8/2/16 Presenters: Adrian Mamikonian, Claire Stephenson, and Gila Cohen-Shaw 1 ¡ Learning Outcomes You will be able to: Describe what is needed to provide telehealth/ Explain the basics of telepractice/telehealth telepractice Summarize different options for becoming an Describe the day-to-day life of a telepractitioner independent telepractitioner 2 ¡ Adrian Mamikonian Claire Stephenson Gila Cohen-Shaw CCC-SLP & Senior Clinical Placement Manager CCC-SLP & Lead Clinician Practice Director • Over 6 years of experience • More than 20 years of experience • Certified Listening and Spoken working with students in a placing clinicians in new careers Language Specialist telepractice setting • Oversaw the hiring of SLPs, OTs, • Specializes in working with • Previously the Rehab Director for and PTs as Director of Recruiting students with hearing loss a group of skilled nursing facilities with Progressus Therapy • Managed programs at not-for-profit • Experienced in both school and • Well-connected to allied health organizations and rehabilitation hospital settings professionals across both school centers districts and healthcare • Founded a private practice, A-V First Therapy Services • Involved in interviewing talented clinicians for telepractice 1
8/2/16 What is Telepractice/Telehealth? What is Telepractice/Telehealth? Telepractice/Telehealth: The delivery of therapy services at a distance through the use of technology. 5 ¡ Past & Present Picture-phone circa 1972 Over 1 million sessions and growing Effectiveness documented in the literature, and we see it every day! 6 ¡ 2
8/2/16 What Is the Research Supporting Telepractice/Telehealth? 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 7 ¡ How Effective are PresenceLearning Services? PRESENCELEARNING STUDENT PROGRES S BEATS THE NATIONAL AVERAGE PresenceLearning Students: 74% 77% 75% 65% 66% 50% 64% 69% 60% 2013 -14 School Year Speech Sound Production 2014 -15 School Year Spoken Language Production National Average Spoken Language Comprehension 8 ¡ Why should you start learning about telepractice? 9 ¡ 3
8/2/16 School Hospital Where can you find telepractice being used? Home Clinic 10 ¡ Why Telepractice/Telehealth? Clinicians’ Pains • High caseloads • Long commutes or “windshield time” • Excessive paperwork • Work-life balance • Moving/travel • Burnout • Want more time delivering therapy 11 ¡ Why Telepractice/Telehealth? 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 12 ¡ 4
8/2/16 What’s Needed? C O M P U T E R W E B C A M H E A D S E T I N T E R N E T VIDEOCONFERENCING S E C U R I T Y C O N T E N T Q U I E T , P R I VAT E P R I M A RY S U P P O R T T E C H S U P P O R T P R A C T I C E PROGRESS TRACKING N E T W O R K C L I E N T S E N V I R O N M E N T P E R S O N M A N A G E M E N T 13 ¡ Choices for a Telepractitioner Pros Cons - Client acquisition Own Your Own or + Flexibility & control - Payments & collections Small Private Practice - No colleagues or support + Support infrastructure - Limited choices of locations Traditional + Clients provided Staffing Agency & client + Colleagues - Limited control of caseload Hospitals & Clinics + Billing & payments covered & schedule + Flexibility & control Dedicated - Requires organization, self- + Wide choice of clients Telehealth Providers discipline and motivation + Supportive infrastructure 14 ¡ Success Factors for Telepractice/Telehealth Providers 15 ¡ 5
8/2/16 Success Factor: Client Candidacy 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 16 ¡ Client Candidacy: Group Therapy • 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 other students from different schools within the same district 17 ¡ Client Candidacy: Early Intervention 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 18 ¡ 6
8/2/16 More Than Direct Therapy IEP Meetings & Case Management ü Using IEP systems ü Scheduling and facilitating online IEP meetings – Video conference via platform gives ability to demonstrate student activities – Phone conference as a backup ü On-going collaboration and communication 20 ¡ Evaluations and Assessments GFTA-3, KLPA-3, Arizona-3, CELF-5, CELF-5 Screener, CELF Metalinguistics, CELF-5 Reading Speech Language Assessments & Writing Supplement, CASL, CELF 4-Spanish, BESA, PPVT-4, EVT-2, CCC-2, SSI-4 Beery VMI, Sensory Profile 2, Sensory Processing Occupational Therapy Assessments Measure, School Function Assessment GARS-3, Adaptive Behavior Vineland, ABAS-II, Socio-emotional & Behavioral SIB-R, ABS-S: 2, BASC-2, CBCL, Conners CBRS, BASC, ACTeRS, Vanderbilt, Devereux, BRIEF, etc. Cognitive Ability and Achievement Assessment Coming Fall 2016! 21 ¡ 7
8/2/16 Follow the Rules of Your Professional Organization American Speech-Language Hearing Association American Occupational Therapy Association National Association of School Psychologists National Association of Social Workers 22 ¡ Telepractice Laws & Licensing 23 ¡ The Future is Here 24 ¡ 8
8/2/16 Your Next Career Move: Telepractice 25 ¡ Considering Becoming a Telepractitioner? Who are Telepractitioners? State Licensed Professional Credentials Master’s Degree School Experience 9
8/2/16 Personas of Telepractitioners Fa am mi il y- ly -F Fl le ex xe er rs s Mo ov ve er rs s No ot t- -Q Qu ui it te e No o- -N No on ns se en ns se e Ex xt tr ra a- -E Ea ar rn ne er rs s Ad dv ve en nt tu ur re er rs s R Re et ti ir re ee es s P Pr ro ov vi id de er rs s Different Settings for Telepractice Education Health Care Private Practice 29 ¡ Telepractice Arrangements Telepractice Telepractice with a on your own telehealth organization 30 ¡ 10
8/2/16 What Kind of Experience Do I Need? 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! 31 ¡ What Licenses and Certifications Do I Need? Licensed in state(s) where Appropriate national Local state license your patients are located certification 32 ¡ What Hours Can I Work? School Hours Health Care Hours More scheduling flexibility = More placement opportunities 33 ¡ 11
8/2/16 Cross-Licensing & Match-Making • PresenceLearning takes care of matching our 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 34 ¡ Working as an Independent Contractor 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 35 ¡ Getting Started With Teletherapy 1. Placement Specialist 2. Online Community 3. Therapy Platform 4. Clinical Mentors 5. Telehealth Institute 6. Professional Development 36 ¡ 12
8/2/16 Day in the Life of a Telepractitioner: Practical Realities 37 ¡ My Story 38 ¡ Healthy Skepticism Will I be able to connect Is it effective? with the kids? Will I feel good Will it be mediocre? about the work? 39 ¡ 13
8/2/16 Why Telepractice is A Great Fit for Me Using technology that Reaching kids Meeting like-minded Access to other SLPs kids are comfortable with and families people all over the U.S. and professionals Learning opportunities Balancing work and life Professional rejuvenation Personal fulfillment 40 ¡ A Day in the Life of a Telepractitioner Today’s Schedule ✔ 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 Hours billed = 9 41 ¡ Vast Library of Therapeutic Activities 42 ¡ 14
8/2/16 Adding Custom Content 43 ¡ Signing In 44 ¡ Starting the Video Feed 45 ¡ 15
8/2/16 Whiteboard Tools 46 ¡ Chat Box 47 ¡ Team Write 48 ¡ 16
8/2/16 Large Screen Mode 49 ¡ Games, Stamps, & More! 50 ¡ Progress Tracking & Notes Progress Tracking Notes 51 ¡ 17
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