BCPR Module 1 Flashcards
(47 cards)
OTPF-4
Articulate OT’s distinct perspective and contribution to promoting health/participation through engagement in occupation
OTPF Purpose
1) describe central concepts that ground OT practice
2) build a common understanding of basic tenets and vision of profession
3) NOT a taxonomy, theory, or model of OT
Domain
1 of 2 OTPF sections
Outlines professions purview and areas of established knowledge/expertise
(occupations, contexts, performance patterns, performance skills, client factors)
Process
1 of 2 OTPF sections
Actions taken when providing services (client centered, focused on engagement in occupations)
(Evaluation, intervention, outcomes)
Outcomes
End result of OT process
Describes what clients can achieve through OT intervention
Two types: Measurable and Experienced
Measurable Outcomes
Used for intervention and d/c planning
Experienced Outcomes
Client realized effect of engagement in occupation via return to desired habits, routines, roles, and rituals
Benefits of measuring outcomes
Learning
Improved perfomrance
Demonstration of superior outcomes
Preparation for value-based payment
Reliability
Degree to which an instrument can provide consistent results, on different occasions, across different contexts
Validity
Degree to which an instrument measures the construct it intends to
Sensitivity
Ability to measure change in a state (relevant and meaningful to decision maker - can be small)
Responsiveness
Ability to detect/measure a meaningful/clinically important change in clinical status over time
Skilled Level of Care
Medical record must support that expertise and knowledge of a qualified clinician was necessary and was provided
Documentation Requirements per CMS
Unique professional contribution for:
1) Why did they req treatment/education/training?
2) What specialized treatment/education/training was provided?
3) How did the pt benefit from specialized knowledge applied by clinician?
Medical Necessity
Must be specific and effective for pt’s condition
Amount/frequency/duration of services planned/provided must be reasonable
Must be necessary for treatment of condition
Medical Necessity Documentation
1) clearly describe pt’s condition before/during/after therapy
2) show the pt significantly benefited
3) progress was sustained and of practical value when measured against condition at start of treatment
Maintenance Program
Medicare will reimburse for development of program
Maintenance Program Goals
Maximize/retain functional status achieved with therapy
Assure pt safety within their home
Train pt/CG in maintenance activities
Prevent further decline in pt’s condition
Maintenance Program Key Documentation
Was the pt/CG compliant with previously established program?
Was the pt unable to complete the program? Why?
Are there any new significant medical/functional issues noted since d/c from prior therapy that required revision of program?
5 Pillars of Vision 2025
Effective
Leaders
Collaborative
Accessible
Equity, Inclusion, Diversity
Diversity
Unique attributes, valued, and beliefs that make up an individual
Increased diversity of staff has been linked to increased creativity/efficiency
SES, race, sex, ethnicity, age, disability, sexual orientation, gender ID, religious beliefs
Equity
Ensures everyone has access to the same opportunities
*Acknowledges the unequal starting place between members and strives to correct imbalance
*Not same as equality
Equality
Ensures that everyone receives the same benefit
Not same as equity
Inclusion
Acceptance/support of diversity wherein the uniqueness of beliefs, values, and attributes is welcomes, valued, leveraged for maximum engagement
*To support diversity, inclusion must be actively pursued