Central Equipment Pool Authorizer Workshop 2009 Presented by Shoppers Home Health Care Presented at the Central Equipment Pool Authorizer Update Meeting 2009

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 Linda

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 Linda

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)

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. linda

The Central Equipment Pool only provides used/recycled equipment True or False? Mike Both new and recycled equipment Presented at the Central Equipment Pool Authorizer Update Meeting 2009

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. Mike

Presented at the Central Equipment Pool Authorizer Update Meeting 2009 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? Mike Presented at the Central Equipment Pool Authorizer Update Meeting 2009

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 Mike

Central Process, but Locally Driven Clients and Authorizers Central Equipment Pool Ops Local CEP Rep Linda

Central Equipment Pool Operations Team Linda

Presented at the Central Equipment Pool Authorizer Update Meeting 2009 Authorizers are required to complete a comprehensive client assessment before determining their mobility needs True or False? Linda Presented at the Central Equipment Pool Authorizer Update Meeting 2009

Presented at the Central Equipment Pool Authorizer Update Meeting 2009 Authorizers must provide a complete prescription on the application form True or False? Linda Presented at the Central Equipment Pool Authorizer Update Meeting 2009

Presented at the Central Equipment Pool Authorizer Update Meeting 2009 The Central Equipment Pool builds/sets up the chair based on the authorizer’s specifications True or False? Linda Presented at the Central Equipment Pool Authorizer Update Meeting 2009

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 Linda

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 Linda

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 Mike

Presented at the Central Equipment Pool Authorizer Update Meeting 2009 The therapist must provide objective evidence, including pressure maps, to ADP regarding the need for tilt True or False? Linda Presented at the Central Equipment Pool Authorizer Update Meeting 2009

Presented at the Central Equipment Pool Authorizer Update Meeting 2009 A three year warrantee is extended on the power dynamic positioning devices regardless of whether they are new or recycled True or False? Mike Presented at the Central Equipment Pool Authorizer Update Meeting 2009

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 Mike

Presented at the Central Equipment Pool Authorizer Update Meeting 2009 Only the central equipment pool can complete maintenance and repairs, or install new seating on a CEP chair True or False? Mike Presented at the Central Equipment Pool Authorizer Update Meeting 2009

Presented at the Central Equipment Pool Authorizer Update Meeting 2009 Because ownership of the wheelchair is maintained by the Ontario Ministry of Health and Long Term Care, clients can not travel outside of Ontario True or False? Linda Presented at the Central Equipment Pool Authorizer Update Meeting 2009

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 Mike

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. Mike

Custom Seating Custom fabricated seating Custom Molded Seating Bolsters Arm supports Custom lateral supports Customized headrests Custom Molded Seating Seats and back supports Mike/Eric

Keys to Successful Prescriptions Presented at the Central Equipment Pool Authorizer Update Meeting 2009

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 Linda

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

Proof of Delivery and Client Contract 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 Mike

Contains information about CEP 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 Mike

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 Linda

Key Contacts Central Equipment Pool Operations Clinical Support Mike Wilson 416-757-2011(phone), 1-800-395-6661(toll free phone) 416-757-2182(fax) mwilson@shoppershomehealthcare.ca Clinical Support Linda Norton 416-524-2556 (phone), 416-232-1710 (fax) lnorton@shoppershomehealthcare.ca Operations/Quality Improvement Eric Neal 416-428-6639 (phone) eneal@shoppershomehealthcare.ca