Leadership-
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Transactional Leadership-how you like the other person leadership
A leadership style based on exchange between leader and a follower,
in which followers are rewarded only after meeting specific goals or
exceeding performance criteria. it also identify roles/task by
providing positive and negative rewards based on performance.
� Transformational Leadership-How you perform
A leadership style in which leaders create connections with
followers, inspiring and motivating others to exceed an outcome beyond
exchanges and rewards. it also tends to have great influences on
emplotee,college by targeting intrinsic motivatin.
� Emotional Intelligence
The ability to perceive, access, generate, and regulate emotions to
promote emotional and intellectual growth.
Self-awareness
the understanding of one�s own emotions, strengths, weaknesses,
needs, and drives
� Self regulation
The ability to manage emotions, moods, and impulses and channel them
in useful ways.
Motivation-
The ability to increase one�s desire to achieve a goal or desired outcome
� Advocacy
The process of supporting a cause, such as an idea, policy, or
activity that can directly affect a person�s or group�s well being.
� Health Policy
y- A written statement that describes the intended course of an issue
related to health
ICU
life threatening illness,
injury very close supervision. 2 patient to 1
nurse. fighting for their lives
vertebrate-trach-c critically illiness coma by
med stay - few days to a month.
Subacute
not safe to go home
need assist for ADL step between ICU-subcute floor
staying 3day to 100 days rehab 1-2 hour a day
skilled nursing facilitie
some ADL but either from a
acute floor improve ADL IDAL in function independence.
stay 19-21 days an hour a day pt needed 3x day+ program
2xday 30 min session 5x
Maintain certification
OTA must accrue 36 professional development units
OTAs renewing their certification must also agree to continue
to abide by both the NBCOT Code of Conduct and the PPS
Accredited
Occupational Therapy Assistant (OTA) Program-
One that meets standards established by the ACOTE.
Certification-
Process of meeting eligibility requirements for and passing the
national certification examination
Credentialing-
?Process of assessing and confirming the qualifications of a licensed
or certified healthcare professional
License, registration-
State or jurisdiction documentation indicating permission to practice
Standards of Practice-
?Requirements that OTAs must follow in the delivery of occupational
therapy services.
OTAs in the United States must meet several requirements in order to
practice including
1.Graduating from an OTA Program accredited by the Accreditation
Council for Occupational Therapy Education (ACOTE)
2.Passing the nationally recognized entry-level examination (NBCOT)
3.Fulfilling state requirements for licensure, certification,
or registration
Abide by all applicable stipulations (whether federal or state
legislation, local or specific facility requirements and guidelines,
or professional standards
?The Mission of NBCOT is to:
serve the public interest by advancing client care and professional
practice through evidence base certification standards and the
validation of knowledge essential for effective practice in OT.
The purpose of the exam is to
to proect the public interest by certifying only those canidates who
posses the knowlegde necessary for OT
Things on the exam
Composition of the Exam
?200 multiple choice questions designed to measure entry level competence
?4 hours
?Electronic format
?Exam Scores range from 300-600 points
?Successful Exam candidates must achieve a minimum score of ____450______
The accreditation process is designed to
to both ensure the quality of the program and assist with improving quality.
Certification Exam Eligibility
receive an Authorization To
Test (ATT) Letter review every 2 years ?Candidates
are required to provide NBCOT with their official final academic
transcript that notes the degree conferred date ?In lieu of the
final transcript, candidates may temporarily provide and Academic
Credential Verification Form (ACVF) but NBCOT will NOT release exam
results until the final transcript indicating the date of degree
conferral is received. ?All NBCOT exam candidates must answer
questions about their character and agree to abide by the NBCOT Code
of Conduct ?Applicants must also agree to abide by the NBCOT
Professional Practice Standards
Maintaining National Certification
Successful exam candidates are certified for an intial _____3__ year period
?OTA must accrue __36_______ Professional Development Units (PDUs)
in the 3 year period between their initial certification and their
renewal due date
oOne contact hour = 1.25 PDUs
?OTAs renewing their certification must also agree to continue to
abide by both the NBCOT Code of Conduct and the PPS
?Several terms are used to refer to individuals who have met the
state�s requirements and received permission to practice
oDepending on the state one may need a license, permit,
authorization or registration in order to practice
?Individuals wishing to obtain permission to practices must complete
an application, pay a fee, and provide supporting documentation which
may include:
oOfficial transcript
oPassport type of photograph
oLetters of reference
oOfficial certification exam score report from NBCOT
must complete an application, pay a fee, and provide supporting
documentation which may include:
?Maintaining one�s license, registration, or permit is mandatory if a
person wishes to continue to practice as an OTA
?The amount of time a license is valid varies by state but is
typically between ____1___ and __3____ years.
�Application form
�Fee
�Evidence of appropriate supervision
�Evidence of continuing competency
�Evidence of Liability or malpractice insurance
�Attestation to abide by various conduct standards and/or
abstain from criminal, negligent, unethical conduct
violations of its standards and a process
oReports complaints and NBCOT disciplinary action to the public
and state regulatory entities
oState regulatory boards also have a system to discipline
OTAs who violate regulations or fail to comply with standards
(suspension, revocation, sanctions/monetary fines))
Credientials
oSCADCM-driving and community
oSCAEM-enviromental modification
oSCAFES-feeding, eating,and swallowing
oSCALV-low vision
oSCASS-school systems
prospective payment system
a method of reienbursement in which Medicare payment is made on a
predetermine fixed amount
reimbursement Medicaid
A joint federal and state program that help with medical cost.
Current Procedural Code (CPT)
Alphanumeric code used to report health care services and procedures
to payer for reimbursement.
Medicare G- code
Task based non billable codes provides must use on all Medicare Part
B of July 2013
Affordable Care Act (ACA)
Passage of the act will significantly restructure health care in the
U.S. The act mandates increased quality, access, an affordability in
health care.
OT works
hospital, outpatient clinics,SNF,home & community setting,
school, industry, private practices In practice school, professional
education, administration & management, mental
health,rehabilitation,geriatrics, orthopedic, acute care,
Primary Practice Area OTA works
Snf,geriatric, and rehabilitation
Health Care payment
Medicare- bsed on the services of a skill provider
Medicaid-federal and state program that help with medical cost
for limited income
Chip-state level program that provides health to low income
children who cant get Medicaid.
Tricare- military health care
worker comp-insurance program for job related injuries /illiness
private insurance-health provide by employer, unions, ex blue
cross,united , blue shield,
(RVU) Ralative value unit
conversion factors are determine by geographic cost differences, set
by agreements between contractor/facility (providers of services &
payers, reimbursement payment is typically determine I advance.
Describe ICD-9 CM Clinical Modification ICD 10
ICD International Classification of Disease
The official system of assigning code to diagnoses and procedure
associated with hospital utilization in the Unite State
Implication on the Aca /OTA
potential to see an expanding
client base due to several factors The uninsured access to
health care expansion of Medicaid in some states
new care delivery model emphasis on intergrated,
team based approach providing care
describing CPT codes ( currect procudal term)
are a listing of stardardized descriptions,in numerical form use to
report health care service and procedure.
purpose to provide a uniform language accurately describe medical,
surgical, and diagnostic.
also used by practitation.
Describing G-code
identify primary issues being addressed by therapy, and modifiers
reflect clients functional limitation.
fedral
Stae
medicare, social security disability and veteran.
Medicaid , CHIP, Worker's Compensation
Market
All actual or potential buyers of a product, service, or idea; can be
considered in its entirety.
Marketing
The process of planning and executing the conceptions, price,
promotion, and distribution of ideas, goods and services to create
exchanges that satisfy individual and organizational objectives
Promote
To support or actively encourage; further the progress of something
Social Marketing-
Techniques of marketing deployed to create positive social change
Scholarship
research activity designed to build the knowledge base of
occupational therapy to further advance practice and teaching.
Scholarship practice
Evidence based practice using the knowledge base of the profession to
occupational therapy practice and teaching.
. Be able to explain what a PAC is and its purpose
. Political Action Committeeb. AOTA members can contribute to
AOTPAC to support congressional candidates who support occupational
therapy legislation
Identity the two types of marketing
Inbound: doing market research, analyzing the competition, finding a
market niche, and pricing products and servicesb. Outbound:
promoting (advertising, publicity, sales promotion, and personal selling)
. Identify benefits of marketing planning
Encourages systemic thinking aheadb. Leads to better
coordination of organizational effortsc. Leads to the
development of performance standards for controld. Causes the
individual/organization to sharpen its guiding objectives and
policiese. Results in better preparedness for sudden developments
. Identify and describe the steps in Identifying attractive target markets
. Self-audit- assess strengths, weaknesses, opportunities, and
threats (SWOT) of your department and/or specific programb.
Consumer analysis-analysis of some of the consumer who might use your
products include clients, colleagues, physicians, rehab manager and
consultants, other health professionals, nurses, etc.c.
Competitive analysis- how adequately the needs of the marketplace are
being met, what areas are not being served, where duplication and
overlap are occurring, and where opportunities for collaboration or
joint venture exist can be determined through analysis of other
providers of similar servicesd. Environmental assessment-
changes in trends that may have an impact on OT services; demographic
variables, political and regulatory systems, cultural environment,
economic/financial environment, psychographics, technological developments
. Explain what a SWOT is and how it is used
Strengths, weaknesses, opportunities and threats assessment to look
at these areas when completing a self-audit
Identify and describe the 4 P�s of a Marketing Mix
Product- what we do as OT practitionersb. Place- where OT
services are provided (a variety of places)c. Price- price or
fee schedule for OT services should be based on cost, competitive
factors, geographic area, and what consumer is willing to payd.
Promotion- vehicle of communicating info to you clients about
product�s merits, place, and price (advertising, sales promotion,
publicity, personal selling)
. Identify ways to promotew /market OT
. Print ads, brochures, direct mail, broadcasts, transit, billboards,
quarterly newsletters, business cards, bumper sticker, exhibiting at
various conferences, developing a free speakers� bureau, presenting
in-service training to physicians and health and wellness
professionals, lecturing, holding an open house
. Describe the 3 types of market control
Annual plan control consists of the steps used during the year to
monitor and correct deviations from the marketing plan to ensure that
annual sales and profit goals are being achievedb. Profitability
control refers to the efforts used to determine the actual profit or
loss of different marketing entities such as the products or market
segmentsc. Strategic control is a systematic evaluation of the
organization�s market performance in relation to the current and
forecasted marketing environment
. Be able to explain why social media is an effective marketing tool
You can reach a lot of people at one time and more people use social
media today than there have been in the past
Centennial Vision
That Occupational Therapy is a powerful, widely recognized,
science-driven, and evidence based profession with globally connected
and diverse workforce meeting society�s occupational needs.�
Market
All actual or potential buyers of a product, service, or idea; can be
considered in its entirety
Acute care
failure to respond for
outpatient 5days surgery medical
ambulatory care IV fluids life threatening
illiness or services
Inpat rehab
med SPV
coordination pre admission screening
ROS-20days complex problem in need/60days
Outpatient
order or referral
reasonable+ necessary med stable for stability
, caregiver day rehab benefit cost less/for
strength for prevention
Home health
medicare c physican
order doc homebound with assistant face to face
service 31days SNF
Assisted living
deternation; criteria service
BENEFICENCE
Doing Good � Preventing or removing harm from others Requires action
to prevent harm and promote good
NONMALEFICENCE
The principle to do no
harm Requires no action on the part of the OT
practitioner
AUTONOMY
An individual�s right to make informed choices� Represents a
person�s ability to determine his or her care� Individuals
(clients) who decision making capacity must be active participants in
the conversations regarding potential benefits and harms of
treatment� As providers of care we must respect a person�s right
to choose his/her
JUSTICE
Includes fair treatment of all people and the equitable distribution
of resources� In practice, there may be limitations to providing
equal care because of disparities that are inherent to society �
OTAS can respect justice by advocating for clients from various
backgrounds and socioeconomic statuses. � Respect for justice ensures
impartial and righteous treatment of all clients
VERACITY
Means to be honest and truthful� In healthcare, refers to
accurate, timely, objective and comprehensive transmission of information
FIDELITY
Means faithful or loyal� Refers to a clinician�s commitment to
meeting a client�s reasonable expectations� The OTA should
maintain a clear dialogue with the client and the interdisciplinary team
Moral distress
the experience of knowing the ethically appropriate action but
feeling powerless or constrained by external factors to implement it
Moral courage
the willingness to uphold moral and ethical value despite the risk of
criticism or negative feedback
Entittlement
legislation that guarantee right to benefit to specific group of individual.
medicare
federal insurance program for individual over 65 years old with
specific conditions
medicaid
federal -state partnership meant to provide health insurance to some
group who can't afford it.
habilitative
health care service that help a person keep learn, or improve skills
and functional for daily iving
telehealth
electronic information and telecommunication to support long-distance
health care and health administration.