BREAKOUT 32019-01-21T13:46:14-04:00



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Saturday April 6, 2019 1:30 pm – 2:30 pm

Implementing Best Practices for Hip and Knee OA: How physiotherapists can lead the change (30 min)

Presenter: Mark Anunciacion, Melanie Farmer, Rhona McGlasson, Emily Stevenson

Osteoarthritis (OA) is the most common form of arthritis and affects an individuals’ quality of life. This session will outline how the latest research on the management of hip and knee OA was used to develop a framework for care in Ontario. Implementation strategies within three regions will be reviewed focusing on 3 levels: organization, LHIN, provincial. Information will include changing physiotherapy practice (education, therapeutic exercise) and how physiotherapists can influence early diagnosis, medical management and physical activity. This session will facilitate discussion on the physiotherapists roll in influencing the success and sustainability of best practice for patients with hip and knee OA.

Learning Objectives:

  1. Understand the best practice in the non-surgical management of hip and knee OA
  2. Understand the policy changes required at a provincial, LHIN and organizational level to support best practices for this patient population including physiotherapy services
  3. Understand the role a physiotherapist can play in supporting best practices for hip and knee OA patients


Evidence-based funding recommendations, quality standards, and quality improvement: A multipronged approach to improve osteoarthritis (OA) care (30 min)

Presenters: Kashfia Alam, Hon.BSc MPH, Carol Kennedy, BScPT MSc, Amanda Manoharan, BSc MPH

This session will review Health Quality Ontario’s mandate to develop provincial quality standards, apply the best available evidence to inform funding recommendations and build capacity for quality improvement across Ontario. We will highlight the development and content of the Osteoarthritis (OA) Quality Standard. We will show how two quality statements, “patient education” and “therapeutic exercise”, were identified as evidence-based practices for OA, but neither were publicly funded in the province, and how this led to a health technology assessment to inform funding recommendations. We will share the recommendations, and resources related to implementation that will guide the adoption of the OA quality standard amongst health care organizations and health care professionals.

Learning Objectives:

  1. Identify what Health Quality Ontario (HQO) Quality Standards are, how they are developed, and the content of the Osteoarthritis Quality Standard.
  2. Recognize the role of the Health Technology Assessment (HTA) to evaluate effectiveness, value for money and affordability, and patient engagement for “structured education and neuromuscular exercise programs” to inform provincial funding recommendations.
  3. Demonstrate how the Osteoarthritis Quality Standard can be implemented into practice and how existing initiatives are supporting the implementation and adoption of the Quality Standard.
Yes We Can! Quality Improvement in Action: How Advanced Practice Physiotherapist Roles in Musculoskeletal Health are Improving Care for Patients

Presenter: Chandra Farrer, BScPT, MSc

With the emergence of developing roles, this session will provide: a review of current state with the need to optimize health human resources; a review of the evaluation of emerging roles in physiotherapy; and contemplation for future research and directions for the profession. This presentation will review the impact of Extended Role Practitioners (e.g. Advanced Practice Physiotherapists) in musculoskeletal health through a quality improvement lens. The session will outline the six dimensions of quality and triple aim constructs of quality improvement. The existing literature will be explored with reflection on the impact at the micro, meso and macro- systems level.

Learning Objectives:

  1. Identify basic concepts of quality improvement such as triple aim and the six domains of quality improvement.
  2. Apply the concepts of quality improvement to the musculoskeletal health environment in Ontario leading to new models of care and centralized triage pathways.
  3. Evaluate the literature of Extended Role Practitioners in musculoskeletal health through a quality improvement lens to understand current knowledge and future research directions.
Exploring Motor Learning Strategies Use in Gait-Based Physiotherapy Intervention for Children with Cerebral Palsy

Presenter: Jennifer Ryan, PT, MSc

Physiotherapists (PTs) promote motor learning in children with cerebral palsy (CP) by using motor learning strategies (MLS) during their treatment sessions. Novel treatment approaches, such as robotic-assisted gait training, often claim to stimulate the neuroplasticity that underlies motor learning. However, research rarely specifies how these interventions are motor learning based. The Motor Learning Strategies Rating Instrument (MLSRI-20) was created to identify the
extent to which MLS are used during physiotherapy interventions. This presentation will describe the MLSRI-20 and its reliability in gait-based interventions, as well as highlight PTs’ perspectives when using MLS in traditional and Lokomat-based physiotherapy interventions.

Learning Objectives:

  1. Indicate why it is important to measure and intentionally apply motor learning strategies in physiotherapy interventions
  2. Understand and describe the three categories of motor learning strategies
  3. Recognize the static, dynamic, proactive, and reactive factors that influence motor learning strategies use
Strategies To Negotiate An Even Better Contract

Presenter: Darryl Yardley

Physiotherapists (PTs) are valuable at every stage of their career, and an aggressively pursued health discipline. In this presentation, PTs will learn strategies to earn more money without feeling guilty, keeping the patient first, and becoming highly sought after in their community. Whether you are a new graduate, a seasoned therapist, or a clinic owner, we can all use help and support when it comes to negotiating. Don’t undervalue yourself or be oblivious to your worth. Learn how to demonstrate your business-acumen, willingness to discuss key performance indicators and be open to self-reflection. This session will provide you with an opportunity to learn strategies to negotiate the contract you deserve.

Learning Objectives:

  1. Apply strategies and tactics to negotiate a contract, or employee agreement.
  2. Understand your earning potential as an employee or independent contractor.
  3. Differentiate between a good and bad contract.