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ALL COMMITTEES REPORTS FOR 2013 DELEGATE ASSEMBLY - YEAR: 2012

ARCHIVIST To: Delegate Assembly From: Linda Scheuer, PT - Archivist RE: Annual Report – January- December 2012

I. Response to Charges from DA – No charges

II. Report on Archivist Activities – related to ARTICLE III. FUNCTIONS F. Provide such services as will further the object of the Chapter. (e.g. - to meet the needs and interests of its members) GOAL XI: NYPTA membership provides maximal value to its members and prospective members today and into the future

Electronic Histories Incorporating information into the electronic \histories from the approved minutes of the EC, BOD and DA has been completed through December, 2012.

I have also started separating the electronic copy of the Newsletter History into a History of Electronic Communication and one of Print Communication.

Printed Histories Updating and printing the hard copy versions of the histories has gone more slowly than anticipated, but in addition to those previously reported the histories of the Payment Advisory Panel, Finance Committee and the Leadership committee have been printed to date for a total of 12 of the approximately 40 histories.

My current goal is to have the printed versions current by the 2013 Delegate Assembly.

III. Additional Activities I attended all three Board of Director’s meetings in 2012 as well as the Delegate Assembly and Lobby Day.

AWARDS To: Delegate Assembly From: Mary A. Duesterhaus Minor, Chairperson Awards Committee 2013 RE: Annual Report -- January through December 2012

I. Response to Charges from previous Delegate Assembly meetings -- NA

II. Report on activities related to Chapter Goals and Objectives for 2011-2013 - NA 2

III. Summary of Additional Activities (meetings, etc.)

The Awards Committee collaborated with the Leadership Committee on the development and awarding of the new Leadership Scholarship Awards.

Chairperson attended the Winter 2013 Board Meeting.

The Outstanding Service to Chapter Award was renamed as the Leslie J Wood Outstanding Service to Chapter Award.

Following are the awards that were presented in 2012:

Outstanding Service to District: Jill Dungey(C), Dolores Montero (E), Rebecca Kalb (GNY), Theresa Schmidt (L), Stephen Lahr (ST), Kristine Ferguson (W)

Certificates of Appreciation: Speaker of Delegate Assembly: Peggy Lynam Chapter Director: Colleen Backus (E) District Chairs: Felicia Vinci (BSI), Diane Mickle (Catskill), John Rabbia (C) Committees: Cathy Anastasio - Advisory Payment Panel, Kathleen Birnbaum - Nominating, Linda Doering - Program, Debra Engel - Ethics, Jeffrey Hathaway - Advisory Payment Panel, Catherine Hill - Advisory Payment Panel, Monica Raftopoulos - Minority Affairs Committee, Patrick VanBeveren - Advisory Panel on Legislation, Nicole Wojno - Practice Task Force to Establish a Research Agenda: Jennifer Collins, Nanette Hyland, Christopher Neville, Jeffrey Hathaway, Catherine Leonard, Marcia Miller Spoto Task Force on Governance: Keri Gill-Smith, Scott Minor, Michael Pagliarulo, Gabe Yankowitz Task Force on Early Intervention: Dana Mandel, Bonnie O’Connell, Monica Raftopoulos, Catherine Talbett, Diane Morrison, Phyllis Reischmann, Pia Stampe Task Force to Review Chapter Website: Andrew Bartlett, Jeremy Crow, Nathaniel Mosher, John Rabbia

ETHICS TO: Delegate Assembly FROM: Andrew Opett, PT, DPT, OCS – Chair, Ethics Committee RE: Annual Report -- January through December 2012

I. Response to any charges from previous Delegate Assembly meetings – None.

II. Report of Committee Activities Related to Chapter Goals and Objectives  Goal X - Physical therapists will practice and physical therapist assistants will work in a manner consistent with Association’s 3

standards and core values and within the laws of the State of New York o Jeremy Bittel, PT, DPT, Cert MDT was appointed to the Executive Committee - Member at Large and stepped down as Ethics Committee Chair o Andrew Opett, PT, DPT, OCS appointed committee chairperson o William O’Keefe, PT appointed as committee member o Article on utilization of support personnel submitted by Ethics Committee and published in Spring 2012 Newsletter

III. Summary of Additional Activities (meetings, etc) – no activity to report

IV. Concerns/Ideas from the committee, SIG, TF or Officer  Committee chair would like to discuss strategies for improving member awareness of Ethical Issues. This could be accomplished through think tank discussion ad possible collaboration with program committee to offer webinar or online training module related to ethical issues. Committee chair plans to discuss this option with program committee and ethics committee members at 2012 DA.

JUDICIAL/REFERENCE (JRC) To: Delegate Assembly From: Gabriel E. Yankowitz, PT, DPT, OCS - Chair, Judicial/Reference Committee RE: Annual Report -- January through December 2012

III. Response to Charges from previous Delegate Assembly meetings None outstanding

IV. Report on activities related to Chapter Goals and Objectives for 2011-2013

GOAL XI: NYPTA membership provides maximal value to its members and prospective members today and into the future

Objective 5: Review and update as necessary all functions of the chapter to insure that the work of the profession is completed successfully and in the most cost- effective and efficient manner possible

 The Committee provided opinions and guidance to the Board of Directors, several committees, and chapter staff on questions relating to process and bylaw interpretation.

 The JRC reviewed all district bylaws to ensure compliance with APTA/NYPTA bylaws.

 Reviewed and made editorial changes to JRC, Chapter, and Delegate Assembly manuals. 4

 The JRC provided on-going advice and review of motions and other procedural questions to various components of the chapter.

LEADERSHIP To: Delegate Assembly From: Megan O’Brien PT, DPT, Leadership Committee RE: Annual Report -- January through December 2012

I. Response to charges from previous Delegate Assembly meetings – none.

II. Report of District Activities Related to Chapter Goals and Objectives for 2011- 2013 a. Goal XI, Objective 1: i. Assisted in the planning of a Student Mini-Conclave held on March 24th 2012 by Clarkson University, co-hosted by State University of New York Canton. Sixty-five students from five programs were in attendance. ii. Leadership Development Workshop- Held in Troy on May 4th and 5th, 2012 with 12 people in attendance. The day included a review of APTA and NYPTA operations, Leadership Committee activities, a presentation on “Leading Every Day from Everywhere”, attendance in the gallery at a portion of the Spring Board Meeting, participation in a Mock DA, and pairing with mentors for the DA. iii. Director’s Intern Program- Initiated and continued use of a template by Director’s in the Director’s Intern program with the addition of a three month follow up email to participants from the Leadership Committee. iv. Developed policy and procedure for two pilot programs involving scholarships for NYPTA students and professional members, which were approved by the EC during their November phone conference 1. Federal Advocacy Forum Scholarship 2. National/Chapter Meeting Scholarship v. Manned a booth at the Annual Conference in Rochester in October with a leadership survey and drawing for a book.

III. Summary of Additional Activities a. Conference call meeting held on August 6th, 2012. b. Conference call meeting held on August 27th, 2012. 5

LEGISLATIVE ADVISORY PANEL (APOL) To: Board of Directors From: Michael Mattia, PT DPT MS MHA Chair, Advisory Panel on Legislation RE: Annual Report - 2012

I. Response to Charges from previous Board meetings.  Strategic Plan Approved by the board at the Chapter Conference

II. Activities

A. Legislative Successes

1. Lobby Day - Over 350 members and patients participated in the NYPTA Lobby Day at the State Capitol in 2012, which was an increase of 16% from 2011. The Chapter funded buses to transport members from across the state. Continuing Education was provided on several of the buses and participants were awarded CE Contact Hours. This was such a success, that we will continue and expand on this practice in 2013.

2. Legislation: We successfully lobbied for the passage of several bills enhancing the practice of physical therapy. ·S3469A/A2502A, which requires applicants to complete a master's degree or higher to obtain a license in physical therapy in NYS. · S6980/A20002, which amends the not-for-profit corporation law in relation to the organization of university faculty practice corporations. They were both signed into law by the Governor in August 2012.

3. Grassroots Action: Our Advisory Panel on Legislation organized a grassroots campaign in which our members and supporters made phone calls the Governor's office urging veto of legislation that would have allowed physicians broader latitude to refer their patients to entities in which they have a financial interest, which resulted in a veto by the Governor.

4. We formed a strategic alliance with other allied health professions to address common legislative issues; including, Medicaid rules and requirements in NY schools, early intervention services, high co pays, Workers' Comp, essential health benefits, NYS Insurance Exchanges, etc. in order to strengthen our voice and effectiveness.

5. We created a dedicated website for both PT professionals and the public to draw attention to the adverse impact the application of high specialist copays have on PT care. We created an online petition and garnered close of 5,000 signatures opposing the regressive practice by insurers - www.stophighcopays.com.

6. "NYPT imPACt" -- We began a monthly e-newsletter with the mission of keeping members informed about the ongoing legislative efforts of the NYPTA. This new publication is a joint effort of the Advisory Panel on Legislation (APOL) and the Political 6

Action Committee (PAC), and is distributed on the third Thursday of every month. As a result of the initiation of this newsletter, we increased members' awareness of the legislative issues and need for PAC funds. Members responded with substantial donations, increasing the PAC fund by almost 50%. III. Current Issues and Concerns

The High CoPay legislation. Our copay bill has been re-introduced in the Assembly and Senate and has new bill numbers. The new numbers are: Assembly - A.1666 (Cahill) and Senate - S.2319 (DeFrancisco). The bill was referred to the Assembly and Senate insurance committees on January 9 and January 13, respectively. We will be reaching out to our legislators that sit on that committee.

 We will support legislation to address the rate of payment and delivery of health care services under the Workers' Compensation system. Specifically, this legislation would require the Workers' Compensation Board to undertake the process of examining the appropriateness of rates of payment annually, and include the services of a physical therapist assistant as a covered service for purposes of the Worker's Compensation system. As you may know, Governor Cuomo announced his plans to reform the Workers' Compensation system in his January 9, 2013 "State of the State" address. While it does not appear, however, that the Governor's proposed reforms will be directed at the delivery of health care, the potential legislative activity it will generate may open up new opportunities for us to seek changes in the Workers' Compensation system

 We will continue to monitor the Early Intervention issues with regard to the Governor's Budget

MINORITY AFFAIRS To: Delegate Assembly From: Clarence Chan, PT, DPT, Chair of Minority Affairs Committee RE: Annual Report – January through December 2012

I. Response to Charges: No charges

II. Report on activities related to Chapter Goals and Objectives for 2011-2013

This Committee is pleased to report that the minority membership continues to show incremental growth in the recent years. We recorded a very modest increase of about 2.5% for 2012. Unfortunately, this increase was hampered by over a 10% decline in minority student membership. Minority Membership – NYPTA (As reported by APTA) Year PT PTA Students Total 2010 625 38 282 945 2011 639 46 300 985 2012 697 52 261 1,010 7

The Minority Affairs Committee announced early in the year two candidates as the recipients of the 2012 Minority Student Future NYPTA Leader Award. As student winners of this award, Mr. Tirzah Davis from New York Medical College and Ms. Rebeca Janowicz from Nassau Community College attended the Spring Board of Director meeting and participated in the Board activities. Both students were mentored throughout the meeting by the association leaders and the Chair of the Minority Affairs Committee. The awardees were highly motivated during the meeting and shared their experience with members of the Board. The Minority Affairs Committee also selected Mr. Clifford Civil from SUNY Downstate Medical Center and Ms. Man Hung Wong from CUNY LaGuardia Community College as the recipient of the 2012 Minority Affairs Student Award. Due to their tight academic schedule, neither of them was able to attend the award ceremony at the State Conference in Rochester. (Goal XI: Obj. 1 and 4) The Committee welcomed a new member to serve on this committee over the summer. Dr. Jamila Cleary, a 2010 recipient of the Minority Student Future Leader Award, accepted our appointment as the Minority Affairs Committee member. As a newest member to our profession, Jamila is passionate about the minority affairs of the Association and is committed to serve the profession. We are extremely pleased to see the NYPTA minority student award programs continue to pay off by attracting high quality members to become leaders of our profession. The Committee also took the opportunity to thank Dr. Carole Darden for serving her term as a committee member from 2010 to 2012. (Goal XI: Obj. 1 and 5.)

III. Summary of Additional Activities:

The Minority Affairs Committee represented the NYPTA to attend a screening event held on March 18th in the Brooklyn Museum. This event, marked the Brain Injury Awareness Month, featured a documentary film titled: “Back Walking Forward”. Clarence Chan, the Chair of the Committee, joined by producer Ms. Kavery Kaul, the Michalowski family from the film, Deputy to the Brooklyn Borough President Sandra Chapman, City Council Member Letitia James and Gale Brewer, Karen Denard Goldman, Ph.D., MCHES, Public Health Association of NYC & Director of the Public Health Program at LIU Brooklyn, and Brain Injury Association of New York State VP Timothy Pruce, discussed how physical therapy played a pivotal role in the recovery of the TBI survivors. (Goal I: Obj. 1; Goal II: Obj. 3; Goal: VII: Obj. 3) Clarence Chan published an article: “Minority Members, Are We the 1% or the 99%?” in the Empire State Newsletter, 03/04, 2012 (Goal V: Obj. 1; Goal X: Obj. 1; Goal XI: Obj. 1 and 4) Clarence Chan represented the NYPTA to attend the LaSalle Academy Career Day on March 23 in Manhattan to promote the career of physical therapy as the profession of choice. The video “You Can Be Me!” was used to introduce the many aspects of physical therapy to approximately 60 high school students. Q&A sessions were held after a short discussion on the career outlook and the educational requirement for entering the physical therapy profession. (Goal VII: Obj. 2 and 3) Adrian Miranda, Committee member, represented the NYPTA and the Minority Affairs Committee to volunteer at the Brooklyn Armory during the weeks following Super Storm Sandy last November. Hundreds of seniors and nursing care residents were displaced from the Far Rockaway and lower Brooklyn regions and they were temporary relocated 8

to this shelter. Dr. Miranda coordinated the efforts from local PTs and OTs in the area to provide pro-bono therapeutic support alongside with the Disaster Medical Assistance Team (DMAT). (Goal VII: Obj.2 and 3)

IV. Concerns/Ideas:

Based on the membership data of 2012, it is clear that this committee need to place a strong emphasis in reaching out to the academic programs across the state and promote minority student membership involvement. Although the two minority student awards have demonstrated effectiveness in promoting minority student members to step up into leadership position upon entering the field, these awards seem to have done little to promote a general increase in student members. With this in mind, the committee, spearheaded by Dr. Cleary, is looking at ways to partner with local educational and social service agencies specifically working to encourage minority students to consider a career in physical therapy. In the coming year, this committee will also be looking to collaborate with leaders from the association as well as those from the academic programs to promote student membership.

NOMINATING To: Delegate Assembly From: Clarke Brown, Nominating Committee Chair RE: 2012 Annual Report

I. Response to Charges from previous meetings. None

II. Activities The Nominating Committee effectively slated candidates for the 2013 elections. The Nominating Committee used the Delegate Assembly and the Fall Conference as meeting locations, while using electronic media for two other conferencing discussions. The Nominating Committee ranked and placed PTA and PT Student Nominations to the DA.

III. Current Issues and Concerns The Committee is aware that the 2013 slate of candidates is running unopposed. The Committee is concerned that the slate is unopposed, yet the committee is also very confident that the slate is strong and viable. Further, the committee is impressed by the number of candidates nominated (3-4 per office), the quality of those candidates, and the very impressive reasons that many candidates declined candidacy. The committee recognizes that potential candidates, more often than not, choose not to infringe on the candidacy other candidates nor on the position of current officers until their terms expire.

IV. Motions. The Committee will be advancing a motion which allows for a change in the nominations schedule and which allows for a change in the deadline for officer 9

nominations during the calendar years in which a Fall Conference is held. This change was advanced during last DA, but confusion thwarted the motion. A motion that will come forward to delay the deadline for officer nominations during the years in which a Fall Conference is held, thus allowing Nominating Committee members to more effectively interface with potential candidates, is in the development phase.

ADVISORY PAYMENT PANEL (APP) To: Delegate Assembly From: David Sofer, PT,DPT Advisory Payment Panel Chair RE: Annual Report -- January through December 2012

I. Response to Charges from previous Delegate Assembly meetings - None

II. Report on activities related to Chapter Goals and Objectives for 2011-2013

The following relate to Goal VI Objectives 1 and 3:

Multiple inquiries were made to CMS regarding our concerns of turning over manual medical review duties from the MAC to RACs. We expressed that this would cause turnaround times on review to go from 10 days to a month or longer. CMS agreed that the time table would be at least a month and urged providers to use the ABN for any billings they deemed would not pass medical necessity scrutiny. They did not share our concerns that having patients sign ABN’s would scare them into discontinuing or interrupting treatment. CMS states that it will review the ABN process in April of 2013 and get back to us.

The APP continues to support the legislative effort to reduce excessive copays and is working closely with APOL to move this process forward in any way possible. Workers' Compensation Board has shown little desire to change its variance policy or fee schedule with regards to PT services. We are currently looking at new strategies to reform both of these issues. IV. Concerns from the committee: -Medicare’s adoption of pre-payment manual medical review beyond the $3,700 threshold and the length of time it will take to perform such reviews. -Expansion of Medicare’s use of the MPPR policy to reduce payments for PT services -Other insurances companies' adoption and misapplication of the MPPR with the justification that they are just following Medicare’s lead -NGS’ potential abuse of the co-150 denial code -Workers' Compensation’s continued use of the variance process 10

PHYSICAL THERAPIST ASSISTANT TO: Delegate Assembly FROM: PTA Committee Chair Justine Napoleon PTA RE: Annual Report -- January through December 2012

I. Response to Charges from previous Delegate Assembly meetings - N/A

II. Summary of Activities

 Carrie Gatlin Fuller attended the House of Delegates  Carrie also started the FACEBOOK page for PTA’s  Conference calls  Representation of PTA’s at DA  Attended BOD meeting May 3-4, 2012  Attended DA (sat in gallery) May 5  Attended BOD in Rochester. Oct 17-18  Hosted a booth at the Chapter Conference in Rochester for PTA’s to get email address and to join Facebook

PTA CAUCUS REPRESENTATIVE To: Delegate Assembly From: Carrie Gatlin Fuller, PTA Caucus Representative RE: Annual Report – January through December 2012

I. Response to Charges from previous Delegate Assembly meetings. No charges from previous Delegate Assembly.

II. Report on activities related to Chapter Goals and Objectives for 2011-2013:  Goal VII, Objective 1: Expand NYPTA influence and involvement in legislation and public policies impacting physical therapy. I participated in Lobby Day in Albany in May 2012.

 Goal XI, Objective 2: Increase PT and PTA membership by 5% annually. On September 3, 2012, I became a member of the PTA Caucus Membership committee and we are collaborating with APTA on creative ways to increase membership.

III. Summary of Additional Activities:  In January I sent emails to members in regards to the PTA Caucus’ statement on RC 3-11.  Attended Combined Sections Meeting in Chicago 2/8-2/11/2012.  Attended PTA Town Hall meeting at CSM 2/9/2012.  Participated in PTA Caucus Conference Calls 3/12/2012, 5/24/2012.  Attended GNY EC meetings: 2/22/2012, 5/23/2012, 11/14/2012.  Attended & assisted with GNY District Meetings/Continuing Education:  Participated in PTA Committee Conference Calls: 2/1/2012, 9/25/2012. 11

 Participated in PTA Caucus Membership Committee Calls: 11/6/2012, 11/27/2012  Attended the first day of the Spring BOD Meeting 5/3/2012  Attended the Leadership Development Workshop 5/4/2012  Participated as an affiliate delegate GNY district for Delegate Assembly 5/5/2012.  Participated in PTA Caucus Business Meetings prior to HOD 6/2/2012, 6/3/2012  Attended House of Delegates 2012  Attended PTA Town Hall Meeting at the PT Conference 6/6/2012  Received Recognition of Advanced Proficiency for the PTA in Neuromuscular Rehabilitation 6/7/2012.  In the summer of 2012, I started a social media group on Facebook for PTAs called PTAs of NYPTA in order for PTA and Student PTAs to network, collaborate and have discussions with each other and for me to emphasize important NYPTA issues regarding PTAs.  Made a flyer to promote the Facebook group “PTAs of NYPTA” to be distributed at the PTA Booth at State Conference.  Encouraged PTAs to volunteer for Hurricane Sandy relief.  Wrote an article in the fall issue of Empire State newsletter for the PTA Caucus HOD 2012 update.

IV. Concerns/Ideas  In 2012, the main concern of the PTA Caucus was RC 2-12 and how this will affect the PTA.  PTAs were concerned with Walmart Corporation’s medical plan not covering services by the PTA. PTAs Sean Bagbey and John Kelley worked with APTA staff and the policy was changed to cover services by the PTA.  PTAs were concerned with the recommended changes in regards to PTAs in the Governance Review. (However, these recommendations have now changed)  In 2012 the PTA Caucus formed PTA Caucus Committees including Communication, Advocacy, Payment, Education, Membership and Public Relations  Want to increase PTA APTA membership (Membership Committee formed in response)  PTA Caucus interested in the feasibility study in regards to RC 20.

PRACTICE To: Board of Directors From: Melanie A. Gillar, PT, DPT, MA Chair, Practice Committee RE: Annual Report - January through December 2012

I. Response to Charges from previous Board meetings. BOD 10-11-03 – Pilot Committee Program – Practice - COMPLETED The committee requested to pilot a new format of the committee in October 2011. This request was approved by the Board. The motion approving this pilot included a report to the Winter 2013 Board meeting. The Chair and member of the committee met via phone 12

call and discussed whether or not the pilot has been successful and what the report to the Board should include.

The pilot has been very successful. It is both an effective and efficient use of resources. Issues that come up including member questions can be addressed more quickly. There is no lag time trying to coordinate multiple schedules. Also discussed was whether or not there is a continued need for content experts. The answer is yes, though not necessarily in the current format. Prior to requesting this pilot program, the committee had identified that we needed “go to” people when something came up that is outside the expertise of the committee members. In addition, in reviewing the pilot, the question was raised as to whether or not content experts are needed just for the Practice Committee or do we need to identify members with clinical expertise to be available to consult with any committee or “group”, etc. who may need more in depth information? In conclusion, there was unanimous agreement that the pilot program format should become the permanent format for the Practice Committee.

II. Activities (District, Committee or Member) Dry Needling The EC charged the Practice Committee during their March conference call to “Develop a plan to address dry needling with the PT Board in 2012”. The committee began work on this charge by reviewing several related documents including a letter sent by the Executive Secretary of the State Board to a NYPTA member in 2007; APTA’s educational resource paper, “Physical Therapists and the Performance of Dry Needling”; and the Memorandum sent to Component Leaders in January 2012 entitled “Status Update – APTA Activities Related to the Inclusion on Dry Needling in the next edition of the Guide to Physical Therapist Practice, 3rd Edition.”

In the 2007 letter, the Executive Secretary of the State Board for Physical Therapy stated that “…some time in the future the issue may be reconsidered if the profession demonstrated that dry needling has evolved to become an accepted part of the body of knowledge of physical therapy and if dry needling was included within the systematic training offered in academic programs.” The former has come to fruition with the plan to include the performance of dry needling in the Guide to Physical Therapist Practice, 3rd Edition. However, during the 2011 Issues Forum the Executive Secretary reiterated the former, the need for dry needling to be included within the systematic training offered in academic programs. According to APTA’s educational resource paper “Physical Therapists and the Performance of Dry Needling”, at present, the only entry-level program where dry needling (intramuscular manual therapy) is being taught is Georgia State University. Several other universities including Mercer University, the University of Saint Augustine for Health Sciences and the Ola Grimsby Institute are considering adding intramuscular manual therapy to the curriculum of both the advanced and entry- level programs. A survey was sent to the Program Chairs of the 21 PT programs in NYS on March 26, 2012. A response was received from 15 of the 21 Program Chairs. They indicated that none of their programs included “systematic training” in dry needling in their curriculum. In addition, information included in APTA’s educational resource paper, “Physical Therapists and the Performance of Dry Needling”, indicated that the NYS State Board for Physical Therapy has said that intramuscular manual therapy is not 13 within the scope of practice of physical therapy. The Chair then contacted the Chair of the NYS Board for PT about this issue. This resulted in both dry needling and staple removal being added to the agenda for the October 12, 2012 meeting of the Board. After that meeting the Chair of the NY State Board for PT shared that the topic of dry needling was discussed and the state board members decided to make a recommendation that dry needling is within the scope of PT, but that it is not an entry level skill at this time (similar to EMG). The basics of trigger point work are taught in the entry level programs, but the needle insertion is not. However, the State Board for PT does not make the final decision – they are only a recommending body. The next step involves a discussion with the Acupuncture board with State Education making the final decision. The committee plans to keep in contact with the Chair of the State Board for PT to monitor where the issue is at, but does not plan any further action on the issue since it is now up to State Education.

In addition, Mary Jane Harris of Accreditation was contacted in June. At her request, the Practice Chair sent an email requesting that dry needling be added to the list of areas to be considered for inclusion in the PT curriculum when the discussion begins on changes to the Normative Model. It has been added to the list.

Staple Removal EC 04-07-08 – Is staple removal within the scope of practice of physical therapy in NYS? At the end of 2011, the committee chair had deferred work on EC 04-07-08. Activity resumed on this charge in 2012.

This was also on the agenda for the October 2012 meeting of the NYS State Board for PT. After that meeting the Chair of the NY State Board for PT shared that the topic of staple removal was discussed. The Executive Secretary of the State Board for PT will be having a discussion with the Exec Sec of Nursing and Medicine about staple removal. Several of the Board members didn't feel comfortable with this one. They will look at it again after input from Medicine. They know that some PTs are being asked to do it...and doing it in some settings. The State Board needs to make a decision one way or another and educate about the decision either way. The Chair of the State Board tried to point out that wound care and debridement are within our scope of practice and based upon our knowledge of tissue healing, we should be able to assess whether the wound is ready for the staples to be removed. Some on the Board don't want to do it...but there was talk about letting those that do, be able to do it. So there is no definitive answer yet. There will be further discussion on this. The committee plans to keep in contact with the Chair of the State Board for PT to monitor where the issue is at, but does not plan any further action on the issue and will await the decision of the State Board for PT.

The committee continues to receive frequent practice questions from members and non- members both directly through the website and also from NYPTA staff. The questions are answered and Chapter Office provided with the information to include in their files for future reference. 14

III. Summary of Additional Activities (meetings, etc.) The Chair attended the Practice Chairs Forum at CSM 2012 in Chicago.

IV. Concerns/Ideas The committee believes that it is time to publish the article on regulatory designation in NYS (“It’s the Law!”) again. It appears that many members do not understand that “PT” is the regulatory designation in NYS and that it must be used after their name. All too often members use their academic degree (MSPT, DPT, etc.) without including their regulatory designation.

PROGRAM To: Delegate Assembly From: J.J. Mowder-Tinney PT, PhD, Chairperson, Program Committee RE: Annual Report -- January through December 2012

I. Response to Charges from previous Delegate Assembly meetings -- None

II. Report on activities related to Chapter Goals and Objectives for 2011-2013

Goal 4, Objective 1: Create innovative, convenient methods by which physical therapists and physical therapist assistants can acquire and integrate knowledge of the practice of physical therapy as it develops over time.  The following continuing education courses were conducted at the NYPTA Annual Conference, held in Rochester NY October 19 and 20 – see slate in Addendum. All speakers were required to present educational material which is supported by the current literature, and are required to provide bibliographies to all participants.  The 2013 conference will be held in Albany NY on October 25 and 26, 2013 at the Desmond Hotel. Almost all speakers are confirmed - see slate in Addendum.

Goal 6, Objective 2: Inform the membership on the current status of reimbursement in New York State  We continued with providing reimbursement information including: Medicare documentation and alternative payment plans with a speaker from the APTA. This was as successful as the previous year conference.  Discussing options for providing the latest ICD-10 updates in a webinar format.

III. Summary of Additional Activities (meetings, etc.)

BOD 02-13-02 - The program committee to assess and evaluate past conferences with regard to registration, location, programming, etc. and make a suggestion to BOD for improving future conferences. RATIONALE: With the decision to not hold a Chapter Conference in 2014 it would be an ideal time to assess the past years conferences and speak with membership on how we could create a stronger Chapter Conference. 15

GOAL/OBJECTIVE: Goal IV Objective 1 and 2, Goal V Objective 1 and 2, Goal X Objective 1 and 2. TARGET DATE: Winter Board meeting 2014 FISCAL IMPACT: $300; represents the cost of conference calls and possible survey of membership

The program committee plans on performing the following before the 2013 conference: a) Review the Strategic survey results related to programming b) Discuss suggestions given in break out session at the board meeting c) Provide summary of points and areas to focus on before next board meeting to assess appropriateness of requesting a break out session

ADDENDUM: Speaker Slate: 2012 Rochester Conference

Friday October 19, 2012 Saturday October 20, 2012 Shree Pandya PT, DPT, MS and Lynn Logan, PT, PhD, PCS Kate Eichinger, PT, DPT, NCS (½ day) “Rehabilitation Techniques for Spasticity “Evidence based Exercise recommendations for Management” Individuals with Neuromuscular disorders (Lower Motor Neuron Disorders)” Elizabeth Clark and Sarah Fishel (½ day) Evidence Based Exercise Recommendations for Individuals with Neuromuscular Disorders (Upper Motor Neuron Disorders)

Karen Kemmis, PT, DPT, MS, CDE, CPRP, Jim Dunleavy (- 1/2 day) CEEAA and ACOs and their Impact on the Acute Care Practitioner Marilyn Moffatt, PT, DPT, PhD, DSc (Hon), Jim Tempest, PT and FAPTA, CSCS, CEEAA Ron Wood, PT, DPT, GCS, CertMDT - ½ day Physical Therapy Management of the Person Acute care PT: laying the foundation of recovery with Osteoporosis Justin Moore from APTA Jim Bavoso and Judy Augustowski-Brown Alternative Payment Plans (1/2 day)

Medicare Documentation

Shirley Sahrmann, PT, PhD, FAPTA and Shirley Sahrmann and Paul Hodges Paul Hodges, PhD, MedDr, DSc, BPHty(Hons), 2 day conference Lecture and Demo format FACP “Understanding and Managing Low Back 2 day conference Lecture and Demo format Conditions: local and global concepts with best “Understanding and Managing Low Back available evidence.” Conditions: local and global concepts with best available evidence.” Research day Anita Santasier Qualitative research 16

Speaker Slate: 2013 Albany Conference

Friday October 25, 2013 Saturday October 26, 2013

Mary Massery PT, DPT, DSc Mike Studer PT, MHS, NCS, CEEAA Linked: Intensity in Neurologic Rehabilitation Breathing and Postural Control (Pediatric and Adult Patient Populations)

Marcie Harris Hayes PT, DPT, MSCI, OCS Rehabilitation factors in pre-arthritic hip disease Chris Neville PT, PhD and Jeff Houck PT, PhD including femoroacetabular impingement, hip Current Evidence in the management of Common dysplasia and labral tears. Musculoskeletal Foot and Ankle Conditions.

Karen Jost and Gillian Russell Lisa Johnson PT, DPT, OCS, WCS, CSCS Payment Trends private insurance and workmans Women’s Health comp from APTA (am)

??NICU presentation pm

Katrina S. Maluf (1/2 day) Sharon Martino PT, PhD Psychological Stress and Chronic Pain: Pediatric Obesity: A Multi-Disciplinary Approach to Mechanisms and Clinical Implications for a Multi-Faceted Problem Physical Therapists

PUBLIC RELATIONS To: Delegate Assembly From: Public Relations Committee -- Tracy Sawyer PT, DPT - Chairperson RE: Annual Report -- January through December 2012

I. Response to Charges from previous Delegate Assembly – no charges

II. Report on activities related to Chapter Goals and Objectives for 2011-2013

A. Goals and objectives for which Public Relations Committee has responsibility 1. Goal I, Obj 1,2,3,4 – educate consumers, third party payers, membership, professional colleagues regarding self-referral 2. Goal II, Obj 3 – educate consumers regarding the role of PT as an entry into the healthcare system 3. Goal VI, Obj 4 – educate the public regarding reimbursement 4. Goal VII, Obj 1,2,3 – increase recognition of physical therapy 17

B. Activities 1. Throughout the year, multiple conference calls and email communications to conduct business of the committee. Ongoing work with NYPTA Communications Director, Bibiana Braun, and Communications Consultant, Deb Bohren.

2. January – April  Committee chair participated in conference call with leaders and staff of NYPTA, and staff from APTA. Purpose of call was to brainstorm/discuss strategies for ongoing high co-pay issue.  Committee created a proposal to expand the movie theater ad campaign funded by the PR grant received from APTA.  Committee had discussion regarding a World PT Day activity and possibility of partnering with the American College of Sports Medicine (ACSM).  Committee chair participated in interview process and selection of new PR firm contracted by NYPTA.

3. May – September . Movie Theater Ad Campaign preparation and implementation  Ad launched in 10 theaters throughout NY, July 6 – August 2 and was viewed by 952,150 people. Please see PR Committee report to BOD, October 2012, for full details of results for ad campaign. . Discussed possibilities for World PT Day activities. Blast email sent to members to determine interest in participation. Very poor response, therefore committee decided to discontinue planning an activity. . Completed application for and received APTA Community Awareness Grant for 2013 - $4000 . Began investigating options for 2013 ad campaign

4. October-December  Ran a booth during the Annual Conference in Rochester o Had information about PR activities over last 2 years. o Suggestion box for attendees to submit ideas for future PR activities o Drawing for a “Move Forward” fleece jacket  Submitted an article for the Nov/Dec issue of Empire State Physical Therapy  Continued research into options for ad campaign for 2013

V. Concerns/Ideas

A. Consider a PR campaign that spans 3 years B. Apply for APTA Community Awareness Grant for 2014 18

RESEARCH To: Delegate Assembly From: Hilary Greenberger and Sara Gombatto, Co-Chairs Research Committee Re: Annual Report -- January 2012 through December 2012

I. Response to charges from previous Delegate Assembly meetings - None

II. Report on activities related to Chapter Goals and Objectives for 2011-2013

Goal IX: Research advances the science of physical therapy and furthers the evidence- based practice of the physical therapist

Objective 1: Establish mechanisms to supplement financially promote and disseminate scholarship to advance the science of physical therapy and the clinical practice of the physical therapist.

A) BOD approved a motion put forth by the Research Committee to increase RDF funding from $5000 to $15,000 per year.

B) In response to the 2012 call for Abstracts, a total of 11 abstracts were received, de-identified, and considered for presentation at the 2012 annual NYPTA conference. Of the 10 submissions, 6 were accepted as platform presentations and 5 were accepted as posters. The recipient of the 2011 Research Development Fund, Dr. Neeti Pathare, presented her project titled “Physical performance and cardiovascular fitness in relation to weight status in 5-9 year old children”.

C) The research keynote speaker for the 2012 conference was Dr. Anita Santasier who gave an engaging presentation on “Qualitative Research and Physical Therapy: What you need to know and why you want to know it”. We obtained feedback on the keynote speaker from 12 participants in the session. The overwhelming majority of participants found the course content, course organization, presentation, and instructor to be “excellent”. Some participants felt that there was not enough time to cover the material and the majority of the participants rated the facilities as “good”. Comments on the keynote speaker were very positive and found Dr. Santasier to be energetic, enthusiastic, engaging and knowledgeable.

D) The Robert S Salant awards for outstanding research were awarded to the following investigators:

KE Herline and JK Siracuse for their platform presentation entitled “Kinematics and muscle activation of the low bak and hip in lacrosse players with and without low back pain” 19

G. Dixon for his platform presentation entitled “An integrated approach to the examination and treatment for a patient with chronic low back pain”

T. Hoppenrath for her platform presentation on “Participation in experiential learning electives prior to first clinical education: influence on student competence and confidence”.

E) Conference proceedings for the 2012 conference were posted to the NYPTA website following the conference.

F) In response to the 2012 Call for Applications for the Arthur J. Nelson Research Designated Fund, six applications were received, de-identified, and reviewed. Dr. Helene Larin was awarded $5000 for her proposal entitled “Pilot Study: Feasibility of a Novel Control Method for a Robotic Mobility Device for Young Children with Physical Disabilities”. The committee will be reviewing Dr. Larin’s progress report and she will be presenting her completed work at the 2015 NYPTA Conference.

G) The keynote speaker for research programming at 2013 NYPTA conference has been selected. Dr. Katrina Maluf, University of Colorado Denver, will be speaking on pain pathophysiology.

Goal IX: Research advances the science of physical therapy and furthers the evidence- based practice of the physical therapist

Objective 2: Develop formal connections with other healthcare practitioners to promote collaborative research agendas

A) Research Action Task Force Activity

Research Committee member Chris Neville was awarded a certificate of appreciation at the May 2012 Delegate Assembly for his work on the task force to establish a research agenda. Sara Gombatto, Research Committee co-chair, served on the Research Action Task force which recommended to the BOD a funding mechanism in NYS for examining factors/influences on patient outcomes. The BOD approved this recommendation, allocated $300,000 from the reserve, and established a steering committee to develop the process for this funding mechanism. Research Committee member Neeti Pathare will be representing the Research Committee on this steering committee.

III. Summary of Additional Activities

A) Summary of Committee Objectives for 2012 20

Objective Met In Not Progress Started To plan and successfully implement Research Committee X programming at the NYPTA Conference in October, 2012 To reorganize, edit, and update the policy and procedure X manual, including forms (objective carried forward from 2010-2011).

To examine the Research Mentorship Program and role of X district Research Liasons to generate a plan for Research Mentorship for NYPTA (objectives carried forward from 2010-2011).

To disseminate information on research and Research X Committee activities by submitting an article for each NYPTA Newsletter (6 total).

To develop a succession plan for Research Committee X Leadership to facilitate consistency in processes related to and further development of NYPTA research activities.

To review and select abstracts for the 2012 NYPTA X Conference.

To review applications and recommend to the BOD a X recipient for the 2012 Arthur J. Nelson Research Designated Fund

B) The following meetings and conference calls took place from January 2012 through December 31st 2012:

Date Location Attendees 1/6/12 Phone Meeting Gombatto, Greenberger 8/24/12 Phone Meeting Gombatto, Greenberger 9/11/12 Conference call Gombatto, Greenberger, Pathare, Neville 11/17/12 Conference Call Gombatto, Greenberger, Pathare, Neville, Braun

C) Dr. Neeti Pathare started her term on the Research Committee in July 2012. The Committee would like to thank outgoing committee member, Dr. Joanne Katz, for her service on this committee.

IV. Concerns/Ideas from the committee, SIG, TF, or Officer The research committee would like the BOD to consider exploring the costs associated with having a server for universal storage of electronic files associated with Committees. 21

We feel this will facilitate communication within committees and will provide successors with access to past and current committee files. If this is not feasible, the Research Committee would like to set up a shared dropbox to allow for easy access of research committee files.

SPECIAL INTEREST GROUPS

ACADEMIC ADMINISTRATORS S.I.G To: Delegate Assembly From: Jennifer Collins and Cheryl Gillespie, Co-Chairs AASIG RE: Annual Report -- January through December 2012

I. Response to Charges from previous Delegate Assembly meetings: N/A II. Report on activities related to Chapter Goals and Objectives for 2011-2013

GOAL IV: Physical therapists and physical therapist assistants as lifelong learners are committed to their continued professional competence Objective 2: Identify areas of collegial relationships with PT/PTA educational programs in the areas of practice and research

1. In an effort to meet this goal and objective, the AASIG held a fall meeting in October in Rochester at the annual Meeting. Several areas for possible action were identified, including:

1. Working with the NYNJCE Consortium to sponsor clinician attendance at the 2013 Educational Leadership conference 2. Working with the Consortium to investigate alternative models of clinical education 3. Write a letter to FSBPT and NYSED regarding reports of delays in examinee applications being processed: COMPLETED 4. Determining a date, place, and format for a spring, 2013 meeting that includes the needs of academic faculty as well as program directors

III. Concerns/Ideas

The AASIG would be receptive to ideas or activities proposed by the NYPTA BOD to facilitate further support to the NYPTA by the SIG.

The AASIG would be interested in hosting a table at the NYPTA Annual conference to provide information on the various programs.

ALLIANCE OF INDEPENDENT PHYSCIAL THERPISISTS (AIPT) No Report Submitted