President s Message by Chris Barrett, PT, M.Ed.

Transcription

1 Spring 2013 Volume 33, Issue 1 The Official Publication of the South Dakota Physical Therapy Association President s Message by Chris Barrett, PT, M.Ed. On the Cusp of Change As we move forward into 2013, there are many changes on the horizon. The Healthcare for America bill, including expansion of Medicaid, is one area that will continue to affect how Physical Therapists provide care for South Dakotans. The APTA continues to push forward with the Alternative Payment System and new mandatory Functional Limitations Reporting from CMS continues to add to necessary paperwork. It is important to look to the National APTA offices to assist us with learning about new requirements. The APTA offers pertinent articles in PT in Motion, PT in Motion courses, webinars and online continuing education through APTA s Learning Center, and opportunities for educational seminars throughut the United States. It is important to use the valuable resources available through the APTA to allow for efficient and appropriate PT services. These are just a few of the opportunities offered with your membership in the APTA. PTA Caucus 2 Ethics 3 FAL Reports 3 PAC 7 USD PT Update 9 Upcoming Event 11 LATI Update 12 Conference 13 Fall Business 13 Contact Info 17 On a local level, the Education Committee continues to assemble pertinent continuing education twice per year. The committee has put together courses that bring national speakers to our region saving us money and time away from our jobs. In addition, the Board of Directors holds a membership meeting to assist members in discussing the business of the SDAPTA. I encourage you all to attend these meetings to participate in your Association, network with your colleagues and help to create a forward momentum as we undergo the many changes that are occurring in our busy profession. Treasurer s Report by Patrick Hauer, PT, EdD The 2011 Financial Spread Sheet has been uploaded to the SDAPTA website. I would encourage all members to look over the spread sheet. As of the association had $65, in checking and $151, in two Vanguard accounts. The majority of investments are in a Short-term Corporate Bond ETF with a small amount in Wellington Admiral Shares. Our investments earned the association $13, in Total assets = $217, Revenue generated in 2012 equaled $98,994.91, while expenses totaled $72, If anyone has questions or concerns regarding financial aspects of the association please feel free to contact me. Patrick.Hauer@usd.edu

2 Reach Out Page 2 of 17 PTA Caucus by Brad Thuringer, PTA First, I would like to extend a personal thank you for your support that allowed me to represent our chapter at the 2012 PTA Caucus and House of Delegates (House) in Tampa Florida June 2-6, The PTA Caucus Business Meeting began with reports from groups that meet throughout the year, including the Communication Committee that has been focused on liaison relationships with the Sections; and the Education Task Force that has been discussing PTA entry-level requirements in light of Healthcare Reform. Niki Wallen, MO Representative and Alternate Delegate, conducted the annual leadership training program that helped participants to identify their leadership styles and the potential impact on others in group situations. Holly Clynch, MN Chief Delegate, provided background information about RCs and that address PTA entry-level education. Also, Shawne Soper, APTA Speaker of the House, provided a summary from the Governance Review Report. PTA Caucus Representatives and Delegates expressed their concern to the Speaker about decreased representation of PTAs in the House; the structure and function of the proposed PTA Assembly; and the ongoing absence of PTA representation on many chapter boards and the APTA Board of Directors. The PTA Caucus established new goals; compared them to previous goals and outcomes; and analyzed the likelihood of achieving the goals of the PTA Caucus within APTA s current and proposed governance structure. The PTA Caucus election results: Amy Smith (AL) was elected Chief Delegate by acclamation; Niki Wallen (MO), Delegate (1-year term to fill Smith s unexpired term); Russell Chrischilles (IA), Alternate Delegate; and Debbie Simmons (OK), Nominating Committee. Of particular interest to the PTA community in the 2012 House were RCs 1-12 through that pertained to proposed changes to the physical therapy practice model (PT-PTAaide). The PTA Caucus continues to believe that the PTA is the only other provider that has the requisite knowledge and skills in physical therapy interventions that are required to provide safe and effective patient/client care and therefore, only support models that protect the patient (i.e. those models in which the PTA is the only other provider of physical therapy interventions). The PTA Caucus also believes that patients/clients would receive more timely care in models that included expanding the role of the PTA to include components of examination and evaluation. After considerable discussion, the House elected to continue to explore practice models that are responsive to the needs of society and adaptable to our changing health care environment. Regarding RCs and that addressed PTA entry-level education, the PTA Caucus was in support of investigating the educational needs of the entry-level PTA who must be fully prepared to assist the autonomous, doctoring physical therapist. The House elected to conduct a feasibility study to explore the need for implementation of the entrylevel bachelor degree for the PTA. A summary of the work of the House relative to PTA education can be found on the APTA s web page at and search 2012 House of Delegates. I am looking forward to representing all South Dakota PTAs at the House of Delegates in Salt Lake City in June. I too look forward to seeing you in Yankton for our Spring Chapter Meetings. If you have any questions or concerns, please contact me so that I can make sure your voice is heard.

3 Page 3 of 17 Reach Out Ethics Committee by Patrick Cross, PT, DPT, EMT-B, RHF No formal ethical complaints have been submitted to the President of the SDAPTA and given a formal case number. Over the last 6 months the Ethics Committee has responded to various episodic ethical dilemmas, including potential overutilization of modalities, supervision of a new graduate without a license, and appropriate supervision of support personnel. FAL Report by Pat Cross, PT, DPT, EMT-B, RHF As the Federal Affairs Liaison for SDPTA, I have been privileged to participate in monthly phone calls and frequent e- mail correspondence with officials at the APTA. To say the least, the Federal Affairs Liaison position has been a very rewarding and fantastic educational experience for me. Based on last year s survey results, I have tried to provide more information about federal affairs issues to you through numerous s that Shelley has graciously sent out on my behalf, as well as regularly posting new information, in a more orderly and professional fashion, under the FAL Web page on the SDPTA Web site. I welcome additional ideas on how federal affairs information can be distributed more effectively and efficiently to membership. Many of the s that have been sent out to membership were generated by officials at the APTA. These officials have also recognized a need to better educate FALs and membership; while trying to reduce frustrations related to duplicate s (previously they did not tell FALs which s were sent to general membership and which ones were not). It must be noted that we have an amazing group of individuals at the APTA who are constantly meeting with federal officials and analyzing bills, laws, and rulings, in attempt to advocate for our profession and those who we serve. I would hate to think what would occur if these individuals were not advocating on our behalf on a daily basis. I would like to thank Chris Barrett, Jamie Boomgarden, Karen Gallagher, Mike Latour, Phil Moe, Jim Simons, and Leonard Suel who served as Key Contacts in I would like to also thank Chris, Karen, and Phil, who have expressed to the APTA that they are willing to serve as Key Contacts again in Amanda Rausch will be joining this group as a new Key Contact. If there are any other individuals interested in serving as a Key Contact for specific SD federal officials, please let me know. Traditionally, most of the expenses related to attendance at the Federal Affairs Forum/ PT Day on Capitol Hill are paid by the APTA for the SDPTA FAL and 1 Key Contact. This year the event will be April If anyone else intends on attending the conference, please let me know; the deadline for registration is March 22. I would like to thank the SDPTA Executive Board for approving funds to send select PT and/or PTA students to the Forum. From my experiences, the federal officials and their staff want to talk with the students, thus giving the SDPTA a lot more time and attention. I feel the extra time we are given to present our issues, as well as the increased potential for those students to become members of the APTA/SDPTA after graduation, due to their experiences, is worth every penny the SDPTA spends on this endeavor. Below is a list, with a brief synopsis, of some recent federal topics which have the potential or have already had a direct or indirect effect on physical therapy services in both urban and rural settings. If you desire more information on a specific topic, I encourage you to go to the FAL page on the SDPTA Web site ( and/or the Federal Advocacy page on the APTA Web site (

4 Reach Out Page 4 of 17 FAL Report by Pat Cross, PT, DPT, EMT-B, RHF (con t) On January 1, 2013, the US Senate passed the American Taxpayer Relief Act of 2012 (HR 8). Among other things, this legislation included several Medicare provisions critical to rehab therapy and rural health: o An aversion of the scheduled 26.5% Medicare fee schedule cut through o A fix of the Medicare sustainable growth rate (SGR) through the end of o An extension on the existing 1.0 floor on the physician work index through The Medicare fee schedule is adjusted geographically for three factors to reflect differences in the cost of resources needed to produce physician services: physician work, practice expense and medical malpractice insurance. o A reinstatement of critical Medicare reimbursement payments to more than 850 rural hospitals Both the Medicare-dependent hospital program and the low-volume hospital adjustment had expired Oct. 1, o An extension of Medicare inpatient hospital payment adjustment for low-volume hospitals: Qualifying low-volume hospitals receive add-on payments based on the number of Medicare discharges. To qualify, the hospital must have less than 1,600 Medicare discharges and be 15 miles or greater from the nearest like hospital. This provision extends the payment adjustment through o An extension of the Medicare-dependent hospital program. The Medicare-dependent hospital (MDH) program provides enhanced reimbursement to support rural health infrastructure and to support small rural hospitals for which Medicare patients make up a significant percentage of inpatient days or discharges. This greater dependence on Medicare may make these hospitals more financially vulnerable to prospective payment, and the MDH designation is designed to reduce this risk. This provision extends the MDH program until Oct. 1, o An extension to the exception process (KX modifier) for payment for outpatient therapy services (including services provided in an outpatient hospital department) through December 31, In 2013, the therapy cap dollar amount is $1,900 for physical therapists and speech language therapists combined and a separate $1,900 for occupational therapists. The manual medical review threshold remains at $3,700. The provision also extends the cap to services received in hospital outpatient departments only through 2013.On February 21, 2013 the Centers for Medicare and Medicaid Services (CMS) issued interim guidance on how the manual medical review process will be implemented in 2013 for outpatient therapy claims that exceed $3,700. For 2013, CMS has replaced the prior approval process (in place Oct. 1, 2012 Dec. 31, 2012) with prepayment review. Under prepayment review, when the patient reaches $3,700 in outpatient therapy services, the Medicare Administrative Contractors (MAC) will send the provider an additional development request (ADR) asking him or her to submit documentation so that the MAC can determine whether the services are medically necessary. CMS has stated that with regard to the therapy cap manual medical review process, MACs must decide within 10 days of receipt of the documentation whether the services exceeding $3,700 will be paid. CMS currently is working on a long-term strategy for the manual medical review process. However, in the interim, the agency will enforce prepayment review of outpatient therapy claims that exceed $3,700 with a 10-day turnaround time.

5 Page 5 of 17 Reach Out FAL Report by Pat Cross, PT, DPT, EMT-B, RHF (con t) However, to compensate for not moving forward with the fee schedule cuts, the Senate approved a series of payment reductions. The most important payment reduction for rehab therapists to note is the multiple procedure payment reduction (MPPR), which increases the MPPR from 20% in private practices and 25% in non-private practices to 50% across the board. o According to the Healthcare Billing & Management Association (HBMA), this provision (which provides a budget savings of $1.8 billion) further reduces payment for subsequent services performed on the same day. MPPR is based on the assumption that duplication exists in the practice expense portion of therapy codes billed on the same day. However, the practice expense portion of the therapy codes were already reduced when these codes were initially valued since multiple services are typically provided to a patient during a visit. Currently set at 20% in private practice and 25% in facilities, the legislation includes a provision that raises the MPPR policy to 50% for all outpatient therapy settings beginning April 1, The APTA estimates the application of a 50% MPPR policy will reduce aggregate payments for outpatient therapy services (physical therapy, occupational therapy, and speech language pathology) by 6-7% from the 2012 payment amounts. This is in addition to the 6-7% reduction of payment for outpatient therapy services that occurred in 2011 when the 20-25% MPPR reduction was implemented. This means that in calendar years 2011 and 2013, outpatient therapy services were subject in aggregate to a 12-14% reduction in payment overall. The current MPPR policy on therapy imposes a reduction to all therapy services and is not a discipline specific policy. To determine the impact on your individual practice, refer to both the 2012 and 2013 MPPR calculators available on APTA s Web site ( In 2013, Physical therapists must submit information regarding a patient s functional limitation for Medicare Part B services. o For more information visit APTA s Functional Limitation Reporting Web page and associated links ( The Physician Quality Reporting System (PQRS) changes from an incentive-based program to a penalty program in o In order to avoid penalties of 1.5 percent in 2015 physical therapists can report a variety of measures. See APTA s PQRS Web page, and associated links, for more information (

6 Reach Out Page 6 of 17 FAL Report by Pat Cross, PT, DPT, EMT-B, RHF (con t) As a follow-up to the issuance of the Home Health Prospective Payment System (HH PPS) Calendar Year (CY) 2013 Final Rule, CMS has updated its website to clarify that the therapy provisions will be effective for episodes beginning on or after January 1, Please see Type/Home-Health-Agency-HHA-Center.html. o In the CY 2013 final rule published on November 2, CMS finalized three revisions regarding the requirement that a qualified therapist complete a functional reassessment of the patient at the 14th and 20th visit as well as every 30 days: If a qualified therapist missed a reassessment visit, therapy coverage would resume with the visit during which the qualified therapist completed the late reassessment, not the visit after the therapist completed the late reassessment. In cases where multiple therapy disciplines are involved, if the required reassessment visit was missed for any one of the therapy disciplines for which therapy services were being provided, therapy coverage would cease only for that particular therapy discipline. In cases where the patient is receiving more than one type of therapy, qualified therapists must complete their reassessment visits during the 11th, 12th, or 13th visit for the required 13th visit reassessment and the 17th, 18th, or 19th visit for the required 19th visit reassessment. However, CMS also states in instances where patients receive more than one type of therapy, if the frequency of a particular discipline, as ordered by a physician, does not make it feasible for the reassessment to occur during the specified timeframes without providing an extra unnecessary visit or delaying a visit, then it will still be acceptable for the qualified therapist from each discipline to provide all of the therapy and functionally reassess the patient during the visit associated with that discipline that is scheduled to occur closest to the 14th Medicare-covered therapy visit, but no later than the 13th Medicare-covered therapy visit. Likewise, a qualified therapist from each discipline must provide all of the therapy and functionally reassess the patient during the visit associated with that discipline that is scheduled to occur closest to the 20th Medicarecovered therapy visit, but no later than the 19th Medicare-covered therapy visit. Legislation to Repeal the Medicare Therapy Cap o The Medicare Access to Rehabilitation Services Act (H.R. 713/S. 367) would permanently repeal the $1,900 therapy "cap" imposed on physical therapy, occupational therapy, and speechlanguage pathology services. For more information, please go to Education and Workforce Legislation o This legislation would authorize physical therapists to participate in student loan forgiveness programs such as the National Health Service Corps and Frontline Providers program. For more information, please go to

7 Page 7 of 17 Reach Out PAC Committee Report by Lynn Simon DPT/ATC I am excited to announce Leonard Suel has joined me as Co-Chairman of the PAC Committee. I look forward to working with Len and the committee: - Phil Moe, Karen Gallagher, Julie Wingen and Brad Thuringer. There is room for more members if interested, contact Len at Leonardsuel1@abe.midco.net or myself at Lynn.Simon@BigStoneTherapies.com. We were very thankful for a less eventful Legislative Session in 2013! However, we anticipate challenges ahead with as to how the profession is regulated and with our governing board. We need and appreciate every donation received. Thank you to the donors who have made donations since our last newsletter: Supporter Donor $25 Wade Fligge Trisha Rieffenberger Lynn Simon Michelle Grant Erica Thelin Dan Ziemer Billi Whempner Benefactor Donor $50 Patrick Hauer Century Donor $100 Leonard Suel Joan Hanson Phil Moe Ron VanDyke Ruth Scott Jim Simons Kathy Sulentic-Morcom Eagle Donor $250 Big Stone Therapies Double Eagle Donor $500 Chairman Donor $1000 Year 2012 Report Beginning Balance $8579,14 Contributions from Members $ Operational Expenses $43.85 check blanks Donations in Primary Elections $1100 Donations to Legislative Candidates $6500 Closing Balance $11, Donations made in Primary Elections Val Rausch Mark Mickelson Mark Johnston Patrick Kirschman Bruce Rampelberg Mitch Fargen Dave Munson Jim Bolin Brian Gosch

8 Reach Out Page 8 of 17 PAC Committee Report by Lynn Simon DPT/ATC (con t) Donations made in General Election Jason Frerichs Kathy Miles Paul Dennert Dan Lederman Al Novstrup Tom Jones Steven Street Jean Hunhoff Tim Beglka Frank Kloucek Ried Holien Bill Van Gerpen Russell Olson Mike Vehle Shantel Krebs Billie Sutton Mark Johnston Tim Rave Phyllis Heineman Larry Lucas Deb Soholt Jim Bradford Phil Jensen Ryan Maher Craig Tieszen Bruce Rampleberg Mark Kirkeby House Brock Greenfield David Novstrup Melissa Magstadt Roger Solum Spencer Hawley Scott Munsterman Steve Hickey Bob Deelstra Jenna Haggar

9 Page 9 of 17 Reach Out USD PT Update by Joy Karges, PT Greetings from the USD Physical Therapy Program! We recently had our Professionalism Ceremony for the Class of 2014 on January 27, Brian Wienk, PT, ScD, COMT was the guest speaker. Please refer to the Continuing Education Events at USDPT for continuing education and other upcoming events in Save the Date: The Class of 2014 is sponsoring a Fundraiser Co-Ed Softball Tournament on June 1, 2013 in Vermillion. Please contact Evan Wiersma (Evan.Wiersma@coyotes.usd.edu) for additional information. The USDPT Program will be having a 20 th Commemorative Celebration on Friday and Saturday October 4-5, 2013 during homecoming at USD! Please contact Rita.Humphrey@usd.edu for additional information. The USD PT Program is co-sponsoring the Lymphedema Certification Course sponsored by the Academy of Lymphatic Studies in Sioux Falls SD from August 3-13, Please contact the Academy of Lymphatic Studies at for additional information. Peer-reviewed Publications: Beebe, J. A., & Cross, P. S. (in press). Comparison of activity and function in patients with post-surgical patellar tendons with and without calcific deposits. Sports Health. Beebe, J. A., Hines, R. W., McDaniel, L. T., & Shelden, B. L. (in press). A novel isokinetic training program for reducing falls in a community-dwelling older adult: A case report. Journal of Geriatric Physical Therapy. Berg, P., Hulse, B. & Schweinle, W. (in press). Men s perceptions of women leaders and managers. In M. Paludi (Ed.), Women and management worldwide: Global issues and promising solutions. Santa Barbara, CA: Praeger. Cross, P. S., Beebe, J. A., Ernest, B. N., & Arthur-Sinar, S. (in press). Access to outpatient physical therapy services for community-dwelling older adults in rural Western Nebraska. Physical Therapy Journal of Policy, Administration, and Leadership. Ekstrom, R. A., & Osborn, R. W. (2012). Measurement of supraspinatus muscle contraction using ultrasound imaging. Journal of Orthopaedic and Sports Physical Therapy, 42(1), A89. Ekstrom, R. A., & Osborn, R. W. (2012). Muscle length testing and electromyographic evidence for manual strength testing and exercises for the shoulder. In: R. A. Donatelli (Ed.), Physical therapy of the shoulder, 5th ed. (pp ) St. Louis, MO: Elsevier Churchill Livingstone. Ferley, D. D., Osborn, R. W., & Vukovich, M. D. (in press). The effects of uphill vs. level-grade high-intensity interval training on VO2max, VMax, VLT and TMAX in well-trained distance runners. Journal of Strength and Conditioning. Jorde, B. D. & Bly, J. (2012). Protect your musculoskeletal health. Dimensions of Dental Hygiene, 10(1): 30, Seefeldt, T. M., Mort, J. R., Brockevelt, B., Giger, J. T., Jordre, B., Lawler, M. J., Nilson, W., & Svien, L. (2012) A pilot study of interprofessional case discussions for health professions students using Second Life. Currents in Pharmacy Teaching and Learning, 4(4),

10 USD PT Update by Joy Karges, PT (con t) Reach Out Page 10 of 17 Peer-reviewed Presentations: Upcoming Presentation during June 2013: o Hauer, P. Exercise and adult ADHD. Accepted for poster presentation at APTA Annual Conference; 2013; Salt Lake City, UT. APTA Combined Sections Meeting, San Diego, CA, January 2013 o Beebe, J. A., Hanssen, K. M., & Varilek, S. A. Measuring subacromial space between the empty and full can tests. Poster Presentation. o Beebe, J. A., Hines, R. W., McDaniel, L. T., & Shelden, B. L. A novel isokinetic training program for reducing falls in a community-dwelling older adult: A case report. Poster Presentation. o Berg, P., Cross, P. S., Karges, J. R., McCormick, K., VanKlompenburg, J., & Wasland, M. Characteristics of community and practice that influence physical therapists employment decisions. Poster presentation. o Berg, PT., Cross, P.S., & Karges, J.R. Profile of physical therapist student loan debt and its impact on employment decisions. Platform Presentation. o Cross, P. S., Beebe, J. A., Ernest, B. N., & Arthur-Sinar, S. Access to physical therapy services for community dwelling older adults in rural western Nebraska. Platform Presentation. o Jordre, B., Ladwig, A., Beacom, K., Graphenteen, V. & Schweinle, W. Screening Senior Games athletes Using SAFE. A new opportunity for community involvement. Session Presentation. o Karges, J. R., Cross, P. S., Burcham, J. L., Blom, H., Myers, A., Grisrud, C., & Hauer, P. Effectiveness of the American Red Cross Emergency Response Course in improving student physical therapists and physical therapists decision-making related to acute sports injuries & medical conditions. Platform Presentation. o Peterson, C., Chevan, J., Harris, M., & Svien, L. Global opportunities in physical therapy education through Fulbright Scholar and Fulbright Specialist program. Session Presentation. o Svien, L. R., & Hansen, E. Improving the health of society within your faith community. Session Presentation. The Australian Conference of Science and Medicine in Sport, Sydney, Australia, 2012 o Hemmingson, D., Shim, A., Choi, H., & Cross, P. Health and wellness students perceptions of exercise science professors intelligence based on Sheldon s Body Types. Poster presentation. Conferences/Trainings Attended: Becca Jordre attended the second course in the Certified Exercise Experts for Aging Adults (CEEAA) series in St. Louis Park, MN on Dec 1-2, Justin Beebe, Patti Berg, Pat Cross, Becca Jordre, Joy Karges, Lana Svien, and 13 students attended the Combined Sections Meeting 2013 of the American Physical Therapy Association in San Diego, CA during January Other: Justin Beebe was a project team member on a $52,800 grant that was funded by Permara Corporation for a pilot clinical trial of Permara-treated socks for the treatment of athlete s foot. Pat Cross and 12 Class of 2015 students provided acute sports physical therapy services at an all Native American high school basketball tournament in Macy, NE during January Pat Hauer, Pat Cross, and Will Schweinle were awarded a $5000 seed grant through the University of South Dakota s School of Health Sciences Research and Scholarship Seed Grant Program to work with the Omaha Nation High School/Omaha Tribe of Nebraska to incorporate cardiovascular screenings as part of their high school physicals. Pat Cross was appointed the Chair of the Nominating Committee for the Global Health Special Interest Group of the Healthcare Policy and Administration Section of the American Physical Therapy Association. Roy Osborn received the 2012 School of Health Sciences Faculty Research Achievement Award. Roy Osborn was chosen as the Invited Speaker for the graduation celebrations of the USD PT Class of 2013 and the USD tdpt Class of 2012.

11 Page 11 of 17 Reach Out Upcoming Continuing Education Events Hosted by USD Physical Therapy Class of 2014 Fundraiser Co-Ed Softball Tournament! Please contact Evan Wiersma at or for additional information regarding this tournament in Vermillion, SD on June 1, 2013! May 13, 2013 APTA Sports Section / Red Cross Emergency Medical Response Challenge Course. This certification renewal course will be hosted on the USD campus in Vermillion, SD. Please contact Marcia.Harnois@usd.edu or Pat.Cross@usd.edu for additional information regarding registration, course materials, and pre-course assignments. There are limited openings still available (potentially up to 25). Registration due April 12, May 14-16, 2013 APTA Sports Section / Red Cross Emergency Medical Response Program Course. This certification course will be hosted on the USD Campus in Vermillion, SD. Please contact Marcia.Harnois@usd.edu or Pat.Cross@usd.edu for additional information regarding registration, course materials, and pre-course assignments. There are limited openings still available (potentially up to 10). Registration due April 12, June 7-8, 2013 APTA Clinical Instructor Education & Credentialing Program Basic (Level I) will be hosted at the USD Sanford School of Medicine Health Sciences Center in Sioux Falls, SD. Please contact Joy.Karges@usd.edu for additional information. Registration due Friday April 26, June 20-22, 2013 The 20th Annual Harry E. Settles Memorial Gross and Clinical Anatomy Review Workshop (Upper Extremities and Cervical Spine) will take place on the USD Campus in Vermillion, SD (Thursday morning through 1:00 PM Saturday). Dr. Roy Osborn is the instructor. Dr. Robert Morecraft will also conduct his Neuroanatomical Workshop as part of this workshop. Please contact Rita.Humphrey@usd.edu or Roy.Osborn@usd.edu for additional information. Registration due June 14, October 25-26, 2013 APTA Clinical Instructor Education & Credentialing Program Advanced (Level II) will be hosted on the USD Sanford School of Medicine Health Science Center in Sioux Falls, SD. Please contact Joy.Karges@usd.edu for additional information. Registration due Friday September 13, Attention USDPT Alumni! Save the Date for the 20th Commemorative Celebration of the USDPT Program D-Days Friday & Saturday, October 4-5, 2013 in Vermillion, SD Other upcoming events in South Dakota April 5-7, 2013 SDPTA 2013 Spring Meeting in Yankton, SD ( August 3-13, 2013 ACOLS Lymphedema Certification Course will be held in Sioux Falls, SD. Please contact the Academy of Lymphatic Studies for additional information (admissions@acols.com or Discounted tuition is valid through June 3, 2013 and standard tuition applies after June 3, Course registration information can be found at October 11-13, 2013 SDPTA 2013 Fall Meeting in Sioux Falls, SD

12 LATI Update by Brenda Norton, PTA BS Reach Out Page 12 of 17 Spring semester is in full swing at LATI. The 25, first year students are busy with Kinesiology, Observation and Measurement, Pathology, Physical Agents and Massage, and Therapeutic Exercise. This semester is the toughest one for them. The second year students have finished their didactic work and are now completing their last two clinicals. Some of them are placed throughout South Dakota but some have wandered from one coast to the other. Alaska, Hawaii and Florida are a few of the coastal states that the students were able go to for clinicals this spring. Our students also have a little fun while they are here with Intramural sports such as softball, volleyball, basketball etc. We are proud to admit that our students usually win the league championships. 5 of our students also won LATI s 1st Annual Amazing Race. Lake Area Technical Institute has continued to stay busy with construction and the addition of new programs. We are also humbled to announce that LATI was named a Top 4 two-year college in the nation for 2013 by the Aspen Institute. We were also named one of two colleges-with-distinction. All faculty and staff take great pride in this achievement. We work very hard to help our students succeed.

13 Page 13 of 17 Reach Out SDPTA Spring Conference Friday April 5, :00 pm Board Meeting Conference Room 1 Saturday April 6, 2013 SDPTA SCHEDULE OF EVENTS 7-8:00 am Registration and Breakfast Pavilion Lobby 8-5:00 pm Educational Courses lunch provided 5-6:00 pm Vendor Reception Atrium appetizers provided The vendors have graciously given their time and resources to provide a service to the therapists in attendance. Please join us in showing your support to the vendors by visiting their booths for valuable information about the latest products available for therapy treatment! Fill your card with a signature from each vendor to be entered for a prize drawing! 6-8:00pm Business Meeting - Amphitheatre Sunday April 7, :30am Breakfast Pavilion Lobby 8-5:00 pm Educational Courses lunch provided SPEAKERS A continuing education certificate for 16 contact hours will be provided at the conclusion of each course. SELECTED TOPICS IN DIAGNOSIS AND MANAGEMENT OF ELBOW, WRIST AND HAND PAIN Gail Apte, PT, ScD, OCS, FAAOMPT Amphitheatre This is the only distal upper extremity course you ll need to master the newest, most effective diagnostics and therapies available today. In this course, we present advancements in patho-anatomy and pathomechanics, surface anatomy, basic functional exam and special test performance and interpretation, laboratory sessions for treatment interventions as well as case studies. Diagnose precisely, treat effectively. If you manage patients with upper extremity pain, you cannot miss this interactive learning opportunity - you will return to your practice retooled with critical knowledge and experience including: Exact knowledge of patho-anatomy, physiology, and biomechanics Ability to perform concise clinical exams Methodology to interpret clinical exams, to offer your clients precise diagnoses A solid framework for prescribing affliction-specific exercises The skills to combine soft tissue and specific articulation techniques for total treatment Mastery in the most successful techniques for treating tendons, ligaments, and peripheral nerves

14 Reach Out Page 14 of 17 SDPTA Spring Conference (con t) KINESIOTAPING: FUNDAMENTALS & ADVANCED (KT1 & KT2) Fall Business Meeting Deanna M. Wanzek, PT, PCS, CKTI, CLT Conference Rooms 1-3 This two day course is designed to provide therapists with information and instruction on Kinesio Taping methods. Kinesio Taping is a method of treatment for musculoskeletal and myofacial disorders and edema control. This method can be used during physical activity and in conjunction with many therapies. Attendees will gain insight into theory and taping techniques for a variety of concerns, including joint instability, muscular weakness, abnormal alignment, pain and inflammation. During lab sessions, attendees will have ample time to practice screening and muscle testing created for the enhancement of your KT skills and muscle applications for both the upper and lower body. Upon completion of this course, attendees will be able to discuss and apply the Kinesio Taping Method to relax overuse syndromes, stimulate weak muscles, and decrease pain and swelling. Day two includes six Corrective Techniques (Mechanical, Functional, Space, Fascia, Ligament/Tendon, and Lymphatic) and discussion of their application in a variety of clinical conditions. Al Holm and Pat Cross appointed as Parliamentarians Quorum present with 36 votes Meeting called to order at 7:02 pm SDAPTA Business Meeting October 26, 2012 Sanford Medical Center, Sioux Falls I. Approval of Minutes from last meeting: Ruth Rotert motioned to approve minutes, Jim Simon Seconded. Approved Unanimously. II. Introduction of Board members III. Treasurer s Report- see attached report IV. President s report South Dakota received Outstanding Chapter Award We were successful in Copay Legislation, but still fighting battle with label of Co-Insurance Board is looking at options regarding independent licensure board and mandatory continuing education. V. Elections: VI. Brenda Norton nominated from the floor for secretarial position. No nominations taken from floor for President Elect or Delegate Ethics: No formal Complaints have had a lot of questions Re: PT/PTA supervision

15 Page 15 of 17 Reach Out Fall Business Meeting (con t) FAL: FAL has tab on SDAPTA Website, there are resources for Medicare Cap there Chris Barrett, Karen Gallagher, Leonard Suel, Phil Moe key contacts. If interested please see Pat Cross Consider having a site visit having legislators coming to your site, allowing them to see what we do, how Medicare Caps influence us all. APTA has money for site visits Legislation: 4 Areas of Focus: Medicare Access to rehab services act (Goal to generate 200 cosponsors), PT student loan eligibility act (Goal is to generate 150 sponsors, Protecting student athletes from concussions, TBI Act Fed Advocacy Forum is April Reimbursement Looking into copay/coinsurance language as well as PTA reimbursement for MA patients Legislative (HOD): Current Issues Governance Review process how to streamline HOD/Board/Membership interaction. Practice extenders for therapy: Discussion of including ATCs, Massage Therapists, exercise specialists, etc. for PT Practice setting PAC Balance $10, Contributions $781.71, Donations to primary Elections $700, Gen Elections $6500. PR Active at Legislative in Pierre, Special Olympics, Senior Olympics, Presented to USD Med students Awarded community awareness grant Plan to do banner advertisement in mall during Holiday season Leg da February , Special Olympics May in Spearfish, Senior Olympics September 6-7 Election Results: President Elect Andy York, Delegate Patti Berg, Secretary Brenda Norton, Nominating Committee Wade Fligge Education Shorter block scheduling for this conference focusing on local experts. 20 enrolled for featured speaker, for block presentations. There are 8 vendors, as well as others who gave monetary donations April 5-7, 2013: Yankton Gail Apte (distal U/E),KT 1&2 October 26-27, 2013: Sioux Falls Rick Crowell (PT in the ER) April 12-13, 2014 Deadwood Lodge: Vestibular Rehab, Tim Flynn Membership Billi Whepner is heading possibility of splitting between two co-chairs Current membership is 278 PTs, 30 PTAs, and 108 students. Goal is 300 PTs SSIG: General Election: 41 students attended tonight Co-chairs Keli Koistinen (LATI) and Kim Schroeder (USD); Legislative Liaisons: Adrian Olson (LATI) and Nick Albers (USD); Committee Director: Kristen Marshal (USD); Secretary: Sarah Oetjen (USD); Treasurer: Amanda Johnson (USD) Fundraising: Spring Fundraiser is for PAC, Fall is for General Funds

16 Reach Out Page 16 of 17 Fall Business Meeting (con t) Looking for fundraising committee chair Silent auction going on available through the weekend I. School Reports LATI: Nominated in April for Aspen Award, named in Top 10 of all 2 year schools in US. Plan for 1800 students in spring. 27 PTA students in 1 st year, 20 in 2 nd year. PT month 5k walk/run 25 participants to raise money for Foundation ($315) USD: Plan for annex for Dakota Dome to another dome for BB plan to move a number of programs (including PT) into this annex. This would give the opportunity to increase class size. May be looking at transitioning out tdpt. II. Awards III. South Dakota Chapter 2012 Inspirational Component Award IV. Legislative Award Phil Moe V. PT of the Year Nicolle Samuels VI. Hall of Fame Jim Simons VII. Genesis Award Josh Nebelsick VIII. Old Business IX. New Business X. Open Mic Time XI. APTA Update Mary Sinnot APTA Board of Directors APTA has record membership, over 36,000 CSM has over 13,000 enrollments. Had to move venue for next CSM sections are splitting fee for contract break with APTA Strategic Plan: 1. Effectiveness of Care 2. Professional Growth and Development 3. Value, 4. Accountability Looking at alternative payment system to focus on blocks of time versus CPT codes Therapy Cap exceptions: Feeling that this will be likely extended due to threat of rationing care Working with CMS on direct access to bring down cost. Nothing in Medicare statute that states you need a referral, but most intermediaries require this. Large discrepancy re: PTA payment much of this is MA driven Advocating for loan repayment legislation for PTs New site on APTA website providing resources for therapists regarding TBI Anticipate further discussion on RC-2 regarding use of PTA/aide/etc. personnel Working on clinical practice guidelines to standardized care New Module on EBP in the Real World on APTA Website Initiating virtual conferences through Learning Center Working on Outcomes Registry Meeting adjourned at 9:15

17 Page 17 of 17 Reach Out SDPTA Contact Information President President Elect Chris Barrett Andy York nd Ave th St NW Watertown, SD Watertown, SD Chief Delegate Director Joy Karges, PT, EdD Justin Hood 707 S Horizon Ln Frey Rd Sioux Falls, SD Burke, SD joy.karges@usd.edu mailto:justin.hood@avera.org Treasurer Secretary Patrick Hauer Brenda Norton 165 Hideaway Rd th St NE Mission Hill, SD Watertown, SD Office: mailto:nortonb@lakeareatech.edu pat.hauer@usd.edu APTA Main Office 1111 N Fairfax St Alexandria, VA Office: x3124 Website: