Panel Presentation

(V1-01) Demonstrated Value with Telerehabilitation Care Delivery Models Following Total Knee Replacement Surgery

Sunday, April 23
10:15 AM - 11:15 AM
Location: W230 BC

Anne will discuss the benefits and considerations for implementing a mobile technology for pre and post care for total joint replacement, including what and how to track patients, frequency of engagement of care team, the optimal delivery of tasks to ensure adherence. She will present data on adherence and usage of digital care plans to define best practices for patient engagement. She will discuss clinical workflow and HIPAA security implications implementing technology for follow up care.
Anang: Describing an observational case series where patients undergoing joint replacement knee arthroplasty combined with a novel tele-rehabilitation tool that enables home physical therapy exercise programs and virtual tele-visits with a physical therapist in lieu of in-person clinic visits. Eligible patients received physical therapy using the telrehabilitation system in their homes as part of a prehab program up to two weeks prior to their surgery with plans to use it during the rehab program. Those who had uncomplicated PKA / TKA had a pre-specified protocol for HEP loaded into the telerehabilitation program by their clinician. Patients used the tool to complete HEP and participate in video tele-visits from home with a PT at the clinic. Information collected included overall adherence to the home PT exercises. The PT reviewed performance metrics remotely. Additional physical measurements, functional outcomes scores, and usability surveys were recorded via the PT during clinic visits.
Kathleen Sullivan will discuss the results of a case study utilizing a combined synchronous and asynchronous telerehabilitation system with patients having undergone TKA. The study participant was 85 y.o., human factors and telerehabilitation adoption by the participant and training will be discussed along with presentation of clinical results.
Chris Peterson will discuss the key aspects of starting the telerheabilitation study in a healthcare system setting including legal, regulatory, and training considerations as well as the key value programs that telerehabilitation can be incorporated into.

Learning Objectives:

Evelyn Terrell

Regional Director Rehabilitation Services and Telehealth Operations
Nicklaus Children's Hospital, Miami Children's Health System

Evelyn Terrell, OTD, MHSA, OTR/L, is the Regional Director of Rehabilitation Services and Telehealth Operations at Nicklaus Children’s Hospital – Miami Children’s Health System where she oversees both service lines within the system. She holds a Bachelor of Science in Occupational Therapy, Master of Science in Health Services Administration, and a Doctor in Occupational Therapy degree with a concentration in administration and practice management. Dr. Terrell has held multiple speaker engagements and served as adjunct faculty for local university programs, in the areas of leadership, management, and telehealth. She routinely interacts with policymakers, community leaders, and professionals to increase awareness of telehealth and has implemented best practice programs globally. Dr. Terrell is a member of the American Telemedicine Association Telerehabilitation Special Interest Group and has served as conference Peer Reviewer, ePoster Reviewer and in the Education Subcommittee. She also served on the American Occupational Therapy Association Ad Hoc Committee on Licensure Portability.


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Chris Peterson

Telerehabilitation Program Director
Hartford Healthcare Rehabilitation Network

Chris Peterson is Program Director of Telerehabilitation for Hartford Healthcare

Rehabilitation Network in Hartford, Connecticut. Prior to his current role Chris spent 10

years in full time physical therapy practice including 5 years of experience in practice

management. He served as an adjunct faculty member in the doctoral physical therapy

program at American International College in Springfield, MA. He currently serves as Vice-

Chair for the American Telemedicine Association’s Telerehabilitation Special Interest Group.

In his role as Telerehabilitation Program Director he is the principal

investigator for a grant funded research study that is seeking to establish the feasibility of

telerehabilitation in several domains including oncology, orthopedics and neurology

within the context of post-acute healthcare setting. He manages all aspects of the

telerehabilitation program including, regulation, training, privacy, security, staff training

and project development. Additionally, Chris has been involved in advocating for the

adoption and expansion of rehabilitation services using telehealth at the local, state and

national level.


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Kathleen M. Sullivan

Rehabilitation Director
Hartford Healthcare Rehabiliation Network

Kathleen Sullivan, MSPT, MHA is the Director of Rehabilitation at Jefferson House in Newington, Connecticut. She has served as the second investigator in an ongoing TeleRehab research project for Hartford Healthcare Rehabilitation Network.


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Anne Weiler

Wellpepper, Inc

Anne Weiler is CEO and co-founder of Wellpepper, a clinically-validated and award-winning platform for digital patient treatment plans. She cofounded Wellpepper in late 2012 with Mike Van Snellenberg to address issues in communication and continuity of care after a personal experience when her mother was released from 6 months in the hospital with no instructions and a month for a follow up visit. Anne's expertise spans concept to go-to-market for technology startups and established businesses. Prior to Wellpepper, Anne was Director of Product Management at Microsoft Corporation. She joined Microsoft in 2001 with the acquisition of Canadian web content management company Ncompass Labs.


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Anang Chokshi

Chief Clinical Officer
Reflexion Health

Anang Chokshi is a licensed physical therapist with board certifications in orthopedics and sports medicine. He currently serves as the Chief Clinical Officer for Reflexion Health, a San Diego based digital healthcare company that is creating software to help clinicians deliver digital medical therapy to patients. As a physical therapist, Anang is providing valuable clinical expertise and insight into the creation of VERA(virtual exercise rehabilitation assistant), Reflexion's new and innovative software. VERA leverages motion capturing technology and is designed to enable guided outpatient rehabilitation, adherence tracking, and automated feedback. By maximizing innovative technologies and providing high value clinical data, Reflexion Health looks to transform healthcare delivery and redesign patient care, to educate, motivate, measure, manage – all to ease the patient’s journey, amplify the clinician’s impact, and speed recovery. Anang also serves as an adjunct professor of physical therapy at Western University in Pomona, California. He received his Doctor of Physical Therapy from the University of Michigan-Flint and has completed various yearlong postgraduate level courses, including Kaiser's Sports fellowship training as well as other courses focused on manual therapy and movement science.


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(V1-01) Demonstrated Value with Telerehabilitation Care Delivery Models Following Total Knee Replacement Surgery

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