OTAS 2370 - Clinical Transition & Service Management

Credit Hours: 2.00

Outcomes and Objectives: Upon completion of this course the student will be able to demonstrate acquired competency through:

Outcome 1: Articulate knowledge of various contexts, including professional, social, cultural, political, economic, and ecological in which occupational therapy services are provided.

Objectives:

1. Articulate the contexts of health care, education, community, and social systems as they relate to the practice, management and delivery of occupational therapy services.
2. Articulate the potential impact of current policy issues and the social, economic, political, geographic, or demographic factors on the practice of occupational therapy.
3. Articulate the role and responsibility of the practitioner to advocate for changes in service delivery policies, to effect changes in the system, and to recognize opportunities in emerging practice areas.
4. Articulate the importance of using statistics, tests and measurements for the purpose of delivering evidence based practice.

Outcome 2: Articulate knowledge of assistance of management responsibilities, and national and state credentialing requirements for delivery of occupational therapy services.

Objectives:

1. Identify and articulate the impact of contextual factors on the management and delivery of occupational therapy services.
2. Identify and articulate the systems and structures that create federal and state legislation and regulations and their implications and effects on occupational therapy practice.
3. Articulate knowledge of applicable national requirements for credentialing and requirements for licensure, certification, or registration under state laws.
4. Articulate knowledge regarding the various reimbursement systems and documentation requirements that affect the practice of occupational therapy.
5. Demonstrate application in documentation of ongoing processes for quality improvement and implementing program changes as needed to ensure quality of services.
6. Articulate the rationale for continuous quality improvement and its importance to occupational therapy services.
7. Articulate strategies for effective, competency-based legal and ethical supervision of nonprofessional personnel.
8. Articulate the ongoing professional responsibility/accountability for providing fieldwork education and the criteria for becoming a fieldwork educator.

Outcome 3: Articulate knowledge of professional ethics, values, and scholarship in the delivery of occupational therapy services and professional accountability.

Objectives:

1. Demonstrate knowledge regarding the application of the profession’s Code of Ethics.
2. Demonstrate and promote the role of the professional through knowledge of and involvement in international, national, state, and local occupational therapy associations and related professional associations.
3. Demonstrate the promotion of occupational therapy through education of other professionals, service providers, consumers, third-party payers, regulatory bodies, and the public.
4. Formulate strategies for ongoing professional development to ensure practice is consistent with current and accepted standards and the AOTA Standards of Continuing Competency.
5. Recognize how to develop management competencies that are consistent with current and acceptable standards.
6. Articulate core principles of conflict resolution and the application to the occupational therapy workplace.
7. Articulate strategies for analyzing issues and making decisions to resolve personal and organizational ethical conflicts.
8. Identify informal and formal systems for resolving ethical disputes that have jurisdiction over occupational therapy services.
9. Articulate the importance of how scholarly activities and literature contribute to the development of the profession.
10. Apply skill in effectively locating and understanding information, including the quality of the source of information.
11. Articulate how scholarly activities can be used to evaluate professional practice, service delivery, and professional issues.
12. Demonstrate the skills to read and understand a scholarly report and apply to evidence-based practice.
13. Articulate the role of the OTA in evidence-based research.

Outcome 4: Articulate knowledge and application of professional responsibilities of clinical management in the delivery of occupational therapy services.

Objectives:

1. Articulate professional responsibilities related to liability issues under current models of service provision/strategies.
2. Articulate personal and professional abilities and competencies as relate to job responsibilities and the AOTA Standards of Continuing Competency.
3. Articulate the variety of roles of the occupational therapy assistant practitioner, educator, and research assistant.
4. Articulate and describe the need for supervisory roles, responsibilities, and collaborative professional relationships between the OT and the OTA.
5. Articulate the professional responsibilities and issues when providing service on a contractual basis.
6. Articulate strategies to assist consumers in gaining access to occupation therapy services.
7. Articulate the role of the OTA in care coordination, case management with transition services in both traditional and emerging practice.

Outcome 5: Determine skills and materials required for transition from graduate to entry-level practitioner.

Objectives:

1. Demonstrate skill with career interview skills.
2. Demonstrate skill with a professional portfolio.
3. Demonstrate skill with a written resume.
4. Demonstrate knowledge of NBCOT exam application and process

• Communication: The graduate can communicate effectively for the intended purpose and audience.
• Critical Thinking: The graduate can make informed decisions after analyzing information or evidence related to the issue.
• Global Literacy: The graduate can analyze human behavior or experiences through cultural, social, political, or economic perspectives.
• Information Literacy: The graduate can responsibly use information gathered from a variety of formats in order to complete a task.
• Quantitative Reasoning: The graduate can apply quantitative methods or evidence to solve problems or make judgments.
• Scientific Literacy: The graduate can produce or interpret scientific information presented in a variety of formats.

1. Introduction
   1. Healthcare trends and contexts
      1. Understanding the impact of the prevailing healthcare environment and current legislation
         1. Contexts of service delivery
            1. Professional
            2. Social systems
            3. Political
            4. Economic environment
            5. Ecological considerations
         2. Implications for healthcare professions
   2. The context and the impact of delivery of occupation therapy services
      1. Health care
      2. Education
      3. Community
      4. Social systems
      5. Impact of current legislation and reimbursement
2. Potential impact of the current political climate to the practice and service delivery of occupational therapy
   1. Current policy issues
      1. Systems and structures that create federal and state legislation and regulations
      2. Impact to OT service delivery
   2. Social implications
   3. Economic implications
   4. Geographic considerations
   5. Demographic considerations
   6. Advocating change for changes in service delivery
      1. OT clinician’s role and responsibilities
      2. Effecting change in the system
      3. Recognizing opportunities in emerging areas of practice
3. Impact of contextual factors on the management and delivery of occupational therapy services
   1. Reimbursement systems
   2. Documentation requirements
      1. Identifying providers and guidelines
   3. The ongoing process of quality improvement
      1. Providing evidence
      2. Scholarly activities and literature contributions
      3. Effectively locating and understanding the information
         1. Quality of the source
      4. Use of scholarly activities to evaluate professional practice, service delivery, and professional issues
      5. Applying the evidence to practice
   4. Implementing changes for quality improvement
      1. Meeting facility and accreditation standards
      2. Roles of the OTA
   5. Legal and ethical supervision
      1. Guidelines for supervision
         1. Competencies
         2. AOTA Standards of Continuing Competency
         3. Nonprofessional personnel and supervision
   6. Providing fieldwork education
      1. Responsibilities
      2. Criteria required of fieldwork educators
      3. Transitioning students from academics to clinical practice
   7. Management responsibilities
      1. Defining management responsibilities
      2. Role delineation with OTR/OTA
         1. Articulate the need for supervisory roles
         2. Responsibilities
         3. Collaborative relationships
   8. Liability issues in current and changing models of providing service
   9. Providing services on a contractual basis
   10. Prompting and providing evidence-based practice
       1. Research resources
       2. Creating research
       3. Role of the OTA
4. National and state credentialing requirements
   1. National requirements for credentialing
      1. NBCOT certification exam
      2. Obtaining certification
      3. Maintaining certification
         1. Ongoing professional development
         2. AOTA Standards of Continuing Competency
   2. State requirements for licensure, certification or registration
      1. State laws
      2. Obtaining licensure in the State of Michigan
      3. Maintaining licensure in the State of Michigan
   3. Ongoing professional development
      1. Staying current and consistent
         1. Relationship of personal and professional abilities/competencies with job responsibilities
         2. AOTA Standards of Continuing Competency
      2. Accepted standards of practice
5. The application of professional practice elements
   1. Ethics of practice and application to management
      1. The OT Code of Ethics - review
      2. Systems for making decisions regarding personal and organizational ethical conflicts
      3. Jurisdiction over occupational therapy services
         1. Strategies for resolution in the workplace
   2. Involvement in professional organizations
      1. International
      2. National
      3. State
      4. Local
   3. Promoting the profession
      1. Education of:
         1. Other disciplines and interprofessional team members
         2. Service providers
         3. Consumers
         4. Third-party payers
         5. Regulatory bodies
         6. The public
      2. Assisting consumers in gaining access to OT services
6. Roles of the OTA
   1. Practitioner
   2. Educator
   3. Research assistant
   4. Entrepreneur
   5. Emerging areas of practice
7. Preparing for seeking positions
   1. Finding the right fit
   2. Interview skills and presenting yourself
   3. Professional portfolios
   4. Resumes
   5. Seeking a position
      1. Technology resource