Speaker Info


Stephanie Tanguay, OTR/L, ATP

About the Instructor

Stephanie Tanguay began her career as an Occupational Therapist with a decade of experience in spinal cord injury and seating & mobility. She also worked as a Rehab Technology Supplier for seven years. She has presented on numerous occasions at the International Seating Symposium, RESNA, the Canadian Seating & Mobility Conference, and the European Seating Symposium and throughout the U.S. and Canada. Since 2006 Stephanie has been the Clinical Education Specialist for Motion Concepts, a manufacturer of power seating systems and seat surface and back support products.

Evaluation and seating for wheeled mobility (.2 CEUs)
Oct. 2 | Track A | 10:15am – 12:15pm | 1 CEUs
The Challenges of Atypical Size Configuration in Wheelchair Prescription (.2 CEUs)
Oct. 2 | Track A | 12:30pm – 2:30pm | 1 CEUs

Evaluation and Seating for Wheeled Mobility (.2 CEUs)

Assessment, measurement, and appropriate technology application can greatly enhance the functional outcomes for clients who utilize seating and wheeled mobility systems. This 2-hour course follows the guidelines published in the “RESNA Wheelchair Service Provision Guide” with a primary focus on the assessment/evaluation process. Various components of seating and mobility evaluation will be reviewed including initial interview, mat assessment, equipment trial, and prescription considerations. Common seated postures will be presented and the principles of seating & positioning will be presented with a goal of maximizing consumer function from the wheelchair. Considerations for the selection of seat cushions and back supports will be reviewed using a clinical approach.

The Challenges of Atypical Size Configuration in Wheelchair Prescription (.2 CEUs)

There is a variety of diagnosis and conditions which require dimensions of seat support which fall outside the “standard configuration” parameters. Seat width, seat depth, and back support height can be difficult to configure for consumers with such diagnosis as Osteogenesis Imperfecta, Dwarfism, Spina Bifida, and bariatric conditions. Pediatric consumers may require features such as lower extremity elevation or recline which are challenging to format with accurate pivot point orientation. This session reviews the complications of prescribing seating & mobility equipment for consumers with atypical body dimensions. Case studies will illustrate the challenges and the benefits of proper accommodation including some incredible solutions to help people with complex physical challenges achieve their highest degree of independence. Funding strategies for some solutions outside of the standard reimbursement categories will also be discussed.

Karen Lerner, RN, MSN, ATP, CWS

About the Instructor

Karen is a registered nurse, wound care and rehab specialist with over 25 years of industry experience. She has extensive experience as a public speaker, educating DME providers and clinicians on a variety of topics. Karen’s speaking engagements included testifying before Congress on behalf of the HME industry. Since October 2013, Karen has worked as part of Team Pressure Prevention at Drive Medical. Prior to coming to Drive and for over 10 years, Karen was VP of Clinical Services at a Northeast based DME, responsible for Pressure Prevention, Respiratory and Rehab sales, as well as service and training. Before DME, Karen worked in sales for a hospital equipment and support surface manufacturer. She began her career as a critical care nurse specialist in major teaching hospitals from Florida to NJ. Karen received her undergraduate degree from Duke University and her graduate education from the University of Florida.

Courses

Safe Transfers and Movement for the Bariatric Client
Oct. 2 | Track B | 8:00am – 9:00am | 1 CEUs
They’re Not Called Mystery Ulcers. Stop Pressure Injuries Now!
Oct. 2 | Track B | 9:15am – 10:15am | 1 CEUs

Descriptions

Safe Transfers and Movement for the Bariatric Client (.1 CEU)
Karen Lerner, RN, MSN, ATP, CWS
Establishing a culture of safety pertaining to client care is challenging in any setting. And special challenges arise in the presence of obesity because excess weight and weight distribution often interfere with caregivers’ ability to provide even basic care. This is especially true when considering bariatric client transfers and movement. The risks associated with bariatric patient handling and mobility are complex and each patient must be considered individually. The purpose of this course is to provide the best transfer and movement practice guidance to address the needs of bariatric clients, their families, and their caregivers. Practical and scientific recommendations will be presented.
They’re Not Called Mystery Ulcers. Stop Pressure Injuries Now! (.1 CEU)
Karen Lerner, RN, MSN, ATP, CWS
Preventing pressure injuries has always been a challenge. Not just for caregivers but for the healthcare industry, because the epidemiology of pressure injuries varies by healthcare settings and is a potentially preventable condition. The purpose of this course is to define pressure injuries, outline best practices in pressure injury prevention (as per National Pressure Injury Advisory Panel’s October 2019 updated guidelines) and review current wound healing physiology and Covid-19 related epidemiology. Opportunities for improvement, barriers to practice, and practice insights will be presented. Medicare/CMS bed support surface guidelines, including group 2 support surface prior authorization rules will be reviewed.

Julie Piriano, PT, ATP/SMS

About the Instructor

Julie is the VP for Clinical Education and Rehab Industry Affairs & Compliance Officer for Quantum / Pride Mobility. Julie has worked in the seating and wheeled mobility industry for the past 34 years. She is VP of Clinical Education, Rehab Industry Affairs and serves as Pride’s Compliance Officer. She presents nationally in the area of seating and wheeled mobility with a focus on the evaluation, documentation and clinical application of available technologies. Julie serves on the RESNA Board of Directors, served on the Professional Standards Board and is an active participant in the Wheeled Mobility and Seating SIG and the PT PSG. She is a Friend of NRRTS, member of the AAHomecare Complex Rehab and Mobility Council, serves on the NCART Medicaid Committee, the DMEMAC Advisory Councils, the board of several State Associations and the Mobility Management Editorial Board. Julie is a highly proactive industry resource on legislative and regulatory issues that impact the complex rehab industry

Courses

Justify It! (.3 CEUs)
Oct. 3 | 8:00am – 11:00am | .3 CEUs
Justify It! (.3 CEUs)
Julie Piriano, PT, ATP/SMS
OTs and PTs play a critical role in the physical and functional evaluation process; therefore, understanding the process and documentation requirements are essential to effectively provide (and billing for) their services. This course is also designed to teach OTAs and PTAs, working under the supervision of a licensed clinician, to be a first-class notice of the seating & wheeled mobility challenges displayed by their clients. A thorough and effective technology assessment to meet the identified needs of individuals with disabilities is a required component of the CRT evaluation and recommendation process, which is the responsibility of the supplier ATP. Reading, interpreting, and understanding the documentation, before it is submitted for prior authorization approval or billing a claim is essential to minimize denials, limit the potential for an audit and/or prepare the CRT company to defend a file. Individuals with chronic medical conditions and long-term disabilities who have a permanent need for a wheelchair and seating interventions require a comprehensive, detailed evaluation of their physical, functional and environmental needs to allow clinicians and ATP suppliers to make appropriate Assistive Technology recommendations for a successful outcome, and bill for the services rendered. This course will utilize a seating and wheeled mobility evaluation tool to capture the details of the clinician’s encounter, during their billable time. Participants will learn to use evidence-based practice (n=1) to describe seating and wheeled mobility recommendations, justify the medical need for the recommended interventions, and bill for their time in doing so.

Curt Prewitt, MS, PT, ATP

About the Instructor

Curt Prewitt is the Director of Education for Ki Mobility.  He has a BS in Exercise Physiology and an MS in Physical Therapy from the University of Colorado. He practiced as a physical therapist in a number of settings for a few years, most prominently in long term care, where he gained experience with seating and wheeled mobility.  He transitioned from a practicing therapist to a manufacturer’s representative, eventually moving into sales management and focusing on complex rehab technology.  Throughout his tenure on the manufacturer’s side in the complex rehab arena, he has dealt largely with pediatric positioning and mobility products.  He has previously also served as a product trainer/product specialist, teaching product features and clinical application, as well as coordinating continuing education presentations, both credited and non-credited.  He has presented educational courses across the US and internationally. 

Course

Development of Posture and Motor Control with Practical Techniques for Early Intervention Techniques (.2 CEUs)
Oct. 1 | Track B | 12:45pm – 2:45pm | .2 CEUs

Muscle and Hip Development in Spastic Cerebral Palsy (.2 CEUs)
Oct. 1 | Track B | 3:00pm – 5:00pm | .2 CEUs

Description

Development of Posture and Motor Control with Practical Techniques for Early Intervention Techniques (.2 CEUs)
An understanding of the fundamentals of typical development provides an excellent basis for dealing with children with a neuromotor delay. This presentation which draws on the latest literature describes the interplay between the maturation of the nervous system and the influence of outside stimuli to shape the development of posture and motor control. The effects of developmental delays are explained with strategies to both maximize the ability and gain new skills discussed. Then, focusing on children with CP, we will review the recent literature on early diagnosis and best practice principles for treatment. Through facilitated group work, we will discuss practical real-world techniques to improve function and motor control. A section is dedicated to specific strategies for children who have difficulties with their head control.
Muscle and Hip Development in Spastic Cerebral Palsy (.2 CEUs)
Skeletal muscle in children with cerebral palsy is different from typically developing children in architecture and size. This presentation includes an overview of typical skeletal muscle architecture, and development of CP muscle from birth through growth. We will also look at the effect of conservative interventions to improve range of movement including various methods of passive stretch and strengthening. Children with cerebral palsy are born with the same musculoskeletal system as typically developing children. However, this non-progressive condition can cause progressive hip migration. This can result in pain and difficulty with functional tasks such as gait, seating and personal care. This presentation includes an overview of typical hip development and the effect of biomechanical loading on the proximal femur. We will also look at what happens when loading is abnormal for children with cerebral palsy, and how this information guides conservative treatment using postural care and activity to minimize hip displacement and optimize function.

Wade Lucas, PT, DPT, ATP/SMS

About the Instructor

Clinical Education Manager Wade is a licensed Physical Therapist and a certified Assistive Technology Professional (ATP)/Seating and Mobility Specialist (SMS) through RESNA. He has over 15 years of experience working in the complex rehabilitation equipment field. His clinical experience includes inpatient rehabilitation, outpatient, pediatrics, skilled nursing/long term care, and home health. Wade’s current role with Quantum Rehab is to develop education programs on the clinical uses of company products and produce education presentations to provide to therapists and equipment providers.

Course

Hierarchy of Power Wheelchair Drive Controls: Maximizing Access and Independence – Part 1: Proportional Control Options. (.2 CEUs)
Oct. 1 | Track A | 8:00am – 10:00am | .2 CEUs

Hierarchy of Power Wheelchair Drive Controls: Maximizing Access and Independence – Part 2: Switch Control Options. (.2 CEUs)
Oct. 1 | Track A | 10:15am – 12:15pm | .2 CEUs

Description

Hierarchy of Power Wheelchair Drive Controls: Maximizing Access and Independence – Part 1: Proportional Control Options. (.2 CEUs)

There are many considerations to make when assessing an individual for power mobility use. The decisions made will impact not only the individual’s mobility, but also how they reposition themselves, interact socially, and access their environment. There are many options for drive controls on the market today, so how does the assistive technology professional choose a device when the standard joystick is not an option? This course is designed to introduce the participants to the wide array of proportional controls available on the market and provide insight on the clinical decision-making process of drive control choice. The course will include case studies and a hands-on component for participants to assess the various alternative drive control options.
Hierarchy of Power Wheelchair Drive Controls: Maximizing Access and Independence – Part 2: Switch Control Options. (.2 CEUs)

There are many considerations to make when assessing an individual’s mobility, but also how they reposition themselves, interact socially, and access their environment. There are many options for drive controls on the market today, so how does the assistive technology professional choose a device when the standard joystick is not an option? This course is designed to introduce the participants to the wide array of non-proportional controls available on the market and provide insight into the clinical decision-making process of drive control choice. The course will include case studies and a hands-on component for participants to assess the various alternative drive control options.

Michelle Lange, OTR/L, ABDA, ATP/SMS

About the Instructor

Michelle is an occupational therapist with over 30 years of experience and has been in private practice, Access to Independence, for over 10 years. She is a well-respected lecturer, both nationally and internationally and has authored numerous texts, chapters, and articles. She is the co-editor of Seating and Wheeled Mobility: a clinical resource guide, editor of Fundamentals in Assistive Technology, 4th ed., NRRTS Continuing Education Curriculum Coordinator and Clinical Editor of NRRTS Directions magazine. Michelle is a RESNA Fellow and member of the Clinician Task Force. Michelle is a certified ATP, certified SMS and is a Senior Disability Analyst of the ABDA.

Course

Pediatric Power Mobility (.2 CEUs)
Oct. 1 | Track A | 8:00am – 10:00am | .2 CEUs

Head’s Up! Strategies to Position the Head (.2 CEUs)
Oct. 1 | Track A | 10:15am – 12:15pm | .2 CEUs

Slip Sliding Away: Positioning the Pelvis (.2 CEUs)
Oct. 2 | Track A | 8:00am – 10:00am | .2 CEUs

Description

Pediatric Power Mobility (.2 CEUs)

This course presents pediatric power mobility, including the importance of early mobility, determining readiness, assessment, and mobility training. Research has linked early mobility to specific developmental skills. Assessment strategies determine readiness and identify needs and product parameters. If you work with clients who are not mobile, this course will help you determine if a client is an appropriate candidate for a power wheelchair,  participate in an assessment and optimize skills through mobility training.
Head’s Up! Strategies to Position the Head (.2 CEUs)

You’ve positioned the client. You’ve tried every head support available. And yet your client spends most of their time looking at their lap. This course will discuss various strategies to optimize the head position. First, we will explore strategies beyond head support, including specific positioning interventions, and addressing visual issues. Second, we will explore posterior head supports in-depth, matching specific features to client needs. Third, we will explore other options that may be required if posterior support alone is inadequate, including anterior head support. Case studies will be used throughout.
Slip Sliding Away: Positioning the Pelvis (.2 CEUs)

What is the cornerstone of wheelchair positioning? The pelvis. The position of the pelvis very much determines the position of the trunk and lower extremities and so achieving and maintaining the optimal position is critical. This course will present common pelvic asymmetries with suggested strategies to address each challenge. Providing as neutral a pelvic position as possible improves overall posture, stability and function. Case studies will be used throughout.​

Angela Regier, OTD, OTR/L, ATP/SMS

About the Instructor

Angela received her Doctor of Occupational Therapy from Creighton University in 2007 and is a RESNA-certified assistive technology professional. Regier joined Permobil in 2017 as a Clinical Education Manager for the western region. Prior to joining Permobil, Regier was at Craig Hospital in Englewood, Colorado where her career focused on inpatient and outpatient spinal cord injury rehabilitation. Prior to leaving Craig Hospital, she was supervisor of the Wheelchair Seating and Mobility Clinic where she provided comprehensive seating and mobility interventions for individuals with acquired brain and spinal cord injury. Regier has published and speaks on the topic of seating and mobility for acquired brain injury and spinal cord injury. She has also served as an adjunct faculty for the Creighton University Entry-Level Distance OTD Program (Regis) in Denver, Colorado.

Course

Seating and Mobility Solutions for Older Adults (.2 CEUs)
Oct. 1 | Track A | 8:00am – 10:00am | .2 CEUs

Can Functional Be Fun? Understanding Pediatric Manual Wheeled Mobility (.1 CEU)
Oct. 1 | Track A | 10:15am – 12:15pm | .2 CEUs

Description

Seating and Mobility Solutions for Older Adults (.2 CEUs)

This course presents pediatric power mobility, including the importance of early mobility, determining readiness, assessment, and mobility List 5 examples of changes that are expected to occur in the aging process that may affect an individual’s mobility and equipment recommendations. Explain 2 issues related to skin and tissue health that affect the recommendation of seating/positioning components for someone aging with a disability. Identify 3 clinical considerations for the utilization of MWCs to benefit mobility and safety for older adults. Identify 3 clinical rationales for a recommendation of power assist technology or PWCs to benefit mobility and safety for older adults. Describe 3 power seat functions that can assist older adults with independence and safety with mobility and activities of daily living. Discuss 3 potential training techniques for the successful use of seating and mobility equipment for older adults.
Can Functional Be Fun? Understanding Pediatric Manual Wheeled Mobility (.1 CEU)

Explain the potential impact of using assistive technology to promote mobility experiences to a child’s development. Describe the difference between functional ambulation vs exercise. Explain methods for the proper education of propulsion techniques as it applies to pediatrics. Identify three common shoulder girdle concerns in relation to pediatric propellers.

Jim Stephenson

About the Instructor

Reimbursement and Coding Manager at Permobil. Over the past 25 years, he has worked on all sides of the healthcare reimbursement spectrum, the last 15 years in the CRT/DME industry. His broad background has provided him with vast experience and a unique perspective in working with funding sources, providers, physicians/clinicians and consumers. He is currently a member of the DME MAC Advisory Councils, the Complex Rehab and Mobility Council (CRMC) and the Regulatory Council for the American Association for Homecare. At Permobil, he works closely with the product development, government affairs, clinical education, sales and marketing teams. His responsibilities include assisting providers with their coding and billing inquiries, providing support to the sales and customer service staffs and staying abreast of the ever-changing complex rehab industry. 

Course

Myth Busters – Complex Rehab Documentation (.2 CEUs)
Oct. 2 | Track B | 1:00pm – 3:00pm | .2 CEUs

Description

The FINE Line – PT/OT Wheelchair Evaluation and the ATP Assessment (.2 CEUs)

Medicare, as well as many other insurances, require an ATP assessment (involvement) and an LCMP (PT/OT) specialty evaluation for complex manual and power wheelchairs. It is a requirement for the ATP to have direct, in-person involvement in the wheelchair selection. However, where is the line between who can document each requirement? Many times the LCMP and ATP evaluate the patient together and in some cases there is overlap but is that compliant? There is a FINE LINE of who can evaluate and document each requirement and in this session the instructors will discuss the requirements of the ATP assessment and LCMP evaluation as well as the timing of when the ATP assessment can be performed. The amount of documentation required IS overwhelming and there just doesn’t seem to be enough time during the day to give the insurances what they expect and to be a productive therapist. There is a compliant way (ethical and legal) to give them what they expect so qualified patient can receive the mobility equipment the need.

Dan Fedor

About the Instructor

Dan has been in the HME industry for over 28 years and currently serves as the Director of Reimbursement for U.S. Rehab, a division of The VGM Group, Inc. He is a graduate of Penn State University, where he earned a BS in Economics.

Dan joined VGM in 2014, and before that, was the Director of Education and Compliance for Pride Mobility/Quantum Rehab for 13 years. Prior to joining Pride, Dan served as the Director for Provider Outreach and Education (POE) and Electronic Data Interchange for the Jurisdiction A DME MAC (United Healthcare) for nearly six years.

Dan has presented at numerous local and national events regarding Medicare compliance and reimbursement, including Medtrade, Heartland Conference, ISS, RESNA, and multiple state association meetings.

Course

Myth Busters – Complex Rehab Documentation (.2 CEUs)
Oct. 2 | Track B | 1:00pm – 3:00pm | .2 CEUs

Description

The FINE Line – PT/OT Wheelchair Evaluation and the ATP Assessment (.2 CEUs)

Medicare, as well as many other insurances, require an ATP assessment (involvement) and an LCMP (PT/OT) specialty evaluation for complex manual and power wheelchairs. It is a requirement for the ATP to have direct, in-person involvement in the wheelchair selection. However, where is the line between who can document each requirement? Many times the LCMP and ATP evaluate the patient together and in some cases there is overlap but is that compliant? There is a FINE LINE of who can evaluate and document each requirement and in this session the instructors will discuss the requirements of the ATP assessment and LCMP evaluation as well as the timing of when the ATP assessment can be performed. The amount of documentation required IS overwhelming and there just doesn’t seem to be enough time during the day to give the insurances what they expect and to be a productive therapist. There is a compliant way (ethical and legal) to give them what they expect so qualified patient can receive the mobility equipment the need.

Christie Hamstra, PT, DPT, ATP

About the Instructor

Christie is a Clinical Education Specialist with Motion Composites and has experience as both a Physical Therapist in seating clinic and ATP as a supplier in the area of seating and mobility and wheelchair prescriptions. Christie received her Master of Science in Physical Therapy from Andrews University, and a transitional Doctorate of Physical Therapy from Oakland University. Christie has worked in many settings and brings her expertise and passion to share with fellow clinicians. Christie has provided education in multiple areas of the United States, as well as The European Seating Symposium, International Seating Symposium and the Canadian Seating and Mobility Conference.

Course

Anatomy of a Wheelchair: Clinical Implications (.1 CEU)
Oct. 2 | Track B | 11:45am – 12:45pm | .1 CEUs

Description

Anatomy of a Wheelchair: Clinical Implications (.1 CEU)

When selecting an appropriate manual wheelchair, we often focus on the features and benefits of the selected product; or default to the familiar.  However, we may be doing our client’s a disservice by not considering the form and function of the wheelchair.

Allison Speight, OT, ATP

About the Instructor

Alli graduated with a Bachelor of Science in Kinesiology and a Master of Science in Occupational Therapy. With a broad range of clinical experience in the community, Long Term Care, and with Veterans Affairs, Alli’s knowledge and passion in seating and mobility will open the door into new ways on how to focus on client-centered care throughout the wheelchair prescription process.  Alli is the Clinical Educator for Motion Composites providing educational sessions throughout North America including CSMC, ISS, and ATSA.

Course

Measurements for Manual Wheelchairs: Details Make a Big Difference (.1 CEU)
Oct. 2 | Track B | 10:30am – 11:30am | .1 CEUs

Description

Measurements for Manual Wheelchairs: Details Make a Big Difference (.1 CEU)

The manual wheelchair assessment and set-up are individual to the client and is therefore a complex and intricate process. Decisions made during this process can be the difference between client satisfaction and equipment abandonment. The results can have an effect on the users’ health, level of independence, and overall quality of life.  This highly skilled process involves formal and informal assessments and the knowledge gathered adapted to complete the manual wheelchair order-form. This requires practitioners to make clinical judgments that impact client outcomes.

Olivia Tefera, PT, DPT

About the Instructor

Olivia joined Motion Composites’ Clinical Education team with specialty DME, CRT, and SCI physical therapy experience. Committed to patient-centered care, Olivia worked to preserve the independence, dignity, and quality of life of paralyzed veterans in the South Texas Veterans Health Care System. At the VA’s spinal cord injury center, she was able to meet the complex mobility needs of her patients with industry-leading technology. She went on to share her passion with therapists, dealers, and end-users across a three-state territory. She served as a sales representative for the most innovative manufacturers on the market, including Motion Composites. She earned her Bachelor of Science in Biology from Baylor University in Waco, Texas, and her Doctor of Physical Therapy from Bellarmine University in Louisville, Kentucky.

Maximizing Manual Wheelchair Propulsion Efficiency (.1 CEU)
Oct. 2 | Track B | 3:15pm – 4:15pm | .1 CEUs

Description

Maximizing Manual Wheelchair Propulsion Efficiency (.1 CEU)

Considering the energy required for a client to propel a manual wheelchair every day, and the resulting forces that impact the health of the upper extremity, it is imperative to consider the importance of manual wheelchair propulsion efficiency. An individual who can propel efficiently throughout the day will have a greater potential to reach further distances while maintaining a higher level of energy and function.  But what changes in the treatment plan must clinicians consider to help maximize their client’s propulsion efficiency?

Rick Camp, Mobility Advisor

About the Instructor

Rick Camp is a Mobility Advisor at United Access. Prior to coming to United Access, Rick had over 25 years of experience within the HME industry including complex rehab. Rick continues in his current role at United Access finding mobility solutions, adaptive aids, and other resources that enhance the lives of individuals of all ages who need mobility assistance.  That experience empowers him with a unique insight into the population served at United Access. 

Automobility Accessibility Solutions (.1 CEU)
Oct. 2 | Track A | 2:45pm – 3:45pm | .1 CEUs

Description

Automobility Accessibility Solutions (.1 CEU)

An introductory course designed for healthcare professionals and rehabilitation professionals to understand the options available for patients and clients potentially in need of automotive modifications.  This course teaches professionals about the unique process involved in evaluating and purchasing appropriate automotive options and the process involved in choosing the right equipment for each person’s needs. Objectives are: List valuable automobility products available to your clients. Identify the benefits and compromises of different automobility products. Define the process of determining the right vehicle modification for clients.

Tracy Meier, Program Director at the National Ability Center

About NAC

Their Mission? To empower individuals of all abilities by building self-esteem, confidence, and lifetime skills through sport, recreation, and educational programs.

What the NATIONAL ABILITY CENTER offers your patients (no CEUs)
Oct. 1 | Track B | 11:30am – 12:30pm

Alpine Rehab Conference 2020