SECTION ON NEUROLOGY STRATEGIC PLAN FOR

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1 2 3 4 5 6 7 8 9 10 11 12 13 14 Objectives Strategies Timeline Champions 1.1 Provide methods for identifying current application of information from all educational offerings (regional courses, online courses, webinars) in daily clinical practice. 1.1.1 Develop pre-course survey, post course survey and 3 month follow up survey for every Regional course, online course, and webinar. Linda Csiza, Terry Ellis, KMac, Kari Dunning 1.2 Explore mechanisms to facilitate translation and integration of research into daily clinical practice by 2016. SECTION ON NEUROLOGY STRATEGIC PLAN FOR 2016 MISSION STATEMENT The mission of the Neurology Section is to promote optimal recovery, wellness and quality of life in persons with movement dysfunction due to neurologic conditions through advancement of evidence-based physical therapy practice, education, and research. VISION STATEMENT The Neurology Section will enable a collaborative network of consumers, clinicians, investigators, and others to enhance practice, influence policy, and be a leading partner in global rehabilitation communities to promote excellence in physical therapy practice. Goal 1: Advance the use of evidence into daily clinical physical therapy practice using a systematic feasible approach. 1.1.1.1 Assess baseline knowledge 1.1.1.2 Assess post course knowledge 1.1.1.3 Assess application of knowledge into daily clinical practice 1.2.1 Add an explicit thread of knowledge translation into Practice committee, existing Section initiatives (courses, website features, SIGs etc ). 1.2.2 Propose and discuss new methods the Section may develop to facilitate translation (e.g., pre-packaged journal clubs, webinars, discussion groups, abstract of the week, podcasts, etc. 1.2.3 Prioritize and implement new strategies to facilitate 2016 knowledge translation in daily clinical practice.

15 16 17 18 19 20 21 22 23 24 25 26 1.3 Increase the number of clinician/academic 1.3.1 Identify faculty members in PT program responsible partnerships to facilitate ongoing behavioral change (consistently applying the evidence in daily practice) for Neuro content across the PT programs in the US. 1.3.1.1. Create task force to develop a survey to email PT programs to identify content experts in neurology 1.4 Partner with APTA to suggest and develop topics related to Neurologic Physical Therapy in PT Now 1.3.1.2. Develop data base of faculty teaching Neurology content across the country 1.3.1.3. Evaluate best mechanisms for Neuro faculty communication, making recommendations to Board 1.3.2 Identify locations of current NCS clinicians in the US 1.3.2.1. Create task force to develop a List serve for communication 1.3.3. Selected members of the faculty member network, (1.3.1) and NCS network (1.3.2) will determine the most effective method for approaching the clinical community to develop a partnership to meet the objective of increasing evidence in support of daily practice 1.4.1 Maintain contact with APTA as PT Now developers 1.4.2 Identify relevant topics for PT Now of interest to Neurology Section members (dependent on development) 1.4.3 Identify research/clinician team for development of PT Now topic (dependent on development) Goal #2: Expand membership and enhance participation activities within the section to meet the needs of the community of Neurologic practioners. Objectives Strategies Timeline Champions

2.1. Increase membership in the Neurology Section by 30% and reduce attrition rate by 2.1.1. Revise membership recruitment plan. Deb Larsen, Cece, Karen, Emmanuel 27 50%. Advocacy, M&PR 2.1.1.1. Survey members for reasons for joining and 28 29 leaving section 2.1.2. Develop a membership retention plan. 2.1.2.1. Consider mechanism for bundling membership fees for multiple section memberships. 30 2.1.2.2. Increase Section recruitment activities through 31 participation at the National Student Conclave and other relevant APTA events. 2.1.2.3. Establish a mentoring process to assist SIG 32 leadership in effectively serving their members. 2.2.2.3.1. Post, on respective SIG web sites, 33 34 current job descriptions for all committee members. 2.1.3. Monitor success of recruitment and retention plans yearly and modify accordingly. 2.2. Increase opportunities for service within the 2.2.1. Develop an online database for potential service 35 Neurology Section membership. opportunities. 2.2.1.1.Solicit from Section leadership well-defined tasks from the strategic plan activities that could be completed by specialty sub-groups within a defined 36 and limited duration (eg, 2-6 months) 2.2.1.2. Establish process for the dissemination of the 37 38 Section s task-based needs 2.2.2. Update Section booth procedures. Goal #3: Increase competence and expertise for physical therapy practice with persons with neurologic conditions in all clinical 39 40 settings Objectives Strategies Timeline Champions

41 42 43 44 45 46 47 48 49 50 51 52 53 3.1.1 Identify members to serve on a task force to develop a framework for Neurological Residency Curriculum 3.1. The number of neurological residencies will increase from 13 (2011) to 40 3.2 Explore the need for and feasibility of the creation of a neurological fellowship. 3.3 The number of Certified Neurological Clinical Specialists will increase from 954 to 1250. 3.1.2 Identify needs of neurologic residency programs based on ABPTRFE data 3.1.3 Draft Neurology Residency Curriculum 3.1.4 Board approve Neurological Residency Curriculum 3.1.5 Identify current section continuing education offerings to comprise the curriculum framework 3.1.6 Market completed curriculum to current and developing residency programs 3.1.7 Identify curriculum gaps and modify curriculum to fill gaps. 3.1.8 Review ABPTRFE mentoring curriculum and evaluate mechanisms for the Section to support, fund or facilitate its use. 3.1.9 Evaluate the success of the initiative grants for neurological residency program development. 3.2.1 Survey members, residency directors, graduated and current residents regarding their interest in a fellowship 3.2.2 Based on survey results, explore options to support the establishment of at least one fellowship 3.3.1 Create and assess an online learning community via APTA Neurological Section Community Webpage. 3.3.1.1 Identify mentors to facilitate a bimonthly discussion on the web page. Sue Perry, Jody Cormack, Linda Csiza, Kmac (Rehab Measures site), NCS committee (Zablotny), Practice committee (Mitchell) 2015 2015 2016 2016

3.3.1.2 Create a schedule of topics annually to run 54 September through February of each year. 3.3.1.3 Utilize an online survey to evaluate the 2016 effectiveness of the NCS exam preparation online 55 learning community. 3.4.1 Identify the diagnostic groups, group leaders and ongoing 3.4 By 2016 there will be 10 Neurology Section process mentor. yearly; 2 EDGE Outcome Measures Recommendations per year available for members on Neuropt.org 56 3.4.2 Disseminate two Neurology Section EDGE Outcome 2 per year 57 Measures Recommendations per year. 3.4.3 Develop a process for ongoing Neurology Section 2016 EDGE Outcome Measures Recommendations evaluation 58 and update. 3.4.4 Finalize partnership with www.rehabmeasures.org to 59 publicize Section outcome measure recommendations 3.4.5 Monitor use of Neurology Section EDGE Outcome ongoing 60 Measures Recommendations via website hits 3.5 Develop neurological screening and referral 3.5.1 Identify task group leader and members guidelines for use by non-neurologic physical 61 therapists 3.5.2 Develop the process for creating screening and 2015 62 referral guidelines Goal #4: Influence policy to increase access to and reimbursement for neurologic physical therapy services and to expand funding for 63 64 research to enhance evidence-based practice. Objectives Strategies Timeline Champions 65 66 67 4.1. Identify potential Neurology Section internal and external partners to our organization 4.1.1 Develop a section plan on priorities for internal and external partnerships 4.1.1.1 Identify roles and expectations for partners 4.1.1.2 Identify Section responsibilities toward partners Deb Larsen, Donna Fry, Bob Wellmon, Advocacy committee

4.1.2 Develop an Ambassador program of Section 68 member liaisons to identified partners 4.1.2.1 Identify roles and expectations of partnership 69 liaisons 4.1.2.2 Identify Neurology Section members interested 70 in serving as Liaisons 4.1.3 Identify and Review the status of our current 71 partnership relationships 4.2 Create a more effective partnership with 4.2.1 Identify critical advocacy issues for the Section. APTA Government Affairs/Public Policy and Advocacy Committee office to collaborate on activities that lead to improved access to 72 neurologic physical therapy services. 4.2.2 Evaluate the current composition of the Advocacy Committee relative to its capacity to implement the 73 Section s agenda. 4.2.3 Develop a charge to the Section s Advocacy 74 Committee. 4.2.4 Meet with the Advocacy Committee Chair quarterly to receive updates on issues important to the Section s 75 advocacy agenda. 4.2.5 Create a position description for the Advocacy Committee Chair that reflects the Section s advocacy 76 needs. 4.2.6 Increase Neurology Board interaction with 2016 representatives from APTA Public Policy and Advocacy Committee by initiating and maintaining ongoing contact with Justin Moore, current Vice President, Government Affairs, Payment Policy, & Advocacy to identify the roles that the Section can play in advocating for patient access to neurologic physical therapy, appropriate reimbursement services and funding for research that enhances evidencebased 77 practice.

78 79 80 81 82 83 84 85 86 4.2.7 Influence APTA priorities by having either a representation or a key contact on the Public Policy and Advocacy Committee [Chair: Paul Rocker; Amy Klein (Education/MGH); Roger Herr (Private Practice)]. 4.3 Partner with at least 2 other organizations to 4.3.1 Work with Justin Moore, Vice President, Government collaborate on ways to improve access to physical therapy for patients with neurological dysfunction. (12/) Affairs, Payment Policy, & Advocacy and the APTA to identify two organizations whose advocacy agenda matches closely with the Neurology section. 4.3.2. Reach out and establish a working relationship with those partner organizations. 4.3.3. Identify policy issues that allows collaboration between the partner organizations. 4.3.4. Develop and implement strategies that can positively affect those policies that directly affect access to physical therapy services for patients with neurological dysfunction. 4.4 Develop and implement a plan to work with the chapters to more effectively impact legislation process that improves access to physical therapy services (state issues). 4.5 Identify and collaborate with at least two key partners to improve funding for research that demonstrates the effectiveness of physical therapy for patients with neurologic dysfunction that helps to promote consumer access to appropriate services. 4.4.1 Identify the Section s advocacy agenda and explore how that agenda may relate to activities that may require implementation at the state level. 4.4.2 Meet with APTA staff in Advocacy and State Government Affairs (Justin Elliott) to determine where member activity may have a targeted impact relative to meeting the Section s legislative agenda. 4.5.1 Publish articles in the e-newsletter on a monthly basis that specifically addresses issues related to the Section s advocacy agenda. 4.5.2 identify section members that are delegates who can help the Section influence APTA policies that are important to consumer access to appropriate physical therapy services. 2015

87 88 89 90 91 92 4.6.1 Publish articles in the e-newsletter on a monthly basis 4.6 Increase member outreach to enhance that specifically addresses issues related to the Section s understanding of the importance of being active advocacy agenda. in the legislative process as a mechanism to improve access to physical therapy. 4.6.2 identify section members that are delegates who can help the Section influence APTA policies that are important to consumer access to appropriate physical therapy services. 4.7 Develop resources that members can use to 4.7.1 Create at least two talking point handouts or white reach out to legislators to improve patient access papers in consultation with APTA Public Policy and to care. Advocacy committee and Justin Moore, Vice President, Government Affairs, Payment Policy, & Advocacy. Talking points / handout to include: prevention neuro-protective effectiveness of exercise effectiveness/critical need for inpatient and outpatient care (dosage & timing); assistive technology Goal #5: Solicit, create, deliver and evaluate innovative and accessible educational offerings to promote evidence-based neurologic physical therapy practice. Objectives Strategies Timeline Champions 5.1 Increase Section developed educational offerings by 2 per year with geographical diversity of offerings. 5.1.1. Plan course development that is strategic to fill needs for content in hot topic areas and topics that are not represented in current offerings (online or face to face). Ongoing Director of Education, Regional and CSM Programming chairs, Stephanie Coombs, Bart Hansen, Education committees 93 94 95 5.1.1.1 Map current online and regional content areas to identify coverage of SIG areas, target audiences. 5.1.1.2 Plan for course development that is synergistic with other Section initiatives.

96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 5.1.1.2.1 Outcome measure recommendations MS-, others in 5.1.1.2.2 Residency curriculum development ( 5.1.1.2.3 i ) JNPT special issues annually 5.1.1.2.4 IVSTEP planning 2016 5.1.2 Increase online courses using webinar format (at least one per year, increasing based on response) first in, then ongoing 5.1.3 Convert previous regional course content to online format (as course demand decreases). Toolbox 2011, 5.1.4. Develop face-to-face regional courses (one per year) targeting hot topics for pre-conference at CSM, with regional presentations to follow. ongoing 5.2 Develop a plan to deliver accessible, efficient and cost-effective online content that meets the educational needs of members 5.2.1 Develop online content with neurology-specific focus 5.2.1.1 Identify specific topics appropriate for Webinars and captured course content based on hot topics, areas where continuing education gaps exist. 5.2.1.2. Charge online education committee with coordination of course capture, expanding library strategically 5.2.1.3. Coordinate efforts for new content development with APTA s Learning Center Advisory group to maximize synergies and reduce redundancy ongoing 5.2.2. Develop a range of options for content development: 5.2.2.1 Text based modules 5.2.2.2 Topics in Neurology 5.2.2.3 JNPT 5.2.2.4 Course capture CSM or annual ongoing

112 113 114 115 116 117 118 119 120 121 122 123 124 5.4 Evaluate current application of information from all educational offerings (regional courses, online courses, webinars) in daily clinical 125 practice 126 5.2.2.5 Course capture regional course 5.2.2.6 Webinar synchronous and recorded 5.2.2.7 Narrated powerpoint using cost-effective tools 5.3 Facilitate direct application to clinical practice in all educational offerings developed by the Section 5.2.2.8 Instructional designed interactive module 5.2.3. Select method of content delivery based on cost/benefit ratio, gaps in current content available, potential market, evergreen-ness of topics. 5.2.3.1 Explore options for offering cost-efficient webinars for synchronous and asynchronous offerings. 5.2.3.2 Evaluate demand for CSM captured content vs. Section developed content, based on revenues from 2010/2011 CSM course capture. 5.2.3.3 Identify potential partners beyond APTA s Learning Center 5.3.1 Develop face to face continuing education content 012-ongoing that includes researchers to provide the evidence and expert clinicians for translating into clinical application 5.3.1.1 Identify relevant topics to apply to this model 5.3.1.2 Encourage this delivery model as proposals are sought for CSM and new regional courses are planned. 5.3.1.3 Implementcontinuing education programs -4 5.3.2 Charge regional program committee with developing a strategy to drive translation (clinical perspective and committee representative) for each developed course. 5.4.1 Develop survey methods (pre-, post-course and 3 month follow up) post course survey) for Regional courses and pre-conference CSM courses. Adapt online and webinar surveys based on depth of content. 5.4.1.1 If feasible, assess baseline knowledge

5.4.1.2 Assess post course knowledge and/or 127 satisfaction 5.4.1.3 Assess application of knowledge into daily 128 clinical practice 5.4.1.4 Develop a plan for survey across content areas 129 130 5.4.1.5 Implement survey 5.4.2 Continue to conduct satisfaction surveys with course ongoing delivery How will this course change the way you 131 practice? 5.4.3 Conduct online follow-up surveys for all educational 132 offerings. 5.5 Plan for IVSTEP conference 5.5.1. Initiate discussion of IVSTEP planning at CSM 133 to determine timeline for development. 5.5.2. Identify target dates to identify co-leaders, planning committee, meeting site, etc to initiate process 134 5.5.3. Integrate significant focus on dissemination into all 135 aspects of course planning. 5.5.3.1 Stipulate requirement of (written articles) 136 dissemination materials in contract. 5.5.4 Develop toolkit for dissemination. 2016 dates subject to change based on preliminar y plan set at CSM 137 138 5.6 Develop efficient systems to market and promote educational offerings to members and non-members. 5.6.1. Schedule regional courses >1 year in advance to allow for effective marketing.

5.6.2 Evaluate cost-effective quantifiable ways to market 139 courses (print vs. electronic). 5.6.3 Develop systems to promote educational offerings within the Section (MPR, Telecomm) and with key partners 140 (APTA Learning Center). 5.7 Establish a task force to revise and improve 5.7.1. Review previous Compendium, identify materials to the Compendium for entry level education. retain in new edition 141 5.7.2. Integrate Section Entry-level Education Guidelines into organization and content areas for revised 142 Compendium. 5.7.3. Identify faculty teaching neuro content in educational 143 programs in US. 5.7.4. Poll/invite contributions from all neuro faculty to 144 Compendium 5.7.5. Develop online repository of teaching materials from contributions that are consistent with Entry-level Education 145 Guidelines. 5.7.5.1 Prioritize contributions that include video cases 146 and related materials 5.7.5.2 Integrate activities that make use of innovative 147 technologies and methods. 5.7.6. Consider methods, means of access (member-only) 148 and/or cost to access. 5.7.7. Develop evaluation instruments to describe effects of 2015 compendium materials on entry-level teaching. 149 6. Prioritize the research themes necessary to move the field forward and facilitate creation of new knowledge that is accessed and 150 utilized, and informs neurologic physical therapy practice and education 151 Objectives Strategies Timeline Champions 152 153 6.1 Review, evaluate, and prioritize research themes in the context of change. 6.1.1 Identify workgroup to review, revise, and refine research themes 6.1.1.1 Elicit feedback on the current Section research themes Director of Research, Research Committee

154 6.1.1.2 Review and revise every 3 5 years 2015 6.2 Improve funding for neurologic rehabilitation research consistent with the research priorities set by the Section. 6.2.1 Develop a Research Advocacy Group to foster dynamic relationships with funding agencies and advocates for neurorehabilitation research in coordination with the 155 Policy Group 6.2.1.1. Identify Chair of Research Advocacy (coposition 156 with Advocacy) 6.2.1.2. Identify potential advocates (APTA, members, 157 and key players) 6.2.1.2.1. Explore coordination with Section on 158 Research 6.2.1.2.2. Join Section on Research for fly-in for 159 research funding advocacy 6.2.1.3. Identify potential funders (agencies, 160 community groups, industry, and benefactors) 6.2.1.4 Promote congruency between the priorities of funding agencies and those of the Neurology Section 161 6.2.1.5 Increase the visibility of neurorehabilitation for ongoing 162 heightened community awareness and value 6.2.2: Develop a plan to advocate that funding entities 2015 increase funding for neurorehabilitation research (funding agencies, community groups, industry, benefactors, 163 Foundation) 6.2.2.1. Submit to the Foundation for PT and other funding agencies a listing of research priorities for the 164 Neurology Section 6.2.2.2.Explore options for Section to fund pilot projects/travel awards related to rehabilitation research 165 6.2.2.3 In collaboration with the Foundation, fund an 2015 annual seed project in accordance with research 166 priorities

167 168 169 170 6.2.2.4 Explore other foundations, not currently involved in neurorehabilitation research, for possible funding opportunities 6.2.3: Educate PTs in performing scholarly activities and accessing research funding 6.2.3.1 Identify a liaison from the Telecommunications Committee to assist with web page development 6.2.3.2 Develop relevant Research page on the Section website that is current, accessible, and informative