacy Events:

June 8-11, 2016                 NEXT Conference (Nashville, TN)

Oct 27-29, 2016                 National Student Conclave (Miami, FL)

Feb 15-18, 2017                 Combine Sections Meeting (San Antonio, TX)

Spring 2017                           Federal Advocacy Forum (Washington, DC)

 Important Links:

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Keep an eye out for our student spotlight on Cindi Rauert, Regis DPT Class of 2017, who spearheaded this event as the SPT Delegate on the Student Assembly Board of Directors.

Blogger: Sarah Campbell, Class of 2017