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| January 11, 2018 |
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SCAPTA
The SCAPTA Research and Practice Committee looks forward to receiving poster presentation submissions for the 2018 SCAPTA Annual Conference, to be held April 13-14, 2018, at The Medical University of South Carolina in Charleston, SC. Posters will be considered from all areas of practice such as orthopedics,pediatrics, and neurorehabilitation, and from any physical therapy related practice setting. Poster Presentations are reports in which information is summarized using brief written statements and graphic materials, such as photographs, charts, graphs, and/or diagrams. The dimensions of the printed poster should be 3ft x 4.5ft (HxW). Posters will be on display during Exhibit Hall hours. Speakers will be assigned a specific time when they must be at their posters to discuss them with conference attendees. The submission deadline is February 15, 2018. The Poster Application and application guidelines can be found at this link.
SCAPTA
If you or your company is interested in exhibiting during the 2018 SCAPTA Annual Conference to be held at The Medical University of South Carolina in Charleston, April 13-14, 2018, please review the variety of opportunities available as outlined on the Exhibitor Prospectus. Please complete the Registration Form and Special Sponsorship Form and submit to southcarolina@apta.org.
SCAPTA
Payment reform is underway and as Medicare shifts away from fee-for-service to value-based payment, physical therapists need to know how this will impact their practice and what to do. “The Shift to Value-Based Payment: What You Need to Know Now” is a webinar offered by APTA free for members. The webinar is scheduled on Thursday January 18 from 1:00-2:00 pm Eastern time. Participants are required to review a prerecorded presentation in advance of participating in the live Q&A webinar on January 18 . Participants are asked to prepare a few questions in advance of the live session; email questions directly to: learningcenter@apta.org no later than January 16. Click here to register.
SCAPTA
In December, the Federal Affairs Liaison Committee discussed recent regulatory, congressional, and TRICARE updates.
In late November CMS released the Comprehensive Care for Joint Replacement (CJR) Model/Cancellation of Episode Payment Models Final Rule. Within the rule, CMS made 3 major policy changes. CMS reduced mandatory CJR participation from 67 geographic areas to 34 areas and now allows eligible hospitals in rural areas to voluntarily participate. CMS cancelled the acute MI, CABG, and surgical hip/femur fracture EPMs and the cardiac rehab incentive payment model that were set to begin on January 1, 2018. CMS plans to design new models with greater stakeholder input. CMS expanded the scope of clinicians eligible to receive Advanced APM bonus. To view a fact sheet on the rule, please see: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-FactSheet-items/2017-11-30.html
Congress recessed in December without addressing the Medicare therapy cap, despite the bicameral, bipartisan agreement that was announced in October. The bottom line: unless CMS determines it has any flexibility, beginning on January 1, 2018, the $2,010 hard cap on physical therapy and speech-language pathology services combined will be instituted, and the exceptions process that currently permits medically necessary services above the cap through use of the KX modifier will no longer apply. It should be noted that the hard cap will not apply to hospital outpatient clinics. Hospital OPs were not originally included under the therapy cap when it was first enacted as part of the Balanced Budget Act (BBA) in 1997. Hospital OPs were subsequently added to the cap exceptions process in 2012. However with the expiration of the exceptions process on December 31, 2017, the requirement for hospital OP to participate in the therapy cap exceptions process also expires.
President Trump signed into law the Tax Cuts and Jobs Act in December. The deductions for student loan interest stays, graduate students who receive tuition reductions and waivers won’t be taxed on the value of those programs, and deductions for medical expenses will increase.
President Trump the National Defense Authorization Act, thereby allowing PTAs to be service providers for TRICARE beneficiaries. The change will not take place until the DOD issues guidance under the new law.
To become a key contact to a US Senator or Representative or to host an event, contact SCAPTA Federal Affairs Liaison Cathy Arnot at arnot@mailbox.sc.edu or send a message to our office at southcarolina@apta.org and follow us on Twitter, Facebook and Instagram @SCAPTA1.
SCAPTA
Implementation of the Physical Therapy Licensure Compact continues to move forward, as the PT Compact Commission met on November 5, 2017, in Santa Ana Pueblo, New Mexico, for its first in-person meeting. At this meeting the Commission adopted rules, bylaws, and its 2018 operating budget. The Commission's new website was also unveiled, with a demonstration of how licensees will use the site to apply for and manage compact privileges in participating states. Systems development is on track for a launch sometime in the first half of 2018.
The Commission adopted a fee of $45 for compact privileges in 2018. This is the fee an individual licensee (PT or PTA) in a participating state will pay to the Commission for a compact privilege in each state in which the licensee wishes to work. States may choose to adopt their own fees for compact privileges in addition to the Commission's fee, but state fees are yet to be determined.
To date, 14 states have adopted the PTLC, legislation is pending in 2 states, and bill introductions are expected in several additional states, including South Carolina, in 2018.
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SCAPTA
Do you know of an APTA member who in 2017 has gone above and beyond to advocate on behalf of the physical therapy profession at the federal level? Is there a member of Congress, staffer, or public figure who has championed physical therapy causes this year? Nominate them for APTA’s Federal Government Affairs Leadership Award or the Public Service Award.
The Federal Government Affairs Leadership Award is presented annually to an active APTA member who has made significant contributions to the association’s federal government affairs efforts and shown exemplary leadership in furthering the association's objectives in the federal arena.
The Public Service Award is presented annually to an individual who has demonstrated distinctive support for the physical therapy profession at a national level. Individuals from the following categories are eligible for nomination: members of Congress, congressional staff, federal agency officials, health and legislative association staff, and celebrities or other public figures.
Recipients will be selected in February by the APTA Board of Directors, and the awards will be presented during APTA's Federal Advocacy Forum set for April 29–May 1 in Washington, DC. Winners' expenses to attend the award event will be paid by APTA.
Nominations must be submitted by Friday, January 12, to Jennica Sims at jennicasims@apta.org.
| | HEALTH PROMOTION AND WELLNESS |
Scientific American
Experts at the National Institutes of Health estimate that 25.3 million adults in the U.S. are living with chronic pain. Although the Centers for Disease Control and Prevention recommends against opioids as a first-line or routine treatment for chronic pain, the rate of opioid prescriptions has increased dramatically in recent years, contributing significantly to the U.S. epidemic of opioid addiction, overdose and overdose death. The rise in opioid prescriptions is driven by a number of factors that include patient demand and insurance reimbursements tied to patient satisfaction scores.
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Journal of the American Heart Association
More than 60 percent of patients decline participation in cardiac rehabilitation after a myocardial infarction. Options to improve physical activity and other risk factors in these high‐risk individuals are limited. We conducted a phase 2 randomized controlled trial to determine feasibility, safety, acceptability and estimates of effect of tai chi on physical activity, fitness, weight and quality of life.
READ MORE
Physical Therapy Products
Ingestion of antioxidants before or after exercise may not prevent or reduce muscle soreness after the workout, according to a research review published recently in the Cochrane Database of Systematic Reviews.
Antioxidant supplementation includes vitamin C and/or E, or antioxidant-enriched foods such as tart cherry or pomegranate juice, per the researchers.
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PT in Motion
There's solid evidence that physical therapy as a first-line approach for low back pain improves outcomes, but not many studies have focused on the factors that are associated with referral to physical therapy in the first place, regardless of later participation in treatment. Now authors of a recent study believe they've found associations indicating that the very act of referral for physical therapy may point to the ways a primary care provider's approach to low back pain can affect patient perceptions and reduce odds of later opioid use, even when the patient doesn't follow through with the referral.
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Sports Health
Outcomes after arthroscopic Bankart repair can be highly dependent on compliance and participation in physical therapy. Additionally, there are many variations in physician-recommended physical therapy protocols. Rehabilitation protocols after arthroscopic Bankart repair were found to be highly variable. They also varied with regard to published consensus protocols. This discrepancy may lead to confusion among therapists and patients.
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Cancer Therapy Advisor
Physical activity may improve survival among patients with lymphoma, according to the results of a study presented at the 59th American Society of Hematology Annual Meeting in Atlanta, Georgia. The observational study showed that increasing physical activity not only decreased patients' risk for death from all causes, but decreased the risk of lymphoma-specific mortality.
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WebPT
Good communication is one of the cornerstones of a great relationship — whether that be a relationship with a significant other, friend, or patient. We’ll keep our nonatient relationship advice to ourselves, but when it comes to your patients, it’s absolutely imperative that you have the right conversations — at the right times — to keep them informed, engaged and happy.
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Arthroscopy
The purpose of this study was to assess comprehensiveness and variability of postoperative physical therapy protocols published online following hip arthroscopy for femoroacetabular impingement and/or labral repair. There is considerable variability in postoperative physical therapy protocols available online following hip arthroscopy for femoroacetabular impingement, including postoperative restrictions, rehabilitation activities and time points for activities.
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BuildPT
Ever set a commitment for yourself and fail to get it done? Sure you have. We all have.
It might be that 5 a.m. run we carefully planned the night before, or it could be to get through our unread emails by the end of the day.
Sometimes the stakes are even higher — like carving 5 percent from the expense budget or having a sit-down with an underperforming employee.
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MultiBriefs
In an effort to enhance the overall content of SCAPTA News, we’d like to include peer-written articles in future editions. As a member of SCAPTA, your knowledge of the industry lends itself to unprecedented expertise. And we’re hoping you’ll share this expertise with your peers through well-written commentary. Because of the digital format, there's no word limit, and our group of talented editors can help with final edits. If you're interested in participating, please contact Ronnie Richard to discuss logistics.
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