June 20, 2023
Dear Chairman Mendelson:
£
for reappointment as a physical therapist licensed in the District member of the Board of Physical
Therapy, for a term to end April 16, 2025.
Enclosed you will find biographical information detailing the experience of the above-mentioned
nominee, together with a proposed resolution to assist the Council during the confirmation
process.
In accordance with section 2 of the Confirmation Act of 1978, effective March 3, 1979 (D.C. Law
2-142; D.C. Official Code § 1-523.01), and pursuant to section 209 of the District of Columbia
Health Occupations Revision Act of 1985, effective March 25, 1986 (D.C. Law 6-99; D.C. Official
Code § 3-1202.09), I am pleased to nominate the following person:
The Honorable Phil Mendelson
Chairman
Council of the District of Columbia
John A. Wilson Building
1350 Pennsylvania Avenue,NW, Suite 504
Washington, DC 20004
MURIEL BOWSER
MAYOR
Dr. Nicholas Caylor
Jefferson Street, NE
Washington, DC 20011
(Ward 5)
Since ^ely,
I would appreciate the Council’s earliest consideration of this nomination for confirmation. Please
do not hesitate to contact me, or Steven Walker, Director, Mayor’s Office of Talent and
Appointments, should the Council require additional information.
Muri 1 Bow\er
Maye r \ A PROPOSED RESOLUTION
IN THE COUNCIL OF THE DISTRICT OF COLUMBIA
To confirm the reappointment of Dr. Nicholas Caylor to the Board of Physical Therapy.
RESOLVED, BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, That this
resolution may be cited as the “Board of Physical Therapy Nicholas Caylor Confirmation17
Resolution of 2023”.18
Sec. 2. The Council of the District of Columbia confirms the reappointment of:
as a physical therapist licensed in the District member of the Board of Physical Therapy,
pursuant to section 209 of the District of Columbia Health Occupations Revision Act of 1985,28
effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code § 3-1202.09), for a term to end29
April 16,2025.30
Sec. 3. The Council of the District of Columbia shall transmit a copy of this resolution,31
upon its adoption, to the nominee and to the Office of the Mayor.32
Sec. 4. This resolution shall take effect immediately.33
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Cnairman Phil Mendelson
at the request of the Mayor
Dr. Nicholas Caylor
Jefferson Street, NE
Washington, DC 20011
(Ward 5) NICHOLAS GAYTON CAYLOR, PT, DPT
Mission: To continuously improve patient outcomes by working collaboratively toward group success in achieving
departmental and hospital goals and by striving for and leading others towards excellence, effectiveness, and
efficiency in clinical care through servant leadership.
Experience____________________________ __ _______
GEORGE WASHINGTON UNIVERSITY HOSPITAL Washington, DC
Lead Therapist to Medical-Surgical Rehabilitation Supervisor April 2018 to Present
- Lead team of 81 clinicians and support staff. Directly supervise 12 Senior Level Therapists and Clinical
Specialists who each supervise teams of approximately 4 to 10 full time and per diem employees. Provide
coaching and mentorship, and establish expectations with Senior level and staff level therapists.
■ Oversee the processes of healthcare delivery for four departments within a Level 1 Trauma Center. Evaluate
effectiveness of processes, identify opportunities for improvement towards departmental and hospital goals,
and make recommendations, implement changes, and evaluate changes to improve access to and delivery of
healthcare services.
* Collaborate with Division Directors, C-Suite Executives, Managers, and Supervisors to coordinate changes in
models and practices to improve the efficiency and effectiveness of healthcare delivery.
■ Assign work to Senior and Staff level therapists based on priorities, difficulty of assignments, and capabilities of
the individual
■ Utilize complex data to drive decision making related to the delivery of therapy services. Generate tailored
Powerinsight reports, pulling specific and complex data from the Electronic Medical Record as well as tasking
Seniors and support technicians to audit charts to provide data necessary for evaluating the effectiveness of
current practices: including measuring patients’ timely access to therapy care, identifying and removing therapy-
related barriers to discharge planning, and determining effectiveness of programmatic changes.
* Develop, update, and enforce departmental policies and procedures; set expectations for team and coach Senior
Therapists on interpretation and implementation.
• Responsible for staffing all of inpatient rehab, encompassing 7 separate departments with unique staffing needs,
averaging a total 60 FTEs/weekday.
■ Responsible for managing timecards of all inpatient rehab, ensuring accuracy, managing labor levels, and
productivity.
- Developed CO VID Functional Maintenance Program - a therapy driven program to evaluate and provide
interventions to all medically stable individuals with SARS-CoV-2 infections in effort to reduce the profound
functional loss accompanying hospitalized patients with COVID.
■ Developed and actively maintain an accurate and updated staff list: tracking 95 staff members’ compliance with
performance reviews, formal check-ins, professional licensure, CPR, vaccination status, and over 15 annual
competencies
■ Represented Rehab in Wake Up and Breath, a multidisciplinary critical care program designing and
implementing evidence-based protocols and policies towards early extubation and progressive mobility in the
intensive care units. Co-lead development of progressive mobility protocol with nursing leadership - designed a
nursing-driven, rehab-supported, practice of mobilizing patients in the intensive care unit, documenting mobility
according to the developed mobility scale, and arranged the training of day and night shift nursing staff on bed
mobility, transfer training, and ambulation. Developed and assisted in the design of dry erase communication
boards with mobility scale and guidelines, coordinated the printing and examination of proofs with a hospital
vendor which were permanently installed in all ICU rooms.
■ Sole rehab representative for Corporate-wide committee defining new protocols and policies for all Intensive
Care Units among all the Acute Hospitals in the Universal Health Services system. Was responsible for
obtaining input from internal and external stakeholders and drafting recommendations related to Early and
Progressive Mobility for ICU patients. Drafted evidence-based recommendations mirroring those developed
during Wake Up and Breathe. All recommendations were adopted as written.
• Interview and make recommendations for hire for staff level and senior level therapists. Support manager and
director in justifying increasing staff through data analysis and presentation; helping contribute to the growth of NICHOLAS GAYTON CAYLOR PT, DPT 2
September 2018 to Present
January 2016 to April 2018
BOARD OF PHYSICAL THERAPY Washington, DC
Board Member
■ Regulate the practice of physical therapy in the District of Columbia
• Provide advice to the mayor and administer and enforce the law
• Evaluate applicants’ qualifications, interpret guidance, and recommend standards and procedures.
• Issue licenses, receive and review complaints, request investigations, conduct hearings, issue subpoenas, examine
witnesses, and administer oaths.
■ Review for approval requests for continuing education courses
■ Successfully advocated for the adjustment of requirements for the practice of Physical Therapist Assistants to
practice under general supervision rather than direct supervision, allowing these licensed and trained
professionals to operate with a higher degree of autonomy within their scope of practice. Direct Supervision
requires line of site supervision which is not in line with national standards and whose restrictive requirements
prevents the employment of PTAs in many healthcare settings.
■ Draft updated language for the District of Columbia Municipal Regulations as well as the Health Occupations
Revision Act governing the practice of physical therapy
■ Represent the Board of the District of Columbia as a delegate to the national assembly of the Federation of State
Boards of Physical Therapy.
our department by a 59.7% increase in FTEs since taking the position. (33.5 to 53.5)
* Co-led development of PT in the ED, a joint effort among inpatient, outpatient, and ED leadership to embed
physical therapists in the emergency department in effort to reduce unnecessary admissions, reduce readmissions,
decrease wait times, reduce need for imaging, and improve access to needed therapy for patients.
* Oversaw and assisted in the development of a training program to efficiently train 15 outpatient physical and
occupational therapists to provide care in inpatient during pandemic when outpatient census dropped and
inpatient needs rose.
* Member of Capacity Management Taskforce - assisted in development of protocol for interdisciplinary rounding
procedures and instituting rounding on all hospital floors which previously had been limited to select units.
Participated in Length of Stay taskforce identifying barriers to discharge, reviewing quality metrics, and
exploring opportunities within rehab department. Provided training and education to rehab team re: complex
discharge planning: looking at specific communication strategies, development of plans of care, and
documenting appropriately.
* Develop and share numerous Microsoft Office Suite macros for Excel, Word, and Outlook to automate tasks.
* Selected by Division Director to be Rehab representative on Patient Experience Steering Committee:
Collaborating with hospital leadership at Director level and C-suite level to identify opportunities and strategies
for addressing HCAHPS scores across all domains. Co-lead subcommittee addressing Discharge and Transitions
of Care domain focusing on lowest scoring unit at the time. Collaborated with nursing leadership and provided
education and resources to incorporate best-practice strategies, with reversal of scores to achieve hospital
benchmarks.
* Successfully advocated with local and corporate Information Technologies to include all inpatient rehab in the
hospital’s deployment of new smartphones intended for nursing staff. Rehab represented the largest single unit
deployment of CareConnnect Phones in the hospital. Oversaw the rapid deployment and training for all staff.
■ Assisted in the rollout of multiple unit-wide interdisciplinary team rounds
■ Partnered with Outpatient Therapy to develop and implement a pre-op and post-op standardization plan of care
for elective orthopedic surgical patients (joint replacement, spine fusion)
■ Collaborate with Remedy, GW’s partner for managing BPCI-A, in addressing opportunities related to quality
care indicators for BPCI-A patients.
GEORGE WASHINGTON UNIVERSITY HOSPITAL Washington, DC
Senior Physical Therapist
• Provide formal oversight to multiple staff therapists: offer clinical support and mentorship; identify areas for
growth and provide guidance; celebrate their successes; ensure mentees’ compliance with departmental
competencies, productivity requirements, hospital/department policies and initiatives, and state/federal regulatory
requirements; complete their annual performance reviews and periodic stay interviews; and hold monthly
meetings discussing goals, progress, and issues. Maintain secure digital records logging productivity, meetings, NICHOLAS GAYTON CAYLOR PT, DPT 3
as
Spring 2017 to Spring 2019GEORGE WASHINGTON UNIVERSITY Washington, DC
Adjunct Instructor of Physical Therapy and Health Care Sciences
■ Served as lab instructor for Management of Cardiopulmonary Dysfunction for 2nd year Doctor of Physical
Therapy students. Provided feedback, instruction, and guidance to students learning a variety of cardiopulmonary
assessments and interventions. Answered student questions. Administered and graded their practical
examinations and provided post-assessment feedback.
■ Served as lab instructor for pilot course for 2nd year DPT students simulating the acute care environment. Wrote
and tracking compliance with competencies. Have overseen 3 full-time and 6 per-diem therapists concurrently
while maintaining full case-load and meeting senior productivity requirements.
* Oversee day-to-day PT and OT schedules and triage lists based on daily census, new consults, staff availability,
and staff skill levels. Consistently receive positive feedback from staff regarding patient assignments.
■ Independently developed multiple process efficiencies to reduce time required to complete the schedule by
much as half, and trained other schedulers in these techniques.
* Screen, examine, evaluate, and treat critically ill patients in the neuroscience/trauma ICU, cardiothoracic ICU,
and medical ICU as well as floor patients with primary neurosurgical, oncological, traumatic, neurologic,
orthopedic, psychiatric, cardiopulmonary, and medical diagnoses.
* Evaluate, treat, and educate outpatients diagnosed with ALS as part of a multidisciplinary team.
* Recognized by C-Suite members for my care and attention to a patient and his family from his ICU course to our
acute rehab unit.
* Recognized by peers who selected me as employee of the month. Have received numerous letters and cards of
thanks from patients.
■ Work collaboratively with leadership to develop and implement departmental initiatives as part of senior team.
■ Screen applications, interview, recommend for hire, and orient new employees. Independently initiated and
developed a standardized format for PT and OT documentation to address inconsistencies across notes among
clinicians. New format adopted by the department. Completed chart audits over two quarters to ensure
compliance with formatting changes.
■ Independently initiated and completed update of departmental orientation binder to removed outdated policies
and practices and updated instructional guidelines that reflect current practice. Redesigned electronic file
structure, format, and table of contents to easily accommodate future changes. Updated all policies and
procedures. Created new documents to reflect departmental practices related to weekend therapy
(documentation, prioritization, and billing). Created new instructional guides for completing PT/OT evaluations,
treatments, and contact notes. Received positive feedback from staff regarding ease of use and utility of the new
guides.
- Independently initiated development of a departmental competency for providing therapy in the ICU: outlining
eligibility, identifying formal training schedule with specific skills checks and performance requirements, and
developed oral and written examinations testing knowledge gained during training and of the required reading.
■ Routinely identified by the manager and former rehab director to perform service recovery for challenging
patient, family, physician, or staff conflicts as they relate to the rehab department, utilizing effective
communication and interpersonal skills to successfully and consistently reverse negative outcomes.
■ Clinical instructor for 3 full-time DPT students; established clinical goals, provided instruction and training
toward curricular benchmarks, completed formal weekly feedback and planning, developed planned learning
experiences, and encouraged their professional development.
■ Selected by Lead Therapist to be rehab representative on Shared Governance Council on Informatics - alerting
staff
to clinical software changes and practices and collaborating with IT to introduce changes to our
documentation and processes at a corporate level.
■ Collaborated with Quality Improvement and interdepartmental group designed to improve the patient experience
for elective orthopedic surgery patients. Provided feedback and guidance on marketing videos including scripting
and content. Identified and initiated implementation of 2 action items within the purview of the rehab department
to address primary and secondary drivers impacting length of stay for elective surgical patients.
■ Independently sought additional training on staff management techniques, ultimately resulting in the entire senior
team taking part in UHS’ internally-developed management training “M3” classes.
■ Independently provide technical support to rehab staff at all levels, including clinical application assistance, new
account setup and training, software/hardware troubleshooting, and Microsoft Office expertise. NICHOLAS GAYTON CAYLOR PT, DPT 4
August 2009 to August 2013
Costello E, Goodman K, Caylor N, Pinkus R. (2020 November) Making it Stick: Embedding Simulation in Your
Course. Poster presented at the 2020 at the Bridge the Gap: Using Simulation to Advance Acute
Care Physical Therapy Virtual Conference.
BOSTON MEDICAL CENTER Boston, MA
Inpatient Physical Therapy at University-Affiliated Level 1 Trauma Center
• Primary therapist for surgical, medical, pediatric, and cardiac ICUs; stroke, neurosurgical, and cardiothoracic
intermediate care units; and orthopedics, trauma, geriatrics, surgery, medicine, oncology, and pediatric floors.
• Actively coordinated with multidisciplinary team members to address highly complex discharge issues, such as
patients without insurance or citizenship whose mobility impairments precluded discharge. Regularly provided
family training to allow for caregivers to safely take patients home.
* Provided clinical application assistance and expertise as superuser for our electronic medical record software.
* Clinical instructor for 3 full-time students: established clinical goals; provided instruction, training, and feedback
to meet their curricular goals and encourage professional growth.
Publications ___________________________________________________________________________
Costello E, Caylor N, Dunyak M, Cordrey R. (2017 June) Simulating the Acute Care Environment in the Academic
Setting: Impact on Student Knowledge. Skills and Behaviors. Poster presented at the 2018 American Physical
Therapy Association Combined Sections Meeting. New Orleans, LA
GEORGE WASHINGTON UNIVERSITY HOSPITAL Washington, DC November 2013 to December 2015
Staff Physical Therapist
■ Screened, examined, evaluated, and treated critically ill patients in the neuroscience/trauma ICU, cardiothoracic
ICU, and medical ICU as well as floor patients with neurosurgical, oncological, traumatic, neurologic,
orthopedic, psychiatric, cardiopulmonary, and medical diagnoses.
■ Evaluated, treated, and educated outpatients diagnosed with ALS as part of a multidisciplinary team.
■ Recognized by peers who selected me as employee of the month.
* Received personal thanks from the former CEO and recognition and kudos from a patient and his family for
identification of an unrecognized stroke and for service recovery and professionalism in dealing with the matter
• Clinical instructor for 2 full-time students: established clinical goals; provided instruction, training, and feedback
to meet their curricular goals and encourage professional growth.
■ Co-founded Journal Club with a former occupational therapist and reviewed relevant research literature on a
monthly basis.
• Identified gap in policy and practice with regards to patient safety regarding use of personal protective equipment
outside patients’ rooms. Discussed with Department of Infection Control who issued guidelines.
* Volunteered to teach “Spine Class” - a pre-operative class for patients undergoing elective spine surgery.
• Independently identified and implemented a method for tracking inappropriate consults.
* Volunteered to participate in “Slay the Dragon” - meetings designed to identify barriers to meeting productivity,
determine solutions, and implement changes.
■ Independently identified an ethical and legal compromise inadvertently being committed on a nursing unit.
Discussed with the nurse manager who discussed with Risk Management who agreed with my assessment,
correcting the situation.
the cases for the course and provided feedback, guidance, and instruction to students learning how to
simultaneously manage multiple lines, perform safe patient handling and interventions, monitor vitals, and adjust
treatment on the fly in a simulated cardiothoracic ICU environment. Second-authored and presented a poster
regarding the above course at the largest national conference for physical therapy, the APTA Combined Sections
Meeting, in February 2018.
■ Selected by the Program Director to co-teach Clinical Conference III - a case-based seminar teaching clinical
decision making to 2nd year DPT students. NICHOLAS GAYTON CAYLOR PT, DPT 5
202]
2009
Honors: Institutional Merit Scholarship
2006
Honors: University Honors Program
University Scholars Recipient
Dean’s List: all years
* M3: Effective Performance Evaluations
* M3: Managing Conflict
* M3: Change Management
* M3: Coaching for Performance Improvement
* M3: Culture of Accountability
■ M3: Achieving Communication Effectiveness
* M3: Motivating and Recognizing
* HR Essentials: Behavior Based Interviewing
- HR Essentials: Wage and Flour Basics
■ HR Essentials: Navigating through the Americans
with Disabilities Act
* Roadmap to the Development of a Critical Care
Rehab Team
* Innovating Engagement and Professional Growth
in Acute Care.
* Exploring Continuing Competence and
Professional Issues with the APTA
* Overcoming Roadblocks to PT Compact
Implementation-The State Perspective
* Deciphering State Disciplinary and ELDD Data
■ Digital Physical Therapy: Our Future is Now
■ Excellence in Regulation: Boards That Have
Made A Difference
* The Pew Commission 25 Years Later
* Productivity and Burnout in Physical Therapy:
Implications for Clinicians, Managers, and
Employers
* Current Happenings and Future Directions of the
PT Compact
UNIVERSITY OF IDAHO, Moscow, ID
Bachelor of Science in General Studies
Minor in .Art; Minor in Music
Professional Development and Continuing Education_______
• Member APTA, Acute Care Section
• APTA Credentialed Clinical Instructor
■ Chief Resident Immersion Training for the Geriatric Patient
■ Cardiac Amyloidosis
• Cancer Rehabilitation for Physical Therapy Professionals
• Therapeutic Approaches to Dementia
■ John’s Hopkins Critical Care Rehabilitation Conference
• Mechanical Ventilation and Physical Therapy
■ Promotion of Recovery Post-Stroke
• Treating the Stroke Patient in the Neuro ICU with
Confidence
■ Improving Wheeled Mobility
• An Overview of Trauma's Impact on Boundary Violation
Investigations
- Stay Ahead of the Curve: Don't Become a Liability Case
Study
■ Challenges for Healthcare Professions: Management of
Substance Use Disorders
■ Regulators as “Proprioceptors” for Health Workforce
Policy
• Artificial Intelligence in Medicine and Physical Therapy
■ Burnout in Healthcare: Risks for Patients? What Do
Regulators Need to Know and Do to Help Their Licensees?
• Mining Your Data: Exploring Trends in Licensure
■ Powerinsight Basic Training
• Powerinsight Intermediate Training
■ Powerinsight Advance Training
MGH INSTITUTE OF HEALTH PROFESSIONS, Boston, MA
Doctor of Physical Therapy
Education_____________________ ________________
THE GEORGE WASHINGTON UNIVERSITY, Washington, DC
Healthcare MBA Candidate -Postponed Honors: GW Signature Scholarship Recipient Elizabeth A. (Betsy) Cavendish
To:
From:
Date:
Subject:
Office of the General Counsel to the Mayor
GOVERNMENT OF THE DISTRICT OF COLUMBIA
Executive Office of Mayor Muriel Bowser
★ ★ ★
WE ARE
WASHINGTON
Tommy Wells, Steve Walker
Betsy Cavendish
March 7, 2023
Legal sufficiency review of Resolutions nominating Dr. Nicholas Caylor and Ana
Quinones as members of the Board of Physical Therapy_______________
This is to Certify that this office has reviewed the above-referenced resolutions and
found them to be legally unobjectionable. If you have any questions in this regard, please do not
hesitate to call Vanessa Careiro, Deputy General Counsel, Executive Office of the Mayor, at
202-724-1303, or me at 202-724-7681.
The John A. Wilson Building • 1350 Pennsylvania Avenue. NW ■ Suite 300 ■ Washington, D.C. 20004 • Office (202) 724-7681