Incorporating Outcomes & The FMA Into Clinical Practice


Date: 12/14/2019
Credits: .1 CEU
Presenter: Elaine Vivianne Toskos, MAOTR/L, ATP/SMS
Business Practice, Intermediate Level



Like many aspects of healthcare, the Wheelchair Clinic has endured harrowing changes over the past 20 years. The existing landscape is marked by reduced reimbursement for services, staffing challenges and diminished access, as clinics close their doors due to fiscal cuts & spiked, unmanageable volumes. Staffed part-time or full-time, this specialty service is a loss leader that must thrive by developing processes that ensure assessment, documentation & reimbursement efficiencies, by focusing on quality service delivery & outcomes; required in a pay for performance healthcare environment. Incorporating the FMA outcomes registry in Wheelchair Clinic settings provides objective data that can be used to both support the need for specialized clinical services to Health Systems and reimbursement of Complex Rehab Technologies to entities like Medicare. We all know what we do works; now we can prove it works!

Learning Outcomes

The participant will be able to list three reasons why outcome measures are a necessary part of WC Clinic programs.
The participant will be able to identify two indicators that can measure successful CRT service delivery in your practice.
The participant will be able to discuss three aspects of clinical evaluation that can be improved by using the FMA as an assessment tool in WC Clinic settings.


Elaine Toskos is a Program Manager at NYU Lanqone Health responsible for development & clinical oversight to the continuum of seating and mobility programs at Rusk Rehabilitation, in New York City. She is an occupational therapist with over 24 years of clinical practice experience, and has lectured both nationally and internationally in the areas of assistive technology, seating & mobility and rehabilitation services.