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DESCRIPTION
7 Contact Hours
This online experience is designed as two separate courses. The first course deals with medications affecting the Central Nervous System. The second course deals with medications affecting the Gastrointestinal System. You may choose to take only one course, or you can take both courses – in any order you wish.
The course material is at an introductory level intended for the following professionals: SLP, OT, PT, Clinical Dietitians, Nurses, Pharmacists, and Physician’s Assistants.
Both courses contain an identical beginning section reviewing ”Foundational” material consisting of Neuropharmacology, the swallowing process and an overview of the effects of medications on dysphagia. If you take both courses, you have the option of exempting out of the Foundations section the second time by skipping directly to the Midterm Exam. If you achieve an 80% passing score on the Midterm, you may continue with the rest of the course.
Following the beginning “Foundations” section, we move on to address medications that can cause dysfunction of the gastrointestinal system and those that are used to treat gastrointestinal dysfunction. This discussion includes medications that:
Also discussed are medication induced xerostomia and stomatitis. Each part of the course describes the mechanism of action of the medications, dosing and side effects, as well as related case studies.
Please note there is one required textbook that accompanies this course.
COURSE GOAL
The focus of this course is on providing access to precise information valuable in the evaluation and treatment of patients with gastrointestinal system dysfunction and dysphagia.
OBJECTIVES
Upon completion of this course, the Learner will be able to:
ACCREDITATIONS
Dynamic Group is an approved provider of continuing education courses by the American Occupational Therapy Association (AOTA). This program is offered for 0.7 CEUs, Introductory to Intermediate Level, Occupational Therapy Process: Intervention, Outcomes. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
This course is AOTA approved for .7 CEUs
NBCOT 8.75 PDU
This course is offered for 0.7 CEUs (Introductory level, Professional area).
In accordance with Title 16, California Code of Regulations section 4154, the California Board of Occupational Therapy has approved this course and instructor for post-professional education in the advanced practice area of swallowing assessment, evaluation and intervention.
This course is also approved by the:
REQUIRED READING
There is a required textbook that must be purchased on your own to supplement the course content: Drugs and Dysphagia: How Medications Can Affect Eating and Swallowing by Lynette Carl, Pharm.D., B.C.P.S. and Peter Johnson, Ph.D., CCC-SLP. The book is divided into parts, and the online courses are based on corresponding parts of the book. It is important that the student obtain the text, as examples and test questions will utilize readings from it.
Title: Drugs and Dysphagia: How Medications Can Affect Eating and Swallowing Author: Lynette L. Carl and Peter R. Johnson Publisher: pro-ed Copyright: 2006 Edition: 1st Pages: 333 ISBN: 0-89079-982-2 URL: http://www.proedinc.com/customer/ProductView.aspx?ID=3637
Course Authors and Instructors
Peter R. Johnson, Ph.D., CCC-SLP, received his undergraduate degree in Speech-Language Pathology from Northern Illinois University. He received his MS and PhD in Speech-Language Pathology from the University of Pittsburgh. He also received an Executive Graduate Degree in Healthcare Financial Management from Ohio State University.
Dr. Johnson has worked in acute care hospital settings, home care, outpatient clinics and long-term care. He has written numerous articles on dysphagia management. Dr. Johnson served as a Column Editor for the American Speech-Language Hearing Association Special Interest Division (ASHA SID 13) Dysphagia newsletter and for the ASHA SID 11 newsletter. He is on the Executive Board for the Florida Association of Speech-Language Pathologists and Audiologists. He is the recipient of the President's Award and the Outstanding Service Award. Dr. Johnson has participated in research projects on dysphagia treatment. He also serves as a consultant to several companies concerned with dysphagia. He has lectured at various hospitals and universities on the subject of dysphagia management.
Dr. Johnson is currently the Speech Mentor with Select Medical Rehabilitation Services. In this role he has conducted regional training programs, works with Regional Clinical Coordinators to develop clinical programs, serves as a consultant for program development in non-Select facilities and maintains the clinical hotline. Dr. Johnson is also affiliated with the University of South Florida and Nova Southeastern University.
Lynette L. Carl, PharmD, BCPS, is a consultant pharmacist and a Board Certified Pharmacotherapy Specialist.
Dr. Carl obtained her BS in Pharmacy from the University of Florida and her Doctorate in Pharmacy from the Medical University of South Carolina. She completed a postdoctoral Residency in Infectious Disease at the Philadelphia College of Pharmacy and Science, University of Pennsylvania Hospital and Children's Hospital of Philadelphia.
Dr. Carl has practiced as a Consultant Pharmacist in hospital, psychiatric, home care and skilled nursing facilities. Her clinical practice experience includes infectious disease, critical care, nutrition support, geriatrics, internal medicine, anticoagulation, cardiology and pain management. She has established clinical pharmacy services that include anti-coagulation clinics, pharmacokinetic dosing services, nutrition support, monitoring services and education programs for patients and healthcare professionals in several hospitals and home care pharmacies.
She has served as clinical adjunct faculty, precepting BS and PharmD students from Mercer University, University of Florida, Nova University and Florida A&M University. She has lectured to pharmacists and other healthcare professions on topics of pharmacotherapy and also served on the speakers bureau of Glaxo Pharmaceuticals and Smith Kline Beecham Pharmaceuticals. She has conducted research and published articles in the area of antibiotic therapy use in infectious disease.
Author Disclosure
Lynette Carl, Pharm.D., B.C.P.S., Contracted Instructor/Writer, Dynamic Group (Dynamic Learning Online, Inc.)
Financial - Author for Drugs and Dysphagia: Medications Affecting the GS, receives royalty payments.
Non-financial - No relevant non-financial relationship exists.
Peter Johnson, Ph.D., CCC-SLP, Contracted Instructor/Writer, Dynamic Group (Dynamic Learning Online, Inc.)
Teaching MethodS
Teaching Methods include:
Several case study examples are provided, which give you the opportunity to learn how to utilize the text as a quick and easy reference source. This will help you more effectively and consistently reference the textbook when confronted with clinical questions in your healthcare settings. The examples should also provide you with real-life clinical situations that mimic problems confronted in your practice.
5 Contact Hour Course
Teachers, families and health professionals are increasingly seeking Occupational Therapists and Speech-Language Pathologists to address children’s medical and behavioral feeding disorders. This intermediate course is for pediatric therapists interested in developing the foundational skills to provide comprehensive evaluation and treatment within an interdisciplinary setting. The student will be provided with information on:
Topics include: The International Classification of Functioning and Disability, Normal Eating and Feeding Skills, Aspects of Eating and Feeding, Common Feeding Disorders, Management of Feeding Disorders, Therapeutic Assessment, Promoting Full Participation in Mealtime Environments, Therapeutic Treatment of Body Level Feeding/Eating Impairments and Special Populations and Case Studies.
Participants in this course will develop an understanding of normal and abnormal aspects of oral motor skills and swallowing, and examine the developmental, psychosocial and cultural factors affecting children’s eating and feeding skills. The student will be able to develop informed evaluation and intervention strategies to promote safe eating/feeding skills, and to encourage children’s participation in positive mealtime environments at home, school, and the community.
Upon completion of this course, participants will be able to:
Dynamic Group is an approved provider of continuing education courses by the American Occupational Therapy Association (AOTA). This program is offered for .5 CEU, Intermediate Level, Occupational Therapy Process: Intervention, Outcomes. The assignment of AOTA CEU does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
This course is AOTA approved for .5 CEU
NBCOT 6.25 PDU (course includes assessment component)
This program is offered for 0.5 CEU (Intermediate level, Professional area).
Author and Instructor
Donna Reigstad, MS, OTR received her advanced Master’s Degree in Occupational Therapy, with a specialization in Early Intervention and school-based practice from the State University of New York at Buffalo. She is the Lead Occupational Therapist at Women and Children’s Hospital of Buffalo. During her tenure at the hospital, she has worked in the Feeding Clinic for 15 years, both as a member of the interdisciplinary team and as the clinic coordinator. She was an Assistant Clinical Professor at the State University of New York at Buffalo Department of Occupational Therapy, where she taught pediatric and theory courses.
Ms. Reigstad has co-authored book chapters on Feeding Assessment and Management. She has presented on feeding topics at the American Academy of Cerebral Palsy and Developmental Medicine, New York State and American Occupational Therapy Association Annual Conferences, and at numerous programs in New York State and Pennsylvania.
Donna Reigstad, MS, OTR, Contracted Instructor/Writer, Dynamic Group (Dynamic Learning Online, Inc.)
Financial - Author for introduction to Evaluation and Treatment for Children with Eating and Feeding Disorders, receives royalty payments.
Teaching methods are focused on promoting an interactive, lively learning experience with practical suggestions to enhance clinical problem solving. They include: course content delivered in text format, graphics, pictures, videos, live web links, experiential activities, discussion board, e-mail with instructor, and case studies. Grading is determined by one final exam with a minimum passing grade of 80%.
2 Contact Hours
This Intermediate course will discuss ways to write evaluation, re-evaluation, and certification documentation in compliance with Medicare requirements, to help ensure payment of the claim. The course will focus on the key points that must be present in order to establish the baseline for an episode of care.
To provide the student with the key elements needed in documentation evaluations, re-evaluations and certifications for Medicare B beneficiaries.
Dynamic Group is an approved provider of continuing education courses by the American Occupational Therapy Association (AOTA). This program is offered for 0.2 CEUs, Intermediate Level, Professional Issues: Legal, Legislative & Regulatory Issues.. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
This course is AOTA approved for .2 CEUs
NBCOT 2.5 PDU
This program is offered for 0.2 CEUs (Intermediate level, Related area).
Approved for .2 CEUs (2 contact hours) by the Board of Certification for Athletic Trainers.
State of Illinois Physical Therapy Continuing Education Sponsor License No: 216.000127
Dynamic Learning Online is approved by New York State Education Department, Office of the Professions as a sponsor of Continuing Education for Physical Therapists & Physical Therapy Assistants
Dynamic Learning Online is a Texas Board of Physical Therapy Examiners (TPTA) Accredited Provider. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE.
Authors and Instructor
Instructor: Melissa Cohn Bernstein, OTR/L, FAOTA is the founder, President/CEO of Dynamic Group. Dynamic Group provides consulting and clinical educational services to the healthcare industry through Dynamic Learning Online, Inc. providing E-Learning for healthcare professionals
With over thirty- five years of experience in healthcare business operations, adult clinical practice, and Medicare regulatory & reimbursement expertise. Melissa’s career includes over 20 years of experience in clinical practice and management with a focus on adult rehab in long term care/skilled nursing facilities and out-patient rehab clinics.
Since 2000, her focus has expanded to offer continuing education and training across the therapy spectrum providing time-sensitive, evidence-based online courses developed by industry experts.
Mrs. Bernstein was nominated and received the highest AOTA honor of a Fellow of Occupational Therapy (FAOTA) at the 2006 conference. Melissa has published several articles and co-authored several book. From August 2006 –November 2009 she served as the Executive Director for NARA, National Association of Rehabilitation Providers and Agencies, an organization that represents and supports rehabilitation practices nationally with a focus on legislation and running a rehab business from a clinically and operationally perspective in a challenging environment. She was honored in May 2011 with a Lifetime Achievement Award by the Board of Directors of NARA, the first recipient of this award.
Consultant/Subject Matter Expert: Nancy J. Beckley, MS, MBA, CHC
Nancy Beckley & Associates LLC is a rehab compliance consulting firm providing consulting and training services, as well outsourced compliance services to therapy clinics, home health agencies, DME suppliers, contract therapy companies, SNFs and other rehab professionals.
The regulatory environment of Medicare, the ever-changing environment of managed care, and the constant need to develop and implement effective marketing strategies are challenges faced by most rehab providers and therapy clinics. Mrs. Beckley assist Rehab providers with these challenges and provide targeted consulting expertise to enable the organization to meet these challenges
Contributing Author : Kate Brewer, PT, MBA, GCS is the President and Owner of Progressive Rehab Solutions. In addition to her consulting activities she is also the Vice President and Compliance Officer of a Rehab Agency managing over 300 employees.
Her hands-on experience ensures that you will be kept on the leading edge of the latest changes to Medicare and other reimbursement and coding changes. Ms. Brewer has her BA in Communications, her MPT from Marquette University and a MBA from Cardinal Stritch University.
Ms. Brewer is nationally recognized for her expertise in documentation and coding issues and currently serves on the editorial board for the following publications:
Ms. Brewer has authored the books:
Author(s) Disclosures
Melissa Cohn Bernstein, OTR/L, FAOTA Instructor/Writer, Dynamic Group (Dynamic Learning Online, Inc.)
Nancy J. Beckley, MS, MBA, CHC Content Consultant/content expert, Dynamic Group (Dynamic Learning Online, Inc.)
Kate Brewer, PT, MBA, GCS, Contracted Instructor/Writer, Dynamic Group (Dynamic Learning Online, Inc.)
This Intermediate course is designed to help therapists understand the basics of the coding required in order to submit a clean claim to Medicare B. The coding topics covered in this course include ICD-9 (International Classification of Diseases) coding, CPT (Current Procedural Technology) coding, and understanding the CCI (Correct Coding Initiative) edits process.
The learner will gain a general understanding of Medicare B therapy claims and the processes through which claims are coded.
1 Contact Hour
This Intermediate course will teach therapists to write clear, measurable and achievable goals that will assist in demonstrating progress in the medical record.
The participant will be able to write a personalized goal for a patient that is individualized, objective and demonstrates a strong relation to function.
Dynamic Group is an approved provider of continuing education courses by the American Occupational Therapy Association (AOTA). This program is offered for 0.1 CEUs, Intermediate Level, Professional Issues: Legal, Legislative & Regulatory Issues. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
This course is AOTA approved for .1 CEUs
NBCOT 1.25 PDU
This program is offered for 0.1 CEUs (Intermediate level, Related area).
Approved for .1 CEUs (1 contact hour) by the Board of Certification for Athletic Trainers.
Intermediate Level: This course will introduce the required documentation components for daily notes and therapy progress notes. Included are the requirements set by Medicare B, as well as important tips on how to improve documentation to capture medical necessity and skills of the therapist.
To provide the information therapists need to write appropriate daily notes, and progress notes for Medicare B beneficiaries receiving therapy services.
This Intermediate course will show how to make the documentation for therapy services support the need for medically reasonable and necessary therapy services. The student will learn the requirements set by Medicare B, as well as important tips on how to improve documentation to include medical necessity and skills of the therapist
The student will be able to identify the key elements that should be present to support the medically necessity of therapy services for a Medicare B beneficiary.
Part of a therapist’s responsibility when providing services for a Medicare B beneficiary is to design a program that facilitates carryover from gains made in therapy to maintenance and continued improvement in a home living environment. This Intermediate program takes the form of a home exercise program for independent patients, and may be a restorative nursing or functional maintenance program for those living in a skilled nursing facility (SNF). This course will introduce the components necessary to document these programs effectively.
To present the components of home exercise and restorative nursing programs in keeping with Medicare guidelines.
Intermediate Level: Regardless of your payor source, a therapy plan of care cannot be closed without a proper discharge note. It is the clinician’s final opportunity to justify the services provided, demonstrate progress, and provide closure to the “story” of the patient’s treatment. This course provides the required documentation components of discharge from therapy services, including requirements set by Medicare B, as well as important tips on how to capture medical necessity and skills of the therapist.
To provide the steps necessary for writing an appropriate discharge notes in accordance with Medicare B regulations.
Dynamic Group is an approved provider of continuing education courses by the American Occupational Therapy Association (AOTA). This program is offered for 0.1 CEUs, Intermediate Level, Professional Issues: Legal, Legislative & Regulatory Issues.. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
All therapy services provided to a Medicare B beneficiary under their benefit are subject to the scrutiny of Medicare as the payor. Some claims are paid, some are not. This Intermediate course will assist therapists in understanding how to navigate the appeals and denials processes when a claim for services provided to a Medicare B beneficiary has been denied by the Medicare Approved Contractor (MAC), fiscal intermediary or carrier.
To provide a guide through the Medicare B appeals process.
This course is AOTA approved for .1 CEU
Providing therapy services under Medicare A in a skilled nursing facility (SNF) is a greatly rewarding experience. However, many therapists and assistants are challenged and intimidated by the numerous rules and regulations that govern the provision of these services. This Intermediate module is designed to provide a bird’s eye overview of the UPDATED regulations, effective October 1, 2011 that govern the provision of therapy services and provide insight into how the overall payment system works under the MDS 3.0, including reimbursement under Medicare A, including RUGS-IV assessments are required, and how therapy services are delivered and captured for Medicare A beneficiaries.
The student will be able to identify the key components of the minimum data set (MDS) 3.0 for which therapy is responsible and how to complete them accurately.
This course is AOTA approved for .2 CEU
Intermediate Level course. Compliance plays a very important role in helping to preserve and protect Medicare dollars. This course will provide the key elements a compliance program needs in order to help monitor documentation and coding. In addition, information will be presented on how to implement a good quality assurance program for documentation, including the basics of the audit and medical review programs utilized by Medicare.
The student will be able to identify the components of a good compliance and quality assurance process for therapy documentation and be familiar with the different audits Medicare uses.
