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Fall 2017 Volume 37, Issue 2 Individual Highlights: Treasurer 3 Legislative 3 Delegate 5 PTA Caucus 10 Public Relations 11 Reimbursement 13 Education 14 Business Mtg 15 Contacts 18 The Official Publication of the South Dakota Physical Therapy Association Fall is upon us and we as an association have made some strides to improve the foundation of our profession in South Dakota by getting continuing education mandated as a component of licensure. When you reapply for licensure the end of 2018 you will have needed to complete 15 hours of continuing education in the two-year timeframe from January 1, 2018 to December 31, 2019. There is a quick link on the SDAPTA home page for reference of this topic. During this fall meeting, we are piloting video conferencing of the business meeting to distant sites. Andy York has been instrumental in getting this organized. We will be video conferencing to the Spearfish and Aberdeen areas. We had hoped for more communities to show support and request this service be delivered to their area. We would like to be able to continue to offer this as an option to members, but we will need increased participation and assistance from membership. If you want this to be an option in your community, please contact Andy York or any member of the board. We have many things we want to try to accomplish following our success with continuing education. The first is dry needling. We have worked with our lobbyist and PTs from other states who are knowledgeable in this area and have draft a statute to present to the SD legislature in 2018. This statute would change our practice act and allow PTs to perform dry needling if they have advanced certification. Our effort in the legislature will depend upon membership educating physicians, legislators and residents of the state. We will be providing talking points and educational material that can be used in your discussions. We need our voices heard if we want our profession to continue to grow, be competitive and on par with the rest of the country. President’s Message by Patrick Hauer, PT, EdD, MHS ~ Assistant Program Director & Professor Briar Cliff University

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Page 1: The Official Publication of the South Dakota Physical ... · x Consumer recognition of the value of the physical therapist to provide services for prevention, wellness, fitness, and

Fall 2017

Volume 37, Issue 2

Individual Highlights:

Treasurer 3

Legislative 3

Delegate 5

PTA Caucus 10

Public Relations 11

Reimbursement 13

Education 14

Business Mtg 15

Contacts 18

The Official Publication of the South Dakota Physical Therapy Association

Fall is upon us and we as an association have made some strides to improve the foundation

of our profession in South Dakota by getting continuing education mandated as a

component of licensure. When you reapply for licensure the end of 2018 you will have

needed to complete 15 hours of continuing education in the two-year timeframe from

January 1, 2018 to December 31, 2019. There is a quick link on the SDAPTA home page

for reference of this topic.

During this fall meeting, we are piloting video conferencing of the business meeting to

distant sites. Andy York has been instrumental in getting this organized. We will be video

conferencing to the Spearfish and Aberdeen areas. We had hoped for more communities to

show support and request this service be delivered to their area. We would like to be able

to continue to offer this as an option to members, but we will need increased participation

and assistance from membership. If you want this to be an option in your community,

please contact Andy York or any member of the board.

We have many things we want to try to accomplish following our success with continuing

education. The first is dry needling. We have worked with our lobbyist and PTs from other

states who are knowledgeable in this area and have draft a statute to present to the SD

legislature in 2018. This statute would change our practice act and allow PTs to perform dry

needling if they have advanced certification. Our effort in the legislature will depend upon

membership educating physicians, legislators and residents of the state. We will be

providing talking points and educational material that can be used in your discussions. We

need our voices heard if we want our profession to continue to grow, be competitive and on

par with the rest of the country.

President’s Message by Patrick Hauer, PT, EdD, MHS ~ Assistant Program Director & Professor Briar Cliff University

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In the next couple of months, we plan to draft a proposal or “business plan” if you will for an independent PT licensure

board under the Department of Health. This, along with our intention to petition the legislature for an independent PT

licensure board, would be presented to the DOH in the first quarter of 2018. This needs to be done so they can add our

anticipated budgetary needs to their 2019 budget. If we are successful in the legislature the DOH would “carry” the PT

board until it is financially independent. Then in 2019, we would go before the legislature to request an independent PT

licensure board under the DOH.

Given the fact, we are a doctoring profession and the rapid changes in health care and in our own profession we

continue to lag behind other states in the services we can provide our clients. Presently, we have no voice and no vote

under our present licensure board and as a result, we have no vote when it comes to FSBPT matters. Some states

have incorporated PT into Telehealth, the PT Licensure Compact was officially enacted April 25th, and in Wisconsin

PTs can order imaging tests. Changes are happening and we need to have some control of our profession in South

Dakota. However, none of this will happen unless all PT professionals get involved, they need to help educate and

convince legislators and physicians that what we want is in the best interest of the citizens of SD and patients. I

encourage and challenge each of you to get involved. Being a PT or a PTA is not a job; it is a profession, a profession

to be proud of! I also encourage everyone to contribute to the PT PAC, Leonard Suel is the contact person and he

would accept any donation. The PT PAC needs funds to help further our initiatives and grow our profession. Face to

face time and money will make the difference for the future of our profession in South Dakota.

Have a Happy & Safe Thanksgiving and a Blessed & Joyous Merry Christmas

Pat

Patrick Hauer, PT, EdD, MHS

President SDAPTA

Con’t President Message by Patrick Hauer, PT, EdD, MHS ~ Assistant Program Director & Professor Briar Cliff University

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Treasurer’s Report by Bill Meredith, PT, OC ~ Sanford Health The SDAPTA assets consist of:

1. Wells Fargo Checking account: $22,048.

2. Vanguard Cash: $81,000.

3. Vanguard GNMA Bonds: $52,000.

4. IShares-Preferred stock: $42,000.

5. Vanguard Stock: $130,000.

Total Assets: $327,048.

Legislative Report by Phil Moe, PT ~ Avera McKennan

As you all know – during the 2017 legislative session, the SDAPTA was able to pass a significant update and revision of our practice act. It had not been updated since 1995/96. Included in this update was a clarification of the rule making authority given to the SDBMOEs in order for them to promulgate new rules pertaining to continuing education. Our new practice went into effect on July 1st, 2017. Keep in mind that part of this update included a slight change in the PT/PTA supervision eliminating the first visit co-treatment requirement. Please make a point to revisit the practice act on the State legislative page or though the SDAPTA web site links and be familiar with what all is included in our practice act.

On September 14th, Pat and I attended the rules hearing that was open to the public. Starting in 2018, PT’s in South Dakota will be expected to attain 15 hours of continuing education per year. We believe this will be able to be accomplished through a variety of formats including in person education, on-line education, APTA home study courses, and some facility educational events.

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On September 15th/16th, I attended the APTA Payment and Policy Forum in Detroit, Michigan. Some highlights of that meeting are as follows:

1. It was interesting to hear that the “Choose PT” campaign has doubled the traffic to the consumer page of the APTA website.

2. Physical Therapy has been in the limelight as a solution to the national Opioid epidemic

3. 32 States allow Dry Needling, 11 states do not allow, 7 states are silent. 13 states require additional training to be able to perform that intervention.

4. APTA is submitting an application to the AMA for a CPT code specific to Dry Needling. APTA is partnering with the Chiropractic Association in that effort.

5. There has been quite a bit of attention paid toward Licensing boards nationally. 6 states in 2017 actually had consolidation discussions much of which was not solicited. 37 states have independent autonomous boards, 4 states are under Medical boards.

6. Regarding Administrative simplification: do you realize that the AMA has over 1200 instructions on how to file the same form? Administrative burden is gathering some attention in the midst of the infamous “health care reform” discussions in D.C.

7. Imaging orders by PTs is beginning to get some attention/traction in several states thanks to the groundbreaking start provided by Wisconsin.

Most importantly members!!! SDAPTA will once again be active during the next legislative session in 2018. We intend to submit legislation adding Dry Needling to our practice act. It remains to be seen who are friends are and who might oppose this activity. At this point, we are being told that the chiropractors will not oppose this effort. We remain unsure of the SDBMOE’s position. If you have an opportunity (or you need to make an opportunity) to interact with your legislators – this is an opportunity for the state of South Dakota to make a positive move in the battle against Opioid abuse as PTs and specifically dry needling is a non-pharmaceutical option/solution for pain control. We will need everyone to be on board and available as we once again mount a grass roots effort legislatively. Remember that our Legislative Day in Pierre is Feb. 6th over the noon break again.

We will definitely need to restock our SDPT-PAC funds as we will need to be very active in the next legislative cycles. Get your checkbooks and credit cards out!! -

Finally – I will be needing someone to step up and fill the Legislative Chair position going forward. With a number of life changes, it is finally time to step aside and open the door to the next generation of leadership. I will certainly not disappear as we have much to accomplish in the next few years but I feel it is time for someone else who can dedicate more attention to the SDAPTA to step into the position of Legislative Chair.

Thank you for your support – we look forward to an exciting year ahead!!

Phil Moe, PT Legislative Chair

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Delegate Report by Joy R. Karges, PT, EdD, MS, CLT ~ Professor & Director of Clinical Education at the University of South Dakota

Patti Berg-Poppe and I attended the 2017 APTA House of Delegates in Boston, MA in June, 2017. Michelle Gant also attended as the SDPTA Caucus Representative. Of the 14 RCs on the agenda this year, 13 passed and 1 was defeated. You can see the full motion language in the House of Delegates minutes via the following links: http://communities.apta.org/p/do/sd/sid=3940&fid=16480&req=direct or http://communities.apta.org/p/do/sd/sid=3940 Here are the RCs based on aspects of the APTA Vision for the Physical Therapy Profession (2013) “Transforming society by optimizing movement to improve the human experience”:

x TRANSFORMING SOCIETY o RC 2-17 Amend: The Association’s Role In Advocacy For Prevention, Wellness, Fitness, Health Promotion, And

Management Of Disease And Disability (HOD P06-16-05-06) – PACKET I (PASSED) � That The Association’s Role in Advocacy for Prevention, Wellness, Fitness, Health Promotion, and

Management of Disease and Disability (HOD P06-16-05-06) be amended: � The American Physical Therapy Association (APTA) advocates for prevention, wellness, fitness, health

promotion, and management of disease and disability. Advocacy includes but is not limited to scientific, educational, regulatory, and legislative activities that promote regular physical activity and exercise to enhance health and prevent disease. It includes developing collaborative, interprofessional and partnering relationships with health care and community organizations and individuals that advocate for prevention, wellness, fitness, health promotion, and management of disease and disability.

� Priorities for association advocacy include, but are not limited to: x Collaborative relationships that have the potential to advance the vision for the physical therapy

profession and leverage efforts to develop and implement effective population health management strategies

x Appropriate physical activity and exercise goals and objectives put forth by government and other nationally recognized agencies and organizations

x Appropriate efforts that enhance community design to promote safe physical activity and active forms of transportation for individuals and populations of all ages and abilities

x Consumer recognition of the value of the physical therapist to provide services for prevention, wellness, fitness, and health promotion, and for management of disease and disability for all populations and conditions

x Physical education, physical conditioning, and wellness instruction at all levels of education, from preschool through higher education

x Physical therapists making healthy personal lifestyle choices that include engaging in active forms of transportation and meeting national guidelines for participation in physical activity and exercise

o RC 4-17 Amend: Physical Therapists As Qualified To Determine Mobility Status For Patients And Clients Applying For Disability Placards, Disability License Plates, Or Paratransit Services (HOD P06-14-14-19) – PACKET I (PASSED)

That Physical Therapists as Qualified to Determine Mobility Status for Patients and Clients Applying for Disability Placards, Disability License Plates, or Paratransit Services* (HOD P06-14-14-19) be amended by striking out the words “consumer access … for paratransit services” and adding the words “societal access to and recognition of

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physical therapists for disability evaluation and determination for health, recreation, employment, legal, regulatory, and insurance purposes” so that it would read:

� The American Physical Therapy Association supports increased consumer access to mobility status certification. As movement experts, physical therapists should be included in state law among the health care professionals designated as able to determine the mobility status of a patient or client for the purposes of disability parking placards or license plates. In addition, transit authorities should include physical therapists among those able to determine eligibility for paratransit services. societal access to and recognition of physical therapists for disability evaluation and determination for health, recreation, employment, legal, regulatory, transportation, and insurance purposes.

� *The position will be retitled, as needed, by the APTA Secretary to reflect the content.

o RC 8-17 Charge: Transformational Innovations In Physical Therapist Practice – PACKET III (PASSED UNANIMOUSLY)

� That the American Physical Therapy Association explore and, if feasible and advisable, develop model(s) of innovation centers to expedite the creation and growth of effective transformational innovations that revolutionize physical therapist practice and positively impact society.

o RC 12-17 Charge: Plan To Ameliorate The Administration Burden On Physical Therapist Practice – PACKET I (PASSED)

� That the American Physical Therapy Association (APTA) explore the administrative burden of providing physical therapist services and describe its impact on the patient, the cost of care, and the profession. By June 2019, APTA shall develop and implement a plan to ameliorate the burden.

x TRANSFORMING THE PROFESSION o RC 5-17 Adopt: Physical Therapist’s Scope Of Practice – PACKET II (PASSED)

� That the following position be adopted: � PHYSICAL THERAPIST’S SCOPE OF PRACTICE � An individual physical therapist’s scope of practice is influenced by professional, jurisdictional, and

personal scopes of practice. � Over the course of the physical therapist’s career, scope of practice evolves based on considerations,

including but not limited to, societal needs; progressive professional development activities of the physical therapist; modifications to jurisdictional laws and regulations; advancements in knowledge, research, clinical skills and technology; and the evolving health delivery system.

o RC 6-17 Adopt: Definition Of Professional Scope Of Physical Therapist Practice – PACKET III (PASSED UNANIMOUSLY)

� That the following position be adopted: � DEFINITION OF PHYSICAL THERAPIST SCOPE OF PRACTICE � The professional scope of physical therapist practice is grounded in basic, behavioral, and clinical sciences.

It is supported by education, based on a body of evidence, and linked to existing and emerging practice frameworks. The professional scope evolves in response to innovation, research, collaboration, and changes in societal needs.

� The professional scope consists of patient and client management, which includes diagnosis and prognosis, to optimize physical function, movement, performance, health, quality of life, and well-being across the lifespan. In addition, the professional scope includes contributions to public health services aimed at improving population health and the human experience.

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� The jurisdictional scope of physical therapist practice is established by the practice act governing the specific physical therapist’s license, and the rules adopted pursuant to that act.

� The personal scope of physical therapist practice consists of activities for which an individual physical therapist is educated, trained, and is competent to perform.

o RC 11-17 Charge: Increasing Professional Diversity – PACKET I (PASSED) � That, by June 2018, the American Physical Therapy Association, in collaboration with relevant

stakeholders, identify and begin to implement best practice strategies to advance diversity and inclusion within the profession of physical therapy.

x TRANSFORMING THE ASSOCIATION

o RC 1A-17 Adopt: Board Responsibility For Association Mission Statement – PACKET II (PASSED) � BOARD RESPONSIBILITY FOR ASSOCIATION MISSION STATEMENT � The APTA Board of Directors (Board) creates and maintains the mission statement for the association. This

mission statement shall align with the vision for the physical therapy profession created by the House of Delegates.

� Proviso: When the Board adopts a new APTA mission statement the Mission Statement of APTA (HOD P06-93- 05-05) and Mission Statement Fulfillment (HOD P06-93-06-07) shall be rescinded.

o RC 7-17 Adopt: Promotion Of American Physical Therapy Association Membership By Residency And Fellowship Education Programs – PACKET I (PASSED)

� That the following position be adopted: � PROMOTION OF AMERICAN PHYSICAL THERAPY ASSOCIATION MEMBERSHIP BY RESIDENCY AND

FELLOWSHIP EDUCATION PROGRAMS � The American Physical Therapy Association supports efforts by programs accredited by the American

Board of Physical Therapy Residency and Fellowship Education (ABPTRFE) to encourage residents and fellows in training to be members of the association and of the section representing the content of their education program.

o RC 9-17 Charge: Special Committee To Review House Documents – PACKET I (PASSED) � That a special committee of the House of Delegates (House) be created within 60 days of the close of the

2017 House. The committee shall review documents previously adopted by the House and forward motions to amend, consolidate, or rescind documents as needed to the 2018 and 2019 House.

� The composition of the special committee shall include a current Officer of the House of Delegates and a minimum of 6 additional individuals. Preference shall be given to individuals who are current active delegates, have extensive experience as delegates, or have served in the past as an Officer of the House of Delegates.

o RC 10-17 Election To Honorary Membership In The American Physical Therapy Association: T. Richard Nichols, PhD – PACKET I (PASSED UNANIMOUSLY)

� Whereas, T. Richard Nichols, PhD, has, for decades, served as a stalwart advisor to the American Physical Therapy Association and to academic programs that teach future physical therapists and advanced physical therapist clinicians;

� Whereas, Dr Nichols has demonstrated an unwavering commitment to the mentorship of physical therapists who themselves have subsequently advanced the science underlying the profession’s understanding of pathological movement;

� Whereas, Dr Nichols has advocated within the scientific community for physical therapists, physical therapy, and rehabilitation research;

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� Whereas, Dr Nichols has made significant contributions to the science underlying the profession’s

understanding of movement as it relates to the interaction between the nervous system and the musculoskeletal system; and,

� Whereas, Dr Nichols has coauthored over 60 peer-reviewed articles of high relevance to physical therapist practice;

� Resolved, that T. Richard Nichols, PhD, be elected an Honorary Member of the American Physical Therapy Association.

o RC 13-17 Amend: Bylaws Of The American Physical Therapy Association, Article IV. Membership, Section 4: Chapter Assignment – PACKET II (PASSED)

� Note: Triple asterisks (* * *) indicate language that is not being amended and therefore has not been included in order to make the document more concise.

� That Bylaws of the American Physical Therapy Association, Article IV. Membership, Section 4. Chapter Assignment, be amended by adding the words, “Members who are active uniformed services personnel, and members who are spouses or partners of active uniformed services personnel, may choose to be assigned to any chapter” so that it would read:

� ARTICLE IV. MEMBERSHIP * * *

� Section 4: Chapter Assignment � All members, except those employed by the Association and those who reside for at least 1 year where a

chapter does not exist, shall be assigned to a chapter having territorial jurisdiction of the area where the member practices, resides, or attends school or to an immediately adjacent chapter in which the member evinces the possibility of more active participation. Members who are active uniformed services personnel, and members who are spouses or partners of active uniformed services personnel, may choose to be assigned to any chapter.

o RC 14-17 Amend: Bylaws Of The American Physical Therapy Association, Article V. Components: Chapters, Sections, Assemblies, And The American Council Of Academic Physical Therapy, Section 1: Chapters, D. Structure, (4) – PACKET I (PASSED)

� Note: Triple asterisks (* * *) indicate language that is not being amended and therefore has not been included in order to make the document more concise.

� That Bylaws of the American Physical Therapy Association, Article V. Components: Chapters, Sections, Assemblies, and the American Council of Academic Physical Therapy, Section 1: Chapters, D. Structure, (4), be amended by adding the words “unless the chapter bylaws allow the apportioning of representatives of Physical Therapist Assistant, Retired Physical Therapist Assistant, and Life Physical Therapist Assistant members in the chapter to be the same as the apportioning of representatives of Physical Therapist, Retired Physical Therapist, and Life Physical Therapist members in the chapter,” so that it would read:

� ARTICLE V. COMPONENTS: CHAPTERS, SECTIONS, ASSEMBLIES, AND THE AMERICAN COUNCIL OF ACADEMIC PHYSICAL THERAPY * * *

� Section 1: Chapters * * *

� D. Structure * * *

(4) A chapter may create a representative body for the transaction of chapter business provided that the basis for establishing and apportioning the membership of the representative body shall be included in the chapter bylaws. A chapter's method of apportioning representatives of Physical Therapist Assistant, Retired Physical Therapist

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� Assistant, and Life Physical Therapist Assistant members of the representative body shall be proportional

to one-half the number of Physical Therapist Assistant, Retired Physical Therapist Assistant, and Life Physical Therapist Assistant members in the chapter, unless the chapter bylaws allow the apportioning of representatives of Physical Therapist Assistant, Retired Physical Therapist Assistant, and Life Physical Therapist Assistant members in the chapter to be the same as the apportioning of representatives of Physical Therapist, Retired Physical Therapist, and Life Physical Therapist members in the chapter.

2017 House of Delegates Selfie: Joy Karges, Michelle Grant, Brad Thuringer, Patti Berg-Poppe.

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PTA Caucus by Michelle Grant, PTA, MT ~ Big Stone Therapies

The PTA caucus has been busy again. The biggest drive has been to achieve 100% of chapters and sections allowing the full vote for the PTA. There were several chapters that had by-law restrictions that have been modified at this year's House of Delegates, so we are hoping that they will soon approve the change in vote, as well. Currently, there are 34 chapters that allow the full vote!

Another grassroots effort has been to change Tricare's position on assistants treating. Currently there is legislation in both the house and senate to overturn the previous no-assistant policy. This has been a long time coming and we are hopeful to see the change become law in the near future.

We continue to hold regular webinars to allow collaboration among chapters on how to continue to better the PTA profession, as well as the PT-PTA care team. A topic of continued discussion is that of progressing the education of the PTA to a Bachelor's Degree. Although the board has previously found the associate's degree appropriate, as well as cost efficient for the provider and recipient, there is discussion that the idea of PT being a doctoring profession and potentially a primary care provider, that assistants need additional preparation to properly support their PT. There is a working group looking into this further, so if you have any concerns or suggestions, please let me know.

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Public Relations Committee Report by Brandie Rainboth, DPT, OCS ~ Black Hills Physical Therapy National Physical Therapy Month!!

Thank you for all who participated in celebrating National Physical Therapy Month during October! We have a great profession and this is a great opportunity to educate other providers and public on the benefits physical therapy has to offer.

Join the #ChoosePT campaign….

I would like to encourage all members to educate yourselves on the #ChoosePT campaign by the APTA.

There has been a lot of media surrounding the opioid epidemic in our nation. A recent article on CNN featured news that the US Surgeon General will be sending letters to physicians urging them to take part in the battle against the opioid epidemic, accompanied by a card that specifically mentions physical therapy as one of the preferred first-line approaches for treatment of chronic pain. The CDC has also included physical therapy in treatment guidelines for chronic pain.

This is a great opportunity for our profession to step it up and show the public, physicians, legislators, insurers how valuable physical therapy is in the treatment of musculoskeletal conditions, including chronic pain. #ChoosePT #GetPT1st

How you can help!

APTA has great resources of information. Below is a link to a toolkit with many ideas from sharing info on Facebook to writing position letters to local newspapers.

http://www.moveforwardpt.com/ChoosePT/Toolkit

Like and Share info posted on SDPTA Facebook page.

www.facebook.com/SDPTA

Educate your patients.

#ChoosePT toolkit offers a 1-page campaign handout that can be given to patient.

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SDPTA Ad Campaigns

We have increased our public PR efforts over the last year by advertising in: Argus Leader and Rapid City Journal with print and online #ChoosePT ads during month of October; South Dakota Medicine Magazine with 1/2page #ChoosePT print ads during September, October and November (sent to all SD physicians); South Dakota Magazine MoveForwardPT.com print ads throughout 2017; and SDPTA billboards on I-90 and I-29, August-September 2017.

SDPTA Ads in South Dakota Medicine Magazine Online #ChoosePT as on Argus Leader

SDPTA Ads in South Dakota Magazine SDPTA #ChoosePT Ad in Rapid City Journal

SDPTA Billboard N of Sioux Falls SDPTA Billboard Exit 55 Rapid City

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SAVE THE DATES!!

USD Medical Student Presentation – November 2, 2017 PR Committee will also be hosting a presentation luncheon to USD medical students to educate them on the physical therapy profession during National Physical Therapy Month.

If you are interested in volunteering or presenting, please contact me at [email protected]

Legislative Day – February 6, 2018

Legislative Day is scheduled in Pierre at Capitol on February 6th, 2018! This is a great opportunity to meet and greet our current SD Legislators and advocate for our profession. Join us!

Other news: I also encourage everyone to check out our Facebook page, www.facebook.com/SDPTA. Current events of SDPTA will be posted, along with current articles, news, videos and events that can be shared to help promote the benefits of physical therapy.

We have applied for APTA Community Awareness Grant and will be notified end of November 2017 if awarded. The Community Awareness Grant helps fund SDPTA PR campaigns.

Public Relations Committee Report by Brandie Rainboth, DPT, OCS ~ Black Hills Physical Therapy

Reimbursement Committee Report by Trisha Rieffenberger, PT ~ Big Stone Therapies This year’s APTA Payment and Policy Forum was held in Detroit in September and I was unable to attend due to the unexpected passing of my father. It has been a trying year for me as the payment chair in dealing with Medicaid reimbursement issues. We were able to celebrate for a short moment when Medicaid informed us that assistants could start treating Medicaid patients in all settings starting July 1, 2017; however, we soon learned that assistants would be reimbursed at 50% of the already low rate as they are considered a “mid-level provider”. Pat Hauer has recently been digging in on this issue and found out that we have been grouped with Applied Behavior Analysis (ABA) therapy according to the Professional Services Billing Manual.

I have also recently been informed that Work Comp evaluation rates have been significantly reduced based off the Optum 360 values. It appears that reimbursement rates are now tiered based off complexity codes. The low complexity evaluation is now valued at less than the reimbursement rate of manual therapy. We are digging into this issue as well hoping to find some possible solutions to capture our value.

As of this September, I have officially stepped down from the payment chair position due to increased demands of my family. It has been an interesting, educational, exciting, yet sometimes frustrating 9 years of service. If you find yourself motivated to jump on board to help advocate for payment of our services, I strongly encourage you to step up and volunteer for this role. Please reach out to Pat Hauer if you are interested in serving the association as payment chair.

I will not be at the fall meeting as I will be attending the APTA Private Practice Section in Chicago. Congratulations to the award recipients! I would also like to thank the SDPTA for the opportunity to serve as payment chair over the past 9 years!

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Education Committee by Lynn Simon PT, DPT, ATC ~ Big Stone Therapies

This fall we have an outstanding line up of courses.

Frustrated in your ability to treat patients with pain? You will NOT be disappointed in what you learn in these lectures on Pain Neuroscience. Dr Adriaan Louw, PT is a leading researcher and education of pain neuroscience. He is the CEO and co-founder of the International Spine and Pain Institute. Dr. Adriaan Louw has been teaching postgraduate, spinal manual therapy and pain science classes throughout the US and internationally for 15 years

Attend the course to learn more about these topics:

o Teaching People About Pain o Anatomy and Pathology of the Lumbar spine o A Pain Science Approach to Headaches o Perioperative Pain Education

One of three adults age 65 and over will fall this year, and 70% of these falls can be prevented with the appropriate interventions. Learn what these interventions are at Evidence in Motion’s Management of Balance/Falls and Neurologic Problems in the Older Adult course.

Dr. Cody Thompson, PT, GCS will lead participants thru this lab intensive course focusing on the clinical reasoning and hands-on problem solving necessary to effectively integrate evidence-based screening, assessment, intervention, and management techniques into the clinical management of these individuals.

Spring 2018 Conference will be held at The Lodge in Deadwood on April 7th and 8th.

Join us for Julie Knoll PT, NCS of NeuroBalance Physical Therapy for a Vestibular Course. With concussion numbers increasing, Julie will discuss how to treat the vestibular system for concussed athletes in the course as well.

Plan to join us in Sioux Falls October 13th and 14th, 2018 for these courses:

Scott Brown, PT, DPT, OCS, SCS, Cert. DN and Jeff Schmidt, PT, DPT, OCS, SCS, Cert. DN of Orthopedic Physical Therapy Specialists, LLC will be holding a lecture/lab based course for the spine.

PEDS THERAPISTS: plan to attend the 1st PEDS course the SDAPTA has offered in recent years!! Susan Blum Pediatric Physical Therapy of TMR for Tots will be instructing TMR for Tots Level 1 course.

Thank you for supporting the SDPTA by attending the courses offered!

The Education Committee

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SDPTA Membership Spring 2017 Meeting March 25th 2017

Start: 5:15 Quorum: Was met = 36 members

1. Approval of Fall 2016 meeting minutes: a. Motioned Michelle Grant b. Second Brandie Rainboth

2. Treasurer’s Report-Bill Meredith a. Assets:

i. Wells Fargo Checking: $21,337 ii. Vanguard: $286,629

iii. Total: $307,966 b. Cash- 33% c. GNMA Bond- 16% d. Preferred Stock- 14% e. Stock- 37% f. Continuing education Income- $31,208 g. Dues: $31,835 h. Expenses: $92,101 i. Total income: $75,744

x Sioux Falls cont ed fall 2016 poor attendance, but will be in the black. 3. Committee Reports:

a. Ethics i. Nothing to report

b. FAL-John Rounds i. John Rounds in DC with Jeff Steinberger meeting with Noem, Thune, Rounds

ii. Info on SDATPA website c. Reimbursement-Trisha Rieffenberger

i. PTA may treat Medicaid patients in all settings but will reduce reimbursement ii. PT and PTA rates will be different, will use modifiers and charts audited to police

iii. Concern on seeing reduced # patients 1. Will look into survey to see if decreased # of Medicaid patients being seen 2. Contact person will be on SDAPTA website 3. Possibly form committee of how to keep patients informed and way for them to express

concerns d. State Legislative Affairs-Phil Moe

i. HB 1070 bill passed, only one vote no ii. SDBMOE can mandate

e. House of Delegates-Joy Karges i. Will post info in April on RC’s

f. PAC-Leonard Suel i. Money spent for elections

ii. Continued need to contribute to PAC 1. Can donate on PT action app.

g. Public Relations-Brandie Rainboth i. $2200 community awareness grant

1. #ChoosePT campaign 2. MoveForwardPT.com 3. Dangers of opioid use

a. Ad placement online vs paper

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ii. SDPTA ads

1. Billboards in Sioux Falls Aug-Sept and Rapid City Exit 55 (supposed to have 90,000 views/week).

2. Approved to advertise in SD magazine. iii. Volunteer opportunities

1. Senior games Sept 7-10 2017 in Sioux Falls a. Fitness screens

2. Special Olympics May 19-20 2017 in Spearfish a. funfitness screen (half or full day)

3. USD med student presentations. iv. Approved for twitter account.

h. Nominating- Amber Jansen i. Treasurer, director, PTA caucus rep positions open this fall

i. Education-Lynn Simon i. 60 participant in 2 spring cont ed courses.

ii. Fall meeting 2017 courses: 1. Nov 3-4 Adrian Louw: HA, lumbar spine and perioperative pain 2. Nov 4-5 Cody Thompson: management of neuro problems: balance and falls in the

elderly iii. Need more vendor involvement

j. Membership-Chris Barrett i. Campaign and provide education for new cont ed requirements

ii. 530 total members up 15% 1. PT 340 members up 5% 2. PTA 32 members up 9% 3. SPT 158 members up 37%

k. Awards-Kim Cockrum i. Changed guidelines

1. Active in APTA or active in committee OR

2. Demonstrate advancement of profession and be member 75% of career and attend at least one cont ed course/year.

3. Presentations will be BEFORE business meeting

4. Old business a. HB 1070 passed b. Technology

i. Videoconferencing trial Fall meeting 2017, improve quorum ii. Setting up technology committee to work on videoconferencing

iii. May rent videoconferencing, already set up, just need to turn on and go 1. $300-500 cost 2. DDN no restrictions on participants, 8 sites planned.

c. Developing own PT board i. Where do we go from here? Own PT board? focus on continuing ed first, then consider this.

Tough sell due to PT board being state employees.

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Reach Out Page 17 of 18

5. New business a. HB 1070 finalizing process

i. Mandatory continuing education

1. Unsure of timeframe for entire process, will provide updates. 2. Possibly 20 CEUs/2years, cont ed draft on website, still in process.

ii. No mandatory PT/PTA co-treat for initial eval, effective July 1 2017.

b. Shoes4kids-diocese of Boston to donate shoes 4 kids during APTA annual conference i. SDAPTA website for donations

c. Potential long-term issues associated with continuing education and the association’s ability to generate revenue.

d. Membership becomes a helpful solution to problem b. e. Issue of chiros using title of physiotherapist on webpage, violation of PT practice act, pulled from

webpage. Continue to be aware of issues and report them to SDPTA board member. f. SDBMOE candidates

i. 2 positions for non-physicians, would like to have practicing PT on board g. Videotaping conferences/live seminars and selling to PT’s that are unable to attend, not currently being

used in any other chapter. i. Difficulty with permission from presenter. Put on hold, will consider.

h. Microblading used by estheticians, SDBMOE addressed issue, leaving PT out for now. Adjourned: 6:25 Motioned: Pam Neugebauer Second: Bill Meredith

SDBMOE meeting 6/8/17

•set date for public hearing

IRRC for final approval

•opponent/proponent testimony for proposed rules

Filed with Secretary of

State

•provisionally effective 20 days later

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Contact Information

President President Elect

Patrick Hauer, PT, EdD, MHS John Rounds, PT, DPT 165 Hideaway Rd 1410 E Summit Ave Mission Hill, SD 57046 Pierre, SD 57501 Email: [email protected] Email: [email protected]

Chief Delegate Director

Patti Berg-Poppe, PT, PhD, NCS Pam Neugebauer, PT 414 E Clark St PO Box 807 Vermillion, SD 57069 Summit, SD 57266 Email: [email protected] Email:[email protected]

Treasurer Secretary

William Meredith, PT, OCS Erin Vogel, PT 4900 S Pennbrook Ave 827 Eastgate Dr Sioux Falls, SD 57108 Vermillion, SD 57069 Email: [email protected] Email: [email protected]

APTA Main Office Executive Secretary/Webmaster

Shelley DeMarais 1111 N Fairfax St PO Box 91146 Alexandria, VA 22314-1488 Sioux Falls, SD 57109 Office: 800-999-2782 x 3124 Office: (605) 339-4839 Website: www.apta.org Website: www.sdapta.org