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Cardiovascular and

Pulmonary Section Electronic Newsletter

January, 2011

Dear Section Members,

I hope many of you are planning on joining us at the Combined Sections meeting in

New Orleans. There is excellent programming planned and it is a great opportunity for you to catch up with

colleagues. Our Section's membership meeting is on Friday, Feb. 11 at 5 p.m. in

the Hilton Hotel in the Bridge room. I would encourage you to join us and meet other Section members as well as you can learn about ways to get involved. We are

always in need of volunteers to help us with our many activities, and to bring fresh ideas. I look forward to seeing you in New

Orleans.

Best regards,

Ethel Frese, PT, DPT, MHS, CCS President

Table of Contents

Legislative/Reimbursement Update

ONLINE ELECTIONS – Please Vote by

tomorrow if not already done.

Section Member Profile – Julie Ekstrum

CSM Programming Info

Section Member Survey Results

Specialization Corner

Welcome to New Section Members

CVP PT Journal Update

Legislative/Reimbursement

Committee Report Ellen Hillegass, PT, EdD, CCS, FAACVPR

A few legislative and reimbursement issues have developed since the last update.

1. The exercise physiologists in Utah are attempting to achieve licensure though the legislature. These individuals have met with our president of the APTA, Scot Ward, but there are some issues regarding scope of practice that are of concern. Keep attuned to the CVP section’s website for any updates.

2. Connecticut instituted new legislation regarding the use of oxygen which requires facilities to ensure that all individuals working with patients who use oxygen are trained in use of oxygen. This is a requirement within facilities and requires each department to develop a program to verify the individuals are trained in use of connection, disconnection of O2 and titration. If you have had changes in your facility or state regarding any issues related to oxygen, please let me know.

3. Individuals experiencing any problems with reimbursement with the new national coverage determination for pulmonary rehabilitation should be contacting me. From our colleagues across the country it appears that there continues to be utilization of PT in pulmonary rehabilitation. However, individuals who are not familiar with PT billing of 97000 series are confused and providing some incorrect information regarding billing. Here is a quick summary. Follow-up to this will be at CSM…see next page info too.

January, 2011

The CVP Section's election deadline has

been extended to Jan 25 to allow for more

participation.

** This year, we will not be sending out a

postcard reminder to all members.

Instead, the postcard will only be sent to

those members who do not have valid

email addresses or do not wish to receive

emails. **

a. For all patients who have Medicare AND a diagnosis of COPD (<70% FEV1.0, these patients are eligible for 36 sessions of PR as long as all the other conditions for appropriate facility, appropriate physician supervision and appropriate assessment and outcome measurement.

b. PT 97000 codes should not be billed AT THE SAME TIME that G0424 codes are used. However, patients can be transferred or referred out to PT if INAPPROPRIATE for PR and seen by PT until they have achieved their goals for whatever impairments identified, and can then be referred back to PR to resume or begin PR. Or, patients could be started by PT and referred to PR when they finish their PT plan of care.

c. For all patients who have Medicare insurance and a diagnosis OTHER THAN COPD, you should continue to follow your Local coverage determination for pulmonary rehabilitation which usually involves billing the 97000 codes and/or G codes of G0237, G0238 or G0239 if other professionals are involved.

d. For all patients who have Medicare insurance and a diagnosis OTHER THAN COPD but do not have a local coverage determination for pulmonary rehab, they may be seen for PT for a plan of care to address their impairments.

e. For all patients who have insurance OTHER THAN Medicare, you should contact these companies to see if they accept the G0424 code before you bill that code. Otherwise, continue to bill as you were doing for NON MEDICARE patients.

4. I will be covering the Cardiopulmonary booth during one hour time period on Friday, February 11th and will be available for one to one conversations about reimbursement. The schedule will be posted on the website and at the booth at conference. 5. Be aware there are new changes in billing Medicare when you bill multiple treatment codes. These changes have taken affect as of January 1, 2011. More information is available through APTA website.

Thanks for allowing me to serve and please keep

me in mind when you have issues regarding

legislation or reimbursement in the area of

cardiovascular and pulmonary therapy.

Legislative Update Continued

January, 2011

Section Member Profile

Julie Ekstrum, PT, DPT, CCS

After earning her Masters of Physical Therapy from Hahnemann University in 1998, Julie worked at Madonna Rehabilitation Hospital in Lincoln, NE in the Long-term Acute Care Hospital. There she specialized in working with the medically complex patient, including those on mechanical ventilation. During that time Julie developed competencies for ventilator and oxygen delivery management and co-developed the Phase I cardiac rehabilitation program. In 2003 Julie took a faculty position with the Department of PT at Creighton University and continues her practice with medically complex patients at Creighton University Medical Center. In 2006 she graduated with her tDPT from Creighton University. In 2007 Julie became a Board Certified Cardiovascular and Pulmonary Clinical Specialist. While Julie has presented educational programming extensively, an endeavor which she is very proud of is her involvement with Creighton’s ILAC program (Institute for Latin American Concern) in Santiago, Dominican Republic. As Director of the ILAC program, she coordinates a 4-week clinical education opportunity for Creighton students and recruits practicing PTs to serve as clinical instructors for the students. The students and professionals provide physical therapy to the underserved and work alongside Dominican therapists to advance PT practice in this developing country.

Highlight written by: Lynn Millar, PT, PhD

January, 2011

Check Out the CVP Section’s CSM Programming!

Thurs: Sessions on DVT, O2

use, and the Linda Crane Lecture.

Fri: Sessions on Heart

Failure and VAD and Info for those considering CCS

specialization. Sat: Sessions on CVP

Diagnoses and Chronic Fatigue Syndrome

Platforms on Fri 8-10:00 and 1-3:00.

Posters on Sat 11-12:30

Julie also served on the nominating committee of the CVP Section for three

years.

January, 2011

Membership Survey Results (Only partial results are presented here due to space limitations)

A 10-question survey was posted via Survey Monkey this past fall for members of the Section. The survey was accessible for about 6 weeks to members. 1071 members were sent the link via blast emails and 152 members responded (14.2% response rate). This response rate is similar to the number of members who vote in section elections each year. Below is a summary of the responses to each question. A more detailed report will be submitted and discussed at the CSM Section Membership meeting.

Length of Section membership

Greatest response followed by second greatest was:

> 11 years 36.2 %

0-2 years 28.9%

Primary reason for joining the Section (members

were allowed to pick only 1 answer)

Greatest response followed by second greatest was:

1. Quarterly published Cardiopulmonary Physical

Therapy Journal 46.7%

2. Easy access to networking opportunities 21.1%

Rating of the Section Benefits (1 being most

important and 9 being least important)

Highest ranked followed by second highest was:

- Cardiopulmonary Physical Therapy Journal (rank

1.84)

- Networking opportunities (rank 4.41)

Preference of the Cardiopulmonary Physical

Therapy Journal

73.7% said paper

Preferred Mechanism of Continuing

Education

- Highest ranked - attending a course/seminar

(1.96) especially APTA CSM or Annual

Conference (2.39)

- Middle rank – self study (3.47)

What continuing educations topics members

are interested in – Only top 5 listed here - Heart failure (*This year’s pre-conference

course at CSM in New Orleans!*)

- Exercise testing and prescription

- COPD

- Pharmacology and CVP

- Cardiac rehab

Do you plan to take the Cardiovascular and

Pulmonary Specialty (CCS) exam in the next

2 years? 6.6% - Yes 61.8% - No 29% - already are a CCS

Reasons for not planning to take the CCS

exam (Highest two reasons given) - Research requirement - Too much time needed to prepare

Will you remain a Section member upon

renewal? 94.1% - Yes

Anything the Section can do to improve

services? This was an open ended question and 40%

responded. The membership chair can give

further information on these responses.

As we move forward with planning for the Cardiovascular and Pulmonary Section of APTA, we intend to use the

information gained from this survey to guide what programs are offered to Section members. Knowing that all

members were not able to respond to the survey, and that we now have mechanisms to offer education programs to all

members of APTA, we will take surveyed ideas into consideration as we develop new and existing programs. This will

enhance the knowledge of all physical therapists and physical therapist assistants in the specialty of cardiovascular and

pulmonary physical therapy.

Dawn M Stackowicz, PT, MS, CCS Jennifer M Ryan, PT, DPT, MS, CCS

Membership Chair Education Chair

January, 2011

Congratulations to our 2011 new and recertified Cardiovascular and Pulmonary Clinical Specialists!! - Newly certified Kathleen Stewart Sanford, PT, DPT, CCS Vicky Hu, PT, DPT, CCS Abby Folger, PT, DPT, CCS Karen D. Waak, PT, DPT, CCS Colleen Alison Lettvin, PT, MSPT, CCS Sarah D. Wright, PT, DPT, CCS Francisco Carlos Nunes Da Silva, PT, MA, CCS Gregory J. Sweeney, PT, MS, CCS David Marc Zemmel, PT, MS, CCS Jacqueline F. Pierce, PT, CCS

­ Recertified Denise Vilotijevic, PT, MA, MS, CCS Anne Katrina Swisher, PT, PhD, CCS Tanya Kinney LaPier, PT, PhD, CCS

­ Questions about specialization? Check out the Information Booklet and Application (updated version available ~May 2010) or contact the CVP Specialty Council member Jeff Rodriquez.

Cardiovascular and Pulmonary Specialization Corner

The Cardiovascular and Pulmonary Specialty Council is looking for those interested in helping to host, or attend, a Regional Item Writing Workshop. These workshops are put together to gather CCS's in a particular region for the purpose of generating questions that can be submitted to the Item Bank for the CCS exam. For those that have been to SACE at CSM, think of it as SACE going on the road to meet you. In the last couple of years we have had Regional Item Writing Workshops in St. Louis, Boston and Dallas. The work done at these workshops can go towards re-certification. If you are interested in attending, or have a facility that may be able to host a Regional Workshop please contact a member of the CV&P Specialty Council for information. Jeff Rodrigues, PT, DPT, CCS Ana Lotshaw, PT, PhD, CCS Joe Norman, PT, PhD, CCS

LaNaya Lynn Achord, PT Simeon Leyesa Alicante, PT Scott Alstadt, PT Emily F Bannister, SPT Katie Alison Baroni, SPT Kristin Beadle, PT Sarah Nicole Blatti, SPT Paul P Braunlin, PT Jeanetta Lee Carty, PTA Matthew Derrick Cole, SPT Crystal Lynn Croson, PT Micah W Darden, SPT Linda Dudis, PT Kristen Mary Galione, SPT Rubye Kendrick, PT, MS, GCS Martin C Lambert, PT, MS, OCS Jennifer Christine Lewis, SPT Zachary Joseph Mertz, SPT Joey N Salgado, SPT Kimberly Marie Samson, SPT Nadia Sarapuddin, SPTA Eric Anthony Silva, SPT Katie Jo Smith, PT, DPT Tracy Louise Smith, PT Kaleb N Snell, SPT Shaun Paul Snyder, PT

January, 2011

Perpetuo Guiterrez, PT Barry Haneke, PT Timothy Wayne Hardwick, PT McKenzi Helen Herbst, SPT Daphena Joanet Howard, PTA Sharon R Jessup, PT Cynthia Louise Johnson, PT Kelly Christine Lapota, SPT Rachel Gail Lee, SPT Walter Nathaniel Lumsby, PT Sunitha Merugu, PT Jessica Ann Miller, PT Joshua Martin Moreali, SPT Elizabeth Anne Narducci, SPT Margaret Teresa Pogge, PT Elizabeth Ann Powers, PT Christina Marie Sam, PTA Maria Delia Sanchez, SPT Abigail L Schnur, SPTA Michael Brandon Starace, SPT Colleen A Sullivan, SPT Kyle L Tattershall, SPT Saj Matthews Thomas, PT Laura Tymas, PT Joshua Braden Vance, SPT

Welcome New CVP Section Members Joining

Between October - November 2010

Michelle Marie Stephenson, SPT Megan Munson Sturzinger, PT Katelyn Teixeira, SPT Teresa Tejeda, SPT Ian Andrew Thompson, SPTA Dana Vered, SPT Lori Lynae Wahl, PT, DPT Rachel Talia Winthrop, PTA Joshua Glen Woolstenhulme, PT Eugene Antunes, SPTA Jessica Lynn Appel, SPT Hugo Arenas, PT Lariza Batoon, PT Carrie Bray, SPT Kristen Joanne Campbell, SPT Stephen Matthew Chan, SPT Purita Chong, PT Kimberly Zborowski Clarkin, PT Amanda Ellen Connors, PT Christine E Cronin, PT Sarah Colleen Dirksen, SPT Mary Lape Freiermuth, PT Heather Renee Gleason, SPT Nicholas Brandon Gohn, SPT Mallory Groppe, SPT

Cardiopulmonary Physical Therapy

Journal Update One of the goals of the Section has been to raise the visibility and quality of research in

cardiovascular and pulmonary topics. The Journal has been striving in several ways to

meet this goal. However, the quality of the product depends on the quality of submissions.

Since having the Journal listed on PubMed Central, we have seen up to 4000 “hits” per

month on the Journal’s listing in this database. This is one indicator that the work being

done in our field is being viewed and valued by therapists and scientists all over the world.

Another indicator is the number of international submissions to the Journal. In 2010, 40%

of new submissions were from outside the US (from every continent except Africa!). While

not all submissions met quality requirements for publication, it is quite exciting to see our

Journal to be recognized as having a unique niche in the world for disseminating

cardiovascular and pulmonary physical therapy research and practice issues. The Editorial

Board is optimistic that this trend will continue in 2011 and we are always looking for new

submissions. If you will be attending CSM, please make yourself known to Anne Swisher,

Editor-in-Chief, or other members of the Editorial Board. We are also looking for

reviewers to add to our cadre and others to serve in various roles. Hope to see you at CSM!

Cardiovascular and Pulmonary Section

American Physical Therapy Association

3437 Caroline St

St. Louis, MO 63104

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January, 2011

Do you have a section

member that

you think should be

highlighted in the

newsletter? Send their

name and contact info to

[email protected].