presented at the central equipment pool authorizer update meeting 2009 central equipment pool...

Presented at the Central Equipment Pool Authorizer Update Meeting 2009

Central Equipment Pool Authorizer Workshop

2009

Presented by

Shoppers Home Health Care

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Welcome and Introductions

• Purpose of the meeting• To review central equipment pool eligibility, processes and

equipment availability through the Central Equipment Pool for High Technology Wheelchairs

• Introductions• Linda Norton MSCH, OT Reg. (ONT), Rehab Education

Coordinator

• Eric Neal, Director of Rehab Operations

• Mike Wilson, CEP Operations Manager

• Local CEP representatives/technicians/staff

• Manufacturers

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Objectives

• During this workshop, participants will:• Identify the eligibility criteria for Power Dynamic

Positioning Devices• Discuss the CEP assessment process• Explore the value of recycling CEP equipment• Discover the latest technology available through

CEP.• Identify tips and techniques to ensure a smooth

prescription through CEP

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Format For The Day

• Welcome, Introductions and Orientation to the day

• ADP Policies and Practices regarding the Central Equipment Pool (Ian Lowe, Acting Senior Program Coordinator, ADP)

• Working with the Central Equipment Pool (Linda Norton, Mike Wilson, Eric Neal)

• Manufacturer round robin (Manufacturer Representatives)

• Wrap up and evaluation (all)

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What is the Central Equipment Pool for High Technology Wheelchairs (CEP)? (Section 6)

• CEP provides ADP clients throughout Ontario with high quality new and recycled power wheelchairs with power tilt/recline units at discounted prices and provides a rebate on the client's costs once the equipment is returned to the pool.

• For the purpose of ADP funding assistance, a high technology wheelchair is defined as a power wheelchair and/or power base that includes a power dynamic positioning device – tilt and/or recline – as a component

• In addition to the opportunity to purchase recycled equipment, a consistent level of service to ADP clients across the province has been established by consolidating all high-technology services in one responsibility centre.


The Central Equipment Pool only provides used/recycled equipment

True or False?

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Recycling

• Bases and power dynamic positioning devices only are recycled

• Only items in good condition are considered for recycling

• Recycled items are refurbished—staff take pride in ensuring they look and operate like new

• Carry the same 3 year warranty as new components

• Typically these components are less expensive than new components

• If 3rd party funding is an issue, recycled equipment can also be specifically funded. CEP will work with the authorizer to provide options where possible.


Only the power dynamic positioning component (tilt, recline) needs to go through the pool, other vendors can

be used for the base

True or False?

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Change in Functional Status

• Power dynamic positioning devices can be added to the client’s base in this circumstance

• Recycled systems will be used where available.

• CEP warranty applies to the power dynamic positioning device only

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Central Equipment

PoolOps

Local CEP Rep

Clients and Authorizers

Central Process, but Locally Driven

Central Equipment Pool Operations Team


Authorizers are required to complete a comprehensive client assessment

before determining their mobility needs

True or False?


Authorizers must provide a complete prescription on the application form

True or False?


The Central Equipment Pool builds/sets up the chair based on the

authorizer’s specifications

True or False?

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Accessing CEP

• The local CEP representative is the primary point of contact for the client and authorizer.

• The client, Authorizer and CEP representative work together to determine the specifications for the CEP chair

• Detailed/accurate and complete the requests result in faster turn around times, and accurate builds

• Common pitfalls include• Omitting key measurements (e.g. depth)

• CEP reviews the request and determines whether the required items are in stock. Requests are filled with recycled equipment first

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Accessing CEP (continued)

• Typically a trial of the equipment occurs to determine the final prescription

• The chair is returned to CEP while awaiting funding

• The chair the client had on trial is dispensed to the client once funding has been received

• As per ADP policy, the authorizer is responsible to follow up

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Continuous Quality Improvement

• Standard CQI check list• All chairs go through a CQI process

before they leave CEP• High quality• 100% match to rep order

• Need to QC at all steps


The therapist must provide objective evidence, including pressure maps,

to ADP regarding the need for tilt

True or False?


A three year warrantee is extended on the power dynamic positioning

devices regardless of whether they are new or recycled

True or False?

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Warranty Information

• All CEP bases and power dynamic positioning systems come with a 3 year warranty.

• Free service and repairs are provided on warranty items for 3 years

• Includes new and recycled components


Only the central equipment pool can complete maintenance and repairs,

or install new seating on a CEP chair

True or False?


Because ownership of the wheelchair is maintained by the Ontario Ministry

of Health and Long Term Care, clients can not travel outside of

OntarioTrue or False?

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Service and Repairs

• All service and repairs to CEP equipment must be completed by a Central Equipment Pool authorized technician

• 24 hour emergency service is available to CEP clients

• To access service contact the number on the CEP pamphlet

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Rebates• When the client no longer requires the CEP equipment it

must be returned to CEP.

• Depending on the length of time the client has had the chair, and its condition, the a rebate on the client portion of the base and power position devices may be available.

• Rebates are calculated on a set formula

• If a rebate is indicated, it is paid to the person/organization who funded the original client portion.

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Custom Seating

• Custom fabricated seating• Bolsters• Arm supports• Custom lateral supports• Customized headrests

• Custom Molded Seating• Seats and back supports


Keys to Successful Prescriptions

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Measuring Your Client

• The more measurements you take, the more accurately the chair will be set up

• Measure the client in their optimum sitting posture where possible

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Measurement

Source: Pearl Gryfe, Sunnybrook and Women's Health Sciences Centre Source:www.sci-info-pages.com/ wheelchair_man.html

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Proof of Delivery and Client Contract

306 Consumers Road Toronto, Ontario M2J 1P8 1-800-395-6661 DELIVERY / RECEIPT OF ADP PRODUCT FROM CEP As part of adherence to ADP guidelines, we require confirmation of receipt of goods by signature of as follows: I _______________________________________, hereby certify that I have received this equipment as listed on the ADP Equipment Supply Form.

W #: _____________________________________ Health Card Number: _____________________________________ Date of Birth: _____________________________________ Serial #: _____________________________________ Asset # (if appl.) _____________________________________ ___________________________________ ___________________________________ Client Signature Date If applicable, when accepting equipment on behalf of an individual: Product received by: _______________________________ for ______________________ (Please Print) (Please Print) Signature : _______________________________ Date: _________________

• Once the prescription has been completed and the chair delivered, the client will be asked to sign a proof of delivery form and a client contract

1-800-395-6661

Assistive Devices Program Central Equipment Pool

For High Technology Wheelchairs

CLIENT CONTRACT Dear ADP Client, The Assistive Devices Program (ADP) has established the Central Equipment Pool (CEP) for High Technology Wheelchairs to provide clients in Ontario with power dynamic seating systems. This program has been established to ensure responsible management of ADP’s financial resources, and to provide a consistently high level of service throughout Ontario. Shoppers Home Health Care presently administers the program on behalf of the Assistive Devices Program throughout Ontario. Upon approval for funding by ADP, equipment will be provided to you for your use as long as you require it. This equipment is supplied according to the clinical specifications detailed on the ADP authorizer prescription form, which outlines your basic and essential needs. Although the equipment is provided for your use as long as you require it, ownership of the major components is retained by ADP. This differs from most other ADP programs. Once the equipment is no longer required, it must be returned to the Central Equipment Pool, administered through your local Shoppers Home Health Care location. You are required to pay a client portion in most cases, which is a user fee for the use of the equipment. Upon return of the recyclable equipment to the CEP, a certain portion of your user fee may be refunded to you. The amount refunded will be based upon the length of time the unit was used, and the overall condition. For this reason, you are encouraged to keep this equipment in good working condition. As stated, when the equipment is no longer required, it must be returned to the CEP. Arrangements for pick-up can be made by calling 1-800-395-6661, or by contacting your local Shoppers Home Health Care. Seating and upholstered products are not recycled, and therefore do not need to be returned to the CEP. All service work, modifications, and additional components for this equipment must be supplied through the Central Equipment Pool (presently operated by Shoppers Home Health Care). You may contact your local Shoppers Home Health Care store or the

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CEP Client Contract.

• Contains information about CEP• Service and repairs through CEP only

• Warranty information

• The agreement to return the equipment to CEP when it is no longer needed

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Ongoing Education• Road show meetings• Working as a team with your CEP representative• Training from the manufacturer• Assistance with CEP eligibility/ applications/ clinical

issues• Linda Norton

• Assistance with CEP operations, equipment availability/compatibility

• Mike Wilson

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Key Contacts• Central Equipment Pool Operations

• Mike Wilson • 416-757-2011(phone), 1-800-395-6661(toll free phone) 416-757-2182(fax)• [email protected]

• Clinical Support• Linda Norton

• 416-524-2556 (phone), 416-232-1710 (fax)• [email protected]

• Operations/Quality Improvement• Eric Neal

• 416-428-6639 (phone)• [email protected]

presented at the central equipment pool authorizer update meeting 2009 central equipment pool...

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