Term
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Definition
Identify values and principles to all levels of occupational therapy personnel
OTs have to uphold Ethics
Identify principles
Educated and keep OTs accountable
Expected standards of conduct
Recognize ethical dilemmas |
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Term
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Definition
Beneficience - Safety and well being
Nonmaleficence - Shall not refrain from actions that cause harm
Autonomy and confidentiality - Respect the right of self-determination
Social Justice - Provide fair and equitable services
Procedural Justice - Comply with institutional rules, local, state, federal, and international laws
Veracity - Provide comprehensive, accurate and objective information.
Fidelity - Treat colleagues and other professionals with respect, fairness, discretion and integrity |
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Term
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Definition
Have to report any suspected abuse or neglect
All ages are at risk
Deliberately hurting or withholding treatment regarding a pt. mentally, physically, emotionally
Look for signs and symptoms a-p |
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Term
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Definition
Identify ethical issues
Gather relevant information
Determine conflicting values
Identify relevant courses of action
Determine all possible positive and negative outcomes
Weigh each outcome
Seek input from others
Apply professional judgment
Contact all agencies
Determine outcome of filing complaint |
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Term
| AOTA and NBCOT ethical jurisdiction |
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Definition
AOTA has the Ethics commission which is responsible for informing and educating members and upholding the standards of behavior and monitoring and reviewing allegations of unethical conduct based on AOTA's code of ethics.
NBCOT has developed investigatory and disciplinary action procedures for NBCOT practicioners who raise concern for behavior for certified members. |
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Term
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Definition
They are created by state legislatures to assure health and ssafety of citizens.
Each state has licensure and adopts AOTA's Code of ethics |
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Term
| Violations for ethical misconduct |
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Definition
Reprimand
Censure
Ineligibility
Probation
Suspension
Revocation
All are made public except for reprimand
Malpractice suits can be filed for Negligence (personal malpractice insurance is advisable for all levels of OT practicioners) |
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Term
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Definition
We do not require supervision to practice.
Supervision should be used as best practice
OTA's have to be supervised for everything.
Face-to-face, or indirect
Includes close, routine, and direct contact, general, and minimal.
Ethically they ensure amt. of supervision for a COTA/L matches their level of performance
Intermittent supervision may be intermittent for non-client tasks and continueous for client related tasks.
Has to be within auditory and visual contact for supervision with OT and OTA
OT has ultimate service responsibility
Practitioner, Education, Fieldwork Educator, Supervisor, Administrator, Consultant, Academic setting fieldwork coordinator, Faculty, Program director Researcher/scholar, Entrepreneur. |
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Term
| Team Roles and Principles of Collaboration |
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Definition
pt. family, caregivers, healthcare professionals and reimburser's gatekeepers.
Is mandated by law, OBRA, IDEA.
Make appropriate referrals to appropriate personal always
Know limitations and principles
Intradisciplinary - one or more members of same discipline
Multi-disciplinary - number of people from different disciplines, primary allegiance to ones discipline
Inter-disciplinary - all different disciplines working together for same goals.
Transdisciplinary - everything from inter plus planned evaluations and interventions cooperatively, ongoing communication and training for all
Interdisciplinary and Transdisciplinary are most efficient and effective.
Important members are client first, then family, caregivers, and all other team members. |
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Term
| United States Health Care System |
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Definition
Private, federal and state programs, Medicare and Medicaid, Primary care physicians
Law regulated by CMS and HHS
CMS has three centers, Beneficiary, Medicare and Medicaid.
OSHA - safety standards are set.
State accreditation and licensure to run.
voluntary accreditations, SNFs, PPOs, HMOs are self imposed compliance, voluntary accrediting agencies JCAHO, CARF, AC-MRDD |
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Term
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Definition
| Private and Managed Care, Medicare, Medicare coverage of DME, Prosthesis, etc., Medicaid, WC, Personal Payment, Pro-bono. |
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Term
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Definition
Be current and accurate, institution guideline, abbreviations, first person language, name and ID on every page, no white out, date, type of note, confidentiality, informed consent, signature, countersignatre, subject to subpoena.
Recommends cosignature of OTAs.
Content includes, pt. information, evaluation, intervention plan, SMART manner goals, intervention implementation documentation, discharge plan documentation.
Formations, SOAP, reports
Reimbursement - Coded and billed, procedure codes, document red flags, physian orders.
Medication reimbursement - various guidelines, prescription documentation, intervention documentation, why, how, and who, honest continued intervention documentation |
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Term
| Federal Legislation Related to Occupational Therapy |
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Definition
Persons with disabilities
Health benefits
Practice guidelines and reimbursement
Social movements
State laws
Best practices |
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Term
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Definition
Sets standards and safeguards for privacy
Permission must be granted to discuss information with others
Providers protect pt. confidentiality
Individual has right to medical record
Includes group settings and open clinics
Only reasonable and vigilant safeguards not 100%
Guidelines for research requiring an IRB
The Administrative Simplification rules
HIPAA does not override State laws |
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Term
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Definition
Medicare Title 18-PL 89-97
Rehabilitation Act of 1973
Fair Housing Act
Omnibus Budget Reconciliation Act (OBRA) associated with 504
ADA
Title I - Employment
Title II Public Services
Title III Public Accommodation and Services operated by Public Entities
Title IV Telecommunications
Ticket to Work and Work Incentives
Work Investment Act (WIA)
Child Abuse Prevention and Treatment Act
Early Intervention and Educational Acts
Reauthorization and Amendment of Individuals with Disabilities Education Act
IDEA 2004
No child Left Behind Act
Age Discrimination and Employment Act
Freedom to work act
Omnibus Budget Reconnciliation Act (OBRA |
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Term
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Definition
Medical Model, Education Model, Community Model
Acute Care, SubAcute (ICF), LTAC, Rehab hospitals, Long-term hospitals, (SFs), Forensic, Outpatient, Ambulatory Care
EI, Schools, Supported education, Prevocational, Vocational, Residential, Partial Hospital, clubhouse, Adult day care, Outpatient/ambulatory Care, Home Health Care, Hospice, Care management Programs, Wellness and prevention |
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Term
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Definition
Need a purpose
Needs assessment, Program Planning, Program Implementation, Program evaluation, |
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Term
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Definition
Two group design includes random selection and assignment into experimental group or a control group
independent variable - two levels of treatment
dependent variable - ie: the outcome |
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Term
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Definition
| an independent variable is manipulated to determine its effect of the dependent variable, no randomization and lesser degree of researcher control |
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Term
| Non-experimental/correlational: |
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Definition
Used to study relationships between two variables: attendance and social skills at day care.
Degree of relationship is expressent ranging from -1.00 and +1..00 as a correlational coefficient
Could be retrospective, prospective, descriptive and predictive or ex post facto |
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Term
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Definition
Descriptive research,
Phenomenological -study of one or more persons
Ethnographic - patterns and characteristics of a cultural group, field observations, cultural immersion and understand insider's perspective
Heuristic - Complete involvement of the researcher in the subjects experience
Case study - Single subject or group of subjects |
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