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  • 02 Oct 2015 3:30 PM | Anonymous member (Administrator)

    James Clements Shanks, PhD, 93, Indianapolis, a Professor Emeritus at Indiana University Schools of Medicine and Dentistry, went peacefully to the Lord on September 26, 2015. He was preceded in death by his wife of nearly 50 years, Dottie Coyle Shanks. Survivors include his daughters Barb (Andy) Qualls of Bloomington, Carol (Greg) Foulke of Indianapolis, and Betsy (Paul) Grocki of Carmel; grandchildren Bethany and Cassie Qualls, Kevin and Brad Foulke, and PJ and Sam Grocki; sister Janet Foster; and several nieces and nephews.

    Jim was a veteran of WWII and proudly served in the 9th Bomb Group, 313th Wing, US Air Force. An alumna of Michigan State University, he held graduate degrees from Denver (MA ’49) and Northwestern (PhD ’57) Universities. 

    Dr. Shanks was a professor of Speech Pathology in the Department of Otolaryngology – Head and Neck Surgery, at the IU Medical School from 1955 to 1988. He served on the faculty of the orthodontic division of the Oral Facial Development at the IU School of Dentistry from 1960 to 2009 and also taught at Butler University.

    “Uncle Jim”, as he was fondly known, had a special interest in speech of persons who lost the larynx by surgery, usually from cancer. He presented more than 300 seminars/workshops around the world and authored some 60 professional publications. He was a Fellow of the American Speech and Hearing Association, past president of the Indiana Speech and Hearing Association and member of the International Association of Laryngectomies, from which he was awarded Master Clinician.

    Jim was eternally optimistic, never met a stranger, and joyfully lived a life of service to others. He was a long-time member of First-Meridian Heights Presbyterian church, where he served as an Elder and Deacon and loved participating in Mariners, playing bridge and singing in the Chancel Choir. Other volunteer activities included mentoring high school students for the Executive Service Corps and radio reading to the blind for IRIS at WFYI.

    A celebration of his life will be held Friday, October 9 at 10:30am at First-Meridian Heights Presbyterian Church, 4701 North Central Avenue, Indianapolis, Indiana, 46205 with visitation immediately following. In lieu of flowers, the family requests that donations be made in his name to the First-Meridian Heights Memorial Fund.

  • 31 Aug 2015 3:37 PM | Anonymous member (Administrator)

    Link to survey:


    The EBP-Decisions Project at SUNY Fredonia would like to invite your participation in a study on how speech language pathologists make decisions regarding diagnosis and treatment. We would like your help in this study by completing a survey ( that will take approximately 10-15 minutes of your time. Your participation is voluntary and you may withdraw from the survey at any time without penalty. Your name and answers to the survey will be kept confidential. Your responses to this study will be kept for future research. 

    To thank you for participating in this study, you will be offered the option to enter in a raffle for a $200 Amazon Card. This raffle will take place in October, 2015. Your name and email address will be used only for the raffle, and will be deleted from our database after the raffle is completed.

    Please contact us if you have any questions at

    Thank you in advance for your cooperation,

    Katrina Fulcher-Rood
    Assistant Professor
    Principal Investigator for the EBP Decisions Project
    Department of Communication Disorders and Sciences
    SUNY Fredonia

  • 27 Mar 2015 3:48 PM | Anonymous member (Administrator)

    Thank you for taking 10-15 minutes of your time to participate in a research study examining factors that motivate and deter participation in workplace wellness programs:

    Chantel Sidara, MOT, OTR

  • 19 Feb 2015 11:24 AM | Anonymous member (Administrator)

    2015 ISHA Convention

    Spring is here.  It’s time for you to grab your “Passport to Excellence” at the 2015 Indiana Speech, Language, and Hearing Association Annual Convention April 23-25.  We listened to our members and have exciting announcements about the 2015 Convention.

    • Convention location returning to the Indianapolis Sheraton at the Fashion Mall.  Free parking, fun shopping, and great entertainment right outside your door.
    • New, improved convention format with more opportunities to earn CEUs both onsite and at home through webinars!
    • Reconfiguration of convention time—1/2 day Thursday, full day Friday and Saturday to better meet your needs.
    • “University Day” on Saturday with special sessions aimed at meeting the needs of our future SLP and audiologists as well as showcasing our student research poster sessions and ISHA award winners.
    • Return of the very popular “ISHA Movie Night” on Thursday.
    • Keynote presentation from Al Condelucci-exploring relationship and social capital.
    • Breakfast and Learn opportunity with Shari Robertson “I used to have a handle on life, but it broke!”  Strategies for managing time and stress, boosting clinical efficacy, and enjoying your job more. 
    • Breakout sessions on autism, behavior, dysphagia, aphasia, AAC, audiology and more!
    • New and improved ISHA Marketplace

    We look forward to traveling with you in April!  Grab your “Passport to Excellence” and join us at the Indianapolis Sheraton for ISHA Convention 2015.  More information and registration at


    will be presented at this year's convention - April 23-25th at the special "Awards & Desserts" event beginning at 1:30 on Saturday the 25th 

    Do you know someone who is deserving of an ISHA Award?  The following opportunities are available:


    HONORS OF THE ASSOCIATION is presented to a member who has made significant contributions to the field of speech, language, or audiology and has served at the state, regional, or national level(s). The nominee must have been a member of ISHA for at least five years.

    PROFESSIONAL ACHIEVEMENT AWARD is presented to an ISHA member for advancement of knowledge in clinical practices, with emphasis on achievement within the preceding five years.

    CERTIFICATE OF COMMENDATION is presented members, outside individuals and organizations performing acts or activities which are particularly meritorious in advancing the welfare of ISHA, its members, or persons with communication disabilities.

    FRIEND OF ISHA AWARD is presented to organizations, agencies, or individuals outside of ISHA performing acts or activities which are particularly instrumental in advancing the welfare of ISHA, of the professions comprising its membership, or of persons with communication disabilities.

    To nominate someone you feel is worthy, please complete the following online form: 

    Yes, I want to nominate someone! 


    Questions?  E-mail: 

    Jennifer Freeman

    or Ann Ninness  


    Please submit all nominations no later than March 31st.  Awards will be presented Convention during the Awards Presentation at 1:30 pm on Saturday, April 25, 2015. 

  • 18 Nov 2014 2:00 PM | Anonymous member (Administrator)

    Dear Indiana Colleagues:

    We would like your help in improving services for people with aphasia!  Please take a few minutes of your time to let us know if you agree with our Best Practices Recommendations for aphasia.

    Here is a little background on the project: Aphasia United is an international organization designed to unite the global aphasia community including people affected by aphasia, researchers, clinicians and policy makers for the advancement of aphasia science and services. Our goal is to further a shared vision and advocate for aphasia internationally.

    One aim of Aphasia United has been to create a set of international Best Practices Recommendations for aphasia to help advocate for appropriate aphasia services. To that end, the Aphasia United Best Practices Working Group has crafted a list of 10 aphasia ‘best practice recommendations’ (BPRs). These BPRs were synthesized from a variety of published recommendations and guidelines from around the world .  Our Aphasia United BPRs represent many cycles of editing and revising by our working group. Please note that we have attempted to retain wording or meanings that are not too far from the original sources in order to reasonably represent the evidence base, while at the same time create a relatively short list of internationally relevant recommendations.  At the end of this email is a “preamble” that will be published with the BPRs to create a context along with the sources cited in each recommendation statement. The current version of the BPRs has been accepted by the Aphasia United Advisory Group


    We are now beginning a process to obtain wider international consensus on the BPRs. We are inviting people associated with various professional organizations or databases that relate to aphasia or speech-language pathology to complete a short survey. We would very much  appreciate your feedback.  Below is a link to a SurveyMonkey site that will allow you to give your input on the Aphasia United Best Practices Recommendations.

    Please take a few minutes to complete the survey (only 10 questions) by rating your level of support for each recommendation. Our hope is to gain agreement on aphasia best practices from interested parties around the world. Please help us with this important consensus process.

    Best wishes,

    Laura Murray

    Professor, Indiana University

    On behalf of:

    Aphasia United Best Practices Working Group: Nina Simmons-Mackie, Pam Enderby, Tami Howe, Anu Klippi, Julie Morris, Laura Murray, Ilias Papathanasiou, Stacie Raymer, Miranda Rose & Gloriajean Wallace

    For background details on this project please go to the Aphasia United Summit 2014 Best Practices powerpoint presentation link at (please note that the BPRs on the ppt do not reflect the most recent, updated version that you will see in the survey). 



    Aphasia United Best Practice Recommendations for Aphasia



    Aphasia is an acquired communication disability resulting from damage to the language areas of the brain, most often due to stroke, although other etiologies such as brain trauma or tumor can also cause aphasia. Aphasia is characterized by impairments in language modalities including speaking, understanding, reading and writing. Because of the pervasive importance of communication in daily life, aphasia typically has a negative impact on social relationships, participation and wellbeing. People with aphasia have preserved pre-onset intelligence, but intelligence can be masked by difficulty communicating. It should never be assumed that a person with aphasia is mentally incompetent. People with aphasia are typically able to make decisions and participate in activities if information or activities are made communicatively accessible.


    People with aphasia have the right to be treated with dignity and respect and to participate in the same level of health care as people without aphasia (including  participating in personally relevant decision making). People with aphasia and their family members have the right to relevant services designed for the individual to enhance communication and participation in life activities of choice. Health care services for people with aphasia should be person-centered and collaborative.


     “Best practice recommendations” for health care or community services involving people with aphasia are provided below. These have been compiled from a variety of sources around the world. Sources are cited along with the level of recommendations/evidence cited in the source.  Sources have not been directly quoted; rather, themes across cited sources have been worded to be representative. For more details on the levels of evidence please refer to the original source documents. It should be noted that most recommendations have been drawn from general stroke guidelines, rather than other etiologies or aphasia specific guidelines.


    Sources for Aphasia United Best Practice Recommendations for Aphasia


    • 1.      National Health and Medical Research Council Clinical Centre for Research Excellence in Aphasia Rehabilitation (CCRE) (2014). Australian Aphasia Rehabilitation Pathway.

    • 2.      Intercollegiate Stroke Working Party. National clinical guideline for stroke, 4th edition. London: Royal College of Physicians, 2012.

    • 3.      Lindsay MP, Gubitz G, Bayley M, Hill MD, Davies-Schinkel C, Singh S, and Phillips S. Canadian Best Practice Recommendations for Stroke Care (Update 2012). On behalf of the Canadian Stroke Strategy Best Practices and Standards Writing Group. Ottawa, Ontario Canada: Canadian Stroke Network

    • 4.      Miller, E., Murray, L., Richards, L., Zorowitz, R., Bakas, T., Clark, P. Billinger, S. (2010). Comprehensive Overview of Nursing and Interdisciplinary Rehabilitation Care of the Stroke Patient: A Scientific Statement from the American Heart Association. Stroke. 2010;41:2402-2448. Downloaded from

    • 5.      National Stroke Foundation Australia (2010) Clinical guidelines for stroke prevention and management. Melbourne Australia.

    • 6.      Royal College of Speech & Language Therapists (2005).RCSLT Clinical Guidelines

    • 7.      Scottish Intercollegiate Guidelines Network (2010) Management of patients with stroke: Rehabilitation, prevention and management of complications, and discharge planning A national clinical guideline. Edinburgh, Scotland.

    • 8.      Stroke Foundation of New Zealand and New Zealand Guidelines Group. Clinical Guidelines for Stroke Management 2010. Wellington: Stroke Foundation of New Zealand; 2010.

    • 9.      US Veteran’s Administration / Department of Defense (2010). Management of Stroke: VA/DoD Clinical Practice Guideline.

    Levels of Recommendation / Evidence


    Level A:          Body of research evidence can be trusted to guide practice

    Level B:          Body of research evidence can be trusted to guide practice in most situations

    Level C:          Body of research evidence provides some support for recommendation

    Level D:          Body of research evidence is weak

    Good Practice Point:  Recommendation is based on expert opinion or consensus



  • 03 Nov 2014 10:35 AM | Anonymous member (Administrator)

    Medicare Keeps the Audiology Osseointegrated Implant as Benefit 

    Successful advocacy efforts from ASHA and other audiology stakeholders resulted in a significant win for the audiology community. In July, the Centers for Medicare and Medicaid Services (CMS) determined to reclassify osseointegrated implants as “hearing aids” and effectively disqualified the prosthetic devices from Medicare coverage. CMS released the final Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) rule for 2015, and note that they were changing their position due to the requests of several commenters for reconsideration.


    Subsequently, CMS has finalized the following:

    (1) Scope. The scope of the hearing aid exclusion encompasses all types of air conduction hearing aids that provide acoustic energy to the cochlea via stimulation of the tympanic membrane with amplified sound and bone conduction hearing aids that provide mechanical stimulation of the cochlea via stimulation of the scalp with amplified mechanical vibration or by direct contact with the tympanic membrane or middle ear ossicles.

    (2) Devices not subject to the hearing aid exclusion. Paragraph (d)(1) of this section shall not apply to the following devices that produce the perception of sound by replacing the function of the middle ear, cochlea, or auditory nerve:

    (i) Osseointegrated implants in the skull bone that provide mechanical energy to the cochlea via a mechanical transducer, or

    (ii) Cochlear implants and auditory brainstem implants that replace the function of cochlear structures or auditory nerve and provide electrical energy to auditory nerve fibers and other neural tissue via implanted electrode arrays. 42 CFR §411.15



    The Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) rule is proposed annually to update fee schedules and special payment rules. When the proposal to change the definition of prosthetics and hearing aids was noted, ASHA and other stakeholders coordinated efforts to meet with CMS and submit formal comments. ASHA recommended no change to the current definition, and to include “non-osseointegrated” into the definition of hearing aid. Additionally, ASHA recommended that CMS convene a Technical Expert Panel of audiologists and otolaryngologists to discuss and determine technology appropriate for Medicare coverage. Currently, Medicare does not cover hearing aids under the regular Medicare benefit.



    For more information, please contact Lisa Satterfield, ASHA’s director of health care regulatory advocacy, at

    Lemmietta G. McNeilly, PhD, CCC-SLP, CAE, ASHA Fellow
    Chief Staff Officer, Speech-Language Pathology
    American Speech-Language-Hearing Association
    2200 Research Boulevard, #229
    Rockville, MD 20850-3289
    +1 301-296-5705 telephone
    301-296-8577 fax

  • 03 Nov 2014 10:27 AM | Anonymous member (Administrator)

    2015 Medicare Physician Fee Schedule Released

    The Centers for Medicare and Medicaid Services (CMS) posted the final 2015 Medicare Physician Fee Schedule (MPFS) and associated rules for Medicare Part B services on October 31, 2014, and will publish it in the November 7, 2014, Federal Register. The rules go into effect January 1, 2015.


    Payment Rates

    A conversion factor (CF) is used to calculate the MPFS reimbursement rates. The conversion factor for January 1 through March 31, 2015, is $35.8013. On April 1, 2015, the conversion factor converts to $28.2239, 21.2% lower because of a statutory formula known as the sustainable growth rate (SGR). Congress extended the current SGR in anticipation of passing a Medicare payment reform bill; however, there has been little progress in the bill passage. It is anticipated that Congress will enact legislation to prevent this reduction as it has done almost every year since the SGR was implemented.


    New Rates for Vestibular Testing Codes

    Earlier this year, ASHA and the American Academy of Audiology surveyed audiologists in order to update the professional work value of vestibular testing codes 92541, 92542, 92543, 92544, and 92545 through the American Medical Association’s Relative Value Update Committee (RUC) valuation process. The 2015 MPFS reflects the first time that the payment rates for these vestibular testing codes are based on the professional work of the audiologist (e.g., clinical judgment, mental effort, risk).


    Therapy Caps

    The CY2015 therapy cap is $1,940. However, the final rule reiterated that the current therapy cap exceptions process (using the KX modifier) and manual medical review at the $3,700 threshold for physical therapy and speech-language pathology services combined will continue through March 31, 2015. However, absent Congressional action, the exceptions process and manual medical review will expire April 1, 2015.


    Go to ASHA's Take Action site to tell your members of Congress to allow the exceptions process to continue in 2015.


    More information on the therapy cap exceptions process and manual medical review is available on ASHA's billing and reimbursement webpages.


    Physician Quality Reporting System (PQRS)

    Due to advocacy efforts by ASHA, the Audiology Quality Consortium, and other audiology organization stakeholders, CMS determined to change their position to retire audiology measure #261, Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness. ASHA requested the reconsideration to 1) ensure audiologists have a clinically relevant measure to report in 2015, 2) have a measure by which to train and educate, and 3) have an interim measure while audiology stakeholders develop and finalize six measures, currently in the testing phase of measure development.


    In 2015, audiologists will report:

    ·         Measure #261 for a minimum of 50% of all Medicare beneficiaries

    ·         Measure #130, the documentation of medication, for a minimum of 50% of the Medicare patient visits

    ·         Measure #134, screening for depression, for a minimum of 50% of the Medicare beneficiaries receiving tinnitus evaluations

    Speech-language pathologists continue to participate in the documentation of medication measure, and have pain assessment as an optional measure for participation.


    Audiologists and SLPs who work in private practice, group practice, or university clinics, and do not meet the benchmark requirements for the measures in 2015, will receive a 2% deduction on all of their Medicare services in 2017.


    For more information regarding PQRS, please visit ASHA’s PQRS webpage.


    Value-Based Modifier (VBM)

    Medicare finalized the expansion of the VBM and associated rules to specialty-care providers not previously subject to the additional requirements. However, due to advocacy efforts from ASHA and other audiology and therapy organizations, CMS agreed to postpone the implementation to audiologists, speech-language pathologists, and other non-physician professionals. This is a significant decision for ASHA members providing services to Medicare beneficiaries, as non-compliance in 2015 would result in an additional 4% deduction from all Medicare claims in 2017.


    The reprieve is temporary, however, as the recommendations in the rule included expansion in 2016. ASHA will work with CMS and other stakeholders to ensure members are prepared for the additional quality reporting program requirements.



    Each year, CMS releases proposed rules and rates for the following year with a 60-day comment period. Audiology and speech-language pathology services under Medicare Part B (outpatient) have reimbursement rates established by the MPFS. Speech-language pathology services provided in hospital outpatient settings are also based on the MPFS, while audiology outpatient hospital services are paid under the Hospital Outpatient Prospective Payment System.


    ASHA Resources

    Further analysis is pending and details will be noted on ASHA's Billing & Reimbursement website, in future ASHA Leader articles, and through ASHA Headlines.


    For more information, contact Lisa Satterfield, ASHA’s director of health care regulatory advocacy, at or Neela Swanson, ASHA’s director of health care coding policy, at

    Lemmietta G. McNeilly, PhD, CCC-SLP, CAE, ASHA Fellow
    Chief Staff Officer, Speech-Language Pathology
    American Speech-Language-Hearing Association
    2200 Research Boulevard, #229
    Rockville, MD 20850-3289
    +1 301-296-5705 telephone
    301-296-8577 fax

  • 23 Jun 2014 12:58 PM | Anonymous member (Administrator)
    The Program Committee has just about finished the program for the 2015 Convention (April 23-25).  There are a few slots left for individuals wishing to submit papers for presenting.  This deadline has been extended to July 10th.  We are also looking for ideas for Movie Night. Let us know if you have seen or heard about something that would be a highlight for 2015!  As always thank you for your input!
  • 27 May 2014 1:57 PM | Anonymous member (Administrator)
    APRIL 23-25, 2015 (Thursday, Friday, Saturday)
    ...more details coming soon!
  • 21 Apr 2014 12:50 PM | Anonymous member (Administrator)

    As a fellow audiologist and member of ASHA, I am writing to let you know about some disturbing developments happening within the hearing aid dispensing profession at the State and Federal levels. Hearing aid dispensers are trying to drastically expand their scope of practice and this will potentially cause harm to patients.

    Hearing aid dispensers are only required to have a
    GED in most states, yet lawmakers are being led to believe that dispensers are qualified to interpret tests, refer for cochlear implants, rehab and medical intervention, determine candidacy for tinnitus management, provide tinnitus management, and administer cerumen management. All this without the supervision of an audiologist!

    Please read this quote from the International Hearing Society's Executive Director:

    "Contrary to outdated and inaccurate perceptions hearing aid specialists do not simply fit and 'sell' hearing aids, but are full-fledged hearing care providers. As they move into independent practice, hearing aid specialists typically have as much, if not more experience performing hearing evaluations and fitting and dispensing hearing aids than an average new AuD program graduate."
    –Kathleen Mennillo, Executive Director, International Hearing Society

    We need your help TODAY!*
    This used to be a state issue, but now we're seeing this 'scope creep' at the federal level. Recently, some Congressmen introduced legislation that would allow for the appointment of hearing aid specialists to the Veterans Health Administration, believing that this legislation would address problems associated with long wait times for hearing aids and hearing health care services. The International Hearing Society is financing this campaign.

    But the
    VA already has the authority to hire hearing aid specialists as technicians that work under the direction of an audiologist. This legislation is a Trojan Horse designed to expand their scope in other parts of the federal government and throughout the country. They seek to position themselves as the provider of choice for dispensing hearing aids.

    Your profession, practices, and patients' safety are at stake! Please help ASHA-PAC
    fight this overreach TODAY!

    I encourage you to support ASHA-PAC. ASHA-PAC is the strongest tool we have to combat legislation that threatens our profession and the wellbeing of our patients. Please contribute to ASHA-PAC today.

    Julie Verhoff, Au.D., Ph.D., CCC-A
    Chair, ASHA-PAC
    American Speech-Language-Hearing Association

To support and empower members to provide the highest quality, life changing communication,
swallowing and hearing services to the people of the State of Indiana.

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