Present Notes:
On this episode of SLP Espresso Speak, Hallie chats with Alyssa Antcliff—SLP and founding father of IndiAide—about what’s really taking place together with your shoppers between periods, and the way know-how can lastly provide the full image. Alyssa shares how her frustration with paper handouts and obscure “it went wonderful” updates led her to construct a between-session remedy administration platform, and why distant therapeutic monitoring may be the reimbursement pathway you did not know existed. For those who’ve ever wished you had extra knowledge to work with earlier than your shoppers walked again via the door, this one’s for you.
We had such an unimaginable turnout for our final FREE CF Bootcamp that we’re bringing it again! 🎉 Be a part of me for FREE CF Bootcamp on Wednesday, July twenty ninth, 2–3:30 PM ET.
This is what we realized:
- The hole between periods is the place progress will get misplaced—or made.
- Paper handouts do not fail as a result of households do not care—they fail as a result of there is no follow-through inbuilt.
- RTM is a reimbursement pathway that is really rising—and SLPs are largely lacking out on it.
- IndiAide lets households mark actions full, charge issue, and ship photographs or movies—so you are not flying blind on the subsequent session.
- Extra knowledge between periods means higher choices after they’re again within the room.
RESOURCES
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https://speechtimefun.com/cfbootcamp2026
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✨ Study extra about Alyssa Antcliff:
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A: Mountain dew!
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TRANSCRIPT
00:00:00 Hallie: So have you ever heard the information? My model new membership website from assets for older speech college students is open for founding members. For this week solely, you’ll be able to be part of and benefit from founding member pricing. The worth will not be this low ever once more, and it isn’t gonna be open once more till back-to-school season. So what’s SLP Elevate? It is a membership website for SLPs working with older speech college students, and need to really feel extra assured in your actions and your understanding of what targets to work on. I’ll be instructing you a framework on how one can resolve what to work on and when, and what to work on subsequent, and how one can discover assets which might be on the applicable studying ranges and ranges to work on together with your college students. And likewise offer you month-to-month thematic items, video video games, anime, cartoons, all of the issues that our college students are at all times speaking about.
00:00:53 Hallie: Every month goes to be a high-interest theme, and I’ll offer you fiction and nonfiction texts. pragmatic actions, higher-level pondering actions, context clues, articulation, vocabulary, the works. So get excited, head on over to slpelevate.com. You do not need to miss out on this founding member alternative. You are gonna additionally get to be part of a superb neighborhood on Fb, the place you will have entry to me and ask questions as soon as per week. You’ll be able to submit them anonymously, or let me know who you’re, and I may help you discuss via your particular college students and circumstances. You do not need to miss this chance. Head to slpelevate.com and be part of the membership that’s for older speech college students, and it is like no different.
00:01:43 Hallie: Welcome to SLP Espresso Speak, the podcast designed solely for speech language pathologists who work with older college students, grades 4 via 12. I’m your host, Hallie Sherman, your SLP behind Speech Time Enjoyable, the Speech Retreat Convention, and the SLP Elevate Membership. And I am thrilled to carry you conversations, methods, and insights that will provide you with the jolt of inspiration that you simply want. Whether or not you are tuning in throughout your morning commute, on a break in between periods, and even throughout a well-deserved leisure time, I’m right here for you each week. Let’s do that, SLPs.
00:02:24 Hallie: Hey, hey, and welcome to a different episode of SLP Espresso Speak. You may need had issues down pat when you’re in your periods, however do you ever marvel what you will be doing extra for in between these periods? In that case, I do know you are going to love the dialog I am having right here immediately with Alyssa Antcliff. Welcome to the present.
00:02:41 Alyssa: Thanks a lot, Hallie. I am actually keen to speak with you. Thanks for having me.
00:02:45 Hallie: In fact. Inform everybody listening about who you’re, and your SLP journey to what you’re doing immediately.
00:02:51 Alyssa: Okay, nice. So yeah, so I’m a speech language pathologist. I went to Purdue for each undergrad and grad college. It was there in grad college the place I shortly realized how difficult it’s for us as clinicians to maintain our sufferers, shoppers, college students, everybody we have been seeing on observe between periods, and as you recognize, there’s a lot progress, a lot time that occurs between periods.
00:03:07 Alyssa: And once we’re seeing them solely a couple of times per week, that they should hold making that progress for us to succeed in our targets. And so I seen how particularly difficult it was for individuals with cognitive impairments, or households with a number of youngsters, or youngsters with a number of medical complexities. I do know it is actually vital for them to remain on observe, however actually tough for them to handle the whole lot, particularly once we’re giving them paper-based supplies that they are most likely getting from different suppliers or stuffing in a bag someplace.
00:03:34 Alyssa: After which we ask them the subsequent week, “Hey, how did issues go?” They usually’re like, “Oh, good.” And we do not get an excessive amount of info from them. And it is actually exhausting to inform, you recognize, if that they had a query on the time they can not ask us. So I simply thought that there needed to be a greater means. And thru a number of totally different medical and outpatient positions in my scientific fellowship and past, I noticed that this actually was a necessity, and wished to unravel it with some form of know-how that was going to assist us as clinicians extra simply share our remedy actions for residence, after which additionally have interaction with sufferers between periods and hold them on observe.
00:04:15 Hallie: That’s so superb. I really like that you simply discovered a necessity and located a method to carry it to life. I do know so many individuals listening are most likely like, simply impressed by that piece alone of it of like, how did you want, know how one can construct this, and convey this, like we did not study any of this in graduate college. So in a 30 seconds, really feel like what recommendation would you give to somebody would say on that earlier than we go extra into like, conserving shoppers engaged in between?
00:04:37 Alyssa: Yeah. So I believe it actually was with the help of certainly one of my mentors and Dr. Jessica Huber, she is unimaginable. She had invented one thing herself, and so when she heard my concept and was speaking to me about it, she was like, “Oh, you are doing this. This is not simply an concept. You are gonna in the future, everytime you’re prepared for this, you are going to do it.” And in order that was at all times her encouragement was at all times behind my thoughts.
00:04:59 Alyssa: I imply, for anybody on the market who has concepts, talking it out loud for the primary time is so intimidating, however the validation that you simply get from individuals round you, there’s so many different SLPs who’re most likely pondering the identical factor. That is a tremendous concept. It is best to do it. And so I might say, yeah, simply begin seeing if different individuals assume it will be a good suggestion and that is the place I would begin.
00:05:20 Hallie: I really like that and discovering mentors. I really like that. I really like that. So that you talked about earlier than concerning the challenges with sending actions residence with shoppers and paper-based issues. Are you able to share just a little bit extra about simply why that is a problem, and why that wasn’t, you did not discover that to be as efficient?
00:05:38 Alyssa: Yeah. So after I was in grad college, I imply, as a grad scholar clinician, you are solely seeing a number of shoppers per week. Prefer it’s not, you do not have an excessive amount of in your schedule. However I seen how I used to be spending plenty of time preventing with the printer, or simply actually unaware of what was happening within the residence surroundings. And I used to be fortunate sufficient to have a teletherapy place or consumer earlier than COVID was even a factor. And so we have been trialing that out. And what I seen was it was very nice to truly get a glimpse into what was happening within the residence surroundings with that teletherapy consumer.
00:06:14 Alyssa: And so, and sending issues electronically, meant that I had form of a paper path of after I was sending one thing, if that they had any questions on it, and we have been going backwards and forwards, and I may evaluation that. In order that was what began me on a trajectory of like, we may actually use know-how to raised observe this info, to raised make it simpler on me to simply pop this out, as an alternative of getting to do the additional step of preventing with the printer.
00:06:42 Alyssa: And if you get into college and outpatient positions, and even inpatient, we had… there is a course of. You print a ton of copies out forward of time so that you simply simply should seize, seize, seize. However then, should you run out of one thing when you are going to see a affected person or your property well being, and you have got stuff in your automotive, after which abruptly you do not have that replicate, you have to determine one other method to get that info to the affected person that day. And if you do not have a know-how to do it, you are lacking out on doubtlessly progress for that affected person.
00:07:08 Hallie: Like it. I imply, I do not love that, however I adore it that you simply noticed a necessity and that your pre-COVID teletherapy science made you understand that, what was doable with know-how. So did you discover that that consumer was really doing extra residence follow than the opposite shoppers?
00:07:24 Alyssa: Sure. So, and there is after all motivation from the person and household, and all of that goes into play with any specific scenario. Nonetheless, I did, and I felt extra engaged with that consumer than others of mine that I used to be solely seeing within the clinic as soon as per week. I felt extra engaged as a result of I used to be seeing extra from them between periods.
00:07:46 Hallie: Do you discover that there is any particular, extra particular targets that profit from this method versus different targets? Or all, what have you ever present in your expertise?
00:07:57 Alyssa: Yeah, that is a very good query. I might say, so with the know-how now, we get plenty of engagement from very motivated households, after all. However we additionally see extra engagement when the stakes are increased. So when there’s actions that they must be doing a number of instances a day to be able to make progress, or if there’s one thing that must be logged extra, so feeding kiddos, for instance, and even adults, if we’re attempting to wean them off of tube feeds, for instance. We must be understanding, you recognize, how a lot they’re intaking PO every day, versus what is going on of their tubes.
00:08:34 Alyssa: And there are particular areas the place if there’s extra progress that must be made a number of instances a day, and that is one thing that’s so exhausting for households to trace after they should be doing actions a number of instances a day, it is virtually unimaginable for them to get issues completed. And that is the place you recognize, different caregivers or different individuals should be concerned in ensuring all of that is taking place. So that they want a centralized platform to make that occur. And that is the place we do see extra engagement on the affected person facet, I might say, nevertheless it’s not essentially goal-specific, however it might be patient-specific.
00:09:06 Hallie: Hmm. So attention-grabbing. So what’s distant therapeutic monitoring?
00:09:12 Alyssa: Yeah. Yeah, so that could be a brand-new reimbursement pathway as of 2022, that the definition of it, is utilizing a qualifying know-how. That is a giant key piece. Utilizing a qualifying know-how to trace and monitor a affected person’s progress, adherence, or response to remedy between periods. And so naturally, that is one thing that caught my eye as quickly as I heard about it. However I did not hear about it till the start of final 12 months. April of final 12 months, 2025, is after I first heard about it, as a result of since you need to be utilizing a qualifying know-how, many of the platforms on the market which might be constructed for this are for bodily remedy, adult-focused practices solely.
00:09:55 Alyssa: And so us, as speech remedy and even occupational remedy, haven’t got many choices relating to a qualifying know-how for this reimbursement pathway. Now, what qualifying know-how means, is software program as a medical machine with the FDA. So it qualifies as software program as a medical machine, and meets all the standards of those codes. In order that’s just a little bit on distant therapeutic monitoring. Clearly, that is one thing that positively caught my eye once we have been constructing know-how particularly for that.
00:10:22 Alyssa: And so then as of final 12 months, once we went into the qualification course of after which we had to verify the know-how on the clinician facet, we have been at all times constructing for the sufferers, and we had to verify the know-how on the affected person facet was monitoring the whole lot appropriately. And yeah, we have been connecting with clinics ever since we certified final summer season.
00:10:41 Hallie: I really like that. So that’s one thing that… who would profit from this particularly? Wouldn’t it be school-based, clinic-based, college? Who can profit from this pathway and reimbursement packages?
00:10:54 Alyssa: Nice query. So when it comes to the software program, and conserving our sufferers on observe, and bridging that hole between the session and residential, anybody can profit from that. Everyone knows our shoppers, each single certainly one of them, whether or not it is college, whether or not it is a scholar, or whether or not a consumer, or affected person, everybody wants extra reminders. Everybody wants to remain on observe between the instances that we’re seeing them, and make progress in between. Nonetheless, the reimbursement pathway particularly, so all that to say, anybody can use the software program, however the reimbursement pathway is outpatient. So the codes are outpatient codes. And so whether or not that could be a personal follow clinic or an outpatient clinic, there are outpatient codes to be constructed.
00:11:31 Hallie: So this can be a means for individuals to make… do they at the moment should have… [inaudible] reimbursed from medical insurance, Medicaid? What are they getting reimbursed from, simply to be clear?
00:11:41 Alyssa: Yeah. Yep. So CMS, so the Heart for Medicare and Medicaid Providers, developed these codes, launched them in 2022, after which expanded the pathway in 2026. So in a world the place we’re at all times getting decreased, you recognize, the whole lot… are restricted, lower downs, this can be a reimbursement pathway that’s persevering with to develop. So ever since they launched it, it is Medicare is the one blanket nationwide, you recognize, insurance coverage. After which there are business insurances… and lots of business insurances at the moment are adopting the codes.
12:09 Alyssa: After which this 12 months, we’re seeing a giant spike in Medicaid packages as effectively. So there are 22 states the place Medicaid packages are recognizing these codes, after which business insurances often observe Medicare. So we’re discovering in additional states that the business insurances, even when Medicaid isn’t, are recognizing these codes. So sure, they do should be billing insurance coverage for these codes. Nonetheless, if they don’t seem to be, once more, this can be a software program that everybody can profit from. So even personal pay, there are methods that you would be able to work out the place that is one thing, a further service principally that you simply’re offering your sufferers.
12:40 Hallie: So, how does IndiAide assist help between these shoppers? Effectively, clarify just a little bit extra about your product, and the way it may help utilizing the know-how piece guarantee consumer success. What does it imply? What does it entail for the clinician? Like inform just a little bit extra about it.
00:12:56 Alyssa: Yeah, completely. So the clinician, if you’re enthusiastic about logging in in your typical day-to-day, you will have your personal dashboard, so you’ll be able to see what is going on on with all your sufferers. And you’ll click on right into a affected person similar to you would possibly click on in, in a typical EMR, EHR, or any form of CRM kind of system. You’ll be able to click on right into a affected person, and see how they have been progressing over the week. However from day one, you are often assigning remedy actions. So now we have an exercise, train, and academic handout library, however that is consistently rising.
00:13:24 Alyssa: After which we even have the flexibility so that you can add something that you simply want to assign that affected person or customise. You’ll be able to even customise the actions that now we have. So that you’re assigning a remedy exercise. You’ll be able to put it on a schedule, placing it on a schedule is what allows these reminders for the households to truly do these actions that you simply’re sending. After which on the affected person facet, they’re going to get reminders when you will have set for them to get these. They will mark that they’ve completed these actions. They will ask any questions. They will message backwards and forwards with the clinician. They will share photographs or movies from residence, so that you really get perception into what is going on on. Or if they are not certain how one can do one thing, they’re like, “Are we doing this proper?” Or “How does this sound?”
00:14:05 Alyssa: After which they’ll additionally present suggestions. So after they mark one thing full, they’ll have, for instance, a Likert scale of was this too difficult to too simple and in all places in between. So you recognize, for subsequent week, if that was too simple for them, we have to up that problem stage for the subsequent set of actions that you simply would possibly give them subsequent week. In order that’s an instance of the way it appears to be like for assigning remedy actions. Clinicians may also assign automated patient-reported end result measures. So if that is month-to-month or quarterly, that you simply need to be getting suggestions. And yeah, talk with sufferers on the platform as effectively. So that is what the clinicians are actually utilizing this. It is like a between-session remedy administration platform.
00:14:41 Hallie: That was superb. And I am certain you are in a position to see via the platform the progress that they are making from doing the actions. Are you able to share about that?
00:14:50 Alyssa: Sure. Yeah. So on the clinician facet, in addition they have a dashboard that exhibits what number of actions have been full this week. After which they’ll click on in and see for every affected person that very same form of knowledge for every affected person. You’ll be able to see patient-reported end result measure progress over time. And you’ll at all times see it intimately. Like what precisely did they are saying for every query?
00:15:12 Alyssa: However total, every PROM, patient-reported end result measure, comes up with a quantity often in the long run. And so then you’ll be able to see that progress over time. You’ll be able to see what number of actions they’re finishing. After which the place you actually see it’s if you’re monitoring their targets, and you are like, they’re hitting these quicker than regular.
00:15:28 Hallie: That is actually, actually cool. And I am certain lots of people listening both are beginning a personal follow, have simply have a personal follow, or work for personal follow, or working within the college, or working someplace. How can they educate their supervisors or somebody who’s in decisionmaking realm as to whether or not that is one thing that they need to be wanting into.
00:15:48 Alyssa: Yeah, completely. In order that’s an important query. We’ve got a handout that is sort of a freebie handout about this reimbursement pathway. Now, should you’re at a personal pay clinic or someplace that does not settle for insurance coverage, once more, that does not imply that you would be able to’t use the know-how. The aim is to maintain our sufferers on observe between periods, and make it simpler on the clinicians for sharing these actions, but additionally seeing knowledge associated to it to tell our care plans. So yeah, I might be very joyful to share. I believe you will have our web site hyperlinks, after which we have these handouts as effectively. There is a actually nice, very simple webinar and abstract on our web site as effectively, about this reimbursement pathway for speech remedy particularly.
00:16:29 Hallie: Thanks, Alyssa, a lot. Is there anything we did not cowl that listeners ought to pay attention to relating to like, carryover, and in-between periods, and simply the advantages of it?
00:16:39 Alyssa: Yeah, I believe simply the primary factor to me is seeing what is going on on between periods. It is at all times such a query, and each time that now we have our sufferers come again in, and we ask them how the week went, it is such a obscure “Good,” or “Oh, I believe it went effectively,” and so they do not keep in mind. I imply, I am a mother myself, and so I do not keep in mind what we had for dinner two nights in the past, not to mention like what number of instances we did our remedy actions this week, or was query quantity seven too exhausting, that form of factor.
00:17:08 Alyssa: And that is simply a lot extra knowledge that you would be able to seize, that households really feel extra linked, as clinicians really feel like now we have extra info for shifting this care plan ahead. After which additionally, it is simply advocating for our subject, like displaying that we actually assist these sufferers make the progress they should make. That is one factor that I am excited to proceed to listen to about from clinicians, is the progress that they really feel is being made, the patient-reported end result measures which might be improved when they’re utilizing a know-how like this.
00:17:41 Hallie: I adore it. And I really like that you simply simply noticed a necessity and also you introduced it to life. And that’s simply so commendable, and so inspirational as effectively. So thanks, Alyssa, so, a lot. I at all times finish my episodes with a joke since, you recognize, jokes are simply enjoyable.
00:17:53 Alyssa: I adore it.
00:17:54 Hallie: What do you name… what a cloud’s favourite drink?
00:17:57 Alyssa: A cloud’s favourite drink? Hmm. I really feel prefer it must be one thing with H2O.
00:18:06 Hallie: No, however shut, form of, I assume. H2O drink? I imply… Mountain dew!
00:18:12 Alyssa: Oh, that’s nice. That is a superb one.
00:18:16 Hallie: Ba-dum-ching, guys. You’ll be able to steal it, or make enjoyable of it. I do not care both one. Thanks so, a lot for simply educating us on what is feasible relating to affected person care, and getting them get extra progress in between periods, and simply pondering in a different way about our approaches to issues. And once more, it is so eye-opening if you have been explaining to me about the entire reimbursement pathways, and this, and that, simply other ways to get extra income in your door. So positively everybody can have info within the present notes and hyperlinks to the whole lot. Go take a look at Alyssa and the whole lot she has to supply. So thanks, Alyssa, a lot.
00:18:54 Alyssa: Thanks a lot. Hallie. It was a pleasure talking with you. At all times is.
00:18:58 Hallie: Take care. Till subsequent week, everybody! Keep out of hassle.
00:19:06 Hallie: Thanks a lot for tuning in to a different episode of SLP Espresso Speak. It means the world to me that you simply’re tuning in each week, and getting the jolt of inspiration you want. You’ll find all the hyperlinks and data talked about on this episode at my web site, speechtimefun.com. Do not forget to observe the present so you do not miss any future episodes. And when you’re there, it will imply the world to me should you would take a number of seconds and go away me an sincere evaluation. See you subsequent week with one other episode filled with enjoyable and inspiration from one SLP to a different. Have enjoyable guys!
00:19:47 Hallie: Hey there, SLP buddies, it’s Hallie right here, pumping in with the most effective information ever. My new e book, Secondary SLP Roadmap, is formally out there. For those who’ve ever wished for a transparent, sensible information for working with center and highschool college students, that is it. It’s filled with actual tales, ready-to-use methods, and instruments you need to use straight away. Seize your copy now, examine the hyperlink within the present notes, or search Secondary SLP Roadmap on Amazon. After which, after all, please do me a favor. If you find yourself studying it, snap an image and tag me on Instagram @speechtimefun. I really like seeing the place you are diving in. The speech room, the sofa, ready in a physician’s ready room, all of the locations. All proper, prepared? Go seize your copy, and let’s make secondary speech really feel doable and enjoyable.
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