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Physical Therapy Advisory Committee

Minutes The Physical Therapy Committee of the Board of Medical Licensure and Supervision met on December 7, 2018 in accordance with the Open Meeting Act. The meeting was held at the office of the Board, 101 NE 51st Street, Oklahoma City, Oklahoma. Advance notice of this regularly scheduled meeting was transmitted to the Oklahoma Secretary of State on October 10, 2017, and posted on the Board's website on December 4, 2018 at 9:12 a.m. in accordance with 25 O.S. § 311.9. Members Present:

Jennifer Ball, PT/ATC, MHR, Chair Carla Hinkle, MS, PTA, Vice-Chair Andrew Ward, PT, COMT Kelly Berry, PT, MPH, Cert. MDT Kristin Hincke, Public Member

Others present: Lyle Kelsey, Executive Director Reji Varghese, Deputy Director

Barbara J. Smith, Executive Secretary Lisa Cullen, Director of Licensing Thomas Schneider, Assistant Attorney General, Committee Advisor

Having noted a quorum, Ms. Ball called the meeting to order at 9:03 a.m.

Following Committee review, Ms. Berry moved to approve the minutes of the September

28, 2018 meeting as written. Ms. Hinkle seconded the motion and the vote was unanimous in the affirmative.

MADISON SUSMILCH, applicant for Physical Therapist licensure, appeared in support of her request to sit for the Federation of State Boards of Physical Therapy ("FSBPT") licensure examination a third time. Ms. Susmilch stated she is currently participating in an online live lecture two days a week as part of her study plan, as well as also obtaining information and advice from professors and friends regarding successfully passing the examination. Ms. Susmilch also indicated she has changed her study pattern. She is currently working as a physical therapy tech with a skilled nursing facility. The Committee reminded her that in Oklahoma three is the maximum times an applicant may sit for the exam. Ms. Susmilch stated she was aware of the maximum and she is planning to retake the test on January 29, 2019. Ms. Hinkle moved to recommend allowing MADISON SUSMILCH to sit for the Federation of State Boards of Physical Therapy licensure exam for a third time. Mr. Ward seconded the motion and the vote was unanimous in the affirmative.

LISA BURCH appeared in support of her application for Physical Therapist licensure. She previously appeared before the Committee in December of 2016 and was approved pending

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completion of the file at that time. She is appearing today to ask the Committee to consider reducing or terminating its previously imposed requirement as it pertained to supervision. For Committee review, Ms. Burch provided passing scores in all areas on the Federation of State Boards of Physical Therapy Practice and Assessment Tool ("PEAT") and 111 continuing education hours, with the Committee having recommended that she obtain only 80 hours. Letters from her supervising physical therapists in support of terminating her supervision were reviewed by the Committee. Following review of the materials presented and discussion, Ms. Hinkle moved to recommend that the requirement of 12 months of direct onsite supervision previously recommended for LISA BURCH be terminated. Ms. Berry seconded the motion and the vote was unanimous in the affirmative.

ERICA THOMAS appeared in support of her application for re-entry of her Physical Therapist licensure. She last practiced as a physical therapist in January of 2018, and her Oklahoma license lapsed in January of 2018. Her license lapsed due to childbirth and the subsequent surgery and hospitalization of her infant. Ms. Thomas stated that she did not intend to let her license lapse and she wishes to return to the practice of Physical Therapy. Ms. Thomas further stated she believes that she is current for the 2016-2017 continuing education ("CEU") compliance period. She has completed one CEU for the 2018-2019 compliance period. Ms. Berry moved to approve the application of ERICA THOMAS for re-entry of Physical Therapist licensure pending verification of required continuing education hours for the 2016-2017 compliance period. Ms. Hinkle seconded the motion and the vote was unanimous in the affirmative.

The Committee then reviewed applications for licensure. Ms. Hinkle moved to recommend approval of the following incomplete applications for Physical Therapist licensure pending completion of the files. Mr. Ward seconded the motion and the vote was unanimous in the affirmative.

MODI, DHRUVIN K PERMAUL, NATALIE RACHEL MORRIS, BRIAN CHRISTOPHER FRITZSCH, JOHN RICHARD

OSTER, KAITLYN PATTERSON, SARAH NICOLE DEXTER, BRADLEY DEAN HUDNALL, KERRY LEIGH

Ms. Hinkle moved to recommend approval of the complete application of CELESTE

ELISE CHEEK for re-entry of Physical Therapist licensure. Mr. Ward seconded the motion and the vote was unanimous in the affirmative.

Ms. Hinkle moved to recommend approval of the incomplete application of COURTNEY DIANNE BALDRIDGE for re-entry of Physical Therapist licensure pending completion of the file. Mr. Ward seconded the motion and the vote was unanimous in the affirmative.

Ms. Hinkle moved to recommend approval of the following complete applications for Physical Therapist licensure. Mr. Ward seconded the motion and the vote was unanimous in the affirmative.

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SPEARS, DANIEL VOY CONLEY, STEPHANIE MARIE FINCH, KYLI ELIZABETH TOPPER, ALYSSA MAE

LENT, CLAYTON CHARLES BELL, MEGAN CHRISTINE HOWL, KELLEY

Ms. Hinkle moved to recommend approval of the following incomplete applications for

Physical Therapist Assistant licensure pending completion of the files. Mr. Ward seconded the motion and the vote was unanimous in the affirmative.

MERVINE, SANDRA L WHITEBIRD, DALTON TY BAKER, RACHEL DELANEY JONES, AMANDA DAWN HUBER, SYDNEE N. VAN ORSDOL, ELIZABETH HOPE SINGLER, TORI NICOLE BLISS, JESSICA NICHOLE ROMINE-ANDREWS, KALI NICOLE

CLOUD, ASHLEY LEE KING, BAILEY RENA GORMAN, CHELSI NICOLE LEMUS, RIGOBERTO HARPER, CIERA LEE ENKEY, CHANDLER BRODY STEPHENS, SCOTT TAYLOR HALLUM, SAVANNA KAY

Ms. Hinkle moved to recommend approval of the following complete applications for Physical Therapist Assistant licensure. Mr. Ward seconded the motion and the vote was unanimous in the affirmative.

SANDERS, TANYA RENEE HANSON, TERESA

HALL, JOHN HENRY OLIVER, JENNIFER A.

Next, the Committee considered continuing education units/courses ("CEUs"). A

discussion ensued and Rachel Herbert reported that the box of CEUs which was previously missing had been found and that box was now ready for review. Kelly Berry stated she would take that box with her after the meeting and advised that she also has another box of CEUs that is only partially reviewed. Ms. Berry and Ms. Hinkle both stated they will make completing the review of the CEUs a priority. David Haynes does not currently have a box for review.

Jennifer Ball advised Rachel Herbert that Peggy Newman has called several times asking about an ethics course she did in Tulsa a few months ago. Ms. Newman is receiving calls asking when it will be approved. Kelly Berry further advised that she and Rachel Herbert have been discussing some standardized language for the subcommittee to use on the document cover page.

Next, the Committee considered the pre-reviewed continuing education units ("CEUs").

Ms. Hinkle moved to approve the pre-reviewed continuing education units as recommended by the review subcommittee. Mr. Ward seconded the motion and the vote was unanimous in the affirmative. (See Attachment #1)

Ms. Hinkle moved to table the pre-reviewed continuing education units as recommended

by the review subcommittee. Mr. Ward seconded the motion and the vote was unanimous in the affirmative. (See Attachment #2)

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Ms. Hinkle moved to deny the pre-reviewed continuing education units as recommended by the review subcommittee. Ms. Berry seconded the motion and the vote was unanimous in the affirmative. (See Attachment #3)

Barbara Smith, Executive Secretary, asked if Committee Chair would consider reordering

the agenda to hear the report from Robert Nisbet, MD. The Committee then heard from Robert Nisbet, MD, Coordinator, Oklahoma Allied Professional Peer Assistance Program (“APPA”). Dr. Nisbet explained that APPA is a voluntary program. APPA serves allied health professionals who have had substance abuse and/or behavioral issues and seek assistance. Dr. Nisbet stated that he has received no referrals from committee members and wanted to remind the committee that the APPA program is available. Members of the Committee were each provided an APPA brochure and Dr. Nisbet’s business card. Dr. Nisbet answered questions of the Committee and the Committee expressed its appreciation for the information.

Next, Ms. Smith then provided an update regarding the proposed rule revisions to Okla. Admin. Code 435:20-9. She reported that Ms. Ball appeared at Medical Board meeting on November 8, 2018 to present the proposed rules and answer any questions the Board might have. The Board did not indicate any immediate issues with the amended language at that time. Ms. Smith thanked Ms. Ball for her very knowledgeable and professional presentation to the Board.

Regarding the amended rules, Jennifer Ball, Committee Chair, reported that at the

Federation of State Boards of Physical Therapy ("FSBPT") Annual Meeting, the Federation advised that it is considering changing the name of "Continuing Education and Competence" to "Continual Professional Development." Thomas Schneider, AAG and Committee Advisor, indicated he might have some issues with the proposed name change because "professional development" is not stated in statute, as continuing education and competence are. Mr. Schneider further advised that if "continual professional development" is to be highlighted, then it will need to be put in the rules as a definition. The Committee agreed that they would like to look into deleting "competence" and adding "professional development" in its place. Ms. Schneider requested the definition of "continual professional development" as stated by FSBPT. Ms. Ball will work on the new draft of the proposed rules with this change and get the language to Barbara Smith no later than January 10th.

Ms. Ball then reported that she attended the FSBPT Annual Meeting in October of 2018

where strategic planning was discussed. Some of the topics covered were testing accommodations for breast feeding mothers, a six-time lifetime limit of attempts at successfully passing the exam, no additional attempts allowed after receiving two very low scores (400s), developing a workforce data set and encouraging all states to collect that data upon licensure renewal. Reji Varghese, Deputy Director, indicated he could make a workforce data survey part of the renewal process. If FSBPTT will provide Ms. Ball with the elements to incorporate into the survey, he will incorporate that into the renewal process and that information will be made available to anyone upon request. The Committee thought the workplace data would be very helpful to Oklahoma employers as well as licensees.

Ms. Ball then advised that Oklahoma will host the FSBPT Annual Meeting next year. This is a great opportunity to showcase our state. Additionally, Oklahoma earned four stars indicating that our exam and licensure statistics are reported timely.

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She also reported that the American Physical Therapy Association is looking at the PT and PTA exams to identify emerging and obsolete areas of practice. The subjects of paraffin, thermotherapy and hydrotherapy contact baths have been removed from the PT exam. Omitted subjects for the PTA exam include ultraviolet intermittent pneumatic compression and selective debridement. Dry needling and diathermia are on the watch list.

Next, Kelly Berry reported on the Physical Therapy Licensure Compact. Oregon, North

Dakota, Missouri, Mississippi, Tennessee and Utah are actively issuing compact licenses (a/k/a privileges). To date, 39 privileges (licenses) have been issued. There are 15 states that have enacted legislation for compact licensure but not issued privileges, and one state has legislation pending. There are additional states predicted to launch compact licensure in January and March of 2019. The strategy is to begin to educate states earlier regarding compact licensure and to also market the compact directly to PTs and PTAs.

The compact agency is funded by an $800,000 loan from the FSBPT and they are also sharing some of their administrative fees with the FSBPT. At the current rate, the agency is being loaned about $200,000 per year. At this point in time, the compact agency is not currently planning on charging a member fee to the states.

Reji Varghese, Deputy Director, reported that what is preventing Oklahoma from launching is the background check through the FBI. There have been several holdups due to staffing, etc., to get that piece of the process up and running. Further, it is not required that the Medical Board charge a fee, but if the Board chooses to do so, it will need legislative approval to do so, and he and Mr. Kelsey are looking into that.

Also, Mr. Varghese stated he has been trying to get a meeting set up with the Oklahoma State Bureau of Investigation. Once the Medical Board is issued an ORI number, it can then request background checks from the FBI and can begin fingerprinting new applicants. There was much discussion regarding fingerprinting and background checks being required to obtain a compact license in every state. Mr. Varghese stated that it appears each state will require applicants to have multiple fingerprints, but if the compact has your fingerprint on file, then each state should not have to go through that process.

A licensee's host or home state is where the licensee's mailing address is. Ms. Berry stated she has issues with the proposed fees. She would prefer to pay one fee

that covers all costs rather than being "nickled and dimed." Ms. Berry requested that "Committee Newsletter" be added as an item to the January

2019 agenda. There being no further business, Mr. Ward moved to adjourn the meeting. Ms. Hinkle

seconded the motion and the vote was unanimous in the affirmative. The time was 10:52 a.m.

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Attachment #1

COURSES RECOMMEND FOR APPROVAL 12/7/2018

COURSE NUMBER COURSE COURSE TITLE CATEGORY HOURS ETHICS HOURS201912166 Allied Health Education Practical Applications of Manual Lymphatic Therapy A 3 0201912167 Allied Health Education Practical Applications of Manual Lymphatic Therapy B 3 0201912177 INTEGRIS Jim Thorpe ReOrthotic Fabrication for the Hand, Wrist, and Elbow A 6.5 0201912178 Summit Professional EdNeuroplasticity and Neurological Disorders (Levine) A 6 0201912179 PTcourses.com Length, Strength, and Kinesio Tape B 21 0201912180 PTcourses.com Pediatrics: Building a Strong Core for School and Play B 4 0201912187 Homeceuconnection.coAddressing the Needs of the Elderly Patient with Dementia:A 3 0201912188 Homeceuconnection.coFoundation, Form and Function: Foundation Concepts of CoA 3 0201912190 Homeceuconnection.coRisk Factors for Stroke in Younger Stroke Patients A 1 0201912191 Homeceuconnection.coStroke in the LTAC and Home Health Setting A 1 0201912192 Homeceuconnection.coPreventing, Resolving the Problems of Plagiocephaly, TorticA 3 0201912194 MedBridge Education Is It Sensory or Is It Behavior? Part 1: Overview B 1.75 0201912195 MedBridge Education Is It Sensory or Is It Behavior? Part 2: Sensory Based BehavioB 1.75 0201912196 MedBridge Education Is It Sensory or Is It Behavior? Part 3: Communication BasedB 2.25 0201912197 MedBridge Education Is It Sensory or Is It Behavior? Part 4: Analyzing the Behavio B 2.25 0201912198 Homeceuconnection.coRespiration and the Thorax: Essential Tools for Recognizing A 3 0201912199 Medical Minds in MotioVestibular Rehab & Balance Related Disorders A 7 0201912201 Healthcare Academy Responding to Form CMS‐2567: Plan of Correction B 1.5 0201912202 Summit Professional EdOncology Rehabilitation (Manibusan ‐ Online) B 6 0201912203 Homeceuconnection.coVascular Insufficiency Ulcer Identification and ManagementB 1 0201912204 Homeceuconnection.coPulmonary Conditions â€“ Pathophysiology, Diagnostic TestB 3 0201912205 Summit Professional EdTherapy Solutions for Young Children with Apraxia (Ebert‐ OB 6 0201912206 The University of Pittsb Psychologically Informed Practice A 13.5 0201912208 The Little Light House Visual Supports for the Classroom A 3.75 0201912209 Relias Rehabilita on Therapy Considera ons for People Living withB 1 0201912210 Relias Alzheimer's Disease and Related Disorders for Homecare WB 2 0201912211 Valir Health Scrape, Tape, Cup & Glide: Restoring Space, Motion, & SlackA 14 0201912214 PESI, Inc. The Ultimate Hands‐On Wound Care Clinical Lab A 6.25 0201912215 EDUCATA Ethics for the Physical Therapist and Physical Therapist Assi B 2 2201912216 Aquatic Therapy & RehaIntro to Aquatic Therapy and Rehab A 8 0201912217 Aquatic Therapy & RehaTechniques and Applications for Orthopedic Conditions A 8 0201912218 Aquatic Therapy & RehaFunctional Circuits for Aging A 7 0201912219 Aquatic Therapy & RehaApplications and Outcomes for Low Back Issues A 7 0201912221 Great Seminars Online Effective Interventions for Lower Level Patients B 1 0

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COURSES RECOMMEND FOR APPROVAL 12/7/2018

COURSE NUMBER COURSE COURSE TITLE CATEGORY HOURS ETHICS HOURS201912270 MedBridge Education Practical Interventions for Common Gait Deviations in the NA 3 0201912271 MedBridge Education A Clinical Guide to Enhance Learning in People with AlzheimA 3 0201912272 MedBridge Education The "How‐To" of Teaching Patients About Pain A 3 0201912273 MedBridge Education The Hip & Pelvis: A Global Systems Approach A 3 0201912274 VA Medical Center Pain Implementing Chronic Pain Rehab Programs A 16 0201912275 Homeceuconnection.coCardiopulmonary Patient Care ‐ Rehabilitation Assessment &B 3 0201912276 Homeceuconnection.coCardiopulmonary Patient Care ‐ Rehabilitation Assessment &B 3 0201912277 Anne and Henry ZarrowPositive Aging: An Inter‐Professional Symposium A 5.5 1201912278 Summit Professional EdPost‐Operative Rehabilitation and Joint Replacement (Ellis) A 6 0201912279 CIAO Seminars Visual Processing Live Stream Replay‐The One Variable ThatB 5.5 0201912282 Rehab Visions Concussion Management Rehab Visions B 2 0201912283 Progressive Therapy Ed Strength Training for Function: Program Design for Frail to FA 6 0201912284 Progressive Therapy Ed Strength Training for Function: Program Design for Frail to FB 6 0201912285 Progressive Therapy Ed Expand Your Functional Test Toolkit A 6 0201912286 Progressive Therapy Ed It Starts in the Middle ‐ Strengthening the Core to Enhance  A 6 0201912287 Progressive Therapy Ed It Starts in the Moddle ‐ Strengthening the Core to EnhanceB 6 0201912288 Progressive Therapy Ed Functional Testing and Skilled Documentation in Geriatric T A 6 0201912289 Progressive Therapy Ed Functional Testing and Skilled Documentation in Geriatric T B 6 0201912290 Relias Lumbar Spine Stabiliza on and Rehabilita on B 2 0201912291 Relias Evalua on and Treatment of Ankle and Foot Biomechanics B 1 0201912292 Apex Innovations Apex Innovations NIH Stroke Scale B 3 0201912293 AdvantageCEUs.com The Throwing Shoulder B 2 0201912294 Rehab Visions Dementia Care Training Part 1 B 2 0201912295 Rehab Visions Multi‐sensory Education and Dementia B 1.5 0201912296 Homeceuconnection.coOsteoporosis: NOT just an old Lady's Disease B 2 0201912297 Homeceuconnection.coInsights into Aging: Aspects in the life of a Senior B 4 0201912298 Homeceuconnection.coInsights into Aging: Aspects in the life of a Senior B 4 0201912299 American Physical TheraDosing and Rehabilitation: Balance and Vestibular Related I B 2 0201912300 PhysicalTherapy.com ACL: From Prehab to Return to Play A 2 0201912302 Allard USA Dynamic Trio: Gait Analysis, Rehab, and Orthotic InterventioA 4 0201912303 Easterseals Arkansas Educationally Relevant OT and PT: Our Role as Related Serv A 6 0

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COURSES RECOMMENDED TO BE TABLED 12/7/2018

COURSE NUMBER COURSE COURSE TITLE CATEGORY HOURS ETHICS HOURS201912039 PT Central Cervical Spine Manual Therapy Management A 16 0201912040 EIM Kinetacore Functional Dry Needling Level 1 A 27 0201912071 APPT APTA Innovations in School‐Based Physical Therapy PractB 1.5 1.5201912094 APTA Musculoskeletal Pain Management Principles B 2 0201912097 Foundation Management Services, I Skilled Therapy Documentation‐How confident are A 3 0201912100 Pacific Northwest Pilates Spinal, Pelvic and Scapular Stabilization on Mat ‐ Pi A 18 0201912101 Pacific Northwest Pilates Spinal, Pelvic and Scapular Stabilization on ReformeA 18 0201912108 Medical Minds in Motion Vestibular Rehab Therapy B 6 0201912148 NACCME Wound Healing in the Post‐Acute Setting: Advance B 2 0201912149 NACCME Incision Managment: The Final Step for Complex SuB 1 0201912154 Alyssa V Phillips Foundation CP Prep For Life Conference A 14 0201912168 Ce international Autoimmune Connective Tissue Disease A 3 0201912169 Ce international Autoimmune Connective Tissue Disease A 3 0201912170 Ce international Relaxation Techniques for Health A 2 0201912174 Ce international Type 1 Diabetes A 3 0201912175 Ce international Exercise Therapy in Disease Management A 2 0201912176 the International Committee of the  Wheelchair Provision and Training B 16 0201912181 Gray Institute Movement Analysis & Performance System (3DMAB 10 0201912182 Gray Institute Certification in Applied Functional Sciences B 25 0201912183 Fyzical Therapy and Balance CentersBalance Retrainer ‐ Level 1 ‐ Balance and Vestibula B 6 0201912184 Fyzical Therapy and Balance CentersSENIOR BALANCE RETRAINER  LEVEL II ‐ BALANCE AA 18 0

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COURSES RECOMMENDED TO BE DENIED 12/7/2018

COURSE NUMBER COURSE COURSE TITLE CATEGORY HOURS ETHICS HOURS201911601 Functional Movement Systems, Inc. FMS Level 1 ‐ Movement Experience A 12.5 0201911602 Functional Movement Systems, Inc. FMS Level 2 ‐ Return to Movement A 12.75 0201912212 Institute for Brain Potential Cardiovascular Health, Inflammation and Nutrition A 6 0

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