Thursday, October 10, 2013

2014 Continuing Education Courses at MedCare!

MedCare is proud to be a host site for continuing education courses for therapists throughout the year.  We've expanded our CEU calendar for 2014 and will now be hosting courses at both our Stafford and Pasadena locations to make it easier and more convenient for clinicians from all areas of Houston to attend!  Please feel free to share this information with your friends and colleagues that are not MedCare employees as all courses are open to the public.

We are always looking to add more courses throughout the year so please check our Facebook page frequently for updates to this calendar!

For more information on any of the courses listed below, please contact Sommer LaShomb at (713) 773-5100 or s.lashomb@mpglp.com







Wednesday, August 7, 2013

MedCare's Upcoming Marketing Events!

The following is a list of upcoming events where MedCare will be present!  Feel free to stop by, say hello and get valuable information about the services we provide as well as current job openings with our company!


AUGUST

 

Texas Children's Health Plan Back-to-School Fair 2013
Date: Saturday, August 10th
Time: 10 a.m. to 2 p.m.
Location: Greenspoint Mall, 12300 IH-45 North Freeway, Houston, TX 77060

 
 

SEPTEMBER


Houston Walk Now for Autism
Date: Saturday, September 28th
Time: 10 a.m. to 11 a.m.
Location: Downtown Aquarium, 410 Bagby Street @Memorial Drive
http://www.walknowforautismspeaks.org/faf/home/default.asp?ievent=1062191
 


 

OCTOBER


Texas Tech Job Fair
Date: Tuesday, October 22nd
Location: Lubbock, TX
TPTA Conference
Date: Thursday, October 24th - Saturday, October 26th
Time: 11:00 a.m. to 2 p.m. Friday and Saturday
Location: Arlington Convention Center & Sheraton Arlington
Family to Family Resource Fair
Date: Friday, October 25th
Time: 9 a.m. to 2 p.m.
Location: United Way of Greater Houston (50 Waugh Dr, Houston, TX 77007)
 
Fort Bend Health and Wellness Expo
Date: Saturday, October 24th
Time: 9 a.m. to 5 p.m.
Location: Stafford Centre 10505 Cash Rd


 

NOVEMBER


TOTA Conference
Date: Friday, November 8th - Saturday, November 9th
Time: Friday 12 p.m. to 4 p.m, Saturday 10 a.m to 4 p.m.
Location: Sugarland, TX
DSAH Buddy Walk
Date: Saturday, November 9th
Time: 10 a.m to 2 p.m.
Location: Minute Maid Park

Friday, August 2, 2013

From the Speech Therapy Room to Daily Speaking Situations: Let’s Discuss Carryover!

                Often parents wonder how they can help their child incorporate skills from the speech therapy room into their daily lives.  This is known as the carryover process.  Carryover refers to a client’s ability to take an individual speech skill learned in the therapy room and to apply it broadly in all speaking situations (Marshalla, 2010).   Parents find this particularly difficult when their child avoids speech homework between sessions and/or while practicing the speech sounds in social interactions.  Therapists and parents are asked to work together to find ways to motivate the child outside of the therapy room.  It is the goal of our speech therapists at MedCare to find ways to make this process fun, functional and effective.  In order for us to meet this goal, we need the parents of our clients to work with their speech therapist to make sure the client completes his/her speech homework or uses his/her speech strategies in all speaking situations. 



                As a parent you will see your speech therapist demonstrate creative ways to promote carryover activities.  For example, your son may love sports.  An assignment may be to use the correct production of the /r/ and /l/ phoneme during short conversations about sports.  Or you may have a three year old working on producing two to three word phrases; the therapist may have your child say that phrase while playing his/her favorite game.  At MedCare we believe in a team effort, and as a parent of the client who receives therapy with MedCare you are on that team.  Please feel free to provide your therapist with  as much information as possible about your child so we can design treatment specifically for your child.  
 


Van Riper and several other researchers have suggested some speech production activities for the promotion of carry over including:

·         Describing objects as a way to begin the process of spontaneous productions.

·         Chanting to encourage memory and automaticity.

·         Playing with an error sound or word to facilitate control.

·         Tongue twisters to teach children to control their speech.

·         Storytelling and re-telling to cause stimulate spontaneity and to cause a breakthrough in carry over.

·         Singing to help children remember their speech work and to encourage effortless practice.

·         Create a script to practice at a favorite restaurant.

·         Use the carryover phrase at a department store. 

(Marshalla, 2010)

In 1947, Charles Van Riper wrote that “We cannot rush the carryover process.”  Therefore, a critical component to the carryover process is patience.  Your child may make mistakes, but eventually with practice and in their own time they will get better at this goal. Patience is the first step in the carryover process.  Please do not give up!  Practice, practice, and practice!!  If parents encourage their child to engage in carryover activities, the overall quality of your child’s understanding and speech production will improve.  Through games, books, and functional daily activities you are assisting with the growth of new neural connections.  This in turn will enhance the speech production in your child’s daily life, not just in the speech room. 

 
By: Brittney Donielle Goodman M.S., CCC-SLP

Thursday, July 25, 2013

Backpack/School Supply Drive July 29-August 12!

It’s back to school time, which means it’s Backpack Drive time!  We will be hosting our annual backpack drive from Monday, July 29th-Monday, August 12th.  Backpacks and supplies will be distributed to needy families the week of August 12th, just in time for school to start on the 26th!

We will be accepting donations at the corporate office as well as at each of the clinic locations.  Our backpacks will be given out on a first come, first serve basis and we really want to make sure that we are targeting families who really have a need for assistance.   

Examples of some of the requested items include:

Crayons
Markers
#2 Pencils
Erasers
Glue
Hand Sanitizer
Tissue
Composition books
Colored Pencils
Scissors

If you have any questions, please contact Sommer LaShomb at (713) 773-5100 ext. 131!



Wednesday, June 26, 2013

HHSC Proposes MORE Rate Cuts to Medicaid Reimbursement for Therapies in Home Health and Outpatient Facilities

The Texas Health and Human Services Commission (HHSC) has proposed MORE cuts to Medicaid reimbursement for Physical, Occupation, and Speech Therapy services in both home health and outpatient facilities. HHCS just cut the reimbursement rates in 2012 and now they want to cut reimbursement again! The proposed rate cuts are to go into effect September 1st, 2013.

There will be a public hearing to receive comments regarding the proposed Medicaid rates on July 10th, 2013 at 8:30 am in the Winters Public Hearing Room at 701 W. 51st St. Austin, TX 78751, with entrance through security at the front of the building facing 51st St. HHSC will consider concerns expressed prior to final rate approval.

As the CEO of one of the largest pediatric therapy organizations in Texas, I urge you to follow this story and I implore you to HELP! These proposed cuts will impact organizations and employers abilities to provide basic benefits to their e...mployees. Furthermore, there is no specific methodology used by the Texas Department of Health & Human Services to enforce such drastic reimbursement reductions. Home Health and Outpatient Rehab Centers took deep cuts in 2012 after a hard fought battle to maintain rates for Physical, Occupational and Speech therapy services for medically and/or developmentally delayed and fragile children. We urge all our friends and supporters to contact your local and state representatives to oppose these additional cuts! Please act today! All it takes is a few minutes of your time to call, email or fax your local representative and tell them TO STOP FURTHER REIMBURSEMENT CUTS to Home Health and Outpatient Rehab Facilities.

If you know even one child who has had a sports injury, Autism, Cerebral Palsy, Down Syndrome, cleft lip/palate, spinal cord injury, birth defect, motor vehicle accident or any other type of acute trauma or head injury that has needed physical, occupational or speech therapy you should care about this issue. Please don't ignore this call to action.

MedCare operates on very slim margins and due to government funding we are not even able to borrow working capital to run our business because banks will not lend against government reimbursement. Organizations like MedCare WILL BE FORCED to pass cuts on to our employees who work hard every day in this industry. These employees have student loans and families they must maintain. They work in this industry because they care about children and they want to help.

MedCare has been in business for over 22 years and today more than ever we need your support to STOP cuts that will negatively impact the children in the end. Health insurance costs for our employees will rise 13% beginning 9/1/13. Corporate merit increase for the cost of living for 2013 rose an additional 2% on average. Supplies and equipment costs to service and maintain our business rose across the board. Yet, we continue to be pounded with unmerited reimbursement rates.

In 2013, after an 8% reduction in our rates, we were promised a collaborative effort on any future rate reviews. Yet, here again, we find ourselves begging to keep our doors open alongside thousands of Texas families who are desperate for services. We, like our peer colleagues in the industry continue the struggle to treat the hundreds of children on wait lists because the demand is simply greater than the supply. Why would any intelligent individual choose a career in pediatric therapy when their very livelihood is threatened year after year? Because we truly care. Did you know plumbers with trade school training earn more per hour than a doctorate level Physical Therapist? The folks in Austin in charge of reimbursement continue to add insult to injury by yet again reducing the rates to provide this essential service. Please don't let Texas children suffer longer wait lists and continued government blocking of access to care through inadequate reimbursements leaving them doomed to a failed system. They need your voice!

Please keep updated on this critical issue on our FB page, MedCare Pediatrics. Like and share to stop the insanity!
 
Paige Kinkade, CEO
MedCare Pediatrics

Monday, May 13, 2013

Memorial Day Weekend Closures at MedCare

Saturday, May 25th both our Stafford and Northshore clinic locations will be open for regular business hours. 

Monday, May 27th the following locations will be CLOSED in observance of Memorial Day:
  • Corporate Offices
  • Northshore Clinic
  • Spring Clinic
  • Katy Clinic
If you receive home therapy or home nursing services, please check directly with your nurse and/or therapist to see if they will be working that day. 


Sábado, 25 de Mayo ambas nuestras clinicas Stafford Northshore estarán abiertas horas regulares.

Lunes, 27 de Mayo las siguientes ubicaciónes estarán cerradas en conmemoración del Día de los Caídos:

  • Oficinas Corporativas
  • Northshore Clínica
  • Spring Clínica
  • Katy Clínica

Si recibe terapia en el hogar enfermería en el hogar, por favor consulta directamente con su enfermera y / o terapeuta para ver si se va a trabajar ese día.



Tuesday, April 23, 2013

Atlanto-Axial Instability and Children with Down Syndrome

As therapists, we are always encouraging children to run, jump and play. There are times when physical activity could be dangerous to your child’s health, however, especially children with Down syndrome. Children with Down syndrome are at risk for developing a condition called Atlanto-Axial Instability (AAI). AAI is a condition in which the first and second bones of the neck have too much flexibility. These bones, called cervical vertebrae, can cause damage to the spinal cord when there is too much flexibility. 


How common is Atlanto-Axial Instability in children with Down syndrome?
Approximately 15% of children with Down syndrome have AAI and have no symptoms. Only 1-2% of children with AAI have symptoms.

What are the symptoms of Atlanto-Axial Instability?
Although physical symptoms of AAI are very rare, some symptoms that could indicate pressure on the spinal cord include:

▪ Neck pain

▪ Torticollis or tilting of the head and neck

▪ Loss of balance or changes in walking pattern

▪ Changes in sensation in the hands or feet

How do I know if my child has Atlanto-Axial Instability?
AAI is diagnosed through a series of neck X-rays. X-rays of the head and neck are taken from the side (lateral view), with the head bent forward (flexed), and with the head tilted backwards (extended). On X-ray, a space between the 1st and 2nd cervical vertebrae larger than 4.5 mm is positive for AAI.



Does my child need to have X-rays if they have no symptoms?
Previously it was recommended that all children with Down syndrome have X-rays taken during their preschool years (ages 3-5). Any child who wants to participate in sports should have X-rays prior to starting the sport as well, even if previous X-rays were negative. This will ensure that it is safe for your child to participate.  In 2011, the American Academy of Pediatrics released updated guidelines and the updated guidelines no longer recommend X-rays for all children with Down Syndrome.  The 2011 guidelines state "Children with Down syndrome are at increased risk of atlantoaxial instability. However, not until age 3 years will they have adequate vertebral mineralization and epiphyseal development for accurate radiographic evaluation of the cervical spine. Plain radiographs do not predict well which children are at increased risk of developing spine problems. Therefore, routine radiologic evaluation of the cervical spine in asymptomatic children no longer is recommended."

If my child is diagnosed with Atlanto-Axial Instability, are they restricted from physical activity?
Children with AAI can still participate in physical activity; however, they should avoid activities that put excess strain on the head and neck. Activities that should be avoided include:

▪ Gymnastics, tumbling and somersaulting

▪ Vigorous jumping/bouncing, such as trampoline activities

▪ Contact sports such as football, hockey and soccer

Diving

Where can I find more information on Down syndrome or Atlanto-Axial Instability?
Your pediatrician and your child’s therapists are great resources for information. There are also several national and local agencies with excellent information, including:

▪ National Down Syndrome Society:


▪ National Association for Down Syndrome:

▪ Down Syndrome Association of Houston:



Sommer L. LaShomb, PT, DPT, PCS
Physical Therapist