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

2. 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

3. 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

4. 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)

6. 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

7. 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

8. 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

9. 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

10. 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

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

12. Central Equipment Pool Operations Team
Linda

13. 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

14. 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

15. 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

16. 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

17. 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

18. 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

19. 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

20. 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

21. 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

22. 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

23. 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

24. 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

25. 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

26. 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

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

28. 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

29. Measurement
Linda
Source: Pearl Gryfe, Sunnybrook and Women's Health Sciences Centre
Source: wheelchair_man.html

30. 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

31. 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

32. 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

33. Key Contacts Central Equipment Pool Operations Clinical Support
Mike Wilson
(phone), (toll free phone) (fax)
Clinical Support
Linda Norton
(phone), (fax)
Operations/Quality Improvement
Eric Neal
(phone)