AGENDA & SCHEDULE

Executive Committee and Board of Directors' Meetings

New York Physical Therapy Association

October 23-24, 2013

The Desmond Hotel and Conference Center, Albany, NY

EXECUTIVE COMMITTE
Wednesday, October 23rdRoom

8:30am - 5:00pmExecutive Committee Meeting Suite 112

BOARD OF DIRECTORS

Wednesday, October 23rd

6:00 - 6:45pmBoard of Directors DinnerShaker Room

7:00 - 7:45pmBoard of Directors Meeting24/26 High St. President - Call to Order

  • Secretary – Roll Call
  • President – Welcome and Introductions
  • Student Interns
  • Conflict of Interest Statement
  • Approval of Minutes of Last Meeting
  • Approval of Agenda
  • Secretary - Report of EC Meeting
  • Reports - Any Additions/Questions
  • Treasurer - Presentation of Proposed Budget
Board Discussion - Proposed Budget

Vote on Budget

Strategic Plan Discussion – Michael Tisbe

BOARD OF DIRECTORS

Thursday, October 24th

7:00amBOD BreakfastKing St. Fountain

8:00amBoard of Directors Meeting 24/26 High St.

Discussion on Motions

  • MOTIONS

NoonBOD LunchKing St. Fountain

1:00pmBoard of Directors Meeting 24/26 High St.

Update on Ad Campaign – Tracy Sawyer/Bibiana Braun

Update on Research Steering Committee – Dave Sofer

Generative Discussion

  1. District successes/failures with running distance meetings or webinars to allow different sites to connect to the same meeting – Jeanette Brown
  2. Dry needling – Matt Hyland
  3. Expanding the role of PTs as primary care providers for musculoskeletal conditions (possible APTA HOD motion) – Gabe Yankowitz
  4. Possible PT staff position – Executive Committee
  5. How to increase the value of membership to benefit current members as well as how to attract new members – Mary Alice Minor
  6. Student Awards – Further rewarding/encouraging award recipients by giving them funding to attend the NYPTA conference – Michael Tisbe
  7. PTA Licensure – Matt Hyland
  8. PAC/APOL Golf Outing (5/14) – Michael Mattia

3:45pmGood and Welfare

4:00pmBoard Adjourns

OTHER MEETINGS

Friday TimeRoom

Discussion on NYS Health Insurance Exchange5:30 – 6:30 pmShaker Room

Issues Forum7-9:00pm2/4 King St. Ballroom

Dessert Reception (Immediately following Issues Forum)King St. Fountain

Saturday

AASIG Breakfast Meeting7:00-8:15 amSuite 112

NYPTA MISSION

By meeting the needs and interests of members in their service to society, the NYPTA will represent and promote the profession of physical therapy. Physical therapists and physical therapist assistants, through the resources of the NYPTA, will innovate and advance the art and science of physical therapy in practice, education and research.

ALL OFFICERS AND CHAPTER OFFICE REPORTS

FALL 2013 BOARD OF DIRECTORS’ MEETING

PRESIDENT – Matthew R. Hyland

October 4, 2013

To:New York Chapter Board of Directors

From:Matthew Hyland PT, PhD, MPA, President

RE: May- October 2013 President’s Board Report

I.Response to Charges from previous Board meetings:

BOD Charge to EC: To convene a Task Force to review District CEH process/applicants with a report to the Fall 2013 BOD.

The EC appointed a task force chaired by Rebecca Kalb (GNY), report may be found under committee reports.

DA Charge to BOD: As amended to divide the question Core Purpose/Mission and Envisioned future and core values/goals/objectives.

The DA passed the Core Purpose/ Mission and Envisioned future and then referred the core values/goals and objectives back to the BOD. The BOD then referred the Core values/goals and objectives back to the EC with report to the Winter BOD. The EC convened a new Strategic Planning Task force, chaired by Mike Tisbe (C) and with feedback from Districts and interested parties, crafted an updated strategic plan. Updated plan found in board reports.

II. Activities

EC Meetings:

- 5/30/13 EC meeting, Albany

- 6/17/13 EC call

- 7/20/13 EC meeting, Rochester

- 8/28/13 EC call

- 9/23/13 EC call

Leadership and CE activities:

- 5/30- 5/31/13 Spring Board Meeting, Albany

- 6/1/13 Delegate Assembly

- 6/2/13 Finance Committee meeting, Albany

- 6/11/13 Keynote address at the NYU Musculoskeletal Rehab Network Annual Meeting

- 6/13/13 Spoke at Port Chester 40/40 club about the benefits PT and Direct Access

- 6/22/13 APTA BOD meeting

- 6/23/13-6/28/13 House of Delegates and Presidents activities at Annual Conference

- 9/15-9/17/13 APTA Payment and Policy Forum: Omaha, Ne.

-10/3/13 Greater New York Student Social

-10/11-10/13/13 Northeast Caucus: Burlington, Vt.

-10/19/13 Presenter at New Jersey Annual Chapter Conference

Conference calls:

- 6/12/13 Call with President and Lobbyist of NYATA regarding practice act changes for AT’s

- 6/19/13 Call with Chair of Advisory Payment Panel

- 7/10/13 Call with Chair AIPT

Other Chapter Initiatives:

- EC liaison to AIPT and B/SI

- Maintaining and updating Presidents Blog

- Maintaining active Twitter account

- Coordinating with National Student Assembly regarding coordinating Chapter student initiatives with National student initiatives

- Ex Officio Finance Committee

III. Current Issues and Concerns

  1. PAC Funding- Our PAC remains vital to our Legislative efforts, in a time where there are regulatory and financial burdens to address on multiple fronts we need to continue to strengthen our PAC to move our association forward.
  1. Copays- High copays continue to be a significant issue in the Chapter and are again at the forefront of the 2014 legislative agenda.
  1. Workers’ compensation- WC continues to be a limiting force for the Chapter with guidelines that do not accurately reflect current best evidence as well as a variance method and billing system that is cumbersome, time consuming and detracts from patient access and care. In addition, they prohibit PTAs from providing appropriate care and the payment levels are well below the national mean.

4. Payment- Payment levels to providers across all areas of practice continue to threaten the long-term viability and stability of our profession.

5.Referral for profit- Physician and hospital owned practices continue to have a negative impact on the profession.

6.Early Intervention- EI providers across the state have been under intense financial pressures from both regulatory standpoint but even more so from the payment standpoint. As the State has taken on fiscal responsibility from the Counties, providers have gone months without being paid, and in some cases owed hundreds of thousands of dollars. We are aware that this has caused many small independent providers to close their doors and no longer offer EI services, further limiting access to needed care for children in NYS.

7.CMS- The re-credentialing process for CMS from late 2012 into 2013 has left many providers in NYS un-credentialed. Providers who did not meet the deadline as established in many cases have not yet been re-credentialed therefore they are not able to treat or be paid for services provided to individuals covered by Medicare. In addition, CMS retained an outside company to do extensive random audits across NY State for dates of service in and around Hurricane Sandy. These audits are costly to CMS and inappropriate to providers who in many cases are still recovering from the devastation of Sandy.

IV. Opportunities:

1. Legislation- We will be adopting a new legislative agenda for 2014 that will continue to include copay language and our workers compensation bills. In addition we are drafting language to enhance our direct access bill and researching possible bills on DPT term protection and PTA licensure in NYS.

2. Communications Consultant- Our communications consultant has been working closely with the PR committee to develop a meaningful 3 year marketing campaign which was adopted by the BOD. Part one of that campaign kicked off with the initiation of PT month on October first. More information in PR committee report

3. Increased participation by membership- As I travel around the State, there is increasing energy and awareness to the issues we are facing. Volunteer request forms are on the rise, committees are full, and task forces have been easy to assemble due to willingness of members to serve.

4. PAC and APOL efforts- PAC and APOL have been working together to create a meaningful plan to raise PAC funds. In addition to looking at sponsoring PAC events in 2013, they have successfully launched the “NYPT imPACt” e-blast which is sent the third Thursday of each month.

5. Flower City Research Grant- The Research Steering Committee has been working to fully meet the charge of the Chapter (See report).

6. Chapter office- The Chapter office has been restructured and a new staff member, Carla Stephan, has been hired. These changes will create a stronger external influence in the payment and legislative arena. In addition Carla has been a key individual in our Social media efforts, with regard to Facebook and twitter.

7. Strategic Plan- A revised strategic plan will be submitted to the Fall BOD meeting with plan to have DA conference call to discuss and vote on in Jan/Feb of 2014.

8. Chapter Involvement- NYPTA has been actively involved with the State Exchanges as part of a coalition with the OT and Speech Associations. In addition, we have been very active in meeting with the NYS Workers’Compensation Board and the Governor’s office regarding EI. NYPTA has also been in contact with the Board of Education regarding the significant delay for licensed therapists who wish to move to NY and obtain a NY license to practice.

V. Think Tank Discussion Items

PTA Licensure

Dry Needling

VI. Motions:

Included in packet

VICE PRESIDENT – Jennifer Collins

To: Board of Directors

From:Jennifer Collins, VP and Co-Chair of AASIG

RE: May-September, 2013

  1. Response to Charges from previous Board meetings.

01-12-11: Formation of Strategic Plan Measurement Task Force

Following the 2013 Delegate Assembly, the EC appointed a new task force/workgroup to address the concerns raised during DA. This group has convened, with Michael Tisbe, Member-at-Large as Chair/Liaison to the EC. This group is developing a time line to bring the edited Strategic Plan back to the Delegate Assembly for consideration.

10-12-07: To earmark a maximum of $300,000 as a Special Project, funded through Reserves, over a time period of three years (FY 2013-2015), to support the recommendations of the Research Action Task Force.

The Research Advisory Group met several times to develop the Request for Proposal (RFP). That group is chaired by Dave Sofer, and I am acting as the EC Representative/Liaison. The RFP was widely disseminated and several inquiries from potential applicants have been answered. The deadline for submission of RFP applications is 10/31/13.

  1. Activities (District, Committee or Member)
  • Participated in all EC conference calls and meetings
  • As Co-Chair of NYPTA Academic Administrators Special Interest Group (AASIG), have accomplished the following:
  • The AASIG sponsored two clinicians, Mary Ellen Dougherty (Syracuse) and Angela Stolfi (Manhattan) to attend the 2013 Educational Leadership Conference in Portland, OR
  • Fall AASIG Meeting scheduled for October 26, 2013 at Annual conference
  • As Liaison to Finger Lakes District, was informed that Jeremy Bittel, FL District Director is stepping down. Have communicated with FL Executive Committee regarding the process for appointing a Director to fulfill that term.
  • Attended Payment Policy Forum representing NYPTA in Omaha, NE
  1. Current Issues and Concerns (District, Committee, or Member)
  1. Workgroup Discussion Items
  1. Think Tank Discussion Items

SECRETARY – Jeremy B. Crow

September 24, 2013

To:Board of Directors

From:Jeremy B. Crow, Secretary

RE:May– September 2013

  1. Response to Charges from previous Board meetings.

For specific EC responses to charges from Board of Directors, please refer to meeting minutes (dates below) as posted on the NYPTA website.

BOD 5-13-02 - The BOD named Michael Tisbe to the 2013-2014 Member-at-Large position.

BOD 5-13-03 - The BOD approved a motion to discontinue the Chapter Referral Service.

BOD 5-13-04 - The BOD approved a motion to make the Practice Committee’s pilot format a permanent structure for this committee.

BOD 5-13-05 – The BOD approved a motion to approve the NYPTA award to Dr.Andrew Ray, PT, PhD the 2013 Arthur J. Nelson Research Designated Fund (RDF) for the project entitled “Respiratory Muscle Training to Improve Dyspnea and Quality of Life in Cancer Survivors”.

BOD 5-13-06 – The BOD approved a motion to allow the NYPTA to pursue an online advertising initiative spanning 3 years – 2013 through 2015.

BOD 5-13-07 – The BOD approved a motion to amend “Chapter Policy Manual, Section V – Administration/Finance, 12 – Chapter Investments, A Investments be amended by changing the values 40%-55% to 55%.

BOD 5-13-08 – The BOD approved a motion to accept the NYPTA Strategic Plan for 2014-2016 as printed and make a motion to the Delegate Assembly for approval.

BOD 5-13-09.1 – The BOD approved a motion to allow the Chapter to make a donation of $125,000 in installments of $25,000 per year for 5 years, to the Foundation for Physical Therapy’s Center of Excellence.

BOD 5-13-10 – The BOD approved a motion to convene a Task Force to review District CEH process/applicants with a report to the Fall 2013 BOD.

  1. Activities

Goal VI, Objective 2: Give monthly updates to membership and specifically my practice on changes in reimbursement in NY State.

Goal VII, Objective 1: Participated in EC telephone conferences 5/30/13, 6/17/13, and 7/20/13, 8/28/13, and 9/23/13 meetings.

Goal VII, Objective 3: Educating the consumer as the Practitioner of Choice at gyms and clinic.

Goal X, Objective 1: Educating patients and students on Association standards and core values.

Goal XI, Objective 1: Assisting Student Assembly members and NYU PT students helping to identify potential leaders.

Goal XI, Objective 5: Updating functions of the chapter and studies of the officers in EC and BOD meetings. Serve as Chair on the Governance Review Task Force.

  1. Current Issues and Concerns
  1. Workgroup Discussion Items
  1. Think Tank Discussion Items

TREASURER – Stephen Lahr

TO:Board of Directors

FROM:Stephen Lahr, Treasurer

RE:1June2013 through 30 September2013

  1. Response to Charges from previous Board of Directors meetings.
  1. There are no outstanding charges from the Board of Directors to which the Treasurer must respond.
  1. Activities (Treasurer)
  1. Elected and sworn into office on June 1, 2013.
  1. Chaired the annual budget preparation meeting of the Finance Committee on June 2, 2013. Developed a proposed 2014 annual operating budget and submitted it to the Executive Committee for consideration at the October 2013 Board of Directors meeting

C.The Treasurer attended two meetings of the Executive Committee by conference call and the in-person meeting in Rochester, but missed one conference call in July while traveling out of town.

  1. Current Issues and Concerns(Treasurer)

In looking at income from membership dues, it appears that this major source of income might be starting to increase less this year than it has been seen to increase in several recent years.Below are the annual dues received for the 5 years prior to this budget year with the percentage change from the previous year.

  • 2008, $552,136, 0.19%
  • 2009, $564,708, 2.28%
  • 2010, $585, 294, 3.65%
  • 2011, $589, 611, 0.74%
  • 2012, $583, 430, -1.05%

While each of the above amounts exceeded the budgeted revenue for their budget year, for the remainder of this 2013 budget year, based on historical monthly revenues over the last 3-5 years, I anticipate the 2013 dues revenue will come in somewhere between $6500 BELOW to $4500 above the budgeted due revenue of $581,500.

The Finance Committee has already become more cautious in the estimate of anticipated revenue for future budget preparation as the proposed 2014 dues revenue is $579, 000 which $2500 less than 2013.

  1. Motions

None

  1. Financial Position (through 30September)

Liquidity

As of 1 January 2013$1,668,034

As of 31 March 2013$1,717,251

As of 30September2013$1,643,252

This decrease is due in large part to the expenses for the BOD approved PR advertising campaign special project.

Annual Operating Budget (2013)

Revenue$542,891received of $783,400 budgeted (69%)

Note membership dues revenue is one month behind statement dates.

Expenses$608,035 paid of $783, 364 budgeted (74%)

  1. Final Comments

Motions on use of “reserves” were passed at the May BOD meeting.

Respectfully,

Stephen P. Lahr, Treasurer

New York Physical Therapy Association

CHIEF DELEGATE – Peggy Lynam

To: Board of Directors

From: Peggy Lynam, Chief Delegate

RE: June – October 2013

  1. Response to Charges from previous Board meetings.

None

  1. Activities
  • Activities related to 2011-2013 Strategic Plan Goals & Objectives
  • Goal XI, Obj 5: Participated in Strategic Plan Task Force conference calls and Governance Review Task Force conference calls
  • Other Activities
  • Assumed Office of Chief Delegate at close of 2013 HOD
  • Attended post-House C/S/A meeting
  1. Current Issues and Concerns
  • The 2013 HOD passed RC 13-13 which sets a new due date of August 30 for Chapters to submit delegate rosters to APTA, effective for the 2015 HOD. This change in due date does not affect how we in NY choose our elected delegates to the House during Delegate Assembly since the DA is held before August. However, the due date for District Designated Delegates will have to change from November 15 to sometime before August 30.

I would like to hear discussion from Districts as to when a new due date for designated delegates should be – before DA when elected delegates are chosen or after the DA?

  1. Discussion Items
  • New due date for District Designated Delegates to HOD
  • Any ideas/issues for possible motions from NY to 2014 HOD

SPEAKER OF THE DELEGATE ASSEMBLY – Christine McNamara

To:Board of Directors

From: Christine A. McNamara PT, DPT, Speaker of the Delegate Assembly

RE:May to October, 2013

  1. Response to Charges from previous Board Meetings
  1. Activities
  • Goal VII, Obj 1: Expand NYPTA influence on, and involvement in, the formulation of legislation and public policies that impact the practice of physical therapy
  • Attended local (Tompkins County) meeting with area representatives re: universal healthcare and access to PT and related services
  • Goal XI, Obj 1: Identify and develop a cadre of potential leaders of all components of NYPTA
  • Met with PT graduate students to discuss volunteer and leadership opportunities in NYPTA
  • Goal XI, Obj 5: Review and update as necessary functions of chapter to insure that the work of the profession is completed successfully and in the most cost-effective manner possible
  • In response to a decrease in apportionment for the NY Chapter, (apportionment went from 27 delegates in 2013 to 26 for 2014) the list of elected NY Chapter delegates to the 2014 HOD was modified. The delegate on the elected list who received the least number of votes was moved to the first spot on the alternate list.
  • APTA determines the apportionment of Chapter Delegates for the following year’s HOD based on the membership numbers as of June 30 of the current year. Since the NY Chapter elects delegates prior to the June 30 deadline, the elected number of delegates is an estimate based on apportionment that may (and did!) change.
  • Other Activities related to the Strategic Plan Goal and Objective(s)
  • Attended Spring 2012 BOD meeting
  • Maintained contact with Chapter Office staff
  1. Current Issues and Concerns
  • None

CHAPTER OFFICE