Recording of 5/26/20 Webinar: Pathways to Practice Midstream COVID and Beyond

Recording of "Pathways to practice midstream COVID and Beyond" webinar (5/26/20): https://us02web.zoom.us/rec/play/tccoJO7-_z83E4XGsQSDC_EvW9W1fPis0XIY__dfyUrhViYGMVXwZLAUZuoEuTfTo8TbTNhxw7jhy4g3 

Password: 9L%p!o*&

Please note that the introductions and first few minutes of the webinar were accidentally not recorded.

Speakers: Cindy Miles, PT, PhD, PCS; Jonathan Greenwood PT, MS, DPT, c/NDT, CEIS, PCS; and Nikki Gilroy PT, DPT.

 

APTA Seeks IDEA Part C Stories

APTA signed onto a letter requesting $300 million for Personnel Preparation in Part D of IDEA, which was sent to every office in the House and Senate as well as staff on key appropriations and authorizing committees. Also, APTA, AOTA, ASHA and the IDEA infant Toddler Coordinators Association convened a work group to focus specifically on Early Intervention Services, requesting IDEA funding with special emphasis on Part C, as it often gets overlooked or lumped into general IDEA appropriations. In their discussions with Hill staff, there was an expressed need for stories from the front line of early intervention providers (these anecdotes help them sell their position to other members of Congress and provides general insight as to why this area needs special attention). Accordingly, a survey has been created to collect those stories – please contribute at https://surveys.aota.org/s3/2020-EI-Feedback-Form

COVID-19 General Resources (updated 5/18/20)

COVID-19 GENERAL RESOURCES

(UPDATED 5/18/2020)

GENERAL

President APTA, Sharon Dunn address to membership

From National Health Law Program

You tube from APTA Cardiovascular & Pulmonary Section

COVID corner from the University of Alabama at Birmingham Department of PT: General COVID information & resources, incentive spirometry, aerosolized activity and more

Information on incidence and severity of COVID 19 in children in the United States

 

Advocating for human rights for individuals with disabilities during emergencies

Alerts for pediatric conditions potentially associated with COVID-19:

  1. https://www1.nyc.gov/assets/doh/downloads/pdf/han/alert/2020/covid-19-pediatric-multi-system-inflammatory-syndrome.pdf
  2. https://picsociety.uk/wp-content/uploads/2020/04/PICS-statement-re-novel-KD-C19-presentation-v2-27042020.pdf
  3. https://www.masslive.com/coronavirus/2020/05/coronavirus-impacting-kids-pediatricians-warn-of-possible-new-covid-19-related-illnesses-in-children.html
  4. https://www.phillyvoice.com/kawasaki-disease-symptoms-covid-19-complication-children-coronavirus/
  5. https://japantoday.com/category/national/rising-cases-of-kids-with-kawasaki-disease-possibly-linked-to-virus
  6. http://promedmail.org/post/20200430.7286479
  7. http://promedmail.org/post/20200427.7273105
  8. https://www.nbcnewyork.com/news/local/more-local-hospitals-report-children-with-possible-covid-19-health-consequences/2399514/

APTA recorded webinar on advocacy and COVID-19. Provides an overview of some of the provisions included in the CARES Act enacted by Congress, as well as APTA’s policy recommendations for the next COVID relief package currently being formulated by Congress. https://apta.adobeconnect.com/pq1iqr5gg4ta/

Listing of COVID 19 resources across all APTA academies and sections (May 6)

 

MEDICAID

 

3/30/2020 COVID-19 Changes to HCBS Using Appedix K: Approval Trends

3/19/2020 Overview on Using Medicaid to Respond to COVID-19

 

EDUCATION

Department of Education COVID 19 resources

Student Privacy Policy Office FERPA & Coronavirus Disease 2019 (COVID-19) Frequently Asked Questions (FAQs) March 2020

CDC’s Coronavirus Disease-2019 (COVID-19) Guidance for School Settings

 

National Center for Learning Disabilities: resources for students, educators and parents regarding the shift to online learning

 

HOSPITAL-BASED

You tube from APTA Cardiovascular & Pulmonary Section

Alerts for pediatric conditions potentially associated with COVID-19:

  1. https://www1.nyc.gov/assets/doh/downloads/pdf/han/alert/2020/covid-19-pediatric-multi-system-inflammatory-syndrome.pdf
  2. https://picsociety.uk/wp-content/uploads/2020/04/PICS-statement-re-novel-KD-C19-presentation-v2-27042020.pdf
  3. https://www.masslive.com/coronavirus/2020/05/coronavirus-impacting-kids-pediatricians-warn-of-possible-new-covid-19-related-illnesses-in-children.html
  4. https://www.phillyvoice.com/kawasaki-disease-symptoms-covid-19-complication-children-coronavirus/
  5. https://japantoday.com/category/national/rising-cases-of-kids-with-kawasaki-disease-possibly-linked-to-virus
  6. http://promedmail.org/post/20200430.7286479
  7. http://promedmail.org/post/20200427.7273105
  8. https://www.nbcnewyork.com/news/local/more-local-hospitals-report-children-with-possible-covid-19-health-consequences/2399514/

APTA recorded live webinar on COVID and hospital in/out patient services

 

 

COVID-19: SIG Town Hall Recordings

COVID-19: APTA PEDIATRICS SPECIAL INTEREST GROUP TOWN HALL RECORDINGS

 

School-based Physical Therapy SIG

 

School SIG Region I Town Hall (4/29/2020) Meeting Recording: https://us02web.zoom.us/rec/share/6pdfCLWv31NObYXdzGvuA7AhNYvXX6a8hCQd8vdfz0krOMg_cprXGLJoFX6cyRTU (Access Password: 0Y!854N?)

 

School SIG Region II Town Hall (3/30/2020) Meeting Chat: https://drive.google.com/drive/u/0/folders/1RRCVQtIifP01OpuJetmWgRt4vV2uWGCj

(no password)

 

School SIG Region III Town Hall (4/23/20) Meeting Recording: https://us02web.zoom.us/rec/share/5ZZXKor0pl9OWI3Gzx3zaP58GYvnT6a82iBK_vNczx3M-OmkYh_ZaiNa4yUlktCa (Access Password: 0Z&1Ct2&)

 

School SIG Region IV Town Hall (4/24/20) Meeting Recording: https://us02web.zoom.us/rec/share/68d3M6z76WdLcJ2cxF-YC-kKILzpaaa82iRPqacLmkcR3_FXQx6eq51diS9sXoja (Access Password: 8J@5=4@6)

 

School SIG Region V Town Hall (4/27/20) Meeting Recording: https://us02web.zoom.us/rec/share/w5VVIfbaqlJIac_U40rOHf4AIb_7T6a8hnUY__FcyU0vnnVQ1J6uCneLQcxCv_bL (Access Password: 1S**9@!7)

 

School SIG Region VI Town Hall (3/31/2020) Meeting Recording: https://drive.google.com/drive/folders/1RRCVQtIifP01OpuJetmWgRt4vV2uWGCj?usp=sharing (no password)

School SIG Region VII Town Hall (5/11/2020) Meeting Recording: https://us02web.zoom.us/rec/share/__dcNLT1qDtJY4mXzRCDQZN8GY_uaaa81XQcrvEKnk7AuUhhFTT5MMk55KzoK6Kf (no password)

Adolescents & Adults with Developmental Disabilities and Sports-Fitness SIGs

AADD SIG and Pediatrics Sports-Fitness SIG Town Hall (4/10/20) Meeting Recording: https://us02web.zoom.us/rec/share/otd1aOH5z1lOU43QuWDBcaIwWd-1eaa81ScbqPAEmUzQpWb9dN-xDll74s3M-gvG

Hospital-based and Neonatal Physical Therapy SIGs

Hospital Based and Neonatal SIG Town Hall (4/13/2) Meeting Recording: https://www.youtube.com/channel/UCmXFW00iSuviwWkbzPnPwSQ

Early Intervention SIG

EI SIG Town Hall (4/16/20) Meeting Recording: https://www.youtube.com/channel/UCmXFW00iSuviwWkbzPnPwSQ

 

 

School SIG Practice Webinar Information

School-based Special Interest Group Webinars

The School SIG hosts periodic webinars on issues related to school-based practice. Recordings are provided below.

 

SATCo & Segmental Positioning in Schools webinar recording (includes chat) from 5/5/2020: https://us02web.zoom.us/rec/share/-O1qdb238lNJXreR5k_iffUlR6b8aaa81HVKqfIIy0v783g212t5M3H8cv2Z8632  

Please note: People should NOT create videos (or use these images in any way) from this.The families and clinicians shown have been very generous allowing videos of their children for data reduction and permitting us to use these videos for education purposes. But they are from member viewing ONLY. Additional resources from the speaker are available to members, please contact your SSIG regional representative or email schoolsig@pediatricapta.org.

 

Research Supported Interventions for SBPTs webinar recording: https://youtu.be/7ZgKbmIBQZM. Thanks to Andy Ruff, Wendy Harrell and the SSIG Engaging Membership subcommittee!

School SIG Regional Town Hall Recordings

School-based Physical Therapy SIG Town Hall Recordings

 

School SIG Region I Town Hall (4/29/2020) Meeting Recording: https://us02web.zoom.us/rec/share/6pdfCLWv31NObYXdzGvuA7AhNYvXX6a8hCQd8vdfz0krOMg_cprXGLJoFX6cyRTU

(Access Password: 0Y!854N?)

 

School SIG Region II Town Hall (3/30/2020) Meeting Chat: https://drive.google.com/drive/u/0/folders/1RRCVQtIifP01OpuJetmWgRt4vV2uWGCj

(no password)

 

School SIG Region III Town Hall (4/23/20) Meeting Recording: https://us02web.zoom.us/rec/share/5ZZXKor0pl9OWI3Gzx3zaP58GYvnT6a82iBK_vNczx3M-OmkYh_ZaiNa4yUlktCa

(Access Password: 0Z&1Ct2&)

 

School SIG Region IV Town Hall (4/24/20) Meeting Recording: https://us02web.zoom.us/rec/share/68d3M6z76WdLcJ2cxF-YC-kKILzpaaa82iRPqacLmkcR3_FXQx6eq51diS9sXoja

(Access Password: 8J@5=4@6)

 

School SIG Region V Town Hall (4/27/20) Meeting Recording: https://us02web.zoom.us/rec/share/w5VVIfbaqlJIac_U40rOHf4AIb_7T6a8hnUY__FcyU0vnnVQ1J6uCneLQcxCv_bL

(Access Password: 1S**9@!7)

 

School SIG Region VI Town Hall (3/31/2020) Meeting Recording: https://drive.google.com/drive/folders/1RRCVQtIifP01OpuJetmWgRt4vV2uWGCj?usp=sharing (no password)

School SIG Region VII Town Hall (5/11/2020) Meeting Recording: https://us02web.zoom.us/rec/share/__dcNLT1qDtJY4mXzRCDQZN8GY_uaaa81XQcrvEKnk7AuUhhFTT5MMk55KzoK6Kf  (no password)

 

Providing Pediatric Physical Therapy Services via Telepractice (Updated 4/9/2020)

The American Physical Therapy Association and APTA Pediatrics are working to keep practitioners abreast of current concerns and precautions as the spread of COVID-19 progresses. Regulations are changing quickly and are difficult to keep up with both for our organization as well as for individual practitioners.

Practitioners are increasingly exploring alternative service delivery models. Terms such as “telemedicine”, “telehealth”, “tele-intervention”, and “telepractice” are used interchangeably to describe the delivery of health care services using information and communication technology.

APTA Pediatrics would like to address questions regarding telepractice that have been raised by our membership. There is no clear-cut determination or one-size-fits-all solution regarding telepractice for pediatric services, even in an unusual situation such as the one we are now facing. The regulations are fluid and change quickly.

 

Each practitioner must take responsibility for knowing the legal, state, federal, organizational, and ethical rules that regulate alternative service delivery models. A great deal relies on the case, specific considerations of each context/situation, clinical reasoning, and the individual determination by the practitioner of whether telepractice is appropriate.

No matter what service delivery model your employer or organization is trying to establish, you are ultimately responsible for the legal and ethical delivery of PT services. We encourage you to consider each of the following prior to initiating telepractice:

  • Know exactly what service delivery model you are considering. There is a differentiation between e-visits and other telehealth models. E-visits must be initiated by the “patient,” the patient must be an established patient for the provider, and the visit must be delivered through an already established patient portal.
  • Consult your state regulatory board to determine whether telepractice for physical therapists is within the scope of practice for your state as this is a state by state decision. As of November 2019, there were only 16 states which included “telerehabilitation” within their practice act.
  • Consult the agency, clinic, hospital, program, or school district you work for to determine whether telepractice is approved or will be supported.
  • If you are serving Medicaid patients, consult your state agency to see if telepractice is reimbursable and, if so, what is appropriate coding. This again is a state by state decision.
  • Ensure that the patient/family insurance carrier will reimburse for telepractice and determine appropriate coding.
  • Ensure that any vehicles used for telepractice (eg, computers, storage, internet carriers) meet HIPAA and/or FERPA requirements.                     
  • Consult the law if you work in a setting under IDEA part B or part C. Changes to service delivery in an IFSP or an IEP require team consensus and a formal IFSP or IEP change of location of service.
  • Check to see that your malpractice covers you when providing services via telepractice.
  • Ask if special training is required to qualify practitioners to provide telepractice.
  • If you deem that telepractice is legal and safe for your practice, you must then make a determination that telepractice is helpful and ethical on a case by case basis for each patient and family you serve. You must also give thoughtful consideration to the qualifications and training required by the “on-site” person who carries out your interventions.
  • Does your organization have telepractice policies and procedures addressing situations such as emergencies?

Below are links to websites that might be helpful to gain greater insight into the issues that must be addressed prior to changing a service delivery model. Every effort will be made to update this document and the links below given the time complexities for the volunteers who are generously sharing their time for the benefit of our profession during this challenging time.

GENERAL TELEPRACTICE

APTA resources:

Additional APTA Pediatrics resources:

Medicaid and Medicare resources:

SERVICE DELIVERY IN SCHOOLS:

SERVICE DELIVERY IN EARLY INTERVENTION:

SERVICE DELIVERY IN HOSPITALS AND OUTPATIENT FACILITIES:

PRIVATE PRACTICE

Visit APTA Pediatrics (https://pediatricapta.org/) and APTA’s Coronavirus page (http://www.apta.org/Coronavirus/) for additional information as the situation evolves.

 

President Post-Town Hall Summary (4/1/20)

Let me start by saying that I am incredibly grateful to be connected with all of you and to be a part of this amazing profession and association. I am more confident than ever, after last evening, that we are all going to emerge from this crisis better and stronger; because we are ALL IN THIS TOGETHER. We are a group of diverse, independent, action-oriented, bold, thoughtful thinkers that open our hearts, minds, and vision to see all possibilities and to adapt to what can be. 

Last evening’s town hall certainly got off to an unexpected, uninvited start. We learned afterward that the Zoom platform was hacked yesterday morning or possibly sooner and unfortunately Zoom did not alert their clients. We appreciated your patience as we took a deep breath, regrouped, and were able to reconnect. I was disappointed the slides could not be shared (they were pretty cool...); however, your engagement and interactions were priceless. Everyone’s willingness to share and support each other brought tears to my eyes when I read the thread again this morning. Thank you all, for not only sharing your experiences and practice management tips, but for the kind words of encouragement.

CURRENT PLAN:

  1. I will rerecord the session with the slides and Communications Director Jason Cook will merge it with the conversion.
  2. Jason has posted the chat box conversion on Forums under COVID 19 Specific Discussion. (If you haven't set up your preferences on the Forums, do so now at www.pedatricapta.org under Forums.)
  3. Practice Director Jan McElroy is regrouping with the SIG chairs, working to protect the platform and will reschedule the SIG Town Halls (thank you to all that sent information and tips). Look for announcements in Milestones, in each SIG’s communication network, and on social media.
  4. Telehealth was the emergent theme: I will add slides with a summary of the chat, as well as additional resources we have collected. Forums: great way to share information and connect (https://forums.pediatricapta.org).
  5. Explore a webinar on pediatric telehealth tips
  6. Find available resources for the handful of questions on the chat that were not related to telehealth.
  7. We welcome your input on other ideas you have or would like to see us address.

I leave you with some thoughts from Fred Rodgers,“If you could only sense how important you are to the lives of those you meet; how important you can be to the people you may never even dream of. There is something of yourself that you leave at every meeting with another person.

Mr. Rodgers knew the key to ultimate success:  The first way is to “BE KIND;” the second way is to “BE KIND;” The third way is to “BE KIND”

Thank you for your kindness last evening. Hugs to all and stay safe,

Cindy Miles, PT, PhD

Board-Certified Pediatric Clinical Specialist

President APTA Pediatrics