Mission
An organization’s core underlying purpose, or basis for its existence, focus, and actions
Environmental Assessment
Provides an assessment of quantitative data as well as impressions and observations for a better understanding of the context for strategic discussions. It also takes into account qualitative data such as employee opinions and satisfaction surveys
Marketing
The process of planning and executing the conception, pricing, promotion, and distribution of ideas, goods, and services to create exchanges that satisfy individual and organizational objectives
Vision
Provides a description of the aspirations of the ideal state desired for the organization
Organizational culture
Shared way of doing things based on values and beliefs
Evidence-based practice
Based on integrating critically appraised research results with the practitioner’s clinical expertise, and the client’s preferences, beliefs, and values
SWOT
Strengths, Weaknesses, Opportunities, Threats
Goals
- Once focus is determined potential goals and objectives are formulated
- Selection of 5 or fewer goals is ideal to improve focus
- Don’t want to have too many goals for an organization because then they’re harder to meet
- Ongoing review and periodic assessment of a plans success are necessary
- Important to have measurable and clearly understood outcome measures
Beneficence
Treating all client’s equally w/ no discrimination, reasonable services, advocating for your clients, discharging a client for personality, culture, lifestyle choices, etc.
Nonmaleficence
Maintaining therapeutic relationships that are free from exploitation, avoiding harm, don’t allow personal problems to affect judgement, disregarding safety precautions set for a client, dating someone you’re treating or their family member is unethical, substance use at work is unethical (treating under the influence)
Autonomy
Client-centered practice, the client is giving up input and helping set the goals/contribute to intervention plan, must obtain consent, protect private information, allowed to refuse research participation
Justice
Understanding and following institutional rules, association guidelines or related laws, remaining aware of changes in these areas and notifying employers, employees, and peers of such as needed, neglecting to understand and abide by facility procedures (if something goes wrong it’s your responsibility), recording and reporting all practice-related activities in a timely manner
Veracity
Accurately representing one’s professional credentials, qualifications, education, experience and competencies; disclosing potential conflicts of interest with those whom they engage in professional, contractual or other working relationships, refraining from communication that contains false, inaccurate, inflated, fraudulent or deceptive claims; disclosing errors that could impact client’s safety
Levels of supervision
Direct, close, routine, general (definitions will vary state to state, but the general concepts are in these index cards)
Direct supervision
Line of sight, generally required for students but varies from setting to setting.
- Mary said: but it depends on setting - phys dys is line of sight, but once we graduate - we don’t need any supervision (*Mary told me students often get this wrong, and Brenee posted up on the 1st page that this is an exam question). Mary also said “think of this exam concept of supervision as COTA supervision and our own”
Close supervision
In the same location
Routine supervision
Could stop by 1x/week
General
Example: just conversation if working with a COTA.
The Patient Protections and Affordable Care Act
- The law provides numerous rights and protections that make health coverage more fair and easy to understand, along with subsidies (through “premium tax credits” and “cost-sharing reductions”) to make it more affordable.
- The law also expands the Medicaid program to cover more people with low incomes.
- Identified key improvements be made in preventative care, coordinated care, diversity and cultural competency
Increased the number of health care providers for underserved communities - Ended insurance discrimination and ensures affordable insurance coverage
- AOTA lobbied in Congress to include occupational therapy in newly designed health care plans
- *Preexisting Condition Insurance Plan (PCIP)
Part of PPACA plan that provides access to health care to individuals who were previously denied by private insurance companies due to a previous health condition
Omnibus Budget Reconciliation Act
- A federal law that may allow you to temporarily keep health coverage after your employment ends, you lose coverage as a dependent of the covered employee, or another qualifying event.
- If you elect COBRA (Consolidated Omnibus Budget Reconciliation Act) coverage, you pay 100% of the premiums, including the share the employer used to pay, plus a small administrative fee.
- This act classifies occupational therapy as a qualifying service under the home health benefit and also identifies comprehensive outpatient rehabilitation facilities as providers under Medicare Part B.
Americans with Disabilities Act
- This was a landmark law in changing the way in which society viewed people with disabilities
- The 1st comprehensive civil rights law for individuals with disabilities
- This act has affected OT and its clients by requiring attention to accessibility of facilities and programs, by promoting accommodations to enable employment, and by increasing supports for independent living
Health Insurance Portability and Accountability Act (1996)
Protects health insurance coverage for workers and their families when they change or lose their jobs
Required the establishment of national standards for electronic health care transactions and national identifiers for health providers, insurance plans, and employers
Better known piece of HIPAA: addresses security and privacy of health data
