DOCUMENTATION GUIDELINES FOR CHRONIC DISEASE. Presented by: Julia Osborne, PT, CLT-LANA
|
|
- Brett Garrison
- 5 years ago
- Views:
Transcription
1 DOCUMENTATION GUIDELINES FOR CHRONIC DISEASE Presented by: Julia Osborne, PT, CLT-LANA
2 Oncology - An Emerging Field in Rehabilitation Oncology Rehabilitation has evolved from simple supportive and palliative care to now include Complex Rehabilitation Interventions Restore the integrity of body systems/organ structure and function Remediate functional loss Allow full participation in ADL s and life roles We will be held accountable to demonstrate treatment efficacy by means of quantifiable Functional Assessment Data and Patient Outcome Measures Gilchrist L S et al. PHYS THER 2009;89:
3 Models of Assessment, Care and Best Practices Models provide a framework of standardized language and concepts Standards 2012 Version 1.1 NIH, ACA - Chronic Disease Model of Care APTA - International Classification of Functioning, Disability and Health (ICF) US Dept. of Health Survivorship Plan of Care 2015 COC (Commission on Cancer) Cancer Program
4 CHRONIC DISEASE MODEL OF CARE
5 Understanding What Chronic Disease Is Definition in 2014 CHRONIC DISEASE IS A LONG- LASTING CONDITION THAT CAN BE CONTROLLED BUT NOT CURED Chronic Disease is the leading cause of death and disability in the United States More than 40% of the U.S. population has one or more chronic condition
6 Chronic Disease Model of Care Affordable Care Act (ACA) Recognizes Chronic Diseases and their Treatment Requirements The ACA has 10 Areas of Essential Health Benefits One of the Ten is: PREVENTIVE AND WELLNESS SERVICES AND CHRONIC DISEASE MANAGEMENT
7 Chronic Disease Model of Care What Would Our Implementation Look Like? We Are Taught a Curative Model of Care Return Toward Prior Level of Function Improvement of Physical Function Resolution of Functional Impairments Patients With Chronic Disease Processes require a Disease Control Model of Care They need ongoing help in minimizing and managing their condition So how do we go about this?
8 Medicare and Medical Necessity with the Chronic and/or Oncology Patient In accordance with the Jimmo v. Sebelius Settlement, the Centers for Medicare & Medicaid Services (CMS) has agreed that coverage of skilled therapy services does not turn on the presence or absence of a beneficiary s potential for improvement, but rather on the beneficiary s need for skilled care. Skilled care may be necessary to improve a patient s current condition To ensure safety and effectiveness in ADL s To retain the patient s current condition To prevent or slow further deterioration of the patient s current condition Centers for Medicare & Medicaid Services (CMS) Transmittal 175 Date: December 6, Change Request 8458
9 We Must be able to Document in Alignment with these Statements APTA EDGE TASK FORCE THE ICF
10 Current Role of The APTA and the ICF The EDGE Task Force Developed in 2010 Evaluation Database to Guide Effectiveness To Facilitate Identification of Valid and Reliable Tests and Measures that Reflect Clinically Important Outcomes Use the Domains of the ICF International Classification of Functioning, Disability, and Health
11 ICF Provides an Overall Framework The ICF classification scheme is used to describe overall function of populations who have specific chronic health conditions Gilchrist, L. et al. Phys Ther March; 89(3):
12 TRANSLATING INTO FUNCTION International Classification of Functioning, Disability and Health (ICF) Health Condition Cancer Type Treatment (Surgery, Radiation, Chemo) Body Functions and Structures Neuromusculoskeletal & Movement-Related Nervous System Eye, Ear & Related Mental Function Cardiovascular, Hematological, Immunologic & Respiratory Digestive, Metabolic & Endocrine Genitourinary & Reproductive Skin & Related Activity General Tasks & Demands Communication Mobility Self-Care Occupational Community, Social & Civic Life Participation Learning & Applying Knowledge Domestic Life Interpersonal Interactions & Relationships Major Life Areas Community, Social & Civic Life Environmental Factors Personal Factors
13 ICF A Tool for Documentation Documenting how structural or anatomic deficits restrict activities restrict participation Enables therapists to be adept at the intended focus of their therapeutic interventions Enables therapists to use appropriate tools to assess effectiveness of those interventions Gilchrist, L. S., Galantino, M. L., Wampler, M., Marchese, V. G., Morris, G. S., & Ness, K. K. (2009). A Framework for Assessment in Oncology Rehabilitation. Physical Therapy, 89(3),
14 US DEPT HEALTH/COC SURVIVORSHIP PLAN OF CARE 2015
15 Cancer Survivorship Care The US Department of Health and Human Services Requires that Cancer Survivorship Care Plans are in place in Comprehensive Cancer Centers by 2015 The Commission on Cancer (COC) - partnered with American College of Surgeons Standards of Care 2012 Includes referral to Rehabilitation Services as part of its requirements for Comprehensive Cancer Care Pfalzer, L. Rehab Oncology, 2013, Vol 31, No 3: 5
16 Insurance & Reimbursement Mechanisms Necessary to identify Survivorship as a Stage of Cancer Care Needs to be a professional and cultural shift Insurance and Reimbursement Mechanisms to cover survivorship care are necessary part of cultural shift Evidence is needed to understand the cost implications of providing or not providing survivorship care in an integrated way Silver JK et al. Cancer Rehabilitation may Improve Function in Survivors and Decrease the Economic Burden of Cancer to Individuals and Society. Jan 1, 2013;46(4):
17 Standardization of Metrics in Survivorship - Developing Sustainable Rehab Programs Electronic Health Records (EHR's) facilitate metric standardization and consistent data capture Functional Assessment Data Patient Outcome Measures Standardization identifies the Essential Elements of Care instead of a Specific Care Model
18 Essential Elements of Care - Guideline of Rehab Assessment and Treatment Elements to be Included in Patient Centered Assessment and Care are: 1. Cancer Type 2. Cancer Treatment 3. Treatment Sequelea 4. Timing of Follow-Up Care 5. Content of Follow-Up Care 6. Recommendations for Risk Reduction Practices and how to Retain Health and Wellbeing COC Cancer Program Standards 2012 Version 1.1
19 DOCUMENTATION GUIDELINES Evidence Based Practice Treatment Plan and Timeframes Care and Quality Outcomes Efficient Use of ICD-10 Codes AND How to Document over an extended episode of care
20 1. Evidence Based Practice
21 EBP - Clinical Expertise and Resources Case Studies Photos: Before and After Patient Testimonials Clinical Outcome Measures Functional Assessments: Before/During/End Objective Measurements Patient Outcome Measures Subjective Assessment: Before/During/End
22 2. Measuring Care and Quality Outcomes Clinical Outcome Measures Functional Assessments: Before/During/End FACT Cancer Specific, FACT Chemotoxicity Specific, PDI, Quick DASH, LEFI, LLIS ( Klose - LLIS Version 1 Jan Weiss 2013) Lymphedema Life Impact Scale, ABC Test, Fall Risk Assessment Objective Measurements PT/OT/ST Specific Time Frames Prehab baselines, IE post tx-intervention, Every 3 months (based on Medicare 90-day rule)
23 3. Treatment Plan with Time Frames Treatment Plan Parameters Insurance Visit Allowance (~20) Chronic Disease Model of Care (12 months) Rehabilitation Entry Point Surgery, Chemotherapy, Radiation, Reconstructive Phase, Post Active-Treatment Phase Phases of Rehab (based on RMCRI parameters) Acute (Through Active Treatment + 12 Weeks Post) Subacute (3-6 Months Post Active Treatment) Chronic (6-12 Months Post Active Treatment, or Lifelong) (Active Treatment = Cancer Rx: Single Rx Event or Multiple Rx Events) Regular Monitoring (proposed) Year 1 post D/C every 3 months Year 2 post D/C every 6 months
24 4. Efficient Use of ICD-10 Codes Use REHAB codes familiar to Insurance Companies Use Diagnosis Codes Leverages Treatment Options Good to Use General Codes to Begin With Lymphedema Postural Dysfunction Difficulty Walking THEN Use Codes Relating to Pain, Stiffness, Scar Tissue Fibrosis, Joint and Muscle Disorders, Weakness and Deconditioning Functional Impairment becomes Key Objective Measurement Statement for Reports & Daily Notes
25 5. Hints for Documentation with Fluctuating Clinical Status Link CURRENT Physical Function with Symptoms Present on Day of Treatment Document THAT DAY Symptoms/Functional Limitations Document Response to Treatment for THAT Day Always Document CHANGE IN MEDICAL STATUS!!! Always Document Fluctuating Status instability warrants skilled care to stabilize Document ALL Medications and/or Treatment Interventions - especially with long term side effects these are considered by Medicare Chemotherapy Radiation Therapy Adjuvant Therapies (Endocrine Hormonal) Pain Medications
26 Medicare and Medical Necessity with the Chronic and/or Oncology Patient Justification for treatment would include Objective evidence or a clinically supportable statement of expectation that: The skills of a therapist are necessary to maintain, prevent, or slow further deterioration of the patient s functional status, and the services cannot be safely and effectively carried out by the beneficiary personally or with the assistance of non-therapists, including unskilled caregivers
27 PUTTING IT ALL TOGETHER
28 Patient Case Example - Essential Elements of Care 1. Cancer Type Breast Cancer: Invasive Lobular, Stage III, Grade 3, ER+ 2. Cancer Treatment Surgery with ALND, Adjuvant Chemotherapy, Radiation Therapy 3. Treatment Sequelae Soft Tissue Healing Phase Transition with Surgery and Radiation Therapy, Chemo-toxicities, Lymphedema 4. Content of Treatment/Follow-Up Care FOM s, Objective Measurements, PT/OT/ST Treatment Protocols, Patient Self-Care Management, Patient Home Exercise Management 5. Timing of Follow-Up Care 1x/week or 1x/every 2-3 weeks throughout Treatment Episode 1-3x every 3 months for 12 months following Treatment Episode 6. Risk Reduction Practices and Retaining Health and Wellbeing Lymphedema Risk Reduction Exercise Prescription and Progression
29 Patient Case Example 1. Cancer Type Breast Cancer: Invasive Lobular, ER+, Stage III, Grade 3 This tells us that the patient is going to have extensive surgery, chemotherapy, radiation therapy, and at least 5 years of an AI All these are leverage points in documentation
30 Moving on to Active Ca Treatment & Rehab Response 1. Cancer Type 2. Cancer Treatment Breast Cancer: Invasive Lobular, Stage III, Grade 3 Surgery with ALND, Adjuvant Chemotherapy, Radiation Therapy AI Therapy 3. Treatment Sequelae Soft Tissue Healing Phase Transition with Surgery and Radiation Therapy, Chemo-toxicities, Lymphedema
31 Surgery and ALND Stage 0 1 Lymphedema secondary to decreased lymphatic transport capacity, resulting in a prolonged inflammation phase of healing and an accumulation of both inflammation exudate and lymph fluid in the interstitium Decreased Sh ROM resulting in decreased overhead reaching and HBB in all ADL s (home, occupational, recreational, community)
32 Radiation Therapy Severe scar tissue formation in the axillary region results in loss of overall functional mobility and postural balance in the upper quadrant, thereby affecting all ADL s ((home, occupational, recreational, community) Patient progress is slowed secondary to daily targeted chemotherapy AI (eg. Anatrazole) that results in increased althralgic pain to the region concurrent to existing radiation fibrosis that restricting muscular skeletal components
33 Stages of Lymphedema Stage 0 Reversible: Lymph Fluid in Interstitium Stage 1 Reversible: Lymph Fluid & Inflammation in Interstitium Stage 2 Irreversible: Lymph Fluid AND Secondary Skin Changes Fibrosis Life Long Stage 3 Irreversible: Lymph & Skin DISEASE Fibrosis, Adipose Tissue Life Long
34 ICF - Body Structure and Function Measurement of Lymphedema Lymph Volume as a This is NOT the only method used to describe the severity of lymphatic impairments The National Cancer Institute's Common Terminology Criteria for Adverse Events Version 3 has expanded the number of scales to: 1. Grade the severity of lymphatic & integumentary toxicity 2. Grade the severity of skin color changes 3. Grade tissue fibrosis 4. Grade phlebolymphatic cording
35 Adjuvant Chemotherapy 1) Cardiotoxicity 2) Myelosuppression 3) Cancer Related Fatigue 4) Chemo-induced Peripheral Neuropathy 5) Chemo-induced Cognitive Changes
36 Cardiotoxicity Functional Assessment Tools/Outcome Measures Heart Rate, BP (At Rest, and at End of Selected Test) 6 Minute Walk Test (Or Similar Aerobic Test) WITH Dyspnea Scale (Breathing Difficulty) Borg Rate of Perceived Exertion (Exertional Difficulty)
37 Myelosuppression Hemodynamic Impairments - MYELOSUPPRESSION Chemotherapy Agents cause destruction of bone marrow stem cells Anemia FACT-An Neutropenia FACT-Ne Thrombocytopenia FACT-Th
38 Cancer Related Fatigue Functional Assessment of Chronic Illness Treatment Fatigue (FACIT-F) Best used to measure Fatigue as a specific QOL subset problem Roskevensky, G. et al. Rehab Oncology, 2013, Vol 31, No 3: 14-18
39 Chemo-Induced Peripheral Neuropathy Functional Assessment Tools/Outcome Measures modified Total Neuropathy Scale FACT-Taxane, FACT-NTx Dynamic Gait Index Berg Balance Scale, Tinetti Balance Test Functional Independence Measure (FIM)
40 Chemo-Induced Cognitive Impairment Functional Assessment Tools/Outcome Measures The Mini-Mental State Examination FACT-COG
41 Continuum of Care Treatment Within the Spectrum of Phases of Soft Tissue Healing Inflammation Proliferation Remodeling
42 Continuum of Care Treatment Within the Spectrum of Lymphatic System Function Stage 0 Reversible Stage 1 Reversible Stage 2 Irreversible Stage 3 Irreversible
43 Continuum of Care - Treatment Within the Spectrum of the Cancer Rx Process Radiation Adjuvant Therapies Chemotherapy Surgery Survivorship
44 THANK YOU
Defining the Role of Rehabilitation in Breast Cancer Care
Defining the Role of Rehabilitation in Breast Cancer Care Ashley Dew, PT, DPT Ochsner Therapy and Wellness Manager of Program Development Physical Therapist at the Tansey Breast Center I have no relevant
More informationOncology Rehabilitation AMY HEGVIK, OTR- L MAREN SAND- PECK, PT, DPT
Oncology Rehabilitation AMY HEGVIK, OTR- L MAREN SAND- PECK, PT, DPT About Us Maren Sand-Peck, PT, DPT Maren is a 1999 Graduate of Iowa State University with a Bachelor of Science in Psychology. Master
More informationLexi Harlow, PT, DPT, CLT Seattle Cancer Care Alliance
Lexi Harlow, PT, DPT, CLT Seattle Cancer Care Alliance Importance of Rehabilitation In Oncology Care Patient and family centered care Individualized treatment and management of side effects from cancer
More informationCMS CLARIFICATION JIMMO VS. SEBELIUS
CMS CLARIFICATION JIMMO VS. SEBELIUS Liz Almeida-Sanborn, MS, PT, President Maria Maggi, PT, Vice President of Compliance Jodi Wenzel, MPT, Vice President of Operations OBJECTIVES Participants will: Understand
More informationCancer Rehabilitation
Cancer Rehabilitation Improving Outcomes in Lung Cancer Dr. Leslie J. Waltke April 6, 2016 Leslie J. Waltke, PT, DPT System Cancer Rehabilitation Coordinator Aurora Health Care 945 N. 12 th Street Milwaukee,
More informationCancer Survivorship in the U.S.A: Models of Follow-up Care
National Cancer Institute U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Cancer Survivorship in the U.S.A: Models of Follow-up Care Julia H Rowland, PhD, Director Office of
More informationA snapshot of inpatient oncology rehabilitation: Patient profiles and rehab outcomes Rehabilitation Rounds, University of Toronto April 5, 2012
A snapshot of inpatient oncology rehabilitation: Patient profiles and rehab outcomes Rehabilitation Rounds, University of Toronto April 5, 2012 Sara McEwen, PT, PhD Research Scientist, St. John s Rehab
More informationSummary of Major Differences Between Guide2 and Guide3
Patient/Client Management Model Summary of Major Differences Between Guide2 and Guide3 The concept of patient/client management model is consistent with the original model approved by the HOD in June 1995:
More information2018 OCN Keywords January 22, 2018 Subject Area Weight Keywords
Subject Area Weight Keywords Care Continuum 19% Care Continuum Coordination of Care Navigation Psychosocial Symptom Management Health Promotion/Screening and Early Detection Disease Prevention High-Risk
More information30-31 March Organized by Women s Health Specialty Group, HKPA Limited Co-joint with the HEMAX Health Products Company Limited
Advanced Course in Management of Lymphatic system and lymphedema 30-31 March 2013 Organized by Women s Health Specialty Group, HKPA Limited Co-joint with the HEMAX Health Products Company Limited Instructor
More informationGUIDELINES FOR SELF MANAGEMENT OF LYMPHOEDEMA. Nicole L. Stout DPT, CLT-LANA,
GUIDELINES FOR SELF MANAGEMENT OF LYMPHOEDEMA Nicole L. Stout DPT, CLT-LANA, FAPTA nicole.stout@nih.gov @nicolestoutpt Self Management in Lymphedema Prevention and Risk Reduction Secondary Lymphedema
More informationPhysical Therapy and Occupational Therapy Initial Evaluation and Reevaluation Reimbursement Policy. Approved By
Policy Number Physical Therapy and Occupational Therapy Initial Evaluation and Reevaluation Reimbursement Policy 0044 Annual Approval Date 4/2017 Approved By Optum Reimbursement Committee Optum Quality
More informationOverview...3. Cancer Program.4. Breast Cancer with 5-year Survival Analysis...6. Systemic Therapy.7. Stage of Breast Cancer Diagnosed in
2011 Annual Report Table Of Contents Overview...3 Cancer Program.4 Breast Cancer with 5-year Survival Analysis...6 Systemic.7 Stage of Breast Cancer Diagnosed in 2008..8 Radiation and Systemic Only...9
More informationLynne S. Padgett PhD Rehabilitation Psychologist, Consultant
Lynne S. Padgett PhD Rehabilitation Psychologist, Consultant lynnepadgett@gmail.com WHAT HOW Financial challenges + Missed work + Dating/sexuality + Fatigue + Dizziness + Cognitive symptoms = National
More informationApplying MOHO with Adolescents & Adults with Cancer. Brent Braveman, PhD., OTR/L, FAOTA Donna Kelly, OTR/L, M.ED, CLT
Applying MOHO with Adolescents & Adults with Cancer Brent Braveman, PhD., OTR/L, FAOTA Donna Kelly, OTR/L, M.ED, CLT Applying MOHO with Adolescents & Adults with Cancer 2 Learning Objectives At the end
More informationNEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES POLICY GUIDELINES
NEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES POLICY GUIDELINES Version 2010-1 June 10, 2010 Page 1 of 8 Table of Contents SECTION I REQUIREMENTS FOR PARTICIPATION IN MEDICAID. 3 PROVIDER/QUALIFYING
More informationSupportive Care makes excellent cancer care possible
Supportive Care makes excellent cancer care possible Irma Verdonck-de Leeuw With many thanks to Age Schultz and Dorothy M Keefe Supportive Care in Cancer The prevention & management of the adverse effects
More informationCHF In-Home Program Guidelines for PT & OT Evaluation and Care Planning
CHF In-Home Program Guidelines for PT & OT Evaluation and Care Planning 1 Objectives After completing the Therapy CHF guidelines training, you will be able to Determine when PT and OT evaluations are recommended
More informationPrehabilitation & Rehabilitation in Cancer Survivorship
Prehabilitation & Rehabilitation in Cancer Survivorship Julie K. Silver, MD Associate Professor, Department of PM&R, Harvard Medical School Associate Chair and Director of Cancer Rehabilitation Department
More informationPhysiotherapy in Breast Cancer: developing clinical practice
Physiotherapy in Breast Cancer: developing clinical practice Dr Karen Robb Macmillan Cancer Rehabilitation Strategy Development Manager Consultant Physiotherapist Member of Macmillan Consequences of Cancer
More informationNot a Laughing Matter
Not a Laughing Matter How to Incorporate Pelvic Health Rehabilitation into your STAR program Nancy Corvigno MSPT PRPC Certified Star Clinician STAR Program at Griffin Hospital Survivorship Training and
More informationThe New CP 3 R Application And Revisions To Standard 4.6 Integration Of The NCDB With The Accreditation Process
The New CP 3 R Application And Revisions To Standard 4.6 Integration Of The NCDB With The Accreditation Process Wednesday, April 29, 2009 at 11 AM Central M. Asa Carter, CTR Manager, Approvals and Standards
More informationExercise for Cancer Survivors
Exercise for Cancer Survivors Andréa Leiserowitz, PT, DPT, CLT Oncology Physical Therapy; oncologypt@gmail.com Facebook: Oncology Physical Therapy Typical Patient Concerns Stress, anxiety, depression Poor
More informationONCOLOGY REHABILITATION AND SECONDARY LYMPHEDEMA THE PROSPECTIVE SURVEILLANCE MODEL
ONCOLOGY REHABILITATION AND SECONDARY LYMPHEDEMA THE PROSPECTIVE SURVEILLANCE MODEL Nicole L. Stout DPT, CLT-LANA, FAPTA nicole.stout@nih.gov @nicolestoutpt Prospective Surveillance Model Diagnosis Pre-Operative
More informationToxicities of Chemotherapy Regimens used in Early Breast Cancer
Toxicities of Chemotherapy Regimens used in Early Breast Cancer CERCIT Workshop February 17, 2012 Carlos H Barcenas, M.D., M.S. Fellow Hematology-Oncology MD Anderson Cancer Center CERCIT Scholar Outline
More informationAcademic Coursework Preceding Clinical Experience III: PT 675
BIO 639 Human Gross Anatomy (6) This is a lecture and laboratory course in human gross anatomy, which uses cadaver dissection and other materials illustrative of human anatomy. Emphasisis placed on the
More informationMartha Trout on 6/17/2012 at Pleasant Valley Cancer Center. Jane Plummer. Tom Plummer
SAMPLE This Survivorship Care Plan will facilitate cancer care following active treatment. It may include important contact information, a treatment summary, recommendations for follow-up care testing,
More informationSpecialized Physical Therapy
Specialized Physical Therapy Jeanna Viramontes, MPT, PRC ReForm Physical Therapy, LLC Jeanna Viramontes, MPT, PRC 1999: Graduated from College of St. Benedict/St. John s University 2002: Master of Physical
More informationSummary Slide. Summary Slide. Documentation. Summary Slide. Documentation
Summary Slide Summary Slide Summary Slide Documentation Documentation 1 Documentation Evidence of Patient Care Evidence of patient care Proves care was given Reason for treatment Treatment effectiveness
More informationPhysical Therapist Practice and The Movement System
Physical Therapist Practice and The Movement System August 2015 An American Physical Therapy Association White Paper Physical Therapist Practice and the Movement System Introduction APTA s vision for the
More informationRHODE ISLAND CANCER PREVENTION AND CONTROL
RHODE ISLAND CANCER PREVENTION AND CONTROL 2013 2018 STRATEGIC PLAN TABLE OF CONTENTS Purpose 1 The Partnership to Reduce Cancer 3 Prevention 4 Tobacco 4 Healthy Weight 6 Nutrition 6 Physical Activity
More informationNorth of England Bone and Soft Tissue Tumour Service
North of England Bone and Soft Tissue Tumour Service Guidelines for rehabilitation after replacement of the proximal femur Proximal femoral replacement surgery is usually carried out as part of treatment
More informationPresentation: Manual Approaches to the Rehabilitation of Head and Neck Cancer Survivors Speakers: Jonas Sokolof, DO and Sebi Varghese, PT, DPT
2014 Abstracts Day 1: Concurrent Sessions 1 (1:30-3:00): Presentation: Manual Approaches to the Rehabilitation of Head and Neck Cancer Survivors Speakers: Jonas Sokolof, DO and Sebi Varghese, PT, DPT Patients
More informationHI-1051: Certified Professional Coder Preparation Course
Course Code/Title: HI-1051: Certified Professional Coder Preparation Course Course Hours: 320 Duration (wks): 16 weeks Chapter 1 The Business of Medicine Coding as a Profession The Difference between Hospital
More informationDemonstrate understanding of the history of cancer survivorship
Define Survivorship Demonstrate understanding of the history of cancer survivorship State the requirements of the Commission on Cancer of the American College of Surgeons Standard of Survivorship According
More informationEstablishing a Survivorship Program Within a Large Academic Medical Center
Establishing a Survivorship Program Within a Large Academic Medical Center Andrew J. Ward FNP-BC Surgical Oncology, The University of Tennessee Medical Center Disclosures I have no disclosures. Program
More informationEnhancing Quality of Life for Cancer Survivors in South Dakota. Outcomes from the South Dakota Cancer Survivorship Program
Enhancing Quality of Life for Cancer Survivors in South Dakota Outcomes from the South Dakota Cancer Survivorship Program The South Dakota Survivorship Program was funded through cooperative agreement
More informationLymphedema 101. Andréa Leiserowitz, DPT, CLT. Oncology Physical Therapy;
Lymphedema 101 Andréa Leiserowitz, DPT, CLT Oncology Physical Therapy; oncologypt@gmail.com Note: this information is the property of Dr. Leiserowitz and should not be copied, distributed, or otherwise
More information2015 Public Outcomes Report Cancer Program Practice Profile Reports 2013 Breast and Colon Cancer
As a Commission on Cancer (CoC)-accredited cancer program, HealthEast ensures that patients with cancer are treated according to nationally accepted measures. Measures for Quality of Cancer Care Each year,
More informationOncology Nursing Society Registry in Collaboration with CE City 2015 Performance Measure Specifications
1 ONSQIR 1 Non-PRQS Measure Oncology Nursing Society Registry in Collaboration with CE City 2015 Performance Measure Specifications Performance Measure Name: Symptom Assessment 1-o1a Symptom Assessment
More informationPhysiatrist Approaches to Pain Management: Functional Outcomes
Ameet Nagpal, MD Dr. Nagpal is a board certified PM&R and Pain Medicine physician who is a Clinical Assistant Professor in the Department of Anesthesiology at the University of Texas Health Science Center
More informationAPTA, Academy of Pediatric Physical Therapy (APPT) Research Agenda
APTA, Academy of Pediatric Physical Therapy (APPT) Research Agenda 2017-2020 Goal of the Research Agenda: To promote research in pediatric physical therapy that advances and enhances health or movement
More informationIncorporating a Survivorship Clinic/Visit Into Practice
Incorporating a Survivorship Clinic/Visit Into Practice Pretest Question #1 Meeting the compliance requirements for the CoC Standard 3.3 for survivorship care plans (SCPs) includes which of the following:
More informationMultiple Myeloma: Maximizing Your Exercise Investment. Lexi Harlow, PT, DPT, CLT Physical Therapy Seattle Cancer Care Alliance
Multiple Myeloma: Maximizing Your Exercise Investment Lexi Harlow, PT, DPT, CLT Physical Therapy Seattle Cancer Care Alliance What are common physical side effects reported by patients with multiple myeloma?
More informationFSBPT Supervised Clinical Practice Performance Evaluation Tool
1. Practices in a manner that is safe for the patient 1.1. Responds appropriately in emergency situations 1.2. Recognizes and responds to unexpected changes in patient's physiological condition 1.3. Utilizes
More informationBreast Cancer Survivor Treatment Summary and Plan
Breast Cancer Survivor Treatment Summary and Plan The attached Breast Cancer Survivor Treatment Summary and Plan is a form that will summarize your cancer diagnosis and treatment. It will help you plan
More informationEvidence for the use of exercise in patients with breast cancer to reduce cancer-related fatigue
DigitalCommons@UNMC Posters and Presentations: Physical Therapy Physical Therapy 2-2014 Evidence for the use of exercise in patients with breast cancer to reduce cancer-related fatigue Betsy J. Becker,
More information62 accc-cancer.org January February 2016 OI
62 accc-cancer.org January February 2016 OI BY TRICIA STRUSOWSKI, MS, RN, AND JEREMY STAPP, MBA Patient Navigation Metrics Measuring the impact of your patient navigation services The Oncology Nursing
More informationPhysical therapists also may be certified as clinical specialists through the American Board of Physical Therapy Specialists (ABPTS).
GUIDELINES: PHYSICAL THERAPY CLAIMS REVIEW BOD G08-03-03-07 [Amended BOD 03-03- 13-29; BOD 02-02-22-31; BOD 03-01-16-52; BOD 03-00-22-56; BOD 03-99-16-50; Initial BOD 11-97- 16-54] [Guideline] The American
More information5/28/ Memorial Sloan-Kettering Cancer Center, All Rights Reserved Memorial Sloan-Kettering Cancer Center, All Rights Reserved.
Sillerman Center for Rehabilitation The presenters have no conflict of interest to report regarding any commercial product/manufacturer that may be referenced during this presentation. 1 Key components
More information3/5/2018 CANCER ASSOCIATED FATIGUE & PAIN OBJECTIVES CHRONIC PAIN ACUTE PAIN PAIN SCALES
OBJECTIVES CANCER ASSOCIATED FATIGUE & PAIN SCOT M. SAWYER, PT, DPT BOARD CERTIFIED ELECTROPHYSIOLOGY CLINICAL SPECIALIST EMAIL: SAWYER@CAMPBELL.EDU Recognize the multi-factorial pain response cancer survivors
More informationEffective Date: 01/01/2014 Revision Date: Administered by:
ARBenefits Approval: Effective Date: 01/01/2014 Revision Date: Administered by: Medical Policy Title: Physical and Occupational Therapy Services Document: ARB0476 Public Statement: 1) Physical and occupational
More information2 Diagnosis and Staging of Cancer 2.1 Pathophysiology of cancer 2.2 Classification and staging 2.3 Diagnostic measures for specific cancer types
Oncology Nursing Sub-Specialty Module Reference: Gobel B. M., Triest-Robertson S. & Vogel W.H. (Eds). (205). Advanced Oncology Nursing Certificate Review and Resources Manual. Pittsburgh: Oncology Nursing
More informationCertified Breast Care Nurse (CBCN ) Test Content Outline (Effective 2018)
Certified Breast Care Nurse (CBCN ) Test Content Outline (Effective 2018) I. Coordination of Care - 26% A. Breast health, screening, early detection, risk assessment and reduction 1. Issues related to
More informationOUR BRAINS!!!!! Stroke Facts READY SET.
HealthSouth Rehabilitation Hospital Huntington Dr. Timothy Saxe, Medical Director READY SET. OUR BRAINS!!!!! Stroke Facts 795,000 strokes each year- 600,000 new strokes 5.5 million stroke survivors Leading
More informationMidwest Metastatic Breast Cancer Conference. Renata Beaman, PT, MS, MA, OCS, CLT Exercise & Cancer
Midwest Metastatic Breast Cancer Conference Renata Beaman, PT, MS, MA, OCS, CLT Exercise & Cancer Presented By: Title Sponsor: Renata Beaman, PT, MS, MA, OCS, CLT OrthoRehab Specialists, Inc. Edina, MN
More informationWellness for Special Populations: Benefits of Offering Wellness Programming to Cancer Patients During and After Treatment
Wellness for Special Populations: Benefits of Offering Wellness Programming to Cancer Patients During and After Treatment Kelly F. Roberts, MA, BSN Levine Cancer Institute Cancer Wellness Coordinator Levine
More informationDepartment of Health Care Services SB 1004 Medi-Cal Palliative Care Policy September 1, 2016 Update
Department of Health Care Services SB 1004 Medi-Cal Palliative Care Policy September 1, 2016 Update This document provides an update on the Department of Health Care Services (DHCS) Medi-Cal palliative
More informationTreatment Plan Goals for Chiropractic
Treatment Plan Goals for Chiropractic Presented by Evan M. Gwilliam, DC MBA BS CPC CCPC NCICS CCCPC CPC-I MCS-P CPMA Vice President 1 Take away Learn how payers use treatment plan goals to determine if
More informationNational Stroke Association s Guide to Choosing Stroke. Rehabilitation Services
National Stroke Association s Guide to Choosing Stroke Rehabilitation Services Rehabilitation, often referred to as rehab, is an important part of stroke recovery. Through rehab, you: Re-learn basic skills
More informationNew Evaluation Codes For Physical Therapy: Preparing for Implementation APTA State Policy and Payment Forum Kathleen Picard PT
New Evaluation Codes For Physical Therapy: Preparing for Implementation 2016 APTA State Policy and Payment Forum Kathleen Picard PT Coding Reform Wiring & Plumbing for Payment Reform Payment Reform for
More informationEstablishing survivorship care in a community-based center
Establishing survivorship care in a community-based center When should survivorship care begin? The definition of a cancer survivor and strategies for educating and engaging survivors in their care are
More informationMaria Parham Cancer Center Henderson NC Annual Report 2013
Maria Parham Cancer Center Henderson NC Annual Report 2013 2013 has been a vibrant year of change for the Maria Parham Cancer Center, changes aimed at improving the quality of patient care as well as patient
More informationAMERICAN JOURNAL OF ADVANCES IN NURSING RESEARCH
15 AMERICAN JOURNAL OF ADVANCES IN NURSING RESEARCH e - ISSN 2349-0691 Print ISSN - XXXX-XXXX Journal homepage: www.mcmed.us/journal/ajanr EXERCISES TO PREVENT ARM DYSFUNCTION IN WOMEN FOLLOWING MASTECTOMY
More informationPOLICY AND PROCEDURE
PAGE: 1 of 10 SCOPE: Absolute Total Care departments PURPOSE: To provide guidelines for Medical Necessity of outpatient physical, occupational and speech therapy evaluation and treatment services. POLICY:
More information2014 Medicare (and Private Insurance) Payment Reform for Oncology. Ensuring the Delivery of Quality & Value-Based Cancer Care
2014 Medicare (and Private Insurance) Payment Reform for Oncology Ensuring the Delivery of Quality & Value-Based Cancer Care PHASE 1 PHASE 2 PHASE 3 PHASE 4 Quality Reporting Quality & Value Performance
More informationTherapy Documentation: Beyond Reasonable and Necessary
Therapy Documentation: Beyond Reasonable and Necessary August 30, 2012 Presented by: Cindy Krafft PT, MS Director of Rehabilitation Consulting Services Fazzi Associates 243 King Street, Suite 246 Northampton,
More information9/5/2016. Documenting Compliantly and Efficiently: Best Practices and Techniques. Course Objectives. Legal Disclaimer
Documenting Compliantly and Efficiently: Best Practices and Techniques Veda Collmer, Esq., OTR/L Course Objectives Participants will be able to identify basic information required for documenting in the
More informationPopulation Health: The need for chronic disease Lymphedema care management in Canada. Byron Shier, MBA, B.Sc. OT, CLT-LANA.
Population Health: The need for chronic disease Lymphedema care management in Canada. Byron Shier, MBA, B.Sc. OT, CLT-LANA. Article submitted and accepted by Canadian College of Health Leaders in Spring,
More informationWhat is the Role of the Occupational Therapist in Cancer Rehab Today? Are We Still Just An Interventionist?
What is the Role of the Occupational Therapist in Cancer Rehab Today? Are We Still Just An Interventionist? Christine Lipple OTR/L Amanda Gordon OTR/L, CLT-UE, CKTP MiOTA Conference October 2017 Objectives
More informationBREAST CANCER SITE STUDY REPORT By Robert O. Maganini, M.D., F.A.C.S. Breast Surgeon, Alexian Brothers Medical Group
BREAST CANCER SITE STUDY REPORT By Robert O. Maganini, M.D., F.A.C.S. Breast Surgeon, Alexian Brothers Medical Group Breast cancer is the most common cancer diagnosed in women around the world. In the
More informationAmerican Burn Association Burn Rehabilitation Therapist Competency Tool Version 2
This document is intended to establish a framework for basic practice standards related to burn rehabilitation and provide a common language for education programs to train burn rehabilitation therapists
More informationPatient Intake Assessment Tools for Navigation
Patient Intake Assessment Tools for Navigation Review and utilize the following with new patient referrals to the Navigation program: Psychosocial Distress Screening Tool : Commission on Cancer Standard
More informationAn Introduction to Occupational Therapy, Physical Therapy, and Speech-Language Pathology Incorporating Hippotherapy in Clinical Practice
An Introduction to Occupational Therapy, Physical Therapy, and Speech-Language Pathology Incorporating Hippotherapy in Clinical Practice Provided by the American Hippotherapy Association, Inc. www.americanhippotherapyassociation.org
More informationDysphagia rehabilitation: Pathophysiology, evaluation and treatment
Dysphagia rehabilitation: Pathophysiology, evaluation and treatment Stroke is the most important cause of morbidity and long-term disability and thus imposes an enormous economic and social burden. Oropharyngeal
More informationObjectives. SCI EDGE Outcome Recommenda3ons 1/23/12. Property of Kahn, Newman, Palma, Romney Tappan, Tefer3ller, Tseng, Weisbach 1
Outcome Recommendations from the Neurology Section Spinal Cord Injury EDGE Taskforce Combined Sections Meeting of the American Physical Therapy Association, San Diego, CA January 21-24, 2013 SCI EDGE Taskforce
More informationPhysiotherapist, Wellspring cancer exercise program developer and leader Jan Park Dorsay
Jodi Steele Physiotherapist, Wellspring cancer exercise program developer and leader Jan Park Dorsay Nurse Practitioner, Rehabilitation Oncology Program, Hamilton Health Sciences Oren Cheifetz Physiotherapist,
More informationSlide 1. Slide 2. Slide 3 History of Nurse Navigator
Slide 1 The Nurse Navigators role in Early Stage Breast Cancer, and Development of Tailored Treatment Plan Laura Ochoa, RN, ANP-BC, Ph.D. Slide 2 Barnes Jewish Hospital at Washington University Slide 3
More informationEvolution of Patient Navigation
Evolution of Patient Navigation Adirondack Health Institute 7 th Annual Summit September 24, 2015 Lake Placid, NY Harold P Freeman, M.D. Founder & President, Harold P. Freeman Patient Navigation Institute
More informationThe PINC Cancer Rehabilitation Program provides individualised, prescribed rehabilitation to women diagnosed with cancer; helping them heal as well
The PINC Cancer Rehabilitation Program provides individualised, prescribed rehabilitation to women diagnosed with cancer; helping them heal as well as possible and to function at optimal levels through
More informationMedicare Myths-Busters: Dispelling Common Compliance Misconceptions. Learner Objectives. Learner Objectives
Medicare Myths-Busters: Dispelling Common Compliance Misconceptions Rick Gawenda, PT President Gawenda Seminars & Consulting, Inc. September 30, 2017 Learner Objectives Identify the supervision requirements
More informationLeveraging Your Cancer Registry: A Strategy for Survey Success
CoC-trained consultants on staff Leveraging Your Cancer Registry: A Strategy for Survey Success Toni Hare, RHIT, CTR CoC-trained Consultant Vice President, CHAMPS Oncology November 27, 2012 Georgia s Best
More informationPAIN MANAGEMENT & MAXIMIZING QUALITY OF LIFE DURING TREATMENT
PAIN MANAGEMENT & MAXIMIZING QUALITY OF LIFE DURING TREATMENT Brandy Ficek, MD Medical Director of Quality of Life and Palliative Medicine Cancer Treatment Centers of America Rocky Mountain Blood Cancer
More informationPlease Provide Responses to the Fields Below Electronically to be Accepted
Please Provide Responses to the Fields Below Electronically to be Accepted Medicare Red Tape Relief Project Submissions accepted by the Committee on Ways and Means, Subcommittee on Health Date: August
More informationStrands & Standards MEDICAL TERMINOLOGY
Strands & Standards MEDICAL TERMINOLOGY COURSE DESCRIPTION A one-semester course that helps students understand the Greek- and Latin-based language of medicine and healthcare. Emphasis is placed upon word
More informationThe Role of Physiatry in the Care of Adults and Children with Hydrocephalus
The Role of Physiatry in the Care of Adults and Children with Hydrocephalus Scott E. Brown, MD Chairman Department of Physical Medicine and Rehabilitation Sinai Hospital of Baltimore Who Are We? PHYSICAL
More informationUniversity of Wollongong Kinesiology Courses
UOW Course # & Title SHS 111: to Anatomy & Physiology I UMass equivalent KIN 170 & 171 UMass Sem. University of Wollongong - 2011 Kinesiology Courses Assessment Class Description Class Objectives Spring
More informationUniversity of Montana School of Physical Therapy and Rehabilitation Science Program Curriculum and Course Descriptions
University of Montana School of Physical Therapy and Rehabilitation Science Program Curriculum and Course Descriptions First Year Students Fall Classes Block I P T 503 - PT and Health Care System Credits:
More informationCoursework Tool For Foreign Educated Physical Therapist Assistants
Coursework Tool For Foreign Educated Physical Therapist Assistants Implementation Date February 15, 2017 Federation of State Boards of Physical Therapy 124 West Street South Alexandria, VA 22314 Telephone:
More informationOne Stop Shop For Teachers. Therapeutic Services-Physical Medicine
Program Concentration: Career Pathway: Course Title: One Stop Shop For Teachers Healthcare Science Therapeutic Services-Physical Medicine Rehabilitation in Physical Medicine Course Description: Rehabilitation
More informationPET/CT Value: Rocky Mountain Cancer Centers
PET/CT Value: Rocky Mountain Cancer Centers Glenn Balasky Executive Director Rocky Mountain Cancer Centers glenn.balasky@usoncology.com CANM/CAMRT Joint Conference March 22, 2018 Vancouver, British Columbia
More informationWhat am I Looking For?: A Reviewer s Guide to Therapy Documentation
What am I Looking For?: A Reviewer s Guide to Therapy Documentation Presented By: Cindy Krafft MS PT, COS-C Director of Rehabilitation Consulting Services President - Home Health Section APTA November
More informationImplementation of a Clinical Trial Matching System. Session #225, March 8, 2018 Tufia Haddad, M.D.
Implementation of a Clinical Trial Matching System Session #225, March 8, 2018 Tufia Haddad, M.D. 1 Conflict of Interest Tufia Haddad, M.D. Contracted Research/Grant Support: Takeda Oncology Consulting
More informationOccupational Therapy. Occupational Therapy Payment Policy Page 1
Occupational Therapy I. Policy Occupational therapy is a form of rehabilitation therapy involving the treatment of neuromusculoskeletal function through the use of specific tasks or goal-directed activities
More informationA Manual Therapy and Exercise Approach to Breast Cancer Rehabilitation Course
2014 Annual Breast Cancer Rehabilitation Healthcare Provider Event A Manual Therapy and Exercise Approach to Breast Cancer Rehabilitation Course November 7 th and 8 th, 2014 Mercer University, Atlanta,
More informationOral Presentation to the H.E.L.P. Committee on February 14, 2012 Philip A. Pizzo, MD
Oral Presentation to the H.E.L.P. Committee on February 14, 2012 Philip A. Pizzo, MD 1. I am Dr. Philip A Pizzo, Dean of the Stanford University School of Medicine as well as Professor of Pediatrics and
More informationIntegrative Pain Treatment Center Programs Scope of Services
Integrative Pain Treatment Center Programs Scope of Services The Integrative Pain Treatment Center at Marianjoy Rehabilitation Hospital, part of Northwestern Medicine, offers two specialized 21-day outpatient
More information2013 Memorial Sloan-Kettering Cancer Center, All Rights Reserved.
Cost Effectiveness and Cancer Rehabilitation Andrea L Cheville, MD, MSCE Associate Professor and Research Chair Department of Physical Medicine and Rehabilitation Mayo Clinic, Rochester Why cost matters
More information