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Home Health Minute: Home Health | Physical Therapy | Geriatrics
In this Podcast, Ken Miller talks with Dr. Jack M Guralnik about outcome measures and the New Toolbox II resource from the Home Health Academy. Dr. Jack Guralnik is currently Professor of Epidemiology and Public Health at the University of Maryland School of Medicine. He spent 25 years doing research at the National Institute on Aging and was Chief of the intramural Laboratory of Epidemiology, Demography and Biometry. He received his M.D. degree from Jefferson Medical College in Philadelphia and M.P.H. and Ph.D. degrees from the University of California, Berkeley. He is Board Certified in Public Health and General Preventive Medicine. Kenneth L Miller, PT, DPT is a board-certified geriatric clinical specialist, advanced credentialed exercise expert for aging adults and credentialed clinical instructor from APTA. He has over 26 years of clinical practice with the older adult population. Dr Miller is an assistant professor at the University of North Texas Health Science Center with dual appointments in the Department of Physical Therapy in the School of Health Professions and in the Department of Internal Medicine and Geriatrics in the Texas College of Osteopathic Medicine.
In this episode for the HET podcast, we are joined by Dr. Kenneth L Miller, PT, DPT and Dr. Melissa L. Bednarek, PT, DPT, PhD. They talk about their why's for creating a textbook and what the process is like! Biographies: Kenneth L Miller, PT, DPT is a board-certified geriatric clinical specialist, advanced credentialed exercise expert for aging adults and credentialed clinical instructor from APTA. He has over 26 years of clinical practice with the older adult population. Dr Miller is an assistant professor at the University of North Texas Health Science Center with dual appointments in the Department of Physical Therapy in the School of Health Professions and in the Department of Internal Medicine and Geriatrics in the Texas College of Osteopathic Medicine. His clinical focus is on best practices for use with the older adult population. He has spoken nationally and internationally on topics of gerontology including primary prevention, frailty, outcome measures and pharmacology. He serves on several editorial boards related to geriatric care and physical therapy education including Topics in Geriatric Rehabilitation where he was guest editor for a thematic issue dedicated to pharmacology and nutrition. He serves the physical therapy profession as director of practice for the Academy of Geriatric Physical Therapy and on several Academy Task Forces. Most recently, he has helped to develop the best practice guidelines for the academy that describe best practices for care of older adults. Most recently, he has served as co-editor of the Ciccone's Pharmacology in Rehabilitation 5th edition textbook update. kenneth.miller@unthsc.edu @kenmpt Melissa L. Bednarek, PT, DPT, PhD is board certified in cardiovascular and pulmonary physical therapy. She is currently an Associate Professor in the Doctor of Physical Therapy Program at Chatham University in Pittsburgh, PA where she teaches clinical physiology, cardiovascular and pulmonary physical therapy and the pharmacology thread in the curriculum. With her 20+ years of clinical experience in acute care, home health and outpatient pulmonary rehabilitation, she has also taught a number of continuing education courses. She has published on the use of high-fidelity simulation in entry-level DPT education as well as interprofessional education. Most recently she served as co-editor of the Ciccone's Pharmacology in Rehabilitation 5th Edition update. mbednarek@chatham.edu
We welcome Dr. Kenneth Miller on the show for a discussion regarding interdisciplinary education. Ken specifically talks about becoming a GCS, non-board certification vs board certification route for development, current landscape of interdisciplinary education in the home health, acute, and inpatient rehabilitation settings, methods of incorporating interdisciplinary education into educational programs, barriers and solutions to interdisciplinary education, his thoughts on CEU courses with interdisciplinary team members, & more! Ken's Bio: Dr. Kenneth L. Miller is a physical therapist and educator with more than 20 years of experience working with older adults in the home and inpatient rehab settings, as well as more than 7 years in adjunct faculty roles for the University of St Augustine, New York Institute of Technology, University of Michigan–Flint, and Touro College. He is a clinical educator at Catholic Home Care, in Farmingdale, N.Y., has developed a course on clinical pharmacology for GREAT Seminars and has several online courses for MedBridge. Dr. Miller chairs the APTA's Home Health Section Practice Committee and is a member of the editorial boards of Topics in Geriatric Rehabilitation, GeriNotes, and is a manuscript reviewer for the Journal of Geriatric Physical Therapy. APTA Home Health Section: http://www.homehealthsection.org/ Ken's Courses on Medbridge: https://www.medbridgeeducation.com/about/instructor/kenneth-l-miller-physical-therapist Ken's Twitter Page: https://twitter.com/kenmpt
The current healthcare climate has created an uncertainty for many physical therapists and other health care professionals. Dr. Kenneth L. Miller, PT, DPT, MA, GCS, CEEAA recently shared his thoughts on physical therapy, home health care and potential impact of proposed legislation on your clinic. Dr. Miller is a physical therapist and educator with more [...]
On this episode of the Healthy Wealthy and Smart Podcast, I had the pleasure of welcoming Dr. Kenneth Miller onto the show to discuss patient care transitions between physical therapy settings. Dr. Kenneth L. Miller is a physical therapist and educator with more than 20 years of experience working in home care and inpatient rehab settings, as well as more than 7 years in adjunct faculty roles for the University of St Augustine, New York Institute of Technology, University of Michigan–Flint, and Touro College. He is a clinical educator at Catholic Home Care, in Farmingdale, N.Y., has developed a course on clinical pharmacology for GREAT Seminars and has several online courses for MedBridge. Dr. Miller chairs the APTA’s Home Health Section Practice Committee and is a member of the editorial boards of Topics in Geriatric Rehabilitation, GeriNotes, and is a manuscript reviewer for the Journal of Geriatric Physical Therapy. In this episode, we discuss: -The current state of information transmission between physical therapy settings -Biomarkers used to evaluate the health status of patients -The real risk of patient fragility and the importance of adequately overloading during treatment -How to enhance home compliance and educate patients through technology -And so much more! Information sharing between healthcare settings is often not reliable. Instead practitioners should focus on ensuring they have the most salient information. From Dr. Miller’s experience, he states, “It is often difficult to get the information I need. It becomes futile sometimes to try and get that information. Some clinicians have stopped reaching out to hospitals and just try to do the best they can with what they have.” Effective and literature supported biomarkers such as gait speed and distance are useful tools to assess risk of re-hospitalization and guide plan of care. Dr. Miller stresses to, “Get those biomarkers out there, so that way even if we can’t get all of the information, be very specific with the type of information, and we can reduce readmissions.” With a growing demographic of home care patients, assessing patient risk level and the need for physical therapy is becoming more important. Dr. Miller notes, “Our patient case loads are going through the roof. I think we need to be able to triage our patients more appropriately for who does need care and who doesn’t and try not to make visits that are not necessary.” One of the biggest challenges facing physical therapy exercise prescription is effectively loading patients. Dr. Miller shares that, “The only known way to combat frailty at this point is exercise and it has to be appropriately dosed.” For more information on Dr. Miller: Dr. Kenneth L. Miller is a physical therapist and educator with more than 20 years of experience working in home care and inpatient rehab settings, as well as more than five years in adjunct faculty roles. He is currently a clinical educator and physical therapist at Catholic Home Care, in Farmingdale, N.Y., and a consultant, for The Corridor Group. He has taught for New York Institute of Technology, University of Michigan–Flint, and Touro College. He is the co-author of the book Providing Physical Therapy in the Home, published by the American Physical Therapy Association (APTA), as well as the author of peer-reviewed publications in Neurorehabilitation and the Journal of Geriatric Physical Therapy. He has presented at the APTA Combined Sections Meeting and NEXT Conference. Dr. Miller chairs the APTA’s Home Health Section Practice Committee and is a member of the editorial boards of Topics in Geriatric Rehabilitation, GeriNotes, and the Journal of Novel Physiotherapy and Physical Rehabilitation. He is the recipient of numerous honors, including three APTA Home Health Section awards: 2016 Section Contribution Award, 2015 Outstanding Effort Award, and 2010 Excellence in Home Care Award. In 2012, he received the Shining Star Award from the Long Island Health Network. He is a Board Certified Geriatric Specialist, a TeamSTEPPS Master Trainer, an APTA Credentialed Clinical Instructor, and an APTA Certified Exercise Expert for Aging Adults. Resources discussed on this show: Fried et al. 2001: Frailty in older adults: evidence for a phenotype. Dr. Kenneth Miller Twitter Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes! Have a great week and stay Healthy Wealthy and Smart! Xo Karen P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my blog post on the Top 10 Podcast Episodes of 2016!