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"I would like to thank you for helping me with my new Quickie wheelchair. It has sincerely helped me in my mobility and to have more freedom to get around my home and do my grocery shopping."
- Jacksonville, FL
With the increased need for in-home services, Seating Solutions has expanded across North Florida and in the Tampa area, including surrounding counties. We are pleased to announce the addition of wheeled mobility & seating specialists, Christina Potter, PT, ATP (Tampa), Jennie Barrow, OTR/L, ATP (Jacksonville) , and Lynell Campbell, OTR/L (St. Augustine and Gainesville).
Cindi Petito, President of Seating Solutions has also expanded specialty in-home services through her new practice, CHAS Group HC Corp, which now covers the state of Florida. Currently contracting 23 physical & occupational therapists and growing, the vision of CHAS Group is to educate and train therapists in this specialty practice area to meet the demands of the industry and needs of communities across Florida.
For current updates, go to their facebook page: CHAS Group on FaceBook!
It has been a while since we updated our Resources page for Funding and Grants available to those in need.
Thank You Judie Benwick, MSH, MPH, CHES Care Coordinator – North Florida for the ALS Association, for bringing new resources to our site.
“The Ralph Braun Foundation was created for a simple purpose: to assist those with mobility needs through education, information and product acquisition.
Unfortunately, not everyone who needs mobility has the means to pay for it. Medicaid and Medicare sometimes offer funding for wheelchairs, but two wheels will only get you so far. Wheelchair accessible vans open the door (and lower the ramp) to the rest of the world.”
“Accidents can change people’s worlds in seconds—leaving them catastrophically injured—perhaps indefinitely in a wheelchair or with the life-long need of assisted care. The Millennium Angel Foundation is an exclusively charitable organization of structured settlement industry professionals committed to raising funds to be allocated to individuals with extraordinary needs.
Working in the structured settlement industry is already very rewarding as each day we strive to help individuals who have been catastrophically injured. We aim to maximize financial returns for these individuals, so that they and their families have the opportunity to live as comfortably as possible given whatever unfortunate circumstance they have gone through.”
Over the last 6 months, LOTTUS Designs has completed several HM projects. Because we like to share knowledge and ideas, we have posted several photo albums on our Facebook site. Here we show before and after pics of our projects. Click here to go and LIKE us on Facebook.
In addition to these projects, we have also joined up with the ACE Mentor Program to help 8 high school students with a national design competition on UD and Aging-in-Place. Currently, the students are in the design phase of the project to prepare it for competition. This is an exciting mentor program because it engages high school students in fields of study (in Architecture, Engineering, and Construction) and helps them think about pursuing a career. This week we took the students on a day trip to show them one of our recently completed HM projects so they can see some UD in real life.
Our mission and involvement with this project is to help these students on a career path, but also to start building the bridge from the ground up that brings the architecture/engineering/construction industry together with the healthcare industry. In order to have the best possible solution, whether for a remodel or for new construction, these industries must come together and understand each others’ roles and expertise when it comes to the aging and physically challenged populations.
The students placed 2nd in the competition, first runner up and $1000 ! Well deserved for their hard work!
Check out our photos throughout this project on Facebook. LOTTUS Designs Facebook
This week we are celebrating OT Week in the United Kingdom with OT Expert. To help raise awareness of the OT profession around the world, I featured an article about my life as an occupational therapist and wheelchair specialist. OT Expert “aims to build an interactive community, a social network of OTs and others who together can demonstrate the benefits of occupational therapy, support each other and create a human resource of OT expertise.” It’s exciting to share our knowledge and expertise with other OTs around the globe!
To learn more about OT Expert and share your story, you can visit their website at: otexpert.co.uk
Over the last 2 years, Seating Solutions, Apex Home Care, and Mederi Caretenders have been working together with the ALSA Florida Chapter to improve the continuum of care throughout the disease progression. Through our journey together, we began to recognize that the current medical model and payment system within home care created challenges in providing skilled care for persons with ALS. As a result, we have used the term “Rehabilitation in Reverse.” The rehabilitation in reverse model’s focus is better clinical and functional outcomes, and a better home health care experience.
Cindi Petito (Seating Solutions), Marilee Howard (Apex Home Care), Judie Benwick (ALSA Florida Chapter)
A Focus Group Report was written earlier this year by Judie Benwick, M.S.H, M.P.H., CHES. Here are a few highlights:
“Home health care services generally follow an “improvement model”, meaning that the physical condition of the patient is expected to improve as a result of the home care services received. However, this improvement model, as it is traditionally defined, does not set realistic goals for the treatment of progressive neurodegenerative diseases such as ALS for which there is no chance of recovery. As a result pALS and family members, and home care staff as well, easily give in to frustration when standard improvement goals achievable with other diseases and conditions are not met with ALS.”
“The ALS Specialty Home Care Program was implemented through Mederi Caretenders (Gainesville) in October 2009 and approximately one year later through Apex Home Health (Jacksonville). It has continued as an ongoing program at both home health agencies ever since. Collaborative partners include Seating Solutions and the ALS Multidisciplinary Clinic at Mayo Clinic in Jacksonville, both of which have been involved in the program from the start of the pilot project. More recently UF/Shand-Jacksonville has begun to refer pALS for program services.”
Currently, we are writing protocols for all disciplines involved in the care of persons with ALS in conjunction with the ALS Multidisciplinary Clinic at Mayo Clinic in Jacksonville. The plan is to implement the program with case studies throughout 2013. Our hope is to develop a sound program that helps guide healthcare professionals and home health agencies in the care of persons with ALS.
We had a lot of fun during these last 6 weeks! It’s hard to believe it is already over!
Even though the time was fast and furious, Derian was able to experience more than most graduates do during their internships. Other than learning about wheeled mobility and complex seating, her experiences included attending the Mayo Clinic Jacksonville ALS (Lou Gehrig’s Disease) Clinic, observing Brooks Rehab Wheelchair Clinic, Stroke Wellness, Neuro Recovery, and Adaptive Sports programs, attending a Sunrise Medical manufacturer power mobility course, and learning about other community based services including home healthcare, home companion care, elder care programs, and home modifications.
There was so much to teach in such a short period of time, but we managed to fit it all in!
Eager to learn, Derian was able to apply, not only the basic wheeled mobility and seating concepts into occupational therapy practice , but also the medical justification for the recommended equipment. She even read (and understood) all the Medicare LCD’s (Local Coverage Determination) to learn the coverage criteria of the equipment, which makes her a star student in itself!
Overall, both of us had a great experience! I am hopeful she will continue her education in the area of wheeled mobility and complex seating after graduation and during her career and an OT!
It’s been a busy 2 years! And we’re not done yet….. Working with AOTA and the Clinician’s Task Force (CTF) in efforts to support the success of the Separate Benefit Category for CRT has been both a great journey and learning experience. To provide an overview of the last 2 year’s efforts, we published an article in NRRTS Directions magazine. You can click the icon and link above to access the full magazine and article.
Currently, we continue to work with AOTA on the Official Document, Specialized Knowledge and Skills in Complex Seating and Wheeled Mobility for Occupational Therapy Practice. Once this paper is completed, it will be available to all AOTA members. We will keep you posted with updates on this project as we move forward.
Since the announcement of the Power Mobility Demonstration Project and the development of an Electronic Clinical Power Mobility Device Template document, there have been several open door forums to allow healthcare and durable medical equipment providers the opportunity to provide CMS feedback.
AOTA now wants to hear your feedback. They have posted a web page for short updates and links for occupational therapists to access and provide feedback.
If you are an occupational therapist who works in the area of power wheeled mobility and have comments, please provide them to: email@example.com.
AOTA is concerned that the demonstration project could inconvenience Medicare beneficiaries, delay access to needed care, and create burdens on providers including occupational therapists who might be involved in the required evaluations. AOTA’s Reimbursement and Regulatory staff welcome comments on how this demonstration project will impact occupational therapy practitioners and the clients they serve.
We are pleased to announce the completion of the CRT Policy Fact Sheet, a statement which is now available on the American Occupational Therapy Association (AOTA) website. This document was developed as a result of Motion 6, which was passed last year at the 2011 AOTA National Conference. Tamara Kittelson-Aldred, MS, OTR/L, ATP and I are extremely proud to be a part of AOTA’s support in the Complex Rehab Technology legislation H.R. 4378.
Posted on AOTA’s website under Advocacy Highlights:
” In concordance with a charge from AOTA’s Representative Assembly, AOTA staff and volunteer members have crafted a letter in support of important legislation that will boost occupational therapy’s role in complex rehabilitation technology (CRT).
The Ensuring Access to Quality Complex Rehabilitation Technology Act (HR 4378) calls for improving Medicare beneficiary access to CRT, which includes high-tech devices and wheelchairs related to significant disabling conditions such as cerebral palsy, stroke, and Parkinson’s. The legislation would create a new benefit related to CRT and separate the current durable medical benefit. Under the law, occupational therapists would have a role in applying skilled assessments of a beneficiary’s need for CRT as well as fitting the beneficiary for these devices”.
“This legislation, driven by the needs of beneficiaries and practitioners as seen in the field, will improve the quality of complex rehabilitation equipment and devices while improving beneficiary quality of life through enhanced access to occupational therapy expertise,” said Tim Nanof, AOTA’s director of Federal Affairs.
To view the Complex Rehabilitation Technology Legislative Summary (H.R.4378): http://www.aota.org/Practitioners/Advocacy/Federal/Testimony/2012/CRT-Leg-Summary.aspx?FT=.pdf
To view the AOTA Policy Statement Regarding Complex Rehabilitation Technology (CRT): http://www.aota.org/Practitioners/Advocacy/Federal/Testimony/2012/AOTA-Policy-CRT.aspx?FT=.pdf