8/2/16 Presenters: Adrian Mamikonian, Claire Stephenson, and Gila - - PDF document

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Presenters: Adrian Mamikonian, Claire Stephenson, and Gila Cohen-Shaw

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Explain the basics of telepractice/telehealth Describe what is needed to provide telehealth/ telepractice Describe the day-to-day life of a telepractitioner Summarize different options for becoming an independent telepractitioner

Learning Outcomes

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You will be able to:

CCC-SLP & Senior Clinical Practice Director Placement Manager

Adrian Mamikonian Claire Stephenson

• Over 6 years of experience

working with students in a telepractice setting

• Previously the Rehab Director for

a group of skilled nursing facilities

• Experienced in both school and

hospital settings

• More than 20 years of experience

placing clinicians in new careers

• Oversaw the hiring of SLPs, OTs,

and PTs as Director of Recruiting with Progressus Therapy

• Well-connected to allied health

professionals across both school districts and healthcare

CCC-SLP & Lead Clinician

Gila Cohen-Shaw

• Certified Listening and Spoken

Language Specialist

• Specializes in working with

students with hearing loss

• Managed programs at not-for-profit
• rganizations and rehabilitation

centers

• Founded a private practice, A-V

First Therapy Services

• Involved in interviewing talented

clinicians for telepractice

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What is Telepractice/Telehealth? What is Telepractice/Telehealth?

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Telepractice/Telehealth: The delivery of therapy services at a distance through the use of technology.

Past & Present

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Over 1 million sessions and growing Effectiveness documented in the literature, and we see it every day! Picture-phone circa 1972

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What Is the Research Supporting Telepractice/Telehealth?

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ü Research on telepractice dates back to the 1950s ü Research on telepractice delivery of speech-language therapy dates back to 1992 ü Dozens of peer-reviewed journals indicate telepractice is as effective as in-person therapy

How Effective are PresenceLearning Services?

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2013 -14 School Year

PresenceLearning Students: 2014 -15 School Year National Average

Speech Sound Production Spoken Language Production Spoken Language Comprehension

PRESENCELEARNING STUDENT PROGRES S BEATS THE NATIONAL AVERAGE

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Why should you start learning about telepractice?

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Where can you find telepractice being used? School Hospital Home Clinic Clinicians’ Pains

• High caseloads
• Long commutes or “windshield time”
• Excessive paperwork
• Work-life balance
• Moving/travel
• Burnout
• Want more time delivering therapy

Why Telepractice/Telehealth?

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Clients’ Pains

• Shortages of qualified clinicians
• Difficulty finding specialists
• Staffing hard-to-serve edge cases:

home-bound, hospital-bound, medically-fragile

• Keeping the “I” in IEP

Why Telepractice/Telehealth?

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What’s Needed?

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C O M P U T E R Q U I E T, P R I VAT E E N V I R O N M E N T P R I M A RY S U P P O R T P E R S O N W E B C A M H E A D S E T T E C H S U P P O R T I N T E R N E T N E T W O R K P R A C T I C E M A N A G E M E N T VIDEOCONFERENCING S E C U R I T Y PROGRESS TRACKING C O N T E N T C L I E N T S

Choices for a Telepractitioner

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Pros Cons Own Your Own or Small Private Practice + Flexibility & control

• Client acquisition
• Payments & collections
• No colleagues or support

Traditional Staffing Agency + Support infrastructure + Clients provided + Colleagues

• Limited choices of locations

& client Hospitals & Clinics + Billing & payments covered

• Limited control of caseload

& schedule Dedicated Telehealth Providers + Flexibility & control + Wide choice of clients + Supportive infrastructure

• Requires organization, self-

discipline and motivation

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Success Factors for Telepractice/Telehealth Providers

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Success Factor: Client Candidacy

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Who can be served via telepractice/telehealth?

• Populations we’ve worked with:

– Students with autism spectrum disorder – Students with Down syndrome – Students with hearing impairment – Students who use AAC devices – Articulation and language-impaired students

• Best practice: If contraindicated, refer for in-person services

Client Candidacy: Group Therapy

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• It is easy to provide group

sessions online

• 2 to 4 students can join in

a group session

• More than 2 students typically

need an additional computer

• Students can be paired with
• ther students from different

schools within the same district May involve wide-angle lens to capture the student in a natural environment or working with their parent on the floor Following coaching/ consultative model

Client Candidacy: Early Intervention

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More Than Direct Therapy IEP Meetings & Case Management

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ü Using IEP systems ü Scheduling and facilitating

• nline IEP meetings

– Video conference via platform gives ability to demonstrate student activities – Phone conference as a backup ü On-going collaboration and communication

Evaluations and Assessments

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Speech Language Assessments GFTA-3, KLPA-3, Arizona-3, CELF-5, CELF-5 Screener, CELF Metalinguistics, CELF-5 Reading & Writing Supplement, CASL, CELF 4-Spanish, BESA, PPVT-4, EVT-2, CCC-2, SSI-4 Occupational Therapy Assessments Beery VMI, Sensory Profile 2, Sensory Processing Measure, School Function Assessment Socio-emotional & Behavioral GARS-3, Adaptive Behavior Vineland, ABAS-II, SIB-R, ABS-S: 2, BASC-2, CBCL, Conners CBRS, BASC, ACTeRS, Vanderbilt, Devereux, BRIEF, etc. Cognitive Ability and Achievement Assessment Coming Fall 2016!

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Follow the Rules of Your Professional Organization

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American Speech-Language Hearing Association American Occupational Therapy Association National Association of School Psychologists National Association of Social Workers

Telepractice Laws & Licensing

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The Future is Here

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Your Next Career Move: Telepractice Considering Becoming a Telepractitioner? Who are Telepractitioners?

Master’s Degree State Licensed Professional Credentials School Experience

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Personas of Telepractitioners

No

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Qu ui it te e R Re et ti ir re ee es s No

• N

No

• n

ns se en ns se e P Pr ro

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vi id de er rs s Ex xt tr ra a-

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Ea ar rn ne er rs s Fa am mi il ly y-

• F

Fl le ex xe er rs s Mo

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ve er rs s Ad dv ve en nt tu ur re er rs s

Different Settings for Telepractice

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Education Health Care Private Practice

Telepractice Arrangements

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Telepractice

• n your own

Telepractice with a telehealth organization

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To work with PresenceLearning, you need strong communication skills, must be comfortable with technology, and have school- based or hospital-based

• experience. BUT…

… you do NOT need prior telepractice experience!

What Kind of Experience Do I Need?

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What Licenses and Certifications Do I Need?

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Local state license Licensed in state(s) where your patients are located Appropriate national certification

More scheduling flexibility = More placement opportunities

What Hours Can I Work?

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School Hours Health Care Hours

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• PresenceLearning takes care of matching
• ur providers with their patients
• Our placement team makes

recommendations based on where we see the most demand and growth

• Our placement team walks you through the

license application process

• As an independent contractor, you choose

the assignments you want to accept

Cross-Licensing & Match-Making

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Working as an Independent Contractor

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ü You are responsible for your own business expenses, taxes, equipment, and liability insurance ü Not a salaried position; does not offer employee benefits ü Compensated on hourly rate for direct and indirect time ü Your requested hours are not guaranteed; however, you are free to have another job

Getting Started With Teletherapy

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• 1. Placement Specialist
• 3. Therapy Platform
• 5. Telehealth Institute
• 2. Online Community
• 6. Professional Development
• 4. Clinical Mentors

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Day in the Life of a Telepractitioner: Practical Realities My Story

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Healthy Skepticism

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Is it effective? Will I be able to connect with the kids? Will I feel good about the work? Will it be mediocre?

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Why Telepractice is A Great Fit for Me

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Using technology that kids are comfortable with Reaching kids and families Meeting like-minded people all over the U.S. Access to other SLPs and professionals Learning opportunities Balancing work and life Professional rejuvenation Personal fulfillment

A Day in the Life of a Telepractitioner

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Hours billed = 9

✔ Review and respond to emails ✔ Complete IEP paperwork & prepare for any IEP meetings or assessments ✔ Send out consents to evaluate or meeting invites ✔ Set up therapy room ✔ Connect with teams ✔ Serve students with therapy ✔ Close out day by reviewing email and preparing for next day

Today’s Schedule Vast Library of Therapeutic Activities

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Adding Custom Content

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Signing In

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Starting the Video Feed

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Whiteboard Tools

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Chat Box

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Team Write

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Large Screen Mode

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Games, Stamps, & More!

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Progress Tracking & Notes

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Progress Tracking Notes

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Tips For Working Remotely

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Create an online “circle of support” Connect with respected colleagues Schedule team meetings Weekly check-in with teachers & coaches Communicate with students and parents via any means of communication allowed Be available, involved, & request to be invited to SPED/SLP meetings

• 5th year practicing at the district
• From “Sally Skype” to “Partner”
• Patience, good communication, and

education are key

• PresenceLearning now serving 600 kids

in the district, including kids using AAC devices

• Consults with district SLPAs

Case Study: Oregon School District

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ADD IMAGE

Conducting Remote IEP Meetings

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Assessments

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One of Many WOW! Stories: Elias’ Story One of Many WOW! Stories: Elias’ Story

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Final Thoughts on Being a Telepracticioner

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“I feel so positive about what I do and I think that that level of enthusiasm is contagious to both the kiddos and the

• ther SLPs that I work with…”

“At the end of the day, I feel really good about what I've accomplished.” I took a chance and it worked so well for me. I see colleagues who are in the same place [I was previously] and I'm so happy I'm not there.

My advice for anyone who would be willing to try telepractice is to do just that - to try it! PresenceLearning has opportunities (FT & PT) for:

• SLPs
• OTs
• School Social Workers
• School Psychologists

Interested in Becoming an Online Provider? Refer your colleagues: plearn.co/apply-to-pl

#SPEDAhead

PresenceLearning.com PresenceLearn PresenceLearning

#SPEDAhead

Thank You