Professional Documents
Culture Documents
PRESIDENTS COLUMN
CONTENT
President Eric Tarrs
Column
Call for Nominations
WVPTA Lobby Day is
January 28, 2015
Bryanna Ordiway
Recognized by APTA
House Committee
Update
Insurance News
Update
Spring Conference
2015 Outline
Practice law
provisions that
changed in 2014
National Student
Conclave news and
reports
Remember when you first got out of physical therapy school? You were
ready to tackle the world, show whoever would pay attention what you
could do. Give me a tough one. I like a challenge. For many of you, that
has never changed. You still look to be the shiniest diamond on the
ring. You look for opportunity to provide value to others because you
have a talent for it. I can tell you from experience that applying that
mentality to leadership is exponentially more rewarding than keeping
it within the four walls of your practice.
Jim Rohn, one of the greatest leadership coaches in our time, said, The
challenge of leadership is to be strong, but not rude; be kind, but not
weak; be bold, but not a bully; be thoughtful, but not lazy; be humble,
but not timid; be proud, but not arrogant; have humor, but without
folly. Leadership is a challenge but it is such fun education. If you
have the attributes of a leader, your profession needs you.
The WVPTA is now looking for leaders to step up as we look ahead to
our April elections. Its an exciting time to be involved as most of health
care is morphing. Pay special attention to our Nominating Committees
requests for nominations. If you see something that interests you,
whether you are already a proactively involved member or not, reach
out to the committee to get your questions answered.
Finally, thank you to all of our members and WVPTA leaders for such a
productive 2014. I very much look forward to 2015. I hope each of you
and your families have a very Merry Christmas and happy New Year.
The members of the WVPTA Board and our staff will give as
much or as little guidance as you need to make the day
beneficial for you and the practice of physical therapy.
Like our Facebook page www.facebook.com/wvpta or follow
us on www.Twitter.com/wvpta for an updated agenda and
timeline for the Lobby Day. Hope to see you there.
The following represent a brief listing of the current motion concepts being discussed:
1.
2.
3.
4.
5.
6.
7.
As a reminder, I am the current Chief Delegate; however, I will be passing the reigns off to Kelly Terry DPT after the
Spring Conference meeting. Kelly and Ralph Utzman PT, MPH, PhD will represent the Chapter at the 2015 House of
Delegates, June 1-3 in National Harbor, Maryland. There is currently an open position for the alternate delegate,
which will be voted on in the upcoming Chapter election. If you have an interest in learning the inner working of
the APTA and you are looking for a great way to serve the Chapter, please consider running. The newly elected
person will serve as the alternate this year and would not be required to travel until 2016.
If you have questions/comments or you would like to learn more about these motion concepts, please feel free to
contact Kelly Terry [odell8@mctc.edu], Ralph Utzman [rutzman@hsc.wvu.edu], or myself [dsdavis@hsc.wvu.edu].
INSURANCE UPDATES
SALLY OXLEY, PT, OCS, CHT, CMDT
WVPTA Payer Relations Committee Chair
PEIA - From the recent Public Meetings, the new healthcare plan would need to cut $40 million from their
healthcare budget for next year, $30 million in benefits for active employees, $3 million for county and municipal
employees covered by PEIA, $4.5 million for pre-65 retirees and $4 million for Medicare retirees. For active
employees, the menu of cuts includes increasing out-of-pocket maximums for family coverage, increasing
deductibles, increasing primary- care office visit co-pays by $5 to $20, increasing specialist office visit co-pays by
$15 to $40, doubling the outpatient surgery co-pay to $100, doubling the Urgent Care visit co-pay to $50,
eliminating coverage for massage therapy and for removal of impacted wisdom teeth, among other options. Ted
Cheatham also is looking at instituting a Healthy Tomorrows program, which would increase the annual deductible
by $500 for employees who fail to meet standards to encourage healthy lifestyles. In the first year, the only
requirement would be to name a primary-care physician. In the second year, insurees would have to have a
primary-care physician and report their blood pressure, glucose, cholesterol and waist circumference. By the third
year, insurees would have to have blood pressure at or under 140/90, glucose at or under 125, and cholesterol at
or under 245, to avoid the higher deductible. Cheatham said it will be one of several initiatives to promote healthy
lifestyles. PEIA is finally getting to the place where we have the tools for members to take care of themselves, he
said. Other tools include an online version of the Healthcare Bluebook, to compare provider cost and quality for
143 common medical procedures, as well as for 115 commonly prescribed prescription drugs. Josh Sword, who
represents teachers on the Finance Board, noted that part of the reason for the benefit cuts is that employer
premiums for PEIA have not increased in three years. Cheatham said PEIA could not consider a premium increase
this year because the governors budget recommendations for the 2015-16 fiscal year does not include additional
funding for employer premiums for PEIA
BrickStreet- There have been some payment delays since Brick Street introduced their new Jopari System.
Practices that are not using Jopari and continuing to send paper bills are not having the issues.
United Health Care When verifying benefits for patients with UHC the cap on the number of visits is a hard cap.
Even if Optum authorizes visits beyond the 20 (or whatever visit) cap they will not be paid.
Medicaid Initial authorizations for the Medicaid Expansion Plans are coming through in 2-3 days for the first 6
visits. Second authorizations are taking about 2 weeks. It is difficult to get authorizations beyond 12 visits.
Medicare Congress must act before March 31, 2015 to stop payment
cuts due to the flawed SGR formula. If they do act:
WVPTA Spring
Conference 2015
Outline
KRISTINE GRUBLER, PT, DPT
Education Committee Chair,
WVPTA
The WVPTA Spring Conference
will be held April 25-26 at the
Stonewall Jackson Resort. Please
watch for the full conference flyer
and registration which will be sent
out later this month. Highlights of
the conference are listed below:
Is Your Tool Box Up To Date?
Stephen Summers,
PT: Mobilization of the
Nervous System
Deborah Mattingly,
PT: Stress Management
and Yoga
7.1.b. Alleviate impairments, functional limitations and disabilities by designing, implementing and
modifying treatment intervention that may include, but are not limited to: therapeutic exercise, functional
training in self-care in relation to motor control function; mobility; and in home, community or work
integration or re-integration; manual therapy techniques including mobilization of the joints, therapeutic
massage; fabrication of assistive; adaptive, orthotic, prosthetic, protective and supportive devices and
equipment; airway clearance techniques; integumentary protection and repair techniques; patient-related
instruction, mechanical and electrotherapeutic modalities, and physical agent or modalities including, but
not limited to, heat, cold, light, air, water, and sound;
7.1.c. Reduce the risk of injury, impairment, functional limitation and disability, including the promotion
and maintenance of fitness, health and wellness in population of all ages; and,
7.1.d. Engage in administration, consultation, and research
between the experience that brought us to today, and the passion and
ideas that will lead us into tomorrow. I felt as though the event tied
seamlessly into the theme of the NSC. After all, the idea of the NSC is to
meet peers from across the country, make life-long connections, and
network with mentors, employers and APTA leaders. I hope to continue
to expand PT Pub Night in the state of West Virginia. As a member of the
WVPTA Student Special Interest Group, I can proudly say that we were
pleased to host our first PT Pub Night this past August and a second in
October. I hope it can continue to grow in popularity so that someday
between Marshall, WVU, and Wheeling Jesuit University we can have
over 180 in attendance.
A goal of the NSC is for students to utilize resources to ease the transition
from student to professional. I felt as though Saturdays resume building
activity and presentations including financial management, leadership
and a guide to the national boards fostered this transition. Passing the
boards, applying for a job, and managing student loans within the first
year of graduation can be an overwhelming thought. I found that each of
these lectures offered key advice and constructive information for the
new professional. My favorite of these activities was the leadership
lecture. Former APTA Vice President of Education, Janet Bezner, inspired
me when she said, Leadership doesnt end with leading patients to a
better lifestyle, it continues with what legislatures think about us and
what other health professionals think about us. We [the APTA] believe
the risks if we dont talk about this are too high. If you think education is
expensive, try ignorance. I realized that when I graduate, professional
development and leadership skills are imperative to who we treat, who
we work with, and what we aspire to accomplish in the future.
Leadership ties into everyday life as a physical therapist. I hope to have
made my first step to becoming a future leader by attending the NSC. It
doesnt end with completing graduate school, passing the boards, and
making sure I show up to work everyday. The NSC has helped me to gain
further knowledge on how leadership can expand through completion of
a residency, providing international physical therapy service, conducting
research, and educating others.
At the end of my three-day journey in Milwaukee, I was convinced
this years NSC had nothing less than an audience filled with of the future
leaders of tomorrow. It was not just Milwaukees best, but physical
therapys best. I have adopted so many new aspirations and learned
about opportunities I didnt even know existed. This has led to a
newfound excitement for what my future may hold. Margaret Drabble
once said, When nothing is sure, everything is possible. Although I
cannot predict the exact path I will end up choosing in my physical
therapy career, the NSC has taught me the possibilities are endless.
The next chance to catch NSC is October 22-24, 2015 in Omaha, NE. Between now and then there are several other
conferences to attend and ways to get involved. I encourage any readers to reach out to the WV SSIG or any
sections in which you may be interested so you can start creating your own path.