The settlement of the 2013 court case (Jimmo v. Sebelius) established that Medicare cannot deny rehabilitation services to persons with degenerative diseases like Alzheimer's disease when documentation states there is lack of progress. This ruling opened the door for SLPs to provide even more services to this population than ever before.
This clinically focused program uses a case study format to explain how to successfully evaluate and treat persons with dementia. Participants will learn the importance of categorizing the type of dementia before establishing a plan of treatment. Participants will also learn how to document medical necessity and skilled services, the two requirements necessary for reimbursement. In addition, participants will review evidence-based interventions that are likely to yield functional and meaningful outcomes for persons with dementia. Additional discussions will include caregiver education and identification of barriers that must be addressed before successful treatment outcomes can be achieved. Offered for 0.3 ASHA CEUs – 3 contact hours.
Course Run Time: 3:03:46
The content of this online CE course does not focus exclusively on any specific proprietary product or service. Presenter financial and non-financial disclosures may be found in the Presenter & Disclosures area.
Video PowerPoint presentation with author narration & downloadable handout.
Michelle Bourgeois, PhD, CCC-SLP, ASHA Fellow, is a Professor in the Department of Communication Sciences and Disorders, University of South Florida. She has received numerous grants from the National Institutes of Aging (NIA) and the Alzheimer’s Association to investigate interventions for spousal and nursing home caregivers designed to improve the quality and quantity of communicative interactions with residents with dementia, to evaluate memory aids and interventions for persons with dementia and traumatic brain injury, and to develop training programs for institutional caregivers. A clinical researcher, Dr. Bourgeois has published numerous research articles, training manuals and CDs, and books. She was the recipient of the 2007 Barry Reisberg Award for Non-Pharmacologic Research, Theory, and Clinical Practice.
Financial — Michelle Bourgeois is the author of My Book of Memories, which is published by Northern Speech Services; receives royalty payments.
Financial — Michelle Bourgeois is co-presenter of online CEU courses offered by Northern Speech Services; receives royalties.
Nonfinancial — Michelle Bourgeois has no relevant nonfinancial relationships to disclose.
Jennifer is the author of 5 nationally recognized books on dementia including the silver-medal winning Creative Connections in Dementia Care and I Care, the gold-medal winning work that also received a 5-star rating as a Reader Favorite. Jennifer is widely known for her revolutionary work in the Spaced Retrieval memory intervention, pioneering this area of study and publishing 2 books on the subject.
Financial — Jennifer Brush is a presenter of online CE courses sponsored by Northern Speech Services; receives royalties.
Financial — Jennifer Brush is a presenter of CE seminars sponsored by Northern Speech Services; receives speaking fees.
Financial — Jennifer Brush is the author of "Meal Time Matters" and "Meal Time Matters at Home"; receives royalties.
Financial — Jennifer Brush is the author of "A Therapy Technique for Improving Memory: Spaced Retrieval" and "Environment and Communication Assessment Toolkit"; receives royalties.
Financial — Jennifer Brush is an editor and author for IDEAS Institute; receives consulting fees.
Financial — Jennifer Brush is the owner of Brush Development; ownership interests.
Nonfinancial — Jennifer Brush has no relevant nonfinancial relationships to disclose.
Financial — Mary Casper is employed with HCR ManorCare; receives a salary.
Financial — Mary Casper is a presenter of online CEU courses offered by Northern Speech Services; receives royalties.
Nonfinancial — Mary Casper is a volunteer in various capacities for ASHA; receives no compensation for these roles.
This program is offered for 0.3 ASHA CEUs (Intermediate Level; Professional Area).
ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of ASHA CEUs is noted above. Note that 0.1 ASHA CEU = 1 contact hour = equals 1 CEE.
ASHA CE Registry: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.
ASHA CEUs: Attendees must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs:
If an attendee is not an ASHA member or CCC holder but meets any of the above criteria, they may inform the ASHA CE Registry of their eligibility by visiting this site.
Licensing Boards: Most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some state boards do, however, place a limit to the number of credits that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any credit limits related to home-study courses prior to registering for this course.
Additional accrediting agencies by which Northern Speech is an approved CE provider:
Course Completion Timeframe: You have unlimited time to complete this online course. You may log off and log on as you wish in order to complete all sections of this course.
Content Access: Access to course materials and content does not expire, even after completing the post test. You may continue to review course material by logging into your NSS account, clicking the My Online Courses tab, and then viewing your desired course.
Certificate of Completion: On successful completion of the post test (80%), a certificate will be immediately available for download and/or printing. This certificate will include your name, date of completion (based on Eastern Time Zone, USA/Canada), and number of contact hours (CEUs / CEEs). Please note that CEUs are awarded on the date of successful test completion, not the date of course enrollment. Please ensure that you successfully complete the post test prior to any licensure renewal dates.
ASHA CE Registry Submission: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.
Purchase Orders: Purchase orders are NOT accepted when registering for online courses. Payment must be made online in the form of a credit or debit card payment.
What is an Online Course? Our Online Courses consist of video, audio, and/or text content and are offered for ASHA CEUs. Unlike a webinar, which requires participants to be logged on and at a computer at specific times, our Online Courses are available to you at any time, from any device, via your NorthernSpeech.com online account. You may work at your own pace and start and stop your course as you wish. Your course will conclude with a short post test. On successful completion of the post test (>80%), a printable certificate of completion is presented to you.
Receiving CEUs: Northern Speech is an ASHA CE Provider and our online courses are registered with ASHA and offered for ASHA CEUs. Please note that successful completion of the online post test is required prior to the awarding of CEUs. Please contact your state licensing board for acceptance policies related to CEUs earned online.
Registering for an online course: You may browse all online courses by clicking the Continuing Education tab above, then Online Courses. Once you find a course, click Enroll Now, and you will be asked to either log into your existing Northern Speech account or create a new online account. Once you’ve entered your account information and provided your credit card payment, your course will be immediately available to you.
Accessing your purchased course or returning to a purchased course: You will be able to access your online course by logging into your Northern Speech account and then clicking the My Online Courses tab on your profile screen. Click the course you would like to start or to resume. From there, proceed through the course sections until you are ready to complete the post test. You do not have to complete your course all at once. You may log on and off as you wish.
Testing requirements: Each online course concludes with a post test consisting of multiple choice or true & false questions. Scores of 80% or greater are required for successful course completion and awarding of CEUs. You may revisit course materials and retest as needed to achieve a passing score.
Number of CEUs offered: We offer courses from 1 to 21 contact hours. Each course will note the number of CEUs offered. Please note that 0.1 CEU = 1 contact hour = 1 CEE.
State licensing boards and online CEUs: NSS is an ASHA CE Provider and most state licensing boards DO accept ASHA CEUs earned online (usually classified as home-study credits). Some boards do, however, place a limit to the number of CEUs that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any CEU limits related to home-study courses prior to enrolling in an online course.
Course formats: Our course formats include: text, audio, video, and PowerPoint with author narration. Each course will note the format on the course description page.
Course handouts: Most of our online courses provide a link to download the accompanying handout as a PDF file.
Group discounts: Groups of 3 or more are eligible for a 20% discount on each registration on most of our online courses. To receive this discount, registrations need to be processed together via the "Group Rates" tab on the Online Course of your choice.
Computer requirements: For our online courses to function best, we recommend that you update your computer to include the newest version of your Internet browser (Safari, Chrome, Firefox, Edge, Internet Explorer, etc.) and newest version of your computer's operating system. Also a high-speed Internet connection is recommended (cable or DSL). Speakers or headphones will be required for many of our courses as many contain audio components.
Course Cancellation Policy: A purchased online course can be exchanged, refunded, or transferred to another individual if contact is made with NSS (via phone or email) within 30 days of purchase and the course materials have not been viewed or downloaded.
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"I appreciated going over assessing patient with new onset confusion with goals to establish reliable responses, all the environmental factors to evaluate, various ways to implement memory strategies, and caregiver training in SNF with dementia and dysphagia diagnoses. I liked the in-depth look at each case from initial symptoms, diagnosis, assessment, treatment, and outcomes." – J.Z. (Feb. 2020)
"All of the case studies were beneficial. This course provided several case studies with excellent treatment ideas." – K.B. (Dec. 2019)
"The real life examples provided me with ample interventions and questions to ask in interviews with family/patients that I can begin using on Monday at work." – B.J. (Nov. 2019)
"I liked the different strategies and ideas to implement; however not always realistic in all settings." – B.S. (Oct. 2019)
"I enjoyed some of the specific information on vision and environmental adaptations." – L.K. (Sept. 2019)
"I liked everything! I liked the Memory Strategies Course and how they not only included the students but they also included Primary Care Givers/Spouses." – E.T. (Aug. 2019)
"The approaches to developing useful short term goals by asking the patient what they would like to do as well as looking at typical ways of spending time were useful in my contacts with patients." – S.S. (Aug. 2019)
"I liked the sample goals and interventions. I expected more detailed information regarding assessment and staging of dementia." – M.S. (July 2019)
"I enjoyed the practical goals for increased independence in the home environment and goals involving family and caretakers and hearing results of functional therapy." – B.H. (Apr. 2019)
"I liked all the case studies presented and how treatment was outlined." – E.A. (Mar. 2019)
"I appreciated the consideration of meaningful functional activities in the individual's daily life that can be incorporated into the treatment goals/plan. Nicely organized and presented course." – C.Y. (Feb. 2019)
"I found the treatment strategies to be the most beneficial to my daily practice. I liked the real-world examples that followed the patient from evaluation, through treatment, and discharge. My expectations were not only met but exceeded. There was an abundance of practical information in a 3 credit course! I felt I gained more information from this course than others I've taken requiring more time and effort." – D.H. (Jan. 2019)
"I was particularly interested in the 'activity box' example in the setting of acute care. I think this would be a great way to improve orientation and overall mood in acute care and also inpatient rehab. I also have not heard of the ECAT and plan to request this to formally assess the patient's living environment." – E.H. (Dec. 2018)
"I like that I was able to relate the course content and case studies to patients I have treated in my current setting." – M.R. (Nov. 2018)
"I appreciated the suggested assessment tools. I liked all of it - including the ideas for activities for a variety of patients. Very good course." – K.S.R. (Oct. 2018)
"Most beneficial was the use of personal activities and problem-solving to help the confused person be cared for in a dignified manner." – C.R. (Sept. 2018)
"The information from Michelle Bourgeois was very helpful along with Mary Casper's swallowing input." – M.T. (Aug. 2018)
"The course was thorough and covered the application of theoretical knowledge. I appreciated the specific therapy goals and examples of treatment and materials." – E.S. (June 2018)
"I liked the emphasis on the goals that will be useful to our clients and the importance of including caretaker goals." – D.D. (Apr. 2018)
"I love the case studies especially the 'home versus rehab/nursing home person' and the differences in their dementias. The speakers were very thorough in their approaches listing short term and long term goals as well as interventions. I liked everything!" – A.H.A. (Mar. 2018)
"The case studies were a great way to relay information. I specifically liked treatment descriptions, eval recommendations and LTG and STG." – L.M. (Mar. 2018)
"I enjoyed the various presenters in the course - it allowed for different perspectives. The various evaluation and treatment approaches described will be useful in my daily practice." – L.F. (Jan. 2018)
"I appreciated the ideas for specific long and short-term goals and how to word them to be functional and measurable." – A.T. (Jan. 2018)
"I liked that the case study approach facilitated my real life application. The specific treatment ideas, activity box, and goals that are functional were all the most beneficial discussions." – N.K. (Dec. 2017)
"The functional intervention for daily success and focus on maintaining ability were the best discussions. I liked the intervention and examples of goal setting." – A.F. (Nov. 2017)
"The bedside evaluation with dementia was most beneficial. I liked all of the case studies and specific treatment interventions." – C.N. (Oct. 2017)
"I enjoyed the easy to implement strategies and techniques for pt's with dementia." – M.D. (Sept. 2017)
"I appreciated the use of actual case studies. Very practical information." – S.H. (Aug. 2017)
"Good information regarding a variety of patients' levels." – L.A. (June 2017)
"The ideas for assessment of different situations/settings and considerations for interventions were the most beneficial. I liked that it was presented in the context of case studies." – S.W. (Mar. 2017)
"I enjoyed the discussions on specific goals to be addressed and the training of caregivers." – L.Z. (Feb. 2017)
"I appreciated the discussion on strategy implementation. I liked the actual case studies." – K.H. (Dec. 2016)
"I was happy with the course. Many different assessment measures were mentioned." – M.D. (Dec. 2016)
"Learning how to apply techniques to treatment was most beneficial. I like that the course gives specific activities to focus on." – S.M. (Nov. 2016)
"The section on the SNF patient who has progressed dementia but still benefitted from skilled speech therapy was excellent." – C.M. (Nov. 2016)
"I enjoyed the tx interventions for those with specific types of dementia. I like that the format was organized and that an SLP is able to apply intervention strategies in their own practice." – V.V. (Oct. 2016)
"I really liked that it was all about case studies; it was very relatable and easy to follow." – K.C. (Oct. 2016)
"I liked using actual cases to discuss topics commonly observed with pt's with dementia. The discussion on modification of environment and evaluating pt's strengths to compensate for weaknesses was very helpful." – A.G. (Sept. 2016)
"I enjoyed the specific examples of goals that are appropriate for each type of dementia. I liked learning by case study." – E.G. (Aug. 2016)
"The discussion on dysphagia in patients with dementia was especially helpful." – K.M. (June 2016)
"I appreciated the applicable goals for people with dementia. I liked the case studies." – S.E. (May 2016)
"I liked the specific therapeutic interventions." – K.S. (Apr. 2016)
"All topics were beneficial. I especially liked the functional goals established for treatment." – N.H. (Apr. 2016)